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B-12 when is too much, too much?

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Hi All,

I have been reading a lot about B-12 (seems as controversial as the

protien shakes) and I am curious now about something. How many of the

post ops here are taking their sublingal B-12 by Bariatic Advantage

more than 2xs a week? I am reading that there are those post ops out

there taking 1000mcg every day. Some are taking it more than once a

day?

Beth, the nutritionist at Richmond, assured me that taking it only 2 xs

a week was just fine.

Just curious if anyone's labs are low on B-12 now? I have to get my

labs done today for that 12 week post op appt next week.

Thanks,

Kay

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Kay, I take mine 2x a week sublingual and my levels were fine. Play it by ear somepeople need more only labs will tell. I am 17 weeks out.

Rosespecialkmix2000 wrote:

Hi All,I have been reading a lot about B-12 (seems as controversial as the protien shakes) and I am curious now about something. How many of the post ops here are taking their sublingal B-12 by Bariatic Advantage more than 2xs a week? I am reading that there are those post ops out there taking 1000mcg every day. Some are taking it more than once a day? Beth, the nutritionist at Richmond, assured me that taking it only 2 xs a week was just fine. Just curious if anyone's labs are low on B-12 now? I have to get my labs done today for that 12 week post op appt next week. Thanks,Kay

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Hi

B 12 is Water soluble that means its not stored in the body. what your Body cant use at the time you take it you pee out un like A,D, E, F are fat soluble and you can get too much it gets stored in the body. your B Vits are also used up in stress. you can take at least 1 a day some times I even take 2 in the morning. Just for a boost. don't take at night it may keep you awake.Hope this helps.....

Big Hugs

Caryl

Where's the controversy with B12? I take B12 daily, because I load up a few weeks of vitamin packets. If every day's packet has a B12 in it, where's the harm? I don't use Bariatric Advantage _anything_ since I can find equivalents a lot cheaper. I can swallow regular pills with no problems, so don't need (or like) chewables. I also admit to being suspicious of special "bariatric" formula anything. I figure they have just figured out yet another way to sell us the same stuff, but crank up the price because we're desparate! Oops, feisty pill kicking in!specialkmix2000 wrote:> Hi All, I have been reading a lot about B-12 (seems as controversial> as the protien shakes) and I am curious now about something. How many> of the post ops here are taking their sublingal B-12 by Bariatic> Advantage more than 2xs a week? I am reading that there are those> post ops out there taking 1000mcg every day. Some are taking it more> than once a day? Beth, the nutritionist at Richmond, assured me that> taking it only 2 xs a week was just fine. Just curious if anyone's> labs are low on B-12 now? I have to get my labs done today for that> 12 week post op appt next week.-- Eleanor Ostereleanor@... (personal address)www.smallboxes.com/gastricbypass.htmSan , CAOpen RNY (100 cm bypassed) 07/15/2003 P. Fisher, M.D., Kaiser Richmond (CA)~5'9" tall05/09/2003 319 Orientation07/15/2003 ~290 SurgeryCurrent 157±2 Goal until plastics?

Caryl DeHerrerawww.Fantasyinart.net

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Thanks for your input Rose. I was only concerned because I have heard

people having complications later on, like a year out, not getting

enough b-12 and the labs can change drasticly from a few months out

to 6 months out. I just wanted to prevent the shot if at all

possible...I know I had surgery and I am a big baby about needles!

How are you feeling now? Energy good and food staying down?

Kay

> Hi All,

> I have been reading a lot about B-12 (seems as controversial as the

> protien shakes) and I am curious now about something. How many of

the

> post ops here are taking their sublingal B-12 by Bariatic Advantage

> more than 2xs a week? I am reading that there are those post ops

out

> there taking 1000mcg every day. Some are taking it more than once a

> day?

> Beth, the nutritionist at Richmond, assured me that taking it only

2 xs

> a week was just fine.

> Just curious if anyone's labs are low on B-12 now? I have to get my

> labs done today for that 12 week post op appt next week.

>

> Thanks,

> Kay

>

>

>

>

>

>

>

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Hi Ramona,

Was there any reason you stopped taking it that frequently after a

year? Are you now on just 2x a week?

Thanks,

Kay

> HI Kay,

> I have been told that you can take it everyday and it will not hurt

you.

> I did that for over a year with no problem.

> Ramona

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Hi Ramona,

Was there any reason you stopped taking it that frequently after a

year? Are you now on just 2x a week?

Thanks,

Kay

> HI Kay,

> I have been told that you can take it everyday and it will not hurt

you.

> I did that for over a year with no problem.

> Ramona

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Where's the controversy with B12? I take B12 daily, because I load up a

few weeks of vitamin packets. If every day's packet has a B12 in it,

where's the harm? I don't use Bariatric Advantage _anything_ since I can

find equivalents a lot cheaper. I can swallow regular pills with no

problems, so don't need (or like) chewables. I also admit to being

suspicious of special " bariatric " formula anything. I figure they have

just figured out yet another way to sell us the same stuff, but crank up

the price because we're desparate! Oops, feisty pill kicking in!

specialkmix2000 wrote:

> Hi All, I have been reading a lot about B-12 (seems as controversial

> as the protien shakes) and I am curious now about something. How many

> of the post ops here are taking their sublingal B-12 by Bariatic

> Advantage more than 2xs a week? I am reading that there are those

> post ops out there taking 1000mcg every day. Some are taking it more

> than once a day? Beth, the nutritionist at Richmond, assured me that

> taking it only 2 xs a week was just fine. Just curious if anyone's

> labs are low on B-12 now? I have to get my labs done today for that

> 12 week post op appt next week.

--

Eleanor Oster

eleanor@... (personal address)

www.smallboxes.com/gastricbypass.htm

San , CA

Open RNY (100 cm bypassed) 07/15/2003

P. Fisher, M.D., Kaiser Richmond (CA)

~5'9 " tall

05/09/2003 319 Orientation

07/15/2003 ~290 Surgery

Current 157±2 Goal until plastics?

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Eleanor,

lol, I can see your point though and it is well taken.

I was only doing those as a place to start from. I knew that I would

switch over at some point. I can't wait until I can swallow more

normal sized pills again, I don't like chewing these calcium pills AT

all. Blah!

When did you notice you could start on normal sized pills again?

Do you take yours in gel form still? I heard the hard pills are still

hard to break down?

Thanks,

Kay

>

> > Hi All, I have been reading a lot about B-12 (seems as

controversial

> > as the protien shakes) and I am curious now about something. How

many

> > of the post ops here are taking their sublingal B-12 by Bariatic

> > Advantage more than 2xs a week? I am reading that there are those

> > post ops out there taking 1000mcg every day. Some are taking it

more

> > than once a day? Beth, the nutritionist at Richmond, assured me

that

> > taking it only 2 xs a week was just fine. Just curious if

anyone's

> > labs are low on B-12 now? I have to get my labs done today for

that

> > 12 week post op appt next week.

>

> --

> Eleanor Oster

> eleanor@s... (personal address)

> www.smallboxes.com/gastricbypass.htm

> San , CA

> Open RNY (100 cm bypassed) 07/15/2003

> P. Fisher, M.D., Kaiser Richmond (CA)

> ~5'9 " tall

> 05/09/2003 319 Orientation

> 07/15/2003 ~290 Surgery

> Current 157±2 Goal until plastics?

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I'm with you, Eleanor. What's the big deal about B12? Start out

taking the recommended dosage. Watch your labs. If your levels

fall too low, take more. This isn't rocket science. (Sorry -

LOL!)

You can't overdose on B12. It's a water-soluble vitamin, so your

body will just pee out whatever it can't use, so take it every day

if you want. My last labs showed my B12 level was off the charts

(>1200 pg/mL - The " normal " range is >200.)

Tim (AKA Mr. Crankypants)

>

> > Hi All, I have been reading a lot about B-12 (seems as

controversial

> > as the protien shakes) and I am curious now about something.

How many

> > of the post ops here are taking their sublingal B-12 by Bariatic

> > Advantage more than 2xs a week? I am reading that there are

those

> > post ops out there taking 1000mcg every day. Some are taking it

more

> > than once a day? Beth, the nutritionist at Richmond, assured me

that

> > taking it only 2 xs a week was just fine. Just curious if

anyone's

> > labs are low on B-12 now? I have to get my labs done today for

that

> > 12 week post op appt next week.

>

> --

> Eleanor Oster

> eleanor@s... (personal address)

> www.smallboxes.com/gastricbypass.htm

> San , CA

> Open RNY (100 cm bypassed) 07/15/2003

> P. Fisher, M.D., Kaiser Richmond (CA)

> ~5'9 " tall

> 05/09/2003 319 Orientation

> 07/15/2003 ~290 Surgery

> Current 157±2 Goal until plastics?

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Kay, I've been taking pill form (I hated those darn chewables,

especially the calcium) for about 6 weeks now (my surgery was about

a month before yours). Swallowing them doesn't bother me at all. I

take another bariatric type vitamin that is in capsule form. My

sister uses these vitamins to this day (she is 3-1/2 years out) and

her labs have always been fabulous. No more expensive that the ones

I got from bariatric advantage.

Tina

> >

> > > Hi All, I have been reading a lot about B-12 (seems as

> controversial

> > > as the protien shakes) and I am curious now about something.

How

> many

> > > of the post ops here are taking their sublingal B-12 by

Bariatic

> > > Advantage more than 2xs a week? I am reading that there are

those

> > > post ops out there taking 1000mcg every day. Some are taking

it

> more

> > > than once a day? Beth, the nutritionist at Richmond, assured

me

> that

> > > taking it only 2 xs a week was just fine. Just curious if

> anyone's

> > > labs are low on B-12 now? I have to get my labs done today

for

> that

> > > 12 week post op appt next week.

> >

> > --

> > Eleanor Oster

> > eleanor@s... (personal address)

> > www.smallboxes.com/gastricbypass.htm

> > San , CA

> > Open RNY (100 cm bypassed) 07/15/2003

> > P. Fisher, M.D., Kaiser Richmond (CA)

> > ~5'9 " tall

> > 05/09/2003 319 Orientation

> > 07/15/2003 ~290 Surgery

> > Current 157±2 Goal until plastics?

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I don't remember when I started with regular pills, but I think it was

within a couple of months. I had purchased some liquid multi-vitamins,

but it was SO nasty if I swallowed it, I knew I was gonna have to taste

it again when it came back up! I think it was some sort of

pineapple-orange flavor. I did try cutting pills for a while, but found

that the sharp edges made it harder for me to swallow the pills than if

I just swallowed them whole. I do not generally like chewables, since

they tend to be much bigger and more expensive, and taste nasty. I'd

rather just swallow a pill!

I have found a couple of tricks. When I take a pill, I hold it in my

mouth for a few seconds, until it starts getting a bit slimey. Much

easier to swallow that way. I take very few things in gel form. The only

one in fact is the Colace (generic actually). The oily gels I can't

count on absorbing. Most of my supplements are large white capsules

(which all look identical!), but I do also take a couple of large pills,

such as my multi and my glucosamine.

The other tip I learned is how to tell if the pills will break down or

not. Take something like a shot glass and put a puddle of spit in the

bottom. Drop in a pill and wait a few minutes. Take a look at the pill.

If it's starting to break down, or if it crumbles when you poke at it

gently with a fork, it will break down just fine. If it's still hard as

a rock, it is less likely to dissolve in your gut.

I know a lot of docs say go ahead with pills that are smaller than a

standard M&M almost immediately after release from the hospital post-op,

but that is probably a case of Your Mileage May Vary. We each seem to

find out what works for us.

Hope that helps!

specialkmix2000 wrote:

> When did you notice you could start on normal sized pills again? Do

> you take yours in gel form still? I heard the hard pills are still

> hard to break down?

--

Eleanor Oster

eleanor@... (personal address)

www.smallboxes.com/gastricbypass.htm

San , CA

Open RNY (100 cm bypassed) 07/15/2003

P. Fisher, M.D., Kaiser Richmond (CA)

~5'9 " tall

05/09/2003 319 Orientation

07/15/2003 ~290 Surgery

Current 157±2 Goal until plastics?

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Crankypants?!? I LIKE that!

I would slightly disagree with you here Tim. I would tend to take more

B12 than twice a week, because it's just too easy for it to crash. When

it nosedives, it can do it fast and hard, and the results can be

permanent and devastating.

The other issue is with the " normal " range. It seems most of Europe

considers normal to be much higher than the labs in the US do. I know

far too many people who can FEEL the difference when their levels fall

below 600. These tend to be people who, for reasons unknown, cannot

absorb ANY oral form, including the sublingual, so have to do shots.

After a B12 shot, they feel the improvement immediately. If the level is

falling, and gets to 200, reversing the downward trend can be very

tough. One of those instances where I'd much rather take more rather

than less. It's just too hard to build the levels back up once they have

crashed!

Hm, I think it's time for me to go take my morning vites!

Uncle Timmy wrote:

> I'm with you, Eleanor. What's the big deal about B12? Start out

> taking the recommended dosage. Watch your labs. If your levels fall

> too low, take more. This isn't rocket science. (Sorry - LOL!)

>

> You can't overdose on B12. It's a water-soluble vitamin, so your body

> will just pee out whatever it can't use, so take it every day if you

> want. My last labs showed my B12 level was off the charts (>1200

> pg/mL - The " normal " range is >200.)

>

> Tim (AKA Mr. Crankypants)

--

Eleanor Oster

eleanor@... (personal address)

www.smallboxes.com/gastricbypass.htm

San , CA

Open RNY (100 cm bypassed) 07/15/2003

P. Fisher, M.D., Kaiser Richmond (CA)

~5'9 " tall

05/09/2003 319 Orientation

07/15/2003 ~290 Surgery

Current 157±2 Goal until plastics?

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Tina,

Do you mind sending me the link to the vits you are getting? Are they

a combo one that includes Magnesium or just the calcium by itself?

Thanks!

Kay

> > >

> > > > Hi All, I have been reading a lot about B-12 (seems as

> > controversial

> > > > as the protien shakes) and I am curious now about something.

> How

> > many

> > > > of the post ops here are taking their sublingal B-12 by

> Bariatic

> > > > Advantage more than 2xs a week? I am reading that there are

> those

> > > > post ops out there taking 1000mcg every day. Some are taking

> it

> > more

> > > > than once a day? Beth, the nutritionist at Richmond, assured

> me

> > that

> > > > taking it only 2 xs a week was just fine. Just curious if

> > anyone's

> > > > labs are low on B-12 now? I have to get my labs done today

> for

> > that

> > > > 12 week post op appt next week.

> > >

> > > --

> > > Eleanor Oster

> > > eleanor@s... (personal address)

> > > www.smallboxes.com/gastricbypass.htm

> > > San , CA

> > > Open RNY (100 cm bypassed) 07/15/2003

> > > P. Fisher, M.D., Kaiser Richmond (CA)

> > > ~5'9 " tall

> > > 05/09/2003 319 Orientation

> > > 07/15/2003 ~290 Surgery

> > > Current 157±2 Goal until plastics?

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Those are great tips Eleanor!! Thanks so much!

I love the tip on the dissolving of the pill.

Your education on this process is wonderful!

Thanks again, Kay

I think you already sent me the link to vitalady, is this where you

are getting the suppliments from as well?

>

> > When did you notice you could start on normal sized pills again?

Do

> > you take yours in gel form still? I heard the hard pills are

still

> > hard to break down?

>

> --

>

> Eleanor Oster

> eleanor@s... (personal address)

> www.smallboxes.com/gastricbypass.htm

> San , CA

> Open RNY (100 cm bypassed) 07/15/2003

> P. Fisher, M.D., Kaiser Richmond (CA)

> ~5'9 " tall

> 05/09/2003 319 Orientation

> 07/15/2003 ~290 Surgery

> Current 157±2 Goal until plastics?

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