Significant numbers of patients, prior and subsequent to bariatric surgery are deficient in micronutrients with guidelines in place to manage this situation. Many patients also require medication/s, often from different classes to control co-morbidities. Although bariatric intervention may reduce use completely or allow dose reduction-new medications, typically, proton pump inhibitors may subsequently be introduced. A significant literature exists describing the impact of medication/s on micronutrient status. Currently no tools allow this data to be used to quantitatively determine the single or cumulative impact medications might have on nutritional status to help further personalise dietary and supplement recommendations.
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