It's different for everyone. Some people don't lose hair at all. In my case I lost hair......and it didn't come back.

I chose to think on the bright side....it didn't take forever to blow dry.

Hair is important to lots of people. I get it. But I'd rather be able to walk and be bald than to sit in a wheelchair with a full head of hair.

I have a lot of hair too. After starting MTX and Humira, I lost a little more hair than what is usual, and the texture of my hair changed. Hair loss was not noticeable. What was interesting was that my hair became curly -- this may be a perimenapausal change or may be due to MTX or Humira. I am no longer on the medications, and my hair loss is back to pre-treatment amount, but it's still curly (which is totally fine with me).

Rats to hair falling out! I used to be so bad, especially on prednisone. Then I started using Biotin, along with the zinc I was already using. My hair not only was not falling it, it was starting to get thick again.

So I started on mthx 4 weeks ago. I noticed hair falling out again. But what can I say? The flares are better! I wish it was not a choice, but for me being well trumps a full head of hair. Sigh!

Agree totally.

I have heard others say the same about Biotin.

I use nioxin shampoo for hair loss. I noticed hair loss when I first started MTX & then it slowed down over the years. I stopped MTX & just started up again & am noticing the hair loss again.

Nioxin was a total waste of money for me. Plus, I became allergic to it, because I have super sensitive skin.

I also talked to a really good hair dresser about Nioxin. She said it was well known it didn't stop hair loss. She said there is one prescription medicine my doctor could give me, and that would help, at great cost. I was moving in 2 weeks so I passed on it. Maybe something for me to look into, if I can stay on mthx. More liver tests today - we will see.

I'm glad I found this post. Just diagnosed in late oct. 2016. ra specialist put me on mx and folic acid. noticed hair lose contacted ra dr he said up the folic acid to 3 instead of 1 a day but keep taking the mx. I'm very depressed about losing my hair and it's not that i'm vain it just I don't think i'll do bald very well. Some women are beautiful with or without hair, that's not me lol. If anyone can answer will this continue until i'm bald or will it stop. have an appt in feb with ra dr and will discuss this more, but he keeps telling me the mx is the best med for ra. And I am pain free haven't had a flareup since the week of thanksgiving. But I dread washing and coming my hair, I get soooo depressed when I see all of the long strands coming out.

I get it.

MTX thinned out my hair, no doubt. But you have to prioritize stuff. Getting BB the disease under control is more important. I'd go bald just to have movement.

Reframe it: think of how much time you save blow drying your hair!

tell us what dose and how much folic acid......

Have you discussed a biologic?

I'm taking 22mg mtx/week and 3mg folic acid/day. Being new to this I'm not understanding the biologic. please bear with me. Can you give me info on a biologic? And is this just thinning or am I gonna loose all my hair? I can probably wrap my brain around this at some point, guess it just too new and scarey for me and most days I don't think about it except when I wash and comb my hair.

Biologics are a type of live bacteria which target certain parts of the immune system. I believe Humira is TNF, and so is Simponi. Kineret is Interleukin1 and Actemra Interleukin6. Xeljanz is Jakinase molecules and Rituxan is B cells. Orencia is T cells.

By disrupting and destroying these cells, the disease actually stops. Not everyone responds to the same biologics, but if mthx is not enough, it can work synergistically with the mthx, with a better outcome than either mthx or the biologic itself. Thus, a biologic is an excellent tool to stop RA in its tracks, with good outcomes. I have been on all the above except Humira. I had very good response to Kineret and mthx, whereas neither was enough on its own. Orencia is also beginning to work well, now that I have added mthx to the mix. The other ones I had mixed success with.

Maybe someone can add something more?

PS. Biotin really has helped stop my hair falling out, but I will still take being bald over having RA pain and deformities.

Just an update...my hair has started coming back, I take 2 Folic Acid and also started taking biotin. It has helped a couple times I even used Nioxin shampoo and treatment.

It's not like the effects of cancer. Just some hair thinning that stabilizes.