HomeAnswersDermatologypremature graying of hair

Why am I getting grey hair at 20 with low vitamin B12?

This Premium Q&A, reviewed and published, features a real conversation between an iCliniq user and a physician.

Patient's Query

Hello doctor,

I have grey hair, my age is 20, and I have no family background in my family. Earlier, my grey hairs were not noticeable, but now they have started becoming noticeable, and I even have some brown hair in my beard.

I have tested my vitamin B12 level, which was around 168 mcg. I do not know why my hair is becoming grey day by day, and it is letting my confidence down.

Please help.

Thank you.

Answered by Dr. Misha Saghir

Education:

MBBS

Professional Bio:

Dr. Misha Saghir is a dedicated dermatologist with expertise in diagnosing and managing a wide range of skin, hair, nail, and cosmetic concerns. Her areas of expertise include acne, pigmentation, eczema, psoriasis, vitiligo, melasma, skin infections, and other hair and nail disorders. With previous experience as a general practitioner in government healthcare, Dr. Misha Saghir combines strong clinical knowledge with a patient-centered approach. She provides evidence-based online consultations, practical treatment plans, clear guidance, and appropriate follow-up care to help patients achieve healthy skin, hair, and nails.

This doctor is not available for online consultations on the platform anymore.

Hello,

Welcome to icliniq.com.

I understand your concern, especially at a young age. It is completely natural to feel worried when you notice increasing grey hair.

Based on your reports, the most important finding is your low vitamin B12 level (168 pg/ml), which is below the normal range. This can definitely contribute to premature graying. Vitamin B12 plays an important role in melanin production and maintaining healthy hair follicles, so a deficiency can lead to early loss of hair pigment.

In addition, copper is another micronutrient involved in hair pigmentation. A copper deficiency can also contribute to premature graying, so including it as part of a multivitamin can be helpful.

I would recommend taking a multivitamin supplement containing vitamin B12 and copper once daily for about one to two months. In your case, since there is no strong family history, this appears to be acquired premature graying. Nutritional deficiencies, along with stress, are likely the main contributing factors. Your low vitamin D level (around 11) also suggests an overall nutritional imbalance, which can further affect hair health.

Chronic stress, such as exam-related stress, can also accelerate graying by increasing oxidative stress in the body. The reassuring part is that this condition can often be slowed down, and in some cases partially improved, if the underlying causes are corrected early. You should begin proper vitamin B12 supplementation and continue treatment for vitamin D deficiency as advised.

Along with this, focus on a balanced diet rich in protein and essential nutrients. Include foods like dairy products, eggs, green leafy vegetables, nuts, and fruits in your daily routine. Managing stress is equally important. Try to maintain regular sleep, engage in light physical activity, and practice relaxation techniques to reduce its impact.

Avoid relying on over-the-counter anti-grey hair oils or supplements, as most of them do not have proven benefits. If the appearance of grey hair is concerning, hair dyes can be used safely, but they do not address the underlying cause.

With time, once your nutritional deficiencies are corrected and stress is better managed, you may notice stabilization and some improvement. However, complete reversal of grey hair is not always guaranteed.

I hope this answers your query.

Please let me know if I can assist you further.

Thank you.

Medically reviewed by iCliniq medical review team
Published At March 24, 2026
Reviewed At March 24, 2026

Education:

MBBS

Professional Bio:

Dr. Misha Saghir is a dedicated dermatologist with expertise in diagnosing and managing a wide range of skin, hair, nail, and cosmetic concerns. Her areas of expertise include acne, pigmentation, eczema, psoriasis, vitiligo, melasma, skin infections, and other hair and nail disorders. With previous experience as a general practitioner in government healthcare, Dr. Misha Saghir combines strong clinical knowledge with a patient-centered approach. She provides evidence-based online consultations, practical treatment plans, clear guidance, and appropriate follow-up care to help patients achieve healthy skin, hair, and nails.

This doctor is not available for online consultations on the platform anymore.

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Companion

Premature Graying Companion

How it works

Premature graying can be concerning, especially at a young age. This section explains the common factors involved and how they affect your hair.

1

Early
Graying

2

Vitamin
B12

3

Other
Nutritional

4

Stress
Impact

5

Hair
Management

6

Outlook
Options

This information is based on general medical guidance. It is not a substitute for professional medical advice; consult a qualified clinician.

Always consult a doctor before taking medication; self-medication carries serious health risks. Take exact prescribed doses, and never start, change, or stop treatment without medical supervision.

Education:

MBBS

Professional Bio:

Dr. Misha Saghir is a dedicated dermatologist with expertise in diagnosing and managing a wide range of skin, hair, nail, and cosmetic concerns. Her areas of expertise include acne, pigmentation, eczema, psoriasis, vitiligo, melasma, skin infections, and other hair and nail disorders. With previous experience as a general practitioner in government healthcare, Dr. Misha Saghir combines strong clinical knowledge with a patient-centered approach. She provides evidence-based online consultations, practical treatment plans, clear guidance, and appropriate follow-up care to help patients achieve healthy skin, hair, and nails.

This doctor is not available for online consultations on the platform anymore.

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