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[18] [19] Patients should be reassured that this form of hair loss does not indicate permanent follicle damage, and that with appropriate nutritional support and management of any underlying deficiencies, improvement is the expected outcome for the majority of people

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Common side effects include: Nausea and vomiting Headaches Fatigue Hypoglycemia (lower blood sugar levels) Diarrhea Constipation Abdominal pain Indigestion Abdominal distention (bloating) Eructation (burping/belching) Flatulence Most of these side effects occur during the initial stages or when the dose is adjusted, and they tend to subside as the body becomes accustomed to the treatment