HELP...AGAIN

OK, It's me again :)  Anyone out there want to share with me their daily supplement schedule??  I am a year out and just had my blood work results...not good :(  I am deficient in B-12, B-1, Calcium, vitamin D, and iron.  I thought I was doing well!!  I take my vitamins everyday but, I must say my surgeons office isn't very clear on what to take and when, what time, etc.  Soooo anyone out there wanna share your exact daily regimen??  I would be most greatful.  I wonder if thats why I have been so staaaaaarving for so long and lately very sleepy (and I can't have that working full time AND just starting school YIKES!!!)  thanks a billion.....love Jill

I use the Celebrate vitamins.

I take the multivitamin in the morning along with a calcuim pill.
In the afternoon I take a calcium pill.
In the evening before I go to bed, I take my iron.

I hope that this helps.

Michael.

Almost everyone is low on those things, don't worry! I get the B12 shot, prescription vitamin D, and every thing else is generic store brand.

Hey Girl. Ya... Brooke is right... what you're deficient in is common. I just did my annual labs last month and I was low in iron and vitamin D this time.

here's my daily/weekly regimen:
multivitamin 2x/day
vitamin D - 2capsules in am only
iron - 3x/day
calcium - 1500mg (split up into 3x/day @ 500 each)
Prenatal vitamin - 2x/day (I'm gonna get preggers soon)
Folic Acid - 5mg 1x/day (again for the preggers)
B12 - 1x/week (my B12 has always been good)
B1 - 1x/week (used to be daily, then cut back to every other day)

We do what we need to. About you being tired, I would bet it's because your B12 is low. Your surgeon should be telling you how much of each supplement to take. If not, then yell at him and make him do it! Srsly, if he doesn't then go be proactive about your own health and find another bariatric surgeon for your post-op care.

Gosh I have been lucky!  No major issues.  I take

2 Multi vits a day
2 calcuims with D a day
1 Prescript D a week
1 B12
1 Zinc
1 biotin
1 iron
1 C (just cuz I love wit C, lol)

In the car on the way to work -
Vit D
Citracal
Super-B complex (my own paranoia)
Multi-vitamin
Biotin (not sure why still)

Mid-morning -
Prescription iron, Vit C, Vit B12, intrinsic factor - Feosol

Evening - 2nd Feosol
Before Bed - Citracal

Hey Jill,
everyone is right this is completely normal..

AM after I brush my teeth (I also keep a full set of pills at work in case I forget at home)

1 B12
1 Foltrin
2 Calcium Citrate
2 Multi Vitamins
1- over the counter Vit D
PM -- after lunch at work
1 - Foltrin
1- Calcium Citrate
1 over the counter Vitamin D

Every tuesday and Friday I take 1 prescription Vitamin D pill, apparently thats what I am most deficient in.

Hope this helps.

My Vitamin Regimen:

B Complex sublingual (1.7 mg riboflavin, 20 mg niacin, 2 mg B6, 1200 mcg B12, 30 mg pantothenic acid)
1/2 multivitamin
400 mg calcium citrate w/500 IU vitamin D
2000 IU vitamin dry D

1/2 multivitamin
400 mg calcium citrate w/500 IU vitamin D
2000 IU vitamin dry D

1/2 multivitamin
400 mg calcium citrate w/500 IU vitamin D
2000 IU vitamin dry D

1/2 multivitamin
400 mg calcium citrate w/500 IU vitamin D
2000 IU vitamin dry D

1/2 multivitamin
400 mg calcium citrate w/500 IU vitamin D
2000 IU vitamin dry D

135 mg carbonyl iron
1500 mg vitamin C

I wait at least 2 hours in between each dosing.  I also have a bit of OCD and that's why I only take a half of a multivitamin at a time.  I keep my daily vitamins in one of those 7 day pill containers.  This makes each container have an equal number of pill in it, except the one with my iron and vitamin C and Tylenol.  It's a sickness, I know. 

After RNY, B12 MUST be taken in injection, sublingual, or nasal inhalant form.  It requires binding to an enzyme called intrinsic factor (IF) in order to be absorbed.  IF is secreted in the part of the stomach that was bypassed.  Therefore it is inaccessible to the RNY patient.

DO NOT take calcium and iron within 2 hours of each other.  They are both absorbed using the same cellular receptor sites.  The receptor sites like calcium better, therefore the calcium will be absorbed and the iron will be excreted in the feces.

DO NOT eat or drink any of the following within 2 hours of taking iron: dairy, eggs, fiber, tea, coffee, red wine, grapes, or spinach.  They each contain substances that bind with the iron.  The iron will then be excreted in the feces.

DO take the CARBONYL form of iron.  It does not have as many GI side effects as does the ferrous sulfate form.  Feosol offers a carbonyl iron that is 45 mg pure iron that is available at your local grocery or pharmacy.

DO take vitamin C with iron.  It enhances the absorption of iron.  If iron upsets your pouch, take it with a meat snack.  This will buffer the pouch and and enhance the absorption of the iron.

Calcium should be taken in divided doses NOT to exceed 500-600 mg at a time.  The body just cannot absorb more than that at a time, no matter your WLS status. 

Calcium CARBONATE is not readily absorbed by ANYONE, no matter their WLS status.  As someone who has had WLS, we really should be taking calcium CITRATE.  It is better absorbed.  I take Citracal Petites.

*blink* You do realize that this one post improves the supplement information given out by bariatric surgeons (at least mine, or any other I've read about) by like an order of magnitude, right? 

 Yes, I do know.  And thank you for noticing.