Supplements
My dr only recommeds Calcium, Multi Vits and B12….Are there other things
that I should be taking? I know all drs are different but I just want to be as
safe as possible!
Thanks
Crystal
11/18/03
365/285/2nd mini goal 250
7 Responses to “Supplements”
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November 25th, 2006 at 3:16 pm
What kind of surgery do you have - looks like a RNY, given the other groups
that you belong to… are you distal or proximal?
Pam
November 25th, 2006 at 6:12 pm
prox…yes rny
November 26th, 2006 at 1:57 am
I’ll send you a list when I get home, Crystal. Maybe others will chime in.
Not menopausal/osteoporotic, are you?
November 26th, 2006 at 4:54 am
no ma’am
November 26th, 2006 at 10:33 am
I’m home. Here is the information I promised. Remember, all calcium
is calcium citrate. The amounts you ultimately take should depend on
your labs. Do not just go by the doctor saying "they’re alright" -
get copies and track them yourself. If you see a certain level
falling, you can up the dosage of that particular nutrient BEFORE it
falls out the bottom.
Pam in Niceville
>
> Not to be construed as medical advice, this schedule has been
known to work
> well for most proximal RNY pts.
>
> 30g of protein supplement, made in water, 2 to 6 times per day, no
> milk, no sugar.
>
> AND 64 oz of water
>
> The schedule below is based on these exact products. Changing
the
product
> will also change the serving size (or dose).
>
> Shopping list:
> 1 Perfect iron (never ferrous SULFATE)
> 1 Citrate ( 500 mg calcium citrate + D + mag, per
> EACH)
> 1 A&D (dry) (oil gels are not absorbed)
> 1 zinc (tablet)
> 1 E (dry) (oil gels are not absorbed)
> 1 B12 sublingual dots
> *1 multi
> *1 C >
> * = OR choose the chewables
>
> Chewable:
> chewable C
> chewable multi
>
> Schedule:
> AM:
> 2 iron
> 1 C
>
> mid-morning:
> 1 calcium
>
> lunch or mid-day:
> 1 calcium
> 1 E
> 1 multi
>
> evening:
> 1 calcium
> 1 zinc
> 1 A&D
>
> bedtime:
> 1 calcium
> 1 multi
>
>
>
>
_____
My dr only recommeds Calcium, Multi Vits and B12….Are there other
things
that I should be taking? I know all drs are different but I just
want to be as
safe as possible!
Thanks
Crystal
11/18/03
365/285/2nd mini goal 250
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_____
November 27th, 2006 at 1:02 pm
Pam,
I’ve seen you type about distal vs. proximal…what does that mean. Just
curious.
Jen in Naperville
3/3/03
259/155/150
November 27th, 2006 at 11:58 pm
Distal and proximal are types of RNY surgeries based on how much
has been bypassed. The more bypassed, the more malabsorption. If
you have a proximal surgery, you have less bypassed. You have less
malabsorption (and usually have to work harder to get the weight off
and keep it off) - if you have a more distal surgery, you have more
bypassed. You have more malabsorption (which means you have to be
very vigilant about getting your supplements to stay healthy) but
it’s usually easier to take the weight off and easier to keep it
off. A friend of mine, Michelle Curran, defines it this way.
> Let’s assume that we all start with 300" of (small) intestine. We
don’t,
but we need to have a figure, so that’s it. From the pix you’ve
seen of
RNY/gastric bypass, you know there is a left side, right side and
tail of
the Y. The "junction" of the sides is the determiner if a procedure
is
proximal or distal.
>
> The original intestine comes out of the old stomach and carries
the
digestive juices that are manufactured in the old stomach. This
piece is
called the bileo-pancreatic limb because it carries bile from the
gallbladder and pancreatic juice from the pancreas. There is no
food here.
This is the LEFT side of the Y. This is the portion that is
bypassed.
>
> The alimentary limb connects to the pouch and only carries food,
but
cannot digest or absorb. This is the RIGHT side of the Y.
>
> The tail of the Y is where both elements mix together and where
digestion
(if any) and whatever absorption will occur. This is the part that
is still
in use and is also referred to as the common channel.
>
> If the junction of the Y occurs in near proximity to the stomach,
it is
said to be proximal. If the junction occurs as a far distance from
the
stomach, it is said to be distal. That said, neither word describes
any
actual measurements of anything, so the meaning is in the mind of
the person
speaking of the procedure. What is proximal to my doctor is
considered
distal by another.
>
> Generally speaking, ALL RNY people will have to supplement at
least the
basic 8 elements, though in varying doses. We are all missing the
stomach
and its normal digestive function.
>
> Truly distal (with a lot bypassed, and a short common channel)
people need
to supplement in larger volume, but will achieve and maintain the
better
weight loss over time. Proximal (less bypassed, longer common
channel)
people still need to supplement the basics and can reach a
reasonable
weight, but after 2 years may have to work a little harder to
maintain their
goal weight.
>
> My doctor measures what is in use, not what is not. So, in my
case, I
have a 40" common channel, then 60" was used to reach the pouch.
The
bypassed portion is then ABOUT 200".
>
> Most procedures performed are measured backwards from that. The
doctor
will bypass 12 to 72", use 60-80" for the right side of the Y, and
the
common channel will be 100-200".
>
_____
Pam,
I’ve seen you type about distal vs. proximal…what does that mean.
Just curious.
Jen in Naperville
3/3/03
259/155/150
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