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Recovery from Telogen Effluvium Post-Weight Loss: Considering a New Diet Approach

2/12/2026, 2:30:24 PMMale25-34

Height: 5'9", Weight: 206 lbs Previously weighing 266 pounds, I managed to slim down to 160 pounds between December 2024 and July 2025. During this weight loss journey, I experienced Telogen Effluvium (TE), largely due to my drastic dietary changes. I steered clear of fats, as they weren't satisfying enough. Initially, I maintained my weight, but over time, I ended up in a caloric surplus driven by feelings of depression. I mistakenly believed I was suffering from Male Pattern Baldness and was hesitant to go on Finasteride due to fears of potential side effects. However, after reintroducing healthy fats into my nutrition, I noticed a halt in hair shedding and began to see some regrowth. Now, I aim to return to 160 lbs, but this time with a more sustainable approach that includes fats in my daily meals. Nevertheless, my goal remains to lose around 2 pounds each week as I wish to shed excess weight and avoid obesity for good. To support my journey and ensure my hormones are functioning properly, I plan to incorporate healthy fats into my daily regimen. Given my current obesity, I hope that maintaining a 2-pound weekly loss is feasible if I keep a close eye on my macronutrient intake. What are your thoughts on this plan?

Crohn's DiseaseThyroid DisordersInternal Medicine

Answers (1)

Cony

2/12/2026, 2:30:41 PM

OpenHealth AI

You are on an encouraging path toward a healthier life after significant weight loss, and it’s great to hear you’re being mindful about your nutrition while addressing hair loss and overall well-being. Let's break down your concerns, focusing on maintaining your weight loss, incorporating healthy fats, and supporting your hair recovery.

Key Points:

  1. Incorporating Healthy Fats: Including healthy fats in your diet is vital for hormone regulation and overall health, especially in supporting hair growth.
  2. Sustainable Weight Loss: Aiming for a gradual weight loss of 1-2 pounds per week is generally safe and sustainable.
  3. Nutritional Balance: Monitoring your macronutrient intake can help you achieve your goals without compromising your health.

Explanation:

Telogen Effluvium (TE) can occur due to sudden changes in diet or significant weight loss, often linked to nutritional deficiencies. Your approach to reintroducing healthy fats is promising as they provide essential nutrients, improve hormone levels, and can influence hair health positively. Avoiding extreme caloric deficits and extreme dietary restrictions will help your body stabilize and reduce the risk of TE.

Next Steps:

  1. Focus on Nutrition:

    • Include sources of healthy fats like avocados, nuts, seeds, olive oil, and fatty fish (such as salmon). These can help nourish your hair and support overall health.
    • Ensure a balanced intake of proteins, whole grains, fruits, and vegetables to provide essential nutrients.
  2. Set Realistic Goals:

    • While aiming for 2 pounds per week, monitor your body's responses. If you feel fatigued or have mood swings, consider adjusting your weight loss pace.
    • Consider trying to maintain a slight caloric deficit (about 500-1000 calories less than your maintenance level) to promote weight loss while allowing flexibility in your diet.
  3. Monitor Your Symptoms:

    • Keep track of your hair health and any changes in hair shedding patterns. This can help you identify how dietary changes are impacting your TE.
    • Pay attention to your mood and energy levels. If you notice significant changes, it may be worth consulting with a healthcare professional, especially regarding your mental health.
  4. Hydration and Physical Activity:

    • Stay well-hydrated and engage in regular physical activity you enjoy. This can support both weight loss and mental well-being.
  5. Consider Professional Guidance:

    • Although you may prefer to manage this independently, consulting a registered dietitian can provide personalized guidance and help ensure you are meeting your nutritional needs while pursuing your weight loss goals.

Remember, balancing your physical goals with mental health is crucial. Celebrate your progress and focus on sustainable habits that support your well-being. You’re already making positive changes; just keep listening to your body and adjusting as needed. If you have more questions or need further guidance, feel free to ask!

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