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May 01, 2026 | Recovery A patient I had operated on three weeks earlier sat down across the desk, looked in the hand mirror she had brought, and asked the question I get more than any other at the two week visit

This often resembles telogen effluvium, a temporary shedding pattern that can follow rapid weight loss, illness, surgery, childbirth, crash dieting or nutritional stress

Pre-existing inborn errors of sulfur-amino-acid metabolism (e.g., homocystinuria) represent an absolute contraindication because parenteral methionine can exacerbate elevated homocysteine concentrations and associated thrombotic risk