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Inadequate protein, vitamins, minerals, stress and thyroid or hormonal disorders can all contribute to hair thinning or loss

A standard weight loss workup at our clinic includes: Fasting insulin and HOMA-IR, a direct measure of insulin resistance Hemoglobin A1C A full thyroid panel, including Free T3, Free T4, and Reverse T3 (not just TSH) Comprehensive sex hormone panels for both men and women Cortisol patterns Inflammatory markers Advanced lipid particle analysis A DEXA body composition scan to precisely measure fat mass, lean mass, visceral fat, and bone mineral density That diagnostic picture determines the protocol

You may also want to avoid greasy, spicy, or overly rich foods in the first few days as these can trigger nausea