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Vitamin Supplements

In addition to protein supplements, you will need to take vitamin supplements for LIFE,the dose depending on which surgery you have had.We recommend that patients begin their vitamin schedule one week post-op.Over the years, some of our patients' iron levels have become low. If additional iron supplements are added to your vitamin schedule, remember that iron should be taken on an empty stomach along with vitamin C. If you don't remember which surgery you had, please contact our office.Please Note: The following vitamin products and dosages cannot be interchanged. When you choose one vitamin product to use, you must be consistent with that product. Your provider should help you determine if and when you need to change.

Vita4Life

Procedure Common Channel Vita4Life Calcium Citrate Required
Duodenal Switch - Bilopancreatic Diversion 30”-40” 3 caps/4 x per day =12 4500mg
Distal Gastric Bypass 59” or less 3 caps/4 x per day =12 4500mg
Medial Gastric Bypass 60”-80” 3 caps/4 x per day = 12 4500mg
Proximal Gastric Bypass   2 caps/4 x per day = 8 4500mg
Adjustable Gastric Band N/A 1 caps/4 x per day = 4 3500mg
Vertical Banded Gastroplasty N/A 1 caps/4 x per day = 4 3500mg

**NOTE: See above for additional daily calcium citrate requirements.Calcium Absorption Tips:

Using a sun lamp (15 minutes): Exposure to sunlight (without UV lotions) approximately 30 minutes

a day may be helpful in maintaining adequate Vitamin D levels which is important in calcium absorption through the intestine. However, exposure to sunlight may increase the risk of skin cancers.

Please discuss this with your primary medical doctor and/or dermatologist prior to starting this modality.

Adding a slice of lemon with your calcium citrate may help with better absorption of the calcium.

OR

Children's Chewable Vitamins

Procedure Common Channel Childrens Chewable Vitamins Calcium Citrate Required
Duodenal Switch-Bilopancreatic Diversion 30”-40” 12 chewables 4500mg
Distal Gastric Bypass 59” or less 12 chewables 4500mg
Medial Gastric Bypass 60”-80” 12 chewables 4500mg
Proximal Gastric Bypass   8 chewables 4500mg
Adjustable Gastric Band N/A 4 chewables 3500mg
Vertical Banded Gastroplasty N/A 4 chewables 3500mg

* Such as: Wal-Mart One Source Active Kids Chewable Vitamins, Flintstones Chewable Complete, Centrum Kids Rugrats and Walgreen Ultra Choice Kids Chewable.

Vitamins A & D

If you are on Isotonix or have no other significant source of Vitamins A & D , then you must take:

Vitamin A tablets - 10,000 units ea Vitamin D tablets - 400 units ea

Procedure Common Channel Vitamin A Tablets 10,000 Units Each Vitamin D Tablets 400 Units Each
Duodenal Switch-Bilopancreatic Diversion * 30”-40” 3 caps/4 x per day*=120,000 units 3 caps/4 x per day=4800 units
Distal Gastric Bypass * 59” or less 3 caps/4 x per day*=120,000 units 3 caps/4 x per day=4800 units
Medial Gastric Bypass * 60”-80” 3 caps/4 x per day*=120,000 units 3 caps/4 x per day=4800 units
Proximal Gastric Bypass **   2 caps/4 x per day**=80,000 units 2 caps/4 x per day= 3200 units
Adjustable Gastric Band *** N/A 1 caps/4 x per day***=40,000 units 1 caps/4 x per day= 1600 units
Vertical Banded Gastroplasty *** N/A 1 caps/4 x per day***=40,000 units 1 caps/4 x per day= 1600 units

*The patients with surgeries listed above are not to exceed 120,000 units a day of Vitamin A

** Patients with the Lap Proximal are not to exceed 80,000 units a day of Vitamin A.

*** Patients with Lap AGB are not to exceed 40,000 units a day of Vitamin A.