Most Common issues Post-Op-Nutrient Deficiency Issues

OK Guys,| Early On, The most important info may well be- "What are the Best Sugar Free Popsicles?!?" Or- "Can I have Mayo with my Tuna-fish?" But, further out, it becomes about making sure you avoid Some of the Nutritional Deficiencies that are Common "Pit-Falls" for By-Passers. (Obviously non-issue for the Banders and somewhat different set of Vitamins for the DS- The fat soluble nutrients vitamins A, D, E, and K.) The Most Common issues Post-Op, --- Nutrient Deficiency Issues involve- *PROTEIN *B-12 *B-1 (Thiamin) *Folate, (Folic Acid) *Calcium *Iron If your Doc hasn’t yet told you to supplement these nutrients, Then ASK!!!! WHY NOT!!!!! I’ve seen a number of folks who missed the news about these Develop Serious Health Problems that totally Screwed Up their Happy New Lives as Thin People. Don’t be "That Guy." So, Here’s a Butt Load of info. Protein------------------------------------------------------------- If your Doc hasn’t yet told you to supplement these nutrients,Then ASK!!!! WHY NOT!!!!!I’ve seen a number of folks who missed the news about theseDevelop Serious Health Problems that totallyScrewed Up their Happy New Lives as Thin People.Don’t be "That Guy."Some Protein Mal-Absorption in the case of the RNY Is Typical. Normally about half is absorbed in duodenum; By mid-jejunum, most is absorbed. In Roux-en Y, food bypasses duodenum, thus decreased absorption. Other hormone alterations-decreased pepsinogen cleavage to pepsin(cleaves protein), Decreased release of pancreatic enzymes(hydrolyze proteins into amino acids) A 40% reduction in pancreatic enzyme secretion after gastric bypass has been noted. Protein malabsorption can cause serious consequences, including: Poor wound healing, Decreased immune function, Muscle weakness, Anemia Important to emphasize protein intake. Ratio of Grams of Protein per Pounds of Body Weight of Patient, Determined by individual Doctor’s recommendation. and some helpful informative links for protein- http://www.hsph.harvard.edu/nutritionsource/protein.html http://www.wisegeek.com/what-is-dietary-protein.htm B-12------------------------------------------------------------------ Is absorbed differently than most vitamins. The Surest/most effective way of absorbing vitamin B12 After a gastric bypass is with monthly vitamin B12 injections, But this is not necessary unless you have a deficiency already. The recommended daily allowance is 6 mcg, But that is the amount that is to be absorbed. A higher dose is needed when taken sublingual. (Just "by mouth taking of tablets, WON"T Do It, They are not processed) (To be absorbed by the intestine, B12 must combine with intrinsic factor, [missing from process after Gastric By-pass] and its metabolism is interconnected with that of folic acid. The vitamin is necessary for the growth and replication of all body cells and the functioning of the nervous system. Deficiency of vitamin B12 causes pernicious anemia and other forms of megaloblastic anemia, and neurologic lesions.) However you choose to take Vitamin B12, You must take it daily for the rest of your life. Some people prefer getting a B12 shot once a month from their PCP. A second alternative is B12 lozenges or sublingual (under the tongue) B12 tablets. With these forms, the B12 is absorbed into your bloodstream through your mouth. Typical amounts in supplements range from 500 mcg to 5000 mcg. A 500 mcg or 1,000 mcg supplement daily is sufficient. If you get the 5000 mcg strength, 1 per week should be sufficient. You can find these at a vitamin specialty store or on the Internet. For info concerning B-12 deficiency? and some helpful informative links for B-12- http://www.dietitian.com/vitaminb12.html http://www.umm.edu/altmed/ConsSupplements/VitaminB12Cobalami ncs.html B-1 (Thiamin) ---------------------------------------------------- One of the B vitamins, A group of water-soluble vitamins that participate In many of the chemical reactions in the body. Helps the body cells convert carbohydrates into energy. It is also essential for the functioning of the heart, Muscles, and nervous system. and some helpful informative links for B-1- http://www.umm.edu/altmed/ConsSupplements/VitaminB1Thiaminec s.html Folate, (Folic Acid) --------------------------------------------- A water-soluble vitamin, Helps the body form red blood cells And aids in the formation of genetic material within every body cell. and some helpful informative links for Folate- http://ohioline.osu.edu/hyg-fact/5000/5553.html http://www.umm.edu/altmed/ConsSupplements/VitaminB9FolicAcid cs.html Calcium, ---------------------------------------------------------- a mineral, is used for building bones and teeth And in maintaining bone strength. Calcium is also used in muscle contraction, Blood clotting, and maintenance of cell membranes. My "Calcium Rant" at- http://obesityhelp.com/forums/men/postdetail/15387.html?vc=0 and some helpful informative links- http://ohioline.osu.edu/hyg-fact/5000/5557.html http://www.umm.edu/altmed/ConsSupplements/Calciumcs.html Iron, ----------------------------------------------------------------- a mineral, functions primarily as a carrier of oxygen in the body, Both as a part of hemoglobin in the blood And of myoglobin in the muscles. It also aids in immune function, cognitive development, Temperature regulation, energy metabolism, and work performance. My recent "Iron Rant" at- http://obesityhelp.com/forums/men/postdetail/20349.html?vc=0 and some helpful informative links- http://ohioline.osu.edu/hyg-fact/5000/5559.html http://www.umm.edu/altmed/ConsSupplements/Ironcs.html Quick Over-view of General Bariatric "Mal-Absorption" info. At- http://www.einsteinbariatrics.com/resources_6.php ******Awesome Info site for nutrition, supplements, drugs, tests, etc…. http://www.umm.edu/altmed/index.html *****General Nutritional Data Site- http://www.nutritiondata.com/ Hope these help prevent problems down the line for someone… Best Wishes- Dx