Nora returns in 2 years for a check-up. Her BMI is now 35 and she is charting at the 99th percentile for her sex and age. Nora is now 17 years old and has been seeing a dietitian for the past year,...

Nora returns in 2 years for a check-up. Her BMI is now 35 and she is charting at the 99th percentile for her sex and age. Nora is now 17 years old and has been seeing a dietitian for the past year, but she has not been able to lose more than 20 pounds before quickly putting it back on. Her lab values have not improved. Nora is inquiring about the possibility of bariatric surgery.

 1. Is Nora now a candidate for surgery?

 2. Which bariatric procedure(s) would be appropriate for Nora?

3. What nutrition parameters would you monitor in Nora after surgery?