Are You Taking Enough Vitamins & Minerals?
My Vitamin Regimine:
B Complex sublingual (1.7 mg riboflavin, 20 mg niacin, 2 mg B6, 1200 mcg B12, 30 mg pantothenic acid)
1/2 multivitamin
400 mg calcium citrate w/400 IU vitamin D
1/2 multivitamin
400 mg calcium citrate w/400 IU vitamin D
1000 IU vitamin dry D
1/2 multivitamin
400 mg calcium citrate w/400 IU vitamin D
1000 IU vitamin dry D
1/2 multivitamin
400 mg calcium citrate w/400 IU vitamin D
1/2 multivitamin
400 mg calcium citrate w/400 IU vitamin D
130 mg iron
500 mg vitamin C
I wait at least 2 hours in between each dosing.
After RNY, B12 MUST be taken in injection, sublingual, or nasal inhalant form. It requires binding to an enzyme called intrinsic factor (IF) in order to be absorbed. IF is secreted in the part of the stomach that was bypassed. Therefore it is inaccessible to the RNY patient.
DO NOT take calcium and iron within 2 hours of each other. They are both absorbed using the same cellular receptor sites. The receptor sites like calcium better, therefore the calcium will be absorbed and the iron will be excreted in the feces.
DO NOT eat or drink any of the following within 2 hours of taking iron: dairy, eggs, fiber, tea, coffee, red wine, grapes, or spinach. They each contain substances that bind with the iron. The iron will then be excreted in the feces.
DO take vitamin C with iron. It enhances the absorption of iron. If iron upsets you pouch, take it with a meat snack. This will buffer the pouch and and enhance the absorption of the iron.
Calcium should be taken in divided doses NOT to exceed 500 mg at a time. The body just cannot absorb more than that at a time.
Calcium CARBONATE is not readily absorbed by ANYONE, no matter their WLS status. As someone who has had WLS, we really should be taking calcium CITRATE. It is better absorbed.
B Complex sublingual (1.7 mg riboflavin, 20 mg niacin, 2 mg B6, 1200 mcg B12, 30 mg pantothenic acid)
1/2 multivitamin
400 mg calcium citrate w/400 IU vitamin D
1/2 multivitamin
400 mg calcium citrate w/400 IU vitamin D
1000 IU vitamin dry D
1/2 multivitamin
400 mg calcium citrate w/400 IU vitamin D
1000 IU vitamin dry D
1/2 multivitamin
400 mg calcium citrate w/400 IU vitamin D
1/2 multivitamin
400 mg calcium citrate w/400 IU vitamin D
130 mg iron
500 mg vitamin C
I wait at least 2 hours in between each dosing.
After RNY, B12 MUST be taken in injection, sublingual, or nasal inhalant form. It requires binding to an enzyme called intrinsic factor (IF) in order to be absorbed. IF is secreted in the part of the stomach that was bypassed. Therefore it is inaccessible to the RNY patient.
DO NOT take calcium and iron within 2 hours of each other. They are both absorbed using the same cellular receptor sites. The receptor sites like calcium better, therefore the calcium will be absorbed and the iron will be excreted in the feces.
DO NOT eat or drink any of the following within 2 hours of taking iron: dairy, eggs, fiber, tea, coffee, red wine, grapes, or spinach. They each contain substances that bind with the iron. The iron will then be excreted in the feces.
DO take vitamin C with iron. It enhances the absorption of iron. If iron upsets you pouch, take it with a meat snack. This will buffer the pouch and and enhance the absorption of the iron.
Calcium should be taken in divided doses NOT to exceed 500 mg at a time. The body just cannot absorb more than that at a time.
Calcium CARBONATE is not readily absorbed by ANYONE, no matter their WLS status. As someone who has had WLS, we really should be taking calcium CITRATE. It is better absorbed.
Sharyn, RN
RIP, MOM ~ 5/31/1944 - 5/11/2010
RIP, DADDY ~ 9/2/1934 - 1/25/2012
I honestly don't know how you guys manage to take vitamins six times a day!!! I am very afraid that I would mess that up and not get all those pills taken along with me during the day, forget to take them, etc.
"be willing to sit in the middle of the fear and fucking feel it." Lady Raven
www.obesityhelp.com/forums/gay_lesbian_bisexual_transgender
VSG 12/9/08 Highest 278, then lost #30 preop Goal 126
Practice, practice, practice. I have one of those weekly pill dividers and each the Sunday - Friday slots are filled with all of the vitamins. The Saturday slot is filled with a day's worth of Tylenol. When all the vitamin slots are empty, I know I'm done. It's a good day when I don't have to get into the Tylenol, LMAO.
Sharyn, RN
RIP, MOM ~ 5/31/1944 - 5/11/2010
RIP, DADDY ~ 9/2/1934 - 1/25/2012
Dang I could not follow that regimine..
I take 2 chewable kids vits a day w/ iron, Vit B12 once a week and Calcium, but I am never allowed to take Vitamin C again for my life, Per my surgeon. He had me on Vit C prior to surgery, but has told me never again.. (I guess we see how different all the surgeons are)
There are 3 surgeons at my Dr's office and they are all different.
7-09
2-250 mcg b-12
B12 needs to be in an injection, sublingual, or inhaled form. Oral B12 will not be absorbed.
2 extra strength tums for the calcium
You need 1500-2000 mg calcium CITRATE!!!
2 chewable vitamins
Are they ADULT vitamins or children's vitamins??? You need ADULT vitamins.
B12 needs to be in an injection, sublingual, or inhaled form. Oral B12 will not be absorbed.
2 extra strength tums for the calcium
You need 1500-2000 mg calcium CITRATE!!!
2 chewable vitamins
Are they ADULT vitamins or children's vitamins??? You need ADULT vitamins.
Sharyn, RN
RIP, MOM ~ 5/31/1944 - 5/11/2010
RIP, DADDY ~ 9/2/1934 - 1/25/2012
After RNY, B12 MUST be taken in injection, sublingual, or nasal inhalant form. It requires binding to an enzyme called intrinsic factor (IF) in order to be absorbed. IF is secreted in the part of the stomach that was bypassed. Therefore it is inaccessible to the RNY patient.
Strictly speaking, this isn't correct. Intrinsic factor is necessary for the microgram quantities of B12 IN FOOD to be absorbed. Free B12 unbound to food proteins, such as is found in megadose B12 supplements routinely taken after RNY, doesn't require intrinsic factor to be absorbed; there is so much of the vitamin in megadoses of 500-1500 micrograms or higher that it diffuses across the gut wall simply by mass action in a process that's independent of intrinsic factor. In fact, the only reason that B12 shots are as popular as they are is that this wasn't well understood when pernicious anemia was first understood to be a problem of B12 deficiency secondary to a problem with B12 absorption due to lack of intrinsic factor. B12 shots bypass the issue completely, but it turns out that most people would do quite nicely with oral B12 therapy, as long as it's higher than, say, 500mcg/day.
In the same way, only small uncharged relatively-hydrophobic molecules are well absorbed beneath the tongue, or across the nasal passages or across the lining of the cheek. The best examples are nitroglycerin (for angina), nicotine gum and nasal spray (for smoking cessation), butorphanol nasal spray, fentanyl lollipops and Suboxone sublingual tablets (pain relief and treatment of opiate addiction.) The vast majority of drugs don't qualify -- they simply can't cross the oral or nasal mucosa to deliver an adequate systemic dose.
B12 is a humongous organic molecule with a positively charged cobalt atom at its center. Both of these physical properties suggest that the sublingual and intranasal routes for B12, while effective, in that they manage to deliver adequate amounts of B12, don't do so by being absorbed in the nose or under the tongue. Rather, the nasal spray (like all nasal sprays) runs down the back on the throat where it's swallowed. Same with the "sublingual" B12. People don't spit out the B12 after they put it under their tongue; the resulting B12 solution gets swallowed.
That doesn't mean that I make a point of NOT putting my B12 SL dots under my tongue, of course!
/Steve
Strictly speaking, this isn't correct. Intrinsic factor is necessary for the microgram quantities of B12 IN FOOD to be absorbed. Free B12 unbound to food proteins, such as is found in megadose B12 supplements routinely taken after RNY, doesn't require intrinsic factor to be absorbed; there is so much of the vitamin in megadoses of 500-1500 micrograms or higher that it diffuses across the gut wall simply by mass action in a process that's independent of intrinsic factor. In fact, the only reason that B12 shots are as popular as they are is that this wasn't well understood when pernicious anemia was first understood to be a problem of B12 deficiency secondary to a problem with B12 absorption due to lack of intrinsic factor. B12 shots bypass the issue completely, but it turns out that most people would do quite nicely with oral B12 therapy, as long as it's higher than, say, 500mcg/day.
In the same way, only small uncharged relatively-hydrophobic molecules are well absorbed beneath the tongue, or across the nasal passages or across the lining of the cheek. The best examples are nitroglycerin (for angina), nicotine gum and nasal spray (for smoking cessation), butorphanol nasal spray, fentanyl lollipops and Suboxone sublingual tablets (pain relief and treatment of opiate addiction.) The vast majority of drugs don't qualify -- they simply can't cross the oral or nasal mucosa to deliver an adequate systemic dose.
B12 is a humongous organic molecule with a positively charged cobalt atom at its center. Both of these physical properties suggest that the sublingual and intranasal routes for B12, while effective, in that they manage to deliver adequate amounts of B12, don't do so by being absorbed in the nose or under the tongue. Rather, the nasal spray (like all nasal sprays) runs down the back on the throat where it's swallowed. Same with the "sublingual" B12. People don't spit out the B12 after they put it under their tongue; the resulting B12 solution gets swallowed.
That doesn't mean that I make a point of NOT putting my B12 SL dots under my tongue, of course!
/Steve
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