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Common causes of telogen effluvium and hair loss include: Thyroid dysfunction both hypothyroidism and hyperthyroidism are well-recognised causes of diffuse hair loss and should be excluded with a blood test (thyroid function tests) Anaemia iron-deficiency anaemia is particularly prevalent in women and can cause significant shedding Hormonal changes including polycystic ovary syndrome (PCOS), postpartum hormonal shifts, or the perimenopause Psychological stress and anxiety emotional stress is a recognised trigger for telogen effluvium Crash dieting or very low-calorie diets even without medication, severe caloric restriction alone can precipitate hair loss Underlying autoimmune conditions such as alopecia areata, which typically causes patchy rather than diffuse hair loss Certain medications including anticoagulants (e.g

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Vitamin B12 deficiency has a wide range of consequences along with fertility and sexual problems such as weakness, tiredness, constipation and many more which can lead to the damage of the nervous system

Nature 507 , 371375 (2014)