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07-26-2007, 11:08 AM
| #1 (permalink) |
| Super Moderator  |  The scoop about VB12 VB12 1)This vitamin is vital in the formation of DNA, in other words, the replication of our genes. 2)Its major functions are to promote growth (genes) and promote red blood cell formation. 3)VB12 is stored in the liver, so unlike the rest of the water soluble vitamins, it lasts about a year. 4)With stomach surgery that removes the better part of the stomach whether due to cancer or refractory ulcer, not just weight loss surgery, VB12 as well as iron needs to be supplemented for the rest of the patient's life. 5)Also, it's recommended that VB12 be given non-orally, in other words, should be taken by shots or with nasal sprays, because of lack of an agent called "intrinsic factor" which is produced by the cells in the middle to lower part of the stomach, is vital in the absorption of VB12 in the upper portion of the small intestines. VB12 deficiency causes 6) a type of anemia called "Pernicious anemia" which develops long term--3 to 10 years after surgery. (Iron deficiency anemia, which develops within the first 3 years, is due to lack of iron, which also can happen with gastric post ops.) 7) "Demyelination" of the nerve fibers.This takes place in the spinal cord, not the brain. "Demyelination" means the coverling layer of the spinal cord dissolves. This causes loss of sensation, and in severe cases, paralysis. In summary. Not to scare you but. Because storage of VB12 is about a year, depletion of the store in the liver may not become apparent for that length of time. So, it is best to start out at the earliest possible opportunity with shots, due to the reason stated in 6). Symptoms of deficiency is anemic symptoms and changes in sensory perception, like tingling, numbness, loss of touch, and when advanced, paralysis. So long as it is treated early , the symptoms can be reverted, but if left undiagnosed/untreated for an extended period of time, the damage may be permanent, as with any deficiencies of any vital nutrients. These deets are from the most recent medical textbooks.  |
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07-26-2007, 12:20 PM
| #2 (permalink) |
| Seasoned Veteran  Join Date: Apr 2007 Location: Mount Vernon, NY
Posts: 6,921
Weight Statistics 4/1/07 Start Date:
4/19/07 Surgery Date:
5' 9" Height: 258 lb Start Weight:
136 lb Current Weight:
140 lb Goal Weight:
122 lb Weight Loss:
-4 lb Lb Left to Lose:
47.2868217054 % % Lost:
04/19/2008 Goal Date:
Body Mass Index 38.0957781979 BMI Start:
20.0814954841 BMI Current:
20.6721277043 BMI Goal:
Weight Loss Method Roux en Y Gastric Bypass    |  so glad you stickied this. very valuable information. thank you doc!
__________________ Anything worth having is worth working for Kenya R.  Lap RNY 4/19/07     |
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07-26-2007, 02:28 PM
| #3 (permalink) |
| Seasoned Veteran  Join Date: May 2007 Location: Upstate NY
Posts: 2,187
Weight Statistics April 11th 2007 Surgery Date:
5' 4" Height: 267 lb Start Weight:
157 lb Current Weight:
145 lb Goal Weight:
110 lb Weight Loss:
12 lb Lb Left to Lose:
41.1985018727 % % Lost:
Body Mass Index 45.8254394531 BMI Start:
26.9460449219 BMI Current:
24.8864746094 BMI Goal:
Weight Loss Method Roux en Y Gastric Bypass | Ok ladies......my surgeons office called me back. Maybe Doc can help me out and give her input too. They told me that Im on Trinsicon also known as Conison too. Well this vitamin that I take twice a day and for the rest of my life they are telling me has: iron, folic acid, B12, and intrinsic fators and enzymes. So this is what the nurse practishioner told me. Makes me feel a bit better. She said they will continue to monitor my blood during my visits and if something changes then we would deal with it then. Dont know if anyone else is on these vitamins or not???
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07-26-2007, 02:49 PM
| #4 (permalink) |
| Whipper Snapper  Join Date: Mar 2006 Location: Bakersfield, CA
Posts: 19
Weight Statistics May 28,2005 Surgery Date:
Height: 287 lb Start Weight:
145 lb Current Weight:
140 lb Goal Weight:
142 lb Weight Loss:
5 lb Lb Left to Lose:
49.4773519164 % % Lost:
Dec 28,2007 Goal Date:
Body Mass Index 52.5 BMI Start:
26.5 BMI Current:
23.8 BMI Goal:
Weight Loss Method Roux en Y Gastric Bypass | Doc, At my last visit my Dr. told me to take less B12, Twice a week? Honestly I did not question the reason. Is the nasal spray avail O.T.C? Cori
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07-26-2007, 02:58 PM
| #5 (permalink) |
| Seasoned Veteran Join Date: Apr 2007 Location: Mount Vernon, NY
Posts: 6,921
Weight Statistics 4/1/07 Start Date:
4/19/07 Surgery Date:
5' 9" Height: 258 lb Start Weight:
136 lb Current Weight:
140 lb Goal Weight:
122 lb Weight Loss:
-4 lb Lb Left to Lose:
47.2868217054 % % Lost:
04/19/2008 Goal Date:
Body Mass Index 38.0957781979 BMI Start:
20.0814954841 BMI Current:
20.6721277043 BMI Goal:
Weight Loss Method Roux en Y Gastric Bypass | its prescription i believe....
__________________ Anything worth having is worth working for Kenya R. Lap RNY 4/19/07 |
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07-26-2007, 10:08 PM
| #6 (permalink) |
| Super Moderator | How much VB12 you are told to take will depend on your lab results. If the count is high, and the dr feels is fine, he/she may tell you to reduce the intake a bit. Water solubule vitamins when taken in excess will be excreted, so, even though overdose doesn't happen, you could say it is a kind of waste. It's best to take vitamins that have been developed to meet the specific use of gastric bypass patients, so as with everything else, if you've been specified what brand to take, then it's best to do so, even if they are a bit expensive compared to others. Since A_new_me's vitamins include the intrinsic factor, it should help with the absorbtion of VB12, so I think it's fine to continue with the pills, so long as your blood level is monintored periodically. |
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07-26-2007, 10:15 PM
| #7 (permalink) |
| WLS Master Guru  Join Date: Jan 2007 Location: Cuero, South Texas
Posts: 524
Weight Statistics May 1, 2007 Start Date:
June 25, 2007 Surgery Date:
Height: 270 lb Start Weight:
200 lb Current Weight:
130 lb Goal Weight:
70 lb Weight Loss:
70 lb Lb Left to Lose:
25.9259259259 % % Lost:
June 25, 2008 Goal Date:
Body Mass Index 45.83 BMI Start:
35.2 BMI Current:
22.31 BMI Goal:
Weight Loss Method Roux en Y Gastric Bypass | Ok just to clarify. Is sublingual B12 considered oral? That is what I take. Please let me know. Mattie
__________________ Grandiose16 Don't let today's disappointments cast a shadow on tomorrow's dreams.   |
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07-28-2007, 10:47 PM
| #9 (permalink) |
| Whipper Snapper Join Date: Mar 2006 Location: Bakersfield, CA
Posts: 19
Weight Statistics May 28,2005 Surgery Date:
Height: 287 lb Start Weight:
145 lb Current Weight:
140 lb Goal Weight:
142 lb Weight Loss:
5 lb Lb Left to Lose:
49.4773519164 % % Lost:
Dec 28,2007 Goal Date:
Body Mass Index 52.5 BMI Start:
26.5 BMI Current:
23.8 BMI Goal:
Weight Loss Method Roux en Y Gastric Bypass | You are right Doc. My B12 level was high now that I remember. Thanks for the info Doc always a delight. Cori
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07-28-2007, 10:58 PM
| #10 (permalink) |
| Seasoned Veteran Join Date: Apr 2007 Location: Mount Vernon, NY
Posts: 6,921
Weight Statistics 4/1/07 Start Date:
4/19/07 Surgery Date:
5' 9" Height: 258 lb Start Weight:
136 lb Current Weight:
140 lb Goal Weight:
122 lb Weight Loss:
-4 lb Lb Left to Lose:
47.2868217054 % % Lost:
04/19/2008 Goal Date:
Body Mass Index 38.0957781979 BMI Start:
20.0814954841 BMI Current:
20.6721277043 BMI Goal:
Weight Loss Method Roux en Y Gastric Bypass | what about thru the skin. i just saw an ad for b12 patch. sounds interesting. this is the link that comes up when you click on the ad Vitamin B12 Patch: Revolutionary Vitamin B12 Supplement. what do you think about this method?
__________________ Anything worth having is worth working for Kenya R. Lap RNY 4/19/07 |
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