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If you have a sulfa (sulfonamide) allergy, you should avoid drugs that contain sulfonamide groups because they may cause allergic reactions ranging from mild rash to severe anaphylaxis or Stevens-Johnson Syndrome

Hormonal Imbalance : Hormonal changes caused by conditions such as polycystic ovary syndrome (PCOS), thyroid disorders (hypothyroidism or hyperthyroidism), menopause, or postpartum hormonal fluctuations can lead to chronic telogen effluvium