Vitamin List After Surgery

The ASMBS recommends a multi that provides 200% of the RDA of most things.  That means two a day with most brands, but read the label to make sure.

1500 - 2000 mg calcium citrate - make sure it's citrate, not carbonate.

18 - 27 mg iron, unless your labs indicate you need more.

B12.

Other things if you labs say you need them.

Kelly

I am having RNY on Thursday and my Doc says...

Multivitamin with Iron when you wake and before bed
B-Complex when you wake and before bed
Calcium citrate with Vitamin D with b-fast(2 hours after B-Complex), lunch and dinner so 3 a day

Others have bigger lists or more broken down vitamins like the B's seperated but this is what I was told.

Good luck!

You've seen what you should be on.

Let me share why you should follow those recomendations.


My surgeon's office was one of those that suggested, at first Optisource, then later a Flintstones / Tums combination.

I got pregnant on that combination.  Twice.


The consequences of bad supplementation, and two babies (which, btw, leech you dry before they leech your wallet bare) left me with NO iron stores (ferritin was in the single digits), low serum iron, b12 in critical ranges, and adult-form rickets known as osteomalacia due to low-D and calcium being leeched from my bones to supplement my heart's needs.

Now my D is in excellent shape, my B12 is superb, but I'm still kicking and screaming and clawing my way upwards out of iron-deficiency hell.  I just got my most recent labs back and my ferritin is up to a 16.  Still nowhere where I want it to be (range is 10-200) but it's slowly crawling upwards for the first time in quite some time.


Beyond taking good vitamins, my biggest suggestion is to get your own lab results and put your own eyeballs upon them.  Not only that, but compare them.  What was the lab value from last time and now?  Did it change?  Why did it change?  What did you do differently?  Is it trending up or down?  Should you start to change something before it really changes?  (Which, generally, the answer is yes.  You don't want to treat a deficiency when it becomes a deficiency.. you want to head it off before it gets there.)


You ask what I take now:

3 Proferrin heme iron tablets a day
1 1000mcg b-12
1800 mg calcium citrate
600mg magnesium citrate (high dose for migraine prevention) + C
40,000 IU vitamin D3
400mcg folic acid
super b-complex
25,0000 iu vitamin A
2 multivitamins


I will have to had some K thanks to these lab results -- but I haven't yet.  And it looks like I'll be adding back in some zinc as well (and probably copper).

You know I talk big, but I guess I should list what I take. The doses are scary high, but I'll just list the stuff. The stuff connected to WLS, not all the stuff I take "because I read about it". LOL, like cranberry,. Once you've had a UTI, your whole view changes about THAT.

Protein, well, I can say this, 180g in supps + whatever in food

300mg iron + 1000 mg C
15 mg copper ( do not try this at home--this is MY labs)

around 6000 mg calcium in citrate; lactate gluconate and microcrystalline hydroxypatite
25k of vit D3 (dry), but that can change to 50k

no A presently but in the past, as much as 100k, dry retinol

B1
B6
included in my B complex, small dose, those numbers are good

B12 per shots, 1 ml weekly, and every few days a sublingual, 10,000 mcg methylcobalimin

zinc chelated gluconate, 200mg

potassium, 400 mg (my labs)
magnesium oxide 1000mg (to poop, doesn't show on labs)
magnesium citrate appx 500mg for foot cramps and overall benefits (doesn't really affect labs)

vit E, dry, 1200 IU (labs)

vit K1, dry, 2000 mcg (labs)

vit K2, MK 7 form, dry, 300mcg, based on research and guessing, not labs.

selenium 200mg (dry) (labs)

and a bunch of other stuff.

The basics being:
protein
iron + C
calcium
A
D
E
K
zinc
b complex
B12 sublingual

The average person needs:

1500mg-1800mg of calcium citrate a day divided into 3 daily doses not within 2hours of your iron or thyroid medication.
Multivitamin 2 times daily - centrum chewables are fine, bariatric advantage if you want to order online.
Iron
B12 sublingual or Injections
Vitamin D3

What I take:
Calcium Citrate 2 tablets 3 times per day 1890mg
Centrum Silver Chewables - 2 times per day
B12 injections - 2 times per week
Vitamin D3 - 50,000 units 2 times per week
Vitamin A - 25,000 units 3 days per week,50,000 units 4 days per week
Vitamin B1 - 100mg 3 times per day
Selenium 200 mcg daily

Liz,

Your surgeon and nutritionist should tell you what you need.  It will depend on your surgery, your age, your health conditions, and any medications you are taking.  The vitamins/minerals I'm taking right now may not be appropriate for you, and I'd hate to give you advice that could cause you harm.  Follow your surgeon and nutritionist's advice about what you need an in what amount.  If you think their advice sounds a bit off because of what you've read here on OH, ask them.

Remember, for the most part those of us who post on OH aren't doctors or registered dieticians/nutritionists.  We're here to be supportive and to help you along, but we aren't qualified to give medical advice.

Best of luck w/your surgery and keep us all up to date!

Wow... Thanks for all of you who have responded... I think I will have to talk to the NUT again about what I am to take... I guess I am just nervous and want to make sure I am doing this right.. And thank you to those who have provided website information.. I am going to check those out next..

Hi.. I am 6 years post op.. I just want imagine taking as many vitamins as some of those people are taking.  I take a liquid vitamin, it tastes great, I take it in the morning and it gives me energy!  I really like that I dont have to take it several times like many others that people recommend.  Also, my husband and kids take it and they like it.  You can go online to www.Jones.Vemma.com and check it out.  Its really great stuff!~ Good luck

I see a lot of people talking about injections! Do you need them? Do you need to visit your doctor to get them? Or, can you do it at home?

It depends on your comfort level.

Some do their own, and it saves a ton of cash.  Others prefer to pay an office fee to have it done for them because they can't do it.

But there's nothing to say it can't be done at home.


Hell, my dog gets b-12 shots -- I'm about to give him his weekly dose right now.