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The proposed mechanism is telogen effluvium: a temporary shedding phase triggered by the physiologic stress of rapid weight loss and significant caloric restriction, rather than a direct toxic effect of the drug on hair follicles

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Neurol Neuroimmunol Neuroinflamm 8(1):e912 Fitzgerald KC, Salter A, Tyry T et al (2020) Measures of general and abdominal obesity and disability severity in a large population of people with multiple sclerosis

EBioMedicine 115: 105684