July 22, 2026 · BMJ (Clinical research ed.) · DOI: 10.1136/bmj-2026-100077

Risk of hair loss associated with glucagon-like peptide-1 receptor agonists in adults with type 2 diabetes: target trial emulation

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The authors aimed to investigate the association between glucagon-like peptide-1 (GLP-1) receptor agonists and the risk of hair loss (alopecia) in adults with type 2 diabetes, comparing it to sodium-glucose cotransporter-2 (SGLT-2) inhibitors and dipeptidyl peptidase-4 (DPP-4) inhibitors. The study found that the use of GLP-1 receptor agonists was linked to a higher risk of non-scarring alopecia compared to both SGLT-2 and DPP-4 inhibitors, suggesting that while the absolute risk is low, this potential side effect should be considered in treatment decisions.

Huilin Tang, Bingyu Zhang, Yiwen Lu, Dazheng Zhang, Ruishan Liu, Yuan Lu, George Cotsarelis, David A Asch, Yong Chen

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