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Researchers are not exactly sure what the mechanism is, but common triggers for telogen effluvium may include: a serious or chronic, debilitating illness or infection major physical trauma childbirth major surgery high fever hormone imbalances (like low or high thyroid) or androgen excess rapid or extreme weight loss nutritional or vitamin deficiencies that require supplementation (iron, zinc, vitamin D deficiency) psychological or emotional stress certain medications Nutritional deficiencies, low protein or caloric intake and a sudden change in eating habits can worsen the possibility of hair shedding due to rapid weight loss with these medications

Maintaining a stable weight is essential for keeping the results long term, as weight gain can impact the neck and chin area again

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