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8% Roux-en-Y gastric bypass, 10.8% sleeve gastrectomy). There were 57.1% in Ontario Bariatric Registry, with mean preoperative body mass index 49.3 ± 8.0 kg/m . Of patients, 381 (2%) experienced a severe nutritional complication. The incidence rate was 4.5 per 1000 person-years of follow-up and risk was constant over time. The most common deficiencies were iron and protein. Factors associated with severe nutritional complication included younger age, major co-morbidities, low socioeconomic status, surgical or perioperative complication,

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