@luamiller - I've been on tirzepatide (Zepbound), but I did not lose hair from it. I already had experienced some androgenetic alopecia, which causes some patchiness and is frustrating trying to cover it up.

For androgenetic alopecia - not hair loss from taking tirzepatide (Zepbound) - I have taken spirinolactone (not sure if it's helping) and Viviscal (my dermatologist told me this year you can just take a prenatal vitamin - but not sure if this is helping).

I also used foam monoxidil. Another dermatologist I saw later told me to take the other kind as my hair might be too thick overall for good penetration of the mousse formula. The monoxidil oral formula seemed to help some, but I started to need to shave blonde hairs getting more noticable all over my face, and I even got sideburns I had to trim. I'd never dealt with any of this before. The dermatologist said the only way to counter this side effect was just to go completely off the medicine, versus reduce, and that it may take a year to resolve. Yikes.

I also have been prescribed finasteride. That at least holds your hair loss where it is, if not improves it. However, I absolutely have to take it before bed, as I get dizziness and nasty side effects.

What has your doctor suggested will counter this effect related to the tirzepatide, specifically? Has your doctor physically examined the hair loss you've seen and taken photos for a baseline?