Smarty Pants multi vitamin, too much sugar for us?

https://smartypantsvitamins.com/wp-content/uploads/2015/10/A C1802000px.pdf

Here's a link to the supplement facts for anyone who is curious.

IN general, the first year after surgery follows at least these basic requirements -- but after that (and before if necessary) your vitamins/supplements will need to be adjusted according to your lab results.

These are the 2017 American Society for Metabolic and Bariatric Surgery guidelines. Please note that absolutely NO gummy vitamins or children's vitamins meet the standards required and are contraindicated.

1. Two Multi Vits Daily (centrum complete recommended) This is generally the recommendation: to take a high quality ADULT vitamin that meets 100% of daily requirements for vitamins and trace minerals, and double it. A multivitamin is very unlikely to have the DV for minerals such as calcium, magnesium or potassium. Products calling themselves "complete" may not actually provide all the vitamins and minerals, so carefully read labels.
2. Vit B 12 1000 mcg daily sublingual The stomach is very important for B12 absorption. This is because stomach acid helps to release B12 from food, and another substance that is made by the stomach called Intrinsic Factor is essential for B12 absorption. Some bariatric surgery procedures, such as gastric bypass and vertical sleeve gastrectomy, make B12 absorption more difficult for these reasons. Often people who have these procedures will be required to take additional B12 as an injection, intranasal spray or sublingual tablet. Most find the sublingual tablet the easiest way to take it.
3. Vit D3 2000 mcg daily. Most of us need to supplement D3 in order to keep at healthy levels (over 50 but lower than 100) -- DRY D3 is most readily absorbed for RNY patients due to malabsorption. Oil based pills are not ideal.
4. Calcium citrate 1500 to 2400 mg daily - Bone loss is a risk after all types of bariatric surgery and getting adequate calcium is one important part of helping to prevent bone loss. Additionally, it must be calcium CITRATE... not carbonate. The American Society for Metabolic and Bariatric Surgery recommended intakes for calcium after bariatric surgery are as follows:

   Adjustable Gastric Band (AGB): 1500mg calcium
   Gastric Bypass (RNY): 1500 to 1800mg calcium as calcium citrate
   Duodenal Switch (DS): 1800 to 2400mg calcium as calcium citrate

5. Iron: Ideally iron should be supplemented individually based on your blood work. Low iron or iron deficiency anemia can be a complication of bariatric surgery, but is especially common after gastric bypass. Iron levels are harder to maintain after gastric bypass because the primary area where iron is absorbed (the duodenum) is bypassed. Many doctors will recommend that patients take iron preventively to protect against developing a deficiency. I took 18 mg the first year, 65 the second, and still needed an infusion by my third year.

Really, keeping a good record of your blood test results-- the trends you see, is the best way to figure out your supplementation schedule after the first year. Most people, unless seriously deficient going in - are able to maintain relatively well during the first 12 months... it's the long term where it becomes even more important.

Again, there are NO gummy vitamins or children's vitamins that meet the minimum requirements based on the recommendations of the ASMBS.

I am printing this Thank you so much! I am going thru my vitamins since I am having issues with my iron again and also just found out my B12 has dropped,

this is exactly what I needed and will be making adjustments today!

I would also highly recommend going for Methylcobalamin B12 rather than the cheaper (and way more common!) form of cyanocobalamin. It's kind of like the difference between D2 and D3 -- Methylcobalamin is a more bio-available form of vitamin B-12, while cyanocobalamin is cheaper synthetic form. Your body must convert cyanocobalamin to methylcobalamin -- so it's better to just start with that to begin with -- especially if you are already low.

When I click this link it takes me to a list of articles, not a guideline post specifically. Do you have a direct link?

Ugh you are right! Let me see if I can find the direct link again -- they have updated the site and I didn't change my links!

All the 2017 links I can find seem like they're for members only. Argh. I've been eagerly waiting for an updated guideline sheet! :D

UGH -- you are right!! They changed it and now I can't access it!!!

*******s!

RAR!!!

Hopefully they'll change this in the future - we need to see this info!

Thanks for sharing the super relevant stuff, though. It's good to see.

Thank you for this information. I told my doctor how I already bought new types of vitamins and she said what/ just do flintsone's chewables and iron and b12