Note: I just want to apologize to all for not posting sooner. I’ve been studying for a test. I will try and do better in the future – I have not forgotten you all, and I thank you for your patience. I am also on FaceBook and Twitter now (@gerl_369)
Here is another interesting article out of Denmark that shows how nutrient deficiency progresses during the first two years after Roux-en-Y gastric bypass surgery. Two years after surgery, 98% of patients require additional supplementation over and above the standard vitamin regime initially prescribed.
Some of the conclusions from the study show the lack of effectiveness of multi-vitamin therapy and it documents the rapidity of the onset of the deficiencies, with most deficiencies presenting at the 6th peri-operative month. One of the more common recommendations of doctors to the gastric bypass patients is to double their multi-vitamins, but according to this study the effectiveness of that approach has not even been determined. If one of something isn’t working, it doesn’t necessarily make sense that doubling it will. The author’s recommendation is to develop a daily single-dose supplement and determine the most effective route of administration to encourage compliance and improve overall health outcome.
After two years, 80% of patients required additional B-12, 60% required additional calcium and iron and 45% required additional folic acid – on top of the multi-vitamin they’d been taking. Smaller percentages were prescribed additional nutrients such as zinc, magnesium and B-vitamins.
This article is concerning in light of the finding that only about 35% of bariatric patients are compliant with their supplementation at all. After two years, most patients are no longer under their bariatric surgeon’s care and are now being followed by their primary care practitioner who may, or may not, have significant experience with nutrient deficiency.
Bariatric patients should educate themselves on which laboratory tests are available to test for nutrient deficiencies, how indicative they are of actual tissue deficiency, what those optimum levels for their well-being should be, and associate those levels with a supplement regimen that adequately helps them maintain those levels.
One piece of information from this study that really caught my attention was the identification of the rapid onset of deficiency around the six month mark. Most of the people that contact me regarding addiction transfer indicate that their problems did not start right after surgery, but rather during this 6-24 months post-operative period when this rapid onset of nutrient deficiency occurs. There is still much to be studied and learned, but I for one would love it if they followed the recommendations of this paper and developed a one-shot effective supplement that was proven to be absorbable and effective.
If you have any questions, please email me at (firstname.lastname@example.org, follow me on Twitter (@gerl_369) and FaceBook (It’s Not Addiction Transfer after Gastric Bypass Surgery)