BOMSS Nutrition & Monitoring Guidelines

BOMSS: GP Guidance: Management of nutrition following bariatric surgery August 2014

Vitamin and Mineral recommendation	Examples
Multivitamin and Mineral supplement	2 x Sanatogen A-Z complete or 2 x Superdrug A-Z multivitamins or 2 x Tesco Complete Multivitamins and minerals or 2 x Lloydspharmacy A-Z multivitamins and minerals (You will need to purchase these supplements. If you are unable to purchase this supplement your GP will need to prescribe you with Forceval tablet once daily)
Iron	45-60mg Daily	210mg Ferrous Fumarate tablet once daily (prescribed by GP)
Iron	100mg daily for menstruating woman	210mg Ferrous Fumarate tablet twice daily (Prescribed by GP)
Calcium and Vitamin D	Adcal D3 chewable tablets taken twice daily (taken at least 4 hours apart from Iron supplement). You need additional Vitamin D if you are deficient.
Vitamin B12	Intramuscular injections of 1mg vitamin B12 every 3 months for the first year. After 1 year this will depend on vitamin B12 blood tests.

In some cases these medications may need to be altered or changed e.g. in pregnancy.

Blood tests required following sleeve gastrectomy or gastric bypass surgery:

Blood Test	How Often you should have them checked
Blood Test	Under 12 months since your surgery	Over 12 months since your surgery
U + E LFT FBC Ferritin Folate Calcium Vitamin D PTH	3 and 6 months	12 months and then annually
Vitamin B12 (No need to monitor if on B12 intramuscular injections)	6 months	Annually
Copper (Only following bypass surgery)		Annually
Zinc (Only following bypass surgery)		Annually

Additional blood tests may be required depending on other health issues (e.g. cholesterol or diabetes tests).