'''The follow-ups are the operation working.''' Absorption changed permanently, and blood tests are how anyone knows whether the supplements are keeping up.
== How often ==
The published nutritional guideline defines routine post-surgical screening as "performing a nutrient assessment every 3–6 months in the first year and annually thereafter, unless otherwise specified" (Parrott J et al., ''Surgery for Obesity and Related Diseases'', 2017 — [https://doi.org/10.1016/j.soard.2016.12.018 doi:10.1016/j.soard.2016.12.018]).
Loopa turns that into a calendar from the procedure date you enter: a reminder at three months, six months, twelve months, and every year after that. Where your care team has sent in their own schedule, theirs replaces it.
== What tends to be checked ==
The guideline covers thiamin, vitamin B12, folate, iron and ferritin, calcium and vitamin D with parathyroid hormone, the fat-soluble vitamins A, E and K, zinc and copper (Parrott J et al., ''Surgery for Obesity and Related Diseases'', 2017 — [https://doi.org/10.1016/j.soard.2016.12.018 doi:10.1016/j.soard.2016.12.018]).
Which of these your team checks, and how often, is theirs to decide — a duodenal switch is watched more closely than a band.
== Loopa holds no reference ranges ==
'''Deliberately.''' You can record a lab value in Loopa and see how it has moved over time, in the units you entered, unconverted. What the app will never do is tell you a number is high, low or normal. That is an interpretation, it depends on the laboratory and on you, and it belongs to the person who ordered the test.
== What long-term management looks like ==
The 2022 indications statement is explicit that "severe obesity is a chronic disease requiring long-term management after primary MBS" (Eisenberg D et al., ''Obesity Surgery'', 2023 — [https://doi.org/10.1007/s11695-022-06332-1 doi:10.1007/s11695-022-06332-1]). In practice:
- Supplements, daily, permanently
- Labs on the schedule above
- Protein first, and a protein target you still hit
- Activity you keep — exercise after surgery may help prevent bone loss and weight regain (Fernández-Alonso M et al., ''Surgery for Obesity and Related Diseases'', 2025 — [https://doi.org/10.1016/j.soard.2024.11.005 doi:10.1016/j.soard.2024.11.005])
- An honest check on alcohol — see [[alcohol-after-weight-loss-surgery|Alcohol after weight-loss surgery]]
- Attending the appointments, including the ones where nothing seems wrong
== Related ==
- [[supplements-for-life|Supplements for life]]
- [[weight-recurrence|Weight recurrence]]
- [[exporting-your-data|Exporting your data]]
== Where this comes from ==
Everything on this page is drawn from published clinical guidelines and peer-reviewed research, cited above. '''Loopa does not give medical advice.''' It does not decide whether a procedure is right for you, does not recommend one over another, and never sets a dose. Your care team does all three, and where they give you an instruction, theirs is the one to follow.
'''The follow-ups are the operation working.''' Absorption changed permanently, and blood tests are how anyone knows whether the supplements are keeping up. == How often == The published nutritional guideline defines routine post-surgical screening as "performing a nutrient assessment every 3–6 months in the first year and annually thereafter, unless otherwise specified" (Parrott J et al., ''Surgery for Obesity and Related Diseases'', 2017 — [https://doi.org/10.1016/j.soard.2016.12.018 doi:10.1016/j.soard.2016.12.018]). Loopa turns that into a calendar from the procedure date you enter: a reminder at three months, six months, twelve months, and every year after that. Where your care team has sent in their own schedule, theirs replaces it. == What tends to be checked == The guideline covers thiamin, vitamin B12, folate, iron and ferritin, calcium and vitamin D with parathyroid hormone, the fat-soluble vitamins A, E and K, zinc and copper (Parrott J et al., ''Surgery for Obesity and Related Diseases'', 2017 — [https://doi.org/10.1016/j.soard.2016.12.018 doi:10.1016/j.soard.2016.12.018]). Which of these your team checks, and how often, is theirs to decide — a duodenal switch is watched more closely than a band. == Loopa holds no reference ranges == '''Deliberately.''' You can record a lab value in Loopa and see how it has moved over time, in the units you entered, unconverted. What the app will never do is tell you a number is high, low or normal. That is an interpretation, it depends on the laboratory and on you, and it belongs to the person who ordered the test. == What long-term management looks like == The 2022 indications statement is explicit that "severe obesity is a chronic disease requiring long-term management after primary MBS" (Eisenberg D et al., ''Obesity Surgery'', 2023 — [https://doi.org/10.1007/s11695-022-06332-1 doi:10.1007/s11695-022-06332-1]). In practice: * Supplements, daily, permanently * Labs on the schedule above * Protein first, and a protein target you still hit * Activity you keep — exercise after surgery may help prevent bone loss and weight regain (Fernández-Alonso M et al., ''Surgery for Obesity and Related Diseases'', 2025 — [https://doi.org/10.1016/j.soard.2024.11.005 doi:10.1016/j.soard.2024.11.005]) * An honest check on alcohol — see [[alcohol-after-weight-loss-surgery|Alcohol after weight-loss surgery]] * Attending the appointments, including the ones where nothing seems wrong == Related == * [[supplements-for-life|Supplements for life]] * [[weight-recurrence|Weight recurrence]] * [[exporting-your-data|Exporting your data]] == Where this comes from == Everything on this page is drawn from published clinical guidelines and peer-reviewed research, cited above. '''Loopa does not give medical advice.''' It does not decide whether a procedure is right for you, does not recommend one over another, and never sets a dose. Your care team does all three, and where they give you an instruction, theirs is the one to follow.
