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[4] These reactions may include pain, swelling, redness, or mild bruising at the site of the subcutaneous injection

So I think it really is a pure telogen effluvium that shes experiencing. Moustafa advises people using GLP-1s who are concerned about hair loss to keep an eye on the rate of your hair shedding and the degree of your weight loss, as well as being your own advocate in many ways, discussing these things with your prescribing doctor and asking for the referral so that you can get the support to mitigate it.