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Note that the Pei 2024 meta-analysis did find improvements in hair thickness, so this may depend on the specific protocols and topicals used

Wang G, Wu Y, Zhou T, Guo Y, Zheng B, Wang J et al

We believe that it is reasonable to require an enhanced disclosure to the patient who may be prescribed one of these drugs that this molecule is not as well-characterized as drugs that would normally be dispensed to patients, and the patient needs to understand that there may be a higher risk profile, and they should only be taken under the care of a physician, he said