Gastric Sleeve Surgery in Japan: A Complete Guide for Foreign Residents
- Rose
- Jun 20
- 18 min read
Updated: Jul 9
CONTENT
Where to Start (6+ Months Before Surgery)
How Much Does Gastric Sleeve Surgery Cost in Japan?
Base Surgery Cost
IMPORTANT: How to Apply for the “Certificate of Application of Maximum Amount”
Tips to Further Reduce Your Medical Expenses
What to Expect During the 6-Month Observation Period: Appointment Flow & Timeline
The Pre-Op Hospital Stay (2-3 Weeks Before Surgery)
Surgery and Post-Op Hospital Stay
Introduction
I'm excited to share my journey toward a healthier future through gastric sleeve surgery (also known as laparoscopic sleeve gastrectomy) here in Japan.
After discovering that this procedure can be covered by Japanese health insurance, I made the life-changing decision to move forward. This series will document every step of my experience: from understanding the eligibility criteria to navigating the Japanese healthcare system, finding a hospital, preparing for surgery, and adjusting to the post-op lifestyle.
The gastric sleeve is a type of weight loss surgery that involves permanently removing a large portion of the stomach. This significantly limits the amount of food and liquid a person can consume at one time, helping to promote long-term weight loss. It’s a major procedure that requires general anesthesia and a recovery period. Post-surgery habits are essential. Without proper lifestyle changes, the stomach can stretch and regain much of its original size.
Whether you're considering weight loss surgery in Japan or just curious about the process, I hope this firsthand account will give you the clarity and confidence to take the next step.
The Decision to Pursue Gastric Sleeve Surgery in Japan
I’ve been overweight my whole life and have spent the last 20 years trying to change that—through diet, exercise, a nutritionist, and even Sanorex, a strong weight loss drug available in Japan. I worked hard, but nothing stuck long-term.
Now in my mid-30s, I’m comfortable in my body and open about my weight. But I can’t ignore the long-term impact it may have on my health and quality of life.
One day, I came across a casual mention of weight loss surgery on Japanese social media. It’s not a well-known option here, but it got me curious.
That’s when I learned gastric sleeve surgery can be covered by insurance if you meet the medical criteria. I started researching right away.
With my BMI and health conditions, I realized I might actually qualify. And just like that, a door I’d long assumed was closed had suddenly opened.
Criteria for Gastric Sleeve Surgery in Japan
In Japan, gastric sleeve surgery (also known as laparoscopic sleeve gastrectomy) may be covered by public health insurance if you meet specific medical criteria. These are based on your BMI and any related health conditions. BMI 35 or higher
You must meet all of the following:
Having one or more of the following conditions: diabetes mellitus, hypertension, dyslipidemia, obstructive sleep apnea syndrome, or non-alcoholic fatty liver disease, including non-alcoholic steatohepatitis.
6 months or more of medical treatment pre-op
BMI 32-34.9
You must meet all of the following:
Having two or more of the following conditions: diabetes (hemoglobin A1c (HbA1c) 8.0% or higher), hypertension, dyslipidemia, obstructive sleep apnea syndrome, or non-alcoholic fatty liver disease, including non-alcoholic steatohepatitis
6 months or more of medical treatment pre-op
Understanding the 6-Month Medical Treatment Requirement
To qualify for gastric sleeve surgery covered by health insurance in Japan, patients must complete at least six months of medical treatment before the procedure. This requirement is in place to confirm that the surgery is medically necessary and that the patient is committed to making long-term lifestyle changes.
It is important to understand that the six-month period does not begin the moment you start trying to lose weight or improve your health. It officially starts only after a surgeon or specialist has accepted you as a candidate for bariatric surgery. Any efforts you make before that point, such as taking medication, working with a nutritionist, or completing annual checkups, may not count toward the required six months. However, these earlier efforts can still be helpful. They show your surgeon that you are serious about improving your health and willing to follow medical advice, which can strengthen your case when seeking acceptance as a surgery candidate.
Once you are accepted, the six-month treatment period usually involves regular appointments. These may include blood tests, physical exams, nutrition and lifestyle counseling, psychological evaluations, and possibly a sleep study. During this time, your medical team will monitor your progress and help you prepare both physically and mentally for surgery.
The Cost Of Gastric Sleeve Surgery in Japan
This information is based on the patient living in Japan and paying into (madatory) national or private health insurance.
Surgery Cost and Insurance Coverage
If you qualify for gastric sleeve surgery under Japan’s public health insurance, the total cost typically ranges from ¥90,000 to ¥150,000. This includes the surgery itself and other essential medical expenses.
However, this amount does not cover non-medical costs such as:
Required meal replacements (at some hospitals like Hokkaido University Hospital, only a specific brand is accepted)
Daily meal costs during hospitalization (during the pre-op period)
Optional hospital items like pajamas, toiletries, or private room charges
IMPORTANT: Apply for the "High Cost Medical Benefit"
Before you are admitted for surgery, visit your local ward office and ask for the 限度額適用認定証 (Gendogaku Tekiyō Nintei-shō), or Certificate of Application of Maximum Amount/High-Cost Medical Benefit.
This certificate places a monthly cap on out-of-pocket medical costs, based on your income level. If you show this certificate before treatment, you only pay your capped amount at the time of billing.
Covered by the "High-Cost Medical Expense Benefit":
Surgery
Medical tests, medications, and consultations while you are hospitalized.
Not covered by the "High-Cost Medical Expense Benefit":
If the patient chooses to stay in a private room
Hospital kits (toiletries and pajamas)
Meals
TV, fridge use, WIFI
Meal replacements (you must order your own and pay upfront)
Category | Self-Payment Limit (estimate) |
Those with a monthly take-home salary of 810,000 yen or more | 252,600 yen |
Those with a monthly take-home salary of 515,000 to 810,000 yen | 167,400 yen |
Those with a monthly take-home salary of 280,000 to 500,000 yen | 80,100 yen |
Those with a monthly take-home salary of 270,000 yen or less | 57,600 yen |
Low-income earners: Insured person is exempt from municipal inhabitant tax, etc. | 35,400 yen |
How to Further Lower Your Costs:
Many Japanese hospitals offer “optional comfort items” for a fee, but you can save a lot by preparing ahead and bringing your own.
Below are common extra fees and how to avoid them:
EXTRA FEE: A Private Room
Private rooms start at around ¥5,000 per night, with more expensive ones offering a private toilet.
How to save:
Choose a standard shared room, which is free. These rooms typically have 4 to 6 patients, with curtains providing basic visual privacy. Patients are grouped by gender.
EXTRA FEE: TV, Wifi, Mini Fridge
Hospitals often offer a rental package that includes a small TV (Japanese only), Wi-Fi, and a mini fridge.
How to save:
Decline the rental and bring your own entertainment. Download shows or movies to your device in advance, or use your personal mobile data or pocket Wi-Fi. Consider packing books, a sketchbook, or a journal to help pass the time.
EXTRA FEE: Hospital Pajamas:
Hospitals offer patients the option of fresh hospital pajamas to use every day. Sizes are limited.
How to save:
Bring your own clothes, including:
Loose-fitting T-shirts
Elastic-waist pants
Underwear and socks
Comfortable clothes for light exercise (some hospitals require daily exercise)
You’ll also want to bring coins and detergent for the hospital coin laundry.
EXTRA FEE: Hospital Toiletries
Toiletries such as shampoo, conditioner, soap, and toothbrushes are available for a fee.
How to save: Bring your own from home.
Important Note on Hospital Stay Length
Hospitalization times vary by hospital. For example, at Hokkaido University Hospital, patients are typically:
Hospitalized two weeks before surgery for observation, testing, and a restricted diet
Stay at least one week post-surgery for recovery and monitoring
That’s about three weeks to a full month in the hospital.
If you choose to pay for extras, remember: many hospitals require you to pay for the full duration of your stay. You cannot choose specific days to opt in or out. That’s why bringing your own supplies can save you a significant amount.
Finding A Hospital That Performs Weight Loss Surgeries in Japan
Finding information about gastric sleeve surgery in Japan can be difficult, especially in English. Gastric sleeve procedures are still relatively new in Japan, and only a limited number of hospitals are equipped to perform them.
If you are looking for a hospital in a specific area, you will likely need to search in Japanese to get the most relevant and up-to-date information.
I chose Hokkaido University Hospital, which is the largest hospital near me, to begin my journey. The first gastric sleeve surgery at this hospital was performed in 2016, and even now there is very little information available on their official website.
At this hospital, gastric sleeve surgery is handled by the Gastroenterological Surgery II department. There is no email contact listed for this department, so if you would like to make an appointment or schedule a consultation, you will need to call the hospital directly.
When searching for hospitals online, try combining your location with keywords related to the procedure. If you are not confident in reading Japanese, install a translation tool in your Chrome browser. This will allow you to translate Google search results and website pages as you research.
Here are some keywords that can help when searching for weight loss surgery in Japan:
Laparoscopic sleeve gastrectomy
LSG
腹腔鏡下スリーブ状胃切除術
スリーブ状胃切除術
Each hospital may have slightly different procedures and requirements, so once you find one that offers the surgery, it's best to call directly to confirm whether you qualify and how to start the process.
Hospitals in Japan That Perform LSG (Gastric Sleeve Surgery):
Ehime
Ehime University Hospital (愛媛大学)
Fukuoka
Fukuoka University Hospital (福岡大学病院)
Kyushu Medical Center [Fukuoka] (国立病院機構 九州医療センター)
Hokkaido
Asahikawa Red Cross Hospital (旭川赤十字病院)
Hokkaido University Hospital [Sapporo] (北海道大学病院 )
Kanagawa
Yokohama City University Medical Center (横浜市立大学附属市民総合医療センター)
Niigata
Niigata City General Hospital (新潟市民病院)
Osaka
Minami Osaka Hospital (南大阪病院)
Osaka University Hospital (大阪大学医学部附属病院)
Tokyo
Jutendo Univeristy Hospital (順天堂大学医学部附属順天堂医院)
Expect a Language Barrier if You Don't Speak Japanese
Because gastric sleeve surgery is only offered at a limited number of hospitals in Japan, you may not have much choice when it comes to selecting your surgeon or medical team.
In most cases, the hospital staff will not speak English. Some hospitals are equipped with pocket translators, which can help with simple, direct instructions like "please sit" or "go to the first floor," but they are not effective for explaining medical procedures or post-op care in detail.
These tools function similarly to Google Translate, which often produces inaccurate or confusing translations between Japanese and English.
To properly understand your diagnosis, treatment plan, and expectations, you will need a medical interpreter. Many hospitals allow you to request an on-call interpreter in advance, or you can look into volunteer medical interpreter services. In some cities, there are nonprofit organizations that provide free interpretation support to foreign residents. These interpreters are compensated by the hospital, so you won’t be charged.
However, if you live in a rural area or the hospital does not offer these services, you may need to hire a private interpreter and pay for their services yourself.
What to Expect At Your Appointments (6 Months Observation Period)
During the mandatory 6-month pre-operative observation period, you will be required to attend multiple appointments across various hospital departments. These may include consultations with gastroenterology, nutrition, and internal medicine, as well as undergoing tests such as bloodwork, thyroid function, insulin levels, and an endoscopy. The specific tests and departments you visit will depend on your individual health conditions. Costs also vary by appointment and aren't included in the overall surgery price (must pay day of).
Appointment 1: June 18, 2024 – Initial Consultation
The first consultation with the surgeon was brief. Staff recorded my height, weight, and medical history, and explained the surgery process. No tests were performed. I verbally confirmed my high cholesterol diagnosis and current medication. Based on this and my BMI, the doctor approved me to begin the 6-month pre-operative monitoring period required for insurance coverage. Cost: ~¥800
Appointment 2: July 25, 2024 – Bloodwork and Testing
At this appointment, I had blood drawn for various tests, including a thyroid check and an insulin blood test to screen for diabetes.
Cost: ~¥2000
Appointment 3: August 28, 2024 – Test Results and Dietician Consultation
In the morning, I met with the gastroenterology team to review my test results. No new health concerns were found beyond high cholesterol.
In the afternoon, I met with the hospital dietitian. During this appointment, my body composition was measured, revealing that about 50% of my weight was body fat. I was given a daily intake goal of 1800 calories and 80g of protein. Unlike my past experience with nutritionists, I was not given a detailed meal plan. Nutritional guidance was minimal, and when I asked for food suggestions, I received a basic nutrition wheel image instead.
I was also informed that for the pre-op and post-op liquid diet stage, I must purchase a specific brand of hospital-approved meal replacements. These are not covered by insurance and cost about ¥25,000 out of pocket for 14 days worth of meal replacements.
Cost: ~¥2000
Appointment 4: September 17, 2024 – Endoscopy
An endoscopy is mandatory before bariatric surgery to check for any issues in the stomach or esophagus. Some hospitals allow sedation, others do not. I underestimated how uncomfortable this would be and opted not to be sedated, which made the procedure difficult. After applying numbing gel to my throat, the doctor inserted a scope. Although not painful, it triggered gagging and a choking sensation that required concentration to stay calm and breathe properly. The entire process lasted about 10 minutes. No abnormalities were found, and I was cleared to proceed. I highly recommend being sedated for your endoscopy if it's an option for you.
Cost: ~¥4300
Appointment 5: October 2, 2024 – Dietician
During the appointment, my body composition was remeasured, and we discussed further adjustments needed for my diet. The dietician encouraged me to keep a visual diet log by taking photos of everything I consumed. Instead of strict calorie counting, it would help me visualize what I was putting into my body. I immediately started a photo journal on Instagram and found it very helpful. Cost: ~¥900
Appointment 6: December 2024 – Setting a Surgery Date with the Surgeon
This was the final appointment before surgery. By this point, the surgeon had reviewed all of my test results and confirmed that I met the medical requirements. During this appointment, we officially scheduled the date for my gastric sleeve surgery.
The Pre-Op Hospital Stay
About three weeks before surgery, I was admitted to the hospital for a two-week pre-op stay. During this time, I followed a controlled diet and underwent daily medical tests. This pre-operative period is meant to stabilize any health concerns, monitor your condition closely, and prepare your body for surgery.
Hospitalization Schedule
Please note that each hospital has its own policies, but this schedule is based on my experience at Hokkaido University Hospital:
2 weeks in hospital before surgery (tests and controlled diet)
1 week at home on a liquid diet
Readmitted 3 days before surgery
Surgery
1 week in hospital post-op for recovery
Daily Routine During Hospitalization (Pre-Op):
6:00 am – Lights on and wake-up time. You may be asked to have early blood work. Sleeping until 8:00 am is allowed on days without morning tests.
7:00 am – Pre-breakfast blood glucose check and daily weigh-in (required).
8:00 am – Breakfast
12:00 pm – Lunch
3:00 pm – Daily rehab session. Patients are required to do light exercise (usually a stationary bike) under supervision.
6:00 pm – Dinner
7:00 pm – My preferred time to shower. Patients must book a private shower room in advance.
9:00 pm – Official lights out and quiet time.
During the two-week stay, most days included one or more medical appointments, typically held between 9:00–11:00 am or 3:00–5:00 pm. Each morning, a nurse will deliver your personal schedule. If your appointment is in another department, a nurse may escort you or guide you to the correct location.
When no tests or appointments are scheduled, you're free to rest, walk around the hospital's public areas, or relax in your bed. The overall atmosphere was calm, and I appreciated the structured but flexible environment.
Although lights go out at 9:00 pm, you are not required to sleep. If you're in a shared room, it will be dark and quiet, but you are free to stay up and use your headphones, play games, watch videos, or visit common areas. I found it peaceful to walk around the hospital halls at night while listening to music.
Medical Tests During Your Pre-Op Hospital Stay
Daily Tests (March 3–14):
Blood glucose check (approximately 30 minutes before meals)
Blood pressure and blood oxygen level check (every morning)
March 3
X-rays: knees, spine, chest, abdomen
Electrocardiogram (including CVRR)
Body composition measurement (admission baseline)
CT scan
CAVI/ABI (arterial health test)
March 4
Fasting blood test (cholesterol, glucose, and other markers)
Full-day blood glucose monitoring (8 times + midnight + 3:00 am)
Outpatient follow-up consultation
March 5
Orthopedic consultation (spine – CT scan review)
Neurology consultation
Rehabilitation consultation (create daily exercise plan)
March 6
Bone density test
Psychiatry consultation
Lumbar x-ray
March 7
Pulmonary function test
Orthopedic consultation (lower limbs – x-ray review)
March 10
Echocardiography (heart ultrasound)
March 13
Abdominal ultrasound (liver, pancreas, kidneys)
Body composition measurement (pre-discharge)
March 14
Vascular echography (blood flow and vessel health)
My Gastric Sleeve Pre-Op Diet Plan
In preparation for gastric sleeve surgery, I was placed on a strict diet designed to shrink the liver and reduce surgical risk. Starting at 1200 calories, the diet gradually reduced my calorie intake and transitioned me from soft foods to a full liquid diet made up of hospital-provided meal replacements. The hospital was very respectful of dietary restrictions, including allergies and religious preferences. I was often given a choice between white bread or white rice, and there was a toaster available in the common area to toast bread. Although I don’t have an onion allergy, I can’t stand the taste or texture of raw onion. For the first few days, some of my meals included raw onion, which I left uneaten. A nurse noticed this and let me know I could request meals without certain ingredients, even if it wasn't due to an allergy. Be sure to inform your hospital about any food preferences or restrictions in advance.
March 3-5 - 3 meals of soft food per day, 1200 calories
March 6-8 - 2 meals + 1 meal replacement for dinner
March 9- 10 - 1 meal (breakfast) + 2 meal replacements for each lunch and dinner
March 11 - until surgery - 3 meal replacements per day (600 calories)
Once I was released from the hospital, I was sent home on a strict liquid diet plan. I was allowed to drink my meal replacements, black coffee, and water.
What to Pack for Your Pre-Op Hospitalization
Pillow from home (hospital pillows are small and flat)
Pajamas (loose T-shirts and elastic waist pants) (at least 4 changes of clothes)
Laundry detergent and coins for laundry
Robe
Underwear, sports bras, socks
Indoor shoes that are easy to slip on (slippers are not permitted)
Any regular medications
iPad or PC, chargers
Toiletries (toothbrush, shampoo, face wash, lotion, etc.)
Cutlery (spoon, knife, fork, chopsticks are not provided by the hospital)
Surgery and Post-Op Hospital Stay
Before the Surgery
Two days before my surgery date, I was readmitted to the hospital. I once again chose not to pay for a private room, but this time I was placed in a semi-private room with one other patient—free of charge.
I also declined the rental hospital pajamas, as my size wasn’t available. After surgery, however, all patients are required to wear the hospital-provided garments. I was given a set that fit tightly. The top tied in the front to allow easy access to the abdomen. While in bed, I kept it loosely tied and stayed covered with a blanket. When walking around the hospital, I wore my fluffy robe from home for comfort and coverage.
I was instructed to purchase a package of adult diapers to wear after surgery, but once again, my size wasn’t available. The hospital instead used a very large pad that they taped to my skin.
Despite the upcoming surgery, I didn’t feel particularly nervous. I focused on staying relaxed and well-rested during those days.
The Day of Surgery
My surgery was scheduled for the afternoon. When it was time, I was walked down to the surgical floor and greeted by a team of doctors and nurses. I was taken into a preparation room and asked to sit on a table to receive an epidural, which would help manage pain after the procedure.
An epidural is a strong local anesthetic commonly used during childbirth or lower-body surgeries. It doesn’t make you sleepy, but it numbs everything from the waist down. It’s administered through a needle inserted into the spine.
The injection site is small, but finding the right spot can be difficult. In my case, it took three tries. It was painful and uncomfortable. They gave me a pillow to hug while they worked. Eventually, they got it in.
After that, I was told to lie down. A mask was placed over my face to deliver anesthesia. After a few deep breaths, I lost consciousness.
When I Woke Up
The next memory I have isn’t a pleasant one. I don’t remember waking up from surgery or being moved back to my room. What I do remember is gripping the bed rails in pain. There were people around me, talking, but I wasn’t fully conscious and couldn’t respond. If I said anything, I don’t remember. I just know that I was in pain and I cried out loudly.
My medical team had me on a strong fentanyl drip. When I woke up next, I was groggy and disoriented. I had no idea what time, or even what day it was. Honestly, I don't even know when that confusion faded. It feels like I lost at least two days, but it could have been just a couple of hours. I still don’t know for sure.
After the Surgery
Once I was fully conscious and aware, I started to grasp what was going on with my body. During surgery, a catheter had been inserted and remained in place. It was removed on the fourth day after the operation.
The surgical team had taped an adult diaper to my body, since they didn’t have one in my size. I didn’t have a bowel movement during my entire post-op hospital stay. Because I had been on a liquid diet before surgery, there wasn’t much in my system to pass.
I had five incisions in my abdomen. One was on my far left side, and from it extended a Jackson-Pratt (JP) drain. These drains are used to help remove excess fluid from the body and reduce the risk of infection. However, in my case, the drain turned out to be the source of the extreme pain I would feel over the next several days.
The Mysterious Pain
I had a sharp, stabbing pain in my abdomen that shot through my body every time I moved. I knew recovery would be painful, but I didn’t expect it to be this debilitating. What confused me most was that the pain didn’t seem to match the location of my incisions. It was deep and low in my abdomen—right where you’d feel intense period cramps. But that made no sense. They hadn’t gone anywhere near that area during surgery. So why such unbearable pain resonating from there?
I lost count of how many times I called the nurse for more pain relief. Every time I shifted even slightly, the pain surged through me again, so intense it made me nauseous.
I was supposed to be able to stand and walk a little, but I couldn’t even lie down without agony. It felt like a knife was being driven into my uterus. It made no sense, and no one seemed to have an answer.
An Unfortunately Placed Drainage Tube On the fifth day, the doctor removed my drainage tube. As he slowly pulled it out, I felt an immediate rush of relief wash over my entire body. The pain I’d been struggling with for days vanished almost instantly.
Suddenly, I could get up and walk around without issue. I stopped asking for pain medication. My mood lifted, and I was finally able to sleep.
As it turned out, the pain wasn’t entirely from the surgery itself, and I wasn’t imagining the deep pelvic pain. Sometimes, drainage tubes are positioned in a way that irritates nearby nerves or presses against sensitive internal areas, causing sharp, throbbing, or shooting pain.
If I had known this was a possibility, I might have been able to describe the pain more clearly to my doctors. They could have checked the placement or adjusted the tube. But since I didn’t fully communicate what I was feeling—or how intense it really was—my medical team assumed it was normal post-op pain and that I just had a low pain tolerance.
Recovery & Going Home
The same day my drainage tube was removed, I got up and walked around. The next day, I was able to shower on my own. I still couldn’t stomach meal replacements, but I began sipping water. In under a week, I was discharged and able to go home.
During the first week at home, I had a really hard time getting in and out of bed. It felt like I had no abdominal muscles. I could lie flat on my back, but I couldn’t roll over or sit up from that position. Thankfully, I had help. Otherwise, I think I would’ve been stuck in bed.
Eventually, I regained mobility (after a few hilarious attempts where I clumsily rolled off the bed trying to get up).
For about two weeks post-op, I could only manage one meal replacement per day, sipping it slowly along with water. I became full incredibly quickly. I tried to keep taking my vitamins, but they irritated my stomach so much that it was causing me to be sick, so I stopped taking them during this period.
I slowly introduced sugar-free yogurts and puréed soups.
Two weeks post-op, I returned to work. My energy levels were okay, though I was more tired than usual. But I wasn’t in any pain. The incision points (five in total) along my stomach were mostly healed. I was surprised by how small the cuts were and impressed by the doctors’ placement. The only exception was one incision that sat exactly where my bra strap rested, so that area was slightly more irritated than the others. I placed a bandage over it each morning before getting dressed, which helped.
Progress
March 3: 218 lbs (before pre-op diet)
March 24: Surgery
April 1: 203.3 lbs
May 2: 185.4 lbs
June 1: 174.6 lbs
What I Eat in a Day (3 Months After Gastric Sleeve Surgery)
Daily Goals (set by doctor): 2 Liters of water, 60-80 grams of protein
Morning: 1 cup of black coffee, water
Lunch: Protein Drink (20g)
Late Afternoon: Chicken or fish (15-25g protein) with fresh vegetables
Evening: Greek yogurt cup (10g protein), fruit, vitamin gummes
Late Evening: String cheese (~10g protein) OR Hummus with red pepper slices (~20g protein)
Side Effects (3 Months After Gastric Sleeve Surgery)
I've been fortunate not to experience any major side effects during my gastric sleeve recovery. However, I have been sick a few times (mostly due to user error). Eating too quickly or not chewing thoroughly enough has led to nausea on a few occasions.
Multivitamins have also been an issue. Even when taken with food, standard multivitamin pills irritate my stomach. I’ve since switched to gummy vitamins. While they add a few extra calories, they’re much easier to tolerate and don’t make me feel sick.
Although my protein intake has been consistently good and I take a wide variety of vitamin supplements, I began to experience hair loss around the three-month post-op mark. Since then, I’ve noticed noticeable thinning, which is a common side effect during gastric sleeve recovery.
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