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Patients should contact their healthcare provider if they experience sudden or severe hair loss, particularly if it occurs in patches rather than diffuse thinning, as this may indicate alopecia areata or other dermatological conditions unrelated to weight loss or medication

However, that weight loss may depend on how well the individual follows the treatment plan and other lifestyle changes incorprotated

If you are eating so little that your energy crashes, you may need nutritional counseling rather than medication adjustment

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