Nutrional Supplements Gastric Bypass

Vitanine, Mineral and Nutrional Supplements

Nutritional Supplements after Gastric Bypass

What you eat, how you eat and how much you eat changes drastically after gastric bypass surgery. Gastric Bypass Surgery alters the anatomy of your digestive system to promote weight loss. Nutritional supplements, special formulated, are required  for those who have had Bariatric Surgery. Gastric Bypass surgical patients must take supplements for the rest of their lives in order to maintain their health. Serious problems can occur if required vitamins and minerals are not taken daily.

Vitamin and Mineral Deficiencies
Most common nutrition deficiencies after gastric bypass surgery are:

  • Calcium deficiency may lead to weakened and broken bones or a collapsed spine.
  • Protein deficiency may lead to serious cause of ill health and temporary hair loss and skin problems
  • Iron deficiency may lead to dizziness, chronic fatigue, and low blood count.
  • Vitamin B12 deficiency may lead to tingling of hands and feet, nerve damage, difficulty walking or holding things, paralysis.
  • Other vitamins such as B1. Multi-Vitamin Supplement  should be optimized for bariatric patients.
Vitamin and mineral levels in your blood must be monitored at least twice yearly. If necessary, your vitamin/mineral supplement doses may be adjusted by your surgeon or dietitian. This is why it's important for you to continue your follow-up with your surgeon.

Special Nutrition Supplements Considerations for Bariatric Patients
Most vitamin, mineral, and protein products on the market are not designed to provide Bariatric Patients with optimal results to maintain a healthy lifestyle. Lab results following surgery strongly back problems with over-the-counter nutrition supplements. There are special considerations to look for vitamin and mineral supplements for bariatric patients:
  • Strength - strong enough so that it would provide each patient with the essential vitamins and minerals to maintain healthy lab results following surgery.
  • Fast Dissolving - to provide a product in a form that would dissolve quickly, allowing for minimal waste and maximum absorption and return to the body.
  • Convenience - to provide the patient with the necessary overall daily requirements; meanwhile, providing the patient with a simple system to follow.

  • Fillers - The vast majority of multi-vitamins, individual supplements and protein products today whether in pill, chewable, or powder form contain at least 25% filler. Filler is a chemical product which is either put into the product to hold it together, to flavor, or to enlarge the product. Fillers prevent much of the necessary absorption bariatric patients require for health maintenance.
Fillers Many "natural" food supplements contain an awesome list of synthetic fillers. These pills, chewable, and powdered products are not in the best interest of the bariatric patient.

Bariatric patients should be concerned about the following for products with high amounts of fillers:

  • Absorption - The filler will hinder the absorption of the product you’re taking. Picture an orange -- the inside being the vitamins which aid you, and the skin being the filler. You cannot get to the precious vitamins with an exterior shell preventing access to them. The same holds true for fillers. If the filler binds to the vitamins and minerals, they are not readily available for absorption.
  • Harmful - The filler may be harmful to your system in either the short or long term. Allergic reactions can have an effect on many organ systems in the body including the brain, which often displays symptoms such as fatigue, memory loss, depression, anxiety, hallucinations and insomnia.
  • Lab results - Your labs may suffer if you’re taking vitamins with fillers, and if you do not get your labs done on a regular basis, you may find that what you thought you were doing to keep yourself healthy is in fact doing the opposite.
Example, Vitamin C in chewable form in doses of 1,000mg per day would contain approximately 250mg of filler, on average. Filler added to Vitamin C can, and usually does cause the Ascorbic Acid to break down. This in turn prevents much of the Ascorbic Acid from being absorbed. This also greatly decreases the shelf life of the vitamins.

The list of harmful fillers in multi-vitamins, individual supplements and protein powders may include: Magnesium Stearate, Lactose, Microcrystalline Cellulose, Silicon Dioxide, Titanium Dioxide, Stearic Acid, Sodium Starch Glycolate, Talc, Sucrose, Povidone, Pregelelatinized Starch, Hydroxy Propyl Cellulose, Ethylcellulose, Crospovidone, Shellac, Calcium Stearate.

Other potentially hazardous substances found as fillers in vitamin and mineral supplements are Sodium Benzoate, BHT, BHA, Tartrazine, Lactose, Peanut Oil, Hydrogenated Cottonseed Oil, Titanium Dioxide, Polysorbate 80, Microcrystalline Cellulose, Magnesium Stearate, Red Dye NO. 33 and 40, Ethyl Cellulose, Sorbic Acid, Fractionated Coconut Oil and Cornstarch.

The best advice would be to purchase supplements in capsule, or naturally compressed tablets form. You can also purchase powders or liquids that contain no additives or fillers.

Calcium Supplements needed after Gastric Bypass
Bone disease i.e. osteomalacia, osteoporosis, is a possible long-term risk from bariatric surgeries.

Of importance for the bariatric patient is following:

  • Citrate - Calcium combined with citrate (Carbon, Oxygen, Hydrogen & Water) has long been known as the top quality compound available for maximum absorption of calcium.
  • Boron - Studies indicate that boron improves calcium metabolism and utilization. The main dietary sources for obtaining boron are fruits and vegetables. Natural sources of boron include black beans, spinach, tomatoes, peaches, apricots, strawberries, apples, and cantaloupe. The level of boron in each item is based on the level of boron found in the soil where they are grown. Boron has been found to have positive results in postmenopausal women in areas of prevention and reduction of osteoporosis and arthritis. It can enhance, as well as mimic the effects estrogen produces on calcium metabolism. It also assists in activating vitamin D to its most active form.
  • Vitamin D - Vitamin D is best known for its ability to aid the absorption of calcium. It also exerts many anti-cancer properties, especially against breast and colon cancer.
  • Form - should be quickly dissolving and contain minimum of fillers. Should dissolve within five (5) minutes of ingestion. This allows for the most opportunity for digestion, and most important absorption.

Proteins Supplements after Gastric Bypass Surgery.
Proteins help build the structure of all the tissues of the body such as hair, nails, skin, eyes, and our organs. Proteins are used to form enzymes, hormones, and various body fluids and secretions. As antibodies, they are involved in the function of the immune system.

Proteins in the diet are classified as complete or incomplete depending on whether they contain all the essential amino acids or not. Animal proteins are usually complete whereas plant proteins are often incomplete.

Most bariatric surgeons recommend that patients supplement with some type of protein until they are able to obtain recommended levels from their food sources or even as an ongoing complement.

Your body cannot store protein and must receive a fresh source everyday. For those who are not tolerating meat very well, consider trying soy products as soy is considered a complete protein even if it is not as bio available. Soy is made into all types of products such as hot dogs, bacon, sausage, cheese, milk, burgers, ground round and tofu. Most of these products come in low-fat versions. Don’t forget those beans that are a good source of protein and fiber. If you have gas problems with legumes and beans, you can put a drop of Beano on the first bite and that will usually help.

Look for products with at least 18 of the 20 amino acids, 3 grams of sugar or less, low carbohydrates, lactose free, and no added vitamins and minerals as you are already getting enough from you multivitamin/mineral supplements you are taking. Most can be mixed with water. Some products come pre- mixed and are very portable.

Keep following in mind when looking for protein supplements:

  • Pre Digestion - Pre-digested means that the amino acid peptide chain has been severed. This is the first stage of digestion. Severing this step allows for faster absorption, which is essential for the Bariatric Patient.
  • Quality - Most protein products provides 30 grams of protein per serving, but often includes ingredients the bariatric patient should avoid.
  • Convenience - Powders require much work to prepare, thick and heavy and often including ingredients the bariatric patient should avoid. Liquid form reduces the necessity to use additional products to consume it.
  • Taste - Most protein products don't taste well. Most products are adding flavors to make consuming the necessary amino acids tastier than before.
Iron Supplements after Gastric Bypass Surgery Iron is a trace element nutrient that the body uses for several discrete areas of normal health and function. The primary role of iron is in the formation of hemoglobin and myoglobin. Hemoglobin is the protein in your red blood cells that transports oxygen around the body. Myoglobin is a protein that is similar in structure to hemoglobin that is important for the storage and usage of oxygen by muscles, including the heart.

Sublingual Vitamin B12 - The roles of B12 in the Body
B-12 absorption relies heavily upon an in-tact digestive tract. Vitamin B-12 is a large molecule that will not cross any part of your body unless it is specifically brought across by a transport system. In the case of B-12, this requires a system that involves a special protein made in the stomach, called intrinsic factor. The creation of the gastric pouch separates the part of the stomach that creates Intrinsic Factor. Hence, Vitamin B-12 is not extracted from proteins and remains unavailable for absorption.

Vitamin B-12 is essential for the production and regeneration of red blood cells. It is also needed for proper function of the central nervous system. It improves concentration, memory, balance, and relieves irritability. Vitamin B12 is necessary for the proper utilization of fats, carbohydrates, and proteins for body building and muscle regeneration. Vitamin B-12 is also involved in many vital metabolic and enzymatic processes, including the metabolism of folic acid.

Sublingual Vitamin B12 are separate available in tablets - Dissolve 1 tablet daily under the tongue, or as prescribed by your surgeon or nutritionist.

Multi Vitamins - Optimized for intake by Bariatric Patients
Those who have had bariatric surgery are encouraged take supplements for the rest of their lives in order to maintain their health. Vitamins should be  formulated for unique malabsorption issues, delivered in such a way that your body absorbs the nutrients it needs. Use multi-vitamin with no fillers such as sugars, starch, sand, coloring, or other such contaminants which have been proven to inhibit absorption. For those who have difficulty swallowing either a capsule or tablet whole,  then choose tablets which can either be cut in half or crushed for convenience and ease. Capsules should be designed to dissolve quickly so that the maximum amount of supplement is absorbed in to the body.  Liquid Multi Vitamins are also available. For correct dose check with your surgeon or nutritionist.


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Diet after gastric Bypass
After your stomach pouch is to the size of a walnut, you'll need to follow a gastric bypass diet. The diet the dietitian creates tells you what type and how much food to eat with each meal and the required consistency and texture of the food. The gastric bypass diet helps you maintain good nutrition while losing weight.