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When the fat underneath disappears through weight loss, the skin is left with more surface area than it needs
Pharmacotherapy of Obesity: An Update on the Available Medications and Drugs Under Investigation

Patients should contact their GP or prescriber if they notice: Sudden or severe hair loss that appears disproportionate to the degree of weight lost Patchy hair loss or bald spots , which may suggest alopecia areata or another dermatological condition Scalp pain, redness, scaling, pustules, or broken hairs , which may indicate scarring alopecia or tinea capitis and warrant prompt assessment Hair loss accompanied by other symptoms , such as fatigue, cold intolerance, unexpected weight changes, or skin changes which may indicate thyroid dysfunction or another systemic condition Persistent shedding that continues beyond six months without signs of regrowth Significant distress related to hair loss, which may warrant referral for specialist assessment A GP can arrange relevant initial investigations, including a full blood count (FBC), ferritin (with CRP if indicated), and thyroid function tests (TSH), with further tests guided by clinical history

Conclusion The feasibility and patient acceptability of this personalized, web-based approach to defining meaningful change will be evaluated comprehensively upon completion of both baseline and 6-week assessments