Table 2.
Postoperative vitamin supplementation recommendations differentiated by the specific type of bariatric surgical procedure.
Adjustable gastric band | Roux-en-Y | Duodenal switch | |
---|---|---|---|
Vitamin A | Supplementation may be required, monitor | 5,000–10,000 IU/d | 10,000 IU/d |
Vitamin B1 | Acute: 100 mg/d × 7–14 d (IM) then 10 mg/d (oral) | Acute:100 mg/d × 7–14 d (IM) then 10 mg/d (oral) | Supplementation may be required, monitor |
Prophylaxis: 50–100 mg/d | Prophylaxis: 50–100 mg/d | ||
Vitamin B12 | Supplementation may be required, monitor | 300–500 μg/d (oral) | Supplementation might be required, monitor |
1000 mg/q 3 months (IM) | |||
Folate | 400 μg/d | 400 μg/d | 400 μg/d |
Iron | Supplementation may be required, monitor | 65 mg/twice daily | 65 mg/twice daily |
Calcium | Supplementation may be required, monitor | 1,500–2,000 mg/d | 1,800–2,400 mg/d |
Vitamin D | Supplementation may be required, monitor | 800–1,200 IU/d | 2000 IU/d |
Vitamin E | Supplement with standard multivitamin formulation rich in vitamin E (60 IU/d) | Supplement with standard multivitamin formulation rich in vitamin E (60 IU/d) | Supplement with standard multivitamin formulation rich in vitamin E (60 IU/d) |
Vitamin K | Supplementation may be required, monitor | Supplementation may be required, monitor | 300 μg/d |
Copper | Oral (1 mg/d) or IV fusion, response variable | Oral (1 mg/d) or IV fusion, response variable | Oral (1 mg/d) or IV fusion, response variable |