Whatcha eating Today VSGers? Thursday, 3/22/2018

I know that iron and calcium need to be spaced by 2 hours. Not sure about everything else, but I figured if the doses are broken up, then I should allow 2 hours for digestion of each. It's pretty easy - at work I had a "meeting" on the calendar that I moved forward by 2 hours after each dose. Now I use a reminder on my phone and do the same thing.

I am not. I have never been told that before by my surgeon, he said an Iron and multi-vitamin. I did not know I needed more.

Edit: I did some googling and I see that it is essential to take calcium and iron as well as the multi vitamin. Why did he never mention calcium before?

Here's a link to the latest ASMBS guidelines:
https://drive.google.com/file/d/1CwYenC_JkKKi7-EENJG9xgpsJKq s_apW/view?usp=sharing

Here's what they recommend for post-WLS people (VSG = SG):

Vitamin B1 (Thiamin)
ALL - at least 12 mg thiamin daily, preferably 50mg from a B-complex supplement or multivitamin once or twice daily

Vitamin B12 (Cobalamin)
ALL - based on route. Oral: 350-500 ug/day; Nasal spray: as directed; Parenteral: 1000 ug/monthly

Folate (Folic Acid)
ALL - 400-800 ug/daily; 800-1000 ug/daily if childbearing age

Iron
Men/No history of anemia - 18 mg/daily
Menstruating females (RNY, SG, DS) - 45-60 mg/daily
Divided from calcium, acid-reducing meds

Vitamin D
ALL - 300 IU/daily, based on serum D levels

Calcium
DS - 1800-2400 mg/daily
SG/RNY - 1200-1500 mg/daily
In divided doses (500 mg/dose), carbonate with meals, citrate with or without meals

Vitamin A
RNY/SG - 5000-10000 IU/daily
DS - 10000 IU/daily

Vitamin K
RNY/SG - 90-120 ug/daily
DS - 300 ug/daily

Vitamin E
ALL - 15 mg/daily

Zinc
DS - multi with 200% RDA (16-22 mg/daily)
RNY - multi with 100-200% RDA (8-22 mg/daily)
SG - multi with 100% RDA (8-11 mg/daily)
Ratio of 8-15 mg zinc per 1 mg copper

Copper
DS/RNY - 200% RDA (2 mg/daily)
SG - 100% RDA (1 mg/daily)
Copper gluconate or sulfate

Thank you. I will look for a calcium vitamin and up my iron. I am taking one iron pill it is only 27mg. It looks like I can get a lot covered in a multi-vit, a non chewable multi-vit. Are the actual bariatric vitamins better? They are a bit pricier for less it seems.

Bariatric vitamins are not better - as long as the vitamin is from a reputable company, and meets the requirements, you'll be fine.

Thank you for the information!

My bariatric multis have a lot of calcium in them. I don't take separate ones and my numbers are good.

Good morning,

I was supposed to take my friend shopping this morning but she rescheduled for this afternoon.

Qotd when my niece called me skinny Minnie, I laughed because I didn't feel like it but I thought about it and brought happy thoughts. Since she see me as successful because she had the rny 2 months after I did and she wasn't very successful because she likes to drink alcohol.

B ham and cheese omelette and string cheese

L chicken tenders

D corned beef, cabbage and carrots

Have a good day

QOTD: My best and favorite compliment was from my stepchildren. Both have told me that they model their parenting on me, and both are great parents. I spend a lot of time with their 8 children. We also have a bio daughter who has 4 children - the siblings are very close to each other and the cousins love getting together. Makes for amazing holiday get-togethers!

M1 - protein bar

M2 - probably chicken soup

M3 - grilled chicken and brown rice.

That is a beautiful compliment. It really shows how highly they must think of you.