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Telogen effluvium is excessive shedding of hair in the resting (telogen) phase after some type of metabolic body stress, hormonal change, or medication use

A recent announcement from Scripta Insights highlights the scale of this confusion

If the protocol is producing the wrong kind of weight loss, the protocol is wrong

If you have been stable on your dose for weeks and suddenly experience GI symptoms without any dietary changes, degraded medication is worth investigating