Table 2.

Dietary recommendations in pregnancy post bariatric surgery.^61–66

Prenatal Care Post RYGB Combined procedure (restrictive and malabsorptive)

Protein deficiency: provide 60 g protein daily, balanced diet Iron deficiency (hypochlorhydria) anemia: in 10% of patients, 40–65 mg iron sucrose po daily Vitamin A deficiency: in ±10% of patients. 5000 IU daily Vitamin B12: cobalamin sublingual 10 µg daily or 1000 µg IM monthly Calcium: 1200–2000 mg citrate, 50–150 µg Magnesium: 200–1000 mg daily Vitamin D: 1000 IU daily Folic acid: 4 mg daily included in prenatal vitamins Iodine: no specific recommendations, depends on geographical location 250 µg daily Vitamin K: no specific recommendations Antioxidants: no specific recommendations

RYGB: Roux-en Y gastric bypass.