New Onset of Acne Associated With Dietary Supplements Post-Metabolic Bariatric Surgery: A Case Report and Review of the Literature.
Almog Eliyahu Dahan, Arik Dahan, Ilanit Mahler et al.
✦ AI-curated · Sources linked
Case in brief
A 45-year-old woman developed new-onset acne after metabolic bariatric surgery. A clinical pharmacist’s review found that she was taking an inappropriate multivitamin containing provitamin A rather than retinol, with a relatively high amount of vitamin B1, alongside a hair-growth multivitamin rich in vitamin B6. This resulted in overlapping supplementation. After she began an appropriate multivitamin regimen, her acne completely resolved without acne medication.
What made this case unusual
The acne was associated with overlapping post-bariatric supplements, including a multivitamin formulation that did not provide retinol and an additional hair-growth product.
Diagnostic / clinical pearl
When assessing new acne after bariatric surgery, ask specifically about all supplements, including products taken for hair loss; overlapping or inappropriate formulations may be relevant.
Why it matters
Supplement review and patient education can help identify potentially harmful duplication in a population at risk of both nutrient deficiencies and excesses.