Vitamin & Mineral Supplementation Gastric Bypass & Sleeve Gastrectomy
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1 Vitamin & Mineral Supplementation Gastric Bypass & Sleeve Gastrectomy
2 Vitamin & mineral supplementation is a lifetime habit after surgery to meet your core nutritional needs
3 Vitamin & Mineral Supplementation After-Surgery CHEWABLE, POWDERED, OR LIQUID VITAMINS & MINERALS ARE RECOMMENDED FOR THE FIRST 3 MONTHS AFTER SURGERY FOR BETTER TOLERANCE AND ABSORPTION NO GUMMY VITAMINS AFTER SURGERY!
4 GASTRIC BYPASS & SLEEVE PATIENTS WILL REQUIRE : A MULTIPLE VITAMIN Additional vitamin and mineral supplements will be added based on the content of the multivitamin selected. (SEE OPTIONS LISTED IN FURTHER SLIDES)
5 IMPORTANCE OF CALCIUM CITRATE SUPPLEMENTATION: For bone health. Better ABSORPTION with the limited stomach acid in the new pouch and stomach. Less risk of developing kidney stones with the citrate form of calcium and it is less constipating.
6 CALCIUM NEEDS POST-SURGERY: Consume 1,200 1,500 mg of calcium daily. Achieving daily calcium needs should come from supplements and food. Consume mg of calcium citrate 2 times per day. Consume 2 3 calcium rich dairy foods daily. Calcium-rich dairy foods include: 1 cup milk 6 oz. light yogurt 1 oz. of reduced-fat cheese
7 Calcium Supplementation Post-Surgery Will Need to Be In Chewable or Liquid Form
8 CALCIUM SUPPLEMENTS: READING THE LABELS Celebrate Calcium PLUS 500 Take 1 Celebrate Calcium PLUS times per day
9 VITAMIN REGIMEN OPTIONS: #1 Optisource (see slides 10-11) #2 Celebrate (see slides 12-13) #3 Nascobal/BariActiv (see slides 14-16) #4 ProCare Health (see slides 17 18) #5 - Standard Over-the-Counter vitamins (see slides 19-21)
10 BARIATRIC SPECIFIC VITAMINS AND MINERALS: OPTION #1: OPTISOURCE ONE TABLET 4 TIMES PER DAY *No additional supplementation is needed except 2,000 IU Vitamin D3 daily.
11 OPTISOURCE MAY BE PURCHASED AT: Deaconess Family Pharmacy Participating Walgreens Pharmacies Participating CVS Pharmacies On-line at
12 BARIATRIC SPECIFIC VITAMIN/MINERALS OPTION #2: CELEBRATE Multi-Complete 36-1 tablet 2 times per day mg Calcium Citrate 2 times per day AND
13 BARIATRIC SPECIFIC VITAMIN/MINERALS OPTION #2: CELEBRATE CALCIUM CITRATE OPTIONS: (CHOOSE ONE OPTION) Celebrate 500 mg Soft Chews: 1 soft chews 2 times per day Calcet Creamy Bites: 1 soft chew 2 times per day Celebrate Calcium Plus 500: 1 tablet 2 times per day NOTE: Celebrate calcium citrate supplements are appropriate for first 3 months after surgery and beyond. To Purchase Celebrate Supplements: or (877)
14 BARIATRIC SPECIFIC VITAMIN/MINERALS Option #3: Nascobal B12 Nasal Spray & BariActiv Vitamin/Mineral Supplements Available by prescription Covered by many private insurance plans with cost of $25.00 or less per month (Not covered by government insurance including Medicare & Medicaid) Automatically shipped to your home monthly for 12 months or if cancelled by participant. *If interested, please speak with your dietitian.
15 Option #3: Nascobal B12 Nasal Spray & BariActiv Vitamin/Mineral Supplements: Each month, the following is mailed: Nascobal Nasal Spray, BariActiv Multivitamin, BariActiv Calcium + D 3 & Magnesium, BariActiv Iron + Vitamin C Vitamin/Mineral Daily Plan: Nascobal Nasal Spray: 1 spray, 1 nostril per week BariActiv Multi-Vitamin: 2 tablets daily BariActiv Calcium + D3 + Magnesium: 2 tablets 2 times per day BariActiv Iron + Vitamin C: 3 tablets daily
16 Option #3: Nascobal B12 Nasal Spray & BariActiv Vitamin/Mineral Supplements: Daily schedule for taking supplements: Breakfast: (1 tablet) BariActiv Multi-Vitamin + (2 Tablets) Calcium + Vitamin D + Magnesium Lunch: (3 tablets) Iron + Vitamin C Dinner: (1 tablet) BariActiv Multi-Vitamin + (2 Tablets) Calcium + Vitamin D + Magnesium *Nascobal B12 Nasal Spray: 1 spray per 1 nostril 1 time per week
17 OPTION #4: ProCare Health ProCare Health Chewable Bariatric Multivitamin 1 tablet daily Calcium Citrate + Vitamin D 500 mg 2 times per day
18 OPTION #4: ProCare Health Daily schedule for taking supplements: Breakfast: (1 tablet) ProCare Health Chewable Multivitamin Lunch: 500 mg Calcium Citrate + D Dinner: 500 mg Calcium Citrate + D To Purchase ProCare Health Bariatric Multivitamin: OR
19 OPTION #5: STANDARD OVER THE COUNTER VITAMIN/MINERALS: Purchase the following: Complete Multi-Vitamin 1 tablet 2 times per day Calcium Citrate + Vitamin D mg 2 times per day Sublingual B mcg daily or 1,000 mcg 3 times per week Vitamin D3 2,000 IU daily
20 OPTION #5: OVER THE COUNTER VITAMINS Complete Multi-Vitamins options (chewable form): Flintstones Complete Equate Children s Complete OR DOSAGE: 1 TABLET 2 TIMES PER DAY
21 OPTION #5: EXAMPLE 1 Complete Multi-Vitamin: 1 chewable 2 times per day Celebrate Calcium Plus 500: 1 chewable 2 times per day Sublingual B12: 500 mcg daily Vitamin D3: 2000 IU daily
22 CHANGING VITAMIN/MINERAL REGIMENS: It is important to remember not all vitamins and minerals have all the same nutrients in them! Check with the pharmacist or dietitian if you change your vitamin regimen
23 IMPORTANT POINTS TO REMEMBER Calcium and Multiple Vitamins with iron need to be separated from each other by at least 2 hours Only take 500 to 600 mg of calcium at one time Calcium citrate is the preferred form of calcium Do not take calcium supplement at the same time as eating a calcium rich food Take sublingual B-12 if your multiple vitamin does not contain amounts needed after gastric bypass surgery or a sleeve gastrectomy Continue to take Vitamin D (2000 IU) daily or as prescribed by your physician Vitamin/mineral supplementation is needed for a life time after having the gastric bypass or sleeve
24 LABS Routine labs need to be taken in order to insure that your dietary intake and supplements continue to be sufficient to meet your nutritional needs after surgery
25 VITAMIN & MINERAL SUPPLEMENTATION For good health Remember to take your vitamin/minerals supplements daily! Revised 10/2017
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