30 October 2018
VITAMINA B12 BASSA: i sintomi da non sottovalutare
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Sleeve Gastrectomy surgery represents one of the possible avenues that the obese patient can take to start a new healthy life.

Lets make the point.

Obesity in Italy: what is the current situation?

Obesity is a chronic disease characterized by excess body weight due to the accumulation of adipose tissue in the body. This situation occurs when an imbalance is created between the energy introduced with food and the energy burned with physical activity.

In Italy, the incidence of obesity is around 10.3% of the total population, equal to about 6 million Italians, and it is estimated that each year this number is destined to increase (WHO data, 2017).

What is the medical approach for people with obesity?

Targeted treatment. The obese patient must be taken in charge by a Multidisciplinary Team that is able to accompany him along the entire path of rebirth: the first approach is without doubt psychological support and then he follows the help of specialists able to propose an intervention surgical aimed at the characteristics of the patient.

What is Sleeve gastrectomy?

The sleeve gastrectomy is a restrictive type of surgery: the removal of about 70-80% of the stomach causes a rapid onset of satiety during the meal, with the consequent ingestion of small quantities of food.

1 year after the intervention of sleeve gastrectomy, the overall weight loss fluctuates between 50% and 60% of the total weight. Moreover, there are encouraging prospects also with regard to patients suffering from type 2 diabetes mellitus: according to recent research, with this type of intervention the resolution of diabetes is observed between 60-100% of cases. Post-intervention: what is important to know? Immediately after the operation, it is very important that the patient carefully follows the dietary indications to re-educate his stomach: in fact, it will be necessary to follow a diet characterized by foods with different consistencies (liquid, semi-liquid, semi-solid and solid, in progression) in the weeks following the operation and carefully note what was eaten at each meal on the food diary, which must be presented during subsequent post-intervention follow-ups. Furthermore, following the intervention, it is very important to integrate all those micro and macronutrients that, due to the nature of the operation, are not absorbed in the correct quantity by the diet, such as vitamins and minerals, iron and protein. Vitamin B12, among all, is the nutrient a drastic reduction is observed after surgery. Sleeve gastrectomy? Beware of vitamin B12! Vitamin B12, in order to be absorbed, must bind to the intrinsic factor, present in the stomach: the correct functioning of vitamin B12 depends on this link. Following sleeve gastrectomy, with the removal of more than 2/3 of the stomach, almost all of the intrinsic factor is also removed: all this results in very low levels of vitamin B12, since it will not be absorbed with food. Vitamin B12 is essential for the proper functioning of the nervous system and for the production of red blood cells. Extreme weakness and fatigue, difficulty walking and sudden loss of memory are signs that should not be underestimated as they are clear indicators of low vitamin B12 levels. This is why it is vitally important to supplement vitamin B12 following a sleeve gastrectomy. Vitamin B12: what characteristics must the supplement have for the patient subjected to sleeve gastrectomy? Sublingual: a vitamin B12 tablet that dissolves under the tongue in a few seconds and allows a total absorption of the vitamin, completely bypassing the passage through the stomach, where it would not be absorbed. Without side effects: the vitamin B12 tablet that dissolves under the tongue is 100% safe, does not cause side effects and, above all, is 100% painless; Optimal dosage: 1000 mcg is the optimal dosage of vitamin B12 for the patient who has undergone sleeve gastrectomy; Once a week: 1 single tablet once a week. Convenient and effective.

If you have undergone or plan a sleeve gastrectomy, remember to supplement vitamin B12. SUBLINGUAL. 1000 mcg. 1 TIME A WEEK.

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