Iron supplementation is often a challenge for bariatric surgery patients, especially those with malabsorptive procedures. There are several types of iron supplements available including nonenteric coated and enteric coated tablets, as well as extended-release formulas.
ASMBS guidelines suggest a multivitamin with 45mg of gastric sleeve iron chews or a stand-alone iron supplement to meet your needs, depending on your age and health status. Taking a complete vitamin with iron in a convenient powder form is ideal for patients who have trouble swallowing vitamins.
Choosing the right iron type
There are three main types of supplemental iron: ferrous sulfate, ferrous gluconate and ferrous fumarate. All three are absorbed at different rates.
Choosing the right iron supplement is crucial for the success of your bariatric iron therapy. Talk to your surgeon and dietitian about your iron supplements.
Managing Iron Deficiency in Bariatric Patients: Tips for Success
Iron deficiency can result in anemia. This is a serious condition that can cause weakness, fatigue, poor appetite, irregular menstrual periods, brittle nails and hair loss.
Anemia can also lead to heart and lung problems if not treated. Symptoms and signs include easy fatigability, shortness of breath after mild physical activity, palpitations, pale hands and feet, fatigue, poor concentration, sleepiness, depression, and weight gain.
The best way to prevent iron deficiency after bariatric surgery is to follow the American Society for Metabolic and Bariatric Surgery (ASMBS) nutrition guidelines. These guidelines are based on extensive research and the expertise of the ASMBS board members.