Because gastric bypass bypasses a section of the small intestine where key nutrients are absorbed, patients must commit to lifelong vitamin and mineral supplementation to prevent deficiencies. Most patients are required to take a daily bariatric multivitamin, calcium citrate (not calcium carbonate, which requires more stomach acid to absorb), vitamin D, vitamin B12, and iron — particularly for menstruating women. Deficiencies in these nutrients, if left unaddressed, can lead to serious complications including anemia, bone loss, and neurological problems. Your LVSA care team will establish a personalized supplement protocol for you and monitor your lab work at regular follow-up appointments to ensure your levels remain in a healthy range.