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Description

While not required, a calorie deficit with adequate protein (0.7 to 1.0 grams per pound of goal weight) produces best results

They are usually safe, but some people might have reactions

Frank deficiency (below 145 pmol/L): I start aggressive supplementation, often intramuscular for post-RYGB patients, and I will want repletion confirmed on a follow-up blood test before I am comfortable proceeding with surgery