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[24] Randomised trials comparing women who had previously undergone weight loss surgery versus controls are required to assess the efficacy of contraceptive methods following bariatric surgery. Based on limited evidence, it seems that gastric bypass and LAGB present minimal risk for nutrient problems, however, most clinicians monitor supplemental adherence.[12] Sheiner et?al.[25] demonstrated favourable outcomes in pregnant women who were Isotretinoin put on multivitamins and mineral supplementation following different types of bariatric surgery. Special consideration should be given to prenatal supplementation in women considering pregnancy following bariatric surgery. Mild nutritional deficiencies are frequent after bariatric surgery. Malabsorptive procedures can cause permanent and excessive loss of Selleck BI 2536 nutrients, such as vitamin B12 and folate and can significantly reduce plasma protein levels.[13] Women will require additional levels of iron, calcium, folate, vitamin B12, protein and fat-soluble vitamins alongside diagnosis and treatment of other nutritional deficiencies.[16] Dumping syndrome can be provoked by an excessive carbohydrate diet as well as the standard 75 or 50 g glucose tolerance test.[26] The poor nutritional status of the mother can be exacerbated by nausea and vomiting. As GWG is an important predictor for birthweight, postpartum weight retention and weight gain should be limited in such pregnancies.[27] Some studies suggest ideal GWG between 7�C11?kg. A significantly lower GWG has been observed in women who have undergone prior bariatric surgery in several case�Ccontrol studies Selleckchem Kinase Inhibitor Library compared with a BMI-matched control group or compared with pregnancies prior to surgery (P?