Unjury, the makers of oPurity one-a-day multivitamins have been campaigning hard for their vitamin, boasting updated statistics and continuing their banner of China-Free ingredients.

This morning, I got yet another one of these emails with the following:

Practices are switching to OPURITY

Here’s an email from one of the large practices switching from Bariatric Advantage to OPURITY.

“I just wanted to touch base and let you know that after a lot of research with Bariatric multivitamin companies our program has decided to make the switch from recommending Bariartic Advantage to Opurity!

Based on the number of supplements our patients currently need to take and the cost of these supplements, compliance has been poor.

We then plan to stock Opurity Vitamins for our post-op patients. We will be providing our patients information on where to order these supplements from in addition to the option of purchasing them from our clinic, as we currently do with Bariatric Advantage.

I wanted to get in touch with you regarding this decision to make this change in hopes we can work closely with supplying our patients with information, resources and samples on these supplements.”

Just reply to this email if you would like more information about Recommending and Stocking OPURITY® Vitamins at your practice or facility.

Thank you all for recommending OPURITY® Vitamins and UNJURY® Protein.

 

So I’ve decided to revisit oPurity and examine it according to the ASMBS suggestions, what we know about vitamins so far (with citations, of course), and let you make your own decisions in case your practice is one of the ones deciding to switch.

And I’m going to let out a trade secret here.. one that I probably shouldn’t tell – your doctor’s offices get cash for selling you your vitamins from whatever company they choose to sell. I can’t tell you how much because each company has their own percentage, and it might even depend on volume, but your office selling supplements is not truly an altruistic thing for you, the patient.

Now, keep in mind that offices are struggling to make ends meet. And this is a way for them to increase cash flow. BUT is it truly the best product for you? Don’t assume that it is. Do your research before making that assumption. Several practices are now making their own products and marketing them, for them to be not-so-great products in the end. Use your noggin’ folks.

So this is likely to be long, and might get a bit technical. I’ll do what I can to keep it easy.

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My friend Kaitlin (not my daughter, it should be noted.. we call this Kaitlin my Other Kaitlin..) over at The Bypassed Life wrote a great post about Flintstones vitamins in a way that makes it very easy to see why they are not a good choice for .. well?  Anyone.

She’s got some great content on her blog, including a post about a study on antidepressant absorption (or lack thereof) in our guts.  She’s worth a read if you are need of another good quality blog.

So without further ado:

What’s the Fuss about Flintstones?

Many years ago, the gold standard for post-operative supplementation was Flintstones children’s chewable vitamins, as well as Tums for calcium. Unfortunately, this regimen was woefully incomplete. Without the proper supplements, people developed deficiencies. Not always immediately—the body has stores of many vitamins—but they did eventually appear. In some people, circumstances helped to accelerate nutrient depletion. My friend Andrea had babies. Greedy little (adorable) things that they were, those babies stole from her vitamin stores. Her Flintstones and Tums simply couldn’t keep up. Andrea got rickets.

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Wonder Iron?

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.

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Right off the bat — This is not my work.  Got it?  NOT MINE.  Jillybean720 on ObesityHelp?  yeah.  She gets the props for all this wonderfulness.

I’m just putting it up because some people don’t want to download things on the net.  I’m providing a service.

This is a comparison of chewable multivites available.  Even a liquid.  Apples to apples, side by side.

Just a smal taste..

Go.  Read.  Be in awe of the time she took to do this for the community.  Because no doubt?  She really took a lot of time to do this for the community.  And when you get a chance?  Tell her Thanks! when you’re over at OH.  She can be contacted here.

Remember that I have no training as a nutritionist, dietician, surgeon, bariatrician, or nurse.  Well, except to my family, and then I’m all of the above.  Or when it has come to my own health with my effed up insides and no one has known them or how to handle them so I’ve had to learn about them and then teach my medical teams.

So not having a degree and saying things lends me no credibility.  I know this.  I get this.  I understand this.  I tell people this.  I preach this.  I hope people also understand this.  If you don’t get this, you should — use your own brains, make your own decisions with your own thoughts.  But another thought for another day.

I have ALWAYS said that children’s vitamins were for, well, CHILDREN.  And here’s an article about multivitamins that AGREES with me for normal adults.  Gotta love it when the experts agree with me.

Overall, this has some decent advice about multivitamins.  Remember that it is geared towards those with normal guts, so your mileage may vary.

From CNN:

What you need to know about multivitamins

By Sally Wadyka, Real Simple
January 1, 2010 9:38 a.m. EST
In this day and age of food-on-the-go, supplements can add much-needed nutrients to your diet. But a walk down the vitamin aisle at any store could very well make your head spin. Here’s a breakdown of several of multivitamin options.Basic Multivitamins

What they are: One-pill wonders that offer 100 percent of the recommended daily allowance (RDA), as suggested by the Institute of Medicine of the National Academy of Sciences, for many important vitamins.

Benefits: They give you much of what you need in a day, including vitamins A, C, D, and E, B vitamins, and folic acid. Bonus: You have only one tablet to remember to take and swallow. Try One A Day Essential Multivitamin ($10 for 130 tablets, drugstore.com).

Keep in mind: Some single pills also include minerals, such as iron, calcium, and magnesium. But their levels can fall short of what’s recommended. The RDA for calcium, for example, is 1,000 to 1,200 milligrams. But because calcium is bulky, including that much would make for one giant pill. Therefore an additional mineral supplement may be wise in some cases. (Note: Check with your doctor before introducing any vitamins or supplements into your diet.)

Food-Based Multivitamins

What they are: Vitamins combined with powdered whole foods. “The manufacturers basically break down vegetables, fruits, and other food ingredients, add vitamins, and formulate that into capsules,” explains Preeti Kulkarni, a naturopathic doctor in Los Gatos, California.

Benefits: Less chance of stomach upset. “Since you’re combining the vitamins with real food, they will be absorbed better and shouldn’t cause gastric distress,” says Kulkarni. In fact, it’s even OK to take this kind of multi on an empty stomach. Try New Chapter Organics Only One ($50 for 90 tablets, newchapter.com for stores).

Keep in mind: Despite the name, the vitamins you’re getting aren’t necessarily more natural; often they’re the same synthetically produced versions as in basic multis.

Adult Chewable Multivitamins

What they are: Single pills in a form you don’t have to swallow whole.

Benefits: Not having to force down large pills, which is a boon to those who have trouble swallowing tablets or who experience stomach problems when they do. Try Centrum Chewables ($7 for 50 tablets, drugstore.com).

Keep in mind: These aren’t the same as the gummy or chewable vitamins that kids take. “The levels of vitamins in children’s formulas won’t give adults all they need,” says Tara Gidus, a registered dietitian in Orlando, Florida. (Too bad, considering kids’ chewables tend to taste better.)

Women’s Multivitamins

What they are: Souped-up multivitamins that contain larger amounts of nutrients that many women require.

Benefits: They help you get the RDA of such vitamins and minerals as folic acid, calcium, and iron. Because iron can irritate the stomach, though, be sure to take these vitamins with a meal. Try Nature Made Multi for Her ($11 for 90 tablets, walgreens.com).

Keep in mind: These formulas come in age-specific varieties, too. Ones for women over 50, for instance, may contain higher levels of vitamins C and E and less iron.

Targeted Multivitamins

What they are: Pills formulated for a specific population, such as pregnant women or those worried about a particular condition (like heart disease, osteoporosis, or eye health).

Benefits: Certain people require more or less of certain nutrients. Pregnant women, for instance, are advised to take more folic acid to help prevent birth defects. Consider Twinlab Pre-Natal Care Multi Vitamin ($26 for 120 capsules, vitaminshoppe.com).

Keep in mind: Some specialty multis (such as those touted to help joints) don’t have substantial science behind them. Although they’re probably not harmful, talk to your doctor before taking them.

Powdered Multivitamins

What they are: Drink mixes you stir into a liquid.

Benefits: Often just one heaping tablespoon contains the vitamins and minerals that you would get from several pills. “Tablets contain fillers and binding agents that the body has to break down before the nutrients can be absorbed,” says Kulkarni. “Powders don’t require these.” Try All One Original Formula ($48 for a 30-day supply, all-one.com).

Keep in mind: Many powders have a bitter aftertaste, says Gidus. Mixing them with juice (not water) may help. Or try blending them with yogurt and fruit to make a smoothie.

Multipill Packs

What they are: Individual daily packets that hold several pills designed to work together.

Benefits: You can get higher doses of vitamin D, calcium, and omega-3 fatty acids, which are often not present in basic multivitamins. Try GNC Wellbeing be-Wholesome Health & Beauty Vitapak ($60 for 30 packs, gnc.com).

Keep in mind: Some have megadoses, which in the case of vitamins A, D, and E can be toxic, says Davis Liu, a family physician in Roseville, California. Check the website of the Institute of Medicine for the maximum levels of vitamins and minerals that can be safely consumed.