{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,19]],"date-time":"2026-08-19T14:36:17Z","timestamp":1787150177938,"version":"build-2736575974"},"reference-count":56,"publisher":"Frontiers Media SA","license":[{"start":{"date-parts":[[2026,8,19]],"date-time":"2026-08-19T00:00:00Z","timestamp":1787097600000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["frontiersin.org"],"crossmark-restriction":true},"short-container-title":["Front. Nutr."],"abstract":"<jats:sec>\n                    <jats:title>Introduction<\/jats:title>\n                    <jats:p>This study assessed the feasibility and tolerance of a 30-day resistant potato starch (RPS) supplement in patients who recently underwent bariatric surgery and its effect on microbial production of fecal short-chain fatty acids (SCFA).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>\n                      This clinical trial (\n                      <jats:ext-link>ClinicalTrials.gov<\/jats:ext-link>\n                      , identifier: NCT05653648), conducted at Dartmouth Hitchcock Medical Center, provided 30-days of RPS supplement (titration: 24\u202fg for 15\u202fdays; 48\u202fg for 15\u202fdays) starting 90-days post-op and assessed gastrointestinal symptoms, dietary intake (24\u202fh recall), fecal SCFAs, and fecal gut microbiome (\n                      <jats:italic>n<\/jats:italic>\n                      \u202f=\u202f30).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      The RPS supplement was well tolerated by participants (77% achieving consumption goal), with modest, but significant increases in self-reported gas (\n                      <jats:italic>p<\/jats:italic>\n                      \u202f=\u202f0.004) and abdominal rumbling (\n                      <jats:italic>p<\/jats:italic>\n                      \u202f=\u202f0.047). It was associated with an increase in the\n                      <jats:italic>Bifidobacterium<\/jats:italic>\n                      genus (LDA score &amp;gt;4,\n                      <jats:italic>p<\/jats:italic>\n                      \u202f&amp;lt;\u202f0.001) and specifically, an enrichment of\n                      <jats:italic>B. faecale\/adolescentis<\/jats:italic>\n                      (\n                      <jats:italic>p<\/jats:italic>\n                      \u202f=\u202f0.006), one of two known primary degraders of RPS. No changes were observed in the abundance of cross-feeders or in SCFA concentrations. Alpha diversity measures were significantly lower post-RPS, and there was no change in species richness.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Discussion<\/jats:title>\n                    <jats:p>This study demonstrated that a RPS supplement is tolerable in post-op bariatric patients and that the gut microbiome is responsive to fiber interventions. RPS increased the abundance of SCFA-producing bacteria but did not alter fecal SCFAs, likely due to competition among cross-feeders.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.3389\/fnut.2026.1912097","type":"journal-article","created":{"date-parts":[[2026,8,19]],"date-time":"2026-08-19T14:22:07Z","timestamp":1787149327000},"update-policy":"https:\/\/doi.org\/10.3389\/crossmark-policy","source":"Crossref","is-referenced-by-count":0,"title":["Daily fiber supplementation after bariatric surgery demonstrates tolerability and influence on the fecal gut microbiome"],"prefix":"10.3389","volume":"13","author":[{"given":"Brandy","family":"Moser","sequence":"first","affiliation":[{"name":"Department of Agriculture, Nutrition, and Food Systems, University of New Hampshire","place":["Durham, NH, United States"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Solange M.","family":"Saxby","sequence":"additional","affiliation":[{"name":"Department of Community and Family Medicine, Dartmouth Health","place":["Lebanon, NH, United States"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Stephanie","family":"Lebby","sequence":"additional","affiliation":[{"name":"Section of Obesity Medicine, Center for Digestive Health, Dartmouth Hitchcock Medical Center","place":["Lebanon, NH, United States"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jennifer D.","family":"Letendre","sequence":"additional","affiliation":[{"name":"Section of Bariatric Surgery, Center for Digestive Health, Dartmouth Hitchcock Medical Center","place":["Lebanon, NH, United States"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sarah","family":"Lange","sequence":"additional","affiliation":[{"name":"Section of Bariatric Surgery, Center for Digestive Health, Dartmouth Hitchcock Medical Center","place":["Lebanon, NH, United States"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Marissa A.","family":"Mendez","sequence":"additional","affiliation":[{"name":"Section of Bariatric Surgery, Center for Digestive Health, Dartmouth Hitchcock Medical Center","place":["Lebanon, NH, United States"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Thadeus L.","family":"Trus","sequence":"additional","affiliation":[{"name":"Section of Bariatric Surgery, Center for Digestive Health, Dartmouth Hitchcock Medical Center","place":["Lebanon, NH, United States"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Elizabeth","family":"Honigsberg","sequence":"additional","affiliation":[{"name":"Section of Obesity Medicine, Center for Digestive Health, Dartmouth Hitchcock Medical Center","place":["Lebanon, NH, United States"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sarah E.","family":"Billmeier","sequence":"additional","affiliation":[{"name":"Section of Bariatric Surgery, Center for Digestive Health, Dartmouth Hitchcock Medical Center","place":["Lebanon, NH, United States"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Diane","family":"Gilbert-Diamond","sequence":"additional","affiliation":[{"name":"Department of Epidemiology, Geisel School of Medicine, Dartmouth College","place":["Hanover, NH, United States"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Maria Carlota","family":"Dao","sequence":"additional","affiliation":[{"name":"Department of Agriculture, Nutrition, and Food Systems, University of New Hampshire","place":["Durham, NH, United States"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jennifer L.","family":"Meijer","sequence":"additional","affiliation":[{"name":"Department of Medicine, Geisel School of Medicine, Dartmouth College","place":["Hanover, NH, United States"]}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1965","published-online":{"date-parts":[[2026,8,19]]},"reference":[{"key":"ref1","volume-title":"National Health and Nutrition Examination Survey Data","year":"2020"},{"key":"ref2","doi-asserted-by":"publisher","first-page":"451","DOI":"10.1007\/s11695-019-04178-8","article-title":"A comparison of the effects of roux-en-Y gastric bypass and sleeve gastrectomy on body mass composition as measured by air displacement plethysmography","volume":"30","author":"Kavanagh","year":"2020","journal-title":"Obes Surg"},{"key":"ref3","article-title":"Estimate of Bariatric Surgery Numbers, 2011\u20132023. 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