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Hair grows in a repeating cycle with four main phases, and each hair follicle moves
through these phases independently.
1. Anagen (Growth Phase)
• This is the active growth stage.
• Hair cells divide rapidly, producing new hair.
• Lasts 2–7 years (sometimes longer).
• About 85–90% of the hair on your scalp is in anagen at any time.
• The longer this phase lasts,
the longer and thicker hair can grow.
2. Catagen (Transition Phase)
• A short transition period where growth stops.
• The hair follicle shrinks and detaches from the blood supply.
• Lasts about 2–3 weeks.
• Only around 1–2% of hairs are in this phase.
3. Telogen (Resting Phase)
• The follicle is inactive,
but the hair remains in place.
• Lasts around 2–4 months.
• About 10–15% of scalp hairs are in telogen.
• At the end of this phase, the hair prepares to shed.
4. Exogen (Shedding Phase)
• The old hair is released and falls out.
• Occurs naturally as new hair begins to grow underneath.
• Shedding 50–100 hairs per day is normal.
Why this matters
• Hair thinning often occurs when more hairs enter telogen early or when the anagen phase shortens.
• Treatments like minoxidil, laser therapy, PRP, and transplants aim to extend anagen and reduce excessive shedding.
Good question — the link between GLP-1 receptor agonists (GLP-1 RAs) (like semaglutide, liraglutide, or tirzepatide) and hair loss has been increasingly discussed
as more people use these drugs for weight loss or diabetes.
The most likely reason for hair shedding in people on GLP-1 drugs is telogen effluvium —
a temporary hair shedding that occurs when the body undergoes physiologic stress or nutrient shifts.
When calorie intake drops, or food choices narrow, you can become
deficient in nutrients important for hair growth:
Protein (keratin synthesis)
Iron
Zinc
Biotin
Vitamin D
B vitamins
Even if blood levels aren’t dramatically low, mild deficiency can contribute to shedding.
Weight loss (especially fat loss) can alter:
Thyroid hormone levels
Sex hormone binding globulin (SHBG)
Estrogen/testosterone balance
These hormonal changes can influence hair growth cycles,
sometimes contributing to temporary shedding.
SO - YES! A LASER CAP CAN HELP !
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La Jolla Hair Doctor
Dr. Joshua Pal
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