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If your hair loss is accompanied by extreme fatigue beyond what normal tirzepatide fatigue would explain, feeling unusually cold (beyond typical cold sensitivity on tirzepatide ), or significant mood changes, request thyroid testing including TSH, free T3, and free T4

Jeyarajah, S., et al

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that is, cholesterol is converted to bile acids in the liver, 95% bile acids are absorbed by the distal ileum and returned to the liver, and 5% bile acids are excreted in the stool