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Jim List, Pfizer's chief internal medicine officer

10.1515/hmbci-2016-0051 27 BarteltA.HeerenJ

For those using other licensed weight loss medicines such as semaglutide 2.4 mg (Wegovy) or tirzepatide (Mounjaro) and experiencing hair loss, it is advisable to speak to a GP or pharmacist if: Hair shedding is noticeably increased when washing or brushing Shedding persists for more than three to six months There is visible thinning or patchy hair loss Hair loss is accompanied by other symptoms such as fatigue, cold intolerance, or brittle nails , which may suggest an underlying thyroid or nutritional deficiency The following are red flag features that warrant prompt medical review and possible referral to a dermatologist: Painful, inflamed, or scarring scalp changes Rapidly progressive or patchy hair loss, including loss of eyebrows or eyelashes Suspected tinea capitis (scalp ringworm), particularly in children Systemic symptoms suggesting an underlying condition A GP can arrange relevant investigations, which should be guided by clinical history and examination

Most individuals inherit susceptibility genes from their parents, although a few cases arise from new mutations not inherited from either parent