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Real, if uncommon, side effects like mild headache exist and should be monitored, and certain groups (pregnant women, kidney disease patients, those with a vitiligo history) should consult a doctor first

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Non-gastrointestinal side effects are also common, such as headache, dehydration, and injection site reactions

According to the American Academy of Dermatology, up to 50% of scalp hair follicles can shift to the telogen phase during a telogen effluvium episode, resulting in noticeable diffuse shedding across the entire scalp rather than in localized patches