Understanding Ozempic: Weight loss, side effects and hair loss concerns

The popular diabetes drug’s off-label use sparks discussion on potential side effects
ozempic
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Ozempic, the brand name for semaglutide, has become a hot topic in recent months. Originally FDA-approved for managing insulin levels in type 2 diabetes patients, its off-label use for weight management has sparked significant interest, particularly among celebrities. This surge in popularity has led to an ongoing shortage of the drug, raising questions about its widespread use and potential side effects.

Beyond weight loss: Exploring side effects

While Ozempic’s weight loss benefits are widely touted, the conversation is increasingly shifting toward its side effects. Commonly reported issues include: nausea, constipation and “Ozempic face,” a condition where rapid weight loss leads to a gaunt appearance.


Recently, another concern has emerged: hair loss. Influencer Claudia Oshry, known as Girl With No Job, shared her experience with hair shedding due to Ozempic, echoing the sentiments of many others who have reported similar issues.

Expert insights on hair loss

Dermatologists have noted an increase in patients reporting thinner and more brittle hair while on semaglutide. Dr. Anthony Rossi from Weill Cornell Medical College confirms this trend, but the relationship between Ozempic and hair loss is complex.


Dr. Amy Freeman, another dermatologist, suggests that the shedding may not be directly caused by the medication itself but rather by the rapid weight loss associated with its use. This nuanced understanding is crucial for patients and health care providers alike.

Understanding telogen effluvium

Dr. Freeman explains that rapid weight loss can trigger a form of stress-induced hair loss known as telogen effluvium. This condition can occur due to various stressors on the body, including significant weight loss. Essentially, the body reacts to the stress by pushing hair follicles into a resting phase, leading to increased shedding.

This explanation provides context for why some Ozempic users might experience hair loss, even if it’s not a direct side effect of the medication.

Ozempic and hair loss: What the studies say

While it’s possible for hair loss to occur during Ozempic treatment, studies indicate that this side effect is relatively rare. For instance, in clinical trials for Wegovy, a similar medication: 3% of participants reported hair loss and 1% on a placebo reported hair loss.

This suggests that while hair loss can happen, it is not a common outcome of using semaglutide. However, the increased reports from users highlight the importance of monitoring and addressing this concern.

What happens if you stop taking Ozempic?

For those experiencing hair loss, there’s some reassuring news. Experts like Dr. Rossi and Dr. Freeman agree that if patients stop taking Ozempic, their hair is likely to grow back. However, they caution that the regrowth process can take several months, emphasizing the need for patience.

This temporary nature of telogen effluvium provides hope for those concerned about long-term hair loss.

Managing hair loss while on Ozempic

For individuals experiencing hair loss while using Ozempic, several strategies can be considered:

1. Topical minoxidil: This FDA-approved treatment can help stimulate hair growth by pushing hair follicles into the growth phase.

2. Proper nutrition: Maintaining a balanced diet rich in protein, iron and zinc is crucial for hair health. Consulting with a nutritionist can ensure you’re meeting your nutritional needs.

3. Supplements: Consider taking supplements that support hair health, such as fatty acids, which can improve hair quality and density.

4. Anti-fungal shampoo: Shampoos containing ketoconazole can help lower levels of dihydrotestosterone (DHT), a hormone linked to hair loss.

5. Platelet-Rich Plasma (PRP) injections: For persistent hair loss, PRP therapy may promote new hair growth by injecting the patient’s own blood cells into the scalp.

Weighing the benefits and risks

While hair shedding can occur with rapid weight loss, including that induced by Ozempic, it is generally not a cause for alarm. The likelihood of experiencing significant hair loss is low, especially compared to other weight loss methods like bariatric surgery.

However, it’s essential for patients to: monitor their nutritional intake, consult with a health care provider to manage any side effects effectively and remember that most hair loss due to telogen effluvium is temporary.

The bigger picture: Ozempic and health

The Ozempic phenomenon raises broader questions about weight loss medications and their role in health management. While these drugs can be effective tools for weight loss and diabetes management, they are not without risks and side effects.

As the use of Ozempic and similar medications continues to grow, it’s crucial for:

  • Health care providers to thoroughly discuss potential side effects with patients
  • Patients to be proactive in monitoring their health and reporting any concerns
  • Researchers to continue studying the long-term effects of these medications

Informed decision-making is key

For those navigating the complexities of weight loss medications like Ozempic, staying informed and proactive about health is key. Your journey toward wellness should be supported by a knowledgeable health care team that can guide you through any challenges you may face.

While the potential for hair loss may be concerning, it’s important to consider this in the context of overall health benefits. As research continues and more data becomes available, our understanding of Ozempic and its effects will undoubtedly evolve. In the meantime, open communication between patients and health care providers remains the best approach to navigating the benefits and potential side effects of this increasingly popular medication.

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