VITAMINS...ETC.
Better to take calcium apart from your multi if it has iron in it. Iron and calcium need to be separate. Calcium carbonate requires stomach acid to be absorbed. We have severely reduced acid levels due to the small pouch since much of the acid producing cells were in the lower part of the stomach and pouch is made out of the top. Calcium citrate does not require stomach acids because the citrate in it does the job. My doc specifies the following from the start: multi-vitamins, B12 sublingual or shots, B complex, calcium and iron for all patients. Then dosage changes or other stuff based on labs.
Kathy


~Rich~6'5.0"~open RNY~08/05/2004~>500+/450/437/250/239/320(high/consult/preop/goal/low/current)




Do you want the long version or the nice short accurate version K gave you? LOL
I don't even let my STAFF take carbonate! It's chalk or dead animal bones. Really. Coral, oyster shell, dolomite (cow bones). Even if you had a vat of acid left in your pouch, the very MOST you could get from carbonate is 8%.
In our non-acid pouch, the best you can get is 48% from citrate.
To remember, what do you want in your xmas stocking? CARBON (coal) ate? or CITRUS (citrate)?
I take calcium 4x per day in pills AND in every shake, UpCal D. There is no top end on how much calcium we can take!
Michelle
RNY, distal, 10/5/94
P.S. My year + long absence has NOTHING to do with my WLS, or my type of WLS. See my profile.
So, you're saying that it won't hurt to take the calcium with the multi. I have to look when I get home to see if it has iron in it. I just know that they are childrens chewables, so I would have to assume that there is some iron in there.
I was going to finish up what little bit of the carbonate chews that I had left, they actually tasted pretty good, until you told me what was in them. But, with only absorbing 8% of that little piece of candy, I'd probably have to have about 10 of them a day!
I do remember my NUT said that when I bought them, they couldn't be any higher than 500mg of calcium. I wonder why?
I guess there really is no way to learn all this stuff except from asking everyone. However, it seems like everyone is always told something different, which shouldn't be. Why can't there just be one set of guidelines for this surgery!
Thanks Michelle!

I threw away about 40# of Viactiv that someone sent me. I could not, in good conscience, let my staff even take them or give them to their kids.
Kidney stones hurt, blah, blah, blah. BUT I nearly lost my dh to his 2nd set when the stent removal went bad and he went septic. Our copays ran into the thousands and he lost several weeks of work.
Since then, I have one cup of coffee in the morning only, rarely drink diet soda or iced tea and drink only water. I am very careful with oxalate foods, like spinach. He is less careful, 2 cups of coffee and his dieet coke is mega. If he leaves it where I get it first? It's EMPTY. He wasn't the one sitting there watching an unconscious man who has NO MEMORY of an entire week! I pour water into him.
And citrate actually helps PREVENT oxalate stones. Many PCP type docs or even surgeons will tell us to stop taking all calcium, but then you need to be seeing a urologist who knows the diff between carbonate (makes stones) and citrate (prevents). Citrate works kinda like a sponge to soak up the pesky oxalates. I actually had 3 months notice before I got my stone,. I stopped coffee, stopped spinach, stopped iced tea but kept my diet soda. 3 months later, I got my stone for Christmas.
Michelle
RNY, distal, 10/5/94
P.S. My year + long absence has NOTHING to do with my WLS, or my type of WLS. See my profile.