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Understanding Hair Loss and the Growth Cycle Hair grows through a natural cycle with four phases: Anagen actively produces follicles, lasting 27 years Catagen is when the follicles shrink and growth slows, lasts 23 weeks Telogen lasts 23 months and allows the hair to rest before shedding Exogen is the shedding phase that makes way for new growth Some common hair loss causes include: Androgenetic alopecia, which is often triggered by DHT Telogen effluvium Nutritional deficiencies Hormonal imbalances Inflammation disrupting follicles Traditional treatments carry possible side effects, and surgical options are costly with variable results

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Specific Indications for Combined Therapy Tiaminal B12 injection is for people with both thiamine and cobalamin deficiencies

They help with energy, nerve function, and making red blood cells

This service is billed using CPT code 90945/90947

In the weeks before the operating room, I work with the patient on weight stability, protein intake, sleep, hydration, stress and any modifiable medical issues