
Almost everyone will watch their hair turn gray as they approach their golden years. For most people, there isn’t much they can do except gray gracefully or pick out a shade of hair dye they like.
Although it’s not as common, others start to go gray much younger, even before they turn 20. When hair turns gray prematurely, the reason isn’t always obvious. Rumors abound that everything from stress to a good scare can turn your hair gray, sometimes instantly.
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We asked four top doctors specializing in hair what causes our locks to turn gray and if there is ever a reason to be concerned. Here’s what they said.
What causes hair to turn gray?
Hair turns gray when it loses a pigment called melanin, Dr. Akhil Wadhera, a dermatologist with Kaiser Permanente in Northern California, explained to HuffPost. Typically, this occurs as part of the normal aging process starting in your mid-30s to early 40s. However, some people turn gray at a relatively young age.
The most common reason for premature graying is genetics, he said. If your parents went gray at a young age, your hair is likely to turn gray earlier, too.
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Nevertheless, some young adults whose parents retained vibrant hair color into old age experience premature graying for various reasons. Some of those, like genetics, are beyond their control. Others are a result of lifestyle choices or environmental factors.
Stress really can cause your hair to turn gray.
It’s common for people to say they’re under so much stress that they’re going gray. Although most people make these statements in jest, there is some truth behind them.
“Stress can cause premature graying of hair,” Wadhera said. “In fact, there was a study with over 1,000 young Turkish adults that showed that perceived stress scale scores correlated with premature hair graying severity.”
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However, Dr. Ehsan Ali, an internal physician at Beverly Hills Concierge Medicine and Cedars-Sinai Medical Center with specialized training in geriatric medicine, emphasizes that acute or chronic stress is required to cause premature graying. “A bad week at work isn’t enough to turn hair gray,” he explained.
That’s because acute stress can trigger a fight-or-flight response, says Dr. Zafer Çetinkaya, head hair transplant surgeon at EsteNove in Istanbul. When this happens, our bodies release stress hormones, including norepinephrine, he said. Norepinephrine can stop the production of the pigment-producing cells that give our hair its color. “Once this ‘reservoir’ of stem cells is empty, the follicle can no longer produce color,” causing hair to gradually turn gray, he explained.
Environmental factors can cause our hair to turn gray (to an extent).
External factors can also cause our hair to turn gray early. “Hair follicles are particularly sensitive to oxidative stressors in the environment such as pollution, ultraviolet light, smoking, hydrogen peroxide and ionizing radiation, all of which can result in premature graying,” Wadhera said.
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The oxidative stress caused by exposure to these elements “disproportionately affects the cells responsible for hair pigment,” explained Dr. Corey Maas, a hair transplant specialist at the Maas Clinic in California. “Over time, this damage reduces the follicle’s ability to maintain consistent color.”
However, these external factors typically play only a small role in the graying process. Moreover, how much the environment affects your hair color depends on several factors that vary widely from person to person, Maas explained. “Graying is the result of a complex interaction between genetics, cumulative exposure, and how well an individual’s body is able to repair and replace damaged processes of youthful pigmentation,” he said. “The environment can nudge the process along,” but when and how quickly depends on the individual, Maas said.
Can shock or fright cause our hair to turn gray?
In horror movies, a character sometimes suddenly develops a streak of white hair after a particularly frightening experience. However, off-screen, hair won’t turn gray instantly, no matter how scared we are.
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“The idea of hair turning white overnight from fright is often referred to as Marie Antoinette syndrome,” because the queen’s hair supposedly suddenly turned white before her execution, Çetinkaya said. “In reality, hair that is already outside of the scalp cannot change color” naturally, he said.
Nevertheless, sudden shock or intense fear can cause hair to go gray over time. Extremely stressful situations can trigger a condition called alopecia areata, Çetinkaya said. When this happens, “the immune system selectively attacks pigmented hairs, which causes dark hairs to fall out rapidly,” he explained. When a person with some existing gray hair develops alopecia areata, their gray hairs are left behind as their darker hair sheds. That “creates the appearance of sudden graying,” when what’s really happening is that the loss of darker hair is making the existing gray hair more noticeable, Çetinkaya explained.
Medical conditions can cause premature graying.
Several medical conditions can also contribute to premature graying. “As a specialist, I look for vitamin B12 deficiency, pernicious anemia, and thyroid dysfunction,” Çetinkaya said. “These conditions can disrupt the metabolic environment of the hair follicle,” which can result in hair turning gray prematurely. Rare autoimmune conditions such as vitiligo can also target pigment, causing hair to grow in white, he added.
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According to Wadhera, low levels of vitamin D3 and deficiencies in minerals such as iron and zinc can also cause premature graying.
Could going gray spur any health concerns?
If you start graying due to age, there is nothing to worry about except deciding whether to accept your gray hair or visit a salon to choose a new color.
However, if you start going gray early, before your mid-30s, you may want to investigate. One or two gray hairs usually aren’t cause for concern, Ali said. However, if you notice a proliferation of grays “very early or very rapidly, this can be a clue to look deeper at nutrition, thyroid function, autoimmune issues or lifestyle stressors,” he explained. Your primary care physician can help if you are concerned.
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Nevertheless, Ali stresses that going gray isn’t usually a medical or personal failure. Even though there is “a lot of unnecessary fear and marketing around this topic,” going gray is “usually a normal, genetically programmed process,” he said.

























