Should people be concerned about possible hair loss when taking Wegovy, Ozempic, or Mounjaro for weight loss — as was recently claimed by some people on social media and reported in news stories?
of tirzepatide for weight loss in obesity, 5.7% of patients taking the highest dose reported alopecia vs 1% of those who got a placebo.of 18 mostly observational studies reported that 57% of patients had hair loss after bariatric surgery.None of the experts consulted by Medscape had seen patients who came to them about hair loss while taking these drugs for weight loss.
"Hair loss is tricky," Anne Peters, MD, observed."Losing weight and/or changing your diet causes hair loss. Stress can cause hair loss," said Peters, director of the USC Clinical Diabetes Programs in Los Angeles."So, it is hard to separate weight loss from medication effect," she said.The hair loss seems to be associated with rapid weight loss, the experts agree.
About 80%-85% of hair is in the anagen phase, about 5% is in a transitional phase, and the rest is in telogen phase, Massick explained. In telogen effluvium, hairs that are normally in the growth phase get suddenly shifted to telogen phase and are shed rapidly. "If someone is worried" about hair loss associated with weight loss,"they should see their doctor," Peters said."If they are on thyroid hormone, in particular, the levels should be retested after weight loss."
"Follow a well-balanced dietary strategy with ample protein, vegetables, and some fruit," Saunders advises. Healthcare providers should monitor lab tests to check for and treat vitamin deficiencies, and registered dietitians can be crucial to ensure proper nutrition. She advises patients:"Find coping strategies to reduce stress and get enough sleep. If iron levels are low, start an iron supplement under your provider's supervision.
Similarly, Peters advises:"I would say to maintain a normal healthy diet even if eating less. Exercise. Do all those healthy things. Taking a daily multivitamin isn't a bad idea. Talk with a nutritionist. Use the appetite suppression of the medication to combine with healthy eating."
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