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Vitamin Supplementation for Gastric Bypass and Sleeve Gastrectomy

[vc_row][vc_column][vc_column_text] For the first 3 months after surgery, you will be on a chewable vitamin.  You’ll want to be taking a high-quality vitamin, due to the fact you are at high risk for vitamin deficiency.…

For the first 3 months after surgery, you will be on a chewable vitamin.  You’ll want to be taking a high-quality vitamin, due to the fact
you are at high risk for vitamin deficiency.
The following are required to be taken after your surgery:
  • Multivitamin
  • Iron (26 mg/d)
  • Calcium Citrate (1000­1500 mg/d)
  • Sublingual B­12 (1000 mcg/week) OR Monthly B­12 injection
  • At 1 week out you will begin taking 1,000 mcg daily until your 1-month visit.
  • Starting at 1-month post­op you will decrease to 1,000 mcg/week.
  • Vitamin D3 (15,000 IU/weekly)
The following brands are recommended chewable vitamin supplements:
  • Bariatric Advantage (sold at JourneyLite offices or in the e­Store at JourneyLite.com)
  • Optisource Vitamins (sold at Walgreens or at www.walgreens.com)
  • Celebrate Bariatric Vitamins (found at www.celebratevitamins.com)
  • GNC Vitamins (liquid/chewable/powered are available)
The above vitamin brands will provide you with all products you are required and are rated very highly for purity and quality.
After 3 months you may begin taking capsule supplements based on your tolerance.  B­12 will remain sub­lingual long term.
The following are recommended vitamin supplements:
  • Nature’s Way (found at most health food stores and Whole Foods Market)
  • Solaray Vitamin’s (found at most health food stores)
  • GNC vitamin products (found at GNC locations or at www.gnc.com)
  • Nature’s Life (found at most health food stores and Whole Foods Market)
  • Prothera Vitamins (found at www.protherainc.com)
There are various wholesale vitamin sites online that you may also be able to find these products.
Vitamin Tips and Information:
  • The form of Iron that you need to take is either Ferrous Fumarate or Ferrous Gluconate.
    • Ferrous Sulfate is the most commonly prescribed form of iron, but it may not be well absorbed after your surgery.
  • If you are ever required to take Vitamin D, the preferred form is Vitamin D3.
  • The preferred form of calcium is calcium citrate-this is due to the lack of stomach acid being produced by your new pouch.
    • Calcium carbonate is the most common form found OTC but, is not absorbed well because it does require a larger amount of stomach acid to be absorbed.
    • Calcium and iron need to be ideally spaced 2 hours between each other.  They actually compete for the same absorption sites and can interfere with absorption.
Products to Avoid:
  • Centrum
  • One-­A-­Day
  • Flintstones­ Generic store brands
  • “Gummy” type vitamins
Educational information: This article is for general education and does not replace individualized medical advice. Treatment recommendations and eligibility vary. Please discuss personal questions with your JourneyLite care team or another qualified healthcare professional.
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