Weight loss surgery is about improving your health and a big part of improving your health is getting proper nutrition.  It is hard for anyone to get good nutrition with a normal digestive system and after bariatric surgery, it becomes even more difficult.  Because of the surgical changes, your body cannot extract all the nutrients it needs from your meals and therefore, you must take daily supplements for the rest of your life.  Supplements are of upmost importance because deficiencies can impact blood, bone, muscle and neurological health.  Routine testing with your doctor is done to optimize healthy outcomes and reduces the risk of becoming deficient. 

Below you will find the nutrients needed for each surgery: 

Biliopancreatic Diversion with Duodenal Switch (BPD/DS)
* Take 1-2 chewable tablets daily (as directed on the back of the bottle)
* Take chewable calcium citrate 600mg plus vitamin D 400IU three times/day for a total of 1800mg of calcium and 1200IU of vitamin D.

Acceptable bariatric multivitamin brands and where to purchase:
Celebrate (websites: celebratevitamins.com; Amazon; Walmart Online)
Multi-ADEK Vitamin (capsule or chewable) *would also need to take iron fumarate 45mg*

Bariatric Advantage (websites: bariatricadvantage.com; Amazon)
Advanced Multi EA (chewable) – or - Ultra Multi with Iron (capsule)
High ADEK (capsule or chewable) *would also need to take iron fumarate 45mg*

DEKAs (websites: dekasvitamins.com; Amazon)
Bariatric (chewable)

Any alternative multivitamin source that is used must contain the minimum quantities listed below for each specific nutrient. You will also need to take vitamin B-12 500mcg and iron fumarate 45mg in addition to the multivitamin daily.

We check lab values postoperatively at 3, 6 and 12 months, and annually thereafter. 

Roux-en-Y Gastric Bypass (RYNGB)
* Take 1-2 chewable tablets daily (as directed on the back of the bottle)
* Take chewable calcium citrate 600mg plus vitamin D 400IU twice/day for a total of 1200mg of calcium and 800IU of vitamin D. 

Acceptable bariatric multivitamin brands and where to purchase:
ProCare Health (websites: procarenow.com; Amazon; Walmart Online)
Bariatric Multivitamins with 45mg Iron (capsule or chewable)

Celebrate (websites: celebratevitamins.com; Amazon; Walmart Online)
Multi-Complete Restrictive 45 - Multivitamin with Iron (capsule or chewable)

Bariatric Advantage (websites: bariatricadvantage.com; Amazon)
Advanced Multi EA (chewable) – or- Ultra Multi with Iron (capsule)

Bariatric Pal (websites: bariatricpal.com; Amazon)
Multivitamin One (capsule)

Multivitamin Plus Patch by PatchAid (websites: patchaid.com; bariatricpal.com)
Multivitamin Plus topical patch

DEKAs (websites: dekasvitamins.com; Amazon)
Bariatric (chewable)

Any alternative multivitamin source that is used must contain the minimum quantities listed below for each specific nutrient. You will also need to take vitamin B-12 500mcg and iron fumarate 45mg in addition to the multivitamin daily.

We check lab values postoperatively at 3 and 12 months, and annually thereafter. 

Sleeve Gastrectomy
* Take 1-2 chewable tablets daily (as directed on the back of the bottle)
* Take chewable calcium citrate 600mg plus vitamin D 400IU twice/day for a total of 1200mg of calcium and 800IU of vitamin D. 
 

Acceptable bariatric multivitamin brands and where to purchase:
ProCare Health (websites: procarenow.com; Amazon; Walmart Online)
Bariatric Multivitamins with 45mg Iron (capsule or chewable)

Celebrate (websites: celebratevitamins.com; Amazon; Walmart Online)
Multi-Complete Restrictive 45 - Multivitamin with Iron (capsule or chewable)

Bariatric Advantage (websites: bariatricadvantage.com; Amazon)
Advanced Multi EA (chewable) – or- Ultra Multi with Iron (capsule)

Bariatric Pal (websites: bariatricpal.com; Amazon)
Multivitamin One (capsule)

Multivitamin Plus Patch by PatchAid (websites: patchaid.com; bariatricpal.com)
Multivitamin Plus topical patch

DEKAs (websites: dekasvitamins.com; Amazon)
Bariatric (chewable)

Any alternative multivitamin source that is used must contain the minimum quantities listed below
for each specific nutrient. You will also need to take vitamin B-12 500mcg and iron fumarate 45mg
in addition to the multivitamin daily.

We check lab values postoperatively at 3 and 12 months, and annually thereafter. 

If you are someone who experiences nausea when taking vitamin and mineral supplements, try these tips to help avoid stomach upset:

• Take your vitamin and mineral supplements with food.  Taking supplements with a meal, snack or protein shake can help minimize or alleviate nausea for many people. 
• For some, taking supplements right before bed may be helpful. 
• Portion your supplements as evenly throughout the day as possible.  If you need two or more servings of vitamins, split the doses and take them separately.  This may enhance the absorption of certain vitamins and minerals. 
• Calcium can be divided and taken throughout the day and separate from your multivitamins.  Luckily, calcium is not a mineral that is commonly associated with nausea. 
• When starting a new supplement, start with a small dose for a few days and if symptoms allow, increase the dose recommended by your provider or that is found on the label of the supplement. 

If you have any questions, please call our office at 785-232-0444.

Recipe:

Peppermint Mocha Protein Shake
Makes 1 Serving

Ingredients:

• Premier Protein Chocolate Shake (ready to drink, 11oz)     
• 1 tbsp sugar-free chocolate syrup
• 1 tsp instant coffee
• ½ tsp peppermint extract

Directions:

1. Pour the chocolate shake into a large microwave-safe mug and stir in the sugar-free chocolate syrup.
2. Microwave on high for 45 seconds.  (DO NOT bring to a boil.)
3. Remove from the microwave and stir in the instant coffee and peppermint extract.
4. Optional – Garnish with your favorite toppings!

Side Note:  Premier Protein shakes contain 24 vitamins and minerals!!!

Calories:  165   Protein: 30g   Fat: 3g   Carbs: 6g