“…Plasma, saliva, and urine have been commonly exploited to discover novel AD biomarkers in HRMS-based untargeted metabolomics studies. − For example, AD patients were differentiated from cognitively normal controls with the five metabolites in plasma, including cholic acid, chenodeoxycholic acid, allocholic acid, indolelactic acid, and tryptophan, with 76.7% sensitivity and 83.3% specificity . However, the chemical compositions of these biological samples are affected by circadian rhythms, daily activities, and even sleep patterns. − Hair has emerged as a potential alternative biospecimen for biomarker discovery in previous studies, as it might reflect the chemical composition in the circulatory system for the previous several months. − For instance, the hair samples have been used to investigate the alternations of metabolite profiles between women with pregnancies complicated by fetal growth restriction and healthy controls . A metabolic panel comprising 5 metabolites, including lactate, levulinate, 2-methyloctadecanate, tyrosine, and margarate, achieved an area under the receiver operating curve of 0.998 .…”