Hair Loss
on 11/12/07 7:30 am - NY
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You have received a lot of advice already to your hair loss question, some conflicting, as we all have opinions I will add mine!
First understanding the nature of the hair loss will help guide your 'solution'. *TODAYS PROTEIN WILL BE SEEN EFFECTIVE IN 2-3 MONTHS NOTHING WILL WORK TODAY OTHER THAN ACCEPTANCE AND PATIENCE!*
Hair loss occurs frequently with any form of dieting/weight loss. After WLS MANY (I have seen 30-50% as the stats) patients experience hair thinning or hair, which is easily removed during washing/combing. Once you have the surgery, your caloric intake is drastically reduced to a mere 300-600 calories a day. This puts the body in an “emergency/starvation” mode as it thinks something is terribly wrong, (it used to get up to 10X that amount!) and it begins to focus ONLY on supporting the vital organs that will sustain life. Hair has never been under the category of a “life-sustaining” organ; therefore, the body puts the hair on the back burner until it is sure that the body is going to be okay enough to again send nutrients to the hair.
Protein and iron deficiencies are a common cause, and increasing both can help *BUT that can take 3 months of so!*. It starts generally around 3-6 months and stop around 6-9 months postop (*but can occur anytime there is a deficiency). This is because immediately following WLS adequate protein intake is difficult and it takes about 3 months for the effects to become evident, therefore taking in additional protein via shakes/supplements this minute will not yield results for a few months!. There are also many other things including medications that can cause hair loss, to name a few *not all inclusive):
· Ace inhibitors for high BP (lisinopril, monopril etc) · Actigall taken to prevent gallstones ***MANY are on this for up to 1 yr postop regularly!** · allopurinal taken for gout · anticoagulants, (coumadin) · anti-depressants · anti-thyroid medicine · beta-blockers for high bp & heart disease · birth control pills · tagamet for stomach acid · lithium, depakote, tegretol all are mood stabilizers (last 2 are also anticonvulsants)
Other factors to consider as well:
· mineral/vitamin insufficiency (specifically zinc, Biotin (a B vitamin), Selenium) · major systemic stress (surgery trauma, anesthesia...) · Chronic diseases (Syphilis, Cancer, Thyroid disorders, Lupus etc)
Scalp infections (ringworm etc) I waited 1 yr after WLS to highlight my hair, to avoid any further trauma. I used to do it every 3 months pre WLS. (been gray up front since my 20's!). I can not say if this was the correct thing to do? I recommend you speak with an experienced hairdresser on this ok! Cutting hair may help it look healthier and fuller, so that may be a good start! I wanted my deficiencies/trauma to be minimal so as when dying I wouldn't impose more stress on the hair! *again not sure if this view is correct? any hairdressers out there? basically this is what I have read: chemical hair treatments such as perms or coloring, even blow drying your hair or wearing a ponytail can thin out your hair. http://www.folica.com/Hair_Loss_Overv_d1287.html Traumatic alopecia: This “man-made” form of hair loss is caused by hairdressing techniques that do at least one of the following: pull the hair (tight braiding or corn-rowing); expose hair to extreme heat and twisting (curling iron or hot rollers); or damage the hair with strong chemicals (bleaching, hair coloring, permanent waves).
TREATMENTS: ***NOTE if you know the cause such as low protein or low iron or low zinc/selenium/biotin fine otherwise you may be wasting money).
Increase protein intake (we need at least 60gms
In reality treating the underlying cause is necessary (so if from trauma of surgery/rapid wt loss/protein malnutrition then ONLY time will help and upping protein as early as possible for today’s hair loss is from malnutrition/trauma 3 months ago, over time if your focused on the protein and vits it will stop and regrow! (no extra expensive vits or minerals/shampoos needed!), people say this vit or that shampoo did it when in essence most likely TIME was the biggest factor! Taking those things r using them may of lessened our worry and helped pass the time better :-)
A little more on this: http://www.ahlc.org/causes-f.htm There are two different types of hair loss, medically known as anagen effluvium and Telogen effluvium. Anagen effluvium is generally due to internally administered medications, such as chemotherapy agents, that poison the growing hair follicle. Telogen effluvium, is due to an increased number of hair follicles entering the resting stage. The most common causes of telogen effluvium are:
Physical stress: surgery, illness, anemia, and rapid weight change. Emotional stress: mental illness, death of a family member. Thyroid abnormalities. Medications: High doses of Vitamin A, Blood pressure and Gout medications. Hormonal causes: pregnancy, birth control pills, and menopause.
When the above causes of telogen effluvium are reversed or altered you should see the return of normal hair growth.
DIET CONSIDERATIONS Hair loss may also occur due to dieting. Franchised diet programs which are designed or administered under the direction of a physician with prescribed meals, dietary supplements and vitamin ingestion have become popular. Sometimes the client is told that vitamins are a necessary part of the program to prevent hair loss associated with dieting. From a dermatologist’s standpoint, however, the vitamins cannot prevent hair loss associated with rapid, significant weight loss. Furthermore, many of these supplements are high in vitamin A which can magnify the hair loss.
PHYSICAL AND EMOTIONAL STRESS Surgeries, severe illnesses and emotional stress can cause hair loss. The body simply shuts down production of hair during periods of stress since it is not necessary for survival and instead devotes its energies toward repairing vital body structures. In many cases there is a three-month delay between the actual event and the onset of hair loss. Furthermore, there may be another three-month delay prior to the return of noticeable hair regrowth. This then means that the total hair loss and regrowth cycle can last 6 months or possibly longer when induced by physical or emotional stress. There are some health conditions which may go undetected that can contribute to hair loss. These include anemia or low blood count and thyroid abnormalities. Both of these conditions can be detected by a simple, inexpensive blood test.
HORMONAL CONSIDERATIONS Hormonal changes are a common cause of female hair loss. Many women do not realize that hair loss can occur after pregnancy or following discontinuation of birth control pills. It is important to remember that the hair loss may be delayed by three months following the hormonal change and another three months will be required for new growth to be fully achieved.
MYTHS RELATED TO HAIR LOSS • Frequent shampooing contributes to hair loss. • Hats and wigs cause hair loss. • 100 strokes of the hair brush daily will create healthier hair. • Permanent hair loss is caused by perms, colors and other cosmetic treatments. • Women are expected to develop significant hair loss if they are healthy. • Shaving one's head will cause the hair to grow back thicker. • Standing on one's head will cause increased circulation and thereby stimulate hair growth! • Dandruff causes permanent hair loss. • There are cosmetic products that will cause the hair to grow thicker and faster. • Stress causes permanent hair loss. • Hair loss does not occur in the late teens or early twenties. • Hair loss affects only intellectuals. • There is a cure for androgenetic Alopecia.
These are only a few of the common myths heard by physicians and other hair loss specialists on a daily basis. The AHLC suggests that you first have your hair loss diagnosed by a competent dermatologist who sees hair loss patients on a regular basis. Once you know the diagnosis you will have a better understanding of exactly which treatment option may be best for you.
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Jamie Ellis RN MS NPP
100cm proximal Lap RNY 10/9/02 Dr. Singh Albany, NY
320(preop)/163(lowest)/185(current) 5'9'' (lost 45# before surgery)
Plastics 6/9/04 & 11/11/2005 Dr. King www.albanyplasticsurgeons.com
http://www.obesityhelp.com/member/jamiecatlady5/
"Being happy doesn't mean everything's perfect, it just means you've decided to see beyond the imperfections!"
Here are all the sites *I* know of for ordering samples of protein.
www.vitalady.com (a 10 yr+ postop who runs this business w/ her hubby who is also 10+ yrs out!)
www.wlssupplies.com
www.bethsproteinboutique.com (she is a wlser in NY, where you can get my fav PVL whey gourmet)
www.bariatriceating.com *run by a wlser Susan Maria, she has written a book before & after WLS...
www.enjoyhealth.com
I will say tastes CHANGE for many after WLS so if you find some now you like you MAY not like them postop....BUT I agree samples are the way to go! (*saves you money from buying a tub of something you can't/don't like to drink!) ''I'' don't think GNC has much that is tasty though....So ordering online seems to be best (for me)! Powdered pre-digested whey concentrate, or isolate or a blend of the 2 proteins are the kind/s that gastric by passers can BEST absorb! and are highly bioavailable. And so much better tasting IMHO and cheaper (70 servings in a 5# tub champion Pure Whey stack for $25.99 + 4.95 S&H = 44 cents a serving!!! (canned can be $1 ea or more!) good in a pinch though…
http://www.vitalady.com/why_protein.htm read this about postop protein!
So what is Biological Value:
Method of rating protein. Biological Value (BV) represents a specific protein's nitrogen retention qualities in humans. BV indicates the amount of nitrogen (body protein in grams) replaceable by 100 grams of protein in the adult diet. The higher the quality of a protein, the higher the BV.
Protein BV
Whey 100
Egg 97
Milk 88
Soy 71
Casein 70
Whey protein is a high quality protein powder from cow's milk. Milk has two proteins: Casein (approximately 80%) and Whey Protein (approximately 20%). Whey protein is more soluble than casein and also has a higher quality rating. It is often referred to as the "Gold Standard" of protein as it is the most nutritious protein available. Whey protein isolate is the most pure and concentrated form of whey protein available. It contains 90% or more protein and very little (if any) fat and lactose. Whey protein concentrate has anywhere between 29% and 89% protein depending upon the product. As the protein level in whey protein concentrate decreases the amounts of fat and/or lactose usually increase. Another way that whey protein helps manage weight is by promoting satiety, or a feeling of fullness. One recent study showed that whey protein was superior to casein, the other protein in cow's milk, in promoting satiety.
People recommend making them with WATER only (not milk, which adds 90-100 calories/12 g carbs and 8g protein *not the kind we can utilize well) , drink within 30 min also!
You can buy a magic bullet blender to make w/ ice, sugar free syrups,
Davinci now has 51 Sugar Free flavors!
http://www.davincigourmet.com can order from
or www.netrition.com (local in Albany NY S&H is $4.95 no matter how little/much you order! there 5# tubs of Champion PW stack is $25.99, tjmaxx has them sometimes also! Artisan roasters and torani’s are other makers! http://www.artisancoffeeroasters.com/syrups/index.html
http://www.torani.com/create/fpsugarfree.shtml
http://www24.netrition.com/champion_whey_stack_page.html also if you find you like the chocolate, banana or strawberry (*I do not know of anyone who likes their vanilla!)
http://www24.netrition.com/syntrax_nectar_page.html netrition has nectars for $26.95
extracts, spices, 1 tsp powdered sf/ff pudding powder or 1 tsp sf jello powder etc...
www.walgreens.com has MB’s for $59 free S&H or www.buythebullet.com has BOGO free, I think Target and other stores have them too!
***#1***
I like PVL whey gourmet flavors the best, White chocolate, vanilla, raspberry, caramel dip, milk chocolate, PB chocolate, blueberry, orange cremescicle....This is where I order it online: (2# tub $21.95) http://www.a1nutritionproducts.com/buy/pvl/whey_gourmet
Most 120 cal 23g protein a scoop 2.6 g carbs 2 g fat.... 15 Flavors to choose from and more to come!
NEW Arctic Cappuccino Frappe, NEW Creamy Dreamy Milk Chocolate, NEW Radical Raspberry Smoothie, Piña Colada Breeze, Creamy Orangesicle Swirl, Creamy Caramel Dip, Dark Chocolate Mousse, Mocha Java Madness, Smooth Peanut Butter Chocolate, Strawberry Banana Smoothy, Blueberry Burst, Chocolate Chip Mint Extreme, Vanilla Ice Cream Royale, Silky Smooth White Chocolate, Rootbeer Float, Cookies & Crème Supreme.
SAMPLES no one has them I can find
http://www.pvldirect.com/products_whey_gourmet.html
Runners up:
Champion Pure Whey stack chocolate, banana scream or strawberry are good
Labrada PV 60 vanilla is good
IDS cinnamon/vanilla, mocha, Belgian chocolate
The Nectars (fruit based) they also have a cappuccino my hubby loves! Strawberry-kiwi, fuzzy navel, Caribbean cooler, apple, lemonade etc….
ANYWHEY is an unflavored protein. You can cook with it too!
(***70 calories a scoop/0g fat/1g carb (no sugar carbs)/17 G protein)
60 scoops/container
http://www.optimumnutrition.com/anywhey/default.html they have recipes!
I think 34g protein for 2 scoops/140 calories is DARN GOOD!
Made by optimum nutrition.
GNC carries it I beleive.
or online many places but I use this site frequently.
http://www.netrition.com/optimum_any_whey_page.html
$22.95/2.7lb container
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The key is find what you like, add water/ice use the magic bullet for a smoothie consistency, spruce w/ extracts SF syrup, a little sf jello or pudding powder and voila! I now use 2-3 frozen strawberries or 1/4c pumpkin in shakes also (watch calorie and sugar in beginning stages!) Skies the limit! I have over 24 sf syrups, 5 flavors of protein at any time! It doesn’t get boring! Happy Sampling!!!
Take Care,
Jamie Ellis RN MS NPP
Lap RNY 10/9/02 Dr. Singh
320 preop/163 lowest/ 183 current 5'9'' (lost 45# before surgery)
Plastics 6/9/04 & 11/11/2005 Dr. King
http://www.obesityhelp.com/morbidobesity/members/profile.php ?N=c1132518510
"Being happy doesn't mean everything's perfect, it just means you've decided to see beyond the imperfections!"

Jamie Ellis RN MS NPP
100cm proximal Lap RNY 10/9/02 Dr. Singh Albany, NY
320(preop)/163(lowest)/185(current) 5'9'' (lost 45# before surgery)
Plastics 6/9/04 & 11/11/2005 Dr. King www.albanyplasticsurgeons.com
http://www.obesityhelp.com/member/jamiecatlady5/
"Being happy doesn't mean everything's perfect, it just means you've decided to see beyond the imperfections!"