If you take your vitamins and get your blood work done regularly you should be fine. I have not seen any reports of this happening if you do so.  What is key, is keep track of your labs and if you see anything go down jump on it.  You can still be within the "normal" range for non WLS people but it's a red flag for us with any drop.

I'm really vigilant about my vitamins and my new Doogie Houser (sp?) Doc was shocked at how healthy I was at my annual check up.

I think too many people flake on their vitamins and blood work after a couple of years because "they got this".  It takes a few years for their levels to be in the toilet and it's harder to bring them up than maintain them!

Take your supplements, people!!!

What kind of vitamins do you take Kim, and has that changed since you first got the surgery?  I am scheduled for Monday, and I just spent about $50 on vitamins.  I want to be sure they are appropriate before I open the bottles! :)

**Sorry for hijacking the thread**

I take 2 x Kirkland brand multi (equal to Centrum) per day (ASMBS recommended)

1200 mg calcium citrate per day (ASMBS recommended)

1000 mg magnesium per day (Personal)

2ml (2000mcg) IM b12 per week (Personal)

50k vitamin D per week (Personal)

24mg heme iron with folic acid per day (Proferrin plus)  (Personal)

I have annotated the ones that are based on my personal blood levels and are therefore not a recommendation for anyone else.

The ASMBS website has a guide for general use 

I posted similar studies awhile ago, but point was to stay on vits and continue follow-up.  Too many people stop going in fr their annual check-ups and that is where the probs come in.

http://www.obesityhelp.com/forums/rny/6004473/New-long-term- study-on-people-10-13-years-post-RNY/

The link to the study is in the above post.

My vitamins are my "supplement arsenal".

It is odd that this is something that is happening so far out.  Could it be an effect brought on by normal aging that is EXACERBATED by the surgery?

Our malabsorption of vitamins happens at surgery with the re-routing of the intestines so I dont understand WHY absorption would get worse in time. I understand our labs indicate depletion as we use up our "stores" within our body.

But I can not fanthom why absorption would get worse in time UNLESS it is part of the normal aging process...

Which could explain why geriatric vitamins have higher amounts of some vitamins and minerals...but I thought that was due to old people eating less because they lose their sense of taste and smell...

Malabsorption and age.

Malabsorption and RNY long term.

Malabsorption and Fundemental Essentials that are required to absorb process carry and synthesis. What you've consumed in those years and care given to your intestinal health. (Avoidance of high PH and acidy and errosives..)..

Sleeve leaves the k1 synthesers that make k2. Among other vital digestive parts needed to do so.

I hope you well and learning the World of Macronutrients and Micronutrients and your body.