vitamins
Here is what the American Society for Metabolic and Bariatric Surgery recommends post op:
A multi with 100% of the RDA of most nutrients. Take two a day. Stay away from kids' vitamins and gummy vitamins, because those will not have what you need. Even though Flintstones says “complete” on the bottle, they really are not complete but are missing a number of important things. The ASMBS recommends a multi with iron. If you take a multi with no iron, you’ll need additional iron at a separate time. They say to start your multi as soon as you get home from the hospital.
1500-2000 mg calcium citrate. Make sure it's citrate, not carbonate. That means no Caltrate and no Viactiv. They say you can wait up to one month to start your calcium – not that you should wait, just that you can.
54-63 mg iron for menstruating women (18-27 mg PLUS 18 mg twice a day in your multi, if you use a multi with iron). 36 mg a day for people that do not menstruate. We absorb carbonyl iron better than ferrous sulfate. Ferrous sulfate will also make you constipated. They say to start your iron as soon as you get home from the hospital.
B12. You can use a sublingual, 350-500 mcg per day, nasal spray once a week, or shots once a month. Unless your labs show you need more. They say you can wait up to three months to start your B12 – not that you should wait, just that you can.
They say a B complex is optional.
Many people also need D3 so you should get your vitamin D level to find out if you do. Don’t bother with the prescription vitamin D, because it’s D2 and in oil so we will absorb very little of it. Everyone needs D3 and post ops need “dry” D3, not in oil.
Kelly
Please note: I AM NOT A DOCTOR. If you want medical advice, talk to your doctor. Whatever I post, there is probably some surgeon or other health care provider somewhere that disagrees with me. If you want to know what your surgeon thinks, then ask him or her. Check out my blog.
Here is what the American Society for Metabolic and Bariatric Surgery recommends post op:
A multi with 100% of the RDA of most nutrients. Take two a day. Stay away from kids' vitamins and gummy vitamins, because those will not have what you need. Even though Flintstones says “complete” on the bottle, they really are not complete but are missing a number of important things. The ASMBS recommends a multi with iron. If you take a multi with no iron, you’ll need additional iron at a separate time. They say to start your multi as soon as you get home from the hospital.
1500-2000 mg calcium citrate. Make sure it's citrate, not carbonate. That means no Caltrate and no Viactiv. They say you can wait up to one month to start your calcium – not that you should wait, just that you can.
54-63 mg iron for menstruating women (18-27 mg PLUS 18 mg twice a day in your multi, if you use a multi with iron). 36 mg a day for people that do not menstruate. We absorb carbonyl iron better than ferrous sulfate. Ferrous sulfate will also make you constipated. They say to start your iron as soon as you get home from the hospital.
B12. You can use a sublingual, 350-500 mcg per day, nasal spray once a week, or shots once a month. Unless your labs show you need more. They say you can wait up to three months to start your B12 – not that you should wait, just that you can.
They say a B complex is optional.
Many people also need D3 so you should get your vitamin D level to find out if you do. Don’t bother with the prescription vitamin D, because it’s D2 and in oil so we will absorb very little of it. Everyone needs D3 and post ops need “dry” D3, not in oil.
what brand of dry d-3 do you use? I found a sublingual d3 at cvs, however i do not know if it is a dry d3?
Here is what the American Society for Metabolic and Bariatric Surgery recommends post op:
A multi with 100% of the RDA of most nutrients. Take two a day. Stay away from kids' vitamins and gummy vitamins, because those will not have what you need. Even though Flintstones says “complete” on the bottle, they really are not complete but are missing a number of important things. The ASMBS recommends a multi with iron. If you take a multi with no iron, you’ll need additional iron at a separate time. They say to start your multi as soon as you get home from the hospital.
1500-2000 mg calcium citrate. Make sure it's citrate, not carbonate. That means no Caltrate and no Viactiv. They say you can wait up to one month to start your calcium – not that you should wait, just that you can.
54-63 mg iron for menstruating women (18-27 mg PLUS 18 mg twice a day in your multi, if you use a multi with iron). 36 mg a day for people that do not menstruate. We absorb carbonyl iron better than ferrous sulfate. Ferrous sulfate will also make you constipated. They say to start your iron as soon as you get home from the hospital.
B12. You can use a sublingual, 350-500 mcg per day, nasal spray once a week, or shots once a month. Unless your labs show you need more. They say you can wait up to three months to start your B12 – not that you should wait, just that you can.
They say a B complex is optional.
Many people also need D3 so you should get your vitamin D level to find out if you do. Don’t bother with the prescription vitamin D, because it’s D2 and in oil so we will absorb very little of it. Everyone needs D3 and post ops need “dry” D3, not in oil.
what brand of dry d-3 do you use? I found a sublingual d3 at cvs, however i do not know if it is a dry d3?
I would start taking it, yes. The ASMBS recommends it for all RNY patients because we do not have enough stomach acid or intrinsic factor in our pouch to absorb it from our food or from a multivitamin. We need a subligual that dissolves under the tongue, the prescription nasal spray, or shots. And yes, you can buy sublinguals over the counter.
Kelly
Please note: I AM NOT A DOCTOR. If you want medical advice, talk to your doctor. Whatever I post, there is probably some surgeon or other health care provider somewhere that disagrees with me. If you want to know what your surgeon thinks, then ask him or her. Check out my blog.
It doesn't matter what you take it with. You can take it whenever it's convenient.
The ASMBS suggests 500 mcg once a day. However, you can get a bigger dose and take it less often, like you could get 1000 mcg and take that every other day or 2500 mcg and take that every five days.
Kelly
Please note: I AM NOT A DOCTOR. If you want medical advice, talk to your doctor. Whatever I post, there is probably some surgeon or other health care provider somewhere that disagrees with me. If you want to know what your surgeon thinks, then ask him or her. Check out my blog.
Oh, and if your surgery was three months ago and you have not been taking any B12, that essentially means you've been getting no B12 at all for three months. I would get labs done (it's time for your three month labs anyway) to see what your B12 level is because you may need more than the 500 mcg daily that the ASMBS suggests starting with.
Kelly
Please note: I AM NOT A DOCTOR. If you want medical advice, talk to your doctor. Whatever I post, there is probably some surgeon or other health care provider somewhere that disagrees with me. If you want to know what your surgeon thinks, then ask him or her. Check out my blog.
