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The aim of gastric bypass surgery is to make the patient lose weight and avoid themorbidities associated with obesity. The post-surgery diet is therefore designedto achieve that goal, without forgetting the essential role that nutritionaleducation has on the learning of new dietary habits leading to maintenance of theweight loss over time. Counseling, monitoring, and gastric bypass supplements arethus essential for the treatment and prevention of nutritional and metaboliccomplications after bariatric surgery. A regular, simple exercise program andpsychological support are often recommended to create a better self-image and awhole new attitude to food.Postoperative dietary patterns have to be adapted to new physiological conditions,either related with the volume of intakes or the characteristics of the macro- andmicronutrients to be administered. In general, the gastric bypass diet includesfoods that are high in protein, and low in fat, fiber, calories, and sugar.Important vitamins and minerals are provided as supplementsGiven that morbidly obese patients often have nutritional deficiencies,particularly of fat-soluble vitamins, folic acid and zinc, the risk of more severedeficiencies increases manifold after surgery. This is due to the reduction in theamount of food intake, which means a lesser supply of nutrients, and also itsmalabsorption.Anemia can be secondary to iron deficiency, folic acid deficiency and even tovitamin B12 deficiency. Neurological disorders such as encephalopathy andperipheral neuropathies due to thiamine deficiency may also be observed. Otherdeficiency syndromes include demineralization of bones due to vitamin Ddeficiency, hair loss secondary to zinc deficiency and ocular symptoms fromvitamin A deficiency. Protein deficiency associated with a decrease in the fat-free mass can require parenteral nutritional support in extreme cases.Hence, gastric bypass supplements play a major role in maintaining the health ofthose people who have undergone gastric bypass surgeries.The most important among the supplements is iron. Men should take a daily dose of100 to 200 milligrams of ferrous sulfate or ferrous gluconate, whereasmenstruating women require up to 300 to 350 milligrams per day. The absorption ofiron is enhanced by the presence of vitamin C, so a daily dose of 60 milligrams ofvitamin C is also recommended. The therapeutic daily dosage of Vitamin C inpatients of anemia is 500 milligrams.Vitamins from the B group are also very essential, especially vitamin B12. Thisvitamin is necessary to avoid pernicious anemia and to avoid the consequences ofhigh levels of homocysteine, a naturally occurring amino acid, which includedecreased memory power and thinking ability. A weekly dose of 1000 micrograms ofvitamin B12, a daily dose of 300 milligrams of vitamin B6, and 5 milligrams offolic acid are recommended for two months in the immediate postoperative period.Calcium, Vitamin D and K are essential to maintain bone health and to avoidosteoporosis. Vitamin D regulates the level of calcium in the body and ensuresthat the calcium is used to make the bones strong. . The recommended daily dose ofcalcium is 600 milligrams. Vitamin D is readily available from some food items,and is also produced in the skin, as a result of sun exposure. There is nosupplement for vitamin K, as it is produced in the body itself, but its productioncan be triggered by some food items. An alkali diet often helps in vitamin D and Kfunction.Other important considerations when planning the nutritional intake of the patientare the postoperative nausea and vomiting, dehydration, dumping syndrome, food
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