BPD/DS Troublesome Vitamins and Minerals and Program Recommendations

BPD-DS Troublesome Vitamins and Minerals and Program Recomendations

(click for larger version)

I keep referencing the above table I made in different posts and it would be helpful to have a place where people can see it without it being mashed up by some horrid forum software.

What does it mean?

Many women will have issues with Calcium and Iron throughout their lives.

Add to that, according to The American Society for Metabolic and Bariatric Surgery (ASMBS), it is common to see BPD/DS patients have issues with the following vitamins:

  • Vitamin A (almost guaranteed needed by 4 years post op)
  • Vitamin D
  • Vitamin K
  • Zinc

On the other hand it is rare to see us struggle with (YMMV)

  • Vitamin E
  • Vitamin B’s

Below are the supplementation levels recommended for these trouble spots by the main players in the industry:

BPD/DS Troublesome Vitamins and Minerals:

Daily Vitamin Recommendations: ASMBS with 2 Centrum Celebrate Bariatric Advantage Mexicali Bariatric Center BPD-DS with 4 Centrum Twinlab Bariatric VitaLady RNY & DS with 2 Centrums
` 90 g/d 80 to 100 g 120 to 150 g
Approximate number of pills a day ~15 ~7 ~7 ~15 ~13 pills ~35
Calcium Citrate: 2200-2800 mg 1,500 mg in cal 150 mg in MV

1,500 in cal

3,200 mg 300 mg in MV

2,000 mg in cal

2,200 mg
Vitamin A: 17,000 IU 7,000 iu in MV 15,000 iu 24,000 IU 150,000 iu 107,000 IU
Vitamin D: 2400 IU 1,000 iu in cal

3,000 iu in MV

2,001 iu in MV

1,500 iu in Cal

3,600 IU 1,200 iu in MV

1,600 iu in cal

1,600 iu in D+K

50,800 IU
Vitamin E: 30 IU 300 iu in MV 750 iu 370 IU daily 90 iu 860 IU
Vitamin K: 350 mcg 80 mg in cal

540 mcg in MV

180 mcg 300 mcg daily 180 mcg in 1,050 mcg
Iron: 36 mg 30 mg in iron 30 mg in iron 72 mg + monthly shot 30 mg[i] 336 mg
Zink: 22 mg 15 mg in cal

15 mg in MV

22.5 mg 44 mg + 50 mg every 3rd day 15 mg 122 mg

[i] Since iron is in MV it must be separated from calcium doses.

Honestly, there is such a wide disparity in the ranges that I’m not sure there is much to be learned from reading this at all.  On top of that, everybody’s body is different.  The BRIGHT, BRIGHT lining is that we only have to guess for three to six months.  After that we will have our actual blood work results in our greedy little hands and can say “Oh, I need to add some vitamin A” instead of “OMG, there is a 100,000 iu difference in the recommended amount of Vitamin A supplementation!!!”

(Argggh.  Turns out word press messes with table formatting as well.  )

Here is just for kicks an even larger more detailed version of this chart:

Daily Vitamin Recommendations: Centrum Vita Lady VitaLady with 2 Centrums Mexicali Bariatric Center DS Mexicali Bariatric Center DS with 4 Centrum ASMBS ASMBS with 2 Centrum Celebrate Bariatric Advantage
Protein: 120 to 150 g 120 to 150 g 80 to 100 g 80 to 100 g 90 g/d 90 g/d
Multivitamin: 1 2 a day (included) 2 every 12 hours (included) 2 a day included 3 mv, 3 calc and one iron. Chewy Iron, 3 chewy calcium & 3 High ADK included
pills ~37 7
Calcium Citrate: 200 mg 1800 mg divided into 3 doses 2,200 mg / 3 1200 mg every 12 hours 3,200 mg / 3 1800-2400 mg/day (with D and mag) 2200-2800 mg/day (with D and mag) 1,500 mg / 3 150 mg in MV

1,500 in calc

Vitamin A: 3500 IU 100,000 IU 107,000 IU 10,000 IU daily 24,000 IU daily 10,000 IU 17,000 IU (17,000 mg in MV) 15,000 iu
Vitamin B complex: B-50 B-50 1 shot every month or 1 pill every week 1 b-complex pill every week B-50 B-50 (see below) (see below)
Vitamin D: 400 IU 50,000 IU 50,800 IU 2000 IU daily or 50,000 IU every week 3,600 IU daily * 2000 IU 2400 IU (1,000 iu in cal)

(3,000 iu in MV)

2,001 iu in MV

1,500 iu in Cal

Vitamin E: 30 IU 800 IU 860 IU 250 IU 370 IU daily Vitamin E deficiency is not prevalent in published studies 30 IU

Vitamin E deficiency is not prevalent in ds published studies

(300 iu in MV) 750 iu
Vitamin K: 25 mcg 1000 mcg (K1) 1,050 mcg 200 mcg daily 300 mcg daily 300 mcg 350 mcg (80 mg in cal)

(540 mcg in MV)

180 mcg
Iron: elemental 18 mg 300mg tender iron 336 mg 100 mg intramuscular once a month 72 mg + 100 mg intramuscular once a month Minimum

18-27 mg/day

elemental

36 mg 30 mg

(coated ferrous fumarate)

30 mg in iron
Zink: 11 mg 100 mg 122 mg 50 mg every 3rd day 44 mg + 50 mg every 3rd day 22 mg (15 mg in cal)

(15 mg in MV)

22.5 mg
PLUS                  
Boron 75 mcg 75 mcg 300 mcg 150 mcg
Chloride 72 mg 72 mg 288 mg 144 mg
Chromium 35 mcg 35 mcg 150 mcg 70 mcg (200 mcg in MV) 150 mcg
Copper: 0.5 mg 5 mg 5.5 mg 2 mg 1 mg (1 mg in calcium)

(2 mg in MV)

1.5 mg
Iodine 150 mcg 150 mcg 600 mcg 300 mcg (150 mcg in MV)
Magnesium 50 mg 300 mg Citrate 400 mg 200 mg Should be in multivitamin 100 mg (100 mg in cal) (100 mg in MV) 75 mg
Manganese 2.3 mg 4.6 mg 9.2 mg 4.6 mg (2 mg in MV) 3 mg
Molybdenum 45 mcg 90 mcg 180 mcg 90 mcg (75 mcg in MV) 112.5 mcg
Nickel 5 mcg 10 mcg 20 mcg 10 mcg
Pantothenic Acid 10 mg 20 mg 40 mg 20 mg (20 mg in MV) 15 mg
Phosphorus 20 mg 40 mg 80 mg 40 mg
Potassium 80 mcg 160 mcg 320 mcg 160 mcg
Selenium 55 mcg 110 mcg 220 mcg Should be in multivitamin 110 mcg (100 mcg in MV) 201 mcg
Silica: 2 mcg 4 mcg 8 mcg 4 mcg
Tin 10 mcg 20 mcg 40 mcg 20 mcg
Vanadium 10 mcg 20mcg 40 mcg 20mcg
Vitamin B – Biotin 30 mcg 60 mcg 120 mcg 60 mcg (600 mcg in MV) 450 mcg
Vitamin B: Niacin 20 mg 40 mg 80 mg 40 mg (40 mg in MV) 75 mg
Vitamin B: Riboflavin 1.7 mg 3.4 mg 7.2 mg 3.4 mg (12 mg in MV) 5.1 mg
Vitamin B-1 Thiamin: 1.5 mg 100 mg 103 mg 6 mg 3 mg (12 mg in MV) 9 mg
Vitamin B-12 6 mcg 5,000 mcg 5,012 mcg 24 mcg (more critical for RYGB) 12 mcg 150 mcg
Vitamin B6: HCI 2 mg 2 mg 8 mg 4 mg (12 mg in MV) 6 mg
Vitamin B-9 Folic Acid: 400 mcg 1,200 mcg 1,800 mcg 1600 mcg Greater than 1000mg of folic acid in combination with multivitamin, could mask B12 deficiency 800 mcg (800 mcg in MV) 1,200 mcg
Vitamin C: 60 mg 2,000 mg 2,120 mg 240 mg 120 mg (60 mg in iron)

(180 mg in MV)

180 mg

60 mg in iron

Citrus Bioflavonoids   18.75 mg
Inositol USP/FCC   7.5 mg
Choline   3 mg
Vanadium   37.5 mcg
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