RE: skin, hair and nail problems

[Guest guest]

From my knowledge, a side effect of the

drastic weight loss is hair loss. Typically people who already have thinning

hair experience the hair loss. I was informed that protein is crucial. She

needs to be eating more protein. If she is still losing weight, she should not

be alarmed of the hair loss. Once she stabilizes her hair should grow back. Nioxen

(sp?) is a recommended hair care product. Hope this helps.

Kate

Merkle, MPH, RD

Lifestyle

Management

Clinical Dietitian/Nutritionist

307.432-6462

kmerkle@...

IMPORTANT: This information is

confidential and may be privileged and exempt from disclosure under applicable

law. This information is intended only for the use of the individual or

entity to whom it is addressed. If you are not the intended recipient or

the agent or employee responsible to deliver it to the intended recipient, you

are hereby notified that any use is strictly prohibited. If you have

received this transmission in error, please immediately notify us by telephone

and return the original message by mail to the address above. THANK YOU!

From:

[mailto: ] On Behalf Of Hosier

Sent: Thursday, July 20, 2006 8:18

AM

To:

Subject:

skin, hair and nail problems

I could use anyone's help on this. I have a pt about 8

months from

surgery and is now complaining of her hair falling out, skin dry, scaly

and flaking, and ridges in her nails. She shared what foods and

supplements she typically ate and it did include 1 TB flaxseed oil, 1 TB

flaxseed, and 1 pkt fish oil (350 mg EPA and 230 mg DHA). Her diet is a

little low in protein (about 55 grams). Could this be EFA deficiency

even though she is taking supplements? Anyone else have experience with

this? Thanks in advance.

Hosier, RD, LD

Clinical Dietitian

Member ASBS www.asbs.org

St. Luke's Regional

Medical Center

381-2425

" TWEF <slrmc.org> " made the following annotations.

----------------------------------------------------------

" This message is intended for the use of the person or entity to which it

is addressed and may contain information that is confidential or privileged,

the disclosure of which is governed by applicable law. If the reader of this

message is not the intended recipient, you are hereby

notified that any dissemination, distribution, or copying of this information

is strictly prohibited. If you have received this message by error, please

notify us immediately and destroy the related message. "

==============================================================================

[Guest guest]

My experience is that biotin helps also but it only works well when gotten from eggs not as well from pills.

RE: skin, hair and nail problems

From my knowledge, a side effect of the drastic weight loss is hair loss. Typically people who already have thinning hair experience the hair loss. I was informed that protein is crucial. She needs to be eating more protein. If she is still losing weight, she should not be alarmed of the hair loss. Once she stabilizes her hair should grow back. Nioxen (sp?) is a recommended hair care product. Hope this helps.

Kate Merkle, MPH, RD

Lifestyle Management

Clinical Dietitian/Nutritionist

307.432-6462

kmerkle@...

IMPORTANT: This information is confidential and may be privileged and exempt from disclosure under applicable law. This information is intended only for the use of the individual or entity to whom it is addressed. If you are not the intended recipient or the agent or employee responsible to deliver it to the intended recipient, you are hereby notified that any use is strictly prohibited. If you have received this transmission in error, please immediately notify us by telephone and return the original message by mail to the address above. THANK YOU!

From: [mailto: ] On Behalf Of HosierSent: Thursday, July 20, 2006 8:18 AM Subject: skin, hair and nail problems

I could use anyone's help on this. I have a pt about 8 months fromsurgery and is now complaining of her hair falling out, skin dry, scalyand flaking, and ridges in her nails. She shared what foods andsupplements she typically ate and it did include 1 TB flaxseed oil, 1 TBflaxseed, and 1 pkt fish oil (350 mg EPA and 230 mg DHA). Her diet is alittle low in protein (about 55 grams). Could this be EFA deficiencyeven though she is taking supplements? Anyone else have experience withthis? Thanks in advance. Hosier, RD, LDClinical DietitianMember ASBS www.asbs.orgSt. Luke's Regional Medical Center381-2425"TWEF <slrmc.org>" made the following annotations.----------------------------------------------------------"This message is intended for the use of the person or entity to which it is addressed and may contain information that is confidential or privileged, the disclosure of which is governed by applicable law. If the reader of this message is not the intended recipient, you are herebynotified that any dissemination, distribution, or copying of this information is strictly prohibited. If you have received this message by error, please notify us immediately and destroy the related message."==============================================================================

[Guest guest]

I also recommend to our pts that they consume 1 tsp soybean or canola oil

daily, in addition to omega 3 sources.

Strathdee, RD, LD, LMHC

Genesis Medical Center, Davenport, IA

>>> hosierj@... 7/20/2006 9:18 AM >>>

I could use anyone's help on this. I have a pt about 8 months from

surgery and is now complaining of her hair falling out, skin dry, scaly

and flaking, and ridges in her nails. She shared what foods and

supplements she typically ate and it did include 1 TB flaxseed oil, 1 TB

flaxseed, and 1 pkt fish oil (350 mg EPA and 230 mg DHA). Her diet is a

little low in protein (about 55 grams). Could this be EFA deficiency

even though she is taking supplements? Anyone else have experience with

this? Thanks in advance.

Hosier, RD, LD

Clinical Dietitian

Member ASBS www.asbs.org

St. Luke's Regional Medical Center

381-2425

" TWEF <slrmc.org> " made the following annotations.

------------------------------------------------------------------------------

" This message is intended for the use of the person or entity to which it is

addressed and may contain information that is confidential or privileged, the

disclosure of which is governed by applicable law. If the reader of this message

is not the intended recipient, you are hereby

notified that any dissemination, distribution, or copying of this information is

strictly prohibited. If you have received this message by error, please notify

us immediately and destroy the related message. "

==============================================================================

[Guest guest]

Please elaborate on the "pkt" of fish oil...do you know who makes it?

-----Original Message-----From: [mailto: ]On Behalf Of StrathdeeSent: Thursday, July 20, 2006 10:44 AM Subject: Re: skin, hair and nail problems

I also recommend to our pts that they consume 1 tsp soybean or canola oil daily, in addition to omega 3 sources. Strathdee, RD, LD, LMHCGenesis Medical Center, Davenport, IA>>> hosierjslrmc (DOT) org 7/20/2006 9:18 AM >>>I could use anyone's help on this. I have a pt about 8 months fromsurgery and is now complaining of her hair falling out, skin dry, scalyand flaking, and ridges in her nails. She shared what foods andsupplements she typically ate and it did include 1 TB flaxseed oil, 1 TBflaxseed, and 1 pkt fish oil (350 mg EPA and 230 mg DHA). Her diet is alittle low in protein (about 55 grams). Could this be EFA deficiencyeven though she is taking supplements? Anyone else have experience withthis? Thanks in advance. Hosier, RD, LDClinical DietitianMember ASBS www.asbs.org St. Luke's Regional Medical Center381-2425"TWEF <slrmc.org>" made the following annotations.----------------------------------------------------------"This message is intended for the use of the person or entity to which it is addressed and may contain information that is confidential or privileged, the disclosure of which is governed by applicable law. If the reader of this message is not the intended recipient, you are herebynotified that any dissemination, distribution, or copying of this information is strictly prohibited. If you have received this message by error, please notify us immediately and destroy the related message."==============================================================================

[Guest guest]

It sounds like her protein intake is too low. Did she have bypass or

banding surgery? I would have her increase her protein intake to at least

65 grams per day.

Regina ston, RD, CDN

>From: " Hosier " <hosierj@...>

>Reply-

>

>Subject: skin, hair and nail problems

>Date: Thu, 20 Jul 2006 08:18:08 -0600

>

>I could use anyone's help on this. I have a pt about 8 months from

>surgery and is now complaining of her hair falling out, skin dry, scaly

>and flaking, and ridges in her nails. She shared what foods and

>supplements she typically ate and it did include 1 TB flaxseed oil, 1 TB

>flaxseed, and 1 pkt fish oil (350 mg EPA and 230 mg DHA). Her diet is a

>little low in protein (about 55 grams). Could this be EFA deficiency

>even though she is taking supplements? Anyone else have experience with

>this? Thanks in advance.

>

> Hosier, RD, LD

>Clinical Dietitian

>Member ASBS www.asbs.org

>St. Luke's Regional Medical Center

>381-2425

>

>

>

> " TWEF <slrmc.org> " made the following annotations.

>------------------------------------------------------------------------------

> " This message is intended for the use of the person or entity to which it

>is addressed and may contain information that is confidential or

>privileged, the disclosure of which is governed by applicable law. If the

>reader of this message is not the intended recipient, you are hereby

>notified that any dissemination, distribution, or copying of this

>information is strictly prohibited. If you have received this message by

>error, please notify us immediately and destroy the related message. "

>

>

>==============================================================================

>