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Feingold KR, Adler RA, Ahmed SF, et al., editors. Endotext [Internet]. South Dartmouth (MA): MDText.com, Inc.; 2000-.
Recommended Postoperative Supplementation of Vitamins and Minerals
| Micronutrient | Supplementation | |
|---|---|---|
| Usually within a multivitamin with minerals product | ||
| Thiamine | At least 12 mg/day, preferably 50-100 mg/day | |
| Vitamin B12 (cobalamin) | Oral or sublingual: 350-500 mcg/day Intramuscular: 1000 mcg/month Titrate to normal levels | |
| Folate (folic acid) | 400-800 mcg/day Women of childbearing age: 800-1000 mcg/day | |
| Iron | 18 mg/day elemental iron RYGB, SG, BPD/DS or menstruating women: 45-60 mg/day Take separately from calcium supplements | |
| Vitamin D | D3 3000 IU/day Titrate to 25-hydroxyvitamin D level at least 30 ng/mL | |
| Vitamin A | AGB: vitamin A 5000 IU/day RYGB or SG: vitamin A 5,000-10,000 IU/day BPD/DS: vitamin A 10,000 IU/day | |
| Vitamin E | 15 mg/day | |
| Vitamin K | AGB, SG or RYGB: 90-120 mcg/day BPD/DS: 300 mcg/day | |
| Zinc | SG or AGB: 8-11 mg/day RYGB: 8-22 mg/day BPD/DS: 16-22 mg/day | |
| Copper | SG or AGB: 1 mg/day RYGB or BPD/DS: 2 mg/day | |
| As separate supplementation | ||
| Calcium | AGB, SG, RYGB: calcium 1200-1500 mg/day (diet + supplements) BPD/DS: calcium 1800-2400 mg/day (diet + supplements) (as calcium citrate, in divided doses) | |
Table modified from the ASMBS Integrated Health Nutritional Guidelines (32).
From: Medical Management of the Post Operative Bariatric Surgery Patient
This electronic version has been made freely available under a Creative Commons (CC-BY-NC-ND) license. A copy of the license can be viewed at http://creativecommons.org/licenses/by-nc-nd/2.0/.
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