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What Are The Best Vitamins To Take After Bariatric Surgery

How Long Do I Need To Take Vitamins After Bariatric Surgery

Recommended Vitamins and Minerals Post-Bariatric Surgery

After bariatric surgery, vitamins fill in any nutritional gaps that might arise from the change in eating habits or from the procedure itself. As a bariatric dietitian, two of the most common questions I get asked from pre-operative patients is how long they will have to take vitamins and which ones they should take.

How Long to Take Vitamins

What I tell patients is that having weight loss surgery, whether its gastric sleeve or gastric , means there will always be a need for some type of nutrient supplementation. This is because a portion of your stomach, where vitamins and minerals are absorbed, is removed during the surgery causing your bodys needs to be greater. Taking a high quality multivitamin/mineral supplement and calcium will be important following surgery

At New Jersey Bariatric Center, we have postoperative patients do blood work at their 3 month visit after surgery. This is to check for healthy vitamin and mineral levels. In some cases, results may indicate that the blood levels of a supplemented nutrient are within the normal range and the supplement can be discontinued.

After the first year, annual blood work and a yearly visit with your surgeon is the best way to assess long-term nutritional status. Meeting regularly with your bariatric dietitian is another way to ensure all your nutrient needs are being met.

The Most Important Vitamins For Bariatric Patients

So what are the most important vitamins for bariatric patients? Since the body processes the vitamins differently after weight loss surgery, it is important to make sure that you are adding in certain vitamins and minerals. Specifically, you need to add iron, B12, calcium and vitamin D.

You should take a multivitamin daily. Look for one that has at least 18 mg of iron. Make sure you are getting 1500 mg of calcium a day to prevent bone density loss. To make sure you are getting the best absorption possible, split the dosage of calcium between 3 doses a day. Do not mix the calcium and iron together since iron can have an effect on calcium absorption. To make sure you are getting enough Vitamin D, you will want to take 800 to 1000 IU daily. It is best to take this in 2 doses and take them at the same time you take the calcium. You can also opt for a vitamin that is calcium and Vitamin D together. The last vitamin you want to make sure you are getting enough of is Vitamin B. You can take this as 500 mg daily or as a monthly injection.

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Paying For Your Prescriptions

If you are not eligible for free prescriptions, then you could consider a pre- payment certificate to help with the costs of your supplements .

You can purchase this 3 monthly or yearly. For further information visit:

Below are lists of suitable multivitamins and minerals, some of which can be prescribed by your GP or alternatively purchased from pharmacies or online.

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Using Supplements After Gastric Bypass Surgery

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surgery reduces the size of the stomach and reroutes the digestive system so that fewer nutrients are absorbed. You will need to pay very careful attention to what you consume after your surgery to make sure that you get the vitamins and minerals you need each day.

Taking a good multivitamin daily is one of the most important things you will need to do to maintain good health after weight loss surgery. Failing to keep up with that can lead to serious complications related to vitamin deficiencies. However, a multivitamin alone will not be enough to make up for nutrients you will no longer be getting from foods.

You should also supplement B vitamins. A B-1 deficiency can cause heart problems. It can also lead to a nervous system disorder known as beriberi. Symptoms include dizziness, nausea, vomiting and a loss of appetite. B-12 is also necessary. Many surgeons recommend that you take 500 micrograms of B-12 in a sublingual pill each day.

Anemia is common after weight loss surgery, and an iron supplement can help stave it off. Taking your iron supplement with orange juice or with an iron supplement can help your body absorb iron more efficiently.

Calcium helps protect bones against breakage. You should take 1200 milligrams each day. Take half of this in the morning and half at night. Do not take calcium supplements at the same time as iron, as calcium can keep iron from being absorbed properly.

Liquid Bariatric Vitamins Vs Chewable Bariatric Vitamins: Which One Is Good For Me

Daily vitamin routine! Post op.

Bariatric vitamins can usually be formulated in both chewable tablet and liquid forms. Depending on your age, health condition, personal preferences, and the surgeons opinion, you may choose between chewable bariatric vitamins vs. liquid bariatric vitamins. Here are some of the salient benefits of both options that should help you make an appropriate choice.

Advantages of bariatric vitamins chewable

  • Ingredients in chewable bariatric vitamins are more stable
  • When delayed absorption is necessary, chewable or pill form is better
  • Direct ingredient delivery to intestine without digestion in the stomach is possible
  • Refrigeration is not required for chewable tablet vitamins
  • Bariatric vitamins in chewable or pill form are easy to carry during travel

Advantages of liquid bariatric vitamins

  • Full and fast release of the ingredients is easier with liquid vitamins
  • Liquid bariatric vitamins are easier to swallow for older patients
  • Liquid form is preferable if you have digestive troubles after bariatric surgery
  • Dose modification is easier when you take liquid bariatric supplements
  • Hygroscopic supplements such as magnesium work better in liquid form

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Life After Bariatric Surgery

Weight-loss surgery is not a cure for obesity, but rather a tool to help you lose weight to live a healthier, longer and more fulfilling life. Success depends on your ability to follow guidelines for diet, exercise and lifestyle changes.

The UCSF Bariatric Surgery Center offers comprehensive follow-up care, including a support group, dietitian services and continuing education to help you achieve long-term success.

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Can I Take Gummy Vitamins

This section was written by Stephanie Moore MS, RD/LDIts not an uncommon question I hear in my office. Why not a gummy vitamin?

Vitamins can be tough on the stomach. Even the chewable bariatric vitamins can sometimes give people fits. But before you switch to a gummy vitamin, lets try a few other options.

Our concern with a gummy vitamin is the lack of complete vitamins and minerals. To make it still gummy manufacturing needs to eliminate lots of key minerals. The other concern is in the ingredients list. The first ingredient- sucrose.also known as sugar.

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Vitamin Schedule For Pre

*3rd Calcium intake is recommended for bypass patients only or women after menopause after either gastric sleeve or bypass.

*Extra iron only if needed after having lab work done to confirm iron deficiency.

Note! You may take vitamins throughout the day at your convenience , as long as you do not take Calcium and iron at the same time.

Vitamin And Mineral Supplements

Vitamins for Life: Taking Supplements after Bariatric Surgery

Vitamins and minerals are vital for appetite regulation, fat storage and metabolic rate so are important for good health, weight loss and long-term weight maintenance. After weight loss surgery, portion sizes are smaller, some food groups may not be tolerated and there may be reduced absorption of vitamins and minerals.

It is essential for all gastric sleeve patients to take vitamin and mineral supplements for life unless your surgeon has advised you differently. Failure to do so may lead to health problems.

Our Bariatric Nurse will discuss this with you during your pre-operative call. You need to start taking vitamins at week 3 and we recommend that you take a complete multivitamin and mineral, calcium, vitamin D, iron, and vitamin B12 in line with guidance from The British and Obesity Metabolic Surgery Society.

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Why Is It Important To Take Vitamins After Weight Loss Surgery

Patients after weight loss surgery must follow a new healthy diet, but it is also important to remember that they need to take vitamins, sometimes for the rest of their lives

Vitamins are present in food and eating healthy meals with many fruits and vegetables is the best way of getting vitamins and minerals. When we follow a healthy diet, there is usually no need to take additional supplements. The situation is different for bariatric patients. Why do we need to take vitamins after weight loss surgery? Well, the number of calories is greatly restricted and food absorption is changed, so there are products that must be avoided the post-op diet is generally highly limited especially at the beginning, so it is impossible to get all the nutrients from food and vitamins levels after bariatric surgery are extremely low.

The main role of vitamin and minerals is ensuring that the body functioning is proper, there are hundreds of vitamin roles they eg. regulate metabolism and appetite, enable brain activity, protect thyroid function, give energy, maintain skin and hair condition.

Below, we present a full list of vitamins and minerals and their function in our bodies.

VITAMIN

FOOD SOURCES

Vitamin A and Carotene

Vitamin B1

Vitamin B2

Vitamin B3

Vitamin B5

Vitamin B6

Vitamin B12

Biotin

Vitamin C

Choline

Vitamin D

Vitamin E

Vitamin B9

Vitamin K

MINERAL

Publishing, Harvard Health. Listing of Vitamins. Harvard Health, www.health.harvard.edu/staying-healthy/listing_of_vitamins.

Phase : What Are The Best Vitamins To Take After Bariatric Surgery

Likewise, in the past paragraph, different operations meant different post-operation recovery. First, doctors recommend that patients undergoing gastric bypass surgery take a full multivitamin, calcium with Vitamin D, iron with Vitamin C, Vitamin D, and Vitamin B12. Also, gastric sleeve surgery patients can take a full multivitamin, calcium with Vitamin D, iron with Vitamin C, Vitamin D, and Vitamin B12. Finally, a full multivitamin and calcium with Vitamin D are generally just for individuals undergoing gastric band surgery.

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Why Do Bariatric Surgery Patients Have To Take Vitamins

Bariatric surgery changes the size of the stomach causing individuals to eat less, and since some techniques alter the digestive system, nutrients from foods that are ingested cannot thoroughly be absorbed. This decrease in absorption means that many vitamins, minerals, and micronutrients critically needed by the body are not being captured.

How does gastric bypass work?

Best Bariatric Multivitamins For Bariatric Patients

Bariatric Surgery Vitamins

Taking multiple micronutrient pills, tablets or liquids daily in the precise amounts and as per the exact schedule may not be easy for some patients. To ensure compliance, your surgeon may recommend the best bariatric multivitamins, which are an all-in-one solution for your daily nutrition supplement needs. Here are some of the key ingredients which are included in the best bariatric multivitamins.

  • Vitamin B12: This is vital to regulate your nervous system activity and brain function. A deficiency may cause a memory slowdown and other risks.
  • Vitamin D + Calcium: These are critical to maintain your bone health, strong teeth, and energy levels. Severe deficiency can cause osteoporosis.
  • Iron: Oxygen supply in your bloodstream is regulated with iron. Weakness, fatigue and acute anemia may occur if you have a deficiency of iron.
  • Folic acid: In combination with vitamins B12 and B6, folic acid will help in mitigating your risk of stroke and will work to improve your heart health.
  • Zinc: This is a strong immunity booster, which will help you ward off infections after bariatric surgery, and minimize the risk of pneumonia.

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Which Vitamins Do I Really Need

Spring 2010

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After weight-loss surgery, one of the things that most people have to adopt as a new habit is taking vitamins every day. While there are general things that might be the same between what your doctor recommends and what another doctor recommends, some things might be different.

When answering the question, What do I really need to take?, the first and most important answer is Take what your doctor recommends. Somewhere along the way, your bariatric surgeon, or the dietitian in the office, probably gave you a list of the vitamins you needed to take after surgery based on your procedure.

Also, if your doctor looked at your labs, you might have been given some very specific recommendations just for you. Either way, this is where you should start. If you have not seen your bariatric surgeon in many years, it is also wise to call the office and find out what the current recommendations are knowledge about nutrition has changed a lot in recent years and they might have new recommendations that you were not given.

Generally speaking, taking supplements after surgery is for three reasons:

  • To make sure you get adequate vitamins and minerals even though you are eating less food
  • To help prevent deficiencies that you are at greater risk for because of your procedure
  • In some cases, to treat a nutritional deficiency

The most common types of supplements taken after surgery are multivitamins, calcium, vitamin B12 and iron.

Calcium

How Common Is The Problem Of Vitamin Deficiency After Gastric Bypass

What many dont realise, is that most patients, if not all, who undergo gastric bypass surgery will need to take vitamin supplements for the rest of their lives. Vitamin deficiency after gastric bypass is something experienced by almost 40% of all gastric bypass patients. Whether it be due to patients not adhering to the strict dietary and supplementation guidelines after surgery, or physicians not diligently checking their patients vitamin levels, the problem of vitamin deficiency after gastric bypass surgery is surprisingly very common.

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Calcium Citrate After Gastric Bypass

To any who have had gastric bypass surgery or to those considering gastric bypass surgery, you should know that intestinal calcium absorption is effected by weight-loss surgery. Forty-eight percent of patients who have had malabsorptive bariatric surgery develop a calcium deficiency and may need calcium citrate after gastric bypass.

What Is The Most Important Nutrient After Bariatric Surgery

Top Supplements After Bariatric Surgery | Blossom Bariatrics | Las Vegas

There are three very important components in proper nutrition after bariatric surgery:

  • Macronutrients are proteins, carbs, and fats that will be tracked using daily goals or limits.
  • Micronutrients: this is a big word that means vitamins and minerals, but unlike proteins, carbs, and fat, your body only needs a small amount of vitamins and minerals. Macro is a prefix that means large and micro is a prefix that means small. Do not be confused, however, thinking that because the body only needs a SMALL amount, those micronutrients are unimportant because a deficiency can cause BIG problems.
  • Water: after weight loss surgery, it is very important you remain hydrated because dehydration is the reason bariatric surgery patients most often re-enter the hospital. You will be tracking your daily liquid intake to ensure you are getting the recommended amount. Most bariatric doctors recommend carrying around a 64-oz container of water and sipping on it throughout the day, except for 30 minutes before and after meals.

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What Happens If I Dont Take Vitamins After Gastric Bypass

Not taking vitamins after gastric bypass surgery and skipping vital supplementation can be incredibly dangerous. Nutrients work together, not individually. The body relies on a steady supply of these essential nutrients together not independently. Thats why after gastric bypass surgery, you cant simply eat enough food and potentially absorb nutrients in the same way before surgery you need to supplement your daily healthy food intake with vitamins and mineral supplements.

So, what happens if you dont take supplements and vitamins after gastric bypass surgery? There are a number of specific conditions that can be driven by inadequate mineral and vitamin absorption after gastric bypass. These include:

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How It Can Cause A Vitamin B12 Deficiency

In the stomach, theres a paper-thin layer called the gastric mucosa. This layer releases intrinsic factor that helps the stomach to absorb vitamin B12 from food. The new stomach pouch is so small that there is a decrease in gastric acid. When food is traveling through this small section of the stomach, the gastric mucosa is unable to provide enough intrinsic factor to allow vitamin B12 to be adequately absorbed.

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Advice When Taking Vitamins Post

Youve seen the vitamins you need to take, but what advice is there to help you? Here are a few general rules you should look to follow:

  • Consult with your doctor or a dietician to get the correct doses before taking any supplements
  • Set alarms on your phone to remind you to take vitamins at set times each day
  • Avoid taking pill-form vitamins opt for chewable or liquid ones instead as its easier to absorb
  • If possible, find vitamins that are bariatric-branded as they tend to include more accurate concentrations of the supplements
  • For better absorption, take supplements with food

On that note, thats everything you need to know about taking vitamins after bariatric surgery. It may not seem like it, but this is a fundamental step on the road to recovery. Ingesting these vitamins and minerals will help you avoid any nutritional deficiencies, which can cause lots of problems throughout your body.

What Happens If You Dont Take Your Vitamins After Gastric Sleeve

My Bariatric Vitamins Chewable Bariatric MultiVitamin Berry Flavor

Long-term health complications, such as anemia, can develop due to a deficiency of iron or B12 neurological complications, such as memory loss or irritability from a lack of B12 and bone and kidney disease due to changes in the way your body absorbs calcium and vitamin D.

Can you have gummy vitamins after gastric sleeve?

AVOID GUMMY Multivitamins. Gummies do not have all the vitamins and minerals you need. Bariatric Formulations- Include higher levels of Vitamin D and Vitamin B12.

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