I had GB about 10 months ago. I never miss a dosage of my pills. I have lost 140lbs so far and I am 20lbs away from my ideal weight. I am looking forward to eventually taking a multivitamin every other day, maybe just three times a week to make sure I am not missing anything. I having been doing Keto since month two (but a very healthy version of it with lots of healthy, low carb veggies, organic, grass fed, etc etc).
Seriously.... and I mean SERIOUSLY!!! I wish my surgeon would have told me half of what you are telling us in your videos. I live in Michigan and had my surgery done at Henry Ford Wyandotte. Everything went ok, but I wish I would have known more going in. Thank you for making these videos. You are a plethora of information for people like me that need to know this stuff!!! Great job and great LOOKING videos too!! Good job!!
John I feel the same about the great info being taught by dr. Weiner. There are so many misconceptions and unanswered questions about surgery. I too wish I was in ,an area close to Dr. Wiener, but have his book and follow his teachings and videos. LOVE HIM! thank you Doc Weiner.....
It seems every doctor has a different say on the diet after gastric sleeve, some say coffee is ok others no coffee ever, protein first or vegetables first, alcohol no alcohol. I wish there was an actual consensus because at this point it sounds like every doctor makes up whatever diet they want.
@@mo0onamoon434 hi I'm okay but I cant eat much on my stomach except broth and ice pops. Everything else makes my stomach upset even jello. I dont like that because I'm anemic been all my life so I need proper nutrition. Not sure if this surgery was right for me, hopefully with time I will feel better.
@@mieklovely5240 If you feel weak, go to the hospital and get the IV Because the first days is hard to eat enough I wish you good health and let me tell you this my surgery is tomorrow haha
Your videos are the best. I rewatch many of them! At 8 months RNY postop I am feeling really tired. I watched this video when I was preop and rewatching it now is so helpful. I best let go of the excuses and drink my vitamins!
Great video Dr. Weiner. I am enjoying your channel. I'm 2 months post op VSG so am finding your info very enlightening. Sadly my surgeons nutritionist was pretty pathetic so I'm happy there are videos done by other doctors to make up the slack. God bless. :)
Dr. Weiner, I really like the way you explain all your topics in videos, Thank you! I just had RnY on July 10th and I have been trying to find information about the stages of healing after the surgery ie. When does the brain re-connect to the gut system, how to make your gut as healthy as possible to ensure it creates the right hormones to achieve optimal weight loss, swelling, tissue repair etc..I feel SO many people get home and start scale watching for weight loss and forget there is a 8-12wk healing period which is SO important for setting up your future weight loss success. I feel many would benefit from this education so that they stop complaining that they aren't losing weight fast enough and get themselves into a bad headspace, start cheating and eating things they shouldn't, missing protein and water, vitamins and moving into the next phase too early because they "think" they're ready, but really they just want to go back to bad eating habits.
Dr. Matthew Weiner, I am 29 years post Gastric Bypass. I continue to have iron deficiency anemia, vitamin B12 and D deficiencies. I receive IV iron every 3 to 6 mos depending on how my levels hold. I supplement with sublingual B12 and monthly vitamin D along with my regular daily vitamins. I did gain a lot of my weight back gradually over time. So, still dieting with all the side effects of gastric bypass.
which makes so much sense... when you question in In Pennsylvania... they look at you like you have 2 heads... and follow - up with "it's recommended" that you follow the dieticians requests and/or suggestions.
Awesome video. thank you so much for providing us(public) with such valuable information. Just got done with 3rd knee surgery 2 right 1 left. seriously considering gastric bypass.
I am 44yrs old and had gastric sleeve several years ago. I was recently found to have a total iron of 11 - eating ice like crazy. Also had very dry eyes (unable to wear contacts for first time). My total iron is 40 now - after a little more than a month of iron and vitamin c. Can you recommend a better iron than FeroSul? Now that my iron is coming up, I am able to wear my contacts again - with no problems. So, I believe it was all connected. Of course my energy level is much improved - even at 40. My H&H was a little low - barely.Your videos are very educational.
Is it K- lated iron formulation recommended for gastric bypass patients who are severely anaemic please? Can it be a pill taken daily or is it injected regularly please? I know that this is where I’m heading. Thanks
Thank you for your great informative videos! My bariatric surgeon's office closed one year after my surgery and this is vital info. for me. I have gained about 15 lbs. since my bypass surgery 2 1/2 yrs ago. I just found you and your book! Will I be able to get to my ideal weight if I eat this way long-term? I lost about 80 lbs initially and stopped losing after about 9 mos. I have worked hard to maintain and not gain any more but your method of vegetables first is new for me and makes so much sense. Is it possible for me to still lose after this much time? I still need to lose about 90 lbs.
Deborah Roskos Focus on developing good habits like a Pound of Cure style diet and regular exercise - these are more important than what the scale says. This video may help: th-cam.com/video/eZcUtdgt3fs/w-d-xo.html
Wow, wow, wow what an amazing video super informative. Do you guys sell the vitamins only to your patients or can I buy them without being your patient? Please keep the videos coming they are GREAT!
I am on second day of my gastric bypass given biola a yoghurt drink. I was wondering can i make soup with your listed vegetable and drink it making same thickness. Can i use salt and mild spices
After my sleeve on April14, 2016 my iron went from around 300 to 965 so my blood Dr sain no foods including vitamins with iron- got a vid on that. thanks Galen
I have learned so much watching and listening to your channel. I am planning on doing my gastric bypass in Mexico. What is the recommended dosage for the K-lated iron formulation?
I am 16 1/2 years out and still have trouble with iron issues. Even had an ablation (rather than a Hysterectomy) but still having issues. My surgeon was excellent surgically but not so great in the followup and nutrition dept.
Kathy Draper Many hematologists are familiar with chelated formulations, even if they are not, you can buy them on the internet - you will need pretty large doses if your deficiency is severe. Sounds like you need some help from a good doc in your area familiar with anemia in bariatric surgery patients. Most traditional iron supplements are absorbed in the very first portion of your intestine and yours has been bypassed, remind your doctor about this and suggest a "chelated iron formulation"
I am moved away from my old endocrinologist and looking to find new docs. There was a larger bariatric surgery community in the larger town I was in . I also have osteopenia and haven't hit menopause yet. Need to find a good source for yearly DEXA scans too.
Kathy Draper Should check your Vitamin D levels too - a gastric bypass done 16 years ago was often much more malabsorptive than what's done today making you more susceptible to vitamin deficiencies.
yes I had the old school open surgery and I am not sure how much malabsorption. Thanks Dr. Weiner. Struggling to finish this weight loss journey but stay healthy at the same time. I just ordered your book. Just reading the available sneak peeks have made me aware of how much convenience food including protein bars and shakes I have been eating and not enough real whole food.
Thanks so much for these videos. They're a big help. I had my surgery Feb. 29, 2016 and I'm noticing an increase in my appetite as well as my capacity for food. I've stalled in weight loss . I'd like to know if there's any way to rejump start my weight loss or is it too late?
+Erika Bell regaining your appetite is normal. It's critical that you eat the right foods to restart your metabolism - my book outlines what I think is the best approach.
I just had my gastric sleeve performed 6 days ago on 8/20. I took home several meds from the pharmacy, including bariatric multi vitamins. Do I take them immediately upon getting home, or when I’m on stage 3 of my post op diet?
Dr. Weiner just wanted to say I take Biotin and found that with thin eyelashes from dryeye, I grew a new full set on the supplement. Really helped my head hair too!
Not aware of any daily patches for nsaids. Injections for short periods of time are reasonable. Gastric bypass patients are much more sensitive to nsaids than sleeve patients
Look for the 29mg supplements, they are chelated. It can be tricky - the ones on my website and from bariatric advantage, almost all their iron supplements are chelated.
I was looking up trying to find the cheated iron. The Vitman Shoppe sells one that is as iron Bisglycinate. Cvs sells one that is iron as Amino Acid Chelate. Which one is correct? Please let us know. Thank you
I had a gastric bypass in 1994. It was the one that where they take the small intestine and reroute it to the end of the small intestine. I don’t think that I’m getting my vitamins. My vitamin B12 is ok. I’m anemic. My BP dropped while I was sleeping and woke me up. By the time I was in the ER bed I guess I went to sleep because I woke up with nurses and a dr around me. I asked if I had coded. They said almost. My BP was really low. They had IV’s in both arms. I drink at least 1 gallon of water a day.
wow, again thanks for great information. Wasn't told some of this even by my surgeon in Australia. I discovered after 18 months, seeing a dietician, that I was anaemic. I already take some of this though will need to increase these. Thank you.
@@apoundofcure why is that? I am just curious my primary physician said he can put in the IV enough to last 2-3 weeks, so why can’t that replace bariatric vitamins
I am scheduled for gastric bypass on February 20th and just recently heard of major dental complications from the gastric bypass. Can you give some insight if any on this. Also, I have read so much about so many complications, I am have doubts whether or not I should really go through with it.
What about taking those juice plus pills? - blended fruit and vegetable powders? Vitamins and supplements - premier protein shakes - these are things that feel safe to me. They never make me feel sick - I don't feel like I'm doing something bad. They help me reset. I haven't tried the juice plus pills but it seems attractive to get in those nutrients in this form.
My concern about these vegetable powders and juice plus pills is that they distract us from making the more important (and often more difficult) changes that are necessary for long term success.
+Dr. Matthew Weiner Ok thanks - I think I can see. ..pretty much not reinforcing portion control and food choices. Perhaps not also gleaning essential other nutrients and minerals we get from actual fresh foods too.
thank you Dr, I thought walking and cleaning was not going to be enough. I also was not aware of including frozen veggies with frozen fruits for good nutrition. I do appreciate your videos and such quick response to questions. I have lost 75lbs, by now the weight is coming off more slowly, will it go back to losing it more quickly as in the beginning ?
You are an extremely knowledgeable Doctor. I am so thankful to have found your videos as it feels you are mentoring me one and one. I have subscribed and am interested in purchasing your book. A question however I have for you, I am a vegetarian since young age via personal choice, I also don't do eggs or fish. Would I be at a higher risk of vitamin deficiencies after surgery than a normal meat eating person? I would appreciate to hear from you Doctor! Thanks for your information....
+RLR PLP You would only be at higher risk of B12 deficiency which can easily be prevented by taking a daily Bariatric vitamin. Assuming you are a vegetable eating vegetarian (there are many who eat primarily processed food), you should do great after surgery without eating meat.
There are NO KNOWN plant sources of B12. Unless it has b12 added, it doesn't have b12. Nutritional yeast (aka savoury yeast) usually (not always) has a good amount of b12 added, some (not all) soy milk, and some other veggo foods have it added. But you need to be really really sure you are getting enough from these sources if you're vegan and not otherwise supplementing. B12 deficiency can cause serious and permanent damage.
Dr. Matthew Weiner Dr. Weiner I am a post gastric bypass patient 4/1/08. Beginning weight of 317#. I am currently 148#. I have been able to maintain my weight pretty easily but am having severe fatigue problems. I have had no after care what so ever do to my bariatric surgeon being fired from the hospital after some catastrophic compications ( me including some sever modifications to my surgery) I have been anemic for years and my b12 is extremely low. I have been trying to work with my GP and am getting no where. I am 54 years old and have no energy. I live in Toledo, Ohio not far from your practice. Is there any tips that you may be able to give me to give me to take to my dr?
hope your feeling better. You should make an appointment with him or another bariatric surgeon because this is a serious issue for you. And your primary care doctor should have been helping you more or have sent you to a nutritionist once he diagnosed your deficiencies
I had my bypass surgery at age 57 in May 2015. I started at 299lbs, 5 feet. I'm having trouble continuing to lose weight. I have ostioarthritis. also spinal, shoulder injuries and knee replacement all due to 2 severe falls. I can't exercise intensely, therefore I've been on pain meds for at least 8yrs. How can I optimize to continue losing weight and reaching my goal ?
Exercise is not nearly as important for weight loss success at age 57 as good nutrition is. I would make sure you are walking everyday, but more than that is unnecessary and will be more likely lead to injury than more weight loss. Focus your efforts on good nutrition.
Dr Weiner, Is there a bariatric vitamin company you recommend? My bariatric surgeon doesn't really say much about vitamin supplements other than we should take them. I don't want ones filled with a lot of non essential stuff like OTC ones from Walmart. I would like ones specifically made for bariatric patients.
Alicia Davidson We sell O'Purity in the office and some people like Bariatric Advantage. I sell the O'Purity because they are less expensive and are only one tablet per day, but a lot of patients complain about the taste. Bariatric Advantage taste better, are more expensive and require you to take several tablets daily.
Dr. Matthew Weiner I would love to buy them from you unfortunately I live in Arkansas and can't make it to your office so I will find them online. Thanks so much
I have my VGS this Thursday and I hate swallowing large pills right now, so I can only imagine how difficult it will be post-surgery. I have been hearing a lot of people sing the praises of the vitamin patches. What are your views on the patches? TIA
It seems like I’m still doing the same thing as before to lose weight after vsg (is working out, counting calories , small portions ) I’m 1 1/2 years and I’ve lost 55 lbs. working my butt off to lose more but it won’t budge. What’s the deal. 5”2 210 (start weight 256).
I have huge concerns about taking all of this darn calcium citrate. I am 8 weeks post op for a VSG. Frankly I don't understand it. I am a post menopausal woman whose dexa scan shows no osteoporosis. I have taken 10,000 IU of Vit D3 daily for several years because I need that much to keep my Vit D3 levels above 60. I also take Vit K2 100 mcg daily. I can't get a satisfactory response from my bariatric surgeon or the dietician to convince me that all of this calcium is necessary for me. In fact I am concerned that all of this calcium will have harmful effects on my cardiovascular system. How do I determine if my body really needs all of this calcium. Will blood work tell me if my body is getting enough calcium?
+naweofiam I personally don't have my patients take a calcium supplement - if you're concerned about osteoporosis, eating large amounts of vegetables and minimizing meat intake can help reduce calcium wasting by the kidneys and is probably a better strategy. I never supplement Vitamin K and would recommend that you discuss this with your doctor ASAP since Vitamin K can predispose you to heart attacks, strokes and venous blood clots (DVT/PE). It also sounds like you are taking more Vitamin D than you need. Just my opinion, there's not strong evidence on these issues so practices tend to vary from doctor to doctor.
@@apoundofcure Hi Dr. Mathew I had a sleeve gastrectomy in November 2019 and after 10 months my Vitamin D is 36.8 and my PTH 110.5 .. so I started to take calcium citrate and vitamin D .. Do I have to take calcium and vit D for the rest of my life?
I noticed your channel after doing a search to find out more information about gastric bypass surgery post-op. I had Gastric Bypass surgery around February of 2015 and have lost a significant amount of weight since the procedure. I was concerned because I am an emotional eater and have been experiencing stress and depression lately and I am worried that my stomach may stretched a little bit because I am gassy lately. It could be my diet, since unfortunately I have reverted to eating habits. I am committed to never going back to the formerly unhealthy version of myself, but its a process. But is there a way to help your stomach get smaller or resettle itself into its original size. I've seen several articles online that focuses on a method called Gastric Bypass Pouch reset. Are you familiar with this and if so, is it possible or effective? Thank you for the information it was so much more informative that anything my Bariatric surgeon or nutritionist provided. I am a new subscriber!
Hi Dr. Weiner, I love your videos as I am now 9 months post op (sleeve). I, like a lot of other people watch your videos to learn more as you tell us more than our own physicians. My question is I lost 85 pounds in 4-5 months and the only side effect I experienced was a sort of "brain fog", and a tired body, kinda of hard to explain. Have you heard of this with any of your bariatric patients? Thanks for all you do for us..
my doctor says eat meat first, you says veggies first, he' say's 60 to 100 grams protein daily should I be worried about the protein or the vitamins with the veggies. also I was sleeved in August 2016 and no real help for after care.I'm taking 2 multi vitamins 2 calcium pills ,1 B-12 and 1 Iron pill per day. a lot of vitamins does this sound right.I stay hungry and I'm not losing weight have been stalled for a month now.Water gives me heartburn so bad I take 3 meds daily for that. My insurance will not cover aftercare but will pay for my yearly blood work. any suggestions would really help.I don't know who to ask these questions. Thank you
+virginia brooks there are lots of support groups out there and most are free. Also, if you go to asmbs.org, you can find surgeons who will follow other surgeon's patients.
I began to have daily afternoon headaches when i started my weight loss journey May 1 2015. I was on Phentermine for a month shortly after that and i thought it was that.. i was taken off of it, and they didn't stop. I then thought maybe it was because i stopped diet coke and ate less sugar and fat. But it's now been 3.5 months and i still have them. They are mild, but come daily around the same time. So i stopped my multi vitamin (which i had started May 1st) and haven't had one since... any ideas? It was just a normal Natures Way multi vitamin,, not expired.. etc.
Mimis Blessed Journey No ideas on this one. Even though the headaches stopped at the same time you stopped taking your vitamin, it does not prove that the vitamins were causing the headaches. It could have just been a coincidence.
Ok, well thank you so much for taking the time to answer me. And the honesty that your not sure. I find it hard to believe also. I'm going to try to take them again and see if the headaches begin again. (I have told my dad, and everyone on You tube in my weight loss community about you. You have made so much sense with your theories and these are things we are not hearing from our Dr's.. so thank you again for making this information public.)
Dr. Weiner - I will be having VSG and see a surgeon Feb.24/17. The nutritionist on staff said that I will need to take vitamins for life, including calcium. Although I have always taken at least a multi-vit, I don't seem to be able to take calcium - it makes me nauseous. I was told to try Calcium Citrate, much the same effect on me. Can I achieve the optimal amount of daily calcium I need through food after VSG, and at what point can I achieve this? Thank you!
I am pre op but I have a concern I will take up with my surgeon soon but it is about taking his required calcium supps when I have a history of kidney stones. I certainly dont want more.
I hav VSG 10 yrs ago. Unfortunately I wasn’t told I needed to do follow up for a year, so I didn’t. I stopped going for follow up when I lost amount of weight i wanted. I didn’t realize I should hav continued going. As a result, gained 1/2 my weight back & I’m very distressed about it. What do l do now? Any suggestions? I don’t want anymore surgery!!{
I'm trying to post more on my instagram account (@drmatthewweiner) too, please feel free to follow us for some more content there that you won't see here! Appreciate you all. - Dr. Weiner
15% of people are having serious complications or they are dying from it. The numbers are rising every day since there number of surgeries have risen. this surgery is very dangerous and I have a brother in law in the hospital 8 months struggling from this horrible barbaric surgery period this surgery should be outlawed
+Debedeb serious complications can occur, around 3% of the time after rygb and 1-2% of the time after sleeve. I'm sorry to hear about your brother in law.
If you're interested in following my gastric sleeve journey with me, check out my TH-cam channel and this video (th-cam.com/video/cvViy1du10E/w-d-xo.html) to see what specific vitamins and brands I'm using!
Down to earth, no drama, science-based, concern for the patient - what we all hope to find!
Are you on instagram? You might appreciate the content there too, and we'd love the engagement. @drmatthewweiner is the account.
I had GB about 10 months ago. I never miss a dosage of my pills. I have lost 140lbs so far and I am 20lbs away from my ideal weight. I am looking forward to eventually taking a multivitamin every other day, maybe just three times a week to make sure I am not missing anything. I having been doing Keto since month two (but a very healthy version of it with lots of healthy, low carb veggies, organic, grass fed, etc etc).
Are you on instagram? You might appreciate the content there too, and we'd love the engagement. @drmatthewweiner is the account.
Seriously.... and I mean SERIOUSLY!!! I wish my surgeon would have told me half of what you are telling us in your videos. I live in Michigan and had my surgery done at Henry Ford Wyandotte. Everything went ok, but I wish I would have known more going in. Thank you for making these videos. You are a plethora of information for people like me that need to know this stuff!!! Great job and great LOOKING videos too!! Good job!!
+John Thompson Thanks!
John I feel the same about the great info being taught by dr. Weiner. There are so many misconceptions and unanswered questions about surgery. I too wish I was in ,an area close to Dr. Wiener, but have his book and follow his teachings and videos. LOVE HIM! thank you Doc Weiner.....
John, as i sit here 4 years out I'm thinking the exact same thing!!
John Thompson km
Barbara Warden, km?
Very informative. Having gastric bypass in4/22 and now I feel more at ease with the surgical breakdown of the before and after. Thank you very much.
Are you on instagram? You might appreciate the content there too, and we'd love the engagement. @drmatthewweiner is the account.
@@apoundofcure I am not on Instagram. I will do it for the information along with sharing my story.
It seems every doctor has a different say on the diet after gastric sleeve, some say coffee is ok others no coffee ever, protein first or vegetables first, alcohol no alcohol. I wish there was an actual consensus because at this point it sounds like every doctor makes up whatever diet they want.
David Dos Passos some Dr say NO at 1st cause coffee will dehydrate you
I know it's confusing
there is asmbs.org/resources/nutrition-guidelines
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I love all the info you give us my surgery is tomorrow and I'm so scared.
tamieka brown how are you now
@@mo0onamoon434 hi I'm okay but I cant eat much on my stomach except broth and ice pops. Everything else makes my stomach upset even jello. I dont like that because I'm anemic been all my life so I need proper nutrition. Not sure if this surgery was right for me, hopefully with time I will feel better.
@@mieklovely5240 If you feel weak, go to the hospital and get the IV Because the first days is hard to eat enough
I wish you good health
and let me tell you this my surgery is tomorrow haha
@@mo0onamoon434 thank you and I will be praying for you that your surgery goes well...so far I started at 245lbs and now I weigh 220lbs
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I bought your book, "A Pound of Cure", and started reading it before I have my surgery. Great read!
Thanks, glad you're enjoying it
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Glad this exists. Your Dr. cannot tell you everything and even if they do you won;t be able to retain all of it. Keep researching and learning
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Such an awesome video! Will be following the instructions
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God bless you Dr. W
Thank you for your time, if I lived closer to you I definitely would want you to be my Doctor!!!
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11:36 bypass info
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Just wanted to say Thank You for putting this information out here!
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Your videos are the best. I rewatch many of them! At 8 months RNY postop I am feeling really tired. I watched this video when I was preop and rewatching it now is so helpful. I best let go of the excuses and drink my vitamins!
Catrien Bester and get your iron checked
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I just got approved for bariatric surgery (Gastric bypass) and your content is really really helpfull. Thank you from Belgium.
Glad to hear it! Thank you and congrats on your surgery.
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Great video Dr. Weiner.
I am enjoying your channel.
I'm 2 months post op VSG so am finding your info very enlightening.
Sadly my surgeons nutritionist was pretty pathetic so I'm happy there
are videos done by other doctors to make up the slack.
God bless. :)
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Dr. Weiner, I really like the way you explain all your topics in videos, Thank you! I just had RnY on July 10th and I have been trying to find information about the stages of healing after the surgery ie. When does the brain re-connect to the gut system, how to make your gut as healthy as possible to ensure it creates the right hormones to achieve optimal weight loss, swelling, tissue repair etc..I feel SO many people get home and start scale watching for weight loss and forget there is a 8-12wk healing period which is SO important for setting up your future weight loss success. I feel many would benefit from this education so that they stop complaining that they aren't losing weight fast enough and get themselves into a bad headspace, start cheating and eating things they shouldn't, missing protein and water, vitamins and moving into the next phase too early because they "think" they're ready, but really they just want to go back to bad eating habits.
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I wish you were in MD. Thank you for the info.
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@@apoundofcure I am not. Sorry
What about Digestive enzymes? Do you recommend using them?
No. There is no need for them unless your doctor specifically recommends them.
@@apoundofcure Thank you.
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What is a good over the counter iron pill?
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@@apoundofcure yes Iam on Instagram
Do you recommend chelated calcium as well for gastric bypass patients?
Do you recommend intermittent fasting for me? Gastric bypass 10 years ago and weigh 275
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Dr. Matthew Weiner, I am 29 years post Gastric Bypass. I continue to have iron deficiency anemia, vitamin B12 and D deficiencies. I receive IV iron every 3 to 6 mos depending on how my levels hold. I supplement with sublingual B12 and monthly vitamin D along with my regular daily vitamins. I did gain a lot of my weight back gradually over time. So, still dieting with all the side effects of gastric bypass.
Toni R do you have a supplement regimen?
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blessings and good luck looking forward
can you provide a list of vitamins i need after gastric sleeve surgery?
+tiana quaye I typically just start with a Bariatric MultiVitamin and then adjust based on blood levels.
which makes so much sense... when you question in In Pennsylvania... they look at you like you have 2 heads... and follow - up with "it's recommended" that you follow the dieticians requests and/or suggestions.
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Awesome video. thank you so much for providing us(public) with such valuable information. Just got done with 3rd knee surgery 2 right 1 left. seriously considering gastric bypass.
There was just a nice article I read about bariatric surgery extending the length of joint replacements
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I am 44yrs old and had gastric sleeve several years ago. I was recently found to have a total iron of 11 - eating ice like crazy. Also had very dry eyes (unable to wear contacts for first time). My total iron is 40 now - after a little more than a month of iron and vitamin c. Can you recommend a better iron than FeroSul? Now that my iron is coming up, I am able to wear my contacts again - with no problems. So, I believe it was all connected. Of course my energy level is much improved - even at 40. My H&H was a little low - barely.Your videos are very educational.
+Colleen Creamer my website links to an estore that has the type of iron I recomend for my patients
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High pressure what can you do after gastric bypass
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Love your info . I just stumbled on to you video and i will be watching all of them.
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Wow! I was never told any of this information after my wls in 2003! Amazing information thank you! I've just ordered all the books!
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I’m at my PCP right now and I’m showing her your video
Thank you for a very helpful video Dr Weiner
Is it K- lated iron formulation recommended for gastric bypass patients who are severely anaemic please? Can it be a pill taken daily or is it injected regularly please? I know that this is where I’m heading. Thanks
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Can a doctor prescribed the exact vitamins i need from gastric bypass 10 years ago?
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@@apoundofcure ok will do
It's likely your vitamin needs have changed with you being 10ys. post-op. A blood test can tell them what you need now, if anything.
Is it true that black caviar is good for helping with iron defeciency?
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What are the milagrams of b12 and iron supplemts we should take after gastric sleeve.
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Thank you for your great informative videos! My bariatric surgeon's office closed one year after my surgery and this is vital info. for me. I have gained about 15 lbs. since my bypass surgery 2 1/2 yrs ago. I just found you and your book! Will I be able to get to my ideal weight if I eat this way long-term? I lost about 80 lbs initially and stopped losing after about 9 mos. I have worked hard to maintain and not gain any more but your method of vegetables first is new for me and makes so much sense. Is it possible for me to still lose after this much time? I still need to lose about 90 lbs.
Deborah Roskos It's certainly possible,but won't be easy - give it a try!
Thank you so much!!
Deborah Roskos Focus on developing good habits like a Pound of Cure style diet and regular exercise - these are more important than what the scale says. This video may help: th-cam.com/video/eZcUtdgt3fs/w-d-xo.html
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Wow, wow, wow what an amazing video super informative. Do you guys sell the vitamins only to your patients or can I buy them without being your patient? Please keep the videos coming they are GREAT!
+Mal aika go to my website, www.drmatthewweiner.com and click on the estore link at the top of the page.
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I am on second day of my gastric bypass given biola a yoghurt drink. I was wondering can i make soup with your listed vegetable and drink it making same thickness. Can i use salt and mild spices
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Can gastric bypass surgery be reversed back to the sleeve surgery if you are having severe malabsorption problems and weight under 100
I wouldn't be so quick to blame this on malabsorption. There may be an underlying problem. Talk to your surgeon.
What is causing milia after surgery? Do I need a separate vitamin?
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@@apoundofcure Yes, I will follow there as well. Thank you!
What about calcium deficiency in gastric bypass?
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After my sleeve on April14, 2016 my iron went from around 300 to 965 so my blood Dr sain no foods including vitamins with iron- got a vid on that. thanks Galen
Very uncommon, would listen to your doctor
I am he sent me to blood specialist he said no biggie should come down after a while. might be from iron fortified vitamins
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I have learned so much watching and listening to your channel. I am planning on doing my gastric bypass in Mexico. What is the recommended dosage for the K-lated iron formulation?
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How come I can't find the vitamins on your website?
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So informative thank goodness for you!
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I am 16 1/2 years out and still have trouble with iron issues. Even had an ablation (rather than a Hysterectomy) but still having issues. My surgeon was excellent surgically but not so great in the followup and nutrition dept.
RNY
Kathy Draper Many hematologists are familiar with chelated formulations, even if they are not, you can buy them on the internet - you will need pretty large doses if your deficiency is severe. Sounds like you need some help from a good doc in your area familiar with anemia in bariatric surgery patients. Most traditional iron supplements are absorbed in the very first portion of your intestine and yours has been bypassed, remind your doctor about this and suggest a "chelated iron formulation"
I am moved away from my old endocrinologist and looking to find new docs. There was a larger bariatric surgery community in the larger town I was in . I also have osteopenia and haven't hit menopause yet. Need to find a good source for yearly DEXA scans too.
Kathy Draper Should check your Vitamin D levels too - a gastric bypass done 16 years ago was often much more malabsorptive than what's done today making you more susceptible to vitamin deficiencies.
yes I had the old school open surgery and I am not sure how much malabsorption.
Thanks Dr. Weiner. Struggling to finish this weight loss journey but stay healthy at the same time. I just ordered your book. Just reading the available sneak peeks have made me aware of how much convenience food including protein bars and shakes I have been eating and not enough real whole
food.
Thanks so much for these videos. They're a big help. I had my surgery Feb. 29, 2016 and I'm noticing an increase in my appetite as well as my capacity for food. I've stalled in weight loss . I'd like to know if there's any way to rejump start my weight loss or is it too late?
+Erika Bell regaining your appetite is normal. It's critical that you eat the right foods to restart your metabolism - my book outlines what I think is the best approach.
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since bariatric surgery patients often need to supplement calcium, i'm wondering about risk of calcium supplements and heart attacks and/or strokes??
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thank you for all this great info.
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So whats the best way to intake vit B12? Appreciate your efforts!
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I just had my gastric sleeve performed 6 days ago on 8/20. I took home several meds from the pharmacy, including bariatric multi vitamins. Do I take them immediately upon getting home, or when I’m on stage 3 of my post op diet?
Bill Ebert ask ur dr ur dr should have told u
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Dr. Weiner just wanted to say I take Biotin and found that with thin eyelashes from dryeye, I grew a new full set on the supplement. Really helped my head hair too!
+Deby W great
Deby W good news
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Do you allow your patients to take a NSAID if taken through a injection or daily patch?
Not aware of any daily patches for nsaids. Injections for short periods of time are reasonable. Gastric bypass patients are much more sensitive to nsaids than sleeve patients
Voltaren comes in a Gel or patch. My surgeon told me I could have it after I heal.
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When I look at the shop on your website, I see various iron supplements. None of them say chelated. Are they and how do I know? Thank you!!!
Look for the 29mg supplements, they are chelated. It can be tricky - the ones on my website and from bariatric advantage, almost all their iron supplements are chelated.
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I was looking up trying to find the cheated iron. The Vitman Shoppe sells one that is as iron Bisglycinate. Cvs sells one that is iron as Amino Acid Chelate. Which one is correct? Please let us know. Thank you
Both sound like good options
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I had a gastric bypass in 1994. It was the one that where they take the small intestine and reroute it to the end of the small intestine. I don’t think that I’m getting my vitamins. My vitamin B12 is ok. I’m anemic. My BP dropped while I was sleeping and woke me up. By the time I was in the ER bed I guess I went to sleep because I woke up with nurses and a dr around me. I asked if I had coded. They said almost. My BP was really low. They had IV’s in both arms. I drink at least 1 gallon of water a day.
How about IV therapy vs vitamin chewable ?
IV therapy is generally not a long-term solution.
@@apoundofcure I am thinking at least for a couple of months before I feel comfortable to swallow pills
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Why is vitamin D deficient in a gastric bypass when it is absorbed rather at the Ileum ?
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Do you recommend B12 injections?
Almost never
every person did gastric bypass must be inject one B12 ampull 1000 micro gr intramascular per month.
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wow, again thanks for great information. Wasn't told some of this even by my surgeon in Australia. I discovered after 18 months, seeing a dietician, that I was anaemic. I already take some of this though will need to increase these. Thank you.
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Can patients have the green powders or protein powders like Raw from Garden of Eden be a successful supplement?
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How about IV therapy vs vitamin chewable
Got to take the real bariatric vitamins
@@apoundofcure why is that? I am just curious my primary physician said he can put in the IV enough to last 2-3 weeks, so why can’t that replace bariatric vitamins
@@sandymarchand4613 They can only give you 1-2 vitamins in the IV, Bariatric vitamins contain 20-30 different vitamins and minerals.
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I am scheduled for gastric bypass on February 20th and just recently heard of major dental complications from the gastric bypass. Can you give some insight if any on this. Also, I have read so much about so many complications, I am have doubts whether or not I should really go through with it.
+Xx dental issues are uncommon, but can happen. The overall complication rate for most patients is 2%, Second thoughts are common.
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What about taking those juice plus pills? - blended fruit and vegetable powders? Vitamins and supplements - premier protein shakes - these are things that feel safe to me. They never make me feel sick - I don't feel like I'm doing something bad. They help me reset. I haven't tried the juice plus pills but it seems attractive to get in those nutrients in this form.
My concern about these vegetable powders and juice plus pills is that they distract us from making the more important (and often more difficult) changes that are necessary for long term success.
+Dr. Matthew Weiner Ok thanks - I think I can see. ..pretty much not reinforcing portion control and food choices. Perhaps not also gleaning essential other nutrients and minerals we get from actual fresh foods too.
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thank you Dr, I thought walking and cleaning was not going to be enough. I also was not aware of including frozen veggies with frozen fruits for good nutrition. I do appreciate your videos and such quick response to questions. I have lost 75lbs, by now the weight is coming off more slowly, will it go back to losing it more quickly as in the beginning ?
It's hard to say, sometimes it does, other times it does not
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You are an extremely knowledgeable Doctor. I am so thankful to have found your videos as it feels you are mentoring me one and one. I have subscribed and am interested in purchasing your book. A question however I have for you, I am a vegetarian since young age via personal choice, I also don't do eggs or fish. Would I be at a higher risk of vitamin deficiencies after surgery than a normal meat eating person? I would appreciate to hear from you Doctor! Thanks for your information....
+RLR PLP You would only be at higher risk of B12 deficiency which can easily be prevented by taking a daily Bariatric vitamin. Assuming you are a vegetable eating vegetarian (there are many who eat primarily processed food), you should do great after surgery without eating meat.
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can I order some iron pills from if so how do I get them. Thank you in advance
+kym hall go to my website and click on the "estore" link at the top
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Is Vitamin B12 found in any fruits or vegetables?
There are NO KNOWN plant sources of B12. Unless it has b12 added, it doesn't have b12. Nutritional yeast (aka savoury yeast) usually (not always) has a good amount of b12 added, some (not all) soy milk, and some other veggo foods have it added. But you need to be really really sure you are getting enough from these sources if you're vegan and not otherwise supplementing. B12 deficiency can cause serious and permanent damage.
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i was wondering if you vwt alot of women with PCOS.. and what surgery would work best.. i am 30 and a bmi of 46. thanks so much..
+GettingFit MrsDeBrie I see lots of pcos. It doesn't affect my recommendations on surgical procedure choice.
Dr. Matthew Weiner Dr. Weiner I am a post gastric bypass patient 4/1/08. Beginning weight of 317#. I am currently 148#. I have been able to maintain my weight pretty easily but am having severe fatigue problems. I have had no after care what so ever do to my bariatric surgeon being fired from the hospital after some catastrophic compications ( me including some sever modifications to my surgery) I have been anemic for years and my b12 is extremely low. I have been trying to work with my GP and am getting no where.
I am 54 years old and have no energy.
I live in Toledo, Ohio not far from your practice. Is there any tips that you may be able to give me to give me to take to my dr?
hope your feeling better. You should make an appointment with him or another bariatric surgeon because this is a serious issue for you. And your primary care doctor should have been helping you more or have sent you to a nutritionist once he diagnosed your deficiencies
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I had my bypass surgery at age 57 in May 2015. I started at 299lbs, 5 feet. I'm having trouble continuing to lose weight. I have ostioarthritis. also spinal, shoulder injuries and knee replacement all due to 2 severe falls. I can't exercise intensely, therefore I've been on pain meds for at least 8yrs. How can I optimize to continue losing weight and reaching my goal ?
Exercise is not nearly as important for weight loss success at age 57 as good nutrition is. I would make sure you are walking everyday, but more than that is unnecessary and will be more likely lead to injury than more weight loss. Focus your efforts on good nutrition.
watch what you eat....
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Can I stretch my stomach on 5 months?
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I have severe OA & can only do chair exercise. What can I do I have regained 30 lbs. 12 years out from RNY.
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Dr Weiner, Is there a bariatric vitamin company you recommend? My bariatric surgeon doesn't really say much about vitamin supplements other than we should take them. I don't want ones filled with a lot of non essential stuff like OTC ones from Walmart. I would like ones specifically made for bariatric patients.
Alicia Davidson We sell O'Purity in the office and some people like Bariatric Advantage. I sell the O'Purity because they are less expensive and are only one tablet per day, but a lot of patients complain about the taste. Bariatric Advantage taste better, are more expensive and require you to take several tablets daily.
Dr. Matthew Weiner I would love to buy them from you unfortunately I live in Arkansas and can't make it to your office so I will find them online. Thanks so much
Which country is this can Doctot please email me soniadapet@gmail.com
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I have my VGS this Thursday and I hate swallowing large pills right now, so I can only imagine how difficult it will be post-surgery. I have been hearing a lot of people sing the praises of the vitamin patches. What are your views on the patches? TIA
+Stephanie L S vitamin patches are not appropriate after gastric bypass, but are probably okay after sleeve
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What about nutrients for hair loss?
I have videos on TH-cam and poundofcureweightloss.com about this
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Peoples!!! Bariatric Advantage makes a bariatric multi vitamin that you can take ...! Plus calcium chewys ....get on it!!! Lol
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It seems like I’m still doing the same thing as before to lose weight after vsg (is working out, counting calories , small portions ) I’m 1 1/2 years and I’ve lost 55 lbs. working my butt off to lose more but it won’t budge. What’s the deal. 5”2 210 (start weight 256).
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I have huge concerns about taking all of this darn calcium citrate. I am 8 weeks post op for a VSG. Frankly I don't understand it. I am a post menopausal woman whose dexa scan shows no osteoporosis. I have taken 10,000 IU of Vit D3 daily for several years because I need that much to keep my Vit D3 levels above 60. I also take Vit K2 100 mcg daily. I can't get a satisfactory response from my bariatric surgeon or the dietician to convince me that all of this calcium is necessary for me. In fact I am concerned that all of this calcium will have harmful effects on my cardiovascular system. How do I determine if my body really needs all of this calcium. Will blood work tell me if my body is getting enough calcium?
+naweofiam I personally don't have my patients take a calcium supplement - if you're concerned about osteoporosis, eating large amounts of vegetables and minimizing meat intake can help reduce calcium wasting by the kidneys and is probably a better strategy. I never supplement Vitamin K and would recommend that you discuss this with your doctor ASAP since Vitamin K can predispose you to heart attacks, strokes and venous blood clots (DVT/PE). It also sounds like you are taking more Vitamin D than you need. Just my opinion, there's not strong evidence on these issues so practices tend to vary from doctor to doctor.
@@apoundofcure Hi Dr. Mathew I had a sleeve gastrectomy in November 2019 and after 10 months my Vitamin D is 36.8 and my PTH 110.5 .. so I started to take calcium citrate and vitamin D .. Do I have to take calcium and vit D for the rest of my life?
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I noticed your channel after doing a search to find out more information about gastric bypass surgery post-op. I had Gastric Bypass surgery around February of 2015 and have lost a significant amount of weight since the procedure. I was concerned because I am an emotional eater and have been experiencing stress and depression lately and I am worried that my stomach may stretched a little bit because I am gassy lately. It could be my diet, since unfortunately I have reverted to eating habits. I am committed to never going back to the formerly unhealthy version of myself, but its a process. But is there a way to help your stomach get smaller or resettle itself into its original size. I've seen several articles online that focuses on a method called Gastric Bypass Pouch reset. Are you familiar with this and if so, is it possible or effective? Thank you for the information it was so much more informative that anything my Bariatric surgeon or nutritionist provided. I am a new subscriber!
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Hi Dr. Weiner, I love your videos as I am now 9 months post op (sleeve). I, like a lot of other people watch your videos to learn more as you tell us more than our own physicians. My question is I lost 85 pounds in 4-5 months and the only side effect I experienced was a sort of "brain fog", and a tired body, kinda of hard to explain. Have you heard of this with any of your bariatric patients? Thanks for all you do for us..
Many of them experience this in the first few months after surgery. It goes away.
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my stinky doctor told me with sleeve i dont need to take vitamins. is this true?
+Eva Madrigal no, but they are definitely less important than after gastric bypass
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my doctor says eat meat first, you says veggies first, he' say's 60 to 100 grams protein daily should I be worried about the protein or the vitamins with the veggies. also I was sleeved in August 2016 and no real help for after care.I'm taking 2 multi vitamins 2 calcium pills ,1 B-12 and 1 Iron pill per day. a lot of vitamins does this sound right.I stay hungry and I'm not losing weight have been stalled for a month now.Water gives me heartburn so bad I take 3 meds daily for that. My insurance will not cover aftercare but will pay for my yearly blood work. any suggestions would really help.I don't know who to ask these questions. Thank you
+virginia brooks there are lots of support groups out there and most are free. Also, if you go to asmbs.org, you can find surgeons who will follow other surgeon's patients.
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This isn't about vitamins but is it true you can no longer take anti-inflammatory, such as ibuprofen, after surgery?
I recommend against long term NSAID use for my gastric bypass patients (but not my sleeve patients)
Really?
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I began to have daily afternoon headaches when i started my weight loss journey May 1 2015. I was on Phentermine for a month shortly after that and i thought it was that.. i was taken off of it, and they didn't stop. I then thought maybe it was because i stopped diet coke and ate less sugar and fat. But it's now been 3.5 months and i still have them. They are mild, but come daily around the same time. So i stopped my multi vitamin (which i had started May 1st) and haven't had one since... any ideas? It was just a normal Natures Way multi vitamin,, not expired.. etc.
Mimis Blessed Journey No ideas on this one. Even though the headaches stopped at the same time you stopped taking your vitamin, it does not prove that the vitamins were causing the headaches. It could have just been a coincidence.
Ok, well thank you so much for taking the time to answer me. And the honesty that your not sure. I find it hard to believe also. I'm going to try to take them again and see if the headaches begin again. (I have told my dad, and everyone on You tube in my weight loss community about you. You have made so much sense with your theories and these are things we are not hearing from our Dr's.. so thank you again for making this information public.)
You're welcome. Good Luck.
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Dr. Weiner - I will be having VSG and see a surgeon Feb.24/17. The nutritionist on staff said that I will need to take vitamins for life, including calcium. Although I have always taken at least a multi-vit, I don't seem to be able to take calcium - it makes me nauseous. I was told to try Calcium Citrate, much the same effect on me. Can I achieve the optimal amount of daily calcium I need through food after VSG, and at what point can I achieve this? Thank you!
+Tracy Lew although most surgeons encourage calcium supplements, I don't.
I am pre op but I have a concern I will take up with my surgeon soon but it is about taking his required calcium supps when I have a history of kidney stones. I certainly dont want more.
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how about Calcium?
+Sue MacAllister I don't push it, but other surgeons do
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I hav VSG 10 yrs ago. Unfortunately I wasn’t told I needed to do follow up for a year, so I didn’t. I stopped going for follow up when I lost amount of weight i wanted. I didn’t realize I should hav continued going. As a result, gained 1/2 my weight back & I’m very distressed about it. What do l do now? Any suggestions? I don’t want anymore surgery!!{
+Beverly Marshall get on the metabolic reset diet on my book
Dr. Matthew Weiner Dr Weiner, thank you so very much for your advice!! I’ll definitely do it and let you know how I do!!
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Does anyone know a good B Complex with at least 15mg Vitamin B1 Thiamin?
Kirkland Super B complex
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My iron was low to begin with. I have be inconsistent I drink beet juice daily
Bariatric iron supplements are often the only thing besides injections that work
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I wish youd go back over hair loss. There has to be a more accurate count. So many patients w gastric bypass have permanent hair loss at 30%++
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I'm trying to post more on my instagram account (@drmatthewweiner) too, please feel free to follow us for some more content there that you won't see here! Appreciate you all. - Dr. Weiner
Im guilty
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15% of people are having serious complications or they are dying from it. The numbers are rising every day since there number of surgeries have risen. this surgery is very dangerous and I have a brother in law in the hospital 8 months struggling from this horrible barbaric surgery period this surgery should be outlawed
+Debedeb serious complications can occur, around 3% of the time after rygb and 1-2% of the time after sleeve. I'm sorry to hear about your brother in law.
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If you're interested in following my gastric sleeve journey with me, check out my TH-cam channel and this video (th-cam.com/video/cvViy1du10E/w-d-xo.html) to see what specific vitamins and brands I'm using!
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