The article I chose is called Preparing for and Managing a Pregnancy After Bariatric Surgery. The article is a review of contraception and pregnancy, expectations, and management of pregnancy after bariatric surgery and potential, associated complications. It focused on nutritional guidelines and supplementation as bariatric surgery can have potential complications for deficiencies. The article also discusses the importance of a multidisciplinary approach, distinct ways for gestational diabetes screening, evaluation of GI complaints, and management for pregnant women who remain obese during pregnancy. One of the main takeaways from the article is for clinicians to be aware of bariatric surgery entails and goals of weight loss while also being able to educate patients about contraception and pregnancy after bariatric surgery. Clinicians should make patients aware that the efficacy of oral contraception may be reduced because of bariatric surgery due to decreased absorption. Patients should also be counseled on waiting at least 12 months after bariatric surgery to become pregnant as weight loss is greatest during the first 12-18 months after surgery which could lead to malnutrition and low birth weight in a neonate. Nutritional deficiencies that can be expected include iron, protein, vitamin B12, folic acid, ferritin, calcium, and albumin; therefore, women who become pregnant after bariatric surgery should also have appropriate follow up with a nutritionist to assure proper counseling and management to avoid or detect any nutritional deficiencies. According to this article, there is no standard approach for managing nutritional deficiencies during pregnancy following bariatric surgery as guidelines can differ according to the type of bariatric surgery. However, routine supplementation in pregnancy should include 60g protein per day, 1200 mg/d calcium citrate, 400 ug/d of folic acid, ferrous sulfate 300 mg 2-3 times/day with Vitamin C, Vitamin A 4000 IU/d, Vitamin B12 4 ug/d, and Vitamin D 400-800 IU/d. Most of these supplements will be found in prenatal vitamins or can be taken in addition. Patients should also have periodic labs done once a trimester if levels are normal. Labs that should be done include serum albumin, calcium, folic acid, iron, vitamin A, vitamin B12, Vitamin D, and electrolytes.