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This metabolic stress can disrupt the normal hair growth cycle, causing follicles to shift from the active growth phase (anagen) to the resting phase

[4] [5] The therapeutic effect is maintained through a combination of the drug still present in the system and its ongoing influence on glucose regulation mechanisms

Understanding what to expect, why it happens, and how to manage it makes the difference between completing a successful protocol and abandoning it prematurely

Here is the reality

People with a history of disordered eating, particularly restrictive eating disorders such as anorexia or orthorexia, should be cautious about both semaglutide-driven appetite suppression and the rigid food rules inherent in ketogenic eating