Qulipta and hair loss

muscle aching or cramping. muscle pains or stiffness. pain or burning in the throat. pain, swelling, or numbness in the mouth or jaw. severe bone, joint, or muscle pain. stomach bloating, burning, cramping, or pain. swollen joints. weight loss. Some side effects may occur that usually do not need medical attention.

Qulipta and hair loss. muscle aching or cramping. muscle pains or stiffness. pain or burning in the throat. pain, swelling, or numbness in the mouth or jaw. severe bone, joint, or muscle pain. stomach bloating, burning, cramping, or pain. swollen joints. weight loss. Some side effects may occur that usually do not need medical attention.

More about Aimovig ( erenumab ) Ratings & Reviews. Qulipta has an average rating of 7.7 out of 10 from a total of 121 ratings on Drugs.com. 67% of reviewers reported a positive effect, while 11% reported a negative effect. Aimovig has an average rating of 5.0 out of 10 from a total of 614 ratings on Drugs.com. 37% of reviewers reported a ...

QULIPTA™, which was approved by the U.S. Food and Drug Administration (FDA) in September 2021, is available in the United States as the first and only oral calcitonin gene-related peptide (CGRP ...Qulipta. Tell me when you take it and if that's helped with side effects( nausea, tiredness, etc) I was on Emgality for 1.5 years, had a lot of hair loss...No, Qulipta (generic name: atogepant) did not lead to hair loss (alopecia) during clinical trials submitted for FDA-approval. Qulipta is an oral CGRP receptor antagonist (gepant) used to help prevent migraine headache pain. Hair loss is not listed as a side effect in its FDA-approved product label. Continue readingLosing Hair on Plaquenil: The 5 Possibilities . Hydroxychloroquine (also known by its popular brand name Plaquenil) is an oral medication that is commonly used to treat a variety of autoimmune diseases including systemic lupus, dermatomyositis, rheumatoid arthritis, Sjogren's and many other conditions as well. In the field of hair loss, conditions such as lichen planopilaris, frontal ...migraine, migraine prevention, migraine prophylaxis, side effect, chronic, prescription, chronic migraine, drug, qulipta. Further information. Qulipta uses and safety info; Qulipta prescribing info & package insert (for Health Professionals) Side effects of Qulipta (detailed) Similar questions

QULIPTA is the only pill of its kind that blocks CGRP and is approved to prevent migraine of any frequency. Migraine attacks don't have to take over your daily routine. With QULIPTA, more zero-migraine days are possible. In 3-month studies, QULIPTA significantly reduced monthly migraine days.Yes, topiramate, the active ingredient in Trokendi XR has been shown to cause hair loss (alopecia) in clinical studies, but it is not a common side effect. Alopecia with topiramate has been reported in 1% to 4% of children ages 6 to 16 years of age, and in 3% to 4% of patients older than 16 years of age.One potential cause of hair loss that should not be overlooked is qulipta use. Qulipta is a medication used for treating various conditions, including depression and anxiety. It belongs to a class of drugs called selective serotonin reuptake inhibitors (SSRIs), which are known to have side effects such as hair loss in some cases.Nausea, drowsiness, tiredness, or constipation may occur. If any of these effects last or get worse, tell your doctor or pharmacist promptly. Remember that this medication has been prescribed ...Hair Regrowth After Chemo. For most people, chemo-related hair loss is temporary. After chemo stops and your follicles are healthy, your hair should start to grow back. Look for regrowth to start ...Weight loss is a side effect Reply ... I think what is causing my lack of appetite is reflux from Qulipta. I noticed a terrible reflux flair when I started Emgality (also a CGRP blocker), and I wondered if Qulipta might be different. But doesn't seem so. When I get bad reflux I'm not hungry… feel kind of full all the time.

"I started taking Qulipta (30mg) about two weeks ago in combination with another daily preventative migraine med. I have not had a headache since starting Qulipta, so I am cautiously optimistic. I was previously having between 2-4 a week. Notable side effects are loss of appetite (I have already lost 8 lbs), dry mouth, and my mouth also feels numb. A few months ago two new abortive drugs to treat acute migraine attacks were approved by the FDA. Ubrelvy ( ubrogepant) and Nurtec ODT ( rimegepant) block CGRP, a substance released during a migraine attack. They work in a similar way to four injectable drugs used for the prevention of migraines – erenumab (Aimovig), …Have you noticed any hair loss? I'm about to try Qulipta, and I'm kind of freaked out by hearing all the people who've experienced hair loss. Reply reply beadventurous2day • I have not noticed any changes in hair loss. Reply reply ...Not sure if hair loss is a thing with Qulipta, it wasn't for me though. Reply reply ... (Topamax) has been shown to cause hair loss (alopecia) in studies, but it is not a common side effect. • Hair loss has been reported in 1% to 4% of children ages 6 to 16 years of age, and in 3% to 4% of patients older than 16 years of age.Nausea, drowsiness, tiredness, or constipation may occur. If any of these effects last or get worse, tell your doctor or pharmacist promptly. Remember that this medication has been prescribed ...

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Last updated on March 13, 2024. Yes, topiramate (Topamax) has been shown to cause hair loss (alopecia) in studies, but it is not a common side effect. Hair loss has been reported in 1% to 4% of children ages 6 to 16 years of age, and in 3% to 4% of patients older than 16 years of age. Higher daily doses (400 mg/day) of topiramate were ...More about Qulipta ( atogepant ) Ratings & Reviews. Aimovig has an average rating of 5.0 out of 10 from a total of 614 ratings on Drugs.com. 37% of reviewers reported a positive effect, while 45% reported a negative effect. Qulipta has an average rating of 7.7 out of 10 from a total of 121 ratings on Drugs.com. 67% of reviewers reported a ...Bhringaraj leaf (Eclipta alba) +, Amalaki fruit (Emblica officinalis) +, Brahmi leaf (Centella Asiatica) +, Hibiscus flower (Hibiscus rosa) +. 1-2 tablets, once or twice daily, or as directed by your health practitioner. As already noted, a head massage is a great way to remedy hair conditions like hair loss.Comparing Qulipta vs Topiramate. Prescribed for Chronic Migraine, Migraine Prevention. Qulipta may also be used for purposes not listed in this medication guide. Topiramate may be prescribed either alone or in combination with other medications for the treatment of certain types of epilepsy, or it may be given for the prevention of migraines.

Medicare Low Income Subsidy (LIS) Depending on your eligibility, $9.85 for a 30-day supply. Other Insurance (VA, DOD, TRICARE, Others) Because coverage varies by plan, call 1-855-QULIPTA (1-855-785-4782) Monday through Friday, 8 AM-8 PM ET to speak to a QULIPTA Complete Insurance Specialist to find out how much QULIPTA will cost for you.Hair loss can be a side affect of going off those meds. I'm willing to put up with up some hair loss for migraine relief. I have been feeling more sore and tired lately thought my fibro was getting worse. I have read people saying ajovy caused them body pain thought maybe was medication but turns out I now have arthritis which is causing the ...More about Aimovig ( erenumab ) Ratings & Reviews. Qulipta has an average rating of 7.7 out of 10 from a total of 121 ratings on Drugs.com. 67% of reviewers reported a positive effect, while 11% reported a negative effect. Aimovig has an average rating of 5.0 out of 10 from a total of 614 ratings on Drugs.com. 37% of reviewers reported a ...Thyroid disease, lupus, diabetes, iron deficiency anemia, eating disorders, and anemia can cause hair loss. Most times, when the underlying condition is treated, the hair will return unless there ...Doing searches on Qulipta and weight gain. As you’re aware everything comes up as weight loss. It’s the only change I’ve had. Yes, completely constipated and bloated- but additionally, starving all the time- eating like I haven’t eaten in days- definitely a new symptom. I recognize this is not the typical symptom- but is my experience.Medications list. In women. In men. Remedies. Outlook. Some medications, including vitamin A, antibiotics, and chemotherapy, can cause temporary hair loss. …TLDR: Started Qulipta 12/13/21 and had second Botox procedure 12/13/21. Only one severe migraine so far in January compared with 19 in December. In terms of total migraines, only 11 so far in January compared with 27 in December! ... Beginning of December. I haven't really noticed any side effects whatsoever other than a loss of appetite which ...Testosterone is a hormone that's present in both men and women. It and DHT are androgens, or hormones that contribute to male sex characteristics when you go through puberty. These traits ...Hair loss is not a typical symptom of iron deficiency anemia. Iron plays a crucial role in making hemoglobin, a compound that carries oxygen to cells, which is essential for the body to function ...

Events such as losing weight, childbirth, rapid weight loss, surgery and anemia can also lead to hair loss. 5. Mental stress. Going through severe mental stress such as losing a loved one also causes hair loss. 6. Hormonal changes. Sudden or gradual hormonal changes in the body, for example, pregnancy, menopause. 7.

Fatigue/absolute exhaustion, constipation, depression/anxiety, loss of appetite. It is helping somewhat so I’m trying to push through the side effects. I’ve gone from 15/16 headache days a month to about 8/9 so that’s a plus. I haven't had any side effects. For me it was extreme loss of appetite.Medications list. In women. In men. Remedies. Outlook. Some medications, including vitamin A, antibiotics, and chemotherapy, can cause temporary hair loss. …QULIPTA ® is approved by the U.S. Food and Drug Administration (FDA) and is available in for the preventive treatment of migraine in adults. QULIPTA is the only oral calcitonin gene-related ...Qulipta for Migraine Prevention User Reviews. Qulipta has an average rating of 7.3 out of 10 from a total of 72 reviews for the treatment of Migraine Prevention. 63% of reviewers reported a positive experience, while 17% reported a negative experience. Filter …Ovarian tumors or polycystic ovary syndrome can boost testosterone production in the ovaries, leading to pattern baldness.; Burns or other skin conditions affecting men and women can cause hair loss.; Tinea capitis (ringworm) is a fungal infection that causes round, bald patches on the scalp. Hypothyroidism is a condition caused by an underactive thyroid and contributes to hair loss, though ...Ajovy has an average rating of 5.4 out of 10 from a total of 322 ratings on Drugs.com. 39% of reviewers reported a positive effect, while 41% reported a negative effect. Qulipta has an average rating of 7.7 out of 10 from a total of 121 ratings on Drugs.com. 67% of reviewers reported a positive effect, while 11% reported a negative effect.Qulipta says it doesn't cause hair loss. I've been on it for 3 months and haven't noticed any hair loss - and believe me the one thing I'm vain about is my hair. If I have to choose between suffering a migraine or losing hair I might be just vain enough to dispense with the Qulipta lol. At least I would hold out till I couldn't take ...

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I've been on Qulipta 60mg for about a week now and my doctor was super excited for me to try this drug. However, the past 3 days have been filled with MORE migraines, and constant vomiting and fatigue. Update! 6/24: I have been off Qulipta for 2 days now and the nausea has slowly subsided. My vomiting went away after my first day off it but the ...The exact mechanism behind Qulipta-induced hair loss is not fully understood. However, it is believed to be related to [insert possible cause]. Managing and Mitigating Hair Loss. If you are experiencing hair loss while taking Qulipta, it is essential to consult with your healthcare provider. They can evaluate your specific situation and provide ...Hair loss can be a side affect of going off those meds. I'm willing to put up with up some hair loss for migraine relief. I have been feeling more sore and tired lately thought my fibro was getting worse. I have read people saying ajovy caused them body pain thought maybe was medication but turns out I now have arthritis which is causing the ...You should consult your health care professional before taking any drug, changing your diet, or commencing or discontinuing any course of treatment. This medication is used to prevent migraines. Atogepant may work by blocking the effects of a certain natural substance in the brain that causes migra.Qulipta, an oral prescription medicine used to prevent migraine headaches, has been shown in studies to lead to a 54% reduction in monthly migraine days in patients with episodic migraine (a 4.2-day reduction) and a 36% reduction in patients with chronic migraine headaches (6.9-day reduction). Qulipta (atogepant) from AbbVie was first …QULIPTA may affect the way other medicines work, and other medicines may affect how QULIPTA works. Your healthcare provider may need to change the dose of QULIPTA when taken with certain other medicines. QULIPTA can cause serious allergic (hypersensitivity) reactions, like anaphylaxis, that can happen when you take QULIPTA or days after.QULIPTA can cause serious allergic reactions, like anaphylaxis, that can happen when you take QULIPTA or days after. Stop taking QULIPTA and get emergency medical help right away if you get any of the following symptoms, which may be part of a serious allergic reaction: swelling of the face, lips, or tongue; itching;Alopecia, a condition characterized by hair loss, can be distressing for those who experience it. While there are different types of alopecia, each with its own causes and triggers...Hair loss is often the result of both genetic and environmental factors, so "understanding the complexities of hair loss means realizing the different types of hair loss may not fit neatly into ...Main benefits: Soothes the scalp, regulates oil production, and anti-inflammatory. Who should use it: In general, anyone can benefit from using CBD in their haircare routine. However, if you are dealing with excessive hair loss or scalp issues, you will want to check in with a healthcare practitioner before use.Good or bad. It’s like a miracle for me. Chronic Migraine for 30 years, Topamax had stopped working and have been on Qulipta since it was approved. I haven’t had a migraine day in 5 weeks. We switched insurance companies and they won’t approve it now, so my doctor, insurance and I are in an epic fight to keep me on it.Migraine - Hair loss and weight loss with Qulipta : Women-care Anuradha July 12, 2022. Migraine overview. A migraine is a headache that can purpose intense throbbing suffering or a pulsing sensation, typically on one facet of the head. It's often accompanied with the aid of nausea, vomiting, and excessive sensitivity to mild and sound. ….

Qulipta Reviews. I've been taking Qulipta since December [3 months] along with Botox therapy every 12 weeks. It definitely seems to have reduced the severity of the attacks that I have, with minimal to no side effects. —Jessica O. Been taking it for three months with great success 👍👏👏👏 (from a 30-year migraine sufferer ...The recommended maximum number of medicines in the 'CGRP inhibitors' category to be taken concurrently is usually one . Your list includes two medicines belonging to the 'CGRP inhibitors' category: Aimovig (erenumab) Qulipta (atogepant) Note: In certain circumstances, the benefits of taking this combination of drugs may outweigh any risks.Leave it on for about 10 minutes, then wash it out. 7. Clary sage essential oil. Clary sage oil contains the same linalyl acetate that helps make lavender oil so effective in increasing hair ...Lipitor (atovastatin), a cholesterol lowering medication, is associated with hair loss, although it is relatively uncommon. The prescribing information for Lipitor does not list hair loss (sometimes referred to as alopecia in medical literature) as a possible adverse reaction but it has been reported during post-marketing experience with the drug.Here's what dermatologists recommend for their patients who have hair loss: Use a gentle shampoo. Some shampoos can strip moisture from your hair. Apply a moisturizing conditioner after every shampoo. Conditioner coats your strands, which reduces breakage and split ends. Make use of a leave-in conditioner or detangler.Other complaints include a worsening of Reynaud syndrome, fatigue, hair loss, sexual dysfunction, and in women, some reports of irregular menstrual periods.Qulipta says it doesn’t cause hair loss. I’ve been on it for 3 months and haven’t noticed any hair loss - and believe me the one thing I’m vain about is my hair. If I have to choose between suffering a migraine or losing hair I might be just vain enough to dispense with the Qulipta lol.Constipation, fatigue, loss of appetite/weight loss... I'm about 3 weeks in. Hoping they subside with time. I had horrible constipation. I was fine for the first couple months… then the constipation got bad enough for me to stop. I think it helped my migraines a bit but not enough to be worth it for me. Good or bad. It’s like a miracle for me. Chronic Migraine for 30 years, Topamax had stopped working and have been on Qulipta since it was approved. I haven’t had a migraine day in 5 weeks. We switched insurance companies and they won’t approve it now, so my doctor, insurance and I are in an epic fight to keep me on it. Qulipta and drastic hair loss. Hey all! I'm new to the group. I'm a long time migraine sufferer. I've had them since my second trimester with my son, who is now 17yrs old. I have tried every treatment in the book. My current regime is: Botox every 90 days, topamax 25mg daily, and qulipta 60mg. This has seemed to bring me some control ... Qulipta and hair loss, It's normal to lose hair. We can lose between 50 and 100 hairs a day, often without noticing. Hair loss is not usually anything to be worried about, but occasionally it can be a sign of a medical condition. Some types of hair loss are permanent, like male and female pattern baldness. This type of hair loss usually runs in the family., Qulipta 60mg also caused major hair loss for me. But Ajovy and Nurtec (as a preventative) didn't seem to cause any major hair loss, so might be worth it to try a different CGRP. I will also say taking a B multivitamin and zinc seems to help me as well. Reply reply, Nov 13, 2023 · No, Qulipta (generic name: atogepant) did not lead to hair loss (alopecia) during clinical trials submitted for FDA-approval. Qulipta is an oral CGRP receptor antagonist (gepant) used to help prevent migraine headache pain. Hair loss is not listed as a side effect in its FDA-approved product label. Continue reading , Commonly used chemotherapy medications that can cause hair loss include cyclophosphamide (Cytoxan) and doxorubicin (Adriamycin). Cooling caps, gentle brushing, and avoiding heat-based styling devices may help lessen hair loss. But there's not a foolproof way to prevent it., QULIPTA® (atogepant) is FDA-approved for the preventive treatment of migraine in adults. It is the only oral calcitonin gene-related peptide (CGRP) receptor antagonist approved to prevent migraine across frequencies, including episodic and chronic. Since its initial approval for the preventive treatment of episodic migraine in September …, This situation is certainly less studied than the combined use of 'mAbs' drugs and 'gepant' drugs. Until more research is done, we just don't know the safety and efficacy of taking Qulipta and Ubrelvy together (two 'gepant' drugs). It's possible an individual may experience some additional relief taking Ubrelvy for breakthrough migraines while ..., muscle aching or cramping. muscle pains or stiffness. pain or burning in the throat. pain, swelling, or numbness in the mouth or jaw. severe bone, joint, or muscle pain. stomach bloating, burning, cramping, or pain. swollen joints. weight loss. Some side effects may occur that usually do not need medical attention., Abstract. Female pattern hair loss (FPHL) is the most common form of alopecia in women. Affected women may experience psychological distress and impaired social functioning. Early diagnosis and initiation of treatment are desirable because treatments are more effective to avoid the progression of hair loss than stimulating regrowth., If you have a medical professional you trust who is responsive/competent/ will actually validate your experience on qulipta I would try and get in touch with them first before you decide to come off, but unfortunately I know how rare that is. ... Have any of you found ways to decrease hair loss/thinning while on nurtec?, Chemotherapy (chemo) can be very effective at curing or controlling cancer. However, it tends to come with various side effects, including hair loss. This article explains why hair..., Are you tired of dealing with thinning hair or hair loss? If so, you may have come across Vegamour, a plant-based solution that claims to promote hair growth. Vegamour is a brand t..., Qulipta (atogepant) is a medication that's used to prevent migraines in adults. The specific dosing will depend on how many migraines you have per month, but the medication is typically taken once daily. Qulipta (atogepant) is currently brand only; it isn't available as a lower-cost generic yet. Side effects include nausea, constipation, and ..., Applies to: hydroxyzine. Alcohol can increase the nervous system side effects of hydrOXYzine such as dizziness, drowsiness, and difficulty concentrating. Some people may also experience impairment in thinking and judgment. You should avoid or limit the use of alcohol while being treated with hydrOXYzine. Do not use more than the recommended ..., Qulipta, an oral prescription medicine used to prevent migraine headaches, has been shown in studies to lead to a 54% reduction in monthly migraine days in patients with episodic migraine (a 4.2-day reduction) and a 36% reduction in patients with chronic migraine headaches (6.9-day reduction). Qulipta (atogepant) from AbbVie was first …, Other than the initial loss of appetite and dizziness which have resolved, I feel like myself again and my migraines are gone. (I have had a constant migraine since having Covid 6mo ago) I do use Nurtec as abortive if I do feel a migraine starting. ... Qulipta has a program where they will send you the medication for free for up to 24 months or ..., 1. How common is hair loss with Qulipta? The frequency of hair loss as a side effect of Qulipta varies among individuals. It is important to discuss any concerns with your healthcare provider. 2. Will my hair grow back after stopping Qulipta? In most cases, hair loss caused by Qulipta is reversible once the medication is discontinued. , No, Qulipta (generic name: atogepant) did not lead to hair loss (alopecia) during clinical trials submitted for FDA-approval. Qulipta is an oral CGRP receptor antagonist (gepant) used to help prevent migraine headache pain. Hair loss is not listed as a side effect in its FDA-approved product label. Continue reading, Now I need to get a biopsy of my mouth to double check. My eye doctor is insisting I get ductual plugs to save my eyesight. Eating crackers was like sand( my mouth stopped making salvia) and my mouth started burning 🔥 mostly my tongue making it very difficult to eat. Somehow no weight loss but a weight gain of 5 lbs due to extreme constipation., Qulipta (and other daily oral CGRP drugs) : r/migraine. Emgality (and other CGRP injectables) v. Qulipta (and other daily oral CGRP drugs) I take Ubrelvy as an acute treatment with a fair amount of success, but I have frequent enough migraine days that my neuro has suggested I consider trying either one of preventative CGRP drugs--either an ..., I switched to Qulipta 60 mg every day instead of a monthly injection of Aimovig after a significant uptick in migraines following an ablation for AFIB. I noticed my appetite was curbed about 30 days after starting the medication, but it wasn't until I weighted myself and I was down 6 pounds did I connect the dots., No lower-cost generic available. Ratings & Reviews. Emgality has an average rating of 5.0 out of 10 from a total of 459 ratings on Drugs.com. 35% of reviewers reported a positive effect, while 47% reported a negative effect. Qulipta has an average rating of 7.7 out of 10 from a total of 119 ratings on Drugs.com. 67% of reviewers reported a ..., Many people with lupus have skin problems, like rashes or sores on the scalp, that can cause hair loss. Hair loss and thinning hair can also be side effects of certain medicines used to treat lupus, like steroids and immunosuppressives. If you notice that you're losing hair or your hair is thinning, talk to your doctor about ways to manage it., QULIPTA ® is approved by the U.S. Food and Drug Administration (FDA) and is available in for the preventive treatment of migraine in adults. QULIPTA is the only oral calcitonin gene-related ..., Tight ponytails, braids and cornrows can all cause hair loss and damage the follicles, which regulate hair growth. Changing hairstyles can help prevent thinning. But beware: When the follicles ..., "I started taking Qulipta (30mg) about two weeks ago in combination with another daily preventative migraine med. I have not had a headache since starting Qulipta, so I am cautiously optimistic. I was previously having between 2-4 a week. Notable side effects are loss of appetite (I have already lost 8 lbs), dry mouth, and my mouth also feels numb., Introduction. Scalp hair has psychological and social effects on women. Loss of hair leads to impaired quality of life and social functioning [1, 2].There are many causes of hair loss, but a small number comprises the majority of relevant diagnoses [] and the focus of the clinical work-up.All types of hair loss are categorized into 2 large groups: scarring and non­scarring alopecia., Incorporate into shampoo: It can also be combined with your shampoo for topical application. Blend the powder with your normal shampoo and allow the mixture to sit on your scalp for a few minutes. However, Nazarian counters that there is "insufficient data to support the use topically for hair growth."., Qulipta and anxiety. Hi all, I was on Qulipta for almost a year and it really did wonders for my migraines. However, I didn’t realize it was the trigger for my severe and increased anxiety. (Also constipation and hair loss but I was able to manage both) I have since tapered off and do in fact feel so much better and clear headed but my ... , In other cases, thinning hair is triggered by something going on inside the body — for instance, a thyroid problem, a shift in hormones, a recent pregnancy, or an inflammatory condition. Hair loss may also be genetic. The most common genetic condition is known as female-pattern hair loss, or androgenic alopecia., Medication. I've been on vyvanse for about 4 months now. I started with 20mg daily, went up to 40, but then back down to 30 since 40 was too much. In the past 3 months (especially in the most recent 2 months) I've noticed a huge increase in daily hair loss. I'm 99% sure it's from vyvanse because literally nothing else has changed in my life and ..., Qulipta Pill Images. Note: Multiple pictures are displayed for those medicines available in different strengths, marketed under different brand names and for medicines manufactured by different pharmaceutical companies. Multi-ingredient medications may also be listed when applicable. What does Qulipta look like? 1 / 2, QULIPTA is contraindicated in patients with a history of hypersensitivity to atogepant or any of the components of QULIPTA. WARNINGS AND PRECAUTIONS Cases, including anaphylaxis, dyspnea, rash, pruritus, urticaria, and facial edema, have been reported with use of QULIPTA. Hypersensitivity reactions can occur days after administration., Alopecia and types of alopecia. Alopecia is the partial or complete loss of hair, which can be caused by a disruption in the hair development cycle or by damage to the hair follicles as a result of systemic or local factors such as genetics, hormone imbalances, and infection [].The hair growth cycle consists of four stages: the anagen phase (the growth phase, which is also the longest, lasting ...