Help with complete vitamin switch please?

mzlaura
on 8/30/13 10:46 am - Litchfield, NH
RNY on 03/05/13

I saw my dietician today and there is a possibility the iron in my bariatric fusion vitamins is causing my constipation. We both agreed I can try celebrate since its a different form of iron. I am also waiting on a lab slip for a whole range of b/w I  am due anyway for my 6 months labs and I have been exhausted! So obviously celebrate compared to fusion is completely different! 

I have celebrate multivitamin not complete

celebrate iron +c

celebrate sublingual b12. 

Bariatric advantage calcium citrate chews 250mg per 1.

I have no idea how to space these!

Besides these meds I also take synthroid has to be spaced apart at least 4 hours from antacids/vitamins.

prevacid 30mg

biotin 5,000 mcg 2x dday 

 Colace 2x day

wellbutrin 2x day

ambien 10mg at bedtime

 

So what is my easiest way to get this all in as far as spacing? I don't know what can be mixed with what. Also is 2 calcium citrate chews a day sufficient? Iron said 1x day and multi said 1 chewable 2x day. I am trying this for this current week anyway to see if it makes a difference in my constipation issued. Ty to anyone who can help

 

 

 

HW: 401  SW: 297  CW: 200.8
RNY gastric bypass surgery on March 5th, 2013

  

PetHairMagnet
on 8/30/13 10:56 am
RNY on 05/13/13

I would seriously reconsider the chews as the sole source if calcium. They have a lot of calories over the course if the day. 

 

    

HW333--SW 289--GW of 160 5' 11" woman.  I only know the way I know & when you ask for input/advice, you'll get the way I've been successful through my surgeon & nutritionist. Please consult your surgeon & nutritionist for how to do it their way.  Biggest regret? Not doing this 10 years ago! Every day is better than the day before...and it was a pretty great day!

        

    

    

Professor Sonja!!!!
on 8/30/13 1:07 pm - Miami, FL
RNY on 08/15/12

I use the 500 mg Bariatric Advantage calcium chews.  15 calories per chew 3x per day = 45 calories.  It's like a small treat for me.  

 

Come keep it real in R&R 3.0 Want an invite? PM me here.

 

    

poet_kelly
on 8/30/13 10:58 am - OH

No, one calcium chew is not sufficient.  The ASMBS says we need 1500 to 2000 mg calcium citrate a day - that means six to eight of those chews.  You can take two at a time, since we can absorb about 500 mg calcium at a time.

These are way better vitamins than the Bariatric Fusion anyway.

Try a schedule like this:

Wake up - Synthroid

Lunch - multi, two calcium chews, B12

Mid-afternoon - two calcium chews

Dinner - multi, two calcium chews

Bedtime - iron

Stick the other meds in wherever they go best - don't take the prevacid with the iron because it can interfere with iron absorption.

View more of my photos at ObesityHelp.com          Kelly

Please note: I AM NOT A DOCTOR.  If you want medical advice, talk to your doctor.  Whatever I post, there is probably some surgeon or other health care provider somewhere that disagrees with me.  If you want to know what your surgeon thinks, then ask him or her.    Check out my blog.

 

mzlaura
on 8/30/13 11:01 am - Litchfield, NH
RNY on 03/05/13

So how long after iron should I wait to take the Prevacid? Hoping this really helps with my constipation issues!

HW: 401  SW: 297  CW: 200.8
RNY gastric bypass surgery on March 5th, 2013

  

poet_kelly
on 8/30/13 11:03 am - OH

At least two hours away from each other.

The issue is that Prevacid cuts down on stomach acid and you need some stomach acid break down the iron for absorption.

View more of my photos at ObesityHelp.com          Kelly

Please note: I AM NOT A DOCTOR.  If you want medical advice, talk to your doctor.  Whatever I post, there is probably some surgeon or other health care provider somewhere that disagrees with me.  If you want to know what your surgeon thinks, then ask him or her.    Check out my blog.

 

mzlaura
on 8/30/13 11:05 am - Litchfield, NH
RNY on 03/05/13

Oh ok gotcha Ty for laying this all out for me I was clueless and start the switch tomorrow.

HW: 401  SW: 297  CW: 200.8
RNY gastric bypass surgery on March 5th, 2013

  

poet_kelly
on 8/30/13 11:07 am - OH

Oh, no problem.  I know it's horribly confusing at first trying to figure out what can go together and what can't.

View more of my photos at ObesityHelp.com          Kelly

Please note: I AM NOT A DOCTOR.  If you want medical advice, talk to your doctor.  Whatever I post, there is probably some surgeon or other health care provider somewhere that disagrees with me.  If you want to know what your surgeon thinks, then ask him or her.    Check out my blog.

 

65rosesmom
on 8/30/13 11:06 am

I used a lot of the celebrate brands in the beginning and I found that not only were the dosing too low,  but they were really expensive for what you get.

For the Iron, I switched to Sundown Perfect Iron in 25mg tabs.  I take 6 of them, because my iron is so horrific.  The celebrate were only 18mg tabs and is far more expensive per bottle than the BOGO I was finding on the Sundown.  I also found Feosol Carbonyl iron that comes in 45mg tabs and I'm switching to those when my Sundown is gone.   

I buy my multivitamin from the CVS or Walgreens as well, BOGO.  I buy the senior versions without iron, because its the kind of iron that is super constipating.   I buy generic and its MUCH MUCH cheaper than the celebrate version.

I buy generic calcium citrate tabs and combine them with either the chews (bariatric advantage) or the Healthy Indulgence Coins.  The tabs are MUCH cheaper than the chews, plus I'd need EIGHT chews a day to get in my proper dose.  They are a lot of calories, but more than that at $12 for a bag of 60,  its a lot and they are gone in 2 weeks.

Sublingual b12 is also sold in CVS or Walgreens at a much lower cost than the celebrate.   Overall, I feel that the Bariatric Advantage and Celebrate brands are a total ripoff  marketed to post-surgery patients who don't know any better.   

As far as spacing, here's what I do:

with breakfast - 1 multivitamin + 1 calcium citrate pill 

with lunch - 1 multivitamin + 1 calcium citrate pill + B12 + vitamin D

with afternoon snack - 2 calcium citrate chews

with dinner -- some form of calcium

with night time snack -- all my iron + vitamin C

Heather   Mom to 3  
Surgery August 9, 2012
HW = 225, SW= 205, CW 135 

    

poet_kelly
on 8/30/13 11:09 am - OH

I sorta agree with you, except when patients want chewables, Celebrate and Bariatric Advantage give them some options not easily found in local stores.  Yeah, you can buy chewable Centrum in stores, but if you don't like the taste, Celebrate and BA provides other flavors.  And they offer chewable calcium citrate, which is very hard to find in stores, and chewable iron.

View more of my photos at ObesityHelp.com          Kelly

Please note: I AM NOT A DOCTOR.  If you want medical advice, talk to your doctor.  Whatever I post, there is probably some surgeon or other health care provider somewhere that disagrees with me.  If you want to know what your surgeon thinks, then ask him or her.    Check out my blog.

 

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