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It finally went away, but I felt very tired and sleepy after starting a GLP-1 medication

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On a deeper level, it seems that vitamin B12's relationship with hair loss or hair growth seems to stem from its necessary function for "DNA synthesis, neurological function, and red blood cell formation," which are all important factors in helping hair cells generate, as well as keeping hair follicles, the base of the hair on the scalp, oxygenated and fed with enough nutrients from digestion as explained further below