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Where it happens, the evidence points to the rapid weight loss itself, not a direct attack on the follicle, as the driver

Patients should never adjust their medication schedule without explicit instruction from their healthcare providers

Your fatigue is severe, or it's lasting longer than several weeks instead of easing It comes with dizziness, fainting, a racing heart, chest pain, or shortness of breath You're unable to keep down food or fluids, or you have signs of dehydration Something just feels off to you you know your body better than anyone Persistent tiredness is worth mentioning even if it seems minor

Endocrine Society, (2024), Associated Data This section collects any data citations, data availability statements, or supplementary materials included in this article