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. 2020 Jul 31;21(3):297–306. doi: 10.1007/s11154-020-09571-8

Table 2.

Major vitamins and minerals deficiencies after bariatric surgery: clinical manifestations and estimated frequency according to the bariatric procedure. (Adapted from Reference [3]

Deficiency Key Clinical Manifestations Procedure-related frequency
Iron Microcytic Anemia

AGB +

SG ++

RYGB, BPD, BPD/DS +++

Vitamin B12

Megaloblastic Anemia

Neurologic abnormalities

SG, RYGB, BPD, BPD/DS ++
Vitamin D (and Calcium)

Bone demineralization

Increased risk of fractures

RYGB, ++

BPD, BPD/DS +++

Vitamin A

Ocular xerosis

Night blindness symptoms

BPD, BPD/DS +++
Vitamin E

Anemia,

Ophthalmoplegia

Peripheral neuropathy

BPD, BPD/DS +++
Vitamin K Easy bleeding BPD, BPD/DS +

AGB: adjustable gastric banding; SG: sleeve gastrectomy; RYGB: gastric bypass; BPD: biliopancreatic diversion; BPD/DS: biliopancreatic diversion with duodenal switch