Vitamin Recommendation List For Gastric Bypass Patients

"But my surgeon said to take a couple of Flintstones vitamins and I'll be okay!"

Are you a toddler? Apparently I thought they were good enough. Not so, not so. Disclaimer, do not listen to the girl who took children's vitamins. Listen to your DOCTOR, that's why they get paid the big bucks, do not take your information from the interwebz:

From the ASMBS, you know, the surgeons who make the standards?

Click to make large or download entire PDF here.

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Micronutrient and Macronutrient Needs in Roux-en-Y Gastric Bypass Patients

Roux-en-Y surgery creates an increased risk for deficiency of certain nutrients. Decreased intake in combination with varying degrees of malabsorption presents unique challenges to achieving the macronutrient and micronutrient status needed to thrive. Lifelong preventative actions, such as supplementation, regular follow-up, and thorough patient education are mandatory for accomplishing all the benefits and avoidance of the health risks involved in Roux-en-Y gastric bypass surgery. Given the nature of the procedure and the individuals undergoing the procedure, no clear protocols have been determined. The focus, therefore, is on risk reduction and careful monitoring and follow-up, versus risk elimination.

Recommendations for RYGB patients are the following (Links added are mine, not a thorough list, will add more):

• Chewable, liquid, or powder multivitamin containing RDA levels of iron and zinc taken daily.

• Sublingual B12 (500–1,000mcg) once per week, IM injection (1,000mcg) once per month, or nasal gel or B12 patch (1,000mcg) once per week; increase based on follow-up labs

Bariatric Advantage Sublingual B12
Building Blocks B12 Spray
Celebrate Bariatric Supplements B-12 Sublingual Dietary Supplement
Or nasal spray, injected, dermal patch

• Chewable, liquid, powder, or lozenge 1,000 to 1,500mg calcium citrate with vitamin D in divided doses; increase based on follow-up labs.

Some programs may also recommend a separate daily B-complex or thiamine (Vitamin B1). Also, some of us require additional vitamins and supplements, namely IRON and VITAMIN D. Other trace elements may be suggested after you have bloodwork done.

Here's a Very Thorough Schedule that I found online:

Time What to take What to eat or drink

7 am (or upon awakening)

Calcium citrate, 500 mg elemental
Vitamin D, 200-400 IU
Magnesium citrate, 200 mg elemental
Whey protein shake, 30 gm

8 am

Vitamin B-12 sublingual tablet
Breakfast

9 am

Iron supplement(s)
Vitamin C, 500 mg Glass of water

11 am

Calcium citrate, 500 mg elemental
Vitamin D, 200-400 IU
Magnesium citrate, 200 mg elemental
Glass of water

12 noon n/a

Lunch

1 pm

Multi-vitamin
B-100 tablet Glass of water

2 pm n/a

Whey protein shake, 30 gm

3 pm

Calcium citrate, 500 mg elemental
Vitamin D, 200-400 IU
Magnesium citrate, 200 mg elemental
Glass of water

4 pm

Multi-vitamin
B-100 tablet
Glass of water

5 pm

Iron supplement(s)
Vitamin C, 500 mg Glass of water

6 pm

n/a Dinner

7:30 pm n/a

Whey protein shake, 30 gm

8 pm

Vitamins A & D capsule
Vitamin E capsule
Zinc tablet
Glass of water

10 pm (bedtime)

Calcium citrate, 500 mg elemental
Vitamin D, 200-400 IU
Magnesium citrate, 200 mg elemental
Whey protein shake, 30 gm

Middle of the night, if you wake up for any reason

Calcium citrate, 500 mg elemental
Vitamin D, 200-400 IU
Magnesium citrate, 200 mg elemental
Glass of water

WOW - right? Yeah. But, if I knew then what I know now? I might have been THAT diligent.

Here's a post by a fellow surgery sister who's had the duodenal switch, and her vitamin regimen.

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