The Danger of B12 Deficiency after Gastric Bypass Surgery

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The Danger of B12 Deficiency after Gastric Bypass Surgery An increasing number of people are turning to gastric bypass surgery as a solution to obesity. While it may seem like a drastic measure (and indeed, no invasive surgery should be taken lightly), it can be immensely helpful for those who have been unsuccessful with other methods of weight management. Some of the perceived risks of the procedure are exaggerated contrary to popular opinion, gastric bypass does not increase the risk of suicide or alcoholism, and the risk of dying from bariatric surgery is not higher than the risk of dying from obesity. In fact, the potential

Transcript of The Danger of B12 Deficiency after Gastric Bypass Surgery

Page 1: The Danger of B12 Deficiency after Gastric Bypass Surgery

The Danger of B12 Deficiencyafter Gastric Bypass Surgery

An increasing number of people are turning to gastric bypass surgeryas a solution to obesity. While it may seem like a drastic measure (and indeed, no invasive surgery should be taken lightly), it can be immensely helpful for those who have been unsuccessful with other methods of weight management.

Some of the perceived risks of the procedure are exaggerated contrary to popular opinion, gastric bypass does not increase the riskof suicide or alcoholism, and the risk of dying from bariatric surgery is not higher than the risk of dying from obesity. In fact, the potential

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dangers and complications of obesity are so numerous that gastric bypass can literally be a life-saver for some patients.

There are risks of the procedure that are worth worrying about, however. One of the most prominent is vitamin B12 deficiency. General nutrient deficiency tends to be an issue following gastric bypass surgery, but B12 deficiency is the most common, and also among the most dangerous.

Luckily, B12 deficiency is also easy to remedy, as long as you take the proper steps. Before we discuss the best way to prevent or address B12 deficiency, though, let’s look at why gastric bypass patients are so prone to this common health issue.

The problem of B12 absorption

According to a study published in The Journal of the American Osteopathic Assocation, nutrient deficiency affects approximately 50% of all patients who undergo gastric bypass surgery, with B12 deficiency being one of the most common.

This complication occurs because the procedure involves bypassing the areas of the digestive tract through which vitamin B12 is usually absorbed, namely the duodenum and the ileum.

Here’s how B12 absorption usually works: the vitamin is broken down in the acidic environment of the stomach, and then passes on to the duodenum. Here the B12 binds with intrinsic factor, a glycoprotein produced by the parietal cells of the stomach, and the

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complex is absorbed in the ileum.

Because nothing consumed can pass through the duodenum or ileumfollowing gastric bypass surgery, these crucial steps of B12 absorption cannot occur.

The issue is the same for those with other gastrointestinal issues, likeCrohn’s disease, IBS, or even a basic microbiome imbalance.

Some people are able to absorb small amounts of vitamin B12 sublingually or directly through the stomach, but these routes of administration are insufficient for most people.

After all, at least 40% of the American population is B12-deficient, whether or not they’ve undergone gastric bypass.

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So is B12 deficiency something to worry about?

Vitamin B12 deficiency is a highly underestimated health issue and it can lead to serious problems if not addressed.

It begins with symptoms like fatigue, depression, brain fog. By the time it progresses to symptoms like tingling in the extremities, you’re already at risk for worrying issues like permanent nerve damage.

Research suggests that long-term, untreated B12 deficiency can evenprogress to dementia, autoimmune dysfunction, infertility, multiple sclerosis, and many other conditions.

The surefire way to protect against B12 deficiency

If you or a loved one has undergone gastric bypass surgery, or suffer from other stomach issues, it’s likely that you won’t be able to absorb enough vitamin B12 from the food you eat. For this reason, beginning a daily B12 supplementation regimen is very important.

The sublingual B12 products that are widely available in stores seemlike a step in the right direction, but they’re still inadequate for the vast majority of people.

In fact, one study compared the B12 serum levels of patients taking oral B12 supplements and patients taking sublingual B12 and they

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found “no significant difference in concentrations between the treatment groups.”

A new delivery method called liposomalization promises vastly higher absorption rates of vitamin B12, however.

Here’s how it works. B12 is a water-soluble nutrient, which means that it’s unable to pass through the fatty membranes of your body’s cells.

Instead, it must undergo the binding process described above, so thatit can be absorbed through the part of the digestive tract that is bypassed during bariatric surgery.

But through the process of liposomalization, B12 molecules are “wrapped” in a layer of phospholipid (fat) which thereafter enables them to pass directly into your cells.

If you know you need to start supplementing with vitamin B12, don’t waste your money on pills and sublingual liquids; liposomal B12 is the wisest choice if you want to ensure that your body absorbs the nutrients it desperately needs.

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