Along with rising levels of obesity are increasing numbers of patients being offered bariatric surgery to facilitate weight loss where other options have failed. Bariatric surgical procedures such as stomach stapling, gastric bypass, sleeve gastrectomy and gastric band maintenance may be offered to obese individuals with a BMI above 40, or for those with a BMI between 35 - 40 who have health problems such as type 2 diabetes or heart disease.
It is now well-established that patients who have had bariatric surgery have increased nutritional needs and should fortify their diets with daily nutritional supplements.
In August 2014, The British Obesity and Metabolic Surgery Society (BOMSS), a professional society of surgeons involved in obesity management, issued their first GP guidance on management of nutrition following a bariatric surgery.
The latest BOMSS nutrition guidance recommends bariatric patients:
✓ Stay on lifelong nutritional supplements
✓ Have lifelong monitoring of their nutritional status
✓ Take a daily >high dose multivitamin and mineral supplement along with additional > vitamin B12, calcium, vitamin D and iron where necessary, to prevent the significant long-term effects of micronutrient deficiencies
Effective daily nutritional supplements are essential following bariatric surgery. It is important however to select a product that has been specially formulated to meet these increased nutritional needs. Nutrients need to be delivered in highly bioavailable forms, easy to absorb and in higher dosage than standard multivitamin & mineral supplements. Supporting nutritional needs of patients following bariatric surgery with targeted daily supplementation can have a significant positive impact on long term health.
6 Key features of an effective bariatric supplement:
1. Vitamins in active, body-ready forms
(eg. vitamin B12 as methylcobalamin & folic acid as 5-methyltetrahydrofolate 5-MTHF)
2. Minerals with high bio-availability
(eg. magnesium bisglycinate, calcium citrate & iron fumarate)
3. High nutrient dosage to support significantly increased nutritional needs
4. Proteins in very pure forms for maximum bioavailability
5. Chewable tablets or powder for optimal absorption
(eg. lactose, soya and gluten free)
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