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Bariatric Nutrition 12-Months Post-Op and Beyond. Ask CrackerJack Nutrition: RD Elizabeth Answers Your Diet Questions!.

12-months post-op
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A reader emailed My Bariatric Life and asked bariatric dietician Elizabeth Anderson about nutritional needs for persons more than 12-months post-op. Learn how to get your question answered. 

Dear Elizabeth,

I’m almost a decade out from having weight loss surgery. Are my nutritional needs the same now as early post-op? What should I be eating, drinking and taking for supplements more than 12-months post-op?

Thanks so much, Naomi

Bariatric Vitamins Beyond 12-Months Post-Op

Thanks for the question, Naomi; it’s a great one. You need to build all the answers to this question around one vital piece of information. Keep reading…

Love Those Labs!!

I think one of the most common things I hear from post-ops is, ‘It’s not that important to keep having labs done more than 12-months post-op, is it?’

Cue Meg Ryan here: “YES!  YES!  YES!”

The only way you can know what your body needs, if it’s working optimally, if you’re low or too high in a vitamin, mineral or nutrient—is to get lab work done at least annually. That begins in your second-year post-op.

What many folks don’t realize is that deficiencies get worse over time. Yup. The farther out from surgery you are, the more likely you are to have a deficiency.

Some of these deficiencies have serious side-effects.

One size never fits all. Once you have your unique results—THEN you and your bariatric dietitian, [find a provider via the ASMBS] can plan any changes you might need to make in your diet and supplement routine.

Normal Labs? What’s Next

Assuming everything comes back ‘normal’ here are 10 questions to ask yourself before heading off to your bariatric dietitian to get an individual nutrition check-up.

The Top 10 List
(for those 12 months-post-op)

  1. Are you eating at least 60 but no more than 80 grams of protein per day?
  2. Are you drinking at least 64 ounces of calorie-free drinks per day?
  3. Are you eating whole vegetables and fruits every day?
  4. Are you avoiding alcohol?
  5. Are you eating 3 meals per day and portioned snacks?
  6. Are you taking at least 20 minutes to eat a meal?
  7. Are you waiting 30 minutes after eating before drinking?
  8. How often do you eat when you’re not hungry?
  9. Are you taking a daily multivitamin recommended for your surgery type?
SupplementGastric BandGastric BypassD/S and BPDGastric Sleeve
Multivitamin/mineral100% of daily value200% of daily value200% of daily value100% of daily value
B12Nothing additional to multivitamin350-500 mcg/dayNothing additional to multivitamin350-500 mcg/day
Calcium (take no more than 600 mg at a time)1500 mg/day (from food and supplements combined)1500-2000 mg/day

 

(from food and supplements combined)

1800-2400 mg/day

 

(from food and supplements combined)

1500 mg/day

 

(from food and supplements combined)

IronNothing additional to multivitamin18-27 mg/day18-27 mg/dayNothing additional to multivitamin

Chart from ASMBS Textbook for Bariatric Surgery Vol 2. Learn about the ASMBS.

  1. Does your multivitamin/mineral contain the following?
Copper90 mcg
IronWomen 18 mg / Men 8 mg
ZincWomen 9 mg / Men 11 mg
Thiamin/B11.2 mg
Folic Acid400 mcg
Biotin30 mcg
Vitamin KWomen 90 mcg / Men 120 mcg

Chart adapted from Academy of Dietetics and Nutrition Pocket Guide to Bariatric Surgery 2nd Edition Cummings et al.

Have I mentioned at least three times that you need to check in with your bariatric dietitian to get the most complete and personalized nutrition checkup?

Good, I thought so.

Until next time, be GOOD to you!
Elizabeth

Content is the opinion of the author and does not constitute or is a replacement for medical advice.  

Jun 9, 2017Elizabeth Anderson MA, RDN, LD
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June 9, 2017 Bariatric, Bariatric Diet, Bariatric Vitamins12-months post-op, bariatric, bariatric dietitian, Bariatric Nutrition, Bariatric Nutrition 12-Months Post-Op and Beyond, bariatric vitamins, CrackerJack Nutrition, deficiencies, Elizabeth Anderson, labs2,376
Elizabeth Anderson MA, RDN, LD

Elizabeth Anderson MA, RDN, LD has a master’s degree in Nutrition Science and specializes in bariatric nutrition. Her latest project is a six part video series called Bariatric Reboot. Elizabeth offers the series to My Bariatric Life readers at 50% off with coupon code MBLife. Find out more here: https://tinyurl.com/j5yr6fe

Internet Use, Obesity, Poor Health, and Sitting DiseaseLipedema, a Rare Fat Cell Disease
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2015 © Borne LLC. We are not healthcare professionals and all content is the opinion of the author(s). This website is for sharing research and opinion only and is not medical, legal, or financial advice or treatment for any medical conditions. You should promptly seek professional medical care if you have any concern about your health, and you should always consult your physician before starting a fitness regimen. By using this service, you accept our Terms of Use.