Vitamins

Grandkids3
on 4/19/15 10:58 am

Thank you so much.  Seeing my nutritionist tomorrow.  Will clarify everything with her.

Gwen M.
on 4/19/15 10:59 am
VSG on 03/13/14

And you still won't be getting the recommended 200% of most vitamins and minerals by taking two Flinstones a day - since two times zero is still zero.  

VSG with Dr. Salameh - 3/13/2014
Diagnosed with Binge Eating Disorder and started Vyvanse - 7/22/2016
Reconstructive Surgeries with Dr. Michaels - 6/5/2017 (LBL & brachioplasty), 8/14/2017 (UBL & mastopexy), 11/6/2017 (medial leg lift)

Age 42 Height 5'4" HW 319 (1/3/2014) SW 293 (3/13/2014) CW 149 (7/16/2017)
Next Goal 145 - normal BMI | Total Weight Lost 170

TrendWeight | Food Blog (sort of functional) | Journal (down for maintenance)

Oneillch
on 4/20/15 1:46 am, edited 4/20/15 1:48 am
VSG on 02/04/15
Oneillch
on 4/20/15 2:55 am, edited 4/20/15 2:55 am
VSG on 02/04/15

Would you kindly post the link that specifically identifies these vitamin & mineral recommendations.  I have been unable to locate it on ASMBS. Thank you. 

Gwen M.
on 4/20/15 3:03 am
VSG on 03/13/14

You'll need to copy/paste it, since I'm posting from my phone, but here you go --

http://asmbs.org/resources/clinical-practice-guidelines-for-the-perioperative-nutritional-metabolic-and-nonsurgical-support-of-the-bariatric-surgery-patient

VSG with Dr. Salameh - 3/13/2014
Diagnosed with Binge Eating Disorder and started Vyvanse - 7/22/2016
Reconstructive Surgeries with Dr. Michaels - 6/5/2017 (LBL & brachioplasty), 8/14/2017 (UBL & mastopexy), 11/6/2017 (medial leg lift)

Age 42 Height 5'4" HW 319 (1/3/2014) SW 293 (3/13/2014) CW 149 (7/16/2017)
Next Goal 145 - normal BMI | Total Weight Lost 170

TrendWeight | Food Blog (sort of functional) | Journal (down for maintenance)

Oneillch
on 4/20/15 3:27 am, edited 4/20/15 3:32 am
VSG on 02/04/15

FYI from ASMBS...

R32(54/89/93)-r. After consideration of risks and benefits, patients with, or at risk for, demonstrable micronutrient insufficiencies or deficiencies should be treated with the respective micronutrient (Grade A, BEL 2, upgraded by consensus). Minimal daily nutritional supplementation for patients with RYGB and LSG all in chewable form initially (i.e., 3 to 6 months), should include 2 adult multivitamin plus mineral (each containing iron, folic acid, and thiamine) supplements(Grade B, BEL 2), 1200 to 1500 mg of elemental calcium (in diet and as citrated supplement in divided doses) (Grade B, BEL 2), at least 3000 international units of vitamin D (titrated to therapeutic 25-hydroxyvitamin D levels >30 ng/ml) (Grade A, BEL 1), and vitamin B12 (parenterally as sublingual, subcutaneous, or intramuscular preparations, or orally, if determined to be adequately absorbed) as needed to maintain B12 levels in the normal range (Grade B; BEL 2). Total iron provided should be 45–60 mg via multivitamins and additional supplements. Minimal daily nutritional supplementation for patients with LAGB should include 1 adult multivitamin plus mineral (including iron, folic acid, and thiamine) (Grade B, BEL 2), 1200 to 1500 mg of elemental calcium (in diet and as citrated supplement in divided doses) (Grade B, BEL 2), at least 3000 international units of vitamin D (titrated to therapeutic 25-dihydroxyvitamin D levels). Alternatively, in lieu of routine screening with relatively costly biochemical testing, the above routine micronutrient supplementation may be initiated preoperatively (Grade D).

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