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In a message dated 1/30/2003 8:26:49 PM Pacific Standard Time,

PATISINKY@... writes:

> I MEAN DO YOU REALLY NEED DRY E AND DRY D AND EXTRA IRON IF SOME IS ALREADY

> IN THE MULTI?

Only your labs can tell you what you need. If you are experimenting with

your vitamin regimen, commit to having your labs done every three months and

see what the changes to do your levels, and then find what you're comfortable

spending to keep those levels where they should be.

Me? I'm an extremely distal procedure and take two multi (the kind from the

grocery store), two iron pills (300 mg, I think), a carnitine, a B-12, and

2000 extra mg of calcium citrate.

Kate

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Patisinky:

I had the lap RNY 28 months ago. I, too, am a medial. From day one I

have taken 2 Flintstone chewables and 3 TUMS daily. 1 Flintstone in

the a.m. and one in the p.m. The TUMS are taken one in the a.m., one

at noon, and one in the p.m. Nothing more... nothing less. This is

what my surgeon recommended at the time of my surgery, and I trusted

him. Thus far my labs are been perfect and I have them taken every 6

months. I have had my surgeon's office read them and -- and here is

what convinced me -- I had two other non-WLS doctors read them so

that I could get various opinions. All said that they were in the

perfect range. There is much debate about vitamins and calcium

supplements and who am I to know which is right. But alot depends on

your surgery, whether or not you are distal or medial, etc. Why

spend hundreds of dollars on those multi-vitamins that probably have

the very same ingredients as a $10 bottle of Flintstones? Some here

may agree with me; some may not. I am diligent about my health

because I have no immune system. If this regiment were not working,

then I would definitely not be following it. But it is and I see no

need to change. Hope this helps... Deb

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A medial RNY patient is likely to experience deficiencies in iron,

calcium, zinc, folate, vitamins A, D, E, K and B-12, and protein.

Calcium citrate is a good form. Since you had a medial procedure, you

are likely to need a higher level of iron and other supplements. You

might want to prefer a supplement that uses the beta carotene form of

vitamin A over the palmitate (retinol) vitamin A form. The true test

will be in your lab results.

Ray Hooks

For WLS nutrition info, visit

http://www.bariatricsupplementsystem.com

PATISINKY@... wrote:

>

> I HAD THE OPEN RNY, MEDIAL. I AM STILL CONFUSED AS TO WHAT VITAMINS TO TAKE.

> I CAN'T DECIDE ON WHETHER TO TAKE THE BARIATRICSUPPLEMENT OR THE VISTA

> VITAMINS OR THAT NEW MONTHLY PACKAGE THAT IS OFFERED AT WLSSUCCESS FOR ABOUT

> A HUNDRED A MONTH. DOES IT REALLY MAKE ANY DIFFERENCE WHAT KIND OF VITAMIN

> YOU TAKE AS LONG AS IT IS A MULITVITAMIN, A CALCIUM CITRATE, AND A B-12? I

> MEAN DO YOU REALLY NEED DRY E AND DRY D AND EXTRA IRON IF SOME IS ALREADY IN

> THE MULTI? I NEED SOME HONEST OPINIONS HERE, THANKS!!!!!

>

>

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In a message dated 1/31/03 7:44:30 AM Central Standard Time,

TheDebutante@... writes:

From day one I have taken 2 Flintstone chewables and 3 TUMS daily. Nothing

more ... nothing less. Thus far my labs are been perfect and I have them

taken every 6

months.

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

This is pretty much the same regimen my surgeon still recommends to all his

WLS patients. I don't see too much wrong with Flintstones--except I haven't

really paid any attention to what types of vitamins are really in them. There

are good and not-so-good forms of Vit A, E, and D and u generally get just

what you pay for. The cheaper multi- vit's have the not-so-good forms in them.

However, surgeons are not dieticians or nutritionists, and the concensus

among the latter as well as among those of us who've developed problems after

taking Tums, is that calcium citrate is much better absorbed by us than

calcium carbonate (which is in Tums). Osteoporosis is an insidious disease;

it takes years most of the time to show up. And perfect labs is no indicator

of your bone density. The calcium in your blood work does not tell a thing

about the calcium in your bones. In fact, your body will leach calcium from

your bones in order to keep your blood calcium level within the normal range.

When you say you have your labs done every six months, does that include a

Dexascan (once a year)? If not, you don't really know for sure if your labs

are perfect.

Oh, and when you depend on your various docs to interpret your labs, are you

yourself keeping a chart so that you can monitor trends upward or downward?

Docs generally don't do that, and can easily miss something that's heading

into a trouble zone bcuz they only look to see what's in the normal range and

don't make comparisons from one lab to the next.

How you manage your future health is, of course, entirely your decision. From

my own experience I am telling you it may be a mistake to place total trust

in a surgeon to monitor your nutritional and bone density health. Trust

yourself first, and educate YOURSELF on what your body truly needs; don't

take anyone's word for it, not even mine. Each one is different, which is why

we each need to take responsibility for our own maintenance after surgery.

Carol A

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In a message dated 2/1/2003 6:54:39 AM Eastern Standard Time,

tuesdynite@... writes:

> I don't see too much wrong with Flintstones--except I haven't

> really paid any attention to what types of vitamins are really in them.

*****I admit it, I still take 2 Flintstone's Complete twice a day, and my

labs from those are fine, so far.

Oh, and when you depend on your various docs to interpret your labs, are you

yourself keeping a chart so that you can monitor trends upward or downward?

Docs generally don't do that, and can easily miss something that's heading

into a trouble zone bcuz they only look to see what's in the normal range and

don't make comparisons from one lab to the next.

*****Oh yes! I can attest to that! My Ferritin went from 31 last year to 18

this year, and I found it, NOT my doc. I was very fortunate in that it's

still in the normal ranges, so I upped my iron dosage to twice a day, which

was what I was supposed to be taking, but I was only doing one. I know, bad

me, but lucky I checked myself and got the wakeup call before it was too

late.

From my own experience I am telling you it may be a mistake to place total

trust

in a surgeon to monitor your nutritional and bone density health. Trust

yourself first, and educate YOURSELF on what your body truly needs; don't

take anyone's word for it, not even mine. Each one is different, which is why

we each need to take responsibility for our own maintenance after surgery.

*****Yep, what she said!

in NJ

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  • 10 months later...

In a message dated 12/13/03 4:34:12 AM Pacific Standard Time,

msteele2@... writes:

> 4x500mg Calcium Citrate (Vitalady's w/Magnesium and D)

> 2 Centrum Chewable

> 500mcg B-12 sublingual

>

I just take this part along with a nightly iron pill which I never remember

to take and now I am pregnant so I had a prenatal and folic acid added to the

list. Sounds like yo are doing great, I don't know what some of the stuff you

are taking, lol, I never heard of it :)

HUGS, ROBIN, NY

Age- 41

Due Date- July 27th, 2004

OPEN RNY

10-18-02

378/246/170???

DR.EDWARD HIXSON

SARANAC LAKE, NY

Mom to:

&

7 1/2 year twin boys and

Madison age 4 1/2 yrs.

Miscarraige August 2001

Miscarraige August 2003

Married to Pup:

15 years this

Halloween : )

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, Wow about the vitamins! My doctor is chewable Flintstones, sublingual

B-12, and chewable calcium. I thought I was covered. What does the Vitamin

E do? And the others? I'm not very versed about vitamins. You have a

wonderful weight loss. Do you feel wonderful??

Joan

lap RNY 11/18/03

Dr. Higa, Fresno, CA

282/249/140

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  • 5 months later...
Guest guest

One of the things I did was to take Floradix liquid supplement (iron

and B vitamins) for about a month or so pre-op, and also during my

initial recovery. It was recommended by a friend, and my doctor said

it was ok to take it.

> Did anyone take special surgery vitamins before and after surgery?

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Guest guest

I'm pre-op, but my OS started me on Vitamins C & E 1 year pre-op. He

also prescribed doxycycline (an antibiotic) and piroxicam (an anti-

inflammatory). I'm glad you asked the question, because I was

wondering if other people take meds and vitamins pre-op as well!

> Did anyone take special surgery vitamins before and after surgery?

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Guest guest

I also started taking iron and vitamin C. However I did start a

little late...( 2 weeks pre-op)...I have been taking multivitamins

for a couple of months now.

Nathalie

> Did anyone take special surgery vitamins before and after surgery?

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