Vitamin B12 is needed in small amounts, but it is necessary for the normal functioning of the nervous system. Helps the body metabolize fats, proteins and carbohydrates. Vitamin B12 deficiency is one of the most common reasons for supplementation after any bariatric procedure, but especially after gastric bypass. Most patients will receive some vitamin B12 in their daily multivitamin, however, many will need additional supplements in pill form or a longer lasting injection.
Diet is a modifiable factor that ensures optimal growth, biochemical performance, improved mood and mental functioning. The lack of nutrients, particularly vitamin B, has an impact on human health and well-being. The United Arab Emirates faces a serious problem of micronutrient deficiencies due to the growing trend of bariatric surgery, including Roux-en-Y gastric bypass and sleeve gastrectomy. People who undergo bariatric surgery are at high risk of developing neurological, cognitive and mental disabilities and cardiovascular disease due to vitamin B deficiency.
Vitamin B is involved in the synthesis of neurotransmitters, including γ-aminobutyric acid, serotonin, dopamine, and noradrenaline. Vitamin B deficiency increases the risk of depression, anxiety, dementia and Alzheimer's disease. In addition, vitamin B deficiency can alter homocysteine methylation and cause hyperhomocysteinemia. High levels of homocysteine are harmful to human health.
Vitamin B deficiency also suppresses immune function, increases the production of pro-inflammatory cytokines and positively regulates NF-B. Considering the important functions of vitamin B and the serious consequences associated with its deficiency after bariatric surgery, appropriate dietary intervention and appropriate supplementation should be considered to avoid negative clinical outcomes. Assessment of B12 status in bariatric surgery patients requires reliable testing that reflects B12 status. The change in diet required before and after bariatric surgery is a crucial component of the multifactorial commitment required to achieve the long-term benefits of bariatric surgery.
Non-bariatric brands found in your local pharmacy or supermarket
(t) usually contain 12 mcg of vitamin B12.Others, such as B vitamins and minerals such as iron and calcium, require more than that and are therefore more likely to fall short, especially among bariatric patients. Commonly used to combat memory loss, vitamin B12 also strengthens the immune system and increases energy levels. At UPMC, your bariatric surgeon and a dietitian will work with you to develop an individualized plan that meets your unique nutritional needs. Some of the most reputable bariatric specific brands include Barimelts, Celebrate Vitamins and Bariatric Fusion.
Vitamin B-12 deficiency is a fairly common problem in the bariatric patient population due to the complex process involved in absorption. It is important that, whether or not you have had bariatric surgery, you talk to your primary care doctor and order a vitamin panel as part of a routine blood test. Many bariatric programs recommend starting with a chewable vitamin and mineral and then switching to a capsule. In fact, RYGB patients are more likely to experience vitamin B12, while patients with OS and gastric bands are more likely to experience thiamine deficiency.
Some bariatric specific multivitamins will contain enough B-12 when no additional supplementation is required. Vitamin B12 helps the body produce new red blood cells and also contributes to a healthy central nervous system. Fortunately, the periodic postbariatric examinations that each patient will undergo are precisely tuned to address both vitamin B12 deficiency and other vitamin deficiencies. In fact, there is a metabolic reason why patients with gastric bypass and, to some extent, with duodenal change experience B12 deficiency.
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