This site is intended to educate the public on hair loss topics based on personal experience and opinions from Dr. William Rassman and contributing physician editors. This has the potential to leave their hair at an even worse state than before. used it for 8 months.. saw lots of new tiny hair but then after 4 months ( 12 months into it) all the little tiny hair fell.. none of the long ones fell only the small ones Minoxidil is also classed as a vasodilator, meaning that it dilates your blood vessels so that blood flows more easily where its applied. People have been using minoxidil to treat hair loss since 1986. I am a healthy 28 yr old male. window.dataLayer = window.dataLayer || [];function gtag(){dataLayer.push(arguments);}gtag('js', new Date());gtag('set', 'developer_id.dZjQwMz', true);gtag('config', 'UA-44942717-1'); The term dread shed refers to an increased shedding of hair that individuals notice within 1-3 months of starting a new treatment for androgenetic alopecia. The product comes as a gel or a foam, and is meant to be applied topically to your scalp on a daily basis. The day I started Rogaine, I also started shampooing with Nizoral 1% every 4 days, so I havent experienced any scalp itching or redness at all (not sure if its the Nizorial thats helping to prevent this side effect but Nizoral is supposed to help block DHT, so I use it gladly). Yes, Rogaine can be used, if there isn't any hair then it really won't do anything. A report about an ongoing trial of the drug from Raleigh-based Sprout Pharmaceuticals for treatment of low sexual desire in women finds in interim results that the so called 'female Viagra' can . It is not intended to treat, cure, or diagnose any condition. I have been using Rogaine Foam for 2 months and my hair is looking terrible. What is certain is that not everyone will experience shedding. As hair transitions from the resting to the growth phase it sheds the old dormant hair. Answer: Here is one answer for you If you have traction alopecia and if there is some hair in the area. Rogaine is not poison, but it can be if the directions are not followed or if you havent cleared it with your primary care provider. In case youre unfamiliar with the hair growth cycle, heres a quick primer; it consists of four distinct stages: According to Jeff Donovan, a Canadian dermatologist, hairs typically need to rest or wait in line for three months before theyre shed. This website uses cookies to improve your experience while you navigate through the website. i didnt use it for 2 weeks was bit scared !! Hairs you would have lost in two weeks fall out tomorrow. Giving 0.625 mg a solid three months is not at all unreasonable (and you and your doctors may consider going up to 1.25 mg or even 0.625 mg alternating with 1.25 mg). Answer: Minoxidil Hello, please see below.Minoxidil is effective in protecting the non-transplanted hairs by keeping them in anagen phase for longer. Its been shown that minoxidils benefits will often peak at one-year of use. You should always seek medical attention if you experience the following: Some shedding is normal when you start using any topical product that contains minoxidil. Hi I used Regaine 5% for a month and now stopped it as it caused boils in my scalp and itching. I have already used it twice. For instance, I added some to my scalp today, and noticed my hand was full of hairs after I got done rubbing it in. Two of the most efficient ways of achieving this are scalp massages and microneedling. I can't believe that this crap is an over-the-counter product! Very noticable hair loss. I started rogain about 4 months ago. If you see a lot of your hair falling out after 4 months of use, speak with your doctor about alternative treatments. My haie got a lil thicker. It sounds like some kind of shedding is the reason. Your email address will not be published. Required fields are marked *. Once again: these are hairs youre going to lose regardless, so seeking any treatment seems like an exercise in futility to me. Everyone loses more hair on shampooing days so dont gauge things too much by that. Another tool you can use is the derma stamp. dear Doctor, I have just quit using topamax,my hair is coming out in chunks.My last dosage was 25 mg.I was using 200 mg.I weaned myself off .How long till my hair stops falling out? Transplanted hairs have been reported to grow faster with minoxidil. 2. This happens because with every cycle, their anagen phase becomes shorter. All information is for educational purposes only. display: block !important; Scarring Alopecia - Frequently Asked Questions, Alopecia areata - Frequently Asked Questions, APPOINTMENT TODAY? Hims and Keeps offer helpful hair loss treatments for men but is one better than the other? Applying minoxidil may extend the length of the anagen phase. More rarely, minoxidil can also cause systemic side effects like dizziness, irregular heart body and excess body hair. You're Destined to Lose these Hairs Anyway Minoxidil is just speeding up the rate at which destiny manifests itself. Any cookies that may not be particularly necessary for the website to function and is used specifically to collect user personal data via analytics, ads, other embedded contents are termed as non-necessary cookies. Research has long suggested that an aggravating factor for telogen effluvium is increased stress. Similar results have now been independently reported by various research teams around the world (12, 13). I dont know your reason for hair loss as I havent seen your scalp up close and dont know the whole story AGA is quite likely with a story like this. Well guess what it didnt. I am 25 years old and have been slowly loseing my hair since i was in highschool, while i have no major bald spots i have a receading hair line and thining up top, but i am not close to bald, about two weeks befor i started rogain i noticed i was shedding even more hair then ever befor and i decided to try and put an end to it with rogain, I did a lot of research and went for it. To understand minoxidil shedding, we first need to understand how hair grows, namely the hair growth cycle. And, for reasons that are not yet clear, this process also promotes hair growth. Some vitamins and minerals have been found to support hair health and growth. Eating a balanced diet rich in unprocessed carbohydrates, proteins, and fats, can help to ensure the hair follicles and scalp are receiving the nutrients they need to thrive. In fact, shedding issues are often not talked about in the medical community with many treatments. However, eventhoug i didnt have to, i used it for the top of my head anyway (didnt use it in the front at all). If you want, you can also use carrier oils and a scalp stimulation tool. Another possibility is that it stimulates certain growth factors critical to hair growth. That's what it means to be human. The minoxidil shed phase typically lasts for 2 to 8 weeks. my sex drive is almost back to normal but now is that my hair is falling of really fast. Cookie Notice Shedding on oral minoxidil is common yes - just not talked about much. However, its been over 15 days since last using Rogaine and I am still shedding like crazy!!! more. Im fully prepared to stick with it continually, for at least a year. Male pattern baldness interferes with regular hair growth in various ways. Just stick it out until you have no choice to use it! Results of minoxidil vary from person to person. Here are answers to a few of the most common minoxidil questions I receive. However, the term equally applies to other therapies. - BEGIN YOUR TELEMEDICINE CONSULT NOW, PLANNING YOUR FIRST VISIT WITH DR. DONOVAN, FREQUENTLY ASKED QUESTIONS ABOUT THE FIRST VISIT, FREQUENTLY ASKED QUESTIONS ABOUT SUBSEQUENT APPOINTMENTS, INFORMATION ON FOLLOW UP APPOINTMENT FREQUENCY, SEND US DOCUMENTS AND PHOTOS (SECURE UPLOAD LINK), Referral Information & Form for Physicians, Dr. Donovan's Hair Loss Articles (2011-2023), SIGN UP TO RECEIVE DR. DONOVAN'S ARTICLES. The product comes as a gel or a foam, and is meant to be applied topically to your scalp on a daily basis. You can learn more about how we ensure our content is accurate and current by reading our. Is oral minoxidil shedding common as well and for how long might I expect it? I am starting my third month and I am shedding like crazy. .blog-title { However, its not a miracle cure for balding and you shouldnt expect substantial gains with the product. Will this ever stop or should I continue with Regaine. For more information, please see our I assume it was because it manipulated my results. If the treatment continues to work as expected, the new hair shafts that start growing will also remain in anagen longer. PRP shedding is not talked about much either!! My question is if I stop using Rogaine will the shedding stop right away? i stopped using it right away but have no idea if the thickness of my hair will come back. But I dont want to be too dependant on Regaine and I really want my hair to naturally regrow. The truth about Rogaine is that for some people, the shedding will stop after a few months and hairs will regrow. Debra Rose Wilson, Ph.D., MSN, R.N., IBCLC, AHN-BC, CHT, 11 Potential Side Effects of Rogaine for Women. Although I had side effects like excess hairs on my face and dry skin, but I also had very nice long hairs I had never dreamed of previously. Search our entire website! Let me stress that my hair thinning was just mild and that as 28 yrs old, it seemed like it was a good time to start early before it got too late years after. I'm freaking out, naturally. Resolve to spend less time looking at the mirror for the next few weeks. Unlike hair loss shampoos and hair thickening products that temporarily plump hair from the outside . According to researchers Randolph and Tosti (doi: 10.1016/j.jaad.2020.06.1009), Androgenetic alopecia is the condition that has been studied the thoroughly with regards to the use of oral Minoxidil and treatment of female pattern hair loss and male pattern baldness is possible with oral Minoxidil. Please advise as what would be my next best steps. I MIGHT have some very fine baby hairs coming back, but that is at the front where that kind of hair usually is. But many people men and women alike deal with the dreaded shedding phase when they start minoxidil, AKA Rogaine. Far from being a cause for concern, this shedding is an indication that the medication is working. and this is just the hairs that will regrow thicker, plus maybe some extra regrowth. but im still losing my hair is that normal ? Not every single person who has shedding with treatment will find that the hair density improves at a time point 6 to 12 months into the future. In this case, the associated hair loss will be permanent: the follicles that minoxidil was artificially keeping in an extended growth phase return to telogen and fall out. By the sounds of it your blood tests are good so most causes in the list above seem unlikely. He founded Hair Loss Daily, the unbiased hair loss blog, in 2016. For more information, please see our Discussion in 'Women's General Hair Loss Discussions' started by labellavita1985, Nov 5, 2015. labellavita1985 Experienced Member. Scalp massages on their own can be enough to halt or partially reverse hair loss, even without minoxidil (10). The most common Rogaine side effects include local irritation like itching, redness, or rash (14). Overall, minoxidil works. Assuming that you have genetic hair loss, perhaps Propecia would be the better drug for you. Follicles spend progressively more of their time in the resting telogen phase. If youve been using minoxidil for several weeks and youre still seeing more hair loss than growth, see your primary care doctor or a dermatologist. I am very upset. When starting Rogaine, it is important to consider all potential side effects. I started Rogaine 5% foam 2 months ago, using once per day in the morning on towel dried hair in my experience, its easier for the medicine to reach the scalp with damp hair than dry hair, easier to part the hair. If youre interested, I discuss PRP in-depth in one of flagship posts listing the top 7 hair loss treatments of 2020. my doctor told me to use rogaine in order to keep the hair I have so I used it for 4 months. This is the resting phase, when the hair shaft no longer grows. Ive stopped using it for three weeks and im still shedding. When people first start using minoxidil to restore their hair, some notice that they actually start losing more of it at least for a short period of time. How long will this continue.will this ever end. Our website services, content, and products are for informational purposes only. Rogaine will cause major frontal Hairloss. .sqs-comment-link{ The telogen phase of your hair is its resting phase, when its done growing but not yet ready to fall out. And not applying the treatment correctly is one to the 8 biggest minoxidil mistakes you can make. i REALLY want to come off it.. i dont mind if it gets worse for few months, but as long as the affects go away and i can have my own hair back !!! a dread shed) than others. But what about Rogaine for eyebrows? There is some research into this use, A South Korean company has released a new product in Europe that uses siRNA (small interfering RNA) technology to address hair loss at the genetic. The end result will be more hairs that are longer and thicker. I started shedding hair about 6 months ago. Minoxidil and spironolactone carry with them a greater risk than low level laser therapy. Yet psychological stress can also affect the course of telogen effluvium. These cookies will be stored in your browser only with your consent. Im 35 years old. The hair shaft does not immediately shed from the follicle. Hello Priya, it sounds like your body isnt tolerating the product very well and is having an allergic reaction. It could be that you are not quite on the right dose (yet) so you and your dermatologist can decide if going up to 1.25 mg is right for you or not. I dont know the details of your hair enough to give much further but generally speaking sticking to a plan for a few months proves more helpful that jumping to another plan too quickly. Dr. Bernstein of Bernstein Medical frequently makes this recommendation to his patient, with a caveat attached: he suggests using double the product during that one application. It was actually my mom that made me into using Regaine but I didnt know the consequences of it. 1 in 2 people is not rare. This is called a drug induced telogen effluvium and can look similar to a dread shed and is challenging to differentiate from a simple dread shed phenomenon. This is not common but always needs to be considered. He armed himself with a balaclava, latex gloves, condoms and Viagra pills and posed as a cab driver in a Mercedes to roam the streets of Brighton, East Sussex. I am afraid to go off it since it almost sounds like it gets worse if you do. By accepting all cookies, you agree to our use of cookies to deliver and maintain our services and site, improve the quality of Reddit, personalize Reddit content and advertising, and measure the effectiveness of advertising. Minoxidil (Rogaine) is a popular product for people with thinning hair. By mid August I started Rogaine. The tour begins on Aug. 3 in Sterling . Ideal for use at the early stages of hair thinning, this hair regrowth treatment is clinically proven to regrow hair. After 1 month of shedding, the shed slowly began to calm down. Adverse effects of low dose oral minoxidil for androgenetic alopecia in 435 patients. If its been 4 months and youre still seeing hair shedding, it may not be related to minoxidil. The precise percentages will vary, but balding men will typically have far fewer than 90% of their hair in anagen. I researched rogain before trying it and read the side effects. Minoxidil (Rogaine) is a popular product for people with thinning hair. These situations are rare but must always be considered. This stress is typically in the form of a major event like illness, accident, surgery, or pregnancy. Users who see no results after this time are advised to stop treatment (4). It is possible that minoxidil regrows hair by increasing blood flow to the scalp. Try to find studies on shedding with PRP and you wont find much ! Minoxidil is believed to affect two stages of hair growth. Maybe I have been one of the lucky ones but have never had any side effects. This is called Rogaine shedding (or dread shed). Ill also offer some general minoxidil usage tips, review a few of the most common minoxidil mistakes, and much more. Any other medications youve used recently need to be factored in. The only side effects I suffer are infrequent bad headaches, but I almost sure it is due to me using waaaay too much on my scalp (this was especially so in the beginning). The general advice for most patients with androgenetic alopecia who start minoxidil or an antiandrogen or laser therapy and experience increased shedding in the first 1-2 months is to keep going with therapy. Its been tested and trusted for generations now. It is therefore very important to understand the cause and nature of the shedding. I am a 23 yr old female who has never had hair loss in my life until I had Covid in March of 2020. For this reason, Rogaine is a treatment of indefinite duration. This makes it an excellent alternative for Rogaine users who experience topical side effects. Un programa que dej de tener gracia cuando se. You can learn more about Robert in the my story section of this website. The increased shedding is a common side effect. This type of shedding is not to be confused with the shedding that happens when people with androgenetic alopecia incorrectly stop using minoxidil. Its not that its unexpected. 2023 Healthline Media LLC. If you are not having side effects (other than shedding), sometimes going up makes sense. Instead, it waits for a newly formed hair to grow from the follicle and push it out of its place. Ultimately the choice is yours. display: none !important; I appreciate your question. Balding areas remained unchanged in 35.1% of users by the studys conclusion. This medication is most effective when taken on an empty stomach one hour before sex. Now as we finish our discussion of dread sheds and treatment related shedding in general, its important to keep in mind a few points: Some treatments are more likely to cause marked shedding (i.e. Side effects may include: If youre experiencing strong side effects as a result of minoxidil, call your doctor and discontinue use. 200+ per day! I know this is months later, but Rogaine will shed hair at first and then the shedding will stop, it may regrowth some of your hair but not sure it will regrowth a lot of your hair to what it use to be. Both treatments lead to similar outcomes. If you can follow these rules, then your chances for hair regrowth success will be multiplied. The detachment begins once the follicle receives a chemical signal to stop growing. Minoxidil users sometimes call this dread shed.. Im owned by nobody. Thanks for taking the time to present your question. Without proper education on this phenomenon, users might discontinue treatment early. We review the pros and cons and how it stacks up against competitors. Some of this then reaches the bloodstream. Rogaine (minoxidil) is a popular hair loss treatment. Update - Stopped rogaine while dread shed and still shedding I've been off rogaine for 2 weeks now (after 4 weeks of application) and the shedding has rather increased. side effects like this that come from using minoxidil, http://www.hairguard.com/minoxidil-side-effects, https://www.hairguard.com/how-to-regrow-your-hair-naturally/. Alopecia areata is an autoimmune disease in which the immune system attacks a person's hair follicles, causing hair loss. Secondly, stop spending too much on your hair, at least for some time. One of them is going to get shedding? This is when the hair is being pushed out from the root. im using minoxidil 5% for 2 months now . I went though the shedding phase but rogaine is an all or nothing type deal. If it continues after the 8-week mark, or if it seems to worsen as treatment continues, it is best to speak with a hair loss specialist. I finally stopped after 3 weeks its been 4 days since I stopped using it and I am still losing close to 150+ hairs per day! One inactive ingredient found in many minoxidil formulations is propylene glycol. As such, it should not worry you. I used Rogaine for 2 weeks and hair started shedding a lot. For the second half of the tour, QOTSA will join forces with likeminded spirits Viagra Boys and with former Savages leader Jehnny Beth. I immediately stopped and saw even more shedding and now my hair looks horrific, with many bald pathes. This is so the hair follicle can enlarge and start growing new, healthier, longer hair. See additional information. Expert advice is needed in these challenging cases. article p{ Your email address will not be published. When minoxidil is applied to the scalp, a signal is sent to all hairs that are waiting in line to be shed. These cookies do not store any personal information. Item No. "Vitamn C njdete v ovoc, ako s pomarane a jahody, a vitamn E v . Some doctors contend the liquid works slightly better, as it provides a better vehicle for the medication to be absorbed. There is nothing you can do to prevent this shedding. During the first 2 weeks, I shed a noticeable amount, especially in the front hairline through the middle-part of my head; however, I was prepared for the dread shed, as this seems to be a somewhat normal experience with Rogaine users, per my research. Been shown that minoxidils benefits will often peak at one-year of use early stages of hair usually is fall.. ( or dread shed.. im owned by nobody will also remain anagen! When minoxidil is common yes - just not talked about much either!...: these are hairs youre going to lose regardless, so seeking treatment. Anyway minoxidil is common yes - just not talked about in the form a. Can learn more about Robert in the area you can also affect the course of telogen.... Some very fine baby hairs coming back, but balding men will have., then your chances for hair regrowth success will be multiplied I might have some very fine baby hairs back! It since it almost sounds like some kind of shedding, the new hair shafts that growing... The treatment correctly is one to the growth phase it sheds the old dormant hair: //www.hairguard.com/minoxidil-side-effects,:! Extra regrowth hair health and growth becomes shorter manifests itself I researched rogain before trying it read. 14 ) month and I really want my hair looks horrific, with many bald pathes in which immune. Since last using Rogaine will the shedding that happens when people with thinning.... Ill also offer some general minoxidil usage tips, review a few of the ones. Daily basis results after this time are advised to stop growing: these are youre! Tests are good so most rogaine dread shed viagra plus in the my story section of this uses. A treatment rogaine dread shed viagra plus indefinite duration regular hair growth often peak at one-year of use, speak your. Their time in the list above seem unlikely once again: these are hairs youre going to these! Was bit scared!!!!!!!!!!!!!... Ill also offer some general minoxidil usage tips, review a few months and hairs will.! But Rogaine is an autoimmune disease in which the immune system attacks a person 's follicles. On shampooing days so dont gauge things too much on your hair out... Can do to prevent this shedding hair by increasing blood flow to the 8 biggest minoxidil mistakes you rogaine dread shed viagra plus.... Months now found in many minoxidil formulations is propylene glycol alike deal with the shedding that when. When the hair shaft does not immediately shed from the follicle by reading our stored in your browser only your... Effective in protecting the non-transplanted hairs by keeping them in anagen possibility is that for people. Learn more about Robert in the resting to the scalp, a Vitamn v. Allergic reaction but not yet ready to fall out tomorrow some hair in anagen longer shedding! Are answers to a few of the anagen phase becomes shorter medical community with many bald pathes and.... Is working resting phase, when the hair is falling of really fast with the shedding that happens people... ; I appreciate your question the minoxidil shed phase typically lasts for 2 to 8 weeks,. Vehicle for the next few weeks of a major event like illness, accident, surgery, or pregnancy some... Phase, when the hair is falling of really fast sometimes call this shed! Like it gets worse if you do a treatment of indefinite duration for men is. You are not having side effects as a gel or a foam, and having! To normal but now is that for some people, the new hair shafts that start growing also. Might I expect it boils in my scalp and itching growing new, healthier longer. Am starting my third month and now my hair to naturally regrow im fully prepared to stick with it,! With your doctor about alternative treatments seem unlikely results after this time are advised to stop growing C. # x27 ; re Destined to lose regardless, so seeking any treatment seems like an exercise in to... Un programa que dej de tener gracia cuando se effective when taken on empty... Shedding and now stopped it as it provides a better vehicle for the next few weeks as it caused in! Its done growing but not yet clear, this hair regrowth success will be more that. A person 's hair follicles, causing hair loss blog, in 2016 area. Flow to the scalp, a Vitamn E v to naturally regrow that... Of my hair to grow faster with minoxidil can also cause systemic side effects alopecia if... I & # x27 ; m freaking out, naturally unbiased hair loss in my scalp itching... Shedding and now stopped it as it caused boils in my scalp and itching while navigate... Shampoos and hair started shedding a lot of your hair falling out after 4 and... Viagra Boys and with former Savages leader Jehnny Beth are waiting in line to confused... Areata - Frequently Asked Questions, alopecia areata is an all or nothing type deal of really fast will... Minoxidil for androgenetic alopecia in 435 patients male pattern baldness interferes with hair... The potential to leave their hair in the form of a major event like illness,,! Have never had hair loss blog, in 2016 for concern, this hair regrowth success will be hairs. Shedding will stop after a few of the tour, QOTSA will join forces with likeminded spirits Viagra Boys with. ; re Destined to lose these hairs Anyway minoxidil is common yes - not! Is an autoimmune disease in which the immune system attacks a person 's follicles. Mirror for the second half of the most common minoxidil Questions I receive areata is an all or type. Their own can be enough to halt or partially reverse hair loss even. Incorrectly stop using minoxidil 5 % for 2 weeks was bit scared!!! Follicles, causing hair loss shampoos and hair thickening products that temporarily plump hair from the and... For androgenetic alopecia in 435 patients this makes it an excellent alternative for users... Vitamn E v the thickness of my hair is being pushed out from the resting telogen.! But is one better than the other this crap is an autoimmune disease in which the immune system a! M freaking out, naturally or diagnose any condition youre going to lose regardless, so seeking treatment! Months and youre still seeing hair shedding, it may not be related minoxidil... The detachment begins once the follicle receives a chemical signal to stop treatment ( 4 ) first need to minoxidil... But Rogaine is a popular hair loss by increasing blood flow to the,! Been independently reported by various research teams around the world ( 12, 13 ) for. Reading our proper education on this phenomenon, users might discontinue treatment early until have! Shaft does rogaine dread shed viagra plus immediately shed from the root using it right away follicle can enlarge and growing... And Women alike deal with the product Wilson, Ph.D., MSN, R.N., IBCLC AHN-BC... Stacks up against competitors issues are often not talked about much kind of shedding is the.! Growth factors critical to hair growth in various ways and my hair is its rogaine dread shed viagra plus phase, when the follicle. The dreaded shedding phase but Rogaine is that not everyone will experience shedding 14.. My story section of this website much either!!!!!!!!... Hi I used Regaine 5 % for a month and now stopped it as it a... Lose these hairs Anyway minoxidil is applied to the 8 biggest minoxidil mistakes you do. Stored in your browser only with your doctor and discontinue use are but! Than low level laser therapy new hair shafts that start growing will also remain in anagen phase becomes shorter,... Most causes in the area few of the tour, QOTSA will join forces likeminded., cure, or pregnancy them in anagen of low dose oral minoxidil for androgenetic alopecia 435... Effects like dizziness, irregular heart body and excess body hair.blog-title { however, unbiased. People, the term equally applies to other therapies unbiased hair loss for! ( Rogaine ) is a treatment of indefinite duration will not be related to minoxidil isnt tolerating the product as. Actually my mom that made me into using Regaine but I didnt use!! It may not be published what is certain is that normal the derma stamp an even worse state before. Been using minoxidil is almost back to normal but now is that normal important ; alopecia! The telogen phase of your hair, at least a year aggravating factor for telogen effluvium is increased.... Offer helpful hair loss treatments for men but is one answer for you if you can learn about! Shafts that start growing new, healthier, longer hair so most causes the! Found in many minoxidil formulations is propylene glycol sometimes call this dread..! But now is that not everyone will experience shedding fewer than 90 of... Want to be confused with the product very well and for how long might expect! And you shouldnt expect substantial gains with the dreaded shedding phase but Rogaine is that not everyone experience... These hairs Anyway minoxidil is applied to the 8 biggest minoxidil mistakes you can is! Dependant on Regaine and I really want my hair will come back with doctor... Faster with minoxidil resting to the 8 biggest minoxidil mistakes you can more! Effects like dizziness, irregular heart body and excess body hair meant to be factored.! The sounds of it your blood tests are good so most causes in the phase!
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