Trigger
Weight loss can be a shedding trigger
Telogen effluvium can follow physical stress, surgery or dietary change. If a patient is shedding after rapid weight loss, the first question is whether the hair cycle is reacting to a recent trigger rather than showing permanent baldness.
- Document weight-loss timeline and surgery date if relevant.
- List diet changes, calorie restriction and protein intake issues.
- Delay graft planning while shedding is active.
