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February 25th, 2011
08:24 AM ET
What vitamins, supplements should I take after weight-loss surgery?Every weekday, a CNNHealth expert doctor answers a viewer question. On Friday, it's Dr. Melina Jampolis, a physician nutrition specialist. Asked by Paulina Thomas of Jacksonville What vitamins and supplements are recommended for people who have had weight loss surgery? And how much? Hi Paulina. This is a very good question, but I can't give you any specific recommendations without knowing what type of surgery you had and without knowing more about you specifically. According to my colleague, weight-loss surgeon Dr. John Rabkin, any type of weight-loss surgery will initially require some supplementation due to the restricted amount of food you can eat post-operatively. When you eat less food, you also take in less vitamins, minerals, and protein, leading to the need for short- and/or long-term supplementation. This is particularly important for optimal healing post-operatively and for long-term health. In addition, he notes that, many (if not most) patients have vitamin and/or mineral deficiencies at baseline (before surgery) as these deficiencies are quite common in the general population. Rabkin goes on to explain that many procedures including gastric bypass, duodenal switch, and biliopancreatic diversion require supplementation of the fat-soluble vitamins (A,D, E, & K) and minerals (calcium, iron, zinc, occ. copper, trace minerals). These operations remove portions of the gut where these nutrients are absorbed, so you may need to take higher amounts to ensure that you get an adequate dose. In addition, you may need to take the fat-soluble vitamins in a "dry" form to improve absorption, which means that they dissolve in water instead of fat, since the procedures decrease fat absorption. Gastric banding and sleeve procedures do not remove areas in the gut where nutrient absorption takes place, so they often require less supplementation long term and have less risk of deficiencies. The doses of vitamins, minerals and protein vary considerably between individuals, so it is important that you work closely with your weight-loss surgeon and primary care physician after the surgery to determine the right amount for you. These surgeries are not a quick fix and do have side effects, so it is critical to find a weight-loss surgeon who provides long-term care. A good place to start would be in choosing a center certified as a Center of Excellence in Bariatric Surgery by the American Society for Metabolic and Bariatric Surgery. In addition, Rabkin notes that patients who join patient support groups do better long term, so if your surgeon does not offer a support group, seek one out in your community.
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Get a behind-the-scenes look at the latest stories from CNN Chief Medical Correspondent, Dr. Sanjay Gupta, Senior Medical Correspondent Elizabeth Cohen and the CNN Medical Unit producers. They'll share news and views on health and medical trends - info that will help you take better care of yourself and the people you love.
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very good article and response. It is very much a personalized need. Every body reacts differently and will malabsorb different vitamins. Most experts suggest that you pull full panel bloodwork to test for vitamin and mineral levels every 6-12 months for the rest of your life after WLS and to adjust your vitamin supplementation in response. It's also important to note that certain vitamin and mineral levels considered "normal" in a normal-gutted person are actually quite low for those who have been re-routed. B12 for one, might be normal in the 300's or 400's for a normal person but post-WLS folks should try to get it closer to the 900's or low 1000's,
Look into Bariatric Eating.com. Susan Maria Leach is the founder and has helped my wife tremendously.
Organic Multivitamins such as Earthbar's Vita-K supplements have lots of good vitamins rolled up into one, and don't hurt your stomach as much as ones loaded with too much calcium.
The ASMBS has a set of guidelines for bariatric patients and post-op nutrition and supplementation. (http://www.asbs.org/Newsite07/resources/bgs_final.pdf) Look at the chart on page 7 to view the base supplementation patients should start with based on their surgery type. This is the BASE supplement recommendation, which means you start with this set of vitamins but as you start getting labwork done at regular times after surgery you will adjust these supplements based on what your lab results dictate and what your individual body needs might be. Labs should be drawn every 3 to 6 months after any bariatric surgery to keep a close eye on deficiencies or malnourishment problems. (My WLS journey: http://www.PamTremble.Blogspot.com)
Thank you Pam, I was doing my research before my surgery. This is very helpful; I will go check out the chart for vitamins.
"The doses of vitamins, minerals and protein vary considerably between individuals, so it is important that you work closely with your weight-loss surgeon and primary care physician after the surgery to determine the right amount for you."
A surgeon and a primary care doctor are going to advise you on vitamins? I have never had a doctor tell me to take any vitamin. The closest that a doctor ever mentioned a vitamin was when I told him that I was taking niacin and he agreed that it was good for the heart. Go here http://doctoryourself.com/ and you decide what you need for yourself.
After weight loss surgery (depending on the type) you malabsorb some vitamins and minerals and need to have your blood levels checked. In that capacity your doctor is going to know what supplements you need. Weight loss surgery is not the same thing as a doctor maybe telling you or not telling you to take a multivitamin, you could die if you do not supplement properly.
I take vitamins specifically designed for gastric bypass patients. Check on line for various products and then ASK your doctor.
Best to ask the surgeon who did procedure which vitamins to take. As stated in article, banding and sleeve will need different from bypass. My husband had the banding done, and he found vitamins in Walgreens which are ok for him. He had surgery on day before Thanksgiving, and so far has lost 60 lbs. Remember, protein is important too.
Why is the Anesthesia Death Rates is still high in the United States today.
Salem, NH
What will the future of surgery will be tomorrow? It is safer to be awake during surgery?
Salem, NH
I lost a lot of weight using this:
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I just found out I'm very deficient in Vitamin D. In the last 14 months I have had 4 miscarriages after having 4 healthy pregnancys. Is there any correlation between vitamin D and miscarriages?
Organic multi vitamins are the best source of getting energy and health.
very good post. thanks for sharing. while searching on this topic i found another informative website on this. wanted to share that with you all
http://www.healthysolutionsweb.com/vitamin-manufacturer/
For individuals who's been through a weight loss surgery, vitamin supplements is really needed since there is high risk of vitamin defeciencies after the surgery. And the best person who can give you a good gastric bypass advice is you doctor and surgeon since they are the ones who knows your health condition. There is a very useful site I happen to know for those who need information about weight loss surgeries. - http://gastricbypassadvice.com
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The doses of vitamins,minerals and proteins differ from people to people so it is important that you work closely with your weight-loss surgeon and primary care physician after the surgery to determine the right amount of Vitamins Benefit
for you. These surgeries are not a quick fix and do have side effects, so it is critical to find a weight-loss surgeon who provides long-term care.
Great post....thanks for posting this blog. After my bariatric surgery i was suffered from b12 panecia due to deficiency in vitamin b12 one year ago. Hence doctor recommended me to take bariatric vitamins and supplements once in a week. I cured within six months after having this.
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