Download Taking Your Vitamins after Weight Loss Surgery Necessities for

 Irfan Wadiwala D.O. 13323 Dotson Rd Suite 210 Houston TX, 77070 Phone: (281) 653-­‐6544 Fax: (281) 807-­‐9702 Taking Your Vitamins after Weight Loss Surgery
Necessities for Maintaining Your Health
Houston Weight Loss has created this easy-to-follow schedule for your DAILY vitamin and mineral intake. We hope that this schedule provides clarification regarding
any questions you may have about daily vitamin requirements. One of our products offered is Bariatric Advantage®, as they are known in post-operative vitamins and
mineral supplementation for weight loss surgery patients. You may purchase Bariatric Advantage* products in our office 10% off your first order & reward points
purchased online using our Validation Code: HOUWL (Other: Multivitamin dosages may vary please refer to your bottle on serving size)
PROCEDURE
BREAKFAST
MID-MORNING
LUNCH
MID-AFTERNOON
DINNER
BEDTIME
Gastric
Bypass
1 Multivitamin*
capsule with Iron
Calcium**
(500 mg) W/
1 Multivitamin*
capsule with Iron
Calcium**
(500 mg) W/
1 Multivitamin*
capsule with Iron
Calcium**
(500 mg) W/
1 Probiotic
Vitamin D3
1 Multivitamin*
capsule with Iron
Calcium**
(500 mg) W/
Sleeve
Gastrectomy
1 Probiotic
Adjustable
Band
1 VitaBand
Multivitamin
1 Probiotic
Vitamin D3
1 Multivitamin*
capsule with Iron
Vitamin D3
Calcium**
(500 mg) W/
Vitamin D3
1 Multivitamin*
capsule with Iron
Vitamin D3
Calcium**
(500 mg) W/
Calcium**
(500 mg)
Calcium**
(500 mg) W/
Vitamin D3
Vitamin D3
Vitamin D3
Calcium**
(500 mg) W/
Vitamin D3
1 VitaBand
Multivitamin
Calcium**
(500 mg) W/
Vitamin D3
*If you are taking the Multivitamin capsule with Iron, you may take all three at once if you wish. Wait about 5 minutes between each capsule.
**HOWEVER – you must take your Calcium THREE SEPARATE TIMES DAILY.
NOTE: Gastric Bypass, Sleeve Gastrectomy, & Band patients need 1500 mg of Calcium daily. Duodenal Switch patients need 2000 mg of calcium daily.
DO NOT TAKE Calcium and Iron within two hours of each other - they will bind together and will not be absorbed adequately.
Three forms of calcium are available: chewy bites, calcium crystals, and lozenges. Use the one that works best for YOU.
Supplementation is a necessity in order to maintain health after any type of bariatric surgery. Vitamin and mineral deficiencies can and will occur if you do not take your
supplements. The following is a list of vitamin and minerals, what they do and what can occur if you become deficient.
Vitamins / Minerals
What does it do for me?
Multivitamin with minerals (MVI)
AGB: chewable or liquid MVI 2xday
(100% daily value [DV] for at least 2/3 of nutrients)
Bypass, DS, Sleeve: chewable or liquid MVI 2xday
(200% daily value [DV] for at least 2/3 of nutrients 2x
daily)
*Avoid children’s vitamins*
Folate
Vitamins are organic, essential nutrients required in tiny
amounts to perform specific functions that promote
growth, reproduction, or the maintenance of health and
life. A well balanced diet composed of a variety of foods
will typically provide an individual with the vitamins
necessary to support good health. However, after
bariatric surgery, you are unable to gain these vital
nutrients from food alone.
Folate is important for DNA synthesis and new cell
formation. Folate deficiency has been associated with
cancer (colon and breast), cardiovascular disease, and
neural tube defects.
AGB: 400 mcg (found in multivitamin)
Bypass, DS, Sleeve: 400 mcg 2xday
(found in multivitamin)
Vitamin B12
AGB: none additional
Bypass, DS, Sleeve: 350 mcg/day sublingual or 500
mcg/week intranasal or 1000 mcg/month IM or 3000
mcg/ 3 months IM
Vitamin B12 activates folate and is essential for DNA
synthesis and nerve cell maintenance.
Iron
AGB: none additional
Bypass, DS, Sleeve: 18-27 mg/day or 40-65 mg/day
for menstruating women (ferrous sulfate, fumarate,
gluconate , polysaccharide, or iron protein succinylate
forms)
*Do not take within 2 hours of calcium or MVI
Calcium
AGB, Bypass, Sleeve: 1500-2000 mg/day calcium
citrate
DS: 1800-2400 mg/day calcium citrate
*Do not take within 2 hours of iron supplement
Vitamin D3
AGB, Bypass, Sleeve: 2,000-5,000 IU/day
DS: 5,000-10,000 IU/day
Iron carries oxygen in the blood and makes oxygen
available for muscle contraction. Iron is necessary for
energy metabolism.
What happens if I become deficient?
Vitamin and mineral deficiencies can cause severe
health issues and even death. Without a multivitamin,
you are at risk for a number of vitamin and mineral
deficiencies. For example, zinc deficiency can impair
immunity and cause hair loss. Selenium deficiency may
lead to heart disease. Copper deficiency causes bone
abnormalities and anemia.
Anemia, smooth, red tongue, mental confusion,
weakness, fatigue, irritability, headache
*Good dietary sources of folate include leafy green
vegetables, legumes, and seeds
Anemia, fatigue, cognitive impairment, degeneration of
peripheral nerves leading to paralysis
*Good dietary sources include animal products and
fortified cereals
Anemia, weakness, fatigue, headache, impaired work
performance and cognitive function, pale skin, nail
beds, mucous membranes, and palm creases; inability
to regulate body temperature, pica
*Good dietary sources include red meats, fish, poultry,
shellfish, eggs, and legumes
Calcium is the most abundant mineral in the body – while
it is predominately found in your bones and teeth, 1% of it
is circulating in your bodily fluids. Calcium is responsible
for the rigid structure of your bones and teeth and plays a
critical role in muscle contraction/relaxation, blood
clotting, hormone secretion, enzymatic reactions, and
nerve impulses.
Bone loss leading to osteoporosis
*Good dietary sources of Calcium include milk and milk
products, sardines, greens (broccoli, mustard greens,
kale), tofu, and legumes
Osteomalacia: soft, flexible, and deformed bones often
experiencing pain in the pelvis, lower back, and legs
Adequate vitamin D maintains blood calcium
concentrations and supports bone formation.
*Good dietary sources of Vitamin D include fortified
milk and cereals; beef, egg yolk, liver, fatty fish
(salmon, herring, sardines
Please follow the dosing of your vitamins: mg, IU, mcg