Recommended Posts

I will be having Gastric Bypass surgery on April 16th. I’m a bit confused after reading all the information on supplements. I will be discussing supplements at my next appointment this week. I would appreciate input from you seasoned professionals who have already had surgery:D. I can compare what you all are taking to what I will be told to take when I go to my appointment. It really helps to know what others do so I can have questions to ask my surgeon. Thanks for the wealth of information here!

Share this post


Link to post
Share on other sites

It does all feel a little overwhelming. 

I take:

  • a once-daily multi-vitamin, but twice daily, so double quantities of everything (lately I take a GNC women's ultra something or other, it has pretty good numbers). Mine doesn't have much iron, so I take it at the same time as my first round of calcium. I took chewables for the first 5 months or so, but the whole tablets don't bother my stomach, so I take them.
  • calcium citrate (either 800 or 1000mg in 4 tabs, but I try to take 6 per day in three different rounds, not at the same time as iron - it also has Vitamin D - I probably should take some vitamin C with it)
  • iron (one round before bed, not within 2 hours of calcium, mine are ferrous fumarate, which are suppos)
  • B12 liquid drops
  • biotin (10000mcg, once per day) to promote hair regrowth - I'm running out soon and will probably discontinue it now that things are going better with my hair.

So, ideally, I do vitamins 4x per day: 

  1. multi, calcium, biotin, B12 at breakfast
  2. Multi, calcium at lunch
  3. calcium in the afternoon (when I remember)
  4. iron before bed

All of my vitamin wisdom was gained here on TTF. I seem to mess up and get calcium carbonate about every other time I buy calcium, although I totally know better. If I were in the US and ordering stuff was easier, I might just go with Bariatric Advantage or one of those bariatric specialist brands, just so I'd know it was always the right stuff, but ordering that here would be a nightmare and super expensive. I just buy my stuff at GNC, which is readily available here.

Edited by Jen581791

Share this post


Link to post
Share on other sites

My programme recommends 200% RDA vitamins and minerals for gastric bypass patients and early out, chewable or liquid are recommended.

I started on Celebrate Multivitamins because I prefered the taste over Bariatric Advantage - both met the guidelines we were given.  Celebrate offer a sample pack which is really helpful but be warned, our taste can change post-op so don't buy much of anything pre-op.

I would also recommend that you use a multivitamin that does not have iron in it.  That will allow you to take a multivitamin and calcium citrate at one and the same time (calcium can inhibit the absorption of iron).

My schedule:

AM:  Multivitamin and calcium citrate + B12 

Lunch:  Calcium citrate (+ joint supplements and lutein and other eye supplements (I have macular degeneration) 

PM:  Multivitamin and calcium citrate

Bed:  Iron (with vitamin C or a glass of OJ to aid absorption)

Share this post


Link to post
Share on other sites

No one who has known me on this forum will be surprised at this, but: my program just stipulates a multivitamin with 100-150% of the RDAs. They don't require it to be a bariatric vitamin. 

How do they get away with it, you ask? Well, they check our blood levels (including markers that indicate whether your bone calcium is sufficient) three times in the first year and then yearly after that (unless there's a reason to do it more often). I've just switched brands, but I purposely did it a few weeks before my upcoming blood work, so I can see whether this one's OK.

The bottom line is: follow your program's recommendations. I just wanted to let you hear a different sound, as it were. Good luck!

Share this post


Link to post
Share on other sites

My surgery isn't until tomorrow. Also, I am sleeve, not bypass. I have been instructed to use chewables for life. I opted for the Opurity made by Unjury Sleeve and Bypass Optimized chewable. Cost is only $10 per month and I only have to chew 1 x a day. They do taste ok as well. I also have to take calcium citrate twice a day. I am using the chewable calcium made by Unjury as well. Just my two cents :)

Edited by Readytobeme

Share this post


Link to post
Share on other sites

I take my vitamins each day this way:

1.  At breakfast (around 6 am) - taken with food:

  • CVS Spectravite chewable multivitamin (1 pill)
  • CVS Calcium Citrate + D (2 pills - 630 mg calcium and 500 iu vitamin D3)
  • CVS sublingual B-12 (500 mcg) (1 pill)
  • CVS Vitamin D3 (2000 iu)(1 softgel capsule)

2.  At lunch (around 12:30 pm) - taken with food:

  • CVS Spectravite chewable multivitamin (1 pill)
  • CVS Calcium Citrate + D (2 pills - 630 mg calcium and 500 iu vitamin D3)

3.  When I go to bed or in the middle of the night - taken with water:

  • Bariatric Advantage Iron 60 mg with vitamin C (chewable lemon lime flavor) (1 pill)

Note that I use chewable multivitamin pills as I think that they may have better absorption.  Also, I used chewable calcium citrate for the first two months after surgery, as I thought that I might have trouble swallowing the large calcium citrate pills.  Finally, I did not take iron pills after my surgery and only began then a couple of months ago when my blood tests showed anemia.  

Share this post


Link to post
Share on other sites

I have a sleeve but my program has the same requirements for either  surgery. When I wake up, I take a Centrum Adult multivitamin and krill oil.

9am Celebrate calcium chew

11am Celebrate calcium chew

2pm Centrum Adult multivitamin

4pm Celebrate calcium chew

I'm over two years out and still use alarms on my phone, I get very busy at work and it would otherwise be forgotten. I am down to once a week for the sublingual B12, my blood work is always high so each year they have backed it off. I also used to need iron and vitamin D, but those numbers are all in the normal range now and I don't take anything extra.

I like that I'm on an OTC multivitamin approved by my program, I feel like it saves money and my blood work is great. Good luck!

Share this post


Link to post
Share on other sites

I take 2x Celebrate chewables first thing in the AM. My surgeon told me if I wanted to I could take Centrum, but would prefer the Celebrate. Also she insisted on Bariatric Advantage calcium, which I currently take 3x500 once a day.

I'm taking 60mg Celebrate chewable iron because my iron had been low since surgery. She starts everyone at 30mg though.

A vitamin B12 every other day, and B complex daily. Vit D daily.

Share this post


Link to post
Share on other sites

Thanks everyone for all of your input! I’ll be interested to compare and see if my program is similar to yours. I was curious why a lot of people use chewables instead of a pill you just swallow. I suppose it’s the absorption issue after surgery. Thanks again!!:)

Share this post


Link to post
Share on other sites
9 hours ago, Animalrescuer18 said:

Thanks everyone for all of your input! I’ll be interested to compare and see if my program is similar to yours. I was curious why a lot of people use chewables instead of a pill you just swallow. I suppose it’s the absorption issue after surgery. Thanks again!!:)

I don't know that it's an absorption issue.  I just like the taste of Celebrate chewables in Mandarin Orange and early out, because they don't contain iron, I was able to chomp on 2 calcium citrate tablets and a Celebrate multi at the same time.

Talking of which - early post-op calcium citrate tablets tend to be pretty big so check out the powder or liquid form.  I used UpCal D powder (Amazon).  It's tasteless and can be added to any liquid.

Share this post


Link to post
Share on other sites
On 26-3-2018 at 5:24 AM, Animalrescuer18 said:

Thanks everyone for all of your input! I’ll be interested to compare and see if my program is similar to yours. I was curious why a lot of people use chewables instead of a pill you just swallow. I suppose it’s the absorption issue after surgery. Thanks again!!:)

I used chewables until about a month ago (so for 11 months). I just liked not taking a big pill.

Share this post


Link to post
Share on other sites

My group requires chewables for life because they are more easily absorbed. We were given a long list of brands to choose from. All chewable.

Share this post


Link to post
Share on other sites

I dropped the bariatric Celebrate Multivitamins and switched to Kirkland Signature Daily Multi but within a year, I had issues with deficiencies.  That was a lesson learnt.  It took me just over a year to get my blood work back up to scratch.

Not everyone who's had a gastric bypass has that problem but the key is to continue to have regular blood work done to keep on top of things.

Share this post


Link to post
Share on other sites
On 3/25/2018 at 11:24 PM, Animalrescuer18 said:

Thanks everyone for all of your input! I’ll be interested to compare and see if my program is similar to yours. I was curious why a lot of people use chewables instead of a pill you just swallow. I suppose it’s the absorption issue after surgery. Thanks again!!:)

The stomach and first part of your intestine have specialized methods for taking up various vitamins - if you have a bypass you also bypass some of those. Sleevers have less mucking around with it so they tend to have fewer deficiency problems as a group. If you look up scientific studies on this you'll see it's quite clear for bypass but for sleevers... much less so.

It is important to have your levels checked. Because I am a forgetful person I was forgetting to take my vitamins with iron since I couldn't take them with my calcium. So, I switched to vits without iron about 6 months ago. I also eat a lot of meat. My labs last week => high-normal iron, even without iron supplement. So will continue my current practice. 

Share this post


Link to post
Share on other sites

My vitamin schedule is multivitamin, and  D3, morning and night.

500g calcium citrate, same time as others but add one with lunch.

Biotin each morning with the others

None are chewable and all are good quality brands but not bariatric

B12 injection every three months

I've just had an iron infusion after 9 months and it's expected that will continue probably at about 9 month intervals when blood tests show the need. Both surgeon and doctor believe that iron supplementation in my circumstances (i have genetic haemochromatosis)  is not a good idea.

Share this post


Link to post
Share on other sites
On March 25, 2018 at 9:56 AM, Jen581791 said:

It does all feel a little overwhelming. 

I take:

  • a once-daily multi-vitamin, but twice daily, so double quantities of everything (lately I take a GNC women's ultra something or other, it has pretty good numbers). Mine doesn't have much iron, so I take it at the same time as my first round of calcium. I took chewables for the first 5 months or so, but the whole tablets don't bother my stomach, so I take them.
  • calcium citrate (either 800 or 1000mg in 4 tabs, but I try to take 6 per day in three different rounds, not at the same time as iron - it also has Vitamin D - I probably should take some vitamin C with it)
  • iron (one round before bed, not within 2 hours of calcium, mine are ferrous fumarate, which are suppos)
  • B12 liquid drops
  • biotin (10000mcg, once per day) to promote hair regrowth - I'm running out soon and will probably discontinue it now that things are going better with my hair.

So, ideally, I do vitamins 4x per day: 

  1. multi, calcium, biotin, B12 at breakfast
  2. Multi, calcium at lunch
  3. calcium in the afternoon (when I remember)
  4. iron before bed

All of my vitamin wisdom was gained here on TTF. I seem to mess up and get calcium carbonate about every other time I buy calcium, although I totally know better. If I were in the US and ordering stuff was easier, I might just go with Bariatric Advantage or one of those bariatric specialist brands, just so I'd know it was always the right stuff, but ordering that here would be a nightmare and super expensive. I just buy my stuff at GNC, which is readily available here.

Right after surgery?

Share this post


Link to post
Share on other sites
2 hours ago, Anita62 said:

Right after surgery?

Yes, but I did chewable for everything except iron for the first couple of months. 

Share this post


Link to post
Share on other sites

Create an account or sign in to comment

You need to be a member in order to leave a comment

Create an account

Sign up for a new account in our community. It's easy!

Register a new account

Sign in

Already have an account? Sign in here.

Sign In Now