Bariatric Supplementation

Question 1

Calcium supplementation recommendations

What two types to take and when

Answer 1

1200-1500 mg

Calcium citrate - better
Calcium carbonate - with meals

Question 2

Thiamin supplementation recommendations for life and repletion

Answer 2

Life: 50-100 mg/day
At least 12 mg

Repletion: 100 mg PO 2-3 x/day until symptoms resolve

Question 3

Vitamin B12 supplementation recommendations

For life: PO and IV
Repletion

Answer 3

For life:
PO: 350-1000 mcg/month
IV: 1000 mcg/month

Repletion:
Up to 1000 mcg/day

Question 4

Iron supplementation recommendations

For life for menstruating and non-menstruating people
Repletion

Answer 4

For life:
Non-menstruating: 18 mg/day
Menstruating: 45-60 mg/day

Repletion:
Up to 300 mg 2-3x/day

Question 5

Vitamin D supplementation

For life
Repletion

Answer 5

For life: 2000-3000 IU/day

Repletion:
Up to 6000 IU/day
D3: 50,000 IU
D2: 1-2 x/week

Question 6

Folate supplementation recommendations

For life
Menstruating
Non-menstruating

Repletion

Answer 6

For life
Non-menstruating: 400-800 mcg/day
Menstruating: 800-1000 mcg/day

Repletion:
1 mg/day

Question 7

Copper supplementation recommendations

For life (2 types)
With zinc
Gastric sleeve
RY or BPD

Answer 7

For life: (gluconate or sulfate)
1-2 mg/day

With zinc: 1 mg per 15 mg Zinc

Gastric sleeve: 1 mg/day

RY or BPD: 2 mg/day

Question 8

Vitamin A supplementation

Answer 8

5000-10000 IU/day

Question 9

Vitamin E supplementation recommendation

Answer 9

15 mg/day

Question 10

Vitamin K supplementation recommendation

For life
With duodenal switch

Answer 10

For life: 90-120 mcg/day

With duodenal switch: 300 mcg/day

Question 11

Zinc supplementation recommendations

Answer 11

8-22 mg/day