Read the primary source rather than the write-up and the two do not agree, so here is what is actually in it.
This is telogen effluvium and the trigger is the rate of weight loss rather than the molecule. Rapid loss pushes a large fraction of follicles into the resting phase simultaneously; they shed together two to four months later, which is why the shedding starts long after the loss did and why people misattribute the timing. It is self-limiting, and regrowth follows once the rate slows — the follicles are not damaged.
Where I think it is weakest: the comparator does most of the work in how this gets reported, and it is not the comparator most people think they are citing.
What I am after is whether the shedding is the drug or the rate of loss, and when it stops. Tell me what I have not thought of.
TrialTracker_MD said:This is telogen effluvium and the trigger is the rate of weight loss rather than the molecule.
Agreed, with the caveat that iron should be tested before supplementing, not after. Supplementing iron into normal stores is unpleasant at best and harmful in haemochromatosis.
TrialTracker_MD said:This is telogen effluvium and the trigger is the rate of weight loss rather than the molecule.
Hair loss update related to hair shedding: I experienced noticeable shedding starting around month 5. My dermatologist confirmed it's telogen effluvium — a stress response to rapid weight loss, NOT the medication directly.
What's helping:
The shedding slowed after 2 months and my hair is now growing back. Temporary but definitely stressful.
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View ResultsThis one has a reasonably settled answer, so here it is. A sustained drop to 1,100 or 1,200 calories reliably under-delivers a predictable set: B12, vitamin D, iron, folate, zinc and magnesium. Two of those are worth testing rather than guessing because the tests are cheap and the symptoms overlap with everything else — ferritin and B12. The rest a decent multivitamin covers, and there is no benefit in megadosing any of them.
Dr.LipidDallas said:Agreed, with the caveat that iron should be tested before supplementing, not after.
Same experience, arrived at from the opposite direction. The detail I would add is minor and it is already implied above.