How to Handle Hair Loss from GLP-1s

Hair loss can be an alarming and unexpected side effect for some patients taking GLP-1 medications like Mounjaro (tirzepatide), Zepbound (tirzepatide), Ozempic (semaglutide), or Wegovy (semaglutide). Interestingly, if you visit the websites for manufacturers like Eli Lilly or Novo Nordisk, you'll notice that hair loss isn’t listed as a potential side effect. Yet, in real-world experience, particularly among our patients, it’s a side effect we occasionally encounter and take seriously. 

Why Hair Loss Happens with GLP-1 Medications 

GLP-1 medications are designed to aid in weight loss and metabolic control, but rapid or significant weight loss itself can sometimes trigger hair loss, a condition called telogen effluvium. This occurs because the body, under stress from the rapid weight changes, shifts its focus away from "non-essential" processes like hair growth to conserve energy for vital functions. 

Other factors, such as pre-existing nutritional deficiencies or hormonal imbalances, can exacerbate the issue. While hair loss is not a direct side effect of the medication, it can be an indirect result of its effects on weight and metabolism. 

How We Address Hair Loss at TREVI

At Trevi, we believe in taking a proactive and personalized approach to managing hair loss. Here’s how we help patients navigate this concern: 

Baseline Blood Tests: Before starting GLP-1 medications, we typically perform comprehensive blood work to identify and address any nutritional deficiencies or underlying conditions that might contribute to hair loss. If hair loss does occur, we perform additional targeted testing to determine the root cause. 

Preventing Rapid Weight Loss: We avoid allowing patients to lose weight too quickly, as this is a major trigger for telogen effluvium. Our focus is on healthy, sustainable weight loss that prioritizes overall wellness. 

Low-Level Light Laser Therapy: We use the Sunetics Low-Level Light Laser, a proven technology for halting hair shedding and stimulating regrowth. This non-invasive treatment is effective in quickly addressing active hair loss. 

Customized Hair Regrowth Plans: Based on the severity of hair loss and individual factors, we develop a personalized treatment plan that may include: 

  • Medications: To address underlying causes or directly stimulate hair growth. 

  • Supplements: To restore essential nutrients like biotin, zinc, or iron. 

  • Topical Hair Serums: Tailored to strengthen hair follicles and promote regrowth. 

  • Scalp Keravive Treatments: A restorative scalp treatment designed to cleanse, exfoliate, and hydrate the scalp for optimal hair growth. 

  • Injections: Including PRP (platelet-rich plasma) or other growth factors to stimulate the hair follicles. 

Shampoo and Conditioner Adjustments: We recommend specific hair care products designed to improve scalp health and promote hair strength. 

Why Choose Trevi for Your Hair Health? 

Hair loss can feel like an overwhelming and emotional side effect, but you don’t have to face it alone. At Trevi, we combine cutting-edge technology, science-backed treatments, and personalized care to help you regain healthy, vibrant hair while staying on track with your weight loss goals. 

Your health is about more than just a number on the scale. If you're experiencing hair loss or are concerned about potential side effects of GLP-1 medications, contact us today to schedule a consultation and take the first step toward comprehensive care. 

 

Dr. Josie Tenore, MD, MSc

Dr. Josie a board-certified family physician and founder of the TREVI Longevity & Aesthetics Institute

She has taught at several medical schools including the University of Toronto, Brown University, and Northwestern University.

Dr. Josie is a member of the American Academy of Family Physicians, the American Society for Laser Medicine and Surgery, The College of Family Physicians of Canada and The Age Management Medicine Group.

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GLP-1 Medications: The Importance of Proper Supervision for Sustainable Success