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I would rather see patients undergo the correct tests to identify what is actually missing than spend money on supplements without a clear indication. Kalan advises anyone taking GLP-1 medication to seek medical advice if hair shedding continues for more than three months, becomes significantly worse or is accompanied by fatigue or other unexplained symptoms

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Deficiency, defined as serum 25-hydroxyvitamin D below 30 ng/mL, has been associated with both telogen effluvium and alopecia areata

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When vitamin C deficiency or metabolic disorders are suspected

However, recent studies have highlighted the role of lifestyle factors, including smoking, nutrition, environmental toxins, and sleep disruptions