Guest guest Posted August 9, 2001 Report Share Posted August 9, 2001 In a message dated 8/9/01 3:55:00 PM Eastern Daylight Time, joemeetsjane@... writes: > Daily, I take 3 ADEKs vitamins, 2 high potency multi-vitamins, 600 > mcg. of Biotin (my hair and nails have never been better) and a 23 > mg. Zinc lozenge and 6 Citracal Calcium tablets. Thanks. This is very comparable to what our nutritionist wants up to take. I did the math and saw I would be taking 35,000 IU of Vitamin A and was worried I would be overdosing. The nutritionist said it was okay but I thought I would get a second opinion from everyone else. ) Quote Link to comment Share on other sites More sharing options...
Guest guest Posted August 9, 2001 Report Share Posted August 9, 2001 In a message dated 8/9/01 6:26:00 PM, duodenalswitch writes: << Are any of you taking an extra iron supplement? How much Vitamin A and D do you take? >> Sherry: There is iron in my chewable multi (Centrum for Kids) but I also take a supplemental Iron (started at 3 weeks post-op). I take a form of liquid iron in capsule form -- Chromagen Forte. According to Niccole Siegel, it is the only form of iron that CAN be taken with calcium citrate since the calcium does not bind to the iron... I take two a day (on an empty stomach - once before bed and one in the early a.m.) I take 3 ADEKS a day (and two multis, which probably have vit A in them). I've heard of others who take less ADEKs though. all the best, Dr. GAgner/Mt. Sinai/NYC January 25, 2001 lap BPD/DS pre-op: 307 lbs now: 228 (and stayin' there for awhile) Quote Link to comment Share on other sites More sharing options...
Guest guest Posted August 9, 2001 Report Share Posted August 9, 2001 Dear Sherry, Daily, I take 3 ADEKs vitamins, 2 high potency multi-vitamins, 600 mcg. of Biotin (my hair and nails have never been better) and a 23 mg. Zinc lozenge and 6 Citracal Calcium tablets. My surgeon only prescribes an additional iron supplement if your labs show that you're low. My iron is in the high-normal range so I don't need to take any additional iron other than what's in my multi-vitamins. Jane J. 230/178 (-52#) Lap BPD/DS April 26, 2001 Dr. Ren NYU Medical Center, NYC > Dr. Macura's office has a pretty extensive list of vitamins DSers must take > but they never mention taking iron other than what is included in the > mulitivitamin plus iron. Are any of you taking an extra iron supplement? > How much Vitamin A and D do you take? > > Thanks in advance. > > Sherry > Gabs12992@a... > > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted August 9, 2001 Report Share Posted August 9, 2001 Jane, What is the zinc for? Is the Biotin OTC? Hope everything else is well with you; I'm doing fine! Marcia K. 280/239 (14 lb. pre-op) Lap BPD/DS 7/13/01 Dr. Ren > Re: Vitamin Question > > > Dear Sherry, > > Daily, I take 3 ADEKs vitamins, 2 high potency multi-vitamins, 600 > mcg. of Biotin (my hair and nails have never been better) and a 23 > mg. Zinc lozenge and 6 Citracal Calcium tablets. My surgeon only > prescribes an additional iron supplement if your labs show that > you're low. My iron is in the high-normal range so I don't need to > take any additional iron other than what's in my multi-vitamins. > > Jane J. > 230/178 (-52#) > Lap BPD/DS > April 26, 2001 > Dr. Ren > NYU Medical Center, NYC > > > > > > Dr. Macura's office has a pretty extensive list of vitamins DSers > must take > > but they never mention taking iron other than what is included in > the > > mulitivitamin plus iron. Are any of you taking an extra iron > supplement? > > How much Vitamin A and D do you take? > > > > Thanks in advance. > > > > Sherry > > Gabs12992@a... > > > > > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted August 9, 2001 Report Share Posted August 9, 2001 In a message dated 8/9/01 8:21:10 PM Eastern Daylight Time, joemeetsjane@... writes: > I did some research while a pre-op and came across an article that > said Zinc (very inexpensive, about $2-3 for 60 lozenges) helped boost > the immune system and aided in healing. Does zinc also come in pill form. I've tried zinc losenges when I've had a cold in the past and it made my mouth very sore inside. Quote Link to comment Share on other sites More sharing options...
Guest guest Posted August 9, 2001 Report Share Posted August 9, 2001 In a message dated 8/9/01 8:21:10 PM Eastern Daylight Time, joemeetsjane@... writes: > I did some research while a pre-op and came across an article that > said Zinc (very inexpensive, about $2-3 for 60 lozenges) helped boost > the immune system and aided in healing. Does zinc also come in pill form. I've tried zinc losenges when I've had a cold in the past and it made my mouth very sore inside. Quote Link to comment Share on other sites More sharing options...
Guest guest Posted August 9, 2001 Report Share Posted August 9, 2001 In a message dated 8/9/01 9:55:01 PM Eastern Daylight Time, shadow44@... writes: > But, oh boy, am I making up for it > with Citracal, Mega Multi's, lactaid and, as soon as they arrive, ADEKs! > Will I have any trouble swallowing all of these pills a month after surgery because of the DS? As a pre op, I swallow pills easily. Sherry Gabs12992@... Quote Link to comment Share on other sites More sharing options...
Guest guest Posted August 9, 2001 Report Share Posted August 9, 2001 In a message dated 8/9/01 8:42:59 PM Pacific Daylight Time, GABS12992@... writes: > > Will I have any trouble swallowing all of these pills a month after surgery > because of the DS? As a pre op, I swallow pills easily. > > I'm 2 1/2 weeks...I can swallow pills...if they are large I do break them in half...but so far so good. It might be an individual thing tho.... ~~* AJ *~~ Post op 7/24/01 self pay - Dr Baltasar -Alcoy Spain 07/24/01 BMI 64 - 415.1 08/06/01 BMI 59 - 390.2 -24.9 lbs!!!!!!!!!!~~~~ Check out the Bellingham Support for WLS WWW.WLSBellingham.homestead.com Quote Link to comment Share on other sites More sharing options...
Guest guest Posted August 9, 2001 Report Share Posted August 9, 2001 Dear Marcia, I did some research while a pre-op and came across an article that said Zinc (very inexpensive, about $2-3 for 60 lozenges) helped boost the immune system and aided in healing. I figured this was a good thing after having surgery. Biotin is also a very inexpensive (about $3.00 for 100 tiny pills) OTC supplement that my manicurist recommended for maintaining healthy hair and nails. I started taking all these vitamins and supplements (minus the ADEKs) about a month before surgery. When I went for my three month check-up and Gio reviewed what I was taking, he said that the Zinc was a real good thing to take. He said that he finds that patients with low Zinc levels lose some hair. I am 15 weeks post-op and so far, my skin, hair and nails are BETTER than they were pre-op! Dr. Ren and Gio said I looked very healthy and to continue what I was doing. My hair was never very thick and I was afraid that if I lost ANY it would be a problem. Hopefully, I will continue my good luck. Jane J. 230/178 (-52#) Lap BPD/DS April 26, 2001 Dr. Ren, NYU > > > Dr. Macura's office has a pretty extensive list of vitamins DSers > > must take > > > but they never mention taking iron other than what is included in > > the > > > mulitivitamin plus iron. Are any of you taking an extra iron > > supplement? > > > How much Vitamin A and D do you take? > > > > > > Thanks in advance. > > > > > > Sherry > > > Gabs12992@a... > > > > > > > > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted August 9, 2001 Report Share Posted August 9, 2001 Jane, on Delphine's advice I upped my zinc and folic acid intake starting a couple of months pre-op, in hopes that it would minimize any hair loss. She had told me that there was some research to suggest that there might be a connection between these nutrients (and protein too) and hair loss. I kept taking the extra zinc and folic acid for until about 4 months post-op (along with my regular multi-vitamin/mineral tablet and extra calcium). I never had any significant hair loss. There was a period at around 4-6 months when I saw a little more hair than usual in the shower drain, but it was very much like the excess hair shedding that occurred after my two pregnancies... Never enough to worry over or to be noticeable at all. Who knows if the zinc and folic acid helped. I think it may just as easily be " luck of the draw " when it comes to hair. M. --- in Valrico, FL, age 38 Starting weight 299, now 156 Starting BMI 49.7, now 26.0 Lap DGB/DS by Dr. Rabkin 10-19-99 http://www.duodenalswitch.com Direct replies: mailto:melanie@... > Re: Vitamin Question > > > Dear Marcia, > > I did some research while a pre-op and came across an article that > said Zinc (very inexpensive, about $2-3 for 60 lozenges) helped boost > the immune system and aided in healing. I figured this was a good > thing after having surgery. Biotin is also a very inexpensive (about > $3.00 for 100 tiny pills) OTC supplement that my manicurist > recommended for maintaining healthy hair and nails. I started taking > all these vitamins and supplements (minus the ADEKs) about a month > before surgery. When I went for my three month check-up and Gio > reviewed what I was taking, he said that the Zinc was a real good > thing to take. He said that he finds that patients with low Zinc > levels lose some hair. I am 15 weeks post-op and so far, my skin, > hair and nails are BETTER than they were pre-op! Dr. Ren and Gio > said I looked very healthy and to continue what I was doing. My hair > was never very thick and I was afraid that if I lost ANY it would be > a problem. Hopefully, I will continue my good luck. > > Jane J. > 230/178 (-52#) > Lap BPD/DS > April 26, 2001 > Dr. Ren, NYU > > > > > > > > > Dr. Macura's office has a pretty extensive list of vitamins > DSers > > > must take > > > > but they never mention taking iron other than what is included > in > > > the > > > > mulitivitamin plus iron. Are any of you taking an extra iron > > > supplement? > > > > How much Vitamin A and D do you take? > > > > > > > > Thanks in advance. > > > > > > > > Sherry > > > > Gabs12992@a... > > > > > > > > > > > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted August 9, 2001 Report Share Posted August 9, 2001 ADEK's also contain zinc. --Steve -- Quote Link to comment Share on other sites More sharing options...
Guest guest Posted August 9, 2001 Report Share Posted August 9, 2001 Thanks, Jane. I think I just might look into the zinc and Biotin for myself. How's this for a laugh, though: I thought I'd be giving up swallowing pill after pill after surgery. And, in fact, I have cut down by 4 Glucophages, 1 Glynase, 2 Prilosec, and umpteen Tums. But, oh boy, am I making up for it with Citracal, Mega Multi's, lactaid and, as soon as they arrive, ADEKs! Take care. Marcia > Re: Vitamin Question > > > Dear Marcia, > > I did some research while a pre-op and came across an article that > said Zinc (very inexpensive, about $2-3 for 60 lozenges) helped boost > the immune system and aided in healing. I figured this was a good > thing after having surgery. Biotin is also a very inexpensive (about > $3.00 for 100 tiny pills) OTC supplement that my manicurist > recommended for maintaining healthy hair and nails. I started taking > all these vitamins and supplements (minus the ADEKs) about a month > before surgery. When I went for my three month check-up and Gio > reviewed what I was taking, he said that the Zinc was a real good > thing to take. He said that he finds that patients with low Zinc > levels lose some hair. I am 15 weeks post-op and so far, my skin, > hair and nails are BETTER than they were pre-op! Dr. Ren and Gio > said I looked very healthy and to continue what I was doing. My hair > was never very thick and I was afraid that if I lost ANY it would be > a problem. Hopefully, I will continue my good luck. > > Jane J. > 230/178 (-52#) > Lap BPD/DS > April 26, 2001 > Dr. Ren, NYU > > > > > > > > > Dr. Macura's office has a pretty extensive list of vitamins > DSers > > > must take > > > > but they never mention taking iron other than what is included > in > > > the > > > > mulitivitamin plus iron. Are any of you taking an extra iron > > > supplement? > > > > How much Vitamin A and D do you take? > > > > > > > > Thanks in advance. > > > > > > > > Sherry > > > > Gabs12992@a... > > > > > > > > > > > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted August 10, 2001 Report Share Posted August 10, 2001 Sherry, I just hit 4 weeks today and am having no trouble although some of those pills are the same size I used to give to my horse! Up to Monday 8/6 I was still on chewable Flintstones vitamins and Tums Ultra (for the calcium), but have since " graduated " to the heavy-duty stuff. If you normally have no trouble with pills, I can't see a problem. You might want to ask your Dr. if they are as effective crushed as whole should there be a problem. Marcia 7/13, Dr. Ren 280/238 (14 lb. pre-op) > Re: Re: Vitamin Question > > > In a message dated 8/9/01 9:55:01 PM Eastern Daylight Time, > shadow44@... writes: > > > > But, oh boy, am I making up for it > > with Citracal, Mega Multi's, lactaid and, as soon as they arrive, ADEKs! > > > > Will I have any trouble swallowing all of these pills a month > after surgery > because of the DS? As a pre op, I swallow pills easily. > > Sherry > Gabs12992@... > > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted August 10, 2001 Report Share Posted August 10, 2001 Sherry, I just hit 4 weeks today and am having no trouble although some of those pills are the same size I used to give to my horse! Up to Monday 8/6 I was still on chewable Flintstones vitamins and Tums Ultra (for the calcium), but have since " graduated " to the heavy-duty stuff. If you normally have no trouble with pills, I can't see a problem. You might want to ask your Dr. if they are as effective crushed as whole should there be a problem. Marcia 7/13, Dr. Ren 280/238 (14 lb. pre-op) > Re: Re: Vitamin Question > > > In a message dated 8/9/01 9:55:01 PM Eastern Daylight Time, > shadow44@... writes: > > > > But, oh boy, am I making up for it > > with Citracal, Mega Multi's, lactaid and, as soon as they arrive, ADEKs! > > > > Will I have any trouble swallowing all of these pills a month > after surgery > because of the DS? As a pre op, I swallow pills easily. > > Sherry > Gabs12992@... > > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted August 10, 2001 Report Share Posted August 10, 2001 You probably know this already, but crushing pills, especially prescription ones like pain pills is a BAD IDEA. Some things are intended to be digested and absorbed slowly, and crushing them makes the drug hit you all at once. Make sure your doctor knows that you intend to crush them and that he is ok with that. Greg Quote Link to comment Share on other sites More sharing options...
Guest guest Posted August 10, 2001 Report Share Posted August 10, 2001 In a message dated 8/10/01 12:22:23 PM Eastern Daylight Time, shadow44@... writes: > Sherry, I just hit 4 weeks today and am having no trouble although some of > those pills are the same size I used to give to my horse! Thank you Marty. You just gave me hope! I would hate to have to crush them. Sherry Quote Link to comment Share on other sites More sharing options...
Guest guest Posted August 11, 2001 Report Share Posted August 11, 2001 Thanks for the info Jane! I'm running out right now for the Zinc and Biotin. Regards, Jenn Gil > > > > Dr. Macura's office has a pretty extensive list of vitamins > DSers > > > must take > > > > but they never mention taking iron other than what is included > in > > > the > > > > mulitivitamin plus iron. Are any of you taking an extra iron > > > supplement? > > > > How much Vitamin A and D do you take? > > > > > > > > Thanks in advance. > > > > > > > > Sherry > > > > Gabs12992@a... > > > > > > > > > > > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted August 11, 2001 Report Share Posted August 11, 2001 Thanks for the info Jane! I'm running out right now for the Zinc and Biotin. Regards, Jenn Gil > > > > Dr. Macura's office has a pretty extensive list of vitamins > DSers > > > must take > > > > but they never mention taking iron other than what is included > in > > > the > > > > mulitivitamin plus iron. Are any of you taking an extra iron > > > supplement? > > > > How much Vitamin A and D do you take? > > > > > > > > Thanks in advance. > > > > > > > > Sherry > > > > Gabs12992@a... > > > > > > > > > > > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted August 12, 2001 Report Share Posted August 12, 2001 I have some concerns about the information you are giving out here. There are very few medications you cannot crush. And the expert on this is your pharmacist, NOT your doctor. You doctor may or may not know. Your pharmacist is the expert and is expected to know this. I can think of only a few versions of pain medication that ought not to be crushed. Most can, are crushed routinely by nurses to give to patients with swallowing problems or put through feeding tubes. Smart nurses and smart doctors ask the pharmacist whcich can and which can't be crushed. Some medications that work for 12-24 hours come in a liquid. You can crush Percocet or any immediate release form of oxycodone, hydrocodone, Vicoden, codeine, or morphine. You cannot crush oxycontin or MS contin. These are a few that come to mind immediately. in Seattle > You probably know this already, but crushing pills, especially > prescription ones like pain pills is a BAD IDEA. Some things are > intended to be digested and absorbed slowly, and crushing them makes > the drug hit you all at once. Make sure your doctor knows that you > intend to crush them and that he is ok with that. > > Greg Quote Link to comment Share on other sites More sharing options...
Guest guest Posted August 12, 2001 Report Share Posted August 12, 2001 I have some concerns about the information you are giving out here. There are very few medications you cannot crush. And the expert on this is your pharmacist, NOT your doctor. You doctor may or may not know. Your pharmacist is the expert and is expected to know this. I can think of only a few versions of pain medication that ought not to be crushed. Most can, are crushed routinely by nurses to give to patients with swallowing problems or put through feeding tubes. Smart nurses and smart doctors ask the pharmacist whcich can and which can't be crushed. Some medications that work for 12-24 hours come in a liquid. You can crush Percocet or any immediate release form of oxycodone, hydrocodone, Vicoden, codeine, or morphine. You cannot crush oxycontin or MS contin. These are a few that come to mind immediately. in Seattle > You probably know this already, but crushing pills, especially > prescription ones like pain pills is a BAD IDEA. Some things are > intended to be digested and absorbed slowly, and crushing them makes > the drug hit you all at once. Make sure your doctor knows that you > intend to crush them and that he is ok with that. > > Greg Quote Link to comment Share on other sites More sharing options...
Guest guest Posted August 12, 2001 Report Share Posted August 12, 2001 Re- pill crushing-- Never crush or open capsules of meds that are time release--the only other concern are those that are enteric coated or buffered which are designed to protect the stomach lining from too caustic of a medicine- -if you crush them you have to compensate by adding food or milk--so it's not all sitting on the stomach eating it away. Pammi > > You probably know this already, but crushing pills, especially > > prescription ones like pain pills is a BAD IDEA. Some things are > > intended to be digested and absorbed slowly, and crushing them > makes > > the drug hit you all at once. Make sure your doctor knows that you > > intend to crush them and that he is ok with that. > > > > Greg Quote Link to comment Share on other sites More sharing options...
Guest guest Posted August 12, 2001 Report Share Posted August 12, 2001 Re- pill crushing-- Never crush or open capsules of meds that are time release--the only other concern are those that are enteric coated or buffered which are designed to protect the stomach lining from too caustic of a medicine- -if you crush them you have to compensate by adding food or milk--so it's not all sitting on the stomach eating it away. Pammi > > You probably know this already, but crushing pills, especially > > prescription ones like pain pills is a BAD IDEA. Some things are > > intended to be digested and absorbed slowly, and crushing them > makes > > the drug hit you all at once. Make sure your doctor knows that you > > intend to crush them and that he is ok with that. > > > > Greg Quote Link to comment Share on other sites More sharing options...
Guest guest Posted August 12, 2001 Report Share Posted August 12, 2001 IANAD IANAD IANAD Sorry if I caused confusion or was putting out bad info. My point was simply that pills were intended to be taken the way that they are given to you, and you better check with SOMEBODY before you go crushing them (or snorting them, smoking them, injecting them, etc.). Yes, you're right - pharmacists know better than doctors. Sorry again. Greg IANAD I am not a doctor, and no Steve, I don't play one on TV. Quote Link to comment Share on other sites More sharing options...
Guest guest Posted August 12, 2001 Report Share Posted August 12, 2001 IANAD IANAD IANAD Sorry if I caused confusion or was putting out bad info. My point was simply that pills were intended to be taken the way that they are given to you, and you better check with SOMEBODY before you go crushing them (or snorting them, smoking them, injecting them, etc.). Yes, you're right - pharmacists know better than doctors. Sorry again. Greg IANAD I am not a doctor, and no Steve, I don't play one on TV. Quote Link to comment Share on other sites More sharing options...
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