Recommended nutritional supplementation after bariatric surgery in adolescents

Gastric bypass

Standard multivitamin with folate and iron, or prenatal vitamin if female*

Vitamin B12 500 micrograms orally/sublingually daily, or 1000 micrograms intramuscularly monthly

Calcium 1200 mg to 1500 mg daily with 800 units vitamin D^¶

Supplemental iron if iron deficient*

Adjustable banding

Standard multivitamin with folate and iron* or prenatal vitamin if female*

Vitamin B12, iron, calcium with vitamin D as indicated clinically

* Additional iron and folate may be necessary in pregnant females.
¶ Calcium citrate may be better absorbed.

Graphic 80913 Version 7.0

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