Whats up family....couple questions...
Hello my lovelies. I'm just curious, what is everyones routine with vitamins, etc. I am 1 1/2 months out. I dont know when to take what. I take 1 centrum chewable at night and one in the morning. But, when should I take the B-12, B-1, Pepcid, calcium and I also have a Biotin 1000mg. is it best at night or in the morning? Also, i think I have tennis elbow and it hurts soooo bad. I should be taking an anti-inflammatory, right? But, after gastric bypas we are NOT allowed. Is there anything anyone can suggest?? I LOOOOVED my Aleve's and now nothing helps. 
Any suggestions other than cutting my arm off at the elbow??
Any suggestions other than cutting my arm off at the elbow?? 
I do multi and calcium (my multi does not have iron in it), calcium 4 hours later, then another multi and calcium.
I don't need to supplement iron (I have good iron levels) and my multi has like 5000% the daily needed amount of b12, so I don't supplement with more.
Women almost always need to take iron, though, and you can't take it with your calcium (they cancel each other out).
I don't need to supplement iron (I have good iron levels) and my multi has like 5000% the daily needed amount of b12, so I don't supplement with more.
Women almost always need to take iron, though, and you can't take it with your calcium (they cancel each other out).
Hi.
As explained, I'm here at Bear's request :-) I really need a pager or something ;-)
First off, while I know pain sucks (chronic pain sufferer as well, but mine is my head), I do not advocate cutting off your elbow. This leads to all sorts of trouble down the road. You are right -- NSAIDs are a big risk postop RNY due to ulcers forming not only in the pouch, but also in the remnant stomach that we cannot see without going in surgically. There are a FEW gentler NSAIDs.. I've heard tell that Celebrex is a bit easier, but I would still cushion yourself with carafate (which unfortunately will only protect the pouch and anastomasis, but not the rest of the stomach) and high-dose PPI's. Otherwise, you're pretty much stuck with other types of pain meds such as tramadol, fioricet, and opiod / tylenol mixes (vicodin, lorcet, etc.)
But I'm not here to "consult" on pain meds -- you just are getting a twofer.
Yes, you're right to be taking 2 multivites. I give you kudos for that. The B's can all be taken together (in fact, they like it that way) and many like to take them first thing in the morning. Generally speaking, people think B-12 in the morning will give them a jolt, but if your numbers are good enough, it won't really. But hey, placebo effect means something to many people as well. Additionally, these can be taken with calcium, iron (actually, these are GREAT with iron), or your multivite. Don't worry about these -- fit these in wherever. Biotin, btw, is a B-vite. Treat it like you do all the other b-vites.
Calcium should be taken in doses no higher than 650mg, and need to be 2 hours apart. Not knowing your age, the ASMBS recommends 1500-2000mg a day for RNY patients -- with osteoporosis being a key indication for the higher amount. Additionally, this should be 2 hours apart from any iron as iron will be cancelled out by any high-dose calcium doses.
And speaking of iron -- I don't see any. The ASMBS (sorry, I should spell this out -- American Society of Metabolic and Bariatric Surgeons) recommends 18-27mg of supplemental iron, even beyond what is in a multivite, unless a previous underlying condition (such as super high ferritin -- something you'd know because you'd be visiting a hematologist previously) is in place. In fact, there was a study that showed that 60% of RNY patients in a particular study 2 years out were on supplemental iron beyond what was in their multivite. You can read about that study here.
In any case, I hope this has been of some help.. if you need any additional help, just respond here, or feel freel to PM me. I'd be happy to lend a hand (but no, you can't have my elbow...)
As explained, I'm here at Bear's request :-) I really need a pager or something ;-)
First off, while I know pain sucks (chronic pain sufferer as well, but mine is my head), I do not advocate cutting off your elbow. This leads to all sorts of trouble down the road. You are right -- NSAIDs are a big risk postop RNY due to ulcers forming not only in the pouch, but also in the remnant stomach that we cannot see without going in surgically. There are a FEW gentler NSAIDs.. I've heard tell that Celebrex is a bit easier, but I would still cushion yourself with carafate (which unfortunately will only protect the pouch and anastomasis, but not the rest of the stomach) and high-dose PPI's. Otherwise, you're pretty much stuck with other types of pain meds such as tramadol, fioricet, and opiod / tylenol mixes (vicodin, lorcet, etc.)
But I'm not here to "consult" on pain meds -- you just are getting a twofer.
Yes, you're right to be taking 2 multivites. I give you kudos for that. The B's can all be taken together (in fact, they like it that way) and many like to take them first thing in the morning. Generally speaking, people think B-12 in the morning will give them a jolt, but if your numbers are good enough, it won't really. But hey, placebo effect means something to many people as well. Additionally, these can be taken with calcium, iron (actually, these are GREAT with iron), or your multivite. Don't worry about these -- fit these in wherever. Biotin, btw, is a B-vite. Treat it like you do all the other b-vites.
Calcium should be taken in doses no higher than 650mg, and need to be 2 hours apart. Not knowing your age, the ASMBS recommends 1500-2000mg a day for RNY patients -- with osteoporosis being a key indication for the higher amount. Additionally, this should be 2 hours apart from any iron as iron will be cancelled out by any high-dose calcium doses.
And speaking of iron -- I don't see any. The ASMBS (sorry, I should spell this out -- American Society of Metabolic and Bariatric Surgeons) recommends 18-27mg of supplemental iron, even beyond what is in a multivite, unless a previous underlying condition (such as super high ferritin -- something you'd know because you'd be visiting a hematologist previously) is in place. In fact, there was a study that showed that 60% of RNY patients in a particular study 2 years out were on supplemental iron beyond what was in their multivite. You can read about that study here.
In any case, I hope this has been of some help.. if you need any additional help, just respond here, or feel freel to PM me. I'd be happy to lend a hand (but no, you can't have my elbow...)
I have had pretty good luck with tylenol to help with owies....I get the junior melt aways...just have to watch it. I haven't dumped on them and was on them alot post op with blood clots.
I do calcium,c, d, and bs in the morning with breakfast, then do calcium with d and c, two other times through out the day (separated by at least 2 hours) have my multis together but not around the calcium or with dairy. So everything is separated by at least two hours or more. I get everything together in the morning, take what I take with breakfast and everything else in a snack baggie. At work it is on my computer and I try to remember the last time I had something and then when to have the next dose. Works okay at work...on the road I keep in my purse or brief case. So far works for me.
I was afraid at first that the tylenol wouldn't work as an anti-inflamitory, I was used to ipruprophen...but it seems to work fine for me.
Best of luck to you!!
deb366
I do calcium,c, d, and bs in the morning with breakfast, then do calcium with d and c, two other times through out the day (separated by at least 2 hours) have my multis together but not around the calcium or with dairy. So everything is separated by at least two hours or more. I get everything together in the morning, take what I take with breakfast and everything else in a snack baggie. At work it is on my computer and I try to remember the last time I had something and then when to have the next dose. Works okay at work...on the road I keep in my purse or brief case. So far works for me.
I was afraid at first that the tylenol wouldn't work as an anti-inflamitory, I was used to ipruprophen...but it seems to work fine for me.
Best of luck to you!!
deb366
Currently 125 poundsMost Active
Recent Topics
