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Nutritional deficiency: A major drawback of weight loss surgery

Lifestyle changes and eating healthy foods, along with exercise, could work, they added.

Bariatric surgery can change the lives of adolescents with severe obesity, but recipients can develop nutritional deficiencies years after treatment that can carry their own health risks if not handled properly, health experts said.

There are many types of bariatric operations, but surgeons often use three: Roux-en-Y gastric bypass, vertical sleeve gastrectomy, and laparoscopic adjustable gastric band.

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By making changes in the anatomy of the gastrointestinal tract, including the stomach and digestive system, these surgeries help people lose weight by reducing their food intake, or by reducing nutrient absorption, or both.

However, the side effects of bariatric surgery may include infection, bone demineralization, anemia, diarrhea, nutritional shortage, gallstones, hernias, pregnancy complications for women and premature delivery of babies.

According to Faizal Mumtaz, Senior Consultant, Department of Minimally Invasive Surgery, at the Indraprastha Apollo Hospital in Delhi, bariatric surgery or metabolic surgery is basically a weight reduction surgery, which has an additional advantage of correcting diabetes.

Nutritional deficiency – A major drawback of weight loss surgery

It can be restrictive or a combination of restriction and malabsorption. Restrictive bariatric surgery reduces the size of the stomach. This limits the amount of food that can be consumed and creates a feeling of fullness,” Mumtaz told IANS.

A bariatric surgery of malabsorption limits the number of nutrients that the body can absorb, and patients receive supplements (iron, B1, B12, etc.),” ​​Mumtaz explained.

Post-bariatric surgery, it is very important to make changes in lifestyle, eat healthy foods and maintain a healthy regimen. There is no particular precaution, but the only thing to keep in mind is to maintain a healthy and exercise regime,” Mumtaz added.

In a recent study published in the journal Clinical Gastroenterology and Hepatology, researchers found that Roux-en-Y gastric bypass surgery and vertical sleeve gastrectomy are related to lower levels of vitamin B12 and iron deficiency.

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People with vitamin B12 deficiency can not only suffer from anemia but also experience symptoms of depression, irritability, cognitive slowness, and forgetfulness. Severe deficiency can sometimes cause numbness or tingling in the limbs, gait problems and partial paralysis.

Although it is a common notion that nutrient absorption gradually decreases over the years after bariatric surgery, such procedures are highly beneficial for overweight patients over 50,” RP Singh, a gastroenterologist at Saroj Super Specialty Hospital, told IANS. New Delhi.

However, he added that teenagers should avoid such surgeries.

Nutrient supplementation helps provide essential nutrients, but adolescents who undergo such gastric bypass surgery tend to lose the absorption of essential nutrients and become susceptible to conditions such as anemia due to lack of iron, copper and essential vitamins such as folate and vitamin B12 over the years. ” Singh explained.

He added that iron deficiency that causes anemia is a concern in 5-20 percent of patients undergoing gastric bypass surgery as teenagers.

Through proper dietary follow-ups and supplements, your micronutrient levels can be controlled,” Singh concluded.

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