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Well.....I'm not sure. My hairstylist swears is due to low fat diet and rapid weight loss. She says she saw similar issues in the 80's with the Low Fat diet craze. Because we don't eat much and most is protein, we don't really eat a lot of FAT anymore. I started taking Fish Oil/Flax seed oil combo and it seemed to help. I don't know if it was just coincidental or not. I've heard biotin and fish oil. I did both. My hair is really thick so I didn't mind some of it coming out. My hair loss started to "slow down" about a month after my weight loss slowed downed at 6-7 months post-op. I hope you are doing well. How's the weight loss?