B12
Taking B12 supplements in a standard thing after RYN surgery because the area that is bypassed in the intestines is where B12 is absorbed from the food you eat. Typically you get a B12 shot every six months at the doctor’s office or you take oral B12 tablets like I do. Wal-Mart sells sublingual B12 pills from Rx-All for about 5 bucks for 200 pills. You really can't take to much B12 but if you have a deficiency it will make you feel really run down and tired same as having low iron. I am surprised your WLS program did not tell you about this. You should be taking calcium, B12 and a good multi-vitamin daily to maintain your health long term.
Floyd, OH Yeah! Get you some B-12!!!
The biggest long-term complication for Post-Ops with an RNY.
Big risk of pernicious anemia if not supplementing. You can eat it in food, pill form, whatever and your re-worked plumbing WILL NOT process enough to serve you! Must Supplement with 'Sub-lingual or injection.'
http://www.stv.org/adam/encyclopedia/ency/article/000569.htm
If you take too much? No Problem, it just goes out in your Urine. Not enough? All sorts of Problems and the leading- "peripheral neuropathy"
Caused by a lack of B12 may become permanently debilitating. Once the nerve damage is done, they can stop it from getting worse, But not fix it completely!!
Next time at your Docs? Biotch-Slap the **** out of him!!!
Also look into B-1 supplements. (docs just figured out and started urging their patients to supplement this about 3 years ago-)
Folate, as well as- Calcium and Iron- less of a problem for men, but certainly check your numbers…. Best Wishes- Dx
Capricious; Impulsive, Semi-Predictable 
on 2/22/07 8:10 am - MO
Hi Floyd I am shocked like the rest of the guys that they never told you about the need for B-12. My wife gives me a B-12 shot twice a month. It is very inexpensive that way and you do not have to mess with another pill. You can get your local doctor to write you out a prescription for both the needles and the medicine itself. You and your wife could give them to each other. Most people only take one shot but I am an exception that requires 2 a month. Dan
and now I'm doing 2 self-administered injections per month.
Steve
