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Common deficiencies following gastric sleeve surgery include: Iron particularly in premenopausal women Vitamin B12 due to reduced intrinsic factor production Vitamin D and calcium affecting bone health Folate and thiamine (vitamin B1) especially in those with poor dietary variety or persistent vomiting Zinc and magnesium which can become depleted and require monitoring In line with guidance from the British Obesity and Metabolic Surgery Society (BOMSS) , post-bariatric patients should undergo scheduled blood tests to monitor nutritional status typically at 3, 6, and 12 months post-operatively, and annually thereafter