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Losing Locks, Gaining Confidence: Dealing with Hair Loss After Weight Loss Surgery

Jan 01, 2024

Hair Scare?

Are you concerned about hair loss or thinning? It's a very common after-effect from surgery AND in the vast majority of cases it is temporary!

Introduction

Embarking on a weight loss journey through surgery is a transformative and empowering experience that comes with many health benefits. However, some people may encounter an unexpected side effect during their post-surgery phase: hair loss. While it might be disconcerting, it's important to understand that this is a common occurrence and usually temporary. 

Hair loss can start around 3-months' post-surgery and is generally related to a condition called 'Telogen Effluvium'. Your body has been shocked by the surgery and rapid weight loss, and therefore the hair growth cycle responds to the trauma by stopping and thinning hair growth. Most people find that their hair does eventually grow back within a year to 18 months, and often thicker and healthier than before. 

In this resource, we'll delve into the reasons behind post-bariatric surgery hair loss, reassure those experiencing it, and provide practical tips to manage and cope with this change.

Understanding the Causes

Although it’s not commonly known, you are actually always in the process of both losing and growing hair.

Human hairs have 2 main phases - a growth phase and a resting phase. All hairs begin in the growth phase and then shift into the resting phase which lasts about 100 days. After this, the hair will move into a shedding phase and fall out. Typically, 90% of our hair is in the growth phase and 10% is in the resting phase at any one time. This means we are usually losing less hair than we are growing, so it is not noticeable.

The most likely reason for hair loss within the first 6 months of bariatric surgery is Telogen Effluvium. This is where stress on the body (from the surgery, rapid weight loss and reduction in calories) moves more hair into the resting phase and then these hairs eventually fall out. As the body is dealing with the stress, it diverts energy away from non-essential functions like hair growth. It's like your body is saying, "Hey, we need energy for the important stuff, not just looking great!" Cue the resting phase and then the shedding.

Excess hair loss from Telogen Effluvium will generally not continue for more than 6 to 12 months if there are no nutritional issues. Hair should re-grow with time, by maintaining proper nutrition and a healthy lifestyle after surgery.

Hair loss more than a year post surgery may be related to a nutritional deficiency e.g. iron. This is why it is essential to attend your clinic for regular blood tests to monitor your nutritional status. Hair loss caused by nutritional deficiencies can be corrected by good nutrition and vitamin and mineral supplementation, as recommended by your clinic.

Reassurance If You Are Experiencing Hair Loss

This Too Shall Pass

First things first – breathe. Hair loss after bariatric surgery is usually a short-term glitch. In many cases, the hair begins to regrow within 6 to 12 months as the body adjusts to the new nutritional and metabolic equilibrium. It's just your body's way of saying, "Hang on, I'm getting used to this new life!"

Talk To Your Team

It’s incredibly important to go back regularly to your clinic. They can assess your nutritional status through blood tests and recommend supplements if necessary to get your hair back on track. Ensuring an adequate intake of protein, vitamins, and minerals is crucial for promoting hair regrowth. 

Patience Is Key

Understand that the body needs time to adapt to the changes brought about by bariatric  surgery. Patience is key during this period, so give your body the time it needs for your hair to bounce back, and try not to worry about the hair that’s gone. Stressing about the hair loss can exacerbate the condition and won’t bring it back any faster. 

Practical Tips For Managing Hair Loss

Nutritional Supplementation

Work closely with your clinic team to identify and address any nutritional deficiencies and make sure you’re using a multivitamin designed for bariatric patients, not a generic multivitamin.

Healthy Diet

Eat a variety of healthy, nutrient rich foods each day, that includes a lot of vegetables. Make sure to also prioritise protein to support overall health and hair growth. Lean meats, fish, free-range eggs, dairy, and plant-based protein sources can contribute to the essential amino acids required for strong, healthy hair as your hair growth gets back on track.

Prioritise Sleep

Most adults need between seven and nine hours of quality sleep per night. A good night’s sleep can really help your body to recover from stress and will assist your body to repair itself.

Gentle Hair Care

Treat your hair gently to minimize additional stress. Avoid excessive heat styling, tight hairstyles, and harsh chemical treatments. Use a mild, natural, sulfate-free shampoo and conditioner to keep your scalp and hair nourished. 

Regular Follow-ups

Schedule regular follow-ups with your clinic team to monitor your overall health, including nutritional status and any changes in hair growth patterns. They will be able to advise if any adjustments may be beneficial or needed.

Conclusion

Experiencing hair loss after bariatric surgery can be challenging, but understanding the reasons behind it and taking proactive steps to address nutritional needs  and reducing stress can make a significant difference. Remember, it's a detour, not a dead end - this phase is temporary, and with patience, the right care, and maybe a cool hat or two you can embrace the positive changes in your health while supporting the regrowth of your hair. Consult with your clinic team, stay committed to your nutritional goals, and let the journey to a healthier, happier you continue with confidence.



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