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Although we narrowed down our inclusion criteria to only accept reports published in English, which may have improved quality, studies with optimistic results were still more favored for publication than those with negative findings

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Hair thinning has been noted in association with retatrutide, likely related to rapid weight loss triggering telogen effluvium, though a direct pharmacological effect cannot be excluded as alopecia is listed as an adverse reaction with some licensed GLP-1 receptor agonists