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Practice Bulletin #105, Published July 2009 (Reaffirmed 2017) 1.  Combined oral contraceptives may be poorly absorbed in patients who have undergone malabsorptive bariatric surgery (e.g. Roux-en-Y) 2. Micronutrient and macronutrient deficiences are common in pregnancy after Roux-en-Y. These include iron, calcium, vitamin B12, protein, folate, and vitamin D. It's reasonable to screen widely for nutrient and micronutrient deficiencies pre-pregnancy or early in pregnancy and supplemental as appropriate. 3. For patients who underwent a banding procedure, early consultation with a bariatric surgeon is recommended in order to actively manage the band 4. Dumping syndrome is caused by ingestion of refined sugars that are rapidly dumped from the stomach into the small intestine; this causes hyperinsulinemia -g hypoglycemia -g tachycardia; otherwise characterized by bloating, nausea, abdominal pain, n/v, and diarrhea. 5. Patient with dumping syndrome can be screened for GDM by regular glucose fingerstick checks at 24-28 wgaShow Notes **Visit our friends at The Labor of Love Co. to send a pregnant person in your life a curated maternity or postpartum care package!** Wine pairing: 2017 Pinot Noir from Ferrandière Theme music by Evan Handyside Logo design by JD Dotson (jddotson1@gmail.com)