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ForumsPublic SquareHair loss on GLP-1 agonists: telogen effluvium vs nutritional deficiency — my results so far

Hair loss on GLP-1 agonists: telogen effluvium vs nutritional deficiency — my results so far

adam_van Thu, May 30, 2024 at 9:12 AM 40 replies 2,136 viewsPage 1 of 8
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adam_van
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Nov 2024
Vancouver, CA
May 30, 2024 at 9:12 AM#1

Six weeks of shedding, no bald patches, and a GP who told me to come back in three months. Trying to work out whether that was reassurance or dismissal.

The timeline that reassures people: trigger, then two to four months of nothing, then shedding for roughly three months, then regrowth. Diffuse thinning is expected; patches are a different diagnosis.

What I actually want to know is whether the shedding is the drug or the rate of loss, and when it stops.

I would rather have one careful answer than five confident ones.

32 10FranDenver, Dr.BariatricHTX, LindaRN_retired and 29 others
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Dr.SportsMedIN
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Indianapolis, IN
May 30, 2024 at 10:49 AM#2

Short answer first, then the reasoning. A sustained drop to 1,100 or 1,200 calories reliably under-delivers a predictable set: B12, vitamin D, iron, folate, zinc and magnesium. Two of those are worth testing rather than guessing because the tests are cheap and the symptoms overlap with everything else — ferritin and B12. The rest a decent multivitamin covers, and there is no benefit in megadosing any of them.

Last edited: May 30, 2024 at 3:49 PM
33 11lisa_labSD, adam_van, Dr.SurgeonPGH and 30 others
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BenResearch_OR
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Dec 2023
Oregon
May 30, 2024 at 12:26 PM#3
Dr.SportsMedIN said:
A sustained drop to 1,100 or 1,200 calories reliably under-delivers a predictable set: B12, vitamin D, iron, folate, zinc and magnesium.

Agreed, with the caveat that iron should be tested before supplementing, not after. Supplementing iron into normal stores is unpleasant at best and harmful in haemochromatosis.

34 12Dr.NateNeph, PharmD_Rodriguez, julia.endo and 31 others
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FitDadDave
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Jul 2024
Minneapolis, MN
May 30, 2024 at 2:03 PM#4
adam_van said:
Six weeks of shedding, no bald patches, and a GP who told me to come back in three months.

Mine went the same way, slower. I had assumed I was the exception until I read this.

35 13wendy_avl, jason_paloalto, Dr.LeslieOBGYN and 32 others
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PharmacoVig_BOS
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Feb 2024
Boston, MA
May 30, 2024 at 11:33 PM#5

Adding the clinical framing, because it changes how the question reads.

Hair loss update related to hair shedding: I experienced noticeable shedding starting around month 3. My dermatologist confirmed it's telogen effluvium — a stress response to rapid weight loss, NOT the medication directly.

What's helping:

  • Biotin 5000mcg daily
  • Adequate protein (130g+/day)
  • Iron and ferritin levels checked and supplemented
  • Collagen peptides 20g daily
  • Minoxidil 5% topical (prescribed)

The shedding slowed after 2 months and my hair is now growing back. Temporary but definitely stressful.

Last edited: May 31, 2024 at 2:33 AM
36 14LabKate, kate.chem, DataDave and 33 others
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