{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,28]],"date-time":"2026-09-28T22:50:33Z","timestamp":1790635833772,"version":"4.1.0"},"reference-count":67,"publisher":"MDPI AG","issue":"2","license":[{"start":{"date-parts":[[2024,2,14]],"date-time":"2024-02-14T00:00:00Z","timestamp":1707868800000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Medicina"],"abstract":"<jats:p>Obesity and obesity-related conditions today constitute a public health problem worldwide. Obesity is an \u201cepidemic\u201d chronic disorder, which is defined by the WHO as normal or excessive fat accumulation that may impair health. It is also defined for adults as a BMI that is greater than or equal to 30. The most common obesity-related diseases are type 2 diabetes mellitus, cardiovascular diseases, metabolic syndrome, chronic kidney disease, hyperlipidemia, hypertension, nonalcoholic fatty liver disease, and certain types of cancer. It has been also proven that obesity can have a negative effect on hair. It can lead to hair thinning. Patients with obesity can undergo bariatric surgery if they meet the inclusion criteria. The four common types of weight loss surgery include a duodenal switch with biliopancreatic diversion, laparoscopic adjustable gastric banding, Roux-en-Y gastric bypass, and sleeve gastrectomy. Bariatric surgery can affect skin and hair and is associated with telogen effluvium due to weight loss, microelement deficiency, anesthesia, low calorie intake, and low protein intake. Patients who undergo bariatric surgery can experience post-bariatric surgery depression. Hair loss can have a major impact on self-esteem, negatively affecting one\u2019s self-image. The purpose of this narrative review is to critically review how obesity, obesity-related diseases, and bariatric surgery affect hair health in general and the hair development cycle, and how they influence hair loss.<\/jats:p>","DOI":"10.3390\/medicina60020325","type":"journal-article","created":{"date-parts":[[2024,2,14]],"date-time":"2024-02-14T09:30:18Z","timestamp":1707903018000},"page":"325","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":19,"title":["Association of Obesity and Bariatric Surgery on Hair Health"],"prefix":"10.3390","volume":"60","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-4327-0700","authenticated-orcid":false,"given":"Katarzyna","family":"Smolarczyk","sequence":"first","affiliation":[{"name":"Department of Dermatology, Medical University of Warsaw, 02-008 Warsaw, Poland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Blazej","family":"Meczekalski","sequence":"additional","affiliation":[{"name":"Department of Gynecological Endocrinology, Poznan University of Medical Sciences, 60-535 Poznan, Poland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3936-5598","authenticated-orcid":false,"given":"Ewa","family":"Rudnicka","sequence":"additional","affiliation":[{"name":"Department of Gynecological Endocrinology, Warsaw Medical University, 00-315 Warsaw, Poland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Katarzyna","family":"Suchta","sequence":"additional","affiliation":[{"name":"Department of Gynecological Endocrinology, Warsaw Medical University, 00-315 Warsaw, Poland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Anna","family":"Szeliga","sequence":"additional","affiliation":[{"name":"Department of Gynecological Endocrinology, Poznan University of Medical Sciences, 60-535 Poznan, Poland"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1968","published-online":{"date-parts":[[2024,2,14]]},"reference":[{"key":"ref_1","doi-asserted-by":"crossref","unstructured":"Yang, M., Liu, S., and Zhang, C. (2022). The Related Metabolic Diseases and Treatments of Obesity. Healthcare, 10.","DOI":"10.3390\/healthcare10091616"},{"key":"ref_2","first-page":"158","article-title":"National health and nutrition examination survey 2017\u2013March 2020 prepandemic data files-development of files and prevalence estimates for selected health outcomes","volume":"2021","author":"Stierman","year":"2021","journal-title":"Natl. Health Stat. Rep."},{"key":"ref_3","unstructured":"WHO (2023, November 02). Obesity and Overweight\u2014Fact Sheet. Available online: www.who.int\/news-room\/fact-sheets\/detail\/obesity-and-overweight."},{"key":"ref_4","doi-asserted-by":"crossref","first-page":"855573","DOI":"10.3389\/fnut.2022.855573","article-title":"The Link Between Obesity and the Skin","volume":"9","author":"Darlenski","year":"2022","journal-title":"Front. Nutr."},{"key":"ref_5","doi-asserted-by":"crossref","first-page":"266","DOI":"10.1038\/s41586-021-03624-x","article-title":"Obesity accelerates hair thinning by stem cell-centric converging mechanisms","volume":"595","author":"Morinaga","year":"2021","journal-title":"Nature"},{"key":"ref_6","doi-asserted-by":"crossref","first-page":"196","DOI":"10.4103\/ijem.IJEM_650_17","article-title":"Association of androgenetic alopecia with metabolic syndrome: A case\u2013control study on 100 patients in a tertiary care hospital in South India","volume":"22","author":"Neladimmanahally","year":"2018","journal-title":"Indian J. Endocrinol. Metab."},{"key":"ref_7","doi-asserted-by":"crossref","first-page":"1345","DOI":"10.1016\/j.soard.2022.08.013","article-title":"2022 American Society for Metabolic and Bariatric Surgery (ASMBS) and International Federation for the Surgery of Obesity and Metabolic Disorders (IFSO): Indications for Metabolic and Bariatric Surgery","volume":"18","author":"Eisenberg","year":"2022","journal-title":"Surg. Obes. Relat. Dis."},{"key":"ref_8","doi-asserted-by":"crossref","first-page":"296","DOI":"10.1089\/lap.2020.0468","article-title":"Hair Loss After Sleeve Gastrectomy and Effect of Biotin Supplements","volume":"31","year":"2021","journal-title":"J. Laparoendosc. Adv. Surg. Tech."},{"key":"ref_9","first-page":"e8320","article-title":"Telogen Effluvium: A Review of the Literature","volume":"12","author":"Asghar","year":"2020","journal-title":"Cureus"},{"key":"ref_10","doi-asserted-by":"crossref","first-page":"2649","DOI":"10.1007\/s11695-021-05311-2","article-title":"Hair Loss After Metabolic and Bariatric Surgery: A Systematic Review and Meta-analysis","volume":"31","author":"Zhang","year":"2021","journal-title":"Obes. Surg."},{"key":"ref_11","doi-asserted-by":"crossref","first-page":"3929","DOI":"10.1007\/s11695-018-3433-3","article-title":"Hair Loss After Laparoscopic Sleeve Gastrectomy","volume":"28","author":"Katsogridaki","year":"2018","journal-title":"Obes. Surg."},{"key":"ref_12","doi-asserted-by":"crossref","first-page":"1015","DOI":"10.1007\/s11845-020-02410-4","article-title":"Role of adiponectin and leptin in patients with alopecia areata with scalp hair loss","volume":"190","author":"Serarslan","year":"2020","journal-title":"Ir. J. Med. Sci."},{"key":"ref_13","doi-asserted-by":"crossref","first-page":"101829","DOI":"10.1016\/j.arr.2022.101829","article-title":"Adipose\u2013Muscle crosstalk in age-related metabolic disorders: The emerging roles of adipo-myokines","volume":"84","author":"Fang","year":"2023","journal-title":"Ageing Res. Rev."},{"key":"ref_14","doi-asserted-by":"crossref","first-page":"303","DOI":"10.1007\/s13679-015-0164-9","article-title":"An Overview of Links Between Obesity and Mental Health","volume":"4","author":"Avila","year":"2015","journal-title":"Curr. Obes. Rep."},{"key":"ref_15","doi-asserted-by":"crossref","first-page":"297","DOI":"10.1016\/j.jaad.2013.09.036","article-title":"Higher body mass index is associated with greater severity of alopecia in men with male-pattern androgenetic alopecia in Taiwan: A cross-sectional study","volume":"70","author":"Yang","year":"2014","journal-title":"J. Am. Acad. Dermatol."},{"key":"ref_16","doi-asserted-by":"crossref","first-page":"321","DOI":"10.1016\/j.jaad.2014.11.008","article-title":"Association of premature hair graying with family history, smoking, and obesity: A cross-sectional study","volume":"72","author":"Shin","year":"2015","journal-title":"J. Am. Acad. Dermatol."},{"key":"ref_17","doi-asserted-by":"crossref","first-page":"13809","DOI":"10.1038\/s41598-021-92853-1","article-title":"Adiponectin as a novel biomarker of disease severity in alopecia areata","volume":"11","author":"Stochmal","year":"2021","journal-title":"Sci. Rep."},{"key":"ref_18","doi-asserted-by":"crossref","first-page":"524","DOI":"10.1111\/exd.13369","article-title":"Higher plasma leptin is associated with higher risk of androgenetic alopecia in men","volume":"26","author":"Yang","year":"2017","journal-title":"Exp. Dermatol."},{"key":"ref_19","doi-asserted-by":"crossref","first-page":"217","DOI":"10.1080\/10253890.2017.1303830","article-title":"Hair cortisol concentrations exhibit a positive association with salivary cortisol profiles and are increased in obese prepubertal girls","volume":"20","author":"Papafotiou","year":"2017","journal-title":"Stress"},{"key":"ref_20","first-page":"1065","article-title":"Association between hair cortisol concentration and overweight and obesity in 6\u20139 years old childhood","volume":"51","author":"Hu","year":"2017","journal-title":"Zhonghua Yu Fang Yi Xue Za Zhi"},{"key":"ref_21","doi-asserted-by":"crossref","first-page":"250","DOI":"10.1016\/j.jjcc.2013.11.006","article-title":"Adipokines: A link between obesity and cardiovascular disease","volume":"63","author":"Nakamura","year":"2013","journal-title":"J. Cardiol."},{"key":"ref_22","doi-asserted-by":"crossref","first-page":"1004","DOI":"10.1016\/j.cardfail.2011.08.010","article-title":"Dynamics in Insulin Resistance and Plasma Levels of Adipokines in Patients With Acute Decompensated and Chronic Stable Heart Failure","volume":"17","author":"Schulze","year":"2011","journal-title":"J. Card. Fail."},{"key":"ref_23","doi-asserted-by":"crossref","first-page":"108","DOI":"10.1177\/147323000102900207","article-title":"The Significance of Measuring Plasma Leptin in Acute Myocardial Infarction","volume":"29","author":"Fujimaki","year":"2001","journal-title":"J. Int. Med. Res."},{"key":"ref_24","doi-asserted-by":"crossref","first-page":"534320","DOI":"10.1155\/2015\/534320","article-title":"Differential Role of Leptin and Adiponectin in Cardiovascular System","volume":"2015","author":"Ghantous","year":"2015","journal-title":"Int. J. Endocrinol."},{"key":"ref_25","doi-asserted-by":"crossref","first-page":"424","DOI":"10.1016\/j.metabol.2009.08.012","article-title":"Serum leptin is associated with metabolic syndrome in obese and nonobese Korean populations","volume":"59","author":"Yun","year":"2010","journal-title":"Metabolism"},{"key":"ref_26","doi-asserted-by":"crossref","first-page":"73","DOI":"10.3109\/01443615.2011.618893","article-title":"Association between metabolic syndrome and serum leptin levels in postmenopausal women","volume":"32","author":"Lee","year":"2011","journal-title":"J. Obstet. Gynaecol."},{"key":"ref_27","doi-asserted-by":"crossref","first-page":"215","DOI":"10.1186\/s12944-020-01391-8","article-title":"The role of leptin in selected skin diseases","volume":"19","author":"Dopytalska","year":"2020","journal-title":"Lipids Health Dis."},{"key":"ref_28","doi-asserted-by":"crossref","unstructured":"Safaei, M., Sundararajan, E.A., Driss, M., Boulila, W., and Shapi\u2019I, A. (2021). A systematic literature review on obesity: Understanding the causes & consequences of obesity and reviewing various machine learning approaches used to predict obesity. Comput. Biol. Med., 136.","DOI":"10.1016\/j.compbiomed.2021.104754"},{"key":"ref_29","doi-asserted-by":"crossref","first-page":"1098","DOI":"10.1001\/jamainternmed.2018.2933","article-title":"The Carbohydrate-Insulin Model of Obesity: Beyond \u201cCalories in, Calories Out\u201d","volume":"178","author":"Ludwig","year":"2018","journal-title":"JAMA Intern. Med."},{"key":"ref_30","doi-asserted-by":"crossref","first-page":"769","DOI":"10.1097\/MPG.0000000000003075","article-title":"Role of Dietary Factors, Food Habits, and Lifestyle in Childhood Obesity Development: A Position Paper From the European Society for Paediatric Gastroenterology, Hepatology and Nutrition Committee on Nutrition","volume":"72","author":"Verduci","year":"2021","journal-title":"J. Pediatr. Gastroenterol. Nutr."},{"key":"ref_31","doi-asserted-by":"crossref","unstructured":"Aljefree, N.M., Shatwan, I.M., and Almoraie, N.M. (2022). Impact of the Intake of Snacks and Lifestyle Behaviors on Obesity among University Students Living in Jeddah, Saudi Arabia. Healthcare, 10.","DOI":"10.3390\/healthcare10020400"},{"key":"ref_32","doi-asserted-by":"crossref","first-page":"1626","DOI":"10.1017\/S0007114522000228","article-title":"Association between lifestyle patterns and overweight and obesity in adolescents: A systematic review","volume":"129","author":"Pereira","year":"2022","journal-title":"Br. J. Nutr."},{"key":"ref_33","doi-asserted-by":"crossref","unstructured":"Lonnie, M., Wadolowska, L., Morze, J., and Bandurska-Stankiewicz, E. (2022). Associations of Dietary-Lifestyle Patterns with Obesity and Metabolic Health: Two-Year Changes in MeDiSH\u00ae Study Cohort. Int. J. Environ. Res. Public Health, 19.","DOI":"10.3390\/ijerph192013647"},{"key":"ref_34","doi-asserted-by":"crossref","first-page":"645","DOI":"10.1016\/j.gtc.2023.08.001","article-title":"Lifestyle-Based Obesity Care","volume":"52","author":"Ryan","year":"2023","journal-title":"Gastroenterol. Clin. North Am."},{"key":"ref_35","doi-asserted-by":"crossref","unstructured":"Minokawa, Y., Sawada, Y., and Nakamura, M. (2022). Lifestyle Factors Involved in the Pathogenesis of Alopecia Areata. Int. J. Mol. Sci., 23.","DOI":"10.3390\/ijms23031038"},{"key":"ref_36","doi-asserted-by":"crossref","unstructured":"Bennour, I., Haroun, N., Sicard, F., Mounien, L., and Landrier, J.-F. (2022). Vitamin D and Obesity\/Adiposity\u2014A Brief Overview of Recent Studies. Nutrients, 14.","DOI":"10.3390\/nu14102049"},{"key":"ref_37","doi-asserted-by":"crossref","unstructured":"Vrani\u0107, L., Mikola\u0161evi\u0107, I., and Mili\u0107, S. (2019). Vitamin D deficiency: Consequence or cause of obesity?. Medicina, 55.","DOI":"10.3390\/medicina55090541"},{"key":"ref_38","doi-asserted-by":"crossref","first-page":"341","DOI":"10.1111\/obr.12239","article-title":"Obesity and vitamin D deficiency: A systematic review and meta-analysis","volume":"16","author":"Costa","year":"2015","journal-title":"Obes. Rev."},{"key":"ref_39","doi-asserted-by":"crossref","first-page":"51","DOI":"10.1007\/s13555-018-0278-6","article-title":"The Role of Vitamins and Minerals in Hair Loss: A Review","volume":"9","author":"Almohanna","year":"2018","journal-title":"Dermatol. Ther."},{"key":"ref_40","doi-asserted-by":"crossref","first-page":"47","DOI":"10.1016\/j.visres.2017.02.007","article-title":"Canonical Wnt signaling in diabetic retinopathy","volume":"139","author":"Chen","year":"2017","journal-title":"Vis. Res."},{"key":"ref_41","doi-asserted-by":"crossref","first-page":"1407","DOI":"10.2337\/db14-1111","article-title":"High Levels of Pigment Epithelium\u2013Derived Factor in Diabetes Impair Wound Healing Through Suppression of Wnt Signaling","volume":"64","author":"Qi","year":"2014","journal-title":"Diabetes"},{"key":"ref_42","doi-asserted-by":"crossref","first-page":"8938276","DOI":"10.1155\/2022\/8938276","article-title":"Type 2 Diabetic Mellitus Inhibits Skin Renewal through Inhibiting WNT-Dependent Lgr5+ Hair Follicle Stem Cell Activation in C57BL\/6 Mice","volume":"2022","author":"Wang","year":"2022","journal-title":"J. Diabetes Res."},{"key":"ref_43","doi-asserted-by":"crossref","first-page":"909","DOI":"10.1001\/archdermatol.2011.66","article-title":"Medical and environmental risk factors for the development of central centrifugal cicatricial alopecia: A population study","volume":"147","author":"Kyei","year":"2011","journal-title":"Arch. Dermatol."},{"key":"ref_44","doi-asserted-by":"crossref","first-page":"1131","DOI":"10.1111\/ijd.13303","article-title":"Association of metabolic syndrome with female pattern hair loss in women: A case-control study","volume":"55","author":"Abdallah","year":"2016","journal-title":"Int. J. Dermatol."},{"key":"ref_45","doi-asserted-by":"crossref","first-page":"371","DOI":"10.1111\/j.1365-2133.2010.09816.x","article-title":"Association of androgenetic alopecia with metabolic syndrome in men: A community-based survey","volume":"163","author":"Su","year":"2010","journal-title":"Br. J. Dermatol."},{"key":"ref_46","doi-asserted-by":"crossref","first-page":"283","DOI":"10.4103\/2229-5178.120638","article-title":"Androgenetic alopecia and risk of coronary artery disease","volume":"4","author":"Sharma","year":"2013","journal-title":"Indian Dermatol. Online J."},{"key":"ref_47","doi-asserted-by":"crossref","first-page":"23","DOI":"10.4103\/ijd.IJD_724_16","article-title":"The association of metabolic syndrome and insulin resistance in early-onset androgenetic alopecia in males: A case\u2013control study","volume":"64","author":"Swaroop","year":"2019","journal-title":"Indian J. Dermatol."},{"key":"ref_48","first-page":"931","article-title":"The association of insulin resistance and metabolic syndrome in early androgenetic alopecia","volume":"51","author":"Acibucu","year":"2010","journal-title":"Singapore Med. J."},{"key":"ref_49","first-page":"947","article-title":"Association of early-onset androgenetic alopecia and metabolic syndrome in Thai men: A case-control study","volume":"96","author":"Pengsalae","year":"2013","journal-title":"J. Med. Assoc. Thai."},{"key":"ref_50","doi-asserted-by":"crossref","first-page":"165","DOI":"10.1177\/000331975500600208","article-title":"Book Reviews: Coronary Heart Disease in Young Adults: A Multidisciplinary Study. By Menard M. Gertler, M. D., and Paul D. White, M. D.: With aid, advice, and editorial assistance of E. F. Bland, M. D., and others. Cloth. $5. Pp. 218, with illustrations. Published for Commonwealth Fund by Harvard University Press, Cambridge 38, Mass.; Oxford University Press, Amen House, Warwick Square, London, E. C. 4, England, 1954","volume":"6","author":"Friedlich","year":"1955","journal-title":"Angiology"},{"key":"ref_51","doi-asserted-by":"crossref","first-page":"687","DOI":"10.1016\/j.ijcard.2014.07.079","article-title":"Alopecia and its association with coronary heart disease and cardiovascular risk factors: A meat analysis","volume":"176","author":"Trieu","year":"2014","journal-title":"Int. J. Cardiol."},{"key":"ref_52","first-page":"786","article-title":"Hypertension and aldosterone levels in women with early-onset androgenetic alopecia","volume":"162","year":"2009","journal-title":"Br. J. Dermatol."},{"key":"ref_53","doi-asserted-by":"crossref","first-page":"80","DOI":"10.1111\/j.1468-3083.2008.02704.x","article-title":"Evaluation of lipid levels in androgenetic alopecia in comparison with control group","volume":"23","author":"Sadighha","year":"2008","journal-title":"J. Eur. Acad. Dermatol. Venereol."},{"key":"ref_54","doi-asserted-by":"crossref","first-page":"942","DOI":"10.1111\/jdv.14000","article-title":"Lipid profile in patients with androgenetic alopecia: A meta-analysis","volume":"31","author":"Kim","year":"2016","journal-title":"J. Eur. Acad. Dermatol. Venereol."},{"key":"ref_55","doi-asserted-by":"crossref","first-page":"50","DOI":"10.4103\/0974-7753.138586","article-title":"Association of premature androgenetic alopecia and metabolic syndrome in a young Indian population","volume":"6","author":"Chakrabarty","year":"2014","journal-title":"Int. J. Trichology"},{"key":"ref_56","first-page":"e14617","article-title":"Bariatric Surgery-Induced Telogen Effluvium (Bar SITE): Case Report and a Review of Hair Loss Following Weight Loss Surgery","volume":"13","author":"Cohen","year":"2021","journal-title":"Cureus"},{"key":"ref_57","first-page":"1","article-title":"\u0141ysienie androgenowe kobiet i m\u0119\u017cczyzn. Rekomendacje diagnostyczno-terapeutyczne Polskiego Towarzystwa Dermatologicznego","volume":"105","author":"Rakowska","year":"2018","journal-title":"Dermatol. Rev.\/Przegl\u0105d Dermatol."},{"key":"ref_58","doi-asserted-by":"crossref","first-page":"1346","DOI":"10.4158\/GL-2019-0406","article-title":"Clinical practice guidelines for the perioperative nutrition, metabolic, and nonsurgical support of patients undergoing bariatric procedures\u20142019 Update","volume":"25","author":"Mechanick","year":"2019","journal-title":"Endocr. Pract."},{"key":"ref_59","doi-asserted-by":"crossref","first-page":"466","DOI":"10.1177\/000313481408000517","article-title":"Hair Loss in Females after Sleeve Gastrectomy: Predictive Value of Serum Zinc and Iron Levels","volume":"80","author":"Oller","year":"2014","journal-title":"Am. Surg."},{"key":"ref_60","first-page":"856","article-title":"Alopecia in women with severe and morbid obesity who undergo bariatric surgery","volume":"26","author":"Rojas","year":"2012","journal-title":"Nutr. Hosp."},{"key":"ref_61","doi-asserted-by":"crossref","first-page":"1891","DOI":"10.1007\/s11695-020-04412-8","article-title":"What Are the Micronutrient Deficiencies Responsible for the Most Common Nutritional Symptoms After Bariatric Surgery?","volume":"30","author":"Ledoux","year":"2020","journal-title":"Obes. Surg."},{"key":"ref_62","doi-asserted-by":"crossref","first-page":"55","DOI":"10.1007\/s00394-021-02619-8","article-title":"Micronutrients deficiences in patients after bariatric surgery","volume":"61","author":"Gasmi","year":"2021","journal-title":"Eur. J. Nutr."},{"key":"ref_63","first-page":"592","article-title":"Risk factors analysis of hair loss in obese patients afer laparoscopic sleeve gastrectomy","volume":"12","author":"Guo","year":"2017","journal-title":"Chin. J. Dig. Surg."},{"key":"ref_64","doi-asserted-by":"crossref","first-page":"e216","DOI":"10.1097\/SLE.0000000000000004","article-title":"Surgical results of laparoscopic Roux-en-Y gastric bypass in super obese patients with BMI (greater-than or equal to) 60 in China","volume":"24","author":"Wang","year":"2014","journal-title":"Surg. Laparosc. Endosc. Percutan Tech."},{"key":"ref_65","doi-asserted-by":"crossref","first-page":"108","DOI":"10.4103\/0974-7753.58553","article-title":"Hair evaluation methods: Merits and demerits","volume":"1","author":"Dhurat","year":"2009","journal-title":"Int. J. Trichology"},{"key":"ref_66","doi-asserted-by":"crossref","first-page":"472","DOI":"10.1016\/j.jaad.2016.10.002","article-title":"Hair pull test: Evidence-based update and revision of guidelines","volume":"76","author":"McDonald","year":"2017","journal-title":"J. Am. Acad. Dermatol."},{"key":"ref_67","first-page":"406","article-title":"Methods of hair loss evaluation in patients with endocrine disorders","volume":"62","author":"Olszewska","year":"2011","journal-title":"Endokrynol. Pol."}],"container-title":["Medicina"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.mdpi.com\/1648-9144\/60\/2\/325\/pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,10,10]],"date-time":"2025-10-10T13:59:43Z","timestamp":1760104783000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.mdpi.com\/1648-9144\/60\/2\/325"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2024,2,14]]},"references-count":67,"journal-issue":{"issue":"2","published-online":{"date-parts":[[2024,2]]}},"alternative-id":["medicina60020325"],"URL":"https:\/\/doi.org\/10.3390\/medicina60020325","relation":{},"ISSN":["1648-9144"],"issn-type":[{"value":"1648-9144","type":"electronic"}],"subject":[],"published":{"date-parts":[[2024,2,14]]}}}