Reply To: Is Melatonin Useful In Alopecia: Critical Appraisal Of A Randomized Trial?

    Tobias W. Fischer, Peter Elsner
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    TLDR Melatonin may help treat hair loss and needs more research.
    The document discussed a critical appraisal of a pilot study on the use of melatonin for treating alopecia in women. The study involved 40 patients (28 with diffuse alopecia and 12 with androgenetic alopecia), with half receiving melatonin and half receiving a placebo. The authors defended their methodology and clarified that the primary endpoint was the odds ratio of anagen to nonanagen hair count, which showed a significant increase in anagen hair for the melatonin group. Despite criticisms, the authors argued that the results were encouraging, suggesting melatonin as a potential treatment for hair loss, warranting further research with a larger sample size.
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