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3 Months out, vitamin check



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Hi all! I've been reading some of the posted details about long term Vitamin deficiencies and want to be proactive. I don't see my surgeon for several months, and he has been unreliable with Vitamin advice (first he said I don't need any, then he said children's gummies twice a day). I'm going to have my primary care physician order blood work. I see the research indicates checking at 3 months out. What is the best practice lab sheet? Also, it's time to reorder Vitamins. I tolerate pills, is there a reason to stay with bariatric chewables? Currently I take Bariatric Advantage chewable, B12 sub-lingual, Nature plus Iron/C chewable, and a Calcium plus chewable.

Critiques before I reorder, please?

Thanks,

Tracy

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I'm answering now just to follow the topic so I'll remember later - when I get home from work, I can tell you what's on my 3 month lab sheet.

I just had a nutritionist visit today and asked about switching some of my Vitamins to tablets since most of them are kind of gaggy and she said not for at least 6 months, that all the chewable stuff absorbs better. You may have better luck with your team, though!

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hi,

we were told that you shouldn't take Gummie vitiman,

takes up too much room in sleeve.

our doctor recommended Flintstone COMPLETE

chewable 2 times a day. I bought the generic,

Doctor is fine with that. I had the sleeve.

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I was also told no gummies. I was told two (2) Flintstone Vitamins or Centrum Multivitamin only the orange chewable. Also was told chewable calcium citrate (these are pretty much bariatric designed, Bariatric Advantage or the ones at the Vitamin Shop are chalky as all heck), not Calcium carbonate which are what most chews are. Also I take my sublingual B12 and Biotin. I'm getting my blood work done in about another two (2) weeks before I see my surgeon again on the 9th, I'll be 9 weeks post op for blood work and 10 for my appointment with him. :)

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My advice...or at least what I was advised -

As far as Vitamins, I was told to stick with the chewables for life, since the solid pills may pass through your sleeve before being fully absorbed. I was using the Centrum chewables based on the recommendation of my surgeon...he said this one was the most complete. As far as Calcium, I was told to stay away from any calcium carbonate, and find only the calcium citrate. The Bariatric Advantage chewables worked really well for me until I started using the Nascobal Nasal spray for my B12. This is a mail order Rx, and it comes with a Multivitamin, Iron, and calcium - all chewable - and it's nice and convenient.

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I'm sorry, I didn't forget about you - I went home and fell asleep.

I've got my 3 month lab slip in front of me, and here's what's on it:

CBC with differential

Comp metabolic panel

Folate

Prealbumin

Iron, TIBC, % Transferrin saturation

PTH, intact

Vitamin B1, whole blood

Vitamin A

Vitamin E

Vitamin D (25-Hydroxy), Total + D2 + D3

Ferritin

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Thank you!

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So, I take Vitamins specifically based on my blood labs, so I take 5000iu d3, which I take the liquigel caps, B12 500mg, vitamelts, multivitamin, also vitamelts, and slowfe iron(because the meltaway multivitamin doesn't have Iron in it). I had the band for a year and the sleeve 3 months, get blood tests about every 3-6 months to have my levels checked, and these are my problem areas. One thing that I do try to focus on is ensuring I am getting both thiamine and b12, so either a b complex Vitamin or b12 separately and make sure thiamine is in the multivitamin. I also take Calcium in one of 2 ways, I will either chew a tums or mix an upcal into a milk in the morning (it's powdered calcium citrate).

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I just had my 6 month post op lab done and strangely enough my blood sugar has gone from the 70's up to 114 (fasting) and my Liver enzymes (primarily the Ferritin) is way high. This scares the heck out of me. Has anyone ever heard of this happening? And by the way, I do not have a gallbladder so that is not the reason for my liver enzymes going up

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    • Alisa_S

      On day 4 of the 2 week liquid pre-op diet. Surgery scheduled for June 11th.
      Soooo I am coming to a realization
      of something and I'm not sure what to do about it. For years the only thing I've enjoyed is eating. We rarely do anything or go anywhere and if we do it always includes food. Family comes over? Big family dinner! Go camping? Food! Take a short ride or trip? Food! Holiday? Food! Go out of town for a Dr appointment? Food! When we go to a new town we don't look for any attractions, we look for restaurants we haven't been to. Heck, I look forward to getting off work because that means it's almost supper time. Now that I'm drinking these pre-op shakes for breakfast, lunch, and supper I have nothing to look forward to.  And once I have surgery on June 11th it'll be more of the same shakes. Even after pureed stage, soft food stage, and finally regular food stage, it's going to be a drastic change for the rest of my life. I'm giving up the one thing that really brings me joy. Eating. How do you cope with that? What do you do to fill that void? Wow. Now I'm sad.
      · 0 replies
      1. This update has no replies.
    • Alisa_S

      On day 4 of the 2 week liquid pre-op diet. Surgery scheduled for June 11th.
      Soooo I am coming to a realization
      of something and I'm not sure what to do about it. For years the only thing I've enjoyed is eating. We rarely do anything or go anywhere and if we do it always includes food. Family comes over? Big family dinner! Go camping? Food! Take a short ride or trip? Food! Holiday? Food! Go out of town for a Dr appointment? Food! When we go to a new town we don't look for any attractions, we look for restaurants we haven't been to. Heck, I look forward to getting off work because that means it's almost supper time. Now that I'm drinking these pre-op shakes for breakfast, lunch, and supper I have nothing to look forward to.  And once I have surgery on June 11th it'll be more of the same shakes. Even after pureed stage, soft food stage, and finally regular food stage, it's going to be a drastic change for the rest of my life. I'm giving up the one thing that really brings me joy. Eating. How do you cope with that? What do you do to fill that void? Wow. Now I'm sad.
      · 1 reply
      1. summerseeker

        Life as a big person had limited my life to what I knew I could manage to do each day. That was eat. I hadn't anything else to look forward to. So my eating choices were the best I could dream up. I planned the cooking in managable lots in my head and filled my day with and around it.

        Now I have a whole new big, bigger, biggest, best days ever. I am out there with those skinny people doing stuff i could never have dreamt of. Food is now an after thought. It doesn't consume my day. I still enjoy the good home cooked food but I eat smaller portions. I leave food on my plate when I am full. I can no longer hear my mother's voice saying eat it all up, ther are starving children in Africa who would want that!

        I still cook for family feasts, I love cooking. I still do holidays but I have changed from the All inclusive drinking and eating everything everyday kind to Self catering accommodation. This gives me the choice of cooking or eating out as I choose. I rarely drink anymore as I usually travel alone now and I feel I need to keep aware of my surroundings.

        I don't know at what point my life expanded, was it when I lost 100 pounds? Was it when I left my walking stick at home ? Was it when I said yes to an outing instead of finding an excuse to stay home ? i look back at my last five years and wonder how loosing weight has made such a difference. Be ready to amaze yourself.

        BTW, the liquid diet sucks, one more day and you are over the worst. You can do it.

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