Читать книгу Bariatric Nutrition Essentials: - Sally Johnston - Страница 8

Whilst the aim of bariatric surgery is to take in less energy (calories or kilojoules) and therefore lose weight, your body still requires adequate vitamins and minerals. Even if you feel you are eating a range of foods, you will still need to take vitamin and mineral supplements for optimum health.

The Allied Health Sciences Section Ad Hoc Nutrition Committee (2008) suggest that following gastric band surgery, people should include the following:

§ A multivitamin and mineral supplement providing 100% of Daily Value (Recommended Dietary Intake) for at least two thirds of micronutrients, at least 18 mg iron, 400 µg folate, selenium and zinc.

§ 1500 mg per day of calcium, preferably calcium citrate (over calcium carbonate) and vitamin D3, split into 500-600 mg doses, spaced evenly throughout day. This should not be taken with iron containing supplements.

For gastric bypass surgery, the following is recommended in addition to the above:

§ The multivitamin and mineral supplement should provide 200% of Daily Value (Recommended Dietary Intake) for at least two thirds of micro nutrients

§ An additional 18-27 mg per day of elemental iron

§ 1000 µg/month intramuscular injection of Vitamin B12 or 350-500 µg tablet daily.

Whilst guidelines for sleeve gastrectomy have not been published it would be appropriate to follow the guidelines above for gastric bypass surgery.

Discuss these recommendations with your doctor or dietitian.