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Feingold KR, Anawalt B, Blackman MR, et al., editors. Endotext [Internet]. South Dartmouth (MA): MDText.com, Inc.; 2000-.

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Table 3.

Recommended Postoperative Supplementation of Vitamins and Minerals

MicronutrientSupplementation
Within a multivitamin with minerals product
Thiamine12 mg/day
Vitamin B12 (cobalamin)Oral or sublingual: 350-500 mcg/day
Intranasal: 1000 mcg/week*
Intramuscular: 1000 mcg/month
Folate (folic acid)400-800 mcg/day
Women of childbearing age: 800-1000 mcg/day
Iron18 mg/day elemental iron
RYGB, SG, BPD/DS or menstruating women: 45-60 mg/day
Take separately from calcium supplements
Vitamin DD3 3000 IU/day
Vitamin ALAGB: 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 E15 mg/day
Vitamin KLAGB, SG or RYGB: 90-120 mcg/day
BPD/DS: 300 mcg/day
ZincSG or LAGB: 8-11 mg/day
RYGB: 8-22 mg/day
BPD/DS: 16-22 mg/day
CopperSG or LAGB: 1 mg/day
RYGB or BPD/DS: 2 mg/day
As separate supplementation
CalciumLAGB, 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 (29)

*

Recommendation from the Endocrine Society Clinical Practice Guideline (30)

From: Medical Management of the Postoperative Bariatric Surgery Patient

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