Supplements for pre op into PO
Well, I am not going to recommend any particular vitamin (brand) other than what a person's doctor office says to take, hopefully not children's vitamins 
. Dave and I take a certain brand and we have had good labs at follow ups. What follows is not a slam against anyone that might have posted other info in the past but just a clarification of info.
I will mention that for the most part a person that is an adult pre op and PO that they should be taking an ADULT multi vitamin, not a children's chewable because you cannot get the daily RDA that comes in them (children's). I do have a reason for saying this because there is a girl that posts on the main board and on other boards by the name of Andrea U that has great info about all kinds of supplements. Now, for patients that might be a bandster or other surgery type you might not have issues with malabsorbtion. Even at my doctor's office he recommends that band patients take at least a multi vit. Because let's face it folks we are not getting the complete RDA of nutrients with food in us because of our respective surgeries. Here is a cut and paste of what she has written about children's multi vits:
General Vitamin Info
Everyone who knows me a little bit, knows that I have strong opinions about vitamins.
I had my surgery 4 years ago with a *wonderful* surgeon. I truly love Dr. Burry. His supplement advice was to take two flintstones and tums for the rest of my life. And I trusted him. Keep in mind that 4 years ago, there was little nutritional evidence that has since come out about multivitamin regimens in RNY patients.
Surgery was August of 04. I had regular blood draws. And in those draws, I was normal for the most part, but slowly trending downwards. Was I told? Nope. Did I ask to see my lab sheets? Nope. I *trusted* my healthcare providers.
4 years later, 2 kids later, and my ferritin sucks, my D was in the toilet, and I was in serious pain from my bones being leeched of their calcium. Osteomalacia is not very fun, let me tell you. And the zombie-like feeling of not having any iron reserves is pretty crushing as well. I started to study vitamins, read everything I can get my grubby paws on (and hey, I have a ton of stuff to still go through), and share this info with others in hopes that someone will listen to my advice and not travel this road. Avoiding a defiency is much easier than recovering from one.
So now what? Oh. I thought I'd share and site some info for you.
Flintstone vitamins
Ahh yes, the most controversial of the subjects are flintstone vitamins. First off, let me say right here and now that an adult dose of flinstones (and I'm not talking gummies.. yet) is 2 tablets. The American Society of Metabolic and Bariatric Surgeons recommends two times the adult dose, so that makes 4 Flintstone chewables a day. Got it? Not two. Not three. Four. As in 2+2 == 4.
Perhaps the lamest excuse I see for taking Flintstones vitamins is price. Yes, times are tough.. but are you really willing to relegate your health to the lowest priced vitamins on the market? I mean, we had surgery to be in better shape.. and you are willing compromise that health on crap vitamins? Give me a break.
But, ok. Let's look at price.
Amazon.com has a bottle of 200 Flintstone Complete vitamins for 17.99. For ease, let's call it $18.00 ok? 4 a day (remember, bariatric dosing), makes for 50 days, each day costing 36 cents.
Amazon.com has a bottle of 100 Centrum Adult vitamins for $13.16. For ease, we'll call it $13.20. 2 per day (because they are adult vitamins), makes for 50 days, each day costing 26 cents.
So don't tell me you buy Flintstones for the cost factor, 'kay? That argument does not fly when you are taking a bariatric dose of vitamins. Period. Moving on.
Additionally, the flintstone complete vitamins are, in fact, missing some key things. Even Centrum's KIDS vitamins are better for you than flintstones. Period.
Flintstone Gummies (or any other child's gummy vitamins)
These are not vitmains -- they are candy. I *cringe* when I even see these in the store. I would not give these to my toddler.
Why? Because they are only good in the yummy b-vitmains. They have no iron, no copper, no selenium, etc. I mean, really, they are deficient in so many things, it's not even funny. The first two ingredients are sucrose and fructose. So two forms of sugar are the first ingredients? Oh, and the adult dose is 6 vitamins, so 12 per day for a bariatric patient? Give me a break.. not only is it an insuficient vitamin, it's even more expensive than the bariatric vites that people shy away from due to price tags.
This girl has a beavy of info and if you would like the whole Word document that I cut and paste and saved to my 'puter let me know. I have all 16 pages printed out and I have it here in the house with my other WLS documents that I keep at hand for easy reference. If you would like the document I will need your e-mail via PM so I can send it to you.
Keep in mind that there are many vitamin companies out there and there are chewable and liquid adult vitamins available. Yes some of them are not the best tasting, but what is the alternative ?? - bad labs or a little dislike of the taste? Remember it is your health in the end. By the way the document has a list of all the rest of the vitamins (brands) and what the different amount of the contents.
Example: Calcium - RDA 1000
Optisource - 1000 (as carbonate)
Celebrate - 0
Centrum - 400 (as carbonate)
Centrum Kids - 216 (carbonate)
Flintstones - 200 (dicalcium phosphate)
Flintstones Gummy - 0
RNY patients note the type of calcium that you are receiving or lack of any calcium.
ChristineB
. Dave and I take a certain brand and we have had good labs at follow ups. What follows is not a slam against anyone that might have posted other info in the past but just a clarification of info. I will mention that for the most part a person that is an adult pre op and PO that they should be taking an ADULT multi vitamin, not a children's chewable because you cannot get the daily RDA that comes in them (children's). I do have a reason for saying this because there is a girl that posts on the main board and on other boards by the name of Andrea U that has great info about all kinds of supplements. Now, for patients that might be a bandster or other surgery type you might not have issues with malabsorbtion. Even at my doctor's office he recommends that band patients take at least a multi vit. Because let's face it folks we are not getting the complete RDA of nutrients with food in us because of our respective surgeries. Here is a cut and paste of what she has written about children's multi vits:
General Vitamin Info
Everyone who knows me a little bit, knows that I have strong opinions about vitamins.
I had my surgery 4 years ago with a *wonderful* surgeon. I truly love Dr. Burry. His supplement advice was to take two flintstones and tums for the rest of my life. And I trusted him. Keep in mind that 4 years ago, there was little nutritional evidence that has since come out about multivitamin regimens in RNY patients.
Surgery was August of 04. I had regular blood draws. And in those draws, I was normal for the most part, but slowly trending downwards. Was I told? Nope. Did I ask to see my lab sheets? Nope. I *trusted* my healthcare providers.
4 years later, 2 kids later, and my ferritin sucks, my D was in the toilet, and I was in serious pain from my bones being leeched of their calcium. Osteomalacia is not very fun, let me tell you. And the zombie-like feeling of not having any iron reserves is pretty crushing as well. I started to study vitamins, read everything I can get my grubby paws on (and hey, I have a ton of stuff to still go through), and share this info with others in hopes that someone will listen to my advice and not travel this road. Avoiding a defiency is much easier than recovering from one.
So now what? Oh. I thought I'd share and site some info for you.
Flintstone vitamins
Ahh yes, the most controversial of the subjects are flintstone vitamins. First off, let me say right here and now that an adult dose of flinstones (and I'm not talking gummies.. yet) is 2 tablets. The American Society of Metabolic and Bariatric Surgeons recommends two times the adult dose, so that makes 4 Flintstone chewables a day. Got it? Not two. Not three. Four. As in 2+2 == 4.
Perhaps the lamest excuse I see for taking Flintstones vitamins is price. Yes, times are tough.. but are you really willing to relegate your health to the lowest priced vitamins on the market? I mean, we had surgery to be in better shape.. and you are willing compromise that health on crap vitamins? Give me a break.
But, ok. Let's look at price.
Amazon.com has a bottle of 200 Flintstone Complete vitamins for 17.99. For ease, let's call it $18.00 ok? 4 a day (remember, bariatric dosing), makes for 50 days, each day costing 36 cents.
Amazon.com has a bottle of 100 Centrum Adult vitamins for $13.16. For ease, we'll call it $13.20. 2 per day (because they are adult vitamins), makes for 50 days, each day costing 26 cents.
So don't tell me you buy Flintstones for the cost factor, 'kay? That argument does not fly when you are taking a bariatric dose of vitamins. Period. Moving on.
Additionally, the flintstone complete vitamins are, in fact, missing some key things. Even Centrum's KIDS vitamins are better for you than flintstones. Period.
Flintstone Gummies (or any other child's gummy vitamins)
These are not vitmains -- they are candy. I *cringe* when I even see these in the store. I would not give these to my toddler.
Why? Because they are only good in the yummy b-vitmains. They have no iron, no copper, no selenium, etc. I mean, really, they are deficient in so many things, it's not even funny. The first two ingredients are sucrose and fructose. So two forms of sugar are the first ingredients? Oh, and the adult dose is 6 vitamins, so 12 per day for a bariatric patient? Give me a break.. not only is it an insuficient vitamin, it's even more expensive than the bariatric vites that people shy away from due to price tags.
This girl has a beavy of info and if you would like the whole Word document that I cut and paste and saved to my 'puter let me know. I have all 16 pages printed out and I have it here in the house with my other WLS documents that I keep at hand for easy reference. If you would like the document I will need your e-mail via PM so I can send it to you.
Keep in mind that there are many vitamin companies out there and there are chewable and liquid adult vitamins available. Yes some of them are not the best tasting, but what is the alternative ?? - bad labs or a little dislike of the taste? Remember it is your health in the end. By the way the document has a list of all the rest of the vitamins (brands) and what the different amount of the contents.
Example: Calcium - RDA 1000
Optisource - 1000 (as carbonate)
Celebrate - 0
Centrum - 400 (as carbonate)
Centrum Kids - 216 (carbonate)
Flintstones - 200 (dicalcium phosphate)
Flintstones Gummy - 0
RNY patients note the type of calcium that you are receiving or lack of any calcium.
ChristineB
Open RNY May 7
260/155/140
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