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Vitamins and Supplements
Unlike the gastric bypass of the biliopancreatic diversion with duodenal switch, adjustable gastric banding does not alter the route that the food follows through the stomach and gut. For this reason, essential vitamins, minerals and iron are absorbed the same way as people with no surgery. However, because patients cannot eat as much food after the band surgery as before, poor absorption (the process in which digested food is absorbed by the lower part of the small intestine into the bloodstream) of iron and calcium can cause low total body iron and a greater chance of having iron-deficiency anemia.Patients who experience chronic blood loss during excessive menstrual flow or bleeding hemorrhoids should be aware of the chance of iron-deficiency anemia. Women, already at risk for osteoporosis that can occur after menopause, should be aware of the possibility of increased bone calcium loss. In order to avoid these problems patients must take multivitamin and calcium supplements for the rest of their life to maintain a healthy level of minerals and vitamins. Chronic anemia due to vitamin B12 deficiency may occur. The problem usually can be managed with vitamin B12 pills or injections. We recommend the following vitamins and supplements for our gastric bypass patients:
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