{"id":778,"date":"2026-09-09T13:50:26","date_gmt":"2026-09-09T16:50:26","guid":{"rendered":"https:\/\/testmed.click\/allegronut\/?p=778"},"modified":"2026-09-14T15:45:50","modified_gmt":"2026-09-14T18:45:50","slug":"seguimiento-nutricional-post-cirugia-bariatrica","status":"publish","type":"post","link":"https:\/\/testmed.click\/allegronut\/seguimiento-nutricional-post-cirugia-bariatrica\/","title":{"rendered":"\u00bfC\u00f3mo es el seguimiento nutricional despu\u00e9s de una cirug\u00eda bari\u00e1trica?"},"content":{"rendered":"<p>[et_pb_section fb_built=&#8221;1&#8243; custom_padding_last_edited=&#8221;on|desktop&#8221; admin_label=&#8221;Header&#8221; _builder_version=&#8221;4.6.0&#8243; background_image=&#8221;https:\/\/testmed.click\/allegronut\/wp-content\/uploads\/2026\/09\/pexels-photo-8805111.avif&#8221; parallax=&#8221;on&#8221; width=&#8221;100%&#8221; custom_margin=&#8221;40px|-28px||-28px|false|true&#8221; custom_margin_tablet=&#8221;&#8221; custom_margin_phone=&#8221;20px|20px||20px|false|true&#8221; 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header_font_size_last_edited=&#8221;on|desktop&#8221; locked=&#8221;off&#8221;]<\/p>\n<h1><strong>\u00bfC\u00f3mo es el seguimiento nutricional despu\u00e9s de una cirug\u00eda bari\u00e1trica?\u00a0\u00a0<\/strong><\/h1>\n<p>Ornella Allegro<\/p>\n<p>[\/et_pb_text][\/et_pb_column][\/et_pb_row][\/et_pb_section][et_pb_section fb_built=&#8221;1&#8243; admin_label=&#8221;About&#8221; _builder_version=&#8221;4.6.0&#8243; background_color=&#8221;rgba(0,0,0,0)&#8221; min_height=&#8221;389px&#8221; custom_margin=&#8221;|40px||40px|false|true&#8221; custom_margin_tablet=&#8221;&#8221; custom_margin_phone=&#8221;|20px||20px|false|true&#8221; custom_margin_last_edited=&#8221;on|tablet&#8221; custom_padding=&#8221;0px||0px|||&#8221;][et_pb_row column_structure=&#8221;2_5,3_5&#8243; custom_padding_last_edited=&#8221;on|desktop&#8221; _builder_version=&#8221;4.6.0&#8243; background_color=&#8221;#ffffff&#8221; z_index=&#8221;0&#8243; width=&#8221;90%&#8221; width_tablet=&#8221;90%&#8221; width_phone=&#8221;90%&#8221; 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button_font=&#8221;Hind|600|||||||&#8221; custom_margin_tablet=&#8221;|||50px|false|false&#8221; custom_margin_last_edited=&#8221;off|tablet&#8221; custom_padding=&#8221;13px||10px||false|true&#8221; box_shadow_style=&#8221;preset3&#8243; box_shadow_vertical=&#8221;10px&#8221; box_shadow_blur=&#8221;40px&#8221; box_shadow_spread=&#8221;-12px&#8221; box_shadow_color=&#8221;rgba(136,87,242,0.67)&#8221; locked=&#8221;off&#8221; button_bg_color__hover_enabled=&#8221;off&#8221;][\/et_pb_button][\/et_pb_column][et_pb_column type=&#8221;3_5&#8243; _builder_version=&#8221;3.26.3&#8243; custom_padding=&#8221;40px||||false|false&#8221; custom_padding_tablet=&#8221;0px||||false|false&#8221; custom_padding_phone=&#8221;&#8221; custom_padding_last_edited=&#8221;on|tablet&#8221;][et_pb_text _builder_version=&#8221;4.6.0&#8243; text_font_size=&#8221;16px&#8221; text_line_height=&#8221;1.8em&#8221; header_2_font=&#8221;Taviraj||||||||&#8221; header_2_font_size=&#8221;46px&#8221; header_2_line_height=&#8221;1.2em&#8221; header_3_font=&#8221;Taviraj|600|||||||&#8221; header_3_font_size=&#8221;20px&#8221; header_3_line_height=&#8221;1.2em&#8221; custom_margin=&#8221;-40px|||||&#8221; custom_padding=&#8221;||||false|false&#8221; custom_padding_tablet=&#8221;|30px||50px|true|false&#8221; custom_padding_phone=&#8221;|30px|||true|false&#8221; custom_padding_last_edited=&#8221;off|tablet&#8221; text_font_size_tablet=&#8221;&#8221; text_font_size_phone=&#8221;15px&#8221; text_font_size_last_edited=&#8221;on|desktop&#8221; text_line_height_tablet=&#8221;&#8221; text_line_height_phone=&#8221;&#8221; text_line_height_last_edited=&#8221;on|desktop&#8221; header_2_font_size_tablet=&#8221;40px&#8221; header_2_font_size_phone=&#8221;30px&#8221; header_2_font_size_last_edited=&#8221;on|phone&#8221; header_3_font_size_tablet=&#8221;&#8221; header_3_font_size_phone=&#8221;18px&#8221; header_3_font_size_last_edited=&#8221;on|phone&#8221;]<\/p>\n<p>Una de las preguntas que m\u00e1s me hacen mis pacientes reci\u00e9n operados es: &#8220;\u00bfy ahora qu\u00e9?&#8221;. La cirug\u00eda bari\u00e1trica es una herramienta poderosa, pero sus resultados dependen en gran medida del seguimiento nutricional que la acompa\u00f1a. Llevo m\u00e1s de una d\u00e9cada trabajando junto a pacientes en este proceso, y quiero contarte c\u00f3mo es, en la pr\u00e1ctica, ese acompa\u00f1amiento.<\/p>\n<p>[\/et_pb_text][\/et_pb_column][\/et_pb_row][\/et_pb_section][et_pb_section fb_built=&#8221;1&#8243; _builder_version=&#8221;4.6.0&#8243; custom_padding=&#8221;4px||0px|||&#8221;][et_pb_row _builder_version=&#8221;4.4.8&#8243; custom_padding=&#8221;4px|||||&#8221;][et_pb_column type=&#8221;4_4&#8243; _builder_version=&#8221;4.4.8&#8243;][et_pb_text _builder_version=&#8221;4.6.0&#8243; text_font_size=&#8221;17px&#8221;]<\/p>\n<h3><span style=\"font-weight: 400;\">Las primeras semanas: progresi\u00f3n de consistencias<\/span><\/h3>\n<p><span style=\"font-weight: 400;\">Despu\u00e9s de la cirug\u00eda, tu sistema digestivo necesita adaptarse gradualmente. El seguimiento comienza con una progresi\u00f3n cuidadosa de las consistencias alimentarias \u2014desde l\u00edquidos hasta alimentos s\u00f3lidos\u2014 respetando los tiempos que tu cuerpo necesita para no generar molestias ni complicaciones.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">En esta etapa, mi foco est\u00e1 en asegurar que est\u00e9s cubriendo tus requerimientos de prote\u00ednas e hidrataci\u00f3n, dos pilares fundamentales para una buena recuperaci\u00f3n y para preservar tu masa muscular.<\/span><\/p>\n<h3><span style=\"font-weight: 400;\">Los primeros meses: suplementaci\u00f3n y prevenci\u00f3n de d\u00e9ficits<\/span><\/h3>\n<p><span style=\"font-weight: 400;\">Uno de los aspectos m\u00e1s importantes \u2014y muchas veces menos conocido por los pacientes\u2014 es que despu\u00e9s de una cirug\u00eda bari\u00e1trica es esperable presentar d\u00e9ficits de ciertos nutrientes, dado que el cuerpo absorbe los alimentos de forma diferente. Por eso el seguimiento nutricional en esta etapa incluye control de suplementaci\u00f3n, ajuste de indicaciones seg\u00fan tus ex\u00e1menes de laboratorio y acompa\u00f1amiento en la incorporaci\u00f3n progresiva de nuevos alimentos.<\/span><\/p>\n<h3><span style=\"font-weight: 400;\">El seguimiento a mediano y largo plazo<\/span><\/h3>\n<p><span style=\"font-weight: 400;\">Pasados los primeros meses, el proceso no termina: comienza una etapa igual de relevante. Aqu\u00ed trabajamos en la consolidaci\u00f3n de h\u00e1bitos alimentarios saludables, la prevenci\u00f3n de la reganancia de peso, y el ajuste de tu plan nutricional seg\u00fan tu evoluci\u00f3n de composici\u00f3n corporal.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Tambi\u00e9n es en esta etapa donde abordamos situaciones especiales, como el deseo de buscar un embarazo despu\u00e9s de la cirug\u00eda, que requiere una planificaci\u00f3n nutricional espec\u00edfica para asegurar tu bienestar y el de tu beb\u00e9.<\/span><\/p>\n<h3><span style=\"font-weight: 400;\">\u00bfCon qu\u00e9 frecuencia debo controlarme?<\/span><\/h3>\n<p><span style=\"font-weight: 400;\">La frecuencia de los controles var\u00eda seg\u00fan la etapa en la que te encuentres: en el post operatorio inmediato suelen ser m\u00e1s seguidos, y luego se van espaciando a medida que tu proceso se estabiliza. Lo importante es que este seguimiento sea continuo y no se abandone una vez que empiezas a ver resultados, ya que muchas de las complicaciones nutricionales aparecen de forma silenciosa si no hay control.<\/span><\/p>\n<h3><span style=\"font-weight: 400;\">Un acompa\u00f1amiento, no solo una indicaci\u00f3n<\/span><\/h3>\n<p><span style=\"font-weight: 400;\">Formar parte del equipo de obesidad de Cl\u00ednica Ciudad del Mar desde 2017 me ha permitido acompa\u00f1ar a mis pacientes de forma integral, en conjunto con el resto de su equipo m\u00e9dico. Mi rol no es solo indicarte qu\u00e9 comer, sino acompa\u00f1arte en un proceso de cambio que es, sobre todo, humano.<\/span><\/p>\n<p><b>\u00bfYa te operaste o est\u00e1s por hacerlo?<\/b><span style=\"font-weight: 400;\"> Agenda tu hora conmigo y aseguremos juntos\/as un seguimiento nutricional adecuado para cada etapa de tu proceso. <\/span><\/p>\n<p>[\/et_pb_text][\/et_pb_column][\/et_pb_row][et_pb_row _builder_version=&#8221;4.6.0&#8243; _module_preset=&#8221;default&#8221;][et_pb_column type=&#8221;4_4&#8243; _builder_version=&#8221;4.6.0&#8243; _module_preset=&#8221;default&#8221;][et_pb_button button_url=&#8221;https:\/\/ff.healthatom.io\/UeEPWl&#8221; url_new_window=&#8221;on&#8221; button_text=&#8221;Agendar hora&#8221; _builder_version=&#8221;4.6.0&#8243; _module_preset=&#8221;default&#8221; custom_button=&#8221;on&#8221; button_text_color=&#8221;#ffffff&#8221; 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background_color_gradient_overlays_image=\"on\" background_enable_image=\"off\" parallax=\"on\" transform_scale_tablet=\"\" transform_scale_phone=\"\" transform_scale_last_edited=\"on|desktop\" transform_translate=\"30px|0px\" transform_translate_tablet=\"0px|0px\" transform_translate_phone=\"\" transform_translate_last_edited=\"on|tablet\" transform_translate_linked=\"off\" transform_rotate_tablet=\"\" transform_rotate_phone=\"\" transform_rotate_last_edited=\"on|desktop\" transform_skew_tablet=\"\" transform_skew_phone=\"\" transform_skew_last_edited=\"on|desktop\" transform_origin_tablet=\"\" transform_origin_phone=\"\" transform_origin_last_edited=\"on|desktop\" transform_styles_last_edited=\"on|tablet\" width=\"89.1%\" width_tablet=\"90%\" width_phone=\"\" width_last_edited=\"on|desktop\" max_width=\"1200px\" custom_margin=\"|192px||16px||\" custom_padding=\"100px|60px|100px|60px|true|true\" custom_padding_tablet=\"60px||60px||true|true\" custom_padding_phone=\"40px|20px|40px|20px|true|true\" transform_styles_tablet=\"\" transform_styles_phone=\"\" border_radii_phone=\"off|8px|8px||\" border_radii_last_edited=\"off|desktop\" box_shadow_style=\"preset3\" box_shadow_vertical=\"40px\" box_shadow_blur=\"110px\" box_shadow_spread=\"0px\" box_shadow_color=\"rgba(9,6,38,0.62)\"][et_pb_column type=\"4_4\" _builder_version=\"3.26\"][et_pb_text _builder_version=\"4.6.0\" text_text_color=\"#ffffff\" text_font_size=\"23px\" text_line_height=\"1.6em\" header_font=\"Montserrat|800|||||||\" header_text_color=\"#ffffff\" header_font_size=\"38px\" header_line_height=\"1.2em\" max_width_last_edited=\"off|desktop\" text_font_size_tablet=\"18px\" text_font_size_phone=\"16px\" text_font_size_last_edited=\"on|tablet\" header_font_size_tablet=\"40px\" header_font_size_phone=\"30px\" header_font_size_last_edited=\"on|desktop\" locked=\"off\"]<\/p><h1>Por qu\u00e9 elegir un profesional con experiencia para tu<br \/>tratamiento de obesidad<\/h1><p>Ornella Allegro<\/p><p>[\/et_pb_text][\/et_pb_column][\/et_pb_row][\/et_pb_section][et_pb_section fb_built=\"1\" admin_label=\"About\" _builder_version=\"3.26\" background_color=\"rgba(0,0,0,0)\" min_height=\"389px\" custom_margin=\"|40px||40px|false|true\" custom_margin_tablet=\"\" custom_margin_phone=\"|20px||20px|false|true\" custom_margin_last_edited=\"on|tablet\" custom_padding=\"0px||0px|||\"][et_pb_row column_structure=\"2_5,3_5\" custom_padding_last_edited=\"on|desktop\" _builder_version=\"4.6.0\" background_color=\"#ffffff\" z_index=\"0\" width=\"90%\" width_tablet=\"90%\" width_phone=\"90%\" width_last_edited=\"on|desktop\" max_width=\"1200px\" overflow-x=\"visible\" overflow-y=\"visible\" custom_margin=\"-30px|24px||11px|false|false\" custom_padding=\"14px|60px|14px|56px|true|false\" custom_padding_tablet=\"|||60px|false|false\" custom_padding_phone=\"|20px||20px|false|true\" box_shadow_style=\"preset3\" box_shadow_vertical=\"-80px\" box_shadow_blur=\"28px\" box_shadow_spread=\"-16px\" box_shadow_color=\"rgba(131,146,167,0.5)\" width__hover_enabled=\"off\"][et_pb_column type=\"2_5\" _builder_version=\"3.26\"][et_pb_image src=\"https:\/\/testmed.click\/allegronut\/wp-content\/uploads\/2020\/07\/Ornella-profesional-allegronut.jpeg\" title_text=\"Ornella-profesional-allegronut\" align=\"center\" _builder_version=\"4.6.0\" custom_margin_tablet=\"0px||||false|false\" custom_margin_last_edited=\"off|phone\" custom_padding=\"0px|||||\" box_shadow_style=\"preset4\" box_shadow_horizontal=\"0px\" box_shadow_vertical=\"200px\" box_shadow_color=\"#ffffff\"][\/et_pb_image][et_pb_button button_url=\"https:\/\/ff.healthatom.io\/UeEPWl\" button_text=\"Agendar hora\" button_alignment=\"left\" button_alignment_tablet=\"left\" button_alignment_phone=\"\" button_alignment_last_edited=\"on|tablet\" _builder_version=\"4.6.0\" custom_button=\"on\" button_text_size=\"16px\" button_text_color=\"#ffffff\" button_bg_color=\"#8857f2\" button_bg_use_color_gradient=\"on\" button_bg_color_gradient_start=\"#9a5c76\" button_bg_color_gradient_end=\"#9a5c76\" button_bg_color_gradient_direction=\"172deg\" button_border_width=\"0px\" button_border_color=\"rgba(0,0,0,0)\" button_border_radius=\"0px\" button_font=\"Hind|600|||||||\" custom_margin_tablet=\"|||50px|false|false\" custom_margin_last_edited=\"off|tablet\" custom_padding=\"13px||10px||false|true\" box_shadow_style=\"preset3\" box_shadow_vertical=\"10px\" box_shadow_blur=\"40px\" box_shadow_spread=\"-12px\" box_shadow_color=\"rgba(136,87,242,0.67)\" locked=\"off\" button_bg_color__hover_enabled=\"off\"][\/et_pb_button][\/et_pb_column][et_pb_column type=\"3_5\" _builder_version=\"3.26.3\" custom_padding=\"40px||||false|false\" custom_padding_tablet=\"0px||||false|false\" custom_padding_phone=\"\" custom_padding_last_edited=\"on|tablet\"][et_pb_text _builder_version=\"4.6.0\" text_font_size=\"16px\" text_line_height=\"1.8em\" header_2_font=\"Taviraj||||||||\" header_2_font_size=\"46px\" header_2_line_height=\"1.2em\" header_3_font=\"Taviraj|600|||||||\" header_3_font_size=\"20px\" header_3_line_height=\"1.2em\" custom_margin=\"-40px|||||\" custom_padding=\"||||false|false\" custom_padding_tablet=\"|30px||50px|true|false\" custom_padding_phone=\"|30px|||true|false\" custom_padding_last_edited=\"off|tablet\" text_font_size_tablet=\"\" text_font_size_phone=\"15px\" text_font_size_last_edited=\"on|desktop\" text_line_height_tablet=\"\" text_line_height_phone=\"\" text_line_height_last_edited=\"on|desktop\" header_2_font_size_tablet=\"40px\" header_2_font_size_phone=\"30px\" header_2_font_size_last_edited=\"on|phone\" header_3_font_size_tablet=\"\" header_3_font_size_phone=\"18px\" header_3_font_size_last_edited=\"on|phone\"]<\/p><p>Cuando decides enfrentar la obesidad, una de las decisiones m\u00e1s importantes que vas a tomar no es solo qu\u00e9 tratamiento seguir, sino qui\u00e9n te va a acompa\u00f1ar en ese proceso. Despu\u00e9s de m\u00e1s de 18 a\u00f1os de experiencia cl\u00ednica trabajando con pacientes con obesidad y cirug\u00eda bari\u00e1trica, puedo decirte con certeza que esta elecci\u00f3n influye directamente en tus resultados, en tu seguridad y en tu experiencia durante todo el camino.<\/p><p>[\/et_pb_text][\/et_pb_column][\/et_pb_row][\/et_pb_section][et_pb_section fb_built=\"1\" _builder_version=\"4.4.8\" custom_padding=\"4px||0px|||\"][et_pb_row _builder_version=\"4.4.8\" custom_padding=\"4px|||||\"][et_pb_column type=\"4_4\" _builder_version=\"4.4.8\"][et_pb_text _builder_version=\"4.6.0\" text_font_size=\"17px\"]<\/p><h3>La obesidad es una enfermedad compleja, no una falta de voluntad<\/h3><p>Durante a\u00f1os se instal\u00f3 la idea de que la obesidad se resuelve solo con \"fuerza de voluntad\". Hoy la evidencia cient\u00edfica es clara: es una enfermedad cr\u00f3nica, multifactorial, que requiere un abordaje profesional serio. Form\u00e9 parte del equipo redactor de la Gu\u00eda Cl\u00ednica Nacional para el Manejo de la Obesidad en Adultos en Chile, y esa experiencia me confirm\u00f3 algo que veo todos los d\u00edas en consulta: cada paciente necesita un plan adaptado a su historia, su cuerpo y su realidad, no una f\u00f3rmula gen\u00e9rica.<\/p><h3>\u00bfQu\u00e9 diferencia a un profesional con experiencia real en obesidad?<\/h3><p><b>Formaci\u00f3n espec\u00edfica y continua.<\/b> No basta con ser nutricionista; el manejo de la obesidad y de la cirug\u00eda bari\u00e1trica requiere formaci\u00f3n especializada. En mi caso, esto incluye el Diplomado en Manejo Nutricional de Pacientes Sometidos a Cirug\u00eda Bari\u00e1trica de la Universidad de Chile, adem\u00e1s de mi participaci\u00f3n activa en sociedades cient\u00edficas como NUBAMET-IFSO Chile, donde fui presidenta entre 2019 y 2021.<\/p><p>\u00a0<\/p><p><b>Trabajo en equipo multidisciplinario.<\/b> Desde 2017 formo parte del equipo de obesidad de Cl\u00ednica Ciudad del Mar. La obesidad rara vez se trata bien de forma aislada: se necesita coordinaci\u00f3n con m\u00e9dicos, cirujanos, psic\u00f3logos y otros especialistas.<\/p><p>\u00a0<\/p><p><b>Visi\u00f3n a largo plazo.<\/b> Un profesional con experiencia no solo te ayuda a bajar de peso; te acompa\u00f1a en el mantenimiento de resultados, en el manejo de la reganancia de peso y en situaciones especiales como el embarazo posterior a una cirug\u00eda bari\u00e1trica.<\/p><p>\u00a0<\/p><p><b>Conocimiento de las distintas etapas del proceso.<\/b> Ya sea que est\u00e9s evaluando una cirug\u00eda, en tu post operatorio inmediato o a\u00f1os despu\u00e9s de tu intervenci\u00f3n, cada etapa tiene desaf\u00edos nutricionales distintos que requieren experiencia para anticiparlos y manejarlos.<\/p><h3>Los riesgos de un acompa\u00f1amiento poco especializado<\/h3><p>Un manejo nutricional inadecuado en pacientes con obesidad o cirug\u00eda bari\u00e1trica puede derivar en d\u00e9ficits nutricionales no detectados a tiempo, reganancia de peso sin un plan de manejo claro, o frustraci\u00f3n por seguir indicaciones gen\u00e9ricas que no consideran tu historia cl\u00ednica particular. Por eso, la experiencia del profesional que te acompa\u00f1a no es un detalle: es parte del tratamiento mismo.<\/p><h3>Mi compromiso contigo<\/h3><p>Mi objetivo siempre ha sido entregar una atenci\u00f3n especializada, actualizada y basada en evidencia, pero adaptada a la realidad y necesidades de cada persona. Eso significa mantenerme en constante formaci\u00f3n \u2014actualmente cursando un Mag\u00edster en Nutrici\u00f3n Cl\u00ednica Oncol\u00f3gica en la Universidad de Barcelona\u2014 y seguir participando activamente en congresos y sociedades cient\u00edficas para ofrecerte siempre lo mejor de la evidencia disponible.<\/p><p>\u00a0<\/p><p><b>\u00bfEst\u00e1s evaluando iniciar un tratamiento para la obesidad?<\/b> Agenda tu hora conmigo y demos juntos\/as el primer paso, con la tranquilidad de contar con un acompa\u00f1amiento profesional y experimentado.\u00a0<b>[<\/b><\/p><p>[\/et_pb_text][\/et_pb_column][\/et_pb_row][et_pb_row _builder_version=\"4.6.0\" _module_preset=\"default\"][et_pb_column type=\"4_4\" _builder_version=\"4.6.0\" _module_preset=\"default\"][et_pb_button button_url=\"https:\/\/ff.healthatom.io\/UeEPWl\" url_new_window=\"on\" button_text=\"Agendar hora\" _builder_version=\"4.6.0\" _module_preset=\"default\" custom_button=\"on\" button_text_color=\"#ffffff\" button_bg_color=\"#AD6EAB\"][\/et_pb_button][\/et_pb_column][\/et_pb_row][\/et_pb_section]<\/p>","_et_gb_content_width":"","_joinchat":[],"footnotes":""},"categories":[1],"tags":[],"class_list":["post-778","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-sin-categoria"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v25.2 - https:\/\/yoast.com\/wordpress\/plugins\/seo\/ -->\n<title>Seguimiento nutricional post cirug\u00eda bari\u00e1trica: qu\u00e9 esperar<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/testmed.click\/allegronut\/seguimiento-nutricional-post-cirugia-bariatrica\/\" \/>\n<meta property=\"og:locale\" content=\"es_ES\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Seguimiento nutricional post cirug\u00eda bari\u00e1trica: qu\u00e9 esperar\" 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