BARIATRIFAST 30 SACHETS

Bariatrifast is a dietetic food for special medical purposes indicated for the dietary regimen following bariatric surgery.

Bariatric Surgery
A branch of surgery that deals with surgical techniques aimed at reducing body weight and fat mass.
Mainly, bariatric surgery is divided into malabsorptive techniques and restrictive techniques.

Risks following bariatric surgery
Scientific literature indicates that patients undergoing bariatric surgery are at high risk of nutritional deficiencies, especially concerning vitamins and minerals such as iron, selenium, zinc, and copper.
Nutritional deficiency can lead to chronic deficiency states in individuals undergoing malabsorptive bariatric procedures.

Vitamin B12 deficiency
Vitamin B12 deficiency is a common consequence of gastric bypass due to reduced digestion of cobalamin-binding proteins and decreased formation of the intrinsic factor-vitamin B12 complex.
If the deficiency persists, there is a high risk of irreversible neuropathy.

Iron deficiency
Iron deficiency and anemia are the most common complications following bariatric surgery.
For this reason, an additional iron supplement of at least 45 mg per day is required, whose absorption can be increased by the presence of vitamin C.
In cases of gastric bypass and/or other malabsorptive interventions, guidelines suggest supplementing with 65 mg of iron twice a day in combination with vitamin C.

Vitamin C deficiency
Vitamin C supplementation increases the intestinal absorption of iron.

Deficiency of folate, calcium, and vitamin D
The most frequently observed deficiencies in patients undergoing procedures with a strong restrictive component (gastric banding and sleeve gastrectomy), in addition to iron, concern folic acid, calcium, and vitamin D.
It is advisable to take calcium separately as it could hinder the intestinal absorption of iron and zinc; for this reason, calcium has not been included in the product.

Thiamine deficiency
Thiamine is absorbed through the proximal duodenum.
Deficiencies of this vitamin are due to a decrease in gastric acid secretion and a reduction in daily intake, or they result from regurgitation.

Deficiency of vitamins A, E, and K
The deficiency of fat-soluble vitamins following bariatric surgery is induced by a deficiency of bile acids.
Vitamin A deficiency, in particular, results from poor nutritional intake, malabsorption, and/or altered hepatic release of the vitamin.
As for vitamin K, its deficiency is found in 50-70% of patients within 2-4 years after the operation.
Vitamin E administration is necessary, as its deficiency can cause anemia and peripheral neuropathy.

Selenium and copper deficiency
Nutritional anemias, following malabsorptive bariatric surgery procedures, can lead to deficiencies of selenium and copper.

What are the recommendations based on consistent scientific evidence?
The qualitative and quantitative composition proposed for Bariatrifast is based on international guidelines and is specifically designed for the nutrition of individuals undergoing bariatric surgery, to supplement vitamin and trace element deficiencies, preventing any pathologies associated with such deficiencies.
It is advisable to take Bariatrifast continuously during the first year after surgery and then repeat in cycles as suggested by international guidelines.
It is recommended that the prescription be personalized by the doctor depending on the patient's clinical situation.
Furthermore, it may be indicated in all morbid conditions characterized by malabsorption problems, such as during oncological therapies.

How should it be taken?
Take one sachet per day.
Dissolve the content of one sachet in a glass of water.
Alternatively, the content of the sachet can be mixed into yogurt, fruit juices, and/or mashed fruit.

Warnings
Bariatrifast must be used under medical supervision.
Do not exceed the recommended daily dose.
Keep out of reach of children under three years of age.
The product is not suitable as a sole source of nutrition.
Store in a cool, dry place.

Composition
Maltodextrin, magnesium oxide, vitamin E (DL-alpha-tocopheryl acetate), ferrous fumarate, vitamin C (L-ascorbic acid), vitamin D (cholecalciferol), vitamin B12 (cyanocobalamin), flavor, vitamin B1 (thiamine hydrochloride), vitamin A (retinyl acetate), niacin (nicotinamide), pantothenic acid (calcium D-pantothenate), zinc oxide, copper gluconate; sweetener: sucralose; vitamin K (phylloquinone), vitamin B6 (pyridoxine hydrochloride); color: E101; riboflavin, folic acid (pteroyl monoglutamic acid), sodium selenite, D-biotin.

Ingredients	per 100 g	per sachet (3 g)
Energy Fats of which saturated fatty acids Carbohydrates of which sugars Fibres Proteins Salt Magnesium Iron Zinc Copper Selenium Vitamin C Vitamin E Thiamine Riboflavin Vitamin B6 Pantothenic acid Niacin Vitamin A Folic acid Biotin Vitamin B12 Vitamin D	776.85 kJ/183.4 kcal 0 g 0 g 48.39 g 4.63 g 0.39 g 0.077 g 0 g 13333.3 mg 2166.7 mg 333.3 mg 33.3 mg 1833.3 mcg 4000 mg 3333.3 mg 333.3 mg 43.3 mg 50 mg 333.3 mg 333.3 mg 40000 mcg 13333.3 mcg 1666.7 mcg 16666.7 mcg 5833.3 mcg	23.31 kJ/5.5 kcal 0 g 0 g 1.38 g 0.14 g 0.011 g 0.002 g 0 g 400 mg 65 mg 10 mg 1 mg 55 mcg 120 mg 100 mg 10 mg 1.3 mg 1.5 mg 10 mg 10 mg 1200 mcg 400 mcg 50 mcg 500 mcg 175 mcg

Format
Pack of 30 sachets, 3 g each.
Net weight: 90 g