Help! How Much Do I Take?

BusyBee
on 7/19/07 12:09 am - Staunton, VA
I've been through all the information I received about how to prepare for surgery, but I see nothing about the amounts of protien, calcium and vitamins I'm suppose to take.  I have called the surgeon's office to have nurse call me, but I am impatient.  Is there a list of the an average or minimum dosage I'm suppose to take?  I want to get started before surgery (scheduled for Aug. 1st), especially with the protien.  Can someone tell me what I should be taking? Thanks, Jackie

SWEET Tink
on 7/19/07 12:28 am
Jackie , I know that you are anxious to get started .. and good for you .You always want to follow your surgeons protocol . However , I will give you what I consider to be the norm .  Protein- Get in atleast 60 to 80 grams in the begining . And as you are loosing weight up it to 120 .  Calcium . This does not get started until month # 3  Here is a list of Vitamins you  may want to look into . Most surgeons have you taking Flinstones chewables the first 3 months . But when you are ready here is what your regimine should look like . 

Vitamin Regimen - BASIC plan

(Add to this based on your particular lab work)

 

30g of protein supplement made in water, 3 to 6 times per day, no milk, no sugar.

AND 64 oz of water - minimum

This vitamin schedule is just a suggestion. You can take them any way you wish as long as you follow the rules listed below. Since the rules can be complicated, many people wanted a good place to start. That is why this schedule was created.

I find it a good idea to put the vitamins all out in a pill case for the week. Then I can see what I have taken, or if I have missed something. My pill case has sections for 7 days.... 4 sections for each day...

AM:

2 iron (25 mg each) Ferrous FUMERATE, Carbonyl iron, or elemental iron

Vitamin C (1000mg) ascorbic acid with rosehips

Mid-day:

Calcium CITRATE (500mg) with Vit D and MAgnesium (250mg)

Vitamin E (400IU E a-alpha tocopheryl sucinate)

1 multi-vitamin

Evening:

Calcium CITRATE (500mg) with Vitamin D and Magnesium (250mg)

Zinc (50mg zinc gluconate, chelated)

1 Vitamin A&D (10,000 IU Vitamin A & 400 IU Vitamin D3)

Bedtime:

Calcium CITRATE (500mg) with Vitamin D and Magnesium (250mg)

1 multi-vitamin

1 sublingual B-12 daily (cobalamin concentrate)

or monthly B-12 injection

B Complex tabs daily, are also suggested, especially for energy.

-----------------------------------

* multi-vitamins: (equal to Centrum)

vitamin A 5000 IU, 25% as beta-carotene, vitamin C 120mg, vitamin D 400IU, vitamin E 60IU, thiamin (B1) 1.5mg, Riboflavin (B2) 1.7mg, Niacin (B3) 20mg, Riboflavin (B6) 2mg, Folate (folic acid) 400mcg, B12 6mcg, biotin 30 mcg, pantothenic acid 10mcg, calcium 162mg, iron 18mg (ferrous fumarate), phosphorus 100mg, iodine 150mg, magnesium 100mg, zinc 22.5mg, copper 3mg, selenium 45mcg, manganese 2.5mg, chromium 120mcg, molybdenum 75mcg, chloride 72mg, potassium 80mg, silicon 2mg, boron 150mcg, tin 10mcg, vanadium 10mcg, nickel 5mcg, lutein 275mcg

---------------------

Some rules for vitamin supplements:

IRON.............

Take iron (ferrous FUMERATE only, NOT ferrous SULFATE!)

Iron is NOT a friendly vitamin. Take iron ALONE, NOT with other meds, juice, dairy products, calcium, etc....ALONE (ok with Vitamin C only), or it will be useless. We have a VERY hard time absorbing iron, so this is very important!

CALCIUM..........

Take Calcium CITRATE, NOT Calcium Carbonate. Not Tums (This is carbonate). We do not absorb the carbonate! There are some other types we do absorb one is elemental calcium. Remember.... do not take it with iron. Calcium also needs Vitamin D and Magnesium to work. If your calcium does not have these in the tablet, then you must add Magnesium and more Vitamin D also.

Multi-vitamins.…....

You should use a multi vitamin that is equivalent to Centrum (See above for a description*). You will need to take 2 of these instead of 1 as we only absorb about 50% at most.

Vitamins A, D, E and zinc and C (and any others you may add)..…....

Use only dry tablets....we do not absorb anything in an oil type gel cap, or ones that are enteric coated, or time-release versions.

B-12 injections.... you can get a prescription from your primary doctor for a vial of B-12 that will give you about 30 injections. The B-12 is quite inexpensive. I paid under $4 for the vial, and that was regular price (less than my co pay would have been.)

If you don't like injections, you can use the B-12 sublingual. They melt under your tongue like nitroglycerin tabs for heart patients. You can get them many places, including GNC stores. If you choose the sublingual, you will need to take them daily, whereas the injections are monthly.

Remember, these are the BASICS. If your lab work shows drops in any areas, then these amounts will have to be adjusted.

Some additions...

Problems with hair loss or brittle nails.... add Biotin

Problems absorbing Calcium...add Boron

Problems absorbing iron.........add Copper

 ** Remember this is my schedule and may not be condusive to your surgeons protocol, it will give you an idea of what , when and why . **

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BusyBee
on 7/19/07 2:18 am - Staunton, VA
This is a lot of great information.  Now I atleast have a starting point. Thanks, Jackie

prissy25
on 7/19/07 12:48 am - Barboursville, VA
Jackie I take 1 Calcium Citrate + D w/ Magnesium morning and Pm I get them from CVS which is where I was instructed from Dr Schirmers office to get them, and I was  taking the expensive One a day vit. but the Pharmaces says the cvs brands are justs as good and cheaper so I take 1 of the Dailey Multilple For Women Vitamin w/ Iron, Calcium,Zinc,& folic acid @ Lunch time, I also have the B12 disolvables but I have not had to take those but I do have them on hand if I do. So I would start the the Multilple Vitamin for women and the Calcium Citrate if you choose but other than that I would wait until you do your labs and see where your at we are all different and he may ask you to do other. The protein is 60-80 and you come to the meet I have some samples for you to try so you dont buy big sums you dont like. And we can talk about this Sat. ok see ya then. 
 VAFFPsLogo.jpg FFP's picture by in2lights
OH Support Group Leader - [email protected]
Believing in yourself makes it so much easier in supporting those who need your friendship, love, and support,so Believe in yourself First.
Charlottesville, Virginia VA FFP's Meet's every 4th Sat.

    
BusyBee
on 7/19/07 2:16 am - Staunton, VA

This was on my list of things to ask when me get together for lunch Sat.  Protien samples would be great!  I went to GNC yesterday and there are so many different ones, it's hard to know which one to choose.  See you Saturday! Jackie

becca973
on 7/19/07 3:00 pm - Pounding Mill, VA
Is your calcium citrate chewable, Melinda? The ones I got at Walmart were horse pills, and I have a hard time choking them down.

BECCA
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prissy25
on 7/19/07 11:07 pm - Barboursville, VA
No sweet cheeks mine are very much the horse pill but in thebegining I was on all liquids so if having trouble as Dr Schirmer for the liguid I think its a prescription form when I had the feeding tube I had all liquids to put in that I took nothing by mouth for a while until I trainedmyself to reinterduce myself again, your mom the nurse may know the name of this have you called up here this morning yet? How did last night go? Let me know, I was worried about you but didnt wanna call in case you finally got to sleep. 
 VAFFPsLogo.jpg FFP's picture by in2lights
OH Support Group Leader - [email protected]
Believing in yourself makes it so much easier in supporting those who need your friendship, love, and support,so Believe in yourself First.
Charlottesville, Virginia VA FFP's Meet's every 4th Sat.

    
becca973
on 7/19/07 11:47 pm - Pounding Mill, VA
Ty very much, I will ask today when I call them back. Last night was about as good as the night before. I did manage to remain sleeping, once I got to sleep at 3 am. I don't know what is causing it, but between two of the scars, I have a lot of pain and when I roll over it feels like someone is putting a knife through me there. Hopefully, they'll be able to give me something a little stronger than the tylenol and lodiene, but not quite the strength of percocet. The girls are coming back from their vacation today, so I don't want something that will make me all loopy.

BECCA
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cmw
SW:264 
CW:234 GW:150 Lap-Band 07/09/07

prissy25
on 7/19/07 11:50 pm - Barboursville, VA
Very true have you called up here yet????? Get dialing missy lol you know how busy they are and you may get busy and forget like yesterday you dont want a weekend of pain.
 VAFFPsLogo.jpg FFP's picture by in2lights
OH Support Group Leader - [email protected]
Believing in yourself makes it so much easier in supporting those who need your friendship, love, and support,so Believe in yourself First.
Charlottesville, Virginia VA FFP's Meet's every 4th Sat.

    
becca973
on 7/19/07 11:54 pm - Pounding Mill, VA
I was having my "hot chocolate" and doing email first. But I am calling them as soon as I am finished with this cup.

BECCA
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:(    ):/   |
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cmw
SW:264 
CW:234 GW:150 Lap-Band 07/09/07

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