Learn About Emerge Bariatrics
Post-surgery, you do not have the same digestive enzymes. Supplementing can assist with preventing nausea as well as increased absorption of nutrients. Common side effects of nutrient deficiencies after weight loss surgery include Muscle loss, Fatigue, Hair loss Cracked and dried skin, Weak and brittle bones/Osteoporosis, Weakness, Nerve damage, and Blurred vision.
After gastric bypass and sleeve gastrectomy, you do not produce enough gastric acids or intrinsic factor (IF) to properly absorb vitamin B12. Both stomach acid and IF work to release B12 from food and assist with the absorption of the vitamin. For this reason, a B12 supplement is needed in the form of a sublingual tablet, nasal spray, or injection.
Post-Op Nutrition Guidelines
This is mainly a concern with gastric bypass patients. With gastric bypass surgery, the predominant area (the duodenum) of iron absorption is bypassed with the surgery. Taking an iron supplement will assist in preventing iron deficiency, or anemia.
Be sure to choose calcium citrate and not calcium carbonate. After gastric bypass or sleeve gastrectomy, you will not produce the stomach acid needed to activate and absorb calcium carbonate. Swallowing vitamins and minerals may be difficult after bariatric surgery. It is best to choose supplements that are chewable or dissolve in liquids.
Required Vitamins for Bypass and Sleeve Gastrectomy
Bariatric-specific multivitamin: 1 serving per day
For gastric bypass patients, get a multivitamin with iron.
Calcium citrate: 1500 - 2000 mg per day Take only 500 – 600 mg at a time for best absorption.
Vitamin D3: 2,000 IU daily (You can purchase calcium that includes D3.)
B12: 500 mcg (sublingual, nasal spray, or injection)