Monday Fitness Fun Fact
Stole this article from Andrea over on the main boarad.....great info which reinforces the need for a balanced diet in addition to taking supplements. Thanks to Andrea.
From the American Journal of Clinal Nutrition, Volume 87, Number 5, May 1st 2008 edition:
Main observations are as follows:
1) Standard multivitamin supplementation is not sufficient to prevent nutritional deficiencies after RNY.
2. The prevalence of vitamin D and calcium deficiency increases significantly with the length of the Roux-en-Y limb.
3) Proper postoperative nutritional substitution can become a burdensome and expensive treatment, which may challenge a patient's compliance considerably.
Nutritional deficiencies after Roux-en-Y gastric bypass for morbid obesity often cannot be prevented by standard multivitamin supplementation by Christoph Gasteyger, Michel Suter, Rolf C Gaillard, and Vittorio Giusti
Study included 137 morbidly obese patients (110 women and 27 men). All patients were given a standardized multivitamin preparation. Specific requirements for additional supplements were systematically assessed by a biologic workup at 3, 6, 9, 12, 18, and 24 months.
Three months after RNY, 34% of these patients required at least one specific supplement in addition to the multivitamin. At 6 and 24 months, this proportion increased to 59% and 98% respectively.
Only 2% of patients were free from additional supplement use after 2 years.
59.8% of patients were receiving at least 3 and 37.2% were receiving 4 or more types of supplements.
There was no difference between men and women, and no correlation between the number of prescribed supplements and the absolute or relative weight loss.
Vitamin B-12 was the most frequently prescribed supplement (80% at 2 yr), followed by iron (60%), calcium + vitamin D-3 (60%), and folic acid (45%).
An estimate of the average cost of nutritional supplementation 2 yr after RNY is a mean of $417.96, not including B12 injections.
From the American Journal of Clinal Nutrition, Volume 87, Number 5, May 1st 2008 edition:
Main observations are as follows:
1) Standard multivitamin supplementation is not sufficient to prevent nutritional deficiencies after RNY.
2. The prevalence of vitamin D and calcium deficiency increases significantly with the length of the Roux-en-Y limb.
3) Proper postoperative nutritional substitution can become a burdensome and expensive treatment, which may challenge a patient's compliance considerably.
Nutritional deficiencies after Roux-en-Y gastric bypass for morbid obesity often cannot be prevented by standard multivitamin supplementation by Christoph Gasteyger, Michel Suter, Rolf C Gaillard, and Vittorio Giusti
Study included 137 morbidly obese patients (110 women and 27 men). All patients were given a standardized multivitamin preparation. Specific requirements for additional supplements were systematically assessed by a biologic workup at 3, 6, 9, 12, 18, and 24 months.
Three months after RNY, 34% of these patients required at least one specific supplement in addition to the multivitamin. At 6 and 24 months, this proportion increased to 59% and 98% respectively.
Only 2% of patients were free from additional supplement use after 2 years.
59.8% of patients were receiving at least 3 and 37.2% were receiving 4 or more types of supplements.
There was no difference between men and women, and no correlation between the number of prescribed supplements and the absolute or relative weight loss.
Vitamin B-12 was the most frequently prescribed supplement (80% at 2 yr), followed by iron (60%), calcium + vitamin D-3 (60%), and folic acid (45%).
An estimate of the average cost of nutritional supplementation 2 yr after RNY is a mean of $417.96, not including B12 injections.
Great Post from the Bone!
I still take the Bariatric chewable vits several times a day and the sublingual Lozenges from the health food stores that have B-12, B-1, B-6 and Biotin. I really should have a blood test soon, but going to the doc is such a chore.
I've got this presentation coming up at the beginning of November. Once that's done I'll probably get checked.
Best Wishes,
Dave
I still take the Bariatric chewable vits several times a day and the sublingual Lozenges from the health food stores that have B-12, B-1, B-6 and Biotin. I really should have a blood test soon, but going to the doc is such a chore.
I've got this presentation coming up at the beginning of November. Once that's done I'll probably get checked.
Best Wishes,
Dave
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