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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.

Baricol Complete I fruktskål

Vitamins and minerals adapted for life after bariatric surgery

Why do I need to take vitamin supplements after WLS?  Besides eating less and food emptying from your stomach more quickly, there are a number of factors that play a role in why you need to take vitamins after bariatric surgery. 

Do I need to take vitamins after my weight loss surgery?

It’s not uncommon for people to overlook taking their vitamins and minerals after their bariatric surgery. After all, their blood work looks good, and they feel better than ever – why would they need vitamins?  What many don’t realize is that the body has enough stores of certain vitamins and minerals that, in some cases, it takes several years before these reserves are drained.  The body also has effective mechanisms to compensate for deficiencies. Once deficiencies develop, the effects are sometimes irreversible. For example, B12 deficiency can lead to memory impairment and nerve problems, and calcium deficiency can result in a weak, decalcified skeleton.

Vitamins after gastric sleeve

When undergoing a gastric sleeve, the outer curve of the stomach is removed (approximately 85%), making the space for food much smaller. The feelings of hunger then sharply decrease because the hunger hormone (ghrelin) is largely housed in the part of the stomach that is removed.  The main reason why you need to take supplements of vitamins and minerals after your operation is that in addition to eating less, you now have a very limited amount of hydrochloric acid in your stomach which is needed for the activation and absorption of various vitamins and minerals. Based on current research, supplements are required for the rest of your life after your sleeve. If you are taking Baricol® Complete, you will need either 2 Powder sachets, 2 Effervescent, 3 Chewable, or 5 Tablets.  These contain all of the vitamins and minerals you need after WLS according to the Nordic guidelines.  Please consult your doctor.

Vitamins after a gastric bypass

During a gastric bypass, the vast majority of your stomach is disconnected from the part of your stomach near the esophagus, leaving you with a new pouch of about 15-20ml. The intestine is then connected to this pouch, thus bypassing the other part of the stomach and about 75-100cm of the intestine.  Due to less space and – even more so – changes to hunger and satiety hormones within the gastrointestinal tract, the feelings of hunger are reduced.  After a gastric bypass, there is also very little hydrochloric acid produced in the stomach which is needed to activate and absorb certain vitamins and minerals. In addition, absorption is also reduced due to bypassing the first part of the intestine.  There is a lot of research that supports needing vitamin and mineral supplements after a gastric bypass. With Baricol® Complete, you will need either 2 Powder sachets, 2 Effervescent, 3 Chewable, or 5 Tablets.  These contain all of the vitamins and minerals you need after WLS according to the Nordic guidelines.  Please consult your doctor.

Here's a crash course on the most important vitamins after WLS:

B12 after gastric sleeve and gastric bypass

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 cyanocobalamin in Baricol Complete since it is recommended by the Nordic guidelines.  It is a complete Vitamin B12 that supplies both methylcobalamin and adenosylcobalamin.
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.
Rosa Baricol tablettetui för vitaminer hålls mot solen

Vitamin D after gastric sleeve and gastric bypass

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 mass 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 gastric sleeve and 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.

Pitabröd med kikrärtor och salladslök

Thamine after gastric sleeve and gastric bypass

THIAMINE, 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.

 

Baricol Complete brusrör och pulversticks hålls mot blomhäck

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