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If surgery is performed at the peak of shedding: The apparent size of the problem may be overestimated Donor hair may look temporarily thinner than baseline The risk of temporary shock loss of susceptible native hairs may be higher (especially where miniaturization is already present) A careful clinic will typically prioritize donor safety , conservative density goals, and appropriate staging if needed

Lactating women are similarly encouraged to exercise caution due to potential adverse effects [9]