B12

Bfloabbott
on 7/23/07 12:50 am - Buffalo, NY
I understand this is normal for bariatric patients. Did my first post op blood work and my B12 level is down, 282. Said to get an injection from my primary. Got that scheduled for Thursday. Just wondering what the B12 level relates to and is this something you can take over the counter etc.? I would have thought my multi vit would have corrected this.
wjoegreen
on 7/23/07 1:11 am - Colonial Heights, VA
Shrinking B, Since WLS, my multi-vit was changed from reg to prenatal for the increase from 18 to 28 mg of iron and I take it twice a day.  It has the Bs but I also take a 1000 mcg sublingal B-12 (once in the morning and one in the afternoon), a liquid B-Complex in the morning and a separate B-1 in addition.  I was concerned about my sagging energy levels back at the 3 month mark.  That is when I started this regime.  At the 9 month checkup, all blood work came back perfect.  I also take a potassuium supplement and eat at least one banana a day that seems to help with feeling meloncoly/depressed sometimes or feeling a bit weak-kneed. It really helped me and most of the advice came from friends here on the OH Boards.  I checked with my Surgeon's CNP and she agreed it couldn't hurt and was OK to try and see if it helped me.  Its all over-the-counter stuff and turned out to be good advice. I also found I needed to increase my protein intake from the surgeon plan of 60+ to more like 200 grams a day.  That helped me have more energy and feel stronger too.  The trick is to get it in without consuming a bunch of calories; I still focus on protein and water first and do that with protein bars, an occassional scoop of whey protein in a fruit smoothie, and getting in meats (Shrimp, crab, drained ground beef (chili, taco), and occaisionally chicken and fish but they still give me trouble).  Refried and baked beans are good too. Hope it helps. Joe  
carrtje
on 7/23/07 1:41 am - Chico, CA
According to my surgeon: The area of the bowel responsible for the uptake of B12 is bypassed. That means that only minimal amounts of the vitamin are taken up by the rest of the intestine. Therefore, sublingually is the optimal uptake site for b12. Well, that or the injections.

I get a good B12 at Trader Joe's. It's only like $5.00 for a couple of months.
Sean N.
on 7/23/07 8:56 am - TX
I do the B12 sublingually also - I take a 3000 mg once a day in the AM.  Got it at Vitamin Shop. Sean
Sean 422/383/244
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Dx E
on 7/23/07 1:14 pm - Northern, MS
Bfloabbott,

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 "oral 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, sublingual- You must take it daily for the rest of your life. Some people prefer getting a B12 shot once (or twice) 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-:type: http://www.dietitian.com/vitaminb12.html http://www.umm.edu/altmed/ConsSupplements/VitaminB12Cobalami ncs.html If you have a low level of B-12 for very long, You can be certain to have neurological damage... The continued problem can be reveersed by upping the B-12 intake, But once the Nerve damage takes place, It can NOT be reversed..... Best Wishes- Dx

 Capricious;  Impulsive,  Semi-Predictable       

exit88
on 7/23/07 1:58 pm, edited 7/23/07 2:00 pm - San Francisco, CA
I have been taking sublingual B-12 once a week as recommended by my surgeon.  I just had a blood test and my B-12 is 1057 which is a bit over the recommended range.  The best sublingual B-12 I have found is the one from Trader Joe's. "Gastric Bypass patients will need a lifelong vitamin B-12 supplementation either by a small injection every three months, or a tablet under your tongue once a week." from http://www.thinnerfuture.com/permanent-dietary-changes.html
Dave S
on 7/25/07 2:09 pm - Fairview Heights, IL
I take the B-12 sublingual once a day.  My bloodwork has been fine Later, Dave
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