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Vitamins and Minerals

Supplements are essential and will promote proper healing and long-term health.  While specific recommendations may vary to accommodate each patient’s particular health needs, the following are some general guidelines for post-surgery patients:

  • Complete multivitamin with minerals
  • Calcium Citrate 1800 mg
  • B12 1000 mcg sublingual three times per week
  • Iron - See approved iron supplements below

Sample Vitamin and Mineral Schedule

8 a.m.
Breakfast
  • Multivitamin with Iron and Zinc
    Take one of the following vitamins:

    1 Flintstone's™ Complete 
    1 Centrum® Complete
    1 One-A-Day® Women's 
    1 Bariatric Advantage® Complete Multivitamin 
    1 Bariatric Advantage® Vitaband
  • 1000 mcg Sublingual B12
    Can be found in the vitamin section at any pharmacy.
10:30 a.m.
Mid-morning
  • 500-600 mg Calcium Citrate with Vitamin D
    Take one of the following vitamins:

    2 tablets of Citracal regular
    3 tablets Citracal petite
    2 Bariatric Advantage® calcium chewy bites 
    1 Bariatric Advantage® lozenge
1 p.m.
Lunch
  • 500-600 mg Calcium Citrate with Vitamin D
    Take one of the following vitamins:

    2 tablets of Citracal regular
    3 tablets Citracal petite
    2 Bariatric Advantage® calcium chewy bites
    1 Bariatric Advantage® lozenge
3:30 p.m.
Mid-afternoon
  • 29 mg ferrous fumarate (Vitamin C included)
    Bariatric Advantage® brand – Passion fruit flavor

    *For women who are still menstruating and those taking Bariatric Advantage® Complete multivitamin
6 p.m.
Dinner
  • Multivitamin with Iron and Zinc
10 p.m.
Bedtime
  • 500-600 mg Calcium Citrate with Vitamin D
    Take one of the following vitamins:

    2 tablets of Citracal regular
    3 tablets Citracal petite 
    2 Bariatric Advantage® calcium chewy bites
    1 Bariatric Advantage® lozenge

Approved Vitamin and Mineral Supplements

Multivitamin with Minerals Daily
Start taking one of the multivitamins after surgery
  • Flintstones™ Complete (includes iron and zinc)
    Chewable - 2 tablets per day (one in the morning and one in the evening)
  • Centrum® Complete (includes iron and zinc) or One-A-Day® Women’s Chewable or pill form. (Generic brands are also approved as long as they compare to the brands above.)
  • Bariatric Advantage® Chewable Multivitamin
    • VitaBand – 2 tablets per day (one in the morning and one in the evening)
    • Complete multivitamin - 2 tablets per day (one in the morning and one in the evening)
Calcium Citrate 1500-1800 mg per day + Vitamin D 400-800 IU per day
Start at four weeks after surgery

1500-1800 mg for gastric bypass, 1500 mg for gastric band

Please read the nutrition label to make sure you are taking the correct number of tablets to reach 500-600 mg per dose.

  • Citracal: calcium citrate + Vitamin D
    • Regular: 2 tablets, 3 times per day
    • Petites:  3 tablets, 3 times per day
  • Bariatric Advantage®: calcium citrate + Vitamin D
    • Chewable lozenges - 400 mg per tablet
      4 tablets per day = 1600 mg daily
    • Chewy Bites – 250 mg per chew
      2 chews, 3 times per day = 1500 mg
      6 chews total per day

Do not take Caltrate®(calcium carbonate) due to poor absorption.

B12- Methylcobamin/ Folic Acid - Recommended Dosage: 1000 mcg
Start when you get home
  • Sublingual - (dissolves under your tongue)
    • Do not use a liquid B12 form
    • At least 3 times per week for prevention
    • Every day (if you are a vegetarian or unable to tolerate animal products)
  • Intramuscular or Subcutaneous injections
    • Intramuscular more reliable while still obese
    • Monthly
  • B-complex Pill
    • LAP-BAND® patients only
    • Every day
  • B12 Nasal Spray
    • Prescription only
    • Every day or once a week, depending on brand
Iron
Start at four weeks after surgery

All women who still have a menstrual cycle are required to take iron in addition to their multivitamin.

  • Bariatric Advantage® – Ferrous Fumarate 29 mg
    • Includes vitamin C
  • Ferrous Citrate - 29 mg per day
  • Ferrous Gluconate - 325 mg per day
    • Generic or Fergon

500 mg Vitamin C should be taken with iron supplement to help absorption.