Michael ALbert/X
Sep 18, 2025, 08:10
Michael Albert: Persistent Anemia After Bariatric Surgery? Don’t Forget Copper
Michael Albert, Co-Founder, Chief Medical Officer at Accomplish Health, posted on X:
”Persistent Anemia After Bariatric Surgery? Don’t Forget Copper.
When iron supplementation isn’t fixing the anemia, it’s time to think bigger:
- Iron: Still the #1 deficiency after bariatric surgery.
- Copper: Deficiency can mimic iron deficiency with anemia + neutropenia.
- Zinc: Too much zinc supplementation can cause copper deficiency.
B12 and Folate: Always part of the workup.
Clinical pearl: In a bariatric patient with “iron-refractory” anemia, always check copper and zinc. Sometimes the problem isn’t a lack of iron – it’s an imbalance in trace elements.”
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