Small-molecule degradation typically just produces less active compound
Lancet 2017;390:1664-75.ArticlePubMedPMC 83
The FDA does not evaluate their safety, effectiveness, or quality
Several factors associated with GLP-1 use can contribute to this shift: Rapid weight loss Reduced caloric intake Potential nutrient deficiencies, especially protein, iron, and zinc Hormonal and metabolic changes These changes do not damage the hair follicle itself, which is why the condition is often reversible once the body stabilizes
This means the jump from 4 mg to 8 mg is substantial, and so is the jump from 8 mg to 12 mg
A patient might be cautious of increasing semaglutide from 0.25 to 0.5 mg, so we might discuss microdosing to achieve a dose in between, says Tchang