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Note which side effects you experience and their severity

Iron and ferritin: the most important nutrient Low ferritin is the single most correctable cause of telogen effluvium

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This proportional muscle loss is consistent with weight loss from any cause, including dietary restriction or bariatric surgery, but the rapidity of weight loss with these medications may make this effect more clinically apparent

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If you are seeing a patient whose musculoskeletal presentation does not quite match a plausible mechanism of injury or evolves in unexpected ways, it is worth keeping an endocrine disorder on your clinical radar