Second infection post sleeve. First one was a staph infection affecting upper back, neck and head. Very painful for 3-4 weeks late last year.

This second one is prostatitis ( inflammation of the prostate). The doctor put me on a 6 week Cipro plan starting yesterday. Waiting for labs to come back indicating "real" issue.

The biggest concern is that the bottle says to take 6 hours from last mineral and wait 2 hours before taking next mineral. The timing thing is what is killing me because I need to take this 2x a day. I take my minerals and Vitamins in the morning ( including iron) when I get up. Calcium chews an hour or two after that and the calcium chews again at lunch and dinner. I usually eat every 3 hours and I eat last Protein shake or bar at about 9 pm. This snack usually is loaded with minerals by definition.

I am wondering if these no-take rules can be bent a little since we have smaller stomachs and process nutrients differently from non sleeved individual. My plan right now is to take at 3 pm and 7 pm, but I am still not outside of the no take range and I am taking the doses pretty close together. I hope I do not have to resort to taking the Cipro in the middle of the night.

Any thoughts? I know, not the most exciting topic, but...

3 & 7 is too close. Since its twice a day it should be at least 10-12 hrs apart.

3 & 7 is too close. Since its twice a day it should be at least 10-12 hrs apart.

Any idea how to manage 10 -12 hours apart and still abide by the no take around mineral rules and the fact I take minerals at 6am, 10am, 12pm and 6pm?

From what I just read its the calcium that needs to be avoided. I would check with your PCP but it seems like the Iron would be OK, but anything with calcium needs to be taken, like you said, 6 hours before of 2 hours after. The calcium can prevent the Cipro from being absorbed. So 6am-Cipro and any non calcium minerals, 10- calcium minerals, 1pm- calcium minerals, 7-8pm- Cipro and non calcium minerals. You may take in less calcium than preferred for the 6 weeks, but the Cipro would more than likely take preference for this time.

---I lied--- I'd still ask you PCP.

Avoid: Reduced drug absorption/bioavailability—Avoid these supplements when taking this medication since the supplement may decrease the absorption and/or activity of the medication in the body.

Calcium, Copper, Iron, Magnesium, Manganese, Zinc (if taken at the same time)

Dandelion*

Fennel

Yogurt

From what I just read its the calcium that needs to be avoided. I would check with your PCP but it seems like the Iron would be OK' date=' but anything with calcium needs to be taken, like you said, 6 hours before of 2 hours after. The calcium can prevent the Cipro from being absorbed. So 6am-Cipro and any non calcium minerals, 10- calcium minerals, 1pm- calcium minerals, 7-8pm- Cipro and non calcium minerals. You may take in less calcium than preferred for the 6 weeks, but the Cipro would more than likely take preference for this time.[/quote']

Thanks for your response. Really helpful!!

I think I've read that you get up at 5am? Is that right? If so, take your Cipro as soon as you get up. Eat something with it if it upsets your stomach. Then take your vitamins at 7am - that's just an hour later. Move up your evening vitamins to mid afternoon and take your Cipro before bed. Might have to change that evening protein shake for a while. The Cipro needs to be priority here so you don't develop bigger problems. You need to take it about 10-12 hours apart so it can be effective. Just an idea.

How bout this:

5am Cipro with snack if needed (banana maybe?)

7am Vitamins and minerals breakfast/shake

9am calcium

Noon (lunch time) calcium

3pm calcium and Protein shake

6pm dinner

Bedtime Cipro

It's important to take the Cipro separate from vitamins so it can be fully effective.

How bout this:

5am Cipro with snack if needed (banana maybe?)

7am Vitamins and minerals breakfast/shake

9am calcium

Noon (lunch time) calcium

3pm calcium and Protein shake

6pm dinner

Bedtime Cipro

It's important to take the Cipro separate from vitamins so it can be fully effective.

Thanks for the plan. It looks good. I hate having to give up my bedtime snack though, but it does have vitamins and minerals as it is either a shake or a Protein Bar. I will try out your suggested plan this next week.