Table 1.

Post-gastrectomy diet education

Must educate about post-gastrectomy diet modifications to promote diet tolerance and adequate absorption

Must discuss need for lifelong micronutrient supplementation with a bariatric-formulated multivitamin and calcium citrate, including instructions on American Society for Metabolic & Bariatric Surgery guidelines for dosing of 1200-1500 mg oral calcium citrate daily in divided doses at least 2 hours apart from iron-containing supplements

Must discuss the risks related to decreased bone mineral density after total gastrectomy

Must discuss the benefits of weight-bearing and weight-resistance exercise

Must discuss risks related to unintentional weight loss