Is vitamin deficiency an inevitability?

Or is it manageable with proper intake of vitamin supplements? I am hoping to have surgery, but I am worried about deficiency, especially with calcium. I intend on getting bone scans, but I have heard even those sometimes can't detect if you've developed osteoperosis. I just want to make sure that I will be able to be healthy after this surgery (DS in particular). Even though the risks of morbid obesity outweigh the risks associated with surgery, I would feel hesitant to go into a situation where I knew I would likely develop another health problem. Thanks for your help.

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