身體需要什麼?
[2021]最新營養素指南
ASMBS GUIDELINE 2020版
術後要怎麼補充維他命&礦物質?
2020年,美國代謝和減肥手術協會(ASMBS)針對微量營養素(Micronutrient)給出新的建議量
可以發現鈣/鐵/B12是補充的重點!
#完整資料參考
微量營養素 | 預防缺乏症劑 | 治療缺乏症劑量 |
Vitamin B1 (thiamine) | 口服50-100mg/d由綜合B群補充 | 口服100mg2-3次/d |
Vitamin B12 (cobalamin) | 口服速崩碇/舌下碇/滴劑 :1000mg/d | 1000mg/d |
葉酸(folate) | 一般:400-800mg/d 懷孕期:800-1000mg/d 由綜合B群補充 | 口服1000mg/d 不建議>1mg/d 避免掩蓋B12缺乏症 |
鐵(Iron) | 一般:口服18mg/d 女性/RYGB,SG,BPD/DS術後:45-60mg/d 須和鈣片/制酸劑/高植酸食物服用區隔 | 150-300mg2-3次/d |
鈣(calcium) Vitamin D | 鈣: (一)BPD/DS:1800-2400mg/d (二)LAGB,SG,RYGB:1200-1500mg/d Vitamin D3: 800-1000IU/d | 鈣: (一)BPD/DS: 1800-2400mg/d (二)LAGB,SG,RYGB: 1200-1500mg/d Vitamin D: 3000-6000IU/d |
Vitamin A | LAGB:5000IU/d RYGB/SG:5000-10000IU/d | 10000-25000IU/d |
Vitamin E | 15 mg/d | 100–400 IU/d |
Vitamin K | LAGB/RYGB/SG:90-120μg/d DS:300μg/d | 口服1-2mg/d或 注射1-2mg/w |
鋅Zinc | SG/LAGB:8-11mg/d BPD/DS:16-22mg/d RYGB:8-22mg/d | 不建議高劑量避免銅缺乏 |
銅Copper | BPD/DSorRYGB:2mg/d SG/LAGB:1mg/d | 輕度:口服葡萄糖酸/硫酸銅3-8mg/d 嚴重:2–4 mg/d靜脈注射6日 |
- 資料來源:Clinical practice guidelines for the perioperative nutrition, metabolic, and nonsurgical support of patients undergoing bariatric procedures – 2019 update: cosponsored by American Association of Clinical Endocrinologists/American College of Endocrinology, The Obesity Society, American Society for Metabolic & Bariatric Surgery, Obesity Medicine Association, and American Society of Anesthesiologists
