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06-01-2007, 05:38 PM
| #1 (permalink) |
| Seasoned Veteran  Join Date: Apr 2007 Location: NY
Posts: 10,074
Weight Statistics all my life Start Date:
4/19/2007 Surgery Date:
5' 9"
Height:
260 lb Start Weight:
148 lb Current Weight:
165 lb Goal Weight:
112 lb Weight Loss:
-17 lb Lb Left to Lose:
43.0769230769 % % Lost:
Body Mass Index 38.3910943079 BMI Start:
21.8533921445 BMI Current:
24.36357908 BMI Goal:
Weight Loss Method Roux en Y Gastric Bypass    |  b 12 and Iron
I have a couple of questions about b12 absorption as well as iron deficiencies. While i know I need to speak to my dr, I figured I would pose the question to the group first. I take sublingual b12 once a week. 1200 mcg was the recommended dosage. (I take really 2500 mcg and the dr says that dose is fine) i am wondering though if it is being absorped properly. I have been VERY tired lately; sluggish at times. I got to a point this week where i didnt go to work because i didnt want to drive due to the tiredness. I am curious what the advantge of the b12 shot would be vs. the subligual pill? i assume that going directly to the blood stream would make for better absorption but i am not sure. DOC??? in terms if iron, I am assuming i need it because i am ALWAYS cold. I saw on another thread quite a few post ops indicating that they were cold post op as well. is this something hormonal that i will need to wait out and see if it regulates itself, or should i inquire about iron now? I dont mean to be a worry wart. I dont think I am far enough out for deficiencies to have an affect at my stage. I just want to be prepared and maybe start taking something a head so i dont run into any issues later on down the road. All comments welcome! 
__________________ Before:   After:   KenyaR.  Lap RNY 4/19/07 |
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06-01-2007, 06:46 PM
| #2 (permalink) |
| Seasoned Veteran  Join Date: Jan 2006 Location: SOMEPLACE LONG ISLAND, NY
Posts: 6,804
Weight Statistics June 1, 2005 Start Date:
5' 5"
Height:
310 lb Start Weight:
167 lb Current Weight:
159 lb Goal Weight:
143 lb Weight Loss:
8 lb Lb Left to Lose:
46.1290322581 % % Lost:
Body Mass Index 51.5810650888 BMI Start:
27.7872189349 BMI Current:
26.4560946746 BMI Goal:
Weight Loss Method Roux en Y Gastric Bypass  | 
OKAY i dont know alot about the b12... i know my surgeon put me on b comples...and i have had a b12 shot but there pumping me on this due to my numbness issues.... THIS is a post i did a bit back on being cold: Body temperature is the result of your body generating and radiating heat. The body is adept at keeping its temperature within a narrow range even though ambient air conditions vary. A normal body temperature is 98.6°F. It is common during the period of rapid weight loss for bariatric patients to feel cold or chilled, even when their temperature reads normal. People who experience the massive weight loss associated with weight loss surgery experience feeling cold for two reasons: loss of insulation and less energy generation. Fat is a highly efficient insulator. Consider animals native to cold climates: for example sea lions and polar bears. They are loaded with insulation and thrive in cold climates. When gastric bypass patients follow the rules: eating protein and exercising, the weight lost can only come from fat or stored energy. In effect you are losing your insulation. Less insulation increases the likelihood that you will feel cold. I know for me i experience this all the time im always cold THIS past summer i never wanted the central air on and it was over 90 in the house a few times. BOY did my family hate me then!
__________________ LISA  http://w5.photobucket.com/widgets/dy...164/fr1endly2/ LAP RNY Gastric Bypass  |
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06-01-2007, 06:49 PM
| #3 (permalink) |
| Seasoned Veteran Join Date: Apr 2007 Location: NY
Posts: 10,074
Weight Statistics all my life Start Date:
4/19/2007 Surgery Date:
5' 9"
Height:
260 lb Start Weight:
148 lb Current Weight:
165 lb Goal Weight:
112 lb Weight Loss:
-17 lb Lb Left to Lose:
43.0769230769 % % Lost:
Body Mass Index 38.3910943079 BMI Start:
21.8533921445 BMI Current:
24.36357908 BMI Goal:
Weight Loss Method Roux en Y Gastric Bypass |
BUT, is the fat loss = to the weight loss?? cuz i havent even lost that much. Ive been cold ever since i was released from the hospital 2 days post op...i mean im not panicking or anything i am just curious how this works. Geez i wonder what the winter is gonna be like if im cold now...
__________________ Before: After: KenyaR. Lap RNY 4/19/07 Last edited by Kenyar; 06-02-2007 at 10:37 AM. |
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06-01-2007, 10:32 PM
| #4 (permalink) |
| Seasoned Veteran  Join Date: Mar 2007 Location: Floyd County Virginia
Posts: 7,621
Blog Entries: 6 Weight Statistics September 19th 2007 Start Date:
September 19th 2007 Surgery Date:
5' 10"
Height:
363 lb Start Weight:
167 lb Current Weight:
170 lb Goal Weight:
196 lb Weight Loss:
-3 lb Lb Left to Lose:
53.9944903581 % % Lost:
12/31/09 Goal Date:
Body Mass Index 52.0793877551 BMI Start:
23.9593877551 BMI Current:
24.3897959184 BMI Goal:
Weight Loss Method Roux en Y Gastric Bypass |
To be honest, I dont know much about it either. Im a neck up girly LOL. I do know iron is hard on the normal stomach. Or it is for alot of women. However this being said I have no idea how it would work on a gastric patient. So......................... DOC when you get a chance mabye you can explain it ? LOL.
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06-02-2007, 10:30 AM
| #5 (permalink) |
| Super Moderator  |
In the digestive tract, the place VB12 works with the absorption of iron is the lower portion of the stomach to the duodenum--in other words, the bypassed portion that stuff taken orally will not pass through any more. That's why, even if you take more than the recommended amount of VB12 and iron, some post ops do develope anemia. The longer out you are, the portion of the intestines that are not bypassed will readjust to absorb some of these things, but again, it may turn out to be not enough. That's why liquid VB12s and VB12 shots and nasal sprays work better. They are more easily absorbed, and can be absorbed in places other than the bypassed portion. Your VB12 level and iron level, as well as your blood count should be monitored the rest of your life. As for the cold issue, as well as the reasons Lisa wrote, fat in itself also generates heat. Research is revealing a lot these days, and it's becoming known more and more that fat just doesn't sit there, it produces some--well, plenty--of stuff, though the major organ may be elsewhere. So, just the fact that your stored fat is being burned to produce energy will result in releasing a lot of things that was stored in the cell, which brings on a change in environment due to the excess.
__________________ "In every job that must be done, there is an element of fun."  So long as you are putting your best foot forward, then, PATIENCE and PERSEVERANCE for any/every endeavor you embark on, are imperative for success.   Just a li'l bit 'bout myself |
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06-02-2007, 11:15 AM
| #6 (permalink) |
| Seasoned Veteran  Join Date: May 2007 Location: Upstate NY
Posts: 3,221
Weight Statistics April 11th 2007 Surgery Date:
5' 4"
Height:
267 lb Start Weight:
142 lb Current Weight:
150 lb Goal Weight:
125 lb Weight Loss:
-8 lb Lb Left to Lose:
46.8164794007 % % Lost:
Body Mass Index 45.8254394531 BMI Start:
24.3715820312 BMI Current:
25.7446289062 BMI Goal:
Weight Loss Method Roux en Y Gastric Bypass |
Well I was gonna ask about the being cold issue too. Lisa llike you said, my familly is ready to kill me. Its been really hot and humid and in the 90's these past few days and I dont care about putting the central air on. Now before I was alwasy complaining and always had the air on. But like Kenyar said ever since Ive been home just about I too have been cold. My husband laughs and says what are you doing with the sweatshirt and socks on all the time. I keep telling him Im freezing. |
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06-02-2007, 02:14 PM
| #7 (permalink) |
| Seasoned Veteran  Join Date: May 2006
Posts: 2,109
5/17/06 Start Date:
5' 6"
Height:
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That happened to me after the first 3or4 mos. I was afraid of winter, but by then I was pretty much back to normal, self warmth-wise.
__________________ Play by the rules, but be ferocious. |
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06-15-2007, 09:54 PM
| #8 (permalink) |
| Seasoned Veteran Join Date: Apr 2007 Location: NY
Posts: 10,074
Weight Statistics all my life Start Date:
4/19/2007 Surgery Date:
5' 9"
Height:
260 lb Start Weight:
148 lb Current Weight:
165 lb Goal Weight:
112 lb Weight Loss:
-17 lb Lb Left to Lose:
43.0769230769 % % Lost:
Body Mass Index 38.3910943079 BMI Start:
21.8533921445 BMI Current:
24.36357908 BMI Goal:
Weight Loss Method Roux en Y Gastric Bypass |
does anyone out there do the b12 shots themselves?? What about the nasal sprays?? I'd like to know a little about that if theres anyone out there.
__________________ Before: After: KenyaR. Lap RNY 4/19/07 |
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06-15-2007, 10:05 PM
| #9 (permalink) |
| Seasoned Veteran Join Date: Mar 2007 Location: Floyd County Virginia
Posts: 7,621
Blog Entries: 6 Weight Statistics September 19th 2007 Start Date:
September 19th 2007 Surgery Date:
5' 10"
Height:
363 lb Start Weight:
167 lb Current Weight:
170 lb Goal Weight:
196 lb Weight Loss:
-3 lb Lb Left to Lose:
53.9944903581 % % Lost:
12/31/09 Goal Date:
Body Mass Index 52.0793877551 BMI Start:
23.9593877551 BMI Current:
24.3897959184 BMI Goal:
Weight Loss Method Roux en Y Gastric Bypass |
Kenya.... I might be wrong in saying this but I don't think that you can take the B-12 shot yourself? I might be totally wrong on this. Have you ever looked at a bottle of Flintstones? Don't laugh LOL. My Doc has told me I will have to take 4 daily. One with each meal and another. He states there chew-able. Any other vitamin goes though to fast... and that way 4 wont hurt ya. And you acutally get them though out the day do it will absorb much better. Maybe that is something that you can ask your own Dr and see what he thinks. He told me however I would have to take the B12 shots for the rest of my life....... He stated he demads they stay on it. Ya know i haven't gone and done this yet but If i have any knowledge I try to share it honey. Perhaps compare next time your shopping and look at the label versus what you take. Then ask your surgeon if its comparable. If so it would be a daily thing and dont taste to bad either.
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06-16-2007, 06:14 AM
| #10 (permalink) |
| Seasoned Veteran Join Date: Jan 2006 Location: SOMEPLACE LONG ISLAND, NY
Posts: 6,804
Weight Statistics June 1, 2005 Start Date:
5' 5"
Height:
310 lb Start Weight:
167 lb Current Weight:
159 lb Goal Weight:
143 lb Weight Loss:
8 lb Lb Left to Lose:
46.1290322581 % % Lost:
Body Mass Index 51.5810650888 BMI Start:
27.7872189349 BMI Current:
26.4560946746 BMI Goal:
Weight Loss Method Roux en Y Gastric Bypass |
HI KENYA.... i was put on the b 12, i have no deficiencies but due to other issues they have me on it..... I am not one to give myself shots so giveing myselft the b12 is a no no ... i have heard of patients doing that.........do to my long hours of work, i cant get to the doctor for b12 shots so yes i am on the nasal spray NASCOBAL and very pleased with it. IF you go to the website Welcome to Nascobal - A QOL Medical Company they offer to refund you the copay up to 40 dollars for prescriptions for it. MY insurance pays for it and the mfg has refunded me the copay so really works out for me. ARE my issues better, no! HUGS lisa xoxox 
__________________ LISA http://w5.photobucket.com/widgets/dy...164/fr1endly2/ LAP RNY Gastric Bypass |
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