Vitamins And Mineral Supplementation

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  5. Vitamins And Mineral Supplementation

For the first 2-3 months after any bariatric procedure all medications need to be CHEWABLE, CRUSHED or in LIQUID FORM.  Pill crushers can be purchased at your local pharmacy.

 

Vitamin or MineralDosageApplication
Multivitamin/Multimineral with or without iron—please see recommendations below for total iron needed per day

(Do not take with Calcium)

It should contain 100% of the Daily Value (DV) of 2/3 of the nutrients & contain selenium, zinc, copper, folic acidOne dose by mouth daily

*Be sure to read the label of your supplement for amount of chews needed to meet the dosage recommendations*

Iron taken with Vitamin C

(Do not take with Calcium)

Iron –36-45mg

Vitamin C – 500 mg

One pill by mouth daily
Calcium Citrate with Vitamin D

(Do not take with iron)

Calcium total 1200-1500 mg

*Be sure to include calcium rich foods in your diet such as milk, cheese, yogurt, soymilk or tofu*

 

Vitamin D total 400-800 IU

*More may be needed with deficiency*

250 mg 5 pills per day

-or-

500 mg 3 pills per day

-or-

500 mg 2 pills per day + one high calcium food source such as milk, cheese, yogurt, soymilk or tofu.

Vitamin B 12

 

Choose one of the application methods listed to the right

500 micrograms

(sublingual)

Place one pill under the tongue (sublingual) daily
1 ml injectionOne injection per month
500 micrograms nasal sprayOne spray in one nostril once a week
Vitamin B Complex One pill to include 50-100 mg of Thiamine (B1)One pill by mouth daily
Zinc (optional)*15 mg

(Most multivitamins contain 15 mg of zinc)

One pill by mouth daily
Biotin (optional)*3000 microgramsOne pill by mouth daily

* Zinc and Biotin are optional medications used to minimize temporary hair thinning.

 

 

 

 

 

 

 

 

 

 

 

 

 

Vitamins and minerals pose toxicity risks if taken in very high doses.  Please do not take higher doses of the vitamins/minerals listed above unless you have discussed this with your registered dietitian or physician.

Remember no single vitamin contains everything you need!!!

 

You should take your vitamin and mineral supplements DAILY

You should have your vitamin and mineral levels checked and adjusted:

  • 3 months after surgery
  • 6 months after surgery
  • Yearly after surgery

 

Nutritional supplements are not tested for accuracy of ingredients, safety or potency by any regulatory body.  There are a few third party companies that will test supplements for the items listed above.  These companies include NSF, USP, Informed Choice and Consumerlab.com.  It is important that you take a supplement from a reputable company for your safety.

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