My Multi-vitamin taste terrible please help
The American Society for Bariatric and Metabolic Surgery make the following vitamin and mineral supplementation recommendations for RNYers:
CALCIUM:
· Choose a brand that contains calcium citrate and vitamin D3
o Begin with chewable or liquid
o Progress to whole tablets or capsules, as tolerated
· 1500– 2000 mg per day
· Split into 500–600 mg doses; be mindful of serving size on supplement label
· Space doses evenly throughout day
· Suggest a brand that contains magnesium
· Do not combine calcium with iron containing supplements:
o To maximize absorption
o To minimize gastrointestinal intolerance
o Wait 2 hours after taking multivitamin or iron supplement
· Promote intake of dairy beverages and/or foods that are significant sources of dietary calcium in addition to recommended supplements, up to 3 servings daily
· Combined dietary and supplemental calcium intake 1700 mg/d may be required to prevent bone loss during rapid weight loss
MULTIVITAMINS:
· A high-potency vitamin containing 200% of daily value for at least 2/3 of nutrients
· Begin on day 1 after hospital discharge
· Begin with chewable or liquid
· Progress to whole tablet/capsule as tolerated
· Avoid time-released supplements
· Avoid enteric coating
· Choose a complete formula with at least 18 mg iron, 400 mg folic acid, and containing selenium and zinc in each serving
· Avoid children’s formulas that are incomplete
· May improve gastrointestinal tolerance when taken close to food intake
· May separate dosage
· Do not mix multivitamin containing iron with calcium supplement, take at least 2 hours apart
· Individual brands should be reviewed for absorption rate and bioavailability
· Specialized bariatric formulations are available
Additional B12:
· Available forms include sublingual tablets, liquid drops, mouth spray, or nasal gel/spray, intramuscular injection
· 1000 mcg/mo
Additional elemental iron (above that provided by multivitamins)
· Recommended for menstruating women and those at risk of anemia (total goal intake 50-100 mg elemental iron/day)
· Add a minimum of 18–27 mg/day elemental
· Begin with chewable or liquid
· Progress to tablet as tolerated
· Dosage may need to be adjusted based on biochemical markers
· No enteric coating
· Do not mix iron and calcium supplements, take 2 hours apart
· Avoid excessive intake of tea due to tannin interaction
· Encourage foods rich in heme iron
· Vitamin C may enhance absorption of non-heme iron sources
Sharyn, RN
RIP, MOM ~ 5/31/1944 - 5/11/2010
RIP, DADDY ~ 9/2/1934 - 1/25/2012
right now I take 2 times a day centrum
vit d sup 2 times per day
calcium citrate 2 times per day
b12 2xs per day
Iron supp 2 tiems per day
I swallow all vits in pill form.
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