vitamins

I have no idea why he does that, just be prepared. It'll be ok.

--g

Once I have the surgery there will be no going back 

Michelle-

I'm pasting my personal routine here.  This is *not* gospel!  It's what works for me. It is a combination of what my program recommended, and what I added on my own after research.

Hope it helps, and I hope the pasting doesn't get garbled in the process.  If it does, PM me, and I'll e-mail you a document.

Corrie’s Duodenal Switch LIFETIME Nutrition Requirements

64+ oz of hydration qd, preferably H2O

90-100g protein qd

(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

(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

(Creon aids absorption of nutrients, also taken with vitamin, mineral and protein supplements per surgeon's order Creon is prescription, but you may be able to find an OTC digestive enzyme at a reputable health food store *NOT* The Vitamin Shoppe - they carry very little of what we need.  I mail order via Lucky Vitamin (www.luckyvitamin.com) and eBay for the 50000 IU Vitamin D.

650 mg Iron weekly taken with 500 mg Vitamin C

B Complex 100 – 2 tabs qd

Chelated Zinc -  200 mg qd

(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!

Just curious.  What is "TFN" and "qd?"

Jojo

Sorry...medical terminology.

TFN - till further notice

qd - daily

bid - twice daily

tid-three times daily

Thank you :)

Hey, Jazzy, I would like to see your labs considering the vitamins you take.  That's not near enough for me to have good labs, amazing how different we all are.  Would you mind posting your labs?  Thanks! -- Patti

I will, but I have to tell you, my last labs are not representative of my normal labs. Crappy would be an accurate description. I got really sloppy about supplements and even eating for the six months prior to the draw, due to my Mom's decline and passing.

I ended up doing a month's worth of iron, multivite and calcium infusions..  I requested the multivite infusion, just because I knew my levels were messed up without even seeing the full lab results. I had so many deficiencies going it was scary.  High PTH (means calcium is leaching from your bones), ferritin, zinc, Vitamin D, Total Protein, and Vitamin K were all F'd up.

I'll scan them in shortly and then post.

OK, as promised, here are my last labs.  I'm actually overdue for a draw. **** just keeps happening, and I've had to re-schedule my surgeon visit twice. ( I only have three left of a five year follow)  My uncle (Dad's brother) passed away, and I got busy with family business and spending $$$ to help with funeral arrangements.  Thank God I had already re-ordered my vites!

They were collected 12/21/12.

Total Calcium 9.0

PTH Intact 72

COMPREHENSIVE METABOLIC PANEL

Glucose 75

BUN 22

Creatinine 0.65

Sodium 142

Potassium 4.5

Chloride 109 (high)

CO2 26

Anion Gap 12

Calcium 9.1

Total bilirubin 0.5

Alk Phospahtase 79

SGOT (AST) 17

SGPT (ALT)   16

Total Protein 6.6

Albumin 4.3

Globulin 2.3

Alb/Glob ratio 1.9

GFR 1239

Complete Blood Count

WBC 4.52

RBC  4.71

HGB  13.8

HCT 42.6

MCV 90.4

MCH 29.3

MCHC 32.4

PLT 252

RDW 12.6

Neutrophils 55.5

Lymphocyte 33.6

Monocyte 8.0

Eosonophil 2.7

Basophil 0.2

Neutrophil ABS 2.51

Lymphocyte ABS 0.36

Monocyte ABS 0.36

Eosinphil ABS 0.12

Basophil ABS 0,01 (low)

Serum Protein Electrophoresis

Total Protein 6.7

Albumin 4.21

Alpha 1   0.34

Alpha 2   0.68

Beta 1   0.40

Beta 2   0.21

Gamma 0.6

Vit D 25 Hydrox  20 (low)

Zinc  621 (low)

Vit K1  0.06

According to the accompanying letter from my program, the abnormals of concern to them were PTH, Ferritin, zinc, Vitamin D, Total Protein and Vitamin K.

Keep in mind ,  some of these labs may be related to my autoimmune disorder, and will not apply to DSer's.

I would say that you need to up your D and up your calcium, up your protein (never seen it broken down by Electrophoresis, do you have that done related to your Autoimmune Disorder?), up your zinc, and take your iron more often than once a week.  I didn't know you could get a k1 directly.  thought that had to be figured out by doing clotting levels...I'll have to ask (TELL)  Dr. G to add that to my list.