This is the most common deficiency (present in 70% of our patients before and after surgery). The body makes Vitamin D from sun exposure. Rarely found in food. Amount in milk products is far too low to get daily needs.
Results of Deficiency: brittle bones, cancer, increased risk of infection, asthma, increased risk of cardiac death. It is one of the most important Vitamins in the body, affecting almost 20% of functioning enzyme systems.
Replacement: Most patients must take 3000-5000 units daily. It is available over the counter
Almost 20% of our patients are deficient in Iron.
Results of Deficiency: feeling tired and weak, slowed mental thinking, decreased immune function with increased risk of infection, sore tongue, eating alot of ice.
Replacement: If mild deficiency, a good Iron tablet or chewable version can be taken 2-3 times per day. If a severe deficiency with ice eating, an iron infusion may be optimal.
With the Sleeve and Bypass, the normal hormone which helps to absorb the B-12 from your diet is decreased.
Symptoms of Deficiency: Anemia, weakness, neurological (brain) disorders, emotional disorders
Replacement: Weekly supplements should be taken. Sublingual B-12 is simple. Intranasal Sprays are somewhat more effective and well tolerated. Regular bloodwork is appropriate to monitor for this vitamin level.