Can Composite Nutritional Supplement Based on the Current Guidelines Prevent Vitamin and Mineral Deficiency After Weight Loss Surgery?

Obesity Surgery
Stephen G BoyceMitchell S Roslin

Abstract

Nutritional deficiencies occur after weight loss surgery. Despite knowledge of nutritional risk, there is little uniformity of postoperative vitamin and mineral supplementation. The objective of this study was to evaluate a composite supplement based on the clinical practice guidelines proposed in 2008 regarding vitamin and mineral supplementation after Roux-en-Y gastric bypass. The composite included iron (Fe) and calcium as well. A retrospective chart review of 309 patients undergoing laparoscopic Roux-en-Y gastric bypass (LRYGB) was evaluated for the development of deficiencies in iron and vitamins A, B1, B12, and D. Patients were instructed to take a custom vitamin and mineral supplement that was based on society-approved guidelines. The clinical practice guidelines were modified to include 1600 international units (IU) of vitamin D3 instead of the recommended 800 IU. The compliant patients' deficiency rates were significantly lower than those of the noncompliant patients for iron (p = 0.001), vitamin A (p = 0.01), vitamin B12 (p ≈ 0.02), and vitamin D (p < 0.0001). Women's menstrual status did not significantly influence the development of iron deficiency. Use of a composite based on guidelines proposed by the AACE, TOS, a...Continue Reading

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Citations

Jan 11, 2018·Obesity Surgery·Kamal K MahawarPeter K Small
Nov 1, 2016·Women's Health·Federico G Mariona
Aug 4, 2020·Obesity Reviews : an Official Journal of the International Association for the Study of Obesity·Mary O'KaneJulian H Barth
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Feb 6, 2017·Obesity Surgery·Silvia PelliteroManel Puig-Domingo
May 1, 2021·Biomolecules·Geir BjørklundDaniel-Ovidiu Costea
May 21, 2021·Obesity Reviews : an Official Journal of the International Association for the Study of Obesity·Sama AnvariAristithes G Doumouras

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