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Recommended nutritional supplements for bariatric surgery patients
1Department of Pharmacy Practice, Albany College of Pharmacy and Health Sciences, Albany, NY 12208, USA. margaret.malone@acphs.edu
Patients undergoing bariatric surgery need specific nutritional supplements, especially after malabsorptive procedures. Generalist healthcare providers must be aware of common deficiencies like vitamin B12, iron, and calcium to guide patients effectively.
Area of Science:
- Bariatric Surgery
- Nutritional Science
- Gastroenterology
Background:
- Bariatric surgery is a common treatment for obesity.
- Nutritional deficiencies are a significant concern post-surgery.
- Different surgical procedures carry varying risks of nutrient malabsorption.
Purpose of the Study:
- To review essential nutritional supplements post-bariatric surgery.
- To provide a practical guide for healthcare providers.
- To highlight common nutrient deficiencies and their management.
Main Methods:
- Literature search of PubMed (1988-2008) using "nutritional deficiency after bariatric surgery".
- Inclusion of English-language studies on adult humans.
- Prioritization of data from clinical series and guidelines, supplemented by case reports.
Main Results:
- Nutritional deficiencies vary by bariatric surgery type; malabsorptive procedures pose higher risks.
- Common deficiencies include vitamin B12, calcium, vitamin D, thiamine, folic acid, iron, zinc, and magnesium.
- Hypovitaminosis A can lead to rare ocular complications.
Conclusions:
- Healthcare professionals outside specialized centers need awareness of post-bariatric surgery supplement requirements.
- Primary care teams and pharmacists often manage these patients.
- Adherence to supplementation is critical for preventing deficiencies.
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