Here it is all out in the open... 3yrs out on Feb 2nd.....

So I know many of you will yell scream and slap my hand and tell me I'm a bad girl... Please don't I already know this....

My family and I moved to Japan two years ago for the military, after moving here here running out of vitamins and finding it hard to get back on track....Well about 6 months ago I started getting sluggish tired ALL the time and just plain BLAH.... and Im a procrastinator so right before Christmas I went and had my yearly girlie exam and 3 yr post op check up... and well heres the results..(please no snickering or belittling)

 

Test          Results               Ref. range

Vitamin D~  24                  (30-100)

Iron          ~ 18                  (48-154

B-12        ~  115.0             (180-914)

Hemoglobin ~ 9.8              (12.0-16.0)

hematocrit~   31.4              (37.0-47)

MCV          ~71.9              (81-99)

 

soooo all of that mumbo jumbo said hey lady you need to start your F*ing vitamins again.......Oh yeah and your anemic..

 

The regime

7:30am 

            1~ prescription prenatal vitamin (nope not having a baby)

             2~500mg B-12

            1~ 1000iu vitamin D3

10:30am

             3~200mg calcium citrate +d

12:30pm

             3~200mg calcium citrate +d

2:30pm  

            3~200mg calcium citrate +d

4:30pm

            1~200mg calcium citrate +d

7:30pm

             1~ 325mg Ferrous sulfate (iron)

             1~ 500mg Vitamin c

 

Okay its really hard for me to do this crud but I'm trying I haven't missed a does since I started last thursday...  There are no military bariatric drs here in japan.. SO my question is does the order I take my vitamins ok? Am I doing it right?? 

thanks for all the help!!

You probably need much more vit D to increase your numbers.

thanks, I just checked and my calcium citrate has 800 IU or vitamin D as well so 'I'm actually getting around 3000 IUs a day should I up that more? I will be going back in march to have the levels checked again but don't want to over do it or under do it :(

The timing looks good. And I'm sure you know this, but just incase, the b-12 should be sublingual. In addition to all those, I also take B1.

See a hematologist about an iron infusion.  It is awfully difficult to get your numbers up without them.  You may need them regularly.

Get a B12 shot NOW!  And most likely weekly or more until your numbers are up.  Your level is dangerously low.  Like nerve damage low.

Go to vitalady.com and get her dry D3 50.  Take one a day until your numbers are up.  It is 50,000 iu.  Do not waste your time on prescription D.  It is D2 and you won't absorb that well enough to make much difference.  You may want to email Michelle (she is Vitalady) and get her input.  She is a very long time post op and has devoted herself to knowing about post WLS supplementation.  She sells the stuff we need and she can also advice you on what other labs you will need and what your lab targets should be.

Good luck to you.  No one is going to pile on you.  One of the biggest issues after WLS if patient compliance.  It is very easy to get complacent and forget that we aren't normal anymore.  We feel good, we look good and we don't think we need to worry about it.  I've been there, done that.

Thanks everyone... Being here in Japan I have only met one other person with weight loss surgery... I just emailed my Dr. suggesting the b12 shot and iron infusions.. Lets hope he listens.. Unfortunately he is just a primary care Dr. so I'm hoping that he will help me out somehow...  thanks everyone!!

I don't know about the medical system in Japan but I needed to see a hematologist for the iron infusions.  My PCP prescribed the B12 shots and I give them to myself.

I don't use the Japanese heath system its just military Dr at a Naval hospital :( I might email my Bariatric dr and see what he suggests

 

You need to take a multi vitamin twice a day looks like you only take one in the morning.  I would take another before bed