Nutrient Deficiencies and Supplementation Post Gastric Bypass Surgery Nutrient Deficiencies: • Most frequent in the malabsorptive surgeries - RYGB, BPD-DS and MGB • Most common are Vit D, folate, iron, B12 and zinc • Selenium, niacin, Vit B6, Vit C and Vit K are rare High-risk Individuals: • Persistent nausea, vomiting, diarrhea and SIBO • Excessive weight loss > 1-2 years • Pervasive neurologic symptoms • Pre-existing inappropriate eating behaviors and alcohol Nutritional Screening: • CBC, electrolytes - Mg, Phos, Ca+, Bl, B12, Vit D, Folate, Zn, Selenium • Ferritin, Transferrin Sat. • Bone densitometry testing and PTH q2 yrs • Vit A & Retinol binding protein, Vit E, Copper, 24hr Ur Ca (BDP-DS and MGB) by Chuma G. Obineme, MD @TypicallySilent via Emory Gastroenterology and Hepatology @EmoryGastroHep #Nutrient #Deficiencies #Supplementation #Gastric #Bypass #Surgery #bariatric #gastroenterology #nutrition #Vitamin
