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Unintentional weight loss beyond expected therapeutic effects, or diarrhea associated with other concerning symptoms such as rectal bleeding, nocturnal symptoms that wake the patient from sleep, or progressive worsening despite treatment, should prompt gastroenterological evaluation

Ensuring adequate protein, iron, zinc, and biotin intake helps minimize hair loss

They should also ask about protein intake, resistance training, hydration, constipation prevention, blood sugar monitoring, liver and kidney markers, and long-term maintenance after weight loss