"But my surgeon said to take a couple of Flintstones vitamins and I'll be okay!"
You need to read the label carefully to see if it's good enough. Make sure you're getting about 200% of the recommended daily allowance of most vitamins and minerals. Like, if you take two adult chewable Centrum, you'll get 200% of most things. But you'll be short on biotin and it has no selenium. So if you're using Centrum, you might want to take extra biotin and some selenium to make up for what it doesn't have.
Kelly
Kelly
My Vitamin Regimen:
B Complex sublingual (1.7 mg riboflavin, 20 mg niacin, 2 mg B6, 1200 mcg B12, 30 mg pantothenic acid)
1/2 multivitamin
400 mg calcium citrate w/400 IU vitamin D
2000 IU vitamin dry D
1/2 multivitamin
400 mg calcium citrate w/400 IU vitamin D
2000 IU vitamin dry D
1/2 multivitamin
400 mg calcium citrate w/400 IU vitamin D
2000 IU vitamin dry D
1/2 multivitamin
400 mg calcium citrate w/400 IU vitamin D
2000 IU vitamin dry D
1/2 multivitamin
400 mg calcium citrate w/400 IU vitamin D
2000 IU vitamin dry D
130 mg iron
1000 mg vitamin C
I wait at least 2 hours in between each dosing. I also have a bit of OCD and that's why I only take a half of a multivitamin at a time. I keep my daily vitamins in one of those 7 day pill containers. This makes each container have an equal number of pill in it, except the one with my iron and vitamin C and Tylenol. It's a sickness, I know.
After RNY, B12 MUST be taken in injection, sublingual, or nasal inhalant form. It requires binding to an enzyme called intrinsic factor (IF) in order to be absorbed. IF is secreted in the part of the stomach that was bypassed. Therefore it is inaccessible to the RNY patient.
DO NOT take calcium and iron within 2 hours of each other. They are both absorbed using the same cellular receptor sites. The receptor sites like calcium better, therefore the calcium will be absorbed and the iron will be excreted in the feces.
DO NOT eat or drink any of the following within 2 hours of taking iron: dairy, eggs, fiber, tea, coffee, red wine, grapes, or spinach. They each contain substances that bind with the iron. The iron will then be excreted in the feces.
DO take vitamin C with iron. It enhances the absorption of iron. If iron upsets you pouch, take it with a meat snack. This will buffer the pouch and and enhance the absorption of the iron.
Calcium should be taken in divided doses NOT to exceed 500 mg at a time. The body just cannot absorb more than that at a time.
Calcium CARBONATE is not readily absorbed by ANYONE, no matter their WLS status. As someone who has had WLS, we really should be taking calcium CITRATE. It is better absorbed.
B Complex sublingual (1.7 mg riboflavin, 20 mg niacin, 2 mg B6, 1200 mcg B12, 30 mg pantothenic acid)
1/2 multivitamin
400 mg calcium citrate w/400 IU vitamin D
2000 IU vitamin dry D
1/2 multivitamin
400 mg calcium citrate w/400 IU vitamin D
2000 IU vitamin dry D
1/2 multivitamin
400 mg calcium citrate w/400 IU vitamin D
2000 IU vitamin dry D
1/2 multivitamin
400 mg calcium citrate w/400 IU vitamin D
2000 IU vitamin dry D
1/2 multivitamin
400 mg calcium citrate w/400 IU vitamin D
2000 IU vitamin dry D
130 mg iron
1000 mg vitamin C
I wait at least 2 hours in between each dosing. I also have a bit of OCD and that's why I only take a half of a multivitamin at a time. I keep my daily vitamins in one of those 7 day pill containers. This makes each container have an equal number of pill in it, except the one with my iron and vitamin C and Tylenol. It's a sickness, I know.
After RNY, B12 MUST be taken in injection, sublingual, or nasal inhalant form. It requires binding to an enzyme called intrinsic factor (IF) in order to be absorbed. IF is secreted in the part of the stomach that was bypassed. Therefore it is inaccessible to the RNY patient.
DO NOT take calcium and iron within 2 hours of each other. They are both absorbed using the same cellular receptor sites. The receptor sites like calcium better, therefore the calcium will be absorbed and the iron will be excreted in the feces.
DO NOT eat or drink any of the following within 2 hours of taking iron: dairy, eggs, fiber, tea, coffee, red wine, grapes, or spinach. They each contain substances that bind with the iron. The iron will then be excreted in the feces.
DO take vitamin C with iron. It enhances the absorption of iron. If iron upsets you pouch, take it with a meat snack. This will buffer the pouch and and enhance the absorption of the iron.
Calcium should be taken in divided doses NOT to exceed 500 mg at a time. The body just cannot absorb more than that at a time.
Calcium CARBONATE is not readily absorbed by ANYONE, no matter their WLS status. As someone who has had WLS, we really should be taking calcium CITRATE. It is better absorbed.
Sharyn, RN
RIP, MOM ~ 5/31/1944 - 5/11/2010
RIP, DADDY ~ 9/2/1934 - 1/25/2012
DO NOT eat or drink any of the following within 2 hours of taking iron: dairy, eggs, fiber, tea, coffee, red wine, grapes, or spinach. They each contain substances that bind with the iron. The iron will then be excreted in the feces.
I didn't know this - thanks - I'll be changing my iron dose to bedtime and moving my calcium to lunch.
Lynn C ~
Banded 9/12/2005 ~ Revision to VSG on 9/7/2010 ~ Losing again with a Keto lifestyle
(deactivated member)
on 10/13/09 12:20 am - Woodbridge, VA
on 10/13/09 12:20 am - Woodbridge, VA
LOTS of things!
To really know if your calcium is in check, you also need to have your PTH checked. And be sure, when checking Vitamin D, they check ALL vitamin D, not just D2.
To know if your iron is really in check, you also need to have your ferritin checked, in addition to hemoglobin and hematocrit (which are part of a CBC).
When you say Vitamin B, do you have them ALL checked (B1/Thiamine, B6, B12, etc.)?
When I have labs done, here is what I have them check:
Full CMP
Full CBC
Full Lipid Panel
Iron
Ferritin
Transferrin
TIBC
UIBC
Vitamin D 25-OH
Vitamin A
Vitamin E
Vitamin K1
Thiamine
Vitamin B6
Vitamin B12
Zinc
Copper
Folate
Prealbumin
PTH
TSH
HBA1C
I'm still pretty early out (6 months), so I may add to this list as time goes on (and I learn more!).
To really know if your calcium is in check, you also need to have your PTH checked. And be sure, when checking Vitamin D, they check ALL vitamin D, not just D2.
To know if your iron is really in check, you also need to have your ferritin checked, in addition to hemoglobin and hematocrit (which are part of a CBC).
When you say Vitamin B, do you have them ALL checked (B1/Thiamine, B6, B12, etc.)?
When I have labs done, here is what I have them check:
Full CMP
Full CBC
Full Lipid Panel
Iron
Ferritin
Transferrin
TIBC
UIBC
Vitamin D 25-OH
Vitamin A
Vitamin E
Vitamin K1
Thiamine
Vitamin B6
Vitamin B12
Zinc
Copper
Folate
Prealbumin
PTH
TSH
HBA1C
I'm still pretty early out (6 months), so I may add to this list as time goes on (and I learn more!).
your lab list. 
(deactivated member)
on 10/13/09 6:36 am - Woodbridge, VA
on 10/13/09 6:36 am - Woodbridge, VA
Hurray for a hot lesbian stamp of approval!
Oh, and a nurse
Oh, and a nurse
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