I throw up sometimes from my multivitamin despite taking it with food. My surgeon told me that if I throw up, the next day I should only have liquids to "rest my pouch". I get dizzy and hungry from only eating/drinking liquids.

Is that a common recommendation?

I only take one pill in the evening, and I do need the iron (I needed iron prior to surgery too and it never made me nauseous then). I messaged the NP to get clarity and she made it sound like it was more about "persistent" vomiting and that I should just do clear liquids until the nausea subsides. However, I only throw up once (it is fully throwing up, not spit) and then I'm not nauseous any more.

I also have a message in to the nutritionist about switching multivitamins. I don't mind taking more than one pill, but I don't want to have to take it multiple times a day.

I have random bouts of vomiting every week. Not like the last 10 weeks though. 1 meal will be fine and the day after its a no no. I vomit saliva, not froth. I dont understand it at all. I dont do liquids the day after, I need nutrients badly so I start on things I know are ok with my tummy. Yogurt is a big soother.

The gummy vitamins went straight in the trash as soon as I could swallow ordinary multivitamins and iron from the supermarket. I do morning and before bed with these. Thats working fine. I was given soluble Calcium but I can not stomach it and as I am seeing my dietician tomorrow, I will ask about alternates for this. I was told to book a Vitamin B12 injection every 12 weeks for life so have this in 10 days time. Does anyone else get this ?

I was told we would have to take EXTRA vitamins if we didn't choose of of the brands they recommend. They told me to take calcium unless I was getting enough from food, which I am. They didn't tell me I needed B12 shots, but they did say that taking certain multivitamins would require me to take extra B12 (and a few other vitamins) which is why I went for this brand.

I have found the sublingual ez melts for B-complex help me tolerate them. I had been chronically low even before WLS. I take it in the morning with a calcium chew from Celebrate. I take a Flintstones with iron at night just before bed. When I was younger, also when pregnant I could tolerate the pills by Solaray by Vitamin Shoppe. Again, I took them at night before bed. Also, iron and calcium bind with each other so they should be taken separately, including separating milky drinks or foods from your iron intake. I had a very difficult time finding the prenatal vitamin that didn’t turn me inside out so I feel for you. Many use lactose as a binding ingredient, as do many medications like Zithromax. Maybe that is the culprit?

9 hours ago, summerseeker said:

I was told to book a Vitamin B12 injection every 12 weeks for life so have this in 10 days time. Does anyone else get this ?

That’s a new one. Do your blood tests show you’re low in B12? I know B12 injections are quite commonly prescribed to older people because our ability to absorb it decreases as we age. My mother has to have a blood test first & her doctor only gives her a shot if her levels are low. Vegans often need B12 because the main source of B12 is via animal proteins. Supposedly it can protect against macular degeneration.

On 2/3/2022 at 7:27 PM, lizonaplane said:

I throw up sometimes from my Multivitamin despite taking it with food. My surgeon told me that if I throw up, the next day I should only have liquids to "rest my pouch". I get dizzy and hungry from only eating/drinking liquids.

Is that a common recommendation?

Like everyone else, no doctor, but that sounds like bad advice and is def not a long-term solution.

Sounds like you've tried everything pill-wise. Maybe ask your team if they can prescribe you a liquid multivitamin? I'm in the UK so not sure how it would work for you or how much it might cost, but my RD had me on Forceval effervescent for the first month and I had no issues with it and unlike non-prescription liquid supplements it has everything. You could try drinking it spread it over a couple of hours with other things to avoid nausea and or chugging it.

Alternatively, could you maybe get multivitamin gummies (I know they say to avoid the sugar but... you gotta do what you gotta do)/chewables with no iron, just the "easy" vitamins which are more palatable, and supplement iron separately? I used a spray iron supplement for a while (Better You Iron Spray), which worked ok and was not gross. This might be less reliable nutritionwise though.

Or you could try multivitamin pills which you can split (pill cutter or wire cutters work well) and try taking them in much smaller quantities across the day 1/4 or even smaller bits?

good luck !!

Or perhaps the vitamin patches

I take three childrens chewable Multivitamins daily. I get the Equate brand due to it meeting the requirements from my office. They also recommended them. I also switched to sublingual B12 and D3 due to the pill absorption issue I was having. I would ask if there are alternative multivitamins you can take so you eliminate the throwing up issue. Then you don’t have to worry about this latest advice!

On 02/03/2022 at 19:27, lizonaplane said:

I throw up sometimes from my Multivitamin despite taking it with food. My surgeon told me that if I throw up, the next day I should only have liquids to "rest my pouch". I get dizzy and hungry from only eating/drinking liquids.

Is that a common recommendation?

Have you tried a multivitamin gummie? My dietician recommended them for the first 30 days.

32 minutes ago, vixtagram_vsg said:

Have you tried a Multivitamin gummie? My dietician recommended them for the first 30 days.

Our surgery center said no patches and no gummies...

1 hour ago, lizonaplane said:

Our surgery center said no Patches and no gummies...

I need to make a list of BS rules. I get the patches, since efficacy isn't guaranteed. Gummies I may get because some may contain sugar (get sugarfree ones and you're fine).

I'll call it the Let's Punish Fat People for Sh*ts & Giggles List of Rules, and it'll feature Greatest Hits such as:

• No drinking 30 minutes before meals (because the water may simply decide to just hang around in that stomach of ours forever)
• No caffeine (because we snort that, it's not like the fluid it comes with outweighs the mild diuretic effect)
• No vitamin gummies (because god forbid the fatties have an easier time not getting malnourished, after all there may be 6 or even 7 calories in those gummies!)
• Six months of random unhealthy diets pre-surgery (because that liver simply won't shrink unless half the people doing pre-op give up, you see)

Feel free to add more.

2 hours ago, MiniGastricBypassDude said:

I need to make a list of BS rules. I get the Patches, since efficacy isn't guaranteed. gummies I may get because some may contain sugar (get sugarfree ones and you're fine).

I'll call it the Let's Punish Fat People for Sh*ts & Giggles List of Rules, and it'll feature Greatest Hits such as:

• No drinking 30 minutes before meals (because the Water may simply decide to just hang around in that stomach of ours forever)
• No caffeine (because we snort that, it's not like the Fluid it comes with outweighs the mild diuretic effect)
• No Vitamin gummies (because god forbid the fatties have an easier time not getting malnourished, after all there may be 6 or even 7 calories in those gummies!)
• Six months of random unhealthy diets pre-surgery (because that liver simply won't shrink unless half the people doing pre-op give up, you see)

Feel free to add more.

I believe my surgery center said no gummies because they don't contain the same level of vitamins.

My surgery center doesn't say no drinking before eating or no caffeine, and the diets before surgery (which aren't really unhealthy given that they just ask you to eat less junk food) are an insurance requirement, which if you go for self-pay is not an issue.

What your surgery center recommends has more to do with the research available. Where I went, they are constantly updating their recommendations to reflect current research - they now allow carbonated beverages. But they still say no gummies. Plus, I don't want to do gummies because I have crap teeth.

56 minutes ago, lizonaplane said:

the diets before surgery (which aren't really unhealthy given that they just ask you to eat less junk food) are an insurance requirement, which if you go for self-pay is not an issue.

I appreciate you taking the time to answer.

The two weeks of Optifast pre-surgery are an eating disorder waiting to happen. I mean, fluids after, sure, but before? That's just medically mandated anorexia. What next? Learn to make yourself vomit for good measure?

And there are unfortunately some poor souls here who go on diets for months. We have the surgery because our bodies fight that process, it's nothing but a way to deny necessary medical treatment to people needing it. Because this disease happens be seen as a moral failure.

Imagine they asked people with a fracture in their foot to run on it for a couple months to qualify for surgery. I mean, you can, it will hurt, "but it's good for you to practice what you'll do after surgery when in rehab". And exercise is good right?

I find the Olly brand vitamins (berry gummies) stay put and don’t upset my stomach.

On 2/7/2022 at 1:27 PM, MiniGastricBypassDude said:

I appreciate you taking the time to answer.

The two weeks of Optifast pre-surgery are an eating disorder waiting to happen. I mean, fluids after, sure, but before? That's just medically mandated anorexia. What next? Learn to make yourself vomit for good measure?

And there are unfortunately some poor souls here who go on diets for months. We have the surgery because our bodies fight that process, it's nothing but a way to deny necessary medical treatment to people needing it. Because this disease happens be seen as a moral failure.

Imagine they asked people with a fracture in their foot to run on it for a couple months to qualify for surgery. I mean, you can, it will hurt, "but it's good for you to practice what you'll do after surgery when in rehab". And exercise is good right?

I didn't have a 2 week liquid only diet. I did change my eating habits for 7 months prior to surgery and lost 50 lbs, which means I don't have to lose it now.