Carmelita
VSG and HAIR LOSS
***please don't flame me because I have a VSG hair loss blog. Im sure there are others out there. Im only providing VSGrs with some information. I do not claim to be an authority on VSG induced hair loss, Im seriously only trying to help others that follow..understand this common complaint...more than they are being told. Consider this a starting point to HELP YOU..find your way thru the hair loss maze!
Summer 2011: It bothers me that VSGrs have given up on finding solutions to this huge complaint. They're told "it will happen or it won't happen", " there's nothing you can do about it", "I didn't have any hair loss (even tho 95% of us DO!!)", "up your protein" use "biotin, nioxin, rogaine, zinc, hair-nails-skin, use expensive hair shampoo systems," etc...products that do NOT work or may be toxic for WLS induced hair loss, have been used/tried throughout the YEARS by VSGrs in a desperate attempt to prevent, slow or stop this phenomena, have been found to be totally ineffective... yet others keep recommending them anyway, perpetuating the SAME OLD powerful MYTHS...
that do NOT WORK ....NOT FOR THIS!!
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Why ? DIHYDROTESTOSTERONE (DHT), a hormone our bodies produce naturally, and is triggered into overdrive metabolically/hormonally (estrogens/testosterone-aromatase to DHT) within HOURS of VSG yet does not manifest till ~3months post op (see timeline below)
DIHYDROTESTOSTERONE is the same hormone that INCREASES as we age...it causes Male Pattern Baldness in elderly men affecting TOP and SIDES of head.. ......and also observed in Post meno-elderly women- hair thinning TOP and SIDES !
in VSG hair loss....what we experience.... TOP n SIDES!!
THE AIM? to DISRUPT the conversion of hormones to dihydrotestoserone, DHT.
HOW? DHT BLOCKERS! DHT Blockers work by inhibiting the 5-alpha-reductase enzyme. Basically, "a DHT blocker and 5-alpha-reducatase enzyme fit together like a puzzle. When that happens, the enzyme can’t joint with testosterone to make DHT. Thus, DHT levels go down, and our hair loss stops".
ESSENTIAL FATTY ACIDS and VITAMIN D3 are DHT blockers-androgen (hormone) inhibitors
Omega 3's: EPA/DHA minimum RDA is 410mg EPA and 274mg DHA please investigate: 1000mg EPA/1500mg DHA combined with Vitamin D3 (cholecalciferol) 2-5000 IUs
Americans are usually deficient in both Omega 3s and Vitamin D3 ! VSGrs are no exception! It is VERY important that IF your raise your Omega 3s you MUST lower your Omega 6s and 9s! as they interfere/cancel each other out.
Essential Fatty Acids Krill Oil/Fish Oil Omega3 (EPA/DHA) interferes with and disrupts the conversion of hormones (estrogens/testosterone to DHT) in acute telogen effluvium... where a hormonal - metabolic TRIGGER such as VSG causes HAIR LOSS like nothing we've ever experienced in our lives. Would also help with the depletion of hormonal stores (estrogens produced and stored in adipose fat) post op during the rapid fat loss phase, when our hair loss is at its greatest, and we experience increased mood lability/emotional distress
How soon should ya start? the sooner the better !! vs. AFTER the fact..waiting 3-5months.to see IF you will be one of the very few "lucky" VSGrs that elude hair loss, or chasing your hair loss making up for critical lost time in a panic!
Research hair loss pre-op ...
If considering the above start on your daily regime 2 weeks to 1 month pre surgery up until your told to stop all medications by your surgeon. Post op pick it up asap Krill Oil (EPA/DHA) is small, Vitamin D3 (must specify cholecalciferol only) is small. Both come in liquid form... EPA/DHA also comes in liquid form (salmon oil highly recc! is liquid). Use in conjunction with required post op vitamins, minerals, and protein intake requirements. Continue into the "critical stage" 0-3 months post op.
Although there are DHT Blocker systems OTC one can purchase...usually ingredients consist of combinations of selenium, biotin, zinc, silica..we all know these vits/minerals are only worthy at HAIR REgrowth stage (6-7 months out), we get sufficient amounts from diet and daily multi-vit supplementation.
***Do not buy OTC DHT blockers IF oral HeShouWu is an ingredient
OTHER DHT BLOCKERS:
saw palmetto 1500mg per day an essential fatty acid
http://www.livestrong.com/article/289358-saw-palmetto-hair-loss-in-women/
http://en.wikipedia.org/wiki/Saw_palmetto_extract
GREEN TEA extract an enzyme 5 alpha reductase to DHT inhibitor
Amino Acid L- Lysine supplementation the most important amino acid in our post op "high protein" diets imo ...and has an effect on VSG hair loss as its another enzyme 5 alpha reductase to DHT inhibitor
Topical melatonin hair loss formula/scalp treatments for hair loss http://www.ncbi.nlm.nih.gov/pubmed/14996107 ,
http://www.livestrong.com/article/292076-melatonin-hair-growth/
Topical only hair loss formulated He Shou Wu/Polygonum multiflorum http://www.ncbi.nlm.nih.gov/pubmed/21419834 ,
http://www.mendeley.com/research/topical-application-polygonum-multiflorum-extract-induces-hair-growth-resting-hair-follicles-through-upregulating-shh-catenin-expression-c57bl-6-mice/#page-1
I would suggest VSGrs investigate/try these alternative methods..rather than continuing to take or use products that have failed consistently in the past.
Anything you put in your mouth, on yer head to stop hair loss....PLEASE RESEARCH IT YOURSELF!! do not rely on recommendations of others inc. me.... We need to try NEW approaches to this common post op problem! --------------------
Although plant sources of Omega3s, are not as bioavailable/absorbable as fish/krill... GLA, ALA are also essential fatty acids that can help with hormonally influenced hair loss. DHA is the most important of Omega3s in hair thinning... so know that ~10 % of GLA, ALA derived from plant sources convert to omega3 EPA... even less to DHA.
Here's an exerpt from one article on EPO (evening primrose oil) and Hair Loss..thyroid hair loss is also METABOLIC-HORMONAL!!
. . . evening primrose oil (also known as EPO) is a nutritional supplement that is frequently mentioned. In his book, "Solved: The Riddle of Illness," Stephen Langer, M.D. points to the fact that symptoms of essential fatty acid insufficiency are very similar to hypothyroidism, and recommends evening primrose oil -- an excellent source of essential fatty acids -- as helpful for people with hypothyroidism. The usefulness of evening primrose oil, particularly in dealing with the issues of excess hair loss with hypothyroidism, was also reinforced by endocrinologist Kenneth Blanchard. According to Dr. Blanchard:
"For hair loss, I routinely recommend multiple vitamins, and especially evening primrose oil. If there's any sex pattern to it -- if a woman is losing hair in partly a male pattern - -then, the problem is there is excessive conversion of testosterone to dihydrotestosterone at the level of the hair follicle. Evening primrose oil is an inhibitor of that conversion. So almost anybody with hair loss probably will benefit from evening primrose oil."
Evening primrose oil, 1,000 mg thrice daily. Can be replaced with 1,000 mg borage oil one time daily.
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The search for that elusive WLS hair loss cure....continues!
my original 2009 blog
VSG HAIR LOSS
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PLEASE..read this article on Acute Diffuse Hair Loss/Acute Telogen Effluvium and the importance of PROTEIN and ESSENTIAL FATTY ACIDS as well as the cycle of events describing VSG hair loss!
http://www.ccjm.org/content/76/6/361.full
Use the OH search engine ...sooooo much has been posted on Hair Loss (shedding/thinning) enough to choke a donkey! Its a HUGE post bariatric issue and majority of surgeons NEVER talk to their patients about. Or tell them use zinc, biotin, or increase protein only! This is a metabolic/hormonal event that begins, is created within hours of VSG itself .
An interesting article on Acute Telogen Effluvium http://www.ehow.com/about_5390925_losing-hair-after-surgery.html following bariatric surgery
Ya never realize how important your hair is to ya.... till yer LOSIN IT! I don't care who is trying to make light of these times, it IS UPSETTING! Of course it is obvious mostly to the person losing it, and we often exaggerate the loss "coming out in clumps" "bald patches" "Im going bald".
To the men at Male Pattern Baldness forums...its upsetting!! Though their hair loss is genetic-'permanent', are indeed taking perscribed DHT blockers-medications (proscar/finesteride) but are also supplementing with.....EPA/DHA ( fish oil ) in 3-5000mg range daily to disrupt the androgen conversion in effort ...to stop further hair loss.
For VSG triggered hair loss:
KNOW THAT: THIS TOO SHALL PASS!!!
you will NOT go bald!
On a personal note: I had what only I considered "extreme" hair loss after having VSG. This is totally ABNORMAL for me despite having gone through stress, trauma, surgeries, pregnancies, crash diets/rapid weight loss, medications,anesthesia at different times throughout my life, then menopause and I have NEVER experienced the amount or prolonged hair loss as when I had a VSG. Hair shed everywhere, brushfuls of hair (my hair is long so looked worse than it was), shower drains n walls, pillow, car head rest, in prepared meals!
I tried almost every hair vitamin /supplements, hair products (inc. nioxin) suggestedby members of OH, WLS seminars, my surgeon & nut recs.. since I started losing it at 3 months out,
I tried each product/ supplement, even combined them for at least 30 days. I upped my protein intake to over 90gms protein daily, at the suggestion of my nut and surgeon....TO NO AVAIL!! NOTHING WORKED to STOP it! let alone SLOW IT DOWN!!
I was desperate! I wanted to believe that what I was taking for it, or shampooing & conditioning with was working, but the truth is...it really was NOT. I only wasted time and money. ...before I summized..the DHT conversion was set into motion the DAY I HAD VSG!!
From what Ive researched, NUTRITIONAL deficiencies can increase and prolong hair loss ..only Won't cause it, won't slow it, won't stop it..... in Acute Telogen Effluvium. Its the hormonal imbalance triggered by VSG..estrogen/s produced in fat and DHT conversion of hair follicle .... affecting mainly women, but also men (aromatase) who may not notice / or report hair loss due to it being normally short, shave their heads anyway, are not interested in prevention as this temporary phase of hair loss is not as important to them.
This blog is mostly geared for women! Please consult with your doctor, dietician, endocrinologist re: contributing factors- supplementation to your diet, secondary illnesses, deficiencies ..i.e.protein intake based on age, gender and activity (muscle building/strength training), iron intake for menses aged women, medications w/ adverse effect of increased hair loss i.e anti-depressants, Actigall/Ursodiol, and hormonal disorders such as PCOS, insulin (diabetes), thyroid, menopause which can also exacerbate hair loss.
Things Ive learned along the way:
Hair Loss BEGINS 3-4 months post op
Hair Loss SLOWS 6-7 months post op (new growth apparent)
Hair Loss STOPS 12- 18 months post op (or when your weight loss stabilizes)
Just as hair loss slows at ~ 6-7 months, NEW GROWTH makes its appearance.
Your pubes, armpit, leg hair may be affected as well and may grow back sparsely.
Biotin (Vitamin B7 aka Vitamin H) is great to use at the REGROWTH stage only...as it helps not only with growth but to replenish natural oils helps prevent dried, frizzed, listless hair commonly seen in post bariatric pts.
1. PROTEIN PROTEIN PROTEIN : One interesting article
http://www.nahrs.org/home/Default.aspx?tabid=66
**Note 4th paragrah "especially insufficient intake of protein" in ACUTE TELOGEN EFFLUVIUM phase we experience post op.
Hair loss can be related to chronically LOW/er PROTEIN INTAKE during the critical stage (0-3 months post op) Keep protein levels at least 60-70gs DAILY for women. Do not exceed 80gs daily , playing catch up, after this period, thinking you will stop hair loss. Won't happen! Talk to your nut, see your guidelines based on your specific individual protein requirements. Please find a good TRACKING site online to track your protein intake (supertracker, myfitnesspal, sparkpeople, dailyplate, fitday etc). VSGrs that had tracked and got in the necessary protein intake from the get go ...STILL report hair loss, or having some to no effect.
I think it is noteworthy L-lysine an amino acid in protein IS a DHT blocker! Could our reduced protein intake the first few weeks post VSG be an influence? Would supplementing with L-lysine be a 'better' option for us post op to prevent hair loss? More info on L-lysine from Bariatric Times below
2. SAVE YOUR MONEY on vitamins, hair care products recommended by hairstylists, nuts, surgeons, forum members that claim a product will "save/help your hair" from loss. Either they are toxic, unnecessary / ineffective, must be used for 6 months or more for result$, or claims are unproven!
Please research any recommendations wellbefore taking them.. to learn the TRUTH about them. You get enough selenium, biotin, zinc, silica from your diet, and daily multi-vit. There has RARELY been an incident of these nutritional deficiencies post VSG. They merely promote hair REGROWTH!. Will NOT do 1 thing to prevent, slow or stop hair loss! ..NOT IN VSG triggered hair loss!!
****MENSES aged women...PLEASE KEEP YOUR IRON INTAKE AT ACCEPTABLE LEVELS...iron deficiency will exacerbate your hair loss
****PERI-MENO/MENO women...PLEASE KEEP YOUR CALCIUM and VITAMIN D3 at ACCEPTABLE LEVELS. Hair loss in meno aged women is very common...another HORMONAL trigger of acute telogen effluvium.
**** Hypervitamintosis A has been found to increase hair loss
3. PREVENT BREAKAGE Altho much of your initial hair loss, occurs from the ROOT, at ~7 months out..you will notice numerous remaining hair strands on yer head have a "weak point" of up to ~1/64th of an inch long..where the diameter of each individual hair strand/shaft is THINNER (weak point) between the old hair and new hair growth on that particular strand. PROTECT THESE STRANDS because it is a major HAIR BREAKAGE point. Use a mild protein shampoo and protein conditioner once a week max.
DO NOT use protein shampoos more than 4x a month because they are VERY drying and damaging to your hair. Nioxin or its generic counterparts IS TOXIC! (links towards the end of this blog).
Have you ever noticed post op bariatric patients pics or in real life with DRY,BRITTLE, FRIZZY, LISTLESS hair?
Contributing factors may include: poor protein intake, overuse or too high concentration protein-chemical shampoos/conditioners, main.stylelist.com/2011/01/10/deep-conditioner-how-to-choose/ cotton pillowcases that rob moisture from hair, not to mention hormonal age-related factors when our hair naturally changes (increased DHT), and chemical processing has taken its toll.
4. CREATIVITY
Hats, wigs, hair pieces, accessories.
Get creative with styles and parts.
Camouflage! eye shadow, eye pencils, fillers- tint colored powders, thickeners- hair sprays that match your hair for parts, hair line until regrowth appears.
Great time to go for that shorter hair style! It'll make you feel so much better.
Just as YOU think your hair is paper thin, can see Grand Canyons in yer part, and yer definately going bald..your hair stylist will tell you ~9 months post op...You don't even need a volumnizing cut!...all those little new hair growths will give ya lots of volumn naturally!
5. COOKING HAZARDS:Keep yer hair under wraps or up in a loose bun ..if you insist on maintaining long hair like I do WHILE COOKING and preparing meals!! Talk about losing one's appetite... I can't tell you how many dinner guests have pulled a strand of my hair out of their meal ...my first year post op.
6. AVOID COTTON PILLOWCASEs use a satin/silk pillowcase! handwash/ rinse separately. Cotton pillowcases.. absorb moisture..natural oils from your hair ... the friction will cause increased hair loss and damages/frizzes hair.
Your face and your hair pressed against harsh detergent/fabric softeners/chemicals like chlorine bleach for up to 8 hours ...think about this fact not only during the hair loss phase but ... as you age
7. SHAMPOOING/ SCALP MASSAGES: Do NOT shampoo your hair everyday unless it is very oily. Thin out existing shampoos so less harsh. Look for Keratin or Amino Acid shampoos. AVOID SULFATES in shampoos that rob moisture not to mention color! Use the pads of your fingers to massage yer scalp gently, and stimulate circulation. Protein Shampoos/Conditioners (see above #3) may be needed to prevent breakage when the time comes.
Per Dr. Mercola and Dr. Oz coconut oil ($5 at cooking oils section of Walmart) applied at the root as it does not clog hair follicles, is a NON-TOXIC (unlike Nioxin) DHT inhibitor!...Apply 30 minutes prior to shampooing ..best applied and left overnight (shower cap), shampoo in am.
Cosmetology schools and hair salons offer Tesla scalp massages for a nominal fee. A neon tube electric 'rake' stimulates circulation & massages the scalp. Per The DRs (television show) rec Tesla scalp treatments to anyone with hairloss.
8. AFRICAN AMERICAN/BLACK HAIR: Black women please ease up on chemical straightening, weaves, braids/extensions, locs, loc extensions, hot irons anything stressing yer already thinnin scalp the first year unless yer going for the Naomi Campbell look!!
See gettin CREATIVE section #4. There are VERY NICE lace-front wigs out now under 100 dollars. Use combs vs. pins that may pull at root when removing.
DO NOT USE: Hair growth "potions", Nioxin, Minoxidil, Rogaine products ..research and online reviews claim they will cause your hair to come out in clumps! Check these products out THOROUGHLY before using!
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CONCLUSION!!
SO ..you've gotten in all your protein, all your vitamin and mineral requirements... you may have tried all sorts of OH suggested remedies, hairstylists, surgeon, nut recs.....same old past FAILS to NO AVAIL we all tried!...you probably have deduced by now.......
NOTHING will SLOW or STOP this phenomena (VSG-triggered HAIR LOSS) but ...TIME. (note the timeline above) As your weight loss stabilizes you may notice your hair loss has completely stopped.
My weight loss came to a grinding halt at 13 months post op. Coincidentally, so did my hair loss!
All that stressing, money and time popping worthless biotin, hair skin nails supplements, buying & using shampoo systems........FOR NOTHING!
Chronic telogen effluvium occurs after 18 months of hair loss. Other hormonal influences / nutritional deficiencies may contribute to, prolong it. Please see your PCP/surgeon for labwork, endocrinologist, dermatologist if this is the case.
Acute Telogen Effluvium RETRIGGERED? check
Nutritional deficiencies
Post VSG surgeries (^anesthesia influence): plastics, revisions, gallbladder surgery..although no where as prolonged or pronounced as in initial VSG.
Hormonal - endocrine disorders i.e. thyroid, adrenal, menopause
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NIOXIN:I have many more websites showing very mixed results and also showing people using this system for 5+ years!! and swear by it.. even tho Nioxin website CLAIMS results within 10 days of use. Yes some people do believe it snows in Phoenix, AZ in the middle of summer! I sure did when I used the 3 part system for my hair loss. The tingly sensation from metholation convinced me it must be doing something... until I found out how toxic it is!
Nioxin website:
http://www.nioxin.com/en-US/the-5-effects-page.aspx
effects#1
NIOXIN is designed to make hair strong, healthy and thicker-looking.
health benefits #2 note "DENSER-LOOKING" and "APPEARS" as operative words used. http://www.ewg.org/skindeep/product/272909/Nioxin_Cleanser_System_1/
and
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Bariatric Times Articles:
2011 WLS and HAIR LOSS
http://bariatrictimes.com/2010/11/11/hair-loss-among-bariatric-surgery-patients/
2008 Nutrition and WLS INDUCED HAIR LOSS:
http://bariatrictimes.com/2008/09/19/the-latest-on-nutrition-and-hair-loss-in-the-bariatric-patient/
Protein:
Low protein intake is associated with hair loss. Protein malnutrition has been reported with duodenal switch, and in gastric bypass to a much lesser degree. Little is known about incidence, as only around eight percent of surgeons track labs such as total protein, albumen, or prealbumen.3 Limited studies suggest that patients with the most rapid or greatest amounts of weight loss are at greatest risk.4 With surgical reduction of the stomach, hydrochloric acid,5 pepsinogen, and normal churning are all significantly reduced or eliminated. Furthermore, pancreatic enzymes that would also aid in protein digestion are redirected to a lower part of the small intestine. It is thus likely that maldigestion rather than malabsorption is responsible for many cases. Some studies have also implicated low protein intake.6
***Biotin
Many individuals believe that supplementing with, or topically applying, the nutrient biotin will either help to prevent hair loss or will improve hair regrowth. To date, there is no science that would support either of these presumptions. While biotin deficiency can cause dermatitis, hair loss is only known to occur in experimentally induced states in animal models or in extreme cases of prolonged diets composed exclusively of egg whites.
Other
Other nutrients associated with hair health include vitamin A, inositol, folate, B6, and essential fatty acids. Hair loss can also be caused by systemic diseases, including thyroid disease and polycystic ovarian syndrome (PCOS), and is influenced by genetics.
Conclusions:
Hair loss can be distressing to bariatric surgery patients, and many will try nutrition themselves to see if they can prevent it. Unfortunately, there is little evidence that early hair loss is preventable because it is most likely caused by surgery and rapid weight loss. Later hair loss, however, can be indicative of a nutritional problem, especially iron deficiency, and may be a clinically useful sign. Educating patients about the potential for hair loss and possible underlying causes can help them to make informed choices and avoid wasting money on gimmicks that may have little real value.
Research also indicates that low levels of the amino acid l-lysine can contribute to hair loss and that repletion of lysine stores may both improve iron status and hair regrowth. In a study of anemic patients with hair loss who were supplemented with 1.5 to 2g of l-lysine in addition to their iron therapy, ferritin levels increased more substantially over iron therapy alone.
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An Article on Diet and Hair Loss:
Prevent Hair Loss with Foods: Six Diet Changes to Make
Do you dread trips to the beauty/barbershop? Cringe every time you pass a mirror? If so, you're probably concerned about hair loss. But whether you're starting to see strands of hair in your tub or are just worried that your thick head of hair won't last forever, there are certain foods you can eat that may help. Of course, if you're genetically predisposed to hair loss, there's not much you can do but keep your fingers crossed. But if not, adding these foods to your diet can help keep your scalp healthy, happy and hopefully hairy.
FISH, EGGS,BEANS
Hair is primarily made of protein; therefore, it makes sense to eat a protein-rich diet if you're trying to maintain your healthy hair. However, eating a steak every day isn't going to help you. High-fat diets result in increased testosterone levels, which have actually been linked to hair loss. Stick to leaner proteins such as fish (which has myriad health benefits beyond just maintaining your hair), chicken, calf's liver, brewer's yeast, low-fat cheese, eggs, almonds, beans and yogurt. Soy milk and tofu are also smart to add to your diet because they are high in protein and low in bad fats.
RAISINS
Iron plays a key role in manufacturing hemoglobin, the part of the blood that carries oxygen to your body's organs and tissues. When your hemoglobin is at a healthy level, oxygen is properly dispersed. This means your scalp is getting a good flow of blood, which will stimulate and promote hair growth. Adding more iron to your diet doesn't mean you have to feast on liver day in and day out, but when you're craving something sweet, remember that dried fruits (like raisins) and cherry juice are packed with iron. Eggs; dates; raisins; dark green, leafy vegetables such as kale; and whole-grain cereals are all high in iron. Vitamin C improves the absorption of iron, so fruits such as oranges, strawberries and lemons should also make your grocery list.
BEAN SPROUTS
Silica may not be a word you commonly hear associated with diet (or foods that prevent hair loss, for that matter). But if you're looking to promote hair growth and prevent hair loss, silica needs to be on your menu. The body uses silica to absorb vitamins and minerals; if you're not consuming silica, eating your vitamins might not be helping much. Silica can be found in bean sprouts and the skin of cucumbers, red and green peppers, and potatoes. Remember, when you eat these foods raw, as opposed to cooked, you're getting more nutritional value out of them.
SEAFOOD
Many people who suffer from hair loss are found to have zinc deficiencies. Zinc plays a key role in many of the body's functions, from cell reproduction to hormonal balance, and all of these functions affect hair growth. Perhaps most importantly, zinc manages the glands that attach to your hair follicles. When you're low on zinc, these follicles become weak, causing strands to break off or fall out. To combat this problem, eat zinc-heavy foods such as red meats, poultry, mussels, shrimp, nuts and oysters. Excessive amounts of zinc can eventually lead to hair loss, so it's best to stick to a zinc-heavy diet rather than eat these foods AND take a zinc supplement.
POTATOES
It may be tempting to eat fast food, but greasy foods are among the worst culprits for hair loss. If you have a craving for a burger and fries, your best bet is to cook the burger yourself and dice, season, and bake some potato wedges (leaving the skins on) to go along with it. Try to limit your intake of excessively cold, spicy and sugary foods as well. These can tax your body, and when your body's fighting something unhealthy, it's not functioning at its peak level.
A BALANCED DIET
Just as your overall health will benefit from eating a balanced diet, so, too, should the health of your hair. Once it's gone, it's gone, so don't put foods in your body that speed up hair loss. You may be experiencing a thinning on top already, but you can counteract this (or at least slow it down) by eating from every food group daily -- concentrating on foods that are rich in protein, iron, silica and zinc.
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VITAMINS and SUPPLEMENTS for HEALTHY HAIR
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HANG IN THERE, HOPE THIS HELPS!!
IT DOES GROW BACK!
