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46 Serious adverse effects include aplastic anemia, Stevens Johnsons syndrome, toxic epidermal necrolysis, and hepatic necrosis

The most direct evidence so far comes from a 2025 study out of UCLA, published in ACR Open Rheumatology

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Your doctor can also evaluate your diet and other stress levels, and be sure there is not another cause for hair loss, such as altered thyroid levels, polycystic ovary syndrome, or iron deficiency