Hi Lori Sweetie,
Here's the list of vitamin instructions we give out in our support groups.
After the vitamin information I have listed the reasons why you should not
even bother with calcium carbonate, but rather you should get the citrate as
soon as possible. Keep in mind, you're also getting calcium in from yogurt,
cheese and any other dairy products you're able to eat, so you're not
totally at a loss for calcium at this point. This article is long, but
worth it. Here it comes:
SUGGESTED VITAMINS AND SUPPLEMENTS FOLLOWING WLS:
Immediately following your WLS, you should be taking 1-2 children's chewable
vitamin/s per day. (Flintstones,Bugs Bunny etc..) Centrum makes an adult
chewable and or liquid, and only one dose per day is needed if you do choose
an adult vitamin.
When you advance to modified solids (at approximately 3 weeks post-op) most
of us can tolerate swallowing pills and capsules. At this point it is
advisable to include the following vitamins/supplements daily. It is VERY
important that you take the FORMS of the Vitamins/supplements listed. Any
other forms we are NOT capable of fully absorbing and therefore we will not
achieve the full benefits.
1 multivitamin w/ minerals (Centrum or it's generic equivalent).
calcium citrate w/ vitamin D (1000-1500 mg. per day) Vitalady (vitalady.com)
has an excellent one and it comes in capsule form. Most Calcium citrate
pills are VERY large and Very hard to swallow. Her capsule is the perfect
solution to this problem and the price is quite reasonable. We can only
absorb 500 mgs. at a time so space the pills/capsules during the course of
the day.
Vitamin B-12 Sublingual (under the tongue) 1000-1500 mcg every day or 2500
mcg every other day. Twin Labs makes a good formula. It can also be
purchased VERY reasonably through puritanspride.com (when they have their
buy one get two free sale, its $17.25 for 300 tablets), or Vitalady.com
website or GNC or the Vitamin Shoppe. Vitamin B in summary aids growth,
digestion, mental health, hair, skin, nails, mouth sores, eye fatigue,
assimilate protein & fat, skin & nervous disorders, anti-aging, muscle
spasms & leg cramps, help prevent anemia, increase energy, memory & balance.
Iron (if still menstruating) An excellent choice is made by Sundown
(Carbonyl Iron.) Once again very reasonable on vitalady's website but can
also be purchased in any store that sells a large variety of Vitamins and
supplements (GNC/The Vitamin Shoppe etc.) Iron is a very fussy element. We
cannot absorb ferrous SULFATE and taking it will negate the absorption of
any Vitamin E. It must be taken with Vitamin C, but cannot be taken with
antibiotics; caffeine, milk; antacids of any kind, including medication for
ulcer; any minerals, such as calcium. It is better taken on an empty
stomach, but it can be taken with non-milk food. Think of iron and C as
being on a honeymoon, alone but together.
Vitamin C (500-1000 mgs.) is needed to help absorb the iron supplement. It
is strongly advised that when you wake-up in the morning, you take your Iron
supplement and your Vitamin C at the same time on an empty stomach. Wait one
hour to eat or drink anything. Vitamin C heals burns, gums, wounds;
decreases cholesterol, boosts immune system, increases the absorption of
iron, may reduce allergy suffering & prevents scurvy. Best is to take
Ester-C. Easier on your tummy.
Vitamin E 400 mgs. per day (DRY formula ONLY) we cannot absorb the oil bead
capsules. Vitamin E is for hair, skin, nails, capillary walls, anti-aging,
promotes endurance & alleviates fatigue as well as prevents leg cramps. For
men, it contributes to urinary & prostate health as well as sexual function.
*****************************************************
All the Vitamins and supplements listed above will help to ward off future
nutritional deficiencies. When blood work is ordered and you get your
results, the need to add Vitamin A Vitamin D (dry form only) as well as
zinc, potassium and magnesium may become necessary.
More on the calcium debate
and boron. Next, calcium carbonate is NOT at all good for people who have
had RNY. Calcium carbonate requires one hour of exposure to stomach acid to
become bioavailable; we do not have that stomach acid nor that exposure time
(minimal stomach acid, no pyloric valve). Calcium carbonate can also
facilitate the formation of kidney stones, if you are prone to them. Calcium
CITRATE is the calcium for us. It was specifically recommended by the 1994
National Institutes of Health Consensus Statement on Calcium as the calcium
supplement of choice for people with low stomach acid. Calcium citrate is
lab-synthesized, so it has no risk of heavy-metal contamination as the bone
meal, coral calcium and other "natural" calcium carbonates do.
calcium at a time. If you want to get in an admirable 2000 mg a day, you
will be taking four doses, each separated from the other and from any iron
supplementation by at least two hours. Calcium and iron compete for the same
receptors in your small intestine, and if you take them together, your body
will not take in any of the iron you consume.
live each day like it's your last... love like you've never been hurt...
Deb in Hazlet, NJ
"Debbie Dancer"
distal rny
September 3, 2002
386/235/160
BMI 60/34.7/24
-151
-69.5"
Angel to Bill, Debbie (10/14/03) Ilene, Roy, and Ro