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      Table 5

      Table 5: Post-Operative Ranges of Nutrient Deficiency Rates

       

      Nutrient

      Range of Deficiency Rates

      Notes

      Vitamin A

      Up to 70%4

      In RNY and BPD/DS patients within 4 years post-op.

      Vitamin C

      35%19

      In RNY patients at 12 months post-op; higher incidence in women compared to men.

      Vitamin D

      Up to 100%4

      In all patients.

      Vitamin E

      Uncommon4

      4-10%15

      4-10% in RNY patients within 1-4 years post-op (15).

      Vitamin K

      Uncommon4

      Up to 50%15

      Up to 50% within 3 years post RNY (15).

      Vitamin B1 (Thiamin)

      < 1 - 49%4

      Vitamin B2 (Riboflavin)

      14%19

      In RNY patients at 12 months post-op.

      Vitamin B3 (Niacin)

      No definitive data/research

      Vitamin B6

      18%19

      In RNY patients at 12 months post-op.

      Folate/Folic Acid

      Up to 65%(ASMBS 2016)

      Vitamin B12

      < 20% RNY4

      4-20% SG4

      Noted at 2-5 years post-op.

      Biotin

      Limited or no data/research

      Pantothenic Acid

      Limited or no data/research

      Iron

      Up to 62%4

      AGB - 14% / SG < 18% / RNY - 20-55% / BPD - 13-62% / DS - 8-50%

      Calcium

      Up to 48% BPD/DS20

      Within 4 years post-op in BPD/DS patients.

      Parathyroid Hormone (PTH)

      (Marker of bone loss)

      Up to 69% BPD/DS20

      14% SG21

      33% RNY21

      Within 4 years post-op in BPD/DS patients.

      Within 3 years post-op in SG and RNY patients.

      Iodine

      No definitive data/research

      Magnesium

      <1-5%22,23

      Up to 5% in BPD/DS patients; <1% in RNY patients at 1-31 months post-op.

      Zinc

      19-70%4

      AGB - 34% / SG - 19% / RNY - 40% / BPD/DS - up to 70%

      Selenium

      14-22%15

      In addition, cardiomyopathy has been reported 9 months following BPD most likely due to selenium deficiency (24).

      Copper

      10-20% RNY4

      Up to 90% BPD/DS4

      Only 1 case report for SG; no data for AGB.

      Manganese

      No definitive data/research

      However, manganese intake was found to be less than half of the recommended intake 12 months post-op (25).

      Chromium

      Limited or no data/research

      Molybdenum

      Limited or no data/research

      Table 5: Post-Operative Ranges of Nutrient Deficiency Rates

       

      Nutrient

      Range of Deficiency Rates

      Notes

      Vitamin A

      Up to 70%4

      In RNY and BPD/DS patients within 4 years post-op.

      Vitamin C

      35%19

      In RNY patients at 12 months post-op; higher incidence in women compared to men.

      Vitamin D

      Up to 100%4

      In all patients.

      Vitamin E

      Uncommon4

      4-10%15

      4-10% in RNY patients within 1-4 years post-op (15).

      Vitamin K

      Uncommon4

      Up to 50%15

      Up to 50% within 3 years post RNY (15).

      Vitamin B1 (Thiamin)

      < 1 - 49%4

      Vitamin B2 (Riboflavin)

      14%19

      In RNY patients at 12 months post-op.

      Vitamin B3 (Niacin)

      No definitive data/research

      Vitamin B6

      18%19

      In RNY patients at 12 months post-op.

      Folate/Folic Acid

      Up to 65%(ASMBS 2016)

      Vitamin B12

      < 20% RNY4

      4-20% SG4

      Noted at 2-5 years post-op.

      Biotin

      Limited or no data/research

      Pantothenic Acid

      Limited or no data/research

      Iron

      Up to 62%4

      AGB - 14% / SG < 18% / RNY - 20-55% / BPD - 13-62% / DS - 8-50%

      Calcium

      Up to 48% BPD/DS20

      Within 4 years post-op in BPD/DS patients.

      Parathyroid Hormone (PTH)

      (Marker of bone loss)

      Up to 69% BPD/DS20

      14% SG21

      33% RNY21

      Within 4 years post-op in BPD/DS patients.

      Within 3 years post-op in SG and RNY patients.

      Iodine

      No definitive data/research

      Magnesium

      <1-5%22,23

      Up to 5% in BPD/DS patients; <1% in RNY patients at 1-31 months post-op.

      Zinc

      19-70%4

      AGB - 34% / SG - 19% / RNY - 40% / BPD/DS - up to 70%

      Selenium

      14-22%15

      In addition, cardiomyopathy has been reported 9 months following BPD most likely due to selenium deficiency (24).

      Copper

      10-20% RNY4

      Up to 90% BPD/DS4

      Only 1 case report for SG; no data for AGB.

      Manganese

      No definitive data/research

      However, manganese intake was found to be less than half of the recommended intake 12 months post-op (25).

      Chromium

      Limited or no data/research

      Molybdenum

      Limited or no data/research

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