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Iron management: Get baseline ferritin levels checked before starting retatrutide Target ferritin above 50 ng/mL (ideally 70+ for optimal hair health) If levels are below 30 ng/mL, supplement with 18-36mg elemental iron daily Take iron with vitamin C for enhanced absorption Avoid taking iron with calcium, coffee, or tea (which inhibit absorption) Recheck ferritin every 3 months during treatment Zinc supplementation: 15-30mg of zinc gluconate or zinc picolinate daily Take with food to prevent nausea Balance with 1-2mg copper if supplementing above 25mg zinc (zinc competes with copper for absorption) Zinc is particularly important during the first 3-6 months of rapid weight loss Vitamin D optimization: Target blood levels of 40-60 ng/mL Most people need 2,000-5,000 IU daily, especially during caloric restriction Take with a fat-containing meal for optimal absorption Test levels at baseline and every 3-6 months Biotin and B-vitamins: 5,000mcg biotin daily (standard hair-support dose) A B-complex supplement covers folate, B12, and B6, all of which support cellular processes in the follicle Note: high-dose biotin can interfere with certain lab tests, so inform your healthcare provider Strategy 2: controlled weight loss pacing The relationship between weight loss speed and hair shedding is well-established

Pharmacotherapy 2004

Stapleton NM, Brinkhaus M, Armour KL, Bentlage AEH, de Taeye SW, Temming AR, et al

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NF-B shapes metabolic adaptation by attenuating Foxo-mediated lipolysis in Drosophila