For reference: official diet/vitamin guidelines after WLS

Sparklekitty, Science-Loving Derby Hag
on 6/9/16 12:45 pm
RNY on 08/05/19

A lot of numbers get tossed around for protein, supplements, that sort of thing, and a lot of it boils down to "that's what most people seem to hear." I stumbled across some reference material while looking up another question and found some firm numbers for us-- official medical recommendations.

From a 2009 medical article, patients need:

  • 64oz or more of fluids, avoid sugary drinks and alcohol. SF noncarbonated beverages and decaf coffee/tea are fine.

  • At least 60 - 80g protein, ideally 1.5g/kg of body weight

  • Take 1000 - 1200mg calcium citrate (NOT carbonate) plus vitamin D, taken midmorning and midafternoon

  • If iron deficient, patients should take 325mg of iron sulfate plus vitamin C.

  • Wait at least 2 hours between iron and calcium.

  • For vitamin B12 issues, take sublingual oral crystalline B12 (500 micrograms daily or 2500micrograms weekly)

  • Chewables are recommended twice a day for 6 months post-op, such as Centrum. Prenatals are good too. After this point, regular adult vitamin tablets are fine.

Other helpful takeaways:

  • "Temporary hair loss is caused by rapid weight loss and/or lack of protein or vitamins/minerals in the diet. To prevent this, patients should consume the amount of protein recommended and take vitamins/minerals as directed."

  • "Constipation occurs because the intake of food and fiber is reduced following surgery. Prevention tips include drinking plenty of water, exercising daily, taking a fiber supplement such as Benefiber, and eating sugar-free applesauce, oatmeal, or prunes daily."

I'm not a medical professional, but it's good to get a confirmation of the usual protocol from people who ARE! :)

Sparklekitty / Julie / Nerdy Little Secret (#42)
Roller derby - cycling - triathlon
VSG 2013, RNY conversion 2019 due to GERD. Trendweight here!

SkinnyScientist
on 6/9/16 1:12 pm

Julie,

Is there a way to post a .pdf here

Somwhere, I got the ASBM recommendations for vitamins and trace minerals.  It may help people decide how much more D3, iron, and etc to add BEYOND their multivitamin

RNY Surgery: 12/31/2013; 

Current weight (2/27/2015) 139lbs, ~14% body fat

Three pounds below Goal!!! Yay !  

Sparklekitty, Science-Loving Derby Hag
on 6/9/16 1:17 pm
RNY on 08/05/19

Easiest way is to put it on Google Drive. You can turn sharing on, and it'll give you a link that you can post.

Sparklekitty / Julie / Nerdy Little Secret (#42)
Roller derby - cycling - triathlon
VSG 2013, RNY conversion 2019 due to GERD. Trendweight here!

SkinnyScientist
on 6/9/16 1:19 pm

Ok. I have to get home to the chromebook then and then use googledrive?

 

I have never done this before....

RNY Surgery: 12/31/2013; 

Current weight (2/27/2015) 139lbs, ~14% body fat

Three pounds below Goal!!! Yay !  

Sparklekitty, Science-Loving Derby Hag
on 6/9/16 1:28 pm
RNY on 08/05/19

I can PM my email address and post it for you if that would be easier :)

Sparklekitty / Julie / Nerdy Little Secret (#42)
Roller derby - cycling - triathlon
VSG 2013, RNY conversion 2019 due to GERD. Trendweight here!

SkinnyScientist
on 6/9/16 1:52 pm

yes please!

 

RNY Surgery: 12/31/2013; 

Current weight (2/27/2015) 139lbs, ~14% body fat

Three pounds below Goal!!! Yay !  

swim_bike_smile
on 6/9/16 6:56 pm
RNY on 06/13/16

Love that this topic is brought up.  I'm scheduled for surgery Monday, so I've been beebopping around buying drugs, vitamins, protein, and clear liquids.

Any vitamins/brands that you recommend?  (My Target's vitamin selection is woefully inadequate, so if you have any suggestions on where to find those brands, I'm all ears/eyes. ) 

supershopper
on 6/9/16 7:07 pm

initially I used centrum orange chewables or the vitamints (but those don't have iron)

Sometimes i would use the flintstone ones but that meant 2 tablets , 3 times a day.

HW 305 SW 278 Surgery weight 225 GW 160 LW: 118.8

RNY 12/15/2015,

GB removal 09/2016,

Twisted bowel/hernia repair 08/2017

M1 Dec 2015-13.0, M2-7.0, M3-14.5, M4-9.4, M5-7.1, M6 9.8, M7-7.6 ,M8- 7.6, M-9 5.5, M10-6.4, M11- 2.2, M12 Dec 2016- 5.8

Sparklekitty, Science-Loving Derby Hag
on 6/9/16 7:33 pm
RNY on 08/05/19

I've always taken the generic version of Centrum, I pick it up at Walgreens. They usually have "buy one get one free" sales, so I'll stock up. B12, I just take the store brand as well. 

Citracal is a good one for calcium, it's the right kind and you can get it with D.

Some people have trouble with different types of iron, myself included. I take iron carbonyl which is a little easier on the stomach.

That said, I recently switched to the patch vitamins. I haven't had any blood work done since starting, but I know others here have used it with great success.

Sparklekitty / Julie / Nerdy Little Secret (#42)
Roller derby - cycling - triathlon
VSG 2013, RNY conversion 2019 due to GERD. Trendweight here!

swim_bike_smile
on 6/9/16 8:26 pm
RNY on 06/13/16

Excellent.  Thank you!

Feosol was what my program recommends, so the link was super helpful.  I didn't see it at Target or CVS

Most Active
×