Micronutrient Deficiencies After Gastric Bypass Fat-Soluble Vitamins: • Vitamin A - Night/complete blindness, xeropthalmia (pathologic dryness of the conjunctiva and cornea), poor bone growth, non-specific skin rash • Vitamin D - Bone disease, secondary hyperparathyroidism • Vitamin K - Coagulopathy Water-Soluble Vitamins: • Thiamine - Nausea and vomiting, Wernicke's encephalopathy (encephalopathy, oculomotor dysfunction, gait ataxia), Korsakoff syndrome (amnesia, apathy, normal cognition and long-term memory, confabulation), dry berberi (distal sensorimotor polyneuropathy), wet beriberi (cardiomyopathy) • Folate - Macrocytic anemia • Vitamin B12 - Macrocytic anemia, cognitive deficits, myelopathy Trace Minerals: • Iron - Anemia • Zinc - Alopecia, night blindness, dermatitis, decreased immune function, diarrhea • Copper - Myelopathy with muscle weakness, peripheral sensory neuropathy, ataxia, cognitive dysfunction, anemia, Elements: • Calcium - Bone disease, secondary hyperparathyroidism By Lauren Banaszak, MD @LaurenBzak via @uw_IMresidency #nutrient #Deficiencies #Gastric #Bypass #vitamin #nutrition #table #differential #diagnosis #bariatric
