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Alopecia is associated with significant psychological distress, poorer quality of life (QOL), and negative impacts on self\u2010esteem and body image, which may be exacerbated by undergoing the physical, hormonal, and emotional changes of pregnancy and breastfeeding. Furthermore, many of these medications must be taken continuously to maintain their benefits, reinforcing the importance of understanding which therapies are compatible with breastfeeding. This review aimed to help guide clinicians in choosing safe and appropriate hair loss therapies for women during lactation, including a detailed discussion of medication transfer to breast milk and infant blood serum levels, potential neonatal AEs, and further clinical considerations specific to each treatment option.<\/jats:p>","DOI":"10.1111\/ijd.17940","type":"journal-article","created":{"date-parts":[[2025,7,9]],"date-time":"2025-07-09T12:44:54Z","timestamp":1752065094000},"page":"2215-2234","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["Alopecia Treatments in Breastfeeding: Safety and Clinical Considerations"],"prefix":"10.1111","volume":"64","author":[{"ORCID":"https:\/\/orcid.org\/0009-0002-9768-3831","authenticated-orcid":false,"given":"Carli D.","family":"Needle","sequence":"first","affiliation":[{"name":"The Ronald O. 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