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Malabsorption of Vitamins? High serum levels



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2 hours ago, Briswife15 said:

Well, now I'm confused because my GP says it is indicative of a deficiency, yet the bariatric nurse says to cut back on the B12! The Internet is no help either. I don't know who to believe and bariatric nurse said to go to GP for follow up anf management.

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Well, darn. I do hope that you get it sorted out soon. Darn shame but it seems like we have to have a medical degree these days just to handle our own medical care.

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when I had that issue (B12 level over 2000), the bariatric clinic told me to cut back on my dosage - they said I was oversupplementing. They see vitamin-related issues a lot - probably a lot more than a GP does - so I'd be inclined to believe them. You could always cut back and they can test your levels again later.


Great idea! I already have B12 in my bariatric multi, so will stop the extra B12 supplement for a month or two and retest! [emoji4]

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12 hours ago, Briswife15 said:



Great idea! I already have B12 in my bariatric multi, so will stop the extra B12 supplement for a month or two and retest!

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since you're a bypass patient, you're not going to absorb the B12 that's in the multi. I'd probably just cut back on the extra B12 supplement a bit and see if your level comes down. For example, if you're currently taking the extra B12 supplement every day, cut back to every other day.

I take a megadose of it. I used to take it once a week - I now take it every other week. My level was also over 2000 but now hovers around 1000-1200-ish. My bariatric clinic was never concerned about the 2000 level, though. They just said my body didn't need as much B12 as I was taking, so it was OK to cut back.

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I have B12 injection every three month and my only other Vitamins are chewable Flintstones complete. My blood work comes back all in normal range. Had RNY1 year 3 months ago. Hope you get it figured out

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since you're a bypass patient, you're not going to absorb the B12 that's in the multi. I'd probably just cut back on the extra B12 supplement a bit and see if your level comes down. For example, if you're currently taking the extra B12 supplement every day, cut back to every other day.
I take a megadose of it. I used to take it once a week - I now take it every other week. My level was also over 2000 but now hovers around 1000-1200-ish. My bariatric clinic was never concerned about the 2000 level, though. They just said my body didn't need as much B12 as I was taking, so it was OK to cut back.
Thank you, catwoman! I appreciate your reply. I had thought to stop the extra B12 completely, but your advice is the same as bariatric nurse... cut back, but don't eliminate the extra B12.

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On 12/4/2019 at 1:41 PM, Briswife15 said:

I'm waiting to hear from my doctor, but was wondering if anyone has has very high serum levels of Vitamin B12 and Folate, and if that might mean my body is not absorbing tham? Reading on the Internet there are some scary reasons for high B12, but I'm hoping it is circulating in my blood because my body can't utilize it. Thank you!

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It would not be in your blood serum if you were not absorbing it, I had high levels i was getting to much through all my vitimins and supplements . :)

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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.
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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.
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      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.

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        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.

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