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When to Consider Dose Adjustment or Medication Change In some cases, the severity of hair loss or other side effects may warrant reconsidering your GLP-1 treatment approach: Considerations for Adjustment: Extremely rapid weight loss (more than 3 pounds weekly sustained) Severe hair shedding thats psychologically distressing Inability to maintain adequate nutrition despite best efforts Multiple concerning side effects beyond hair loss Options to Discuss with Your Provider: Reducing GLP-1 dose to slow weight loss Switching to a different GLP-1 medication Taking a medication holiday to allow stabilization, then resuming Exploring alternative weight loss approaches Critical Point: Dr

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At the second screening visit the site determines whether the subject was eligible, then completed a randomization request form that was faxed to one of the authors (CS) who would assign the subject per the predetermined randomization list

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