There is a particular kind of morning that women on weight-loss medication have started describing to clinicians in nearly identical words. The hair tie that wraps around one extra time. The drain that clogs after a shower. The part down the middle of the scalp that widens, a little more each week, under the bathroom light. By the time most women mention it to a doctor, they are already collecting the evidence — strands off the pillow, off the dark sweater — because they suspect, correctly, that they will not be believed.
Most are told the same thing: your bloodwork is fine, this happens after weight loss, give it time. And here is the problem the specialists keep running into: time does not refill what fast weight loss empties. The shedding is not the end of the process. It is the first visible sign of it.