Flinstones

Thanks everybody, I will check the bottle I have of Calcium/Vit D-I haven't had my surgery yet, the paperwork should be going in today or tomorrow to the insurance co and hope to hear back next week. I am so glad my doctor told me about this site, I went to Vitalady site the first time for flavorless protein powder and I will be looking at her vits now. 

Thanks :)

You will eventually  become a thin and healthy DSer because you are asking questions and learning.  Congratulations and hope the paperwork goes through without a hitch.

If you do the Flintstone reimen, you will have deficiencies all over the place, and very severe ones, at that.  I didn't know that dietitians and doctors were still counseling patients this way.

Go to Vitalady's site and look up the list for DS or deficiencies, to see what you really need.  I am posting my regimen just as an example of what you might need, sort of a jumping off point.  Everybody's different, and this is just what works for me. I use Vitalady and several other sources where I can get what is recommended a bit less costly than ordering the whole package from her.

Corrie’s Duodenal Switch LIFETIME Nutrition Requirements

64+ oz of hydration qd, preferably H2O

90-100g protein qd (daily)

(3-4 8oz Whey Protein Isolate shakes (30g each) with Daily Nutrition Plan)

4 Centrum Complete-type Multivitamin/Mineral Tablets daily

(supplemented with NOW Multivitamin/Mineral Liquid PRN)

 2400 mg Calcium Citrate with Vitamin D-3  8 Tablets qd (daily)

(supplemented with NOW Cal-Mag with D Liquid PRN)

1-2 1.0ml B12 inj monthly, IM

(supplies 1000-2000 mcg Cyanocobalamin per inj, per bariatric supplement plan,/lab results)

200 mg Thiamin (Vitamin B1) Weekly

Creon 24000 units (digestive enzyme capsules)

One capsule with meals and snacks

(aids absorption of nutrients, also taken with vitamin, mineral and protein supplements per surgeon's order)

650 mg Iron weekly taken with 500 mg Vitamin C

B Complex 100 – 2 tabs qd (daily)

Chelated Zinc -  200 mg qd (daily)

(moderate deficiency- added TFN per May 2012 labs)

Dry Vitamin A – 25,000 IU  weekly

Dry Vitamin D – 50,000 IU weekly

Twice weekly TFN - per May 2012 labs

Dry Vitamin E – 800 IU weekly

Dry Vitamin  K 1- 2,000 mcg daily

(Moderate deficiency- per May, 2012 labs)

Dry Vitamin K 2 – 10,000 mcg weekly

(All fat soluble vitamins *MUST* be in dry form! Duodenal Switch patients *cannot* use oil/softgel based capsules!

PLEASE NOTE:  Creon is not a routine supplement.  It is prescribed by your DS surgeon if you are having absorbption issues.

I honestly can't believe there is a medical professional out there still passing out the Flintstones.  Seriously, for a DSer, this is malpractice.  I can understand benevolent ignorance and we see this all the time.  This person has no business counseling others about nutrition.

I hope you question and verify every single thing this person tells you.  If she told me the sky was blue, I would go outside and see for myself.

She told me to stay away from fats, even though I have seen everybody here has said we can eat it because we only absorb about 20%. She also told me to use calcium w/vit d-taking 2 a day. She gave me various meal ideas I didn't use any of them because they weren't anything I would eat but she did turn me onto Greek yoguart (100 cal) and it was yummy.  I haven't spoken to my doctor yet about vitamins when I see him I will make sure that is one of the questions I ask.. 

Just keep in mind that surgeons aren't taught anything in medical school about over the counter vitamins and preventive care. We DSrs are on the cutting edge of this stuff and it's great when you have a medical group that will support you rather than keep advising old school bad info.

Please keep this in mind about calcium..... Use calcium CITRATE ~ not carbonate.  Citrate is what you need!!!  It is amazing to me about how many calcium products are almost always carbonate.  Like throwing your money away when you buy it!!!  I mistakenly bout a bottle about 2 years ago, and ended up giving it to my sister in law because it was carbonate, NOT citrate.

Keep asking questions!!!!

Most of us require huge amounts of dry D3 - enough to make the average bear go toxic.  Fat is absolutely essential for us.  Without it our skin goes dry and we wind up constipated (not to mention brain function).