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Do you routinely check vitamin K levels in post-bariatric surgery patients?

There seems to be little guidance on vitamin replacement in these patients. Vitamin K level < 50 yet PT/INR is normal. Is the vitamin K assay useful or generally not recommended?
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Do you recommend checking vitamin K levels in post-bariatric surgery patients?

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1 Answer
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Endocrinology · Tufts Medical Center Physicians Organization
Answered on

Vitamin K levels are not checked routinely in post-bariatric surgery patients. Deficiency of this vitamin is very uncommon in patients who have undergone a sleeve gastrectomy and even with Roux-en-Y gastric bypass. There is more potential for deficiency in patients who have had biliopancreatic diver...

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