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Declarations Acknowledgement We would like to thank the Second Hospital of Nanjing, Affiliated to Nanjing University of Chinese Medicine, for their support

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Several factors may contribute to hair thinning during weight loss: Caloric deficit: Eating less means fewer nutrients are available for hair follicle function Protein intake changes: Hair is primarily made of protein (keratin), and not getting enough protein can affect hair growth Micronutrient shifts: Changes in iron, zinc, biotin, and vitamin D levels can influence hair growth Metabolic adaptation: Your body may temporarily prioritize essential functions over hair growth when calorie intake is reduced The good news is that this type of hair thinning is usually only temporary