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Page 6 of 8             Kheirvari et al. Mini-invasive Surg 2021;5:40  https://dx.doi.org/10.20517/2574-1225.2021.66






























                Figure 1. Prevalence of hair loss 12 months after bariatric surgery in those younger and older than 45 years of age, with or without a
                prescription for supplements. The prevalence of hair loss regardless of age and gender among subjects with or without a prescription
                for supplements was significant at P < 0.00001.


               In conclusion, hair loss is a frequent postoperative complication after BS in morbidly obese individuals.
               Based on the results, the variable addition zinc + iron might be one of the predictors of hair loss, although
               further research is needed to demonstrate the correlation between preoperative status of nutritional
               deficiency and postoperative remission in bariatric subjects. Therefore, there is global need for monitoring
               nutrient status in these patients. Most of these deficiencies might be preventable and treatable with high-
               dose supplementation. With increased awareness of the potential nutritional consequences of BS, life-
               threatening complications related to nutritional deficits may be avoided.

               DECLARATIONS
               Authors’ contributions
               Study designe: Anbara T, Kheirvari M
               Data cquisition: Anbara T, Kheirvari M
               Data analysis: Kheirvari M
               Manuscript preparation: Kheirvari M
               Supervision: Anbara T


               Availability of data and materials
               Readers can reach the data and materials through direct contact to authors’ emails.


               Financial support and sponsorship
               None.

               Conflict of interest
               Both authors declare that there are no conflicts of interest.

               Ethical approval and consent to participate
               Informed consent was obtained from all individual participants included in the study. The presented study
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