Obesity Surgery

, Volume 26, Issue 12, pp 3008–3008 | Cite as

Response to Letter Regarding ‘Pregnancy Following Bariatric Surgery—Medical Complications and Management’

  • Ram Prakash Narayanan
  • Akheel A. Syed
Letter to Editor/LED Reply


Obesity Bariatric surgery Pregnancy Dumping syndrome Postabsorptive hypoglycemia 



We would like to thank the respondents for their interest in our paper. We agree with them that ensuring adequate vitamin, mineral and nutrient supplementation can support good outcomes after all types of bariatric surgery, and that the different surgeries necessitate slightly different approaches to supplementation according to the nutrients malabsorbed. With regard to anaemia as well as vitamin B12 and folate levels in pregnancy, these need to be monitored and supplemented as required. Lastly, as with many other associations involved vitamin D and health, more studies looking into vitamin D and maternal health and neonatal outcomes will be quite useful indeed.

Compliance with Ethical Standards

Conflicts of Interest

The authors declare that they have no conflicts of interest.

Copyright information

© Springer Science+Business Media New York 2016

Authors and Affiliations

  1. 1.Department of Obesity Medicine and EndocrinologySalford Royal NHS Foundation Trust and University Teaching HospitalSalfordUK
  2. 2.Faculty of Medical and Human SciencesThe University of ManchesterManchesterUK
  3. 3.Diabetes CentreSt Helens HospitalSt HelensUK

Personalised recommendations