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Thanks for the info Jo. As I have to increase my iron...where do you buy yours. Right now I'm getting mine from Vitalady. Thanks again.

Peeblesdecorate.home@...http://www.celebratinghome.com/sites/susanpeebles/PWPHome.aspx

To: DS_Friends_Keshishian Sent: Saturday, May 14, 2011 11:22 AMSubject: Iron Absorption

Did you know that iron is absorbed in the small intestines. Which as a DSer much of our small intestines are bypassed. Add to that, the area of the small intestines that are best at iron absorption are the Duodenum and the Jejunum (the upper portion of the small intestines that "is bypassed" in the DS and RNY surgeries) As DSers we do still retain a Duodenum "stump", but that stump can't be expected to do the entire job.I personally use a heme form of iron supplement as it is Animal rather than Plant based. In the "real" food eating world, eating meat based iron is absorbed at a higher rate than Plant based irons (non-heme) I personally take Proferrin or StandardProcess FerroFood (FerroFood is cheaper!). Some people have great success with a carbonyl iron. (vitalady's big seller)Here is a link that gives some good basic info in everyday

language:http://www.thatsfit.ca/2010/08/16/iron-absorption-dos-and-donts-food-combining-rules/

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Thanks for the info Jo. As I have to increase my iron...where do you buy yours. Right now I'm getting mine from Vitalady. Thanks again.

Peeblesdecorate.home@...http://www.celebratinghome.com/sites/susanpeebles/PWPHome.aspx

To: DS_Friends_Keshishian Sent: Saturday, May 14, 2011 11:22 AMSubject: Iron Absorption

Did you know that iron is absorbed in the small intestines. Which as a DSer much of our small intestines are bypassed. Add to that, the area of the small intestines that are best at iron absorption are the Duodenum and the Jejunum (the upper portion of the small intestines that "is bypassed" in the DS and RNY surgeries) As DSers we do still retain a Duodenum "stump", but that stump can't be expected to do the entire job.I personally use a heme form of iron supplement as it is Animal rather than Plant based. In the "real" food eating world, eating meat based iron is absorbed at a higher rate than Plant based irons (non-heme) I personally take Proferrin or StandardProcess FerroFood (FerroFood is cheaper!). Some people have great success with a carbonyl iron. (vitalady's big seller)Here is a link that gives some good basic info in everyday

language:http://www.thatsfit.ca/2010/08/16/iron-absorption-dos-and-donts-food-combining-rules/

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Hi All,The iron that is the most effectively absorbed by the DS gut are the chelated forms. Heme iron is chelated within a prohhyrin ring. Other chelating agents are organic acids or even better amino acid forms. Chelation occurs in the " normal " gut in the duodenum after the iron compounds are disassociated by stomach acid liberating the ions and making them available for chelation. We get a little but not enough. We do get more than the RNY population.

An example of an organic acid chelate is calcium citrate. We all know that the citrate form is far superior to the carbonate form. This is why, it's a chelate. The calcium ion is contained within the organic acid (citric acid). Even better forms of chelates are amino acid chelates. In the case of calcium the amino acid chelate form would be calcium malate or gluconate. In the case of iron the preferred chelated form would be ferrous bisglycinate. This is highly absorbable.

Don't be confused with the argument that " all ferrous forms " are inferior forms of  iron. This is blatantly wrong. The term ferrous in the name of the compound only refers to the state of charge of the ion. Ferrous iron has a +2 electrical charge. This is the only ionic form our body can absorb. Ferric iron has a +3 charge. The +3 ion must be reduced to a +2 charge prior to absorption this is not particularly easy and an added step. The ionic forms are absorbed by way of a specific metabolic pathway called " the di-valent cation transport system " . The ferrous argument is irrelevant, look at the second half of the name of the compound. Avoid names like sulfate or fumerate. These are inferior because they are inorganic mineral salts not because of the state of the ionic charge.

It can be argued that the greatest absorption is achieved by using heme iron in conjunction with an amino acid chelate and an ionic form. There is competition for each of these pathways so it is logical that utilizing all three pathways simultaneously will give the greatest total absorption. Polysaccharide is an ionic form using a complex carbohydrate to contain the ion. There is no absorptive shortcut here, just high doses of ionic iron.

The best multi vitamin formulations specifically designed for bariatric patients should provide chelated iron. This is, as or even more important, for the RNY patients.  To be sure, read your labels. The one I use has 30mg of ferrous bisglycinate per day. If it doesn't state this specifically on the label you can be assured it is not in the formulation. 

In the linked article they also point out things that impair absorption. This is very important. Most of these block absorption by way of combining with the mineral ion and forming a stable molecule which is not absorbed. Phytates are a huge factor. These are in grain products. The best way to overcome this is to use sprouted grains whenever possible. Sprouted breads are available at Trader Joe's, health food stores and some of the better supermarket chains. Soy is also extremely high in phytates and should be eaten away from mineral supplements as well as grain products.

Hope this helps more than confuses.DC

 

Thanks for the info Jo. As I have to increase my iron...where do you buy yours. Right now I'm getting mine from Vitalady. Thanks again.

 

Peeblesdecorate.home@...http://www.celebratinghome.com/sites/susanpeebles/PWPHome.aspx

To: DS_Friends_Keshishian Sent: Saturday, May 14, 2011 11:22 AM

Subject: Iron Absorption

 

Did you know that iron is absorbed in the small intestines. Which as a DSer much of our small intestines are bypassed. Add to that, the area of the small intestines that are best at iron absorption are the Duodenum and the Jejunum (the upper portion of the small intestines that " is bypassed " in the DS and RNY surgeries) As DSers we do still retain a Duodenum " stump " , but that stump can't be expected to do the entire job.

I personally use a heme form of iron supplement as it is Animal rather than Plant based. In the " real " food eating world, eating meat based iron is absorbed at a higher rate than Plant based irons (non-heme) I personally take Proferrin or StandardProcess FerroFood (FerroFood is cheaper!). Some people have great success with a carbonyl iron. (vitalady's big seller)

Here is a link that gives some good basic info in everyday

language:http://www.thatsfit.ca/2010/08/16/iron-absorption-dos-and-donts-food-combining-rules/

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Hi All,The iron that is the most effectively absorbed by the DS gut are the chelated forms. Heme iron is chelated within a prohhyrin ring. Other chelating agents are organic acids or even better amino acid forms. Chelation occurs in the " normal " gut in the duodenum after the iron compounds are disassociated by stomach acid liberating the ions and making them available for chelation. We get a little but not enough. We do get more than the RNY population.

An example of an organic acid chelate is calcium citrate. We all know that the citrate form is far superior to the carbonate form. This is why, it's a chelate. The calcium ion is contained within the organic acid (citric acid). Even better forms of chelates are amino acid chelates. In the case of calcium the amino acid chelate form would be calcium malate or gluconate. In the case of iron the preferred chelated form would be ferrous bisglycinate. This is highly absorbable.

Don't be confused with the argument that " all ferrous forms " are inferior forms of  iron. This is blatantly wrong. The term ferrous in the name of the compound only refers to the state of charge of the ion. Ferrous iron has a +2 electrical charge. This is the only ionic form our body can absorb. Ferric iron has a +3 charge. The +3 ion must be reduced to a +2 charge prior to absorption this is not particularly easy and an added step. The ionic forms are absorbed by way of a specific metabolic pathway called " the di-valent cation transport system " . The ferrous argument is irrelevant, look at the second half of the name of the compound. Avoid names like sulfate or fumerate. These are inferior because they are inorganic mineral salts not because of the state of the ionic charge.

It can be argued that the greatest absorption is achieved by using heme iron in conjunction with an amino acid chelate and an ionic form. There is competition for each of these pathways so it is logical that utilizing all three pathways simultaneously will give the greatest total absorption. Polysaccharide is an ionic form using a complex carbohydrate to contain the ion. There is no absorptive shortcut here, just high doses of ionic iron.

The best multi vitamin formulations specifically designed for bariatric patients should provide chelated iron. This is, as or even more important, for the RNY patients.  To be sure, read your labels. The one I use has 30mg of ferrous bisglycinate per day. If it doesn't state this specifically on the label you can be assured it is not in the formulation. 

In the linked article they also point out things that impair absorption. This is very important. Most of these block absorption by way of combining with the mineral ion and forming a stable molecule which is not absorbed. Phytates are a huge factor. These are in grain products. The best way to overcome this is to use sprouted grains whenever possible. Sprouted breads are available at Trader Joe's, health food stores and some of the better supermarket chains. Soy is also extremely high in phytates and should be eaten away from mineral supplements as well as grain products.

Hope this helps more than confuses.DC

 

Thanks for the info Jo. As I have to increase my iron...where do you buy yours. Right now I'm getting mine from Vitalady. Thanks again.

 

Peeblesdecorate.home@...http://www.celebratinghome.com/sites/susanpeebles/PWPHome.aspx

To: DS_Friends_Keshishian Sent: Saturday, May 14, 2011 11:22 AM

Subject: Iron Absorption

 

Did you know that iron is absorbed in the small intestines. Which as a DSer much of our small intestines are bypassed. Add to that, the area of the small intestines that are best at iron absorption are the Duodenum and the Jejunum (the upper portion of the small intestines that " is bypassed " in the DS and RNY surgeries) As DSers we do still retain a Duodenum " stump " , but that stump can't be expected to do the entire job.

I personally use a heme form of iron supplement as it is Animal rather than Plant based. In the " real " food eating world, eating meat based iron is absorbed at a higher rate than Plant based irons (non-heme) I personally take Proferrin or StandardProcess FerroFood (FerroFood is cheaper!). Some people have great success with a carbonyl iron. (vitalady's big seller)

Here is a link that gives some good basic info in everyday

language:http://www.thatsfit.ca/2010/08/16/iron-absorption-dos-and-donts-food-combining-rules/

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I take 1 Poly-Iron 150 Forte Cap twice a day. It's a prescription from my bariatric surgeon and his nutrit. I've taken it everyday. Seems to do the job for me.

A.

----------------

Duodenal Switch/Lap -- Drs. Alfons Pomp & Michel Gagner -- New York City

4/4/05: 265 lbs./BMI: 45.6

4/11/05: 256 lbs./BMI: 43.9 (date of surgery)

7/27/08: Gallbladder Removed

5/11/11: 115.8 lbs./BMI: 19.9My pics: http://www.picturetrail.com/sfx/album/view/20083300

----------------

Posted by: "Jo" moobabies@... moobabies2003

Sat May 14, 2011 11:22 am (PDT)

Did you know that iron is absorbed in the small intestines. Which as a DSer much of our small intestines are bypassed. Add to that, the area of the small intestines that are best at iron absorption are the Duodenum and

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I take 1 Poly-Iron 150 Forte Cap twice a day. It's a prescription from my bariatric surgeon and his nutrit. I've taken it everyday. Seems to do the job for me.

A.

----------------

Duodenal Switch/Lap -- Drs. Alfons Pomp & Michel Gagner -- New York City

4/4/05: 265 lbs./BMI: 45.6

4/11/05: 256 lbs./BMI: 43.9 (date of surgery)

7/27/08: Gallbladder Removed

5/11/11: 115.8 lbs./BMI: 19.9My pics: http://www.picturetrail.com/sfx/album/view/20083300

----------------

Posted by: "Jo" moobabies@... moobabies2003

Sat May 14, 2011 11:22 am (PDT)

Did you know that iron is absorbed in the small intestines. Which as a DSer much of our small intestines are bypassed. Add to that, the area of the small intestines that are best at iron absorption are the Duodenum and

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I need this info, thank you!

Peeblesdecorate.home@...http://www.celebratinghome.com/sites/susanpeebles/PWPHome.aspx

To: DS_Friends_Keshishian Sent: Monday, May 16, 2011 7:53 AMSubject: Re: Iron Absorption

I take 1 Poly-Iron 150 Forte Cap twice a day. It's a prescription from my bariatric surgeon and his nutrit. I've taken it everyday. Seems to do the job for me.

A. ---------------- Duodenal Switch/Lap -- Drs. Alfons Pomp & Michel Gagner -- New York City

4/4/05: 265 lbs./BMI: 45.6

4/11/05: 256 lbs./BMI: 43.9 (date of surgery)

7/27/08: Gallbladder Removed

5/11/11: 115.8 lbs./BMI: 19.9

My pics: http://www.picturetrail.com/sfx/album/view/20083300 ---------------- Posted by: "Jo" moobabies@... moobabies2003

Sat May 14, 2011 11:22 am (PDT)

Did you know that iron is absorbed in the small intestines. Which as a DSer much of our small intestines are bypassed. Add to that, the area of the small intestines that are best at iron absorption are the Duodenum and

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Guest guest

I need this info, thank you!

Peeblesdecorate.home@...http://www.celebratinghome.com/sites/susanpeebles/PWPHome.aspx

To: DS_Friends_Keshishian Sent: Monday, May 16, 2011 7:53 AMSubject: Re: Iron Absorption

I take 1 Poly-Iron 150 Forte Cap twice a day. It's a prescription from my bariatric surgeon and his nutrit. I've taken it everyday. Seems to do the job for me.

A. ---------------- Duodenal Switch/Lap -- Drs. Alfons Pomp & Michel Gagner -- New York City

4/4/05: 265 lbs./BMI: 45.6

4/11/05: 256 lbs./BMI: 43.9 (date of surgery)

7/27/08: Gallbladder Removed

5/11/11: 115.8 lbs./BMI: 19.9

My pics: http://www.picturetrail.com/sfx/album/view/20083300 ---------------- Posted by: "Jo" moobabies@... moobabies2003

Sat May 14, 2011 11:22 am (PDT)

Did you know that iron is absorbed in the small intestines. Which as a DSer much of our small intestines are bypassed. Add to that, the area of the small intestines that are best at iron absorption are the Duodenum and

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...Each time I order vitamins I do a google search. I order my vitamins in

6 month bunches so I forget where I get things between orders and prices can

change a bunch in 6 months. I always check out Vitalady's prices, plus I

google.

I think my last supply of Standard Process Ferrofood came from Amazon, before

that from a health food store in Paso Robles. The last time I ordered Proferrin

I think it came direct from Proferrin (you can find it on Amazon too and I have

a PRIME account with Amazon so many things ship free and in 2 days)

Sometimes Vitalady is the best deal if you can avoid the shipping cost. Which

you can if you order $300 worth of product at a time. This is actually pretty

easy to do if you order 6 months worth of multiple things. I will also call up

my mom (a DSer) and Vicki B. If we will be seeing each other in a reasonable

time period. The last Vitalady order we combined was almost $800. All three of

us stocked up and we all avoided the shipping charges! yea us!

>

> Thanks for the info Jo. As I have to increase my iron...where do you buy

yours. Right now I'm getting mine from Vitalady. Thanks again.

>

>

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That's a great idea, combining orders. I just ordered some iron from Vitalady and yes the shipping is very high! I hadn't thought to get a RX from Dr. K for the iron. He wants me taking 325mg a day and most of the products I've found on line is 60mg.

Peeblesdecorate.home@...http://www.celebratinghome.com/sites/susanpeebles/PWPHome.aspx

To: DS_Friends_Keshishian Sent: Monday, May 16, 2011 8:46 AMSubject: Re: Iron Absorption

...Each time I order vitamins I do a google search. I order my vitamins in 6 month bunches so I forget where I get things between orders and prices can change a bunch in 6 months. I always check out Vitalady's prices, plus I google.I think my last supply of Standard Process Ferrofood came from Amazon, before that from a health food store in Paso Robles. The last time I ordered Proferrin I think it came direct from Proferrin (you can find it on Amazon too and I have a PRIME account with Amazon so many things ship free and in 2 days)Sometimes Vitalady is the best deal if you can avoid the shipping cost. Which you can if you order $300 worth of product at a time. This is actually pretty easy to do if you order 6 months worth of multiple things. I will also call up my mom (a DSer) and Vicki B. If we will be seeing each other in a reasonable time period. The last Vitalady order we combined was almost $800. All three of us stocked up

and we all avoided the shipping charges! yea us!>> Thanks for the info Jo. As I have to increase my iron...where do you buy yours. Right now I'm getting mine from Vitalady. Thanks again.> >

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That's a great idea, combining orders. I just ordered some iron from Vitalady and yes the shipping is very high! I hadn't thought to get a RX from Dr. K for the iron. He wants me taking 325mg a day and most of the products I've found on line is 60mg.

Peeblesdecorate.home@...http://www.celebratinghome.com/sites/susanpeebles/PWPHome.aspx

To: DS_Friends_Keshishian Sent: Monday, May 16, 2011 8:46 AMSubject: Re: Iron Absorption

...Each time I order vitamins I do a google search. I order my vitamins in 6 month bunches so I forget where I get things between orders and prices can change a bunch in 6 months. I always check out Vitalady's prices, plus I google.I think my last supply of Standard Process Ferrofood came from Amazon, before that from a health food store in Paso Robles. The last time I ordered Proferrin I think it came direct from Proferrin (you can find it on Amazon too and I have a PRIME account with Amazon so many things ship free and in 2 days)Sometimes Vitalady is the best deal if you can avoid the shipping cost. Which you can if you order $300 worth of product at a time. This is actually pretty easy to do if you order 6 months worth of multiple things. I will also call up my mom (a DSer) and Vicki B. If we will be seeing each other in a reasonable time period. The last Vitalady order we combined was almost $800. All three of us stocked up

and we all avoided the shipping charges! yea us!>> Thanks for the info Jo. As I have to increase my iron...where do you buy yours. Right now I'm getting mine from Vitalady. Thanks again.> >

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Hi All,Previously I made the statement that there was no metabolic shortcut with polly iron. It occurred to me that this is in fact not true. With the polysaccharide iron the disassociation step (the action of stomach acid on a mineral salt such as ferrous sulfate) is skipped. This may be extremely important for folks on PPI's (proton pump inhibitors). These are drugs used to lower stomach acid. I believe there are more than a few of us on these med's. There is the argument that these may be unnecessary or in fact counterproductive This can remain for another discussion.

Regarding the Poly-Iron 150 Forte. This is available under a number of brand names.It is not just iron. There are two other ingredients that may for some be very helpful.  Brand names:Ferrex™ 150 Forte

Ferrex™ 150 Forte Plus  (I don't know what the " plus " is for)Maxaron® FortePoly-Iron 150 FortePolysaccharide Iron 150 Forte

It consists of 25mcg (micrograms) vitamin B12, 1mg (milligram) Folic Acid an 150mg ionic iron, per cap.

The first two ingredients are important for the utilization of the iron. Patients who are able to chelate iron in their gut can and will benefit. Some others can not. 150mg of iron is 10 times the " normal " RDA and  and several times what our " normal " gut is supposed be able to absorb per day.

So, if this one works for you that is a very good thing! It does not for some others. You may be able to find a better deal by shopping it using the generic name. Try it.Hope this helpsDC

 

That's a great idea, combining orders. I just ordered some iron from Vitalady and yes the shipping is very high! I hadn't thought to get a RX from Dr. K for the iron. He wants me taking 325mg a day and most of the products I've found on line is 60mg.

 

Peeblesdecorate.home@...http://www.celebratinghome.com/sites/susanpeebles/PWPHome.aspx

To: DS_Friends_Keshishian Sent: Monday, May 16, 2011 8:46 AM

Subject: Re: Iron Absorption

 

...Each time I order vitamins I do a google search. I order my vitamins in 6 month bunches so I forget where I get things between orders and prices can change a bunch in 6 months. I always check out Vitalady's prices, plus I google.

I think my last supply of Standard Process Ferrofood came from Amazon, before that from a health food store in Paso Robles. The last time I ordered Proferrin I think it came direct from Proferrin (you can find it on Amazon too and I have a PRIME account with Amazon so many things ship free and in 2 days)

Sometimes Vitalady is the best deal if you can avoid the shipping cost. Which you can if you order $300 worth of product at a time. This is actually pretty easy to do if you order 6 months worth of multiple things. I will also call up my mom (a DSer) and Vicki B. If we will be seeing each other in a reasonable time period. The last Vitalady order we combined was almost $800. All three of us stocked up

and we all avoided the shipping charges! yea us!

>> Thanks for the info Jo. As I have to increase my iron...where do you buy yours. Right now I'm getting mine from Vitalady. Thanks again.> >

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Hi All,Previously I made the statement that there was no metabolic shortcut with polly iron. It occurred to me that this is in fact not true. With the polysaccharide iron the disassociation step (the action of stomach acid on a mineral salt such as ferrous sulfate) is skipped. This may be extremely important for folks on PPI's (proton pump inhibitors). These are drugs used to lower stomach acid. I believe there are more than a few of us on these med's. There is the argument that these may be unnecessary or in fact counterproductive This can remain for another discussion.

Regarding the Poly-Iron 150 Forte. This is available under a number of brand names.It is not just iron. There are two other ingredients that may for some be very helpful.  Brand names:Ferrex™ 150 Forte

Ferrex™ 150 Forte Plus  (I don't know what the " plus " is for)Maxaron® FortePoly-Iron 150 FortePolysaccharide Iron 150 Forte

It consists of 25mcg (micrograms) vitamin B12, 1mg (milligram) Folic Acid an 150mg ionic iron, per cap.

The first two ingredients are important for the utilization of the iron. Patients who are able to chelate iron in their gut can and will benefit. Some others can not. 150mg of iron is 10 times the " normal " RDA and  and several times what our " normal " gut is supposed be able to absorb per day.

So, if this one works for you that is a very good thing! It does not for some others. You may be able to find a better deal by shopping it using the generic name. Try it.Hope this helpsDC

 

That's a great idea, combining orders. I just ordered some iron from Vitalady and yes the shipping is very high! I hadn't thought to get a RX from Dr. K for the iron. He wants me taking 325mg a day and most of the products I've found on line is 60mg.

 

Peeblesdecorate.home@...http://www.celebratinghome.com/sites/susanpeebles/PWPHome.aspx

To: DS_Friends_Keshishian Sent: Monday, May 16, 2011 8:46 AM

Subject: Re: Iron Absorption

 

...Each time I order vitamins I do a google search. I order my vitamins in 6 month bunches so I forget where I get things between orders and prices can change a bunch in 6 months. I always check out Vitalady's prices, plus I google.

I think my last supply of Standard Process Ferrofood came from Amazon, before that from a health food store in Paso Robles. The last time I ordered Proferrin I think it came direct from Proferrin (you can find it on Amazon too and I have a PRIME account with Amazon so many things ship free and in 2 days)

Sometimes Vitalady is the best deal if you can avoid the shipping cost. Which you can if you order $300 worth of product at a time. This is actually pretty easy to do if you order 6 months worth of multiple things. I will also call up my mom (a DSer) and Vicki B. If we will be seeing each other in a reasonable time period. The last Vitalady order we combined was almost $800. All three of us stocked up

and we all avoided the shipping charges! yea us!

>> Thanks for the info Jo. As I have to increase my iron...where do you buy yours. Right now I'm getting mine from Vitalady. Thanks again.> >

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Price-wise, it also works for me b/c I get it through my insurance mail-in program. I pay $12.03 for 90 days worth (twice a day) of the Poly-Iron 150 Forte Caps.

Dr. Caya is correct. The Poly-Iron 150 Forte Cap does come under a variety of names. I've taken some of them. The ones I've taken have worked well, too. Right now I'm taking the Poly-Iron 150 Forte Cap b/c it's what my ins. co. will pay for and my surgeons like. To be honest, at one time my ins. co. didn't cover it and I paid somewhere around $75-100 a month. But I did it, b/c I knew how impt. it was for me.

BTW, as Jo mentioned -- I, too, order my supplements from Vitalady (and others) every

6 - 7 months. I have a chart of what I ordered and how much I needed, etc., including comparing prices.

I order enough for about 7 months at a time as I have my bloods drawn every 6 months and then I go over them with my surgeon's DS nutrit. (there can often be a lag of a few weeks till we can go over it, plus there are often tweaks to be made to my vits/minerals regimen so I like to wait till we go over it and I then place my order for the next 7 mos. to make sure I have enough). Saves a ton on shipping (plus I order from some places where shipping is $0.00 if you order over $99.00 and believe me, it's always over $99.00).

A.

----------------

Duodenal Switch/Lap -- Drs. Alfons Pomp & Michel Gagner -- New York City

4/4/05: 265 lbs./BMI: 45.6

4/11/05: 256 lbs./BMI: 43.9 (date of surgery)

7/27/08: Gallbladder Removed

5/11/11: 115.8 lbs./BMI: 19.9My pics: http://www.picturetrail.com/sfx/album/view/20083300

----------------

Mon May 16, 2011 8:04 am (PDT)

I need this info, thank you! Peeblesdecorate.home@ yahoo.comhttp://www.celebrat inghome.com/ sites/susanpeebl es/PWPHome. aspxFrom: Athaena28 <athaena28yahoo (DOT) com>To: DS_Friends_Keshishi

anyahoogroups (DOT) comSent: Monday, May 16, 2011 7:53 AMSubject: [DS_Friends_ Keshishian] Re: Iron Absorption I take 1 Poly-Iron 150 Forte Cap twice a day.

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Price-wise, it also works for me b/c I get it through my insurance mail-in program. I pay $12.03 for 90 days worth (twice a day) of the Poly-Iron 150 Forte Caps.

Dr. Caya is correct. The Poly-Iron 150 Forte Cap does come under a variety of names. I've taken some of them. The ones I've taken have worked well, too. Right now I'm taking the Poly-Iron 150 Forte Cap b/c it's what my ins. co. will pay for and my surgeons like. To be honest, at one time my ins. co. didn't cover it and I paid somewhere around $75-100 a month. But I did it, b/c I knew how impt. it was for me.

BTW, as Jo mentioned -- I, too, order my supplements from Vitalady (and others) every

6 - 7 months. I have a chart of what I ordered and how much I needed, etc., including comparing prices.

I order enough for about 7 months at a time as I have my bloods drawn every 6 months and then I go over them with my surgeon's DS nutrit. (there can often be a lag of a few weeks till we can go over it, plus there are often tweaks to be made to my vits/minerals regimen so I like to wait till we go over it and I then place my order for the next 7 mos. to make sure I have enough). Saves a ton on shipping (plus I order from some places where shipping is $0.00 if you order over $99.00 and believe me, it's always over $99.00).

A.

----------------

Duodenal Switch/Lap -- Drs. Alfons Pomp & Michel Gagner -- New York City

4/4/05: 265 lbs./BMI: 45.6

4/11/05: 256 lbs./BMI: 43.9 (date of surgery)

7/27/08: Gallbladder Removed

5/11/11: 115.8 lbs./BMI: 19.9My pics: http://www.picturetrail.com/sfx/album/view/20083300

----------------

Mon May 16, 2011 8:04 am (PDT)

I need this info, thank you! Peeblesdecorate.home@ yahoo.comhttp://www.celebrat inghome.com/ sites/susanpeebl es/PWPHome. aspxFrom: Athaena28 <athaena28yahoo (DOT) com>To: DS_Friends_Keshishi

anyahoogroups (DOT) comSent: Monday, May 16, 2011 7:53 AMSubject: [DS_Friends_ Keshishian] Re: Iron Absorption I take 1 Poly-Iron 150 Forte Cap twice a day.

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How much iron should we be taking? Dern I just got a shippment from VitaLady

Subject: Re: Iron AbsorptionTo: "DS_Friends_Keshishian " <DS_Friends_Keshishian >Date: Saturday, May 14, 2011, 12:22 PM

Thanks for the info Jo. As I have to increase my iron...where do you buy yours. Right now I'm getting mine from Vitalady. Thanks again.

Peeblesdecorate.home@...http://www.celebratinghome.com/sites/susanpeebles/PWPHome.aspx

To: DS_Friends_Keshishian Sent: Saturday, May 14, 2011 11:22 AMSubject: Iron Absorption

Did you know that iron is absorbed in the small intestines. Which as a DSer much of our small intestines are bypassed. Add to that, the area of the small intestines that are best at iron absorption are the Duodenum and the Jejunum (the upper portion of the small intestines that "is bypassed" in the DS and RNY surgeries) As DSers we do still retain a Duodenum "stump", but that stump can't be expected to do the entire job.I personally use a heme form of iron supplement as it is Animal rather than Plant based. In the "real" food eating world, eating meat based iron is absorbed at a higher rate than Plant based irons (non-heme) I personally take Proferrin or StandardProcess FerroFood (FerroFood is cheaper!). Some people have great success with a carbonyl iron. (vitalady's big seller)Here is a link that gives some good basic info in everyday

language:http://www.thatsfit.ca/2010/08/16/iron-absorption-dos-and-donts-food-combining-rules/

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How much iron should we be taking? Dern I just got a shippment from VitaLady

Subject: Re: Iron AbsorptionTo: "DS_Friends_Keshishian " <DS_Friends_Keshishian >Date: Saturday, May 14, 2011, 12:22 PM

Thanks for the info Jo. As I have to increase my iron...where do you buy yours. Right now I'm getting mine from Vitalady. Thanks again.

Peeblesdecorate.home@...http://www.celebratinghome.com/sites/susanpeebles/PWPHome.aspx

To: DS_Friends_Keshishian Sent: Saturday, May 14, 2011 11:22 AMSubject: Iron Absorption

Did you know that iron is absorbed in the small intestines. Which as a DSer much of our small intestines are bypassed. Add to that, the area of the small intestines that are best at iron absorption are the Duodenum and the Jejunum (the upper portion of the small intestines that "is bypassed" in the DS and RNY surgeries) As DSers we do still retain a Duodenum "stump", but that stump can't be expected to do the entire job.I personally use a heme form of iron supplement as it is Animal rather than Plant based. In the "real" food eating world, eating meat based iron is absorbed at a higher rate than Plant based irons (non-heme) I personally take Proferrin or StandardProcess FerroFood (FerroFood is cheaper!). Some people have great success with a carbonyl iron. (vitalady's big seller)Here is a link that gives some good basic info in everyday

language:http://www.thatsfit.ca/2010/08/16/iron-absorption-dos-and-donts-food-combining-rules/

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OK OK What kind of iron should I take as well as how much? Yhanks

Subject: Re: Iron AbsorptionTo: "DS_Friends_Keshishian " <DS_Friends_Keshishian >Date: Saturday, May 14, 2011, 12:22 PM

Thanks for the info Jo. As I have to increase my iron...where do you buy yours. Right now I'm getting mine from Vitalady. Thanks again.

Peeblesdecorate.home@...http://www.celebratinghome.com/sites/susanpeebles/PWPHome.aspx

To: DS_Friends_Keshishian Sent: Saturday, May 14, 2011 11:22 AMSubject: Iron Absorption

Did you know that iron is absorbed in the small intestines. Which as a DSer much of our small intestines are bypassed. Add to that, the area of the small intestines that are best at iron absorption are the Duodenum and the Jejunum (the upper portion of the small intestines that "is bypassed" in the DS and RNY surgeries) As DSers we do still retain a Duodenum "stump", but that stump can't be expected to do the entire job.I personally use a heme form of iron supplement as it is Animal rather than Plant based. In the "real" food eating world, eating meat based iron is absorbed at a higher rate than Plant based irons (non-heme) I personally take Proferrin or StandardProcess FerroFood (FerroFood is cheaper!). Some people have great success with a carbonyl iron. (vitalady's big seller)Here is a link that gives some good basic info in everyday

language:http://www.thatsfit.ca/2010/08/16/iron-absorption-dos-and-donts-food-combining-rules/

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OK OK What kind of iron should I take as well as how much? Yhanks

Subject: Re: Iron AbsorptionTo: "DS_Friends_Keshishian " <DS_Friends_Keshishian >Date: Saturday, May 14, 2011, 12:22 PM

Thanks for the info Jo. As I have to increase my iron...where do you buy yours. Right now I'm getting mine from Vitalady. Thanks again.

Peeblesdecorate.home@...http://www.celebratinghome.com/sites/susanpeebles/PWPHome.aspx

To: DS_Friends_Keshishian Sent: Saturday, May 14, 2011 11:22 AMSubject: Iron Absorption

Did you know that iron is absorbed in the small intestines. Which as a DSer much of our small intestines are bypassed. Add to that, the area of the small intestines that are best at iron absorption are the Duodenum and the Jejunum (the upper portion of the small intestines that "is bypassed" in the DS and RNY surgeries) As DSers we do still retain a Duodenum "stump", but that stump can't be expected to do the entire job.I personally use a heme form of iron supplement as it is Animal rather than Plant based. In the "real" food eating world, eating meat based iron is absorbed at a higher rate than Plant based irons (non-heme) I personally take Proferrin or StandardProcess FerroFood (FerroFood is cheaper!). Some people have great success with a carbonyl iron. (vitalady's big seller)Here is a link that gives some good basic info in everyday

language:http://www.thatsfit.ca/2010/08/16/iron-absorption-dos-and-donts-food-combining-rules/

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> How much iron should we be taking? Dern I just got a shippment from VitaLady

Mike...no worries about ordering from Vitalady. As a general rule her products are geared toward WLS patients. How much to take can be a bit more complex as it can depend on the individual.

I don't take Vitalady's "tender" iron because it gives me real bad vitamin belch to the point I just can't take it. However Iknow several people who do take it and do well. The key point is to take it "alone" and wait at least an hour before eating or taking other supplements. I'm scratching the cobwebs off my brain here so don't take this as gospel but I "think" it is recommended to take 6 of her new formula Tender Iron. All may be taken at once. You can always email vitalady and ask what the recommended dosage is.

If you are taking the Proferrin...because it is a "blood" product it can be taken with food and calcium...less rules, less stomach upset and that is why I prefer it. I take 1-3 tablets per day spread out through the day. Many people believe you should break the tablet in half before taking it because it is lightly coated and this will assist in the breakdown of the tablet. Because it it cheaper....I also take standard process ferrofood (a heme, or blood iron) it comes in capsules so I don't break these.

Also...Dr. K has told of recent reports coming out talking about how important taking Protein Drinks are in helping WLS patients to utilize Iron appropriately. This was specific to Using Protein Drinks as it is more bioavailable than eating meat. So if you are having Iron issues be sure to down a couple protein drinks a day!

Hugs

Jo

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