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INTEGRIS Health Weight Loss Center

Hair Loss After Bariatric Surgery

Hair loss after bariatric surgery is extremely common, but it is still very stressful. Below is background information on why it happens and tips to help prevent hair loss after surgery.

Understanding Why

Hair loss after weight loss surgery, known as telogen effluvium, relates to the hair growth cycle. It begins suddenly and usually lasts no more than 6 months. Hair growth has two phases: anagen (growth) and telogen (resting).

About 90% of hair is in anagen, while 5-15% is in telogen, lasting 1 to 6 months. Stress and hormonal changes can push more hair into the resting phase, leading to shedding 1 to 6 months post-surgery, typically starting around 3 to 4 months.

As new hair grows, old follicles are released, causing hair loss, sometimes before new growth appears, which can be unsettling.

What Affects Hair Loss After Surgery?

Surgery, a very low-calorie intake and possibly low protein intake can begin the process of hair loss. Additionally, any illness along the way, an underactive thyroid, iron deficiency or genetics can lead to about 5-15% of your hair follicles.

Other nutrients associated with hair loss include zinc, biotin, folate, vitamin B-6 and essential fatty acids.

The good news is that you can depend on the hair growing back unless a chronic illness or genetic condition for hair thinning is present.

Tips for Preventing Hair Loss After Bariatric Surgery

  • It is natural to have 5-15% of hair loss due to the stress of surgery and weight loss. It rarely lasts more than 6 months. Be easy on yourself, it will grow back.
  • Visit your primary care doctor to be evaluated for any illness or non-nutritional reason for hair loss such as thyroid disease or other chronic illnesses.
  • Follow your dietary recommendations which calls for prioritizing protein at each meal and snack on a daily basis.
  • Take a bariatric specific multi-vitamin with adequate B vitamins, folate, zinc and biotin. Don’t forget your B12 and calcium citrate with vitamin D supplements.
  • Avoid excessive vitamin A and high dose zinc supplements. They are potentially harmful.
  • References:

    1. Jacques J. Micronutrition for the Weight Loss Surgery Patient. Edgemont, PA: Matrix Medical Communications; 2006
    2. Hughes E. CW. Telogen Effluvium. Website. http://emedicine.medscape.com/article/1071566-overview. Updated 12/17/2010. Accessed 8/4/2011