hmmmm! I'd want a second opinion.
The RNY bypasses the portion of intestine is where the majority iron (and calcium) absorption takes place. Anemia is a common long-term complication.
But I'm not surprised at what happened to you. At 3 months, my iron had dropped. At was told it was nothing to worry about. 3 months later it was down another 11 points taking me below "normal". And not only that, my ferritin had dropped to low too. Ferritin typically mean reduced iron stores.
Increasing iron can't be done overnight. It often takes several months to bring your levels back up.
So after a trip to my surgeon, I'm playing catch-up and will be taking polysaccharide and carbonyl iron for a while (with a vitamin C supplement). Carbonyl apparently is better at increasing the long-term iron stores.
You could try an iron rich diet although given the restrictions we have on food intake AND the malabsorption issue, it's doubtful that it'd have much of an impact.
Is there any chance of finding a PCP who knows something about WLS? Registered dietician maybe.
I ended up printing a copy of this to show my doc:
http://gastricbypass.netfirms.com/vi...mendations.pdf