eglight

Hair loss isn't always due to nutrition.if you research post surgery hair loss you will see it is often 3 months or so after a significant physical trauma. I lost all my hair after my sleeve and all the complications I had. It's grown back thicker and darker now but I wore wigs and hair pieces for about 5 months. But as I say mine has come back and I hope yours does too.

From Bariatric Times... (http://bariatrictimes.com/2008/09/19/the-latest-on-nutrition-and-hair-loss-in-the-bariatric-patient/)
Iron
Iron is the single nutrient most highly correlated with hair loss. The correlation between non-anemic iron deficiency and hair loss was first described in the early 1960s, although little to no follow-up research was conducted until this decade. While new research is conflicted as to the significance of ferritin as a diagnostic tool in hair loss, it has still been found that a significant number of people with telogen effluvium respond to iron therapy. Optimal iron levels for hair health have not been established, although there is some good evidence that a ferritin level below 40mg/L is highly associated with hair loss in women.1 It is worth noting that this is well above the level that is considered to be anemic, so doctors would not be expected to see this as a deficiency.
Zinc
Zinc deficiency has been tied to hair loss in both animal studies and human cases. There is data linking zinc deficiency in humans to both telogen effluvium and immune-mediated hair loss. Zinc deficiency is a well-recognized problem after biliopancreatic diversion/duodenal switch, and there is some indication that it may occur with other procedures such as gastric bypass and adjustable gastric banding. In 1996, a group of researchers chose to study high-dose zinc supplementation as a therapeutic agent for related hair loss2 in patients who had undergone vertical banded gastroplasty. The study administered 200mg of zinc sulfate (45mg elemental zinc) three times daily to postoperative patients with hair loss. This was in addition to the Multivitamin and iron supplements that patients were already taking. No labs for zinc or other nutrients were conducted. Researchers found that in patients taking the zinc, 100 percent had cessation of hair loss after six months. They then stopped the zinc. In five patients, hair loss resumed after zinc was stopped, and was arrested again with renewed supplementation. It is important to note that in telogen effluvium of non-nutritional origin, hair loss would be expected to stop normally within six months. Since the researchers conducted no laboratory studies and there was no control group, the only patients of interest here are those who began to lose hair again after stopping zinc. Thus, we cannot definitively say that zinc would prevent hair loss after weight loss surgery, and further study would definitely be needed to make this connection.
A further note: The tolerable upper intake level (UL) for zinc is set at 40mg in adults. This study utilized a daily dose of more than three times that level. Not only can these levels cause gastrointestinal distress, but chronic toxicity (mostly associated with copper depletion) can start at levels of 60mg/day. Information related to this study has made its way to many a support group and chat room—even to doctor’s offices—with the message that “high-dose zinc will prevent hair loss after weight loss surgery.” Patients should be advised that high-dose zinc therapy is unproven and should only be done under supervision due to the associated risks of toxicity. A lab test to check for zinc deficiency would be best before giving a high dose such as this.
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
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.1
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.7
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.

well I guess it's time I post something about my journey instead of just looking at all the posts my surgery was 8/22 all went well in terms of the surgery. it took me about 9 hours to come
out of the anesthesia but it was my first time going under so now I know!! I had horrible nausea the first two days. my doc gave me 3 doses of reglan and I was so much better and I haven't needed anything else.
I'm a little over two weeks out and I feel great. I'm able to get my liquids and Proteins on most days but I really have to try and remember to eat everything I need in a day! I'm going back to work Monday. I've lost 31 lbs so far including pre
op diet. I am not going to weigh myself again until my 1 month follow up but my clothes are loose and I notice a difference in my face !! I actually fit into a t shirt that was a size lg. normally I am a 2X so I'm wearing that shirt everyday because it's so amazing lol!!!!
My rings are getting loose and I love it! I did get a little discouraged about two days ago when my hands were swollen and I felt bloated then surprise surprise it's my TOM which hasn't happened in 8 months which explains the swelling (and my cravings hahah).
it's been a good journey so far. not easy, but good. looking forward to so much more!!!

Hi out there,
What are you waiting for? If you are someone who is sitting on this board and you are reading ALL the postings and not saying anything—this is quite normal. I did that for a few months too.
I was trying to figure a few things out about weight loss surgery. Having WLS is one of the biggest decisions you will ever make. Right now you are slowly killing yourself with your fork!
What I learned once I started asking questions there are an enormous amount of helpful people on this board that helped me along the way and answers my hundreds of questions I had. You can NEVER ask too many questions OK.
Two of my mentors gave me an incredible amount of support from each of them and I am so blessed and thankful for their help, guidance and care and endless answers for all my questions. They supported me when I needed it, and just were amazing!
Ok here is my challenge for you “newbies” Please don’t give another day of your life away being fat and unhealthy. Start asking questions start the process of educating yourself and maybe set a date to have WLS. I had sleeve weight loss surgery 4 years ago by Dr. Aceves and lost 105 pounds and have kept it off. I have extreme amount of experience and I am more than willing to answer any and all of your questions. So get off the fence and start asking things that you are curious about.

Hugs,
Suzanne

VerticalSleeveTalk Newsletter
By
Hey, Sleevers!The weather’s warm, zucchini and watermelons are abundant and the Summer Games are providing inspirational moments for all of us. We hope life is good for you and you’ve been achieving your own goals this summer. To help you stay focused, here’s another newsletter from VerticalSleeveTalk.com. This is what we’ve got for you:

Burning Question: What are the Best Sources of Protein?
Member Spotlight: Kyllfalcon!
Sleever Challenge: Record Your Diet!
Life with the Sleeve: What’s Your Emergency Plan?
We hope you enjoy reading the newsletter and you get inspiration and a few great ideas from it. Of course, when you’re done reading, come on over to the VerticalSleeveTalk.com board and talk about the newsletter or anything else that’s on your mind. Also remember to drop me a line any time if you have comments or suggestions for the boards. Thanks!
Sincerely,
Alex Brecher
Founder
liquid diet after weight loss surgery, Protein shakes and Protein powder can help you meet your needs. Fat-free milk is another good source, and it also has Calcium and Vitamin D for strong bones.
In the pureed foods stage, you can add in things like canned flake chicken, extra-lean ground beef and light tuna. Tuna has an extra benefit because of its heart-healthy omega-three fatty acids. Fat-free yogurt is another great option. You always want to look for lean meats and fat-free or low-fat dairy products instead of full-fat ones. That’ll help you limit your calories and reduce saturated fat, which is unhealthy for your heart because it raises your cholesterol levels.
By the time you get to the soft (semi-solid) foods and solid foods stages, you have a lot more options. Fish, crab, white-meat, skinless chicken and turkey, and egg whites are almost pure protein – plus some essential nutrients. Be very careful to avoid any bones or gristle in your fish or meat. Some vegetarian options are tofu, Beans and low-fat cheese. Melted cheddar cheese makes a delicious topping for almost anything. Always eat slowly, savor the flavors and chew your food well before swallowing.
Choosing Proteins that are lowest in calories and saturated fat will help you lose weight and stay healthy.
Did you miss the previous Burning Question? You can always see the earlier Burning Questions in our scale victories has been while clothes shopping. Her old size was a 3x. After surgery, she mail-ordered a 1x pair of pants, and it was too big. She exchanged it for an XL, but that didn’t work, either. She finally settled on a size large – and we bet it’ll be too big for her soon! Kyllfalcon’s also proud and relieved to say that she can still enjoy family parties while losing weight! She can share in the pizza and birthday cake, but now she’s in control and knows when enough is enough – and when the party’s over, it’s time to get back to business.
Kyllfalcon’s arthritis has improved a lot, and her blood pressure is under control. Water has been a little tough, but she fixes it up with Crystal Light. She reports a pretty smooth weight loss journey so far, and we think her success is due to her positive attitude. Kyllfalcon counts VerticalSleeveTalk.com as part of her official support group, along with friends, family and coworkers. She visits each day to get and give support. Some of her tips? Keep fighting – if you fall down, “get right back up to fight another day.” She also encourages you to “see yourself thin and healthy.” Thanks, Kyllfalcon, for being such a great role model and sharing your story in our member spotlight!
Each newsletter features a different VerticalSleeveTalk.com member in the sleep. You should plan your own diet and exercise so that you always know what to do.

Keep a log. An Olympic athlete keeps a training log to record each day’s workout and be able to look back and see what worked and what didn’t. Keeping your own diet and exercise log keeps you on track and lets you look back to see what patterns led to success and where you could have improved your choices.
Visualize success. Most successful athletes take time each day to visualize their victory. They think about running that last lap in record time and accepting their medal on the victory podium. You can think about the bikini that you’re planning to wear next summer and the proud look on your spouse’s face when you two go out to dinner in the future.
How will you let out your inner Olympian? Let us all know in the member Challenge Forum! Tell us what you did and whether you think it worked for you! The challenge is completely non-competitive, but we’d love for you to share your experiences. You’ll help inspire others to chase their own dreams. Miss a challenge? No problem! Just go back to the old newsletters to see what the challenges were. It’s never to late to try something new and tell us about it on the forums.
Life with the Sleeve: What’s Your Emergency Plan?
It’s Sunday morning and you haven’t been able to eat or drink all night because of nausea and vomiting. Your surgeon’s office hours are from Monday through Friday. You wait miserably until first thing Monday morning, when you call your surgeon. The receptionist is horrified to hear about your ordeal and says, “Why didn’t you call yesterday? We have someone here 24/7 for emergencies!”
This scenario comes up all the time on the boards, and it’s truly heartbreaking because in most cases, the suffering you feel is entirely unnecessary. You should know what number to call when you have trouble. If your surgeon didn’t give you an after-hours number, ask for one. You should never have to wait a whole day just because your emergency happens on a weekend.
And with that advice, we’re done with this newsletter. You can always read it again and look through old newsletters in the Newsletter Forum. We’re always happy to hear from you and to see increased participation on the boards, so log in and get talking! Thanks for your support. Take care of yourself and each other,
Alex

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Indeed you are looking Good (; thanks for sharing

Hi guys! I'm still pre op, I'm currently testing out protein powders and I've read lots of good things about the taste of Mint Cookie and Cookies and cream protein powder from Sytrax Matrix line. I've also heard mixed things about whether Matrix is good for bariatric patients because I believe it's not straight whey isolate, but a blend of isolate and regular whey- though I have seen bariatric patients drinking it. Thoughts on this? I want to know if its going to be a good thing to purchase before I go through with it. Thanks all!

Whey Protein Isolate is the gold standard, but if it uses whey protein concentrate or even just regular whey protein it is still good and perfectly acceptable for our use.
The only caveat being that if you are lactose intolerant stick to the isolate.

You sure look good (; keep up your hard work.

Congrats, I'm close. 16lbs to go. Happy for you (;

Congrats, I'm close. 16lbs to go. Happy for you (;

Protein bars is one place where it's really easy to throw your diet out of wack. So for this reason I try to stay away from any protein bar that doesn't deliver 1gram of protein per 10 calories.
Honestly, not many fit this criteria. The ones I use are Premier Nutrition, 280 calories 30g protein.

i made up a good receipe for a healthy alternative to the fatty pizza....
there are chicken and shredded mild chedder on top. cook on medium high heat for about 2 minutes.
the tortilla crisps and you can cut it into 4 slices. have a slice and save the rest for later
i made one for myself because i was totally craving pizza but didnt want to pig out....my family smelt it cooking and they all wanted me to make them some. so i did...and my whole family LOVED it. (this includes a very picky 8 year old)
very tastey and low carb/calorie!
enjoy your pizza! hehe!

It's somewhat normal to feel a little down in the beginning. Your body is going through some major changes. Not to mention the trauma from the surgery that it's still recovering from. That can put a drain on anyone mentally. There's always someone here willing to listen and offer advice if you want to talk.
You have an excellent goal also. You'll be in those pants before you know it!

Kris,
Do NOT get discouraged, there was a time when a 12 seemed like a dream and I told myself that if I never wore a smaller size, that is what I was wearing in in high school and I was NOT big!! An 8 was my goal, I never even considered a 6....it still seems unreal....it just happened recently, I'm still in shock! I know it may seem out of reach some times....but I assure you, it is not! You'll look back and see that although NOW it may seem like it is slow, when you look over the course of your life and all the ups and downs - a nice steady weight loss is great and it really does happen quickly. (many times I'd lose a lb or two and then gain a lb the next day and do that a few days before it would stay off, but it WOULD stay off!!) It takes a while for your mind to catch up! Good luck!!!

Hi,
Gee thanks, I just want people to know that they can be where I am. It was my answer to a weight loss that I can maintain forever. I wish you nothing but success. I am always here if you have any questions.
Hugs,
Suzanne

THANKS FOR POSTING YOUR SUCCESS journey. GOD BLESS YOU

Hi,
Thanks so much. I just want people to know that they can be successful too!
Here is something I wrote and I am sending it to you. If you want more information after reading this, just send me an E-mail: Suzannesh@aol.com
Hi Everyone,
I decided that I would make a list of things for new people who are thinking about having WLS that might be helpful to them. This is long so please PRINT THIS OUT TO READ if you don’t want to read it all at one time.

First thing is to start asking people on the board you are on all kinds of questions—make of list of things you want to ask and keep coming back and ask more questions as time goes on. The more questions that ask the more you educate yourself about WLS and the process and what doctor they liked. Don’t rely on just one source of information. It is really normal to have all kind of feeling and emotions when trying to decide if you want to have Weight Loss Surgery. I must have talked myself in and out of doing this at least 50 times during my 6 months of research. My only regret is that I didn’t do it sooner. This is a big step. But if diet and exercise worked for us then we still wouldn’t be fat and would have lost the weight a long time ago and never regained it. It takes a lot of courage to have Weight Loss Surgery. I am very proud of you for looking into this. Don’t give any more days of your life being overweight, and your body hurting along with being unhealthy. WLS really is your answer.


How do you select your surgeon? First of all this is NOT a time to price shop for the cheapest doctor to do your WLS—that is just the wrong way to go at this. There are a lot of doctors who advertise on the Internet doing sleeve surgery for a lot less than some other doctors. I found one posting from a person who had the following concerns after having surgery in Tijuana, Mexico. (a) They put NO name band on her to be able to ID her when giving medications or anything else. ( NO one asked if she had any allergies to foods or medications—thank goodness this person didn’t have any. ( The lab did NOT label tubes of blood with the person’s name on it—very dangerous. © Day after surgery they gave this person ice chips, tea and apple juice. The next day (day 2) they gave this person NOTHING so this person asked why and the nurse said this person wasn’t allowed to eat anything. Well, this person then said I had Clear liquids the day before and they wanted to know WHO gave it to this person?? (d) This person was told that they would get a copy of the operative report on their discharge to take home with them—This person has not received it yet and that was about 2 weeks ago. So make sure have positive feedback about the Surgeon and Staff and Hospital that you choose. My choice after 6 months of research was Dr. Aceves in Mexicali, Mexico. What I can tell you in my opinion is that he is the very best you will ever find to do your surgery. I can only speak about my experience and my research that I did before I made him my choice for a surgeon.


Pack lightly for your WLS. So many of us have gone to Mexico, so you want a small suitcase with wheels, a laptop & a cell phone. The clothing that you wear to Mexico are the same ones you can wear home—slip on shoes work great too. Make sure that the clothing is loose fitting. Something just comfortable for your ride home. While in Mexico—that is if you go to Mexico for WLS make sure you take GAS-X. They have nothing in Mexico that they give your for gas, and the use gas in your abdominal area during surgery. It is painful after the surgery, so GAS-X STRIPS are easy to use by just placing them on your tongue. Take a couple of boxes with you—you will be glad you did. If you are going to use a credit card make sure you tell your credit card company and your Bank if you use your debit card or credit card. Sometimes if you DO NOT let these companies know you are outside of the US they block your charges. Use a credit card or debit card vs cash it is much easier to use. Take small amounts of cash for tips—I took $45.00 in 1’s for tip money for various things. If you go to any hospital anywhere leave ALL jewelry at home –just a watch and no rings or other jewelry. I never had any problems at all leaving my purse and computer& cell phone in my room while I was in surgery, but they recommend that you leave all jewelry at home. If you are a lady please remove all nail polish—they need it removed to see your nail beds during surgery.


The first month you do after surgery is the HARDEST month you will ever have to do. You do 10 days of nothing but clear liquids to start with—that means you have to be able to see through the liquid. Do not panic if you can not get the Protein they want you to have the 1st 10 days—I couldn’t find anything I liked that was clear during the 1st 10 days. They want you to try to drink 64 oz each day, and I don’t think I could ever get that much Water drank—just do the best you can. Your new stomach has just had major surgery and it is swollen and will only hold something about the size of your thumb. The next 10 days gets much better—you are now on creamy liquids for these 10 days. You can now have some creamy Soups, yogurt, and pudding—sugar free and find a protein drink that you like. For me it is Premier Protein Drink and I get mine at costco. When looking for a protein drink, make sure they are low in calories, high in Protein—Premier has 30 grams of protein in each drink box and make sure you have low carbs too. I know there are a lot of other Protein drinks out there that people like. When it comes to carbs I tried to keep mine at no more than 20 carbs per day. Ask others what kind of Protein drinks they liked and where they get them. The last 10 days are mushy foods. So this is a bit of a challenge. How many foods can I make mushy? I even considered using some baby foods. Start thinking about what will work as mushy foods for you.


Starting the 2nd month is quite an adventure. You can eat regular food. Here is where the relearning process takes place. You now will take tiny BABY BITES of food and chew each bit about 30 times or until it is like a liquid. From here on out you will need to take small bites of food and chew and chew and chew. I found out that chicken and fish were a lot easier to chew up. I don’t eat much red meat—your tastes will change and things you didn’t like a lot might taste good and something that you used to love don’t taste that great anymore. Keep track of what you are eating and keep your calories at about 800 calories per day and no more than 20 carbs per day—whole grain carbs are the best to have—NO white or refined carbs. I highly suggest that you keep track by writing them down or using some of the Internet sites that offers you this. I suggest this site it works great there are other sites to use this is just a suggestion. http://www.livestrong.com/thedailyplate/ It really is good to write down and track everything you put in your mouth to start with—that is how you know that you have not had more than 800 calories per day.


I want you to understand weight loss surgery is just a tool. The fat does not just melt off of you—they is NO miracle cure. Now you have to put a lot of effort into eating healthy and starting to exercise. Everyone has some kind of exercise that works for them. I love walking and try to walk about 5 days a week.


For many of us we started to lose some of our hair 3 or 4 months after having WLS. I would find a lot of hair in the shower after washing my hair. That is pretty normal for a lot of us—this does not happen to everyone. There is no magical cure for hair loss—some people use different shampoo’s or take Biotin. It happens and you live with it. YES, it will grow back. For me I had pencil straight hair and mine grew back natural curly and I love it now. I already had thin hair so for me, I got some cute wigs and wore them for about 9 months until my hair looked a lot better. It was worth the hair loss to lose 105 pounds.


Because we eat a lot of protein we suffer from constipation. You need to have at least 70 grams of protein EACH day. So I mix my protein drink each morning with MIRALAX. It is NOT habit forming and is tasteless and it is just a good way to start off the day. I put the protein and a cap full of Miralax in the blender with about 5 small ice cubes and that is my breakfast. 3 years later I still have this for breakfast and nothing else, it just works for me.


You may have periods where you have what we call STALLS. You may be doing everything right and eating and exercising and you have NO weight loss for a week or more. This is normal—mine lasted 9 days. Don’t panic the weight loss will start up again, just keep doing what you are doing.


Our heads play games with us sometimes it is ugly what our brain tried to convince us of—We call these “Head Games” and they really are tough times to work though, but you can do it. Your head is still thinking with your old brain and way of thinking that you have been doing for most of your life. You now are eating VERY small amount of food, but your head is used to you eating LARGE amounts of food and that is what your brain wants—so it tries to tell you the you should be eating more—NOT true at all. So you need to have a talk with yourself. Do I just WAN T to eat or do I really NEED to eat?


You are not on a diet, but you are making a LIFESTYLE change and that is good because you can do this for the rest of your life. You will NEVER be able to eat like you used to. That is good because that is how we got fat. You will morn the loss of food—you will look around and see others inhaling all this food and you think to yourself—I used to eat like that. You will notice how fast people eat and inhale their food and talk and hardly chew what they are eating. That is pretty normal feeling to have—because you are now eating such small amounts of food and chewing and chewing. You will never be able to guzzle a bottle of water again—that is OK too. These are all good things. In time you will look at all the food people are eating and thinking to yourself oh my gosh I could never eat that much again—it is way too much food.


When you have issues or problems come back to the board and ask others who have already done this. We are here to help and support you.


Give or exchange all your fat clothes away. You will never need them again after they become too big for you. This weight loss is something you will be able to maintain for the rest of your life. You have earned the right to have new clothes.


Make sure you have the VERY best doctor that has had a lot of experience with sleeve surgery and check his success rates out. Check the doctor for HIGH patient reviews from the people who have gone to him or her. I can NOT STRESSS this enough. Make sure that your surgery is being done in a hospital NOT a Clinic. One clue that it is a clinic is if they send you to a hotel room to recover—that is why they cost less, this is also dangerous too. YOU are worth the extra money that it cost to have this WLS in a Hospital and by the best Doctor you can have. You want to have a happy and GREAT life and having the RIGHT Doctor and Hospital are the key to this.

Sorry if this is long, but it is intended to have as a reference and answer a lot of your questions that you might have. For some of you, you are very lucky because your health insurance is now starting to pay for Weight Loss Surgery. For many of this, we did not have your luck, so we are self pay patients. There are companies that loan money for this surgery—be aware that their interest rate is high. Once you pick your doctor ask them about these companies that give loans for surgery if you are a self pay patient.
You know we never think twice about making car payments. If you have to borrow the money for this surgery just look at this as “body payment.” It will be the best money you have ever borrowed. Please PRINT this out to read later. If you have any questions for me please feel free to contact me. I had surgery almost 4 years ago, so I do have quite a bit of experience. I really am here to help you along your journey. It took me 14 months to lose this weight and I was 63 when I had the surgery, so it is NEVER too late in life to do this.
Hugs, and I wish you great success
Suzanne

Hi,
That is good news, just remember I am out here if you need anything or have any questions.
Hugs and keep up the great work!
Suzanne

I think u r doing great! They say slow is best? (; thanks for sharing.

I know what you mean. I'm so glad I found this site as well. It's great to get so much input and advice from those whose are travelling with us and those who have already paved the road.

Hi Eglight! Congratulations on your success! One thing I've definitely learned from this forum: none of us are alone... :0)
Wish you all the best!
- Sarah
Sent from my iPhone using VST

Hi I love this app. I just want to tell everyone thanks for posting your journey and sharing. I feal alone many times and come here to get inspired and answers of questions I have. I had my surgery in Mex May 16. Starting weight 256,I am down 40lbs and feel great. Some tell me I can stop now not to lose more /: and others say great job keep it up. I have had all sorts of emotions and pray I stay Stong in my new journey.

This is a great success story. You have done very well (;