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However, achieving and maintaining substantial weight loss through diet and lifestyle is challenging, and acetazolamide often provides only partial headache relief while causing dose-limiting side effects such as paresthesia, fatigue, nausea and cognitive impairment

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10.1136/bmj.39489.470347.AD 43

Contributing Factors Beyond Weight Loss Several factors compound the hair loss risk during GLP-1 treatment: Reduced caloric intake Decreased appetite means fewer nutrients for hair follicle metabolism Protein insufficiency Hair is 95% keratin protein