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[54] Ovalocytes are also typically seen on the blood smear, and a pathognomonic feature of megaloblastic anemias (which include PA and others) is hypersegmented neutrophils

The tirzepatide dose chart shows a standard titration from 2.5 mg up to 15 mg, and interestingly, the hair loss rate did not increase meaningfully between the 5 mg and 15 mg groups

Although these symptoms can come from various causes, a lack of Vitamin B12 is one of the conditions that needs to be ruled out early because it is both common and treatable.