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Several factors associated with GLP-1 use can contribute to this shift: Rapid weight loss Reduced caloric intake Potential nutrient deficiencies, especially protein, iron, and zinc Hormonal and metabolic changes These changes do not damage the hair follicle itself, which is why the condition is often reversible once the body stabilizes

Reddy, M

ACC/AHA guideline update for perioperative cardiovascular evaluation for noncardiac surgery--executive summary: a report of the American College of Cardiology/American Heart Association Task Force on Practice Guidelines (Committee to Update the 1996 Guidelines on Perioperative Cardiovascular Evaluation for Noncardiac Surgery)

There is no robust evidence base guiding treatment in the 25-27 range, and essentially no data for BMIs below 25