Gina - Vitalady - vitamin questions!

Jody ***
on 11/16/10 12:11 am - Brighton, MI
RNY on 10/21/08 with
I called the surgeons office today to see if they had received the rest of my vitamin labs - and they put the dietician on the phone!  HEY - I didn't know the office had a dietician... that's a good thing.

So we were discussing my labs.  My K-1 and A are just 1 point above the lowest range.  She said both of these are fat soluable and need fat to be absorbed - and guessed I wasn't eating enough fat... HUH?  .  I'm pretty sure I eat enough fat.. unless I'm still MAJORLY malabsorbing it.. which I highly doubt.

I eat primarily protein (which has fat), peanut butter (spoonful every now and then), butter on my toast, etc. 

I take 10000 iu of sublingual Vit A a day.  Now - Vit K-1 I don't supplement.  She said I could but go only for 90 mcg a day.  She thought I should be getting enough from my multi, but I guess not.

So - my question to you is - is there something I can take/eat with the Vit A and future K-1 supplements to help them absorb? 

Vit D is STILL not back - I have an email into the lab AGAIN questioning where its at.  Hey - I paid for it!  Oh, and the insurance company denied paying for the K-1.  Said it wasn't the right diagnosis code.... $75 out of my pocket... guess it could be worse?


HW-218/SW-208/CW-126/ Lowest Weight-121/Goal-125 - hit 8/23/09/Height-5'3"

Regain 30 lbs from 2012 to 2016 - got back on track and lost it.  Took 8 months. 
90+/- pounds lost      
BMI - 24 or so
Starting BMI between 35 and 40ish? 
Join us on the Lightweights Board!

MajorMom
on 11/16/10 1:15 am - VA
I think I would increase the A sublingual to 2 a day. One in the AM and one at night. You need dry A because we (RNY and DS) can't convert beta carotene to vite A and that's what's in food. Even easier would be to order Vitalady's vite A capsules. Make sure the sublinguals are not beta carotene too. 

Add a K1 and a K2...both are tiny tiny capsules from Vitalady. You might need close to 1000mcg of K1 not 100. Just try to go by the Vitalady schedule for RNY except do a little higher on the A and K1. K2 comes in a 50mcg and a 150mcg. Start with the 50mcg with one of your calcium doses.

Sounds like the dietitian doesn't get all the malabsorption and conversion stuff yet. At least she's not brainwashed to believe all fat is evil. lol

--gina

 


 

5'1" -- HW 195/SW 187/GW 115 July 08/CW 121 Dec 2012
                                 ******GOAL*******

Starting BMI between 35 and 40ish? 
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DS on Aug 9, 2007 with Dr. Hazem Elariny

Jody ***
on 11/16/10 1:27 am - Brighton, MI
RNY on 10/21/08 with
I do take the dry Vit A from Vitalady.  I'll *try* and remember to take a night time dose... I'm not very good at that....

I'll go to her website and look for the K1 and K2.  The dietician was concerned because it is fat soluable and toxicity...

HW-218/SW-208/CW-126/ Lowest Weight-121/Goal-125 - hit 8/23/09/Height-5'3"

Regain 30 lbs from 2012 to 2016 - got back on track and lost it.  Took 8 months. 
90+/- pounds lost      
BMI - 24 or so
Starting BMI between 35 and 40ish? 
Join us on the Lightweights Board!

MajorMom
on 11/16/10 1:36 am - VA
We take dry and we watch our labs. Not going to go toxic.

5'1" -- HW 195/SW 187/GW 115 July 08/CW 121 Dec 2012
                                 ******GOAL*******

Starting BMI between 35 and 40ish? 
Join us on the
Lightweights Board!
DS on Aug 9, 2007 with Dr. Hazem Elariny

Roz !!!!
on 11/16/10 1:47 am - Butler, PA
My A was low and someone suggested Vitalady's Tender A-25 (25,000 IU) and it brought my levels up.

Roz

God is walking with me every step of the way. Because of HIM this is possible!!

RNY 10/15/2008 9+ Years!!!
Height: 4' 11" HW: 203 SW: 197 CW: 119
on Maintenance

Jody ***
on 11/16/10 1:50 am - Brighton, MI
RNY on 10/21/08 with
I currently take the Superior Source Vitamin A (Acetate) 10,000IU Sublingual Tablets 100/btl
Whats the difference between the 2?

Vitalady Tender Dry Vitamin A 25,000IU (Palmitate) 100 caps/btl

Is there a difference between the Acetate and the Palmitate?  I've been taking the Acetate one all along...

HW-218/SW-208/CW-126/ Lowest Weight-121/Goal-125 - hit 8/23/09/Height-5'3"

Regain 30 lbs from 2012 to 2016 - got back on track and lost it.  Took 8 months. 
90+/- pounds lost      
BMI - 24 or so
Starting BMI between 35 and 40ish? 
Join us on the Lightweights Board!

MajorMom
on 11/16/10 6:13 am - VA
Nothing wrong with either one. However, if you increase your sublingual and your labs still come in low, add the palmitate but don't stop the 10K sublingual. Retest in 6 weeks or so to see if there's a change.

5'1" -- HW 195/SW 187/GW 115 July 08/CW 121 Dec 2012
                                 ******GOAL*******

Starting BMI between 35 and 40ish? 
Join us on the
Lightweights Board!
DS on Aug 9, 2007 with Dr. Hazem Elariny

Jody ***
on 11/16/10 8:12 am - Brighton, MI
RNY on 10/21/08 with
I can only imagine where I'd be if I hadn't been supplementing A all along.  AND - my surgeon doesn't test A, I wrote it on the lab order myself 

HW-218/SW-208/CW-126/ Lowest Weight-121/Goal-125 - hit 8/23/09/Height-5'3"

Regain 30 lbs from 2012 to 2016 - got back on track and lost it.  Took 8 months. 
90+/- pounds lost      
BMI - 24 or so
Starting BMI between 35 and 40ish? 
Join us on the Lightweights Board!

MajorMom
on 11/16/10 8:24 am - VA
I'm glad you had the guts to do that. Good for you!

5'1" -- HW 195/SW 187/GW 115 July 08/CW 121 Dec 2012
                                 ******GOAL*******

Starting BMI between 35 and 40ish? 
Join us on the
Lightweights Board!
DS on Aug 9, 2007 with Dr. Hazem Elariny

vitalady
on 11/16/10 10:57 am - Puyallup, WA
RNY on 10/05/94
I think Gina got it, but one thing she let slide.

Your RD doesn't think you malabsorb FAT? I mean, what are DS famous for? MALABSORBING FATS. The stats say you get 20% of what you eat, I'd put it at 5%.

You get NO ADEK, selenium, CoQ10 from food, none.

There's nothing wrong with the 10k of A, but I suggest 100k to start. 50k of D until you learn if you need more.

I suggest 1000mcg of K1.

These are water soluble forms of the fat soluble vites so they don't stack up in the liver. Now, truly, I've had ppl with 40 degrees after their names stand there holding a very water soluble vit in their hand and insisting fat solubles can't be water soluble.

Well, maybe when the text book was copied by monks back in the 1600's, but in modern times, all 6 of the fat solubles can be had in water soluble form. My life depends on it!

Understanding that neither docs nor RD's really understand the OTC supplement world. Docs know rx, RD's know food. There is no such thing as a 90mcg vit K1. (I refrained from LOL - really - I did), so the smallest is 100, but to a DS, it's the same as nothing.

You have to weigh every bit of info you get against what you can see with your own eyes and make your decision accordingly.

I take 2 of the K1 1000 and hold mid-range. Don takes SIX of them (rx dose is 5) and can't reach the bottom of the range. It's all so personal. My ist is just a place to start. Then you test, tweak. And I mean for the rest of your life, you are forever adjusting.

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.

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