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Ordering to the UK? Read this!

We are shipping to the UK in cooperation with UPS. All orders over 135 euros to the UK will be imposed with customs fees by the HRMC upon arrival. We are therefore recommending that customers from the UK place orders under 135 euros for the time being, i.e. monthly or three-month subscriptions.

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What happens when I postpone my delivery?

Do you have too many vitamins at home or have difficulty taking the supplements? By postponing the next delivery, you will have a chance to catch up on your supplements.  But for that to actually happen, you need to have a plan and make taking your vitamins a daily routine.  So how do you get into that routine?  Some of our tips are: 1. Store your vitamins at the coffee maker or computer. 2. Use BariBuddy to send yourself reminders. 3. Set a daily alarm on your phone.

Do you need help to get started again or are you having troubles with your vitamins for some reason? Email our customer service, and we will help you get on track or change out your product! 

 

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Do I need to take vitamins after my bariatric surgery?

Sometimes it’s hard to be diligent about taking vitamins and minerals after WLS.  After all – why would you need to take supplements if your blood tests look good and you feel better than ever?  The issue with this is that the body has ample stores of various vitamins and minerals, so deficiencies may not show up for, in some cases, a few years.  The body also has effective mechanisms to compensate for deficiencies.   A big problem with this is that once you develop deficiencies, the impacts are sometimes irreversible. For example, B12 deficiency can lead to life-long memory and nervous system problems, and lack of calcium can decalcify the bones making them weak and brittle.

Vitamins after a Gastric Sleeve

When undergoing a VSG, the outer curve of the stomach is removed, leaving only about 15% of the stomach and not much space for food.  This results in hunger decreasing significantly because the part of the stomach that is removed is the main part that housed the hunger hormone called ghrelin.  The reason why you need to take supplements of vitamins and minerals after a gastric sleeve is that in addition to eating less, you have a limited amount of hydrochloric acid and a protein called intrinsic factor. These are needed to activate and absorb certain vitamins and minerals.  Based on current research, you need to take vitamins and minerals for the rest of your life after a VSG.  This sounds daunting, but with Baricol® Complete, it’s easy! All you need is 2 sachets of Powder2 Effervescent3 Chewable, or 5 Tablets.  These contain all of the vitamins and minerals you need after a VSG according to the Nordic Guidelines.  Please consult your doctor for your personal needs.

Vitamins after a Gastric Bypass

During a gastric bypass, the majority of the stomach is disconnected from the part of the stomach just below the esophagus which becomes your new stomach pouch that’s about the size of an egg – around 15-20ml.   The small intestine is then connected to the pouch, “bypassing” the main part of the stomach as well as the first 100cm or so of the small intestine. Due to less space in the stomach and changes in hunger and satiety hormones in the gastrointestinal tract, feelings of hunger decrease.   After a gastric bypass, you have less hydrochloric acid and a protein called intrinsic factor which are needed to activate and absorb certain vitamins and minerals.  Absorption is also affected due to bypassing part of the intestine.  There is a lot of research to support taking vitamins and minerals life-long after a gastric bypass. With Baricol® Complete, all you need is 2 sachets of Powder2 Effervescent3 Chewable, or 5 Tablets to get all of the vitamins and minerals you need according to the Nordic Guidelines.  Please consult your doctor for your personal needs.

Take our crash course on the most important vitamins after WLS:

B12 after WLS

Vitamin B12 needs two things from the stomach in order to be absorbed: stomach acid and a protein known as Intrinsic Factor (IF).  After bariatric surgery, you have less stomach acid and limited access to IF and, therefore, reduced B12 absorption. By taking large amounts of B12 from dietary supplements, you are able to absorb it in a typical way with the help of stomach acid and IF as well as through passive diffusion in the intestines.
We use cyanocobalamine in Baricol Complete (a complete Vitamin B12 that supplies both methylcobalamin and adenosylcobalamin) since it is recommended by the Nordic guidelines. 
In food, you find B12 in dairy, meats, fish, eggs, and a small amount in yeast or fermented foods.  However, there is no way you would be able to eat enough food to get the B12 you need after WLS.  Make sure that you get at least 350-1000μg of B12 per day after your WLS.  The body often stores a couple of year’s worth of B12, so it can take a while after bariatric surgery before a B12 deficiency would show.
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Vitamin D after Bariatric Surgery

VITAMIN D is absorbed in the part of the intestine that is bypassed during a gastric bypass, plus it needs hydrochloric acid to be absorbed best.  It also gets harder to get enough vitamin D from the sun the further you live from the equator. Foods that contain vitamin D are fatty fish and enriched products like certain dairy foods.
Vitamin D plays an important role in bone health and in the ability to absorb calcium and phosphate from food.  This vitamin is not just an important resource for bone-building but also prevents your body from using the minerals in your bones to maintain normal calcium and phosphate levels in the blood. Also, around middle age, our bone mass starts to decrease, making it even more important to get enough Vitamin D to maintain as much bone as possible!
According to the Nordic guidelines, you need at least 800IU (20mcg) of Vitamin D per day after WLS in combination with calcium citrate. Baricol Complete contains 45mcg (1800IU) of vitamin D along with 1000mg of calcium citrate.

Folic Acid after a Gastric Sleeve or Gastric Bypass

Folic Acid from supplements and folate from foods are different forms of the same B vitamin (B9). It is needed for the production of proteins, cell reproduction, and red blood cell formation.  You will find folate in leafy greens, citrus fruits, legumes, eggs, and whole and enriched grains. Deficiency of folic acid can result in anemia with characteristics of lethargy, weakness, irritability, dizziness, and headache.  With a severe deficiency, shortness of breath and even chest pain (angina) can occur. To prevent a deficiency, make sure your supplement contains at least 400 mcg of folic acid, which Baricol® Complete does.

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Thiamin after WLS

THIAMIN, or vitamin B1, is used in carbohydrate metabolism and is also involved in nerve and muscle function. You can find it in a variety of foods including beef, pork, legumes and peas, nuts and seeds, citrus fruit, and whole and enriched grains. Thiamin deficiency is one of the more common concerns related to vitamins in the first few weeks to 3 months after bariatric surgery. Risk factors include rapid weight loss, prolonged nausea and vomiting, and not taking vitamins after surgery. 

According to the Nordic guidelines, men should take 0.9mg/day and women should take 1.2mg/day after surgery. Baricol Complete contains 2 mg.

It is important to get your blood tests done at least once a year after bariatric to make sure your values are in a normal range.  If you are uncertain about how your aftercare works, contact your clinic for more information.

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