Micronutrient serum levels for each patient at baseline, 3, 6, and 12 months following total gastrectomy according to supplementation adherence. Horizontal bars indicate median values. Grey areas represent values outside of normal range. Number of patients varied by serum biomarker and time point due to incomplete data. For serum calcium levels: patient samples were n = 92 at baseline, n = 79 at 3 months, n = 68 at 6 months, and n = 73 at 12 months. For serum phosphorus levels: patient samples were n = 92 at baseline, n = 79 at 3 months, n = 67 at 6 months, and n = 73 at 12 months. For serum alkaline phosphatase levels: patient samples were n = 92 at baseline, n = 77 at 3 months, n = 65 at 6 months, and n = 73 at 12 months. For serum 25 (OH)-vitamin D levels: patient samples were n = 92 at baseline, n = 78 at 3 months, n = 70 at 6 months, and n = 72 at 12 months.