Table 2.
Micronutrient requirements after SG and RYGB by the American Association of Clinical Endocrinologists/American College of Endocrinology, The Obesity Society and American Society for Metabolic and Bariatric Surgery (AACE-TOS-ASMBS) [11]
Micronutrient | Doses and recommendations |
---|---|
Thiamine (Vitamin B1) |
Minimum: > 12 mg/d Recommendation: 50–100 mg/d From a multivitamin or B-complex supplement |
Calcium |
1,200 to 1,500 mg/d It should be given in divided doses Calcium carbonate should be taken with meals Calcium citrate can be taken with or without meals |
Vitamin D |
1,200–1,500 mg/d Dose should be based on circulating vitamin D concentration |
Iron |
45–60 mg/d of elemental iron From a multivitamin and mineral supplement |
Vitamin B12 |
Orally: 350–1,000 µg/d Parenteral: 1,000 µg monthly |
Folate |
General recommendation: 400–800 µg/d Women of childbearing age: 800–1,000 µg/d |
Vitamin A |
5,000–10,000 IU/d Increased dose in patients with history of deficiency |
Vitamin K |
90–120 µg/d Increased dose in patients with history of deficiency |
Vitamin E |
15 mg/d Increased dose in patients with history of deficiency |
Zinc |
RYGB: 8–22 mg/d SG: 8–11 mg/d |