Before Surgery*

• Over 50% of bariatric patients have preoperative nutritional deficiencies; malabsorptive procedures exacerbate this
• Obesity induces chronic systemic inflammation as measured by IL-6, Leptin, and CRP. This weakens the immune system, reducing resistance to infection and extending recovery from trauma. GI tract inflammation also reduces nutrient absorption
• Over 75% of patients have enlarged, fatty livers that can complicate your bariatric procedure by reducing access to the cardia and fundus

Nuvista: 2 doses/day + 1,200 calories for 4-week before surgery

• Improves pre-surgery nutrition status with ASMBS recommended levels of key nutrients (B12, Ca, K, Fe & others)
• Enables moderate pre-surgery weight loss (avg 5KG in clinical); CRP, IL-6,and Leptin levels proven to decline significantly following moderate weight loss in obese patients. Reduced gut inflammation also improves nutrient absorption
• Left lateral liver segment decreased 43.3%, significantly expand access to surgical site. Enables easier and faster procedures to improve OR utilization

After Surgery*

• Malabsorptive procedures decrease absorption of key vitamins, calcium and protein; all procedures lead to adjustment period with poor nutrient intake
• Bone fracture risk increases substantially following surgery due to bone demineralization from reduced calcium absorption. Fractures are 4x more common among bariatric patients
• Muscle atrophy / sarcopenia is common with weight loss. Eating sufficient levels of high quality protein, such as red meat or milk protein, is difficult after surgery; additional complications include lactose intolerance and post-surgery reductions in gastric acid production required to break down the protein

Nuvista: Sustained benefits after surgery

• Strengthens nutrition status with ASMBS recommended levels of key nutrients (B12, Ca, K, Fe & others) and replaces need for multi-vitamins, calcium tablets, protein shakes, B12 supplements, etc.
• Proven to improve both blood serum Ca levels and maintain healthy PTH levels (marker for bone demineralization) with two-doses daily
• Two doses provides 30 grams of the highest quality protein; other protein supplements with lower levels of essential amino acids require 30 to 50% higher intake to get same muscle synthesis benefit (and thus reduce available calories from other nutrient sources)