vitamins
on 5/17/11 5:03 am
With the RNY (or DS) the doses on the bottles don't apply. We need much, much more.
on 5/17/11 5:00 am, edited 5/17/11 5:10 am
That said, you need to start with Vitalady's plan, and then when you get labs drawn, add or adjust vitamins as necessary. Looks like a lot?? It does, but it's nothing compared to the problems you are going to have by just taking a multi. I can't be clear enough here. It is easier to keep your labs stable if you are proactive from the beginning, but if you let things get out of whack, it can be VERY difficult to bring them back into range.
Vitalady is not a doctor, but her plan (and adjusted versions of it) is one of the only ones that I've seen people do well on. There are grave, even fatal issues with poor supplementing, so do some research here, and don't just take the word of your surgeons program, or YOUR health is going to be the thing to suffer. I'm posting her schedule below.
Vitalady Basic Vitamin & Mineral Schedule for Standard RNY Patients Updated 2/20/2010 DISCLAIMER: This information is NOT to be considered medical advice. This schedule has been known to help most surgical weight loss patients and is not intended to replace your doctor’s instructions. We are NOT medical professionals. We do not give medical advice and are not associated with any medical office, clinic or hospital. The information offered on our website and this document should be considered for reference only and is solely based on our experience with weight loss surgery patients. The schedules and supplement information are offered in hopes that our experience will help others as they begin their post-op surgery life. As with any program, please consult your doctor before starting a vitamin regimen. Prescription medications can be effected by vitamins and minerals and it is very important for you to consult your doctor or pharmacist for any possible interactions. All notes about vitamin combinations on this site are based on general knowledge information and are not to be construed as medical advice. We encourage everyone to get a copy of their operative report(s) and keep all copies of labs easily available to review. We recommend organizing the information for easy reference. Some people make spreadsheets, Excel or even by hand to show trends in lab results. Most physicians appreciate an easy to read system to compare the elements of their particular specialty. Please see the link for LABS AND TARGETS at www.vitalady.com which might be helpful for the labs we need to watch. Statements made on this document and our website have not been evaluated by the USFDA. The prices listed are to assist in calculating your budget for basic vitamin and mineral supplementation. Prices are based on those current at the time of updating and does not include shipping & handling fees or taxes and are subject to change without notice.Vitalady Basic Vitamin & Mineral Schedule for Standard RNY Patients Updated 2/20/2010 Although most people do not actually have trouble swallowing pills, some feel more comfortable chewing their vitamins for awhile. It is important to remember, during a normal weight loss surgery, the esophagus is not touched, unless it is damaged or diseased. So, our ability to swallow remains unchanged. It is the stoma (outlet from the pouch, where the intestine meets the pouch) that may be swollen from the beginning. In rare cases, there might exist a condition which can cause a partial blockage of that area. Your doctor should address those issues. If you have chosen to start your post-op life with chewable vitamins, we have developed this plan to help you get started. *** SCHEDULE *** Morning 1 Vitamin C =1,000mg or 2 each 500mg = 1,000mg (see note 1) Evening 3 Calcium-Magnesium-D3 140mg = 420mg 6 Tender Iron or 1 Polysaccharide Iron = 150mg (see note 1) 1 Multi Vitamin/Mineral (see note 4) 2 Vitamin D3 5,000IU =10,000IU Mid-Day 1 Vitamin A 25,000IU 1 Zinc 50mg or 2 each 23mg 1 Vitamin B-12 1,000mcg 1 Vitamin B-9 Folic Acid 1,000mcg 3 Calcium-Magnesium-D3 140mg = 420mg 1 Vitamin K-1 100mcg 1 B Complex (see note 2) (see note 3) 1 Vitamin E 400IU Bed Time 3 Calcium-Magnesium-D3 140mg = 420mg 1 Multi Vitamin/Mineral (see note 4) 2 Magnesium Citrate 140mg = 280mg 2 Vitamin D3 5,000IU = 10,000IU 1 Vitamin B-1 100mg With this plan you will be supplementing with the following daily vitamin and mineral dosages: Vitamin A 25,000IU; Vitamin B-1 100mg; Vitamin B-12 1,000mcg; Vitamin C 1,000mg; Vitamin D3 20,000IU; Vitamin E 400IU; 1 B-50 Complex; 2 Complete MultiVitamin/Mineral; Calcium Citrate 1260mg (elemental); Iron 150mg (elemental); Magnesium Citrate 280mg (elemental); Zinc 50mg; Vitamin B-9 Folic Acid 1,200mcg; Vitamin K-1 100mcg. *** NOTES *** Note 1 IRON is to be taken with Vitamin C, together but separated for at least 1 hour from caffeine, dairy, egg, whole grain, other vitamins and medications. Note 2 B Complex is to be a B Complex 50 or higher. Note 3 Regarding Vitalady Tender B Complex 50: Some customers have mentioned a tingling, rashy sensation or redness in their extremities and face. This is a common reaction to the niacin (niacin flush) which may be present for a short time. While doses as small as 75mg don’t usually cause any reaction, some people are more sensitive. The sensation is short lived and harmless. Note 4 Multi-Vitamin/Mineral composition should be similar to Centrum® *** REGARDING PROTEIN *** This list suggests vitamin and mineral supplementation with a schedule. In addition we suggest that protein needs to be supplemented as well. Since many people struggle to meet their protein needs, the following is our suggestion on how you might address it. We suggest the use of Whey Protein powdered drinks as the best, most complete and highest bio-available protein supplement source available. Using protein supplements daily may help with volume control, appetite and craving control, along with meeting your daily protein requirements. Patients choosing this plan should drink 30 grams of protein three to four (3 - 4) times a day for a total of 90 - 120 grams. For men, two (2) additional protein drinks per day might be considered, as men tend to lose muscle mass quickly. We are not medical professionals. Please consult your doctor before starting any vitamin program. See full list of disclaimers on page 1 & at www.vitalady.com .