Can vitamin defs be prevented with regular vitamin supplementation?

Answer: No "Nutritional deficiencies after Roux-en-Y gastric bypass for morbid obesity often cannot be prevented by standard multivitamin supplementation" as stated in a study here :Am J Clin Nutr. 2008 Oct;88(4):1176. Link here: www.ncbi.nlm.nih.gov/pubmed/18469230 "BACKGROUND: Despite the increasing use of Roux-en-Y gastric bypass (RYGBP) in the treatment of morbid obesity, data about postoperative nutritional deficiencies and their treatment remain scarce. OBJECTIVE: The aim of this study was to evaluate the efficacy of a standard multivitamin preparation in the prevention and treatment of nutritional deficiencies in obese patients after RYGBP. DESIGN: This was a retrospective study of 2 y of follow-up of obese patients after RYGBP surgery. Between the first and the sixth postoperative months, a standardized multivitamin preparation was prescribed for all patients. Specific requirements for additional substitutive treatments were systematically assessed by a biologic workup at 3, 6, 9, 12, 18, and 24 mo. RESULTS: A total of 137 morbidly obese patients (110 women and 27 men) were included. The mean (+/-SD) age at the time of surgery was 39.9 +/- 10.0 y, and the body mass index (in kg/m(2)) was 46.7 +/- 6.5. Three months after RYGBP, 34% of these patients required at least one specific supplement in addition to the multivitamin preparation. At 6 and 24 mo, this proportion increased to 59% and 98%, respectively. Two years after RYGBP, a mean amount of 2.9 +/- 1.4 specific supplements had been prescribed for each patient, including vitamin B-12, iron, calcium + vitamin D, and folic acid. At that time, the mean monthly cost of the substitutive treatment was $34.83. CONCLUSION: Nutritional deficiencies are very common after RYGBP and occur despite supplementation with the standard multivitamin preparation. Therefore, careful postoperative follow-up is indicated to detect and treat those deficiencies." SOOOOOO???? Still want to take a kids chewable multivitamin or some vitamin that says "for baritrics" and has a good sales pitch?? Still want to trust that "Your labs look FINE" without actually ever looking at them yourself to see if they EVEN ran ALL the vitamin tests? I won't ever do THAT again and I WILL keep pushing that people take their vitamin regimen seriously...So if I ever offended anyone's feelings about their vitamins, I have my reasons, my own experience with vitamin deficiencies and it's NOT personal! It's REAL! And it's REAL important for long term health...

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