It’s no secret that I’ve had issues with my iron. I’ve tried super high doses of carbonyl iron without any response.
These are the numbers I started out with, and then a few updates along the way:
HGB – 12.6 (12.0 – 18.0 g/dl)
HCT – 39.7% (37.0 – 51.0%)
Ferritin – 11.1 (11-137 ng/ml)
Iron – 41 (37 – 170 ug/dl)
TIBC – 310 (265 – 497 ug/dl)
Iron Saturation – 13% (20-55%)
HGB – 13.13 (12.0 – 15.0 g/dl)
HCT – 38.21% (35.0 – 49.0%)
Ferritin – 16.3 (6 – 81 ng/ml premenopausal *which seems odd cause post is 14-186….?*)
Iron – 45 (28 – 182 ug/ml)
UIBC – 326 (130 – 375 ug/dl)
TIBC – 371 (180 – 545 ug/dl)
Iron Sat – Not measured
TIBC – 344 ( 250-450)
UIBC – 255 (150-375)
Serum Iron – 89 (35-155)
Iron Sat – 23% (15-55%)
Ferritin – 23 (10-291 — with a notation that they are changing to 13-150 for Females)
Perhaps the first, and definatly longest lasting bariatrc vitamin formulations out on the market today has got to be Optisource. In fact, they have even hit the “big time” by being easily accessible in Walgreens.
Get at least 100% of the daily value for 23 vitamins and minerals in just four tablets.
With the recommended daily dose of just four OPTISOURCE chewable tablets, patients recovering from malabsorbtive bariatric surgery will receive at least 100% of the daily value for 23 vitamins and minerals! These include high levels of calcium, vitamin B12, iron and folic acid for increased absorption. Chewable tablets that pack a huge nutritional punch.
Iron-deficiency anemia is the number one complication after all forms of weight loss surgery, but more so with RNY gastric bypass – the most popular form of WLS to date. With more and more women turning to WLS to conceive, it can be a scary statistic, given that women are prone to anemia to begin with.
JAMA recently published a study regarding prenatal micronutrient supplementation in Nepal, a country rife with iron-deficient anemia. This study looked at the impact of various supplements and their affects on motor and intellectual affects a few years after birth. It reveals that prenatal iron and folate are absolutely critical.
I deal with folks of RNY and DS persuasion on a regular basis simply due to the fact that we know we have to do supplementation due to our malabsorption of micronutrients for the rest of our lives.
What AGBers and VSGers fail to understand is that they also need to supplement as well. And in some cases, it is more than just a simple multivitamin and calcium.
A study was started in June of 2007 of VSG patients and conducted for 12 months afterwards to study the possibility of iron, B12, and folate deficiency with only taking an iron-free multivitamin. A total of 61 patients were included in the study. Parameters for those who don’t have access to the whole study (and, if you just read the abstract? You’d not realize the significance of this study!! It’s VERY SIGNIFICANT! for VSGers!) like I do.