We retrospectively reviewed our computerized database at the National Centre for Inherited Metabolic Disorders with approval/consent as appropriate
We begin with a detailed baseline assessment, including body composition analysis, waist circumference, blood pressure, and, where appropriate, blood tests to assess nutrient status

Beyond hair changes, watch for these warning signs: Energy and Physical Symptoms: Persistent fatigue and weakness Breathlessness Pale or yellowish skin Heart palpitations Dizziness or lightheadedness Cold hands and feet Neurological Symptoms: Tingling or numbness in hands and feet (pins and needles) Difficulty walking or balance problems Muscle weakness Cognitive and Mood Symptoms: Brain fog or difficulty concentrating Memory problems Mood changes, irritability, or depression Confusion Other Signs: Sore, red tongue (glossitis) Mouth ulcers Changes in vision Loss of appetite Hair and Appearance Changes: Increased hair shedding Hair thinning Premature greying Brittle hair Dry skin Weak, ridged nails If youre experiencing several of these symptoms alongside hair changes, B12 deficiency could be a contributing factor worth investigating

Regular Monitoring Your doctor will typically monitor certain aspects of your health while youre taking GLP-1 medications: Blood sugar levels: Regular checks ensure the medication is working effectively Kidney function: Periodic blood tests check for any changes Weight changes: Monitoring ensures healthy, sustainable weight loss Blood pressure: GLP-1 medications often help lower blood pressure Managing Side Effects Effectively Most side effects from GLP-1 medications can be managed with proper strategies