ACG case reports journal

Nutritional Risks After Gastric Bypass Revealed by Diabetes Drug Treatment

Updated

Abstract

Essence

Semaglutide may expose severe nutritional risk in some patients after .

Evidence

This single case report describes a post-Roux-en-Y gastric bypass patient who developed life-threatening malnutrition, micronutrient deficiencies, and acute liver injury after semaglutide initiation, requiring ICU care, parenteral nutrition, and endoscopic bypass reversal.

Caveat

A single case can flag a plausible safety concern but cannot estimate frequency, prove causality, or define which postbariatric patients are at highest risk.

Simplified

Key numbers

profound deficiencies in fat-soluble vitamins (A, D, E), trace elements (zinc and copper), and vitamin B6
Micronutrient Deficiencies
Patient's micronutrient studies revealed deficiencies after GLP-1 therapy initiation.
AST 123 U/L
Admission Liver Enzymes
Laboratory results showed elevated liver enzymes upon admission.
1.9 g/dL
Admission Albumin Level
Albumin levels were critically low at the time of admission.

Full Text

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