Taking Medications and Vitamin Supplements

Taking medications

  • With the exception of NSAIDs (see below), the general advice is to continue to take prescribed medication but please refer to the advice given to you by our medical team. If you are in any doubt, please call a bariatric nurse on 0121 693 4488.

  • If your tablets are large, some medications may need to be crushed or taken in liquid form for the first six weeks after your surgery. Please check with your doctor whether your medication is available in a liquid or soluble preparation. Seek medical advice before crushing your pills as many common medications are slow-released and cannot be crushed.

  • If you take medication for diabetes, please check with your doctor before restarting medication after your procedure as your requirements are likely to be much less than they were prior to your surgery.

  • Medications that irritate the stomach should be avoided, especially non-steroidal anti-inflammatory drugs (NSAIDs) such as aspirin, ibuprofen, diclofenac, sulindac, celecoxib, diflunisal, naproxen and piroxicam. If you are unsure, call to speak to a nurse.

Vitamin and Mineral Supplements

Vitamins and minerals are vital for appetite regulation, fat storage and metabolic rate so are important for good health, weight loss and long-term weight maintenance. After weight loss surgery, portion sizes are smaller, some food groups may not be tolerated and there may be reduced absorption of vitamins and minerals.

It is essential for all gastric sleeve patients to take vitamin and mineral supplements for life unless your surgeon has advised you differently. Failure to do so may lead to health problems. 

Our Bariatric Nurse will discuss this with you during your pre-operative call. You need to start taking vitamins at week 3 and we recommend that you take a complete multivitamin and mineral, calcium, vitamin D, iron, and vitamin B12 in line with guidance from The British and Obesity Metabolic Surgery Society.

Multivitamin & Mineral

This must include copper (minimum 2mg), folic acid (400-800µg), iron, selenium, thiamine, and zinc (8-15mg for every 1mg of copper). We have looked at what is currently available and suitable preparations include:

Chewable/effervescent (suitable initially post-op or if you do not like taking tablets):

  • Baricol* chewable (three daily)
  • Baricol* effervescent (two daily)
  • Baricol* powder (two daily)
  • Forceval effervescent (once daily)

Tablets (suitable from 6 weeks post-op if you are tolerating a solid diet):

  • Aldi Activ-Max A-Z Multivitamin & Mineral Tablets (twice daily)
  • Asda Wellbeing A-Z Multivitamins & Minerals (twice daily)
  • Baricol* (five per day)
  • Boots Vegan A-Z Wellness Formula (twice daily)
  • Forceval (once daily)
  • Lloyd’s Pharmacy A-Z Multivitamins & Minerals (twice daily)
  • Morrison’s A-Z Multivitamins & Minerals (twice daily)
  • Sainsbury’s A-Z Multivitamins & Minerals (twice daily)
  • Sanatogen A-Z Complete (twice daily)
  • Superdrug A-Z Multivitamins + Minerals (twice daily)
  • Tesco A-Z Multivitamins + Minerals (twice daily)

*With any of the Baricol preparations, you should not need to take additional calcium, vitamin D, iron, or vitamin B12 unless a deficiency is detected through a blood test.

Calcium and Vitamin D

Following your procedure, your requirement of calcium is 1200-1500mg per day. You can reach this through diet and perhaps an additional supplement might be needed. You will also need to take an additional supplement of at least 20µg of vitamin D. We may advise you to take a higher dose of vitamin D if your blood test results indicate low levels.

Chewable (suitable initially post-op or if you do not like taking tablets):

  • Accrete D3 One A Day 1000mg/880unit (1000mg Ca, 22µg vit D3) – once daily
  • Accrete D3 One A Day 1000mg/880unit (1000mg Ca, 22µg vit D3) – once daily
  • Adcal D3 (600mg Ca, 10µg vit D3) – twice daily
  • Boots Chewable Calcium + Vitamin D (400mg Ca, 5µg vit D3) – twice daily and Boots Vitamin D (10 µg) – once daily
  • Calceos 500mg/400unit (500mg Ca, 10µg vit D3) – twice daily
  • Calci-D 1000mg/1000unit (1000mg Ca, 25µg vit D3) – once daily
  • Calcichew D3 1000mg/800unit (1000mg Ca, 20µg vit D3) – once daily
  • Calcichew D3 Forte (500mg Ca, 10µg vit D3) – twice daily
  • Colecalciferol 400unit / Calcium carbonate 1.25g (500mg Ca, 10µg vit D3) – twice daily
  • Colecalciferol 400unit / Calcium carbonate 1.5g (600mg Ca, 10µg vit D3) – twice daily
  • Evacal D3 1500mg/400unit (600mg Ca, 10µg vit D3) – twice daily
  • Kalcipos-D3 500mg/800unit (500mg Ca, 20µg vit D3) – once to twice daily
  • Natecal D3 600mg/400unit (600mg Ca, 10µg vit D3) – twice daily
  • SunVit-D3 500mg/400unit (500mg Ca, 10µg vit D) – twice daily
  • SunVit-D3 600mg/400unit (600mg Ca, 10µg vit D) – twice daily
  • TheiCal-D3 1000mg/880unit (1000mg Ca, 22µg vit D3) – once daily

Effervescent granules (suitable initially post-op or if you do not like taking tablets):

  • Cacit D3 effervescent granule sachets (500mg Ca, 11µg vit D3) – twice daily)
  • Colecalciferol 880unit / Calcium carbonate 2.5g (1000mg Ca, 22µg vit D3) – once daily

Effervescent tablet (suitable initially post-op or if you do not like taking tablets):

  • Adcal-D3 Dissolve 1500mg/400unit (600mg Ca, 10µg vit D3) – twice daily
  • ColeKal-D3 Dissolve 400unit/1500mg (600mg Ca, 10µg vit D3) – twice daily

Tablets (suitable from 6 weeks post-op if you are tolerating a solid diet):

  • Accrete D3 (600mg Ca, 10µg vit D3) – twice daily
  • Vitabiotics Ultra Calcium & Vitamin D (500mg Ca, 10µg vit D3) – twice daily

Iron

Males and females who do not have a menstrual cycle should take 45-60mg of iron per day.

Liquid (suitable initially post-op or if you do not like taking tablets):

  • 140mg/5ml ferrous fumarate oral solution (e.g. Galfer syrup) – 7.5ml daily
  • Ironorm (125mg/ml ferrous sulphate oral drops) – 2ml daily

Tablets (suitable from 6 weeks post-op if you are tolerating a solid diet):

  • 200 mg ferrous sulphate, 210 mg ferrous fumarate or 300 mg ferrous gluconate – once daily

For females who have a menstrual cycle, your requirement of iron will be a bit higher at around 100mg per day. However, if you are taking any of the Baricol preparations you only need to take an additional 50mg of iron so please follow the advice for men and non-menstruating women above.

Liquid (suitable initially post-op or if you do not like taking tablets):

  • 140mg/5ml ferrous fumarate oral solution (e.g. Galfer syrup) – 15ml daily
  • Ironorm (125mg/ml ferrous sulphate oral drops) – 3.2ml daily

Tablets (suitable from 6 weeks post-op if you are tolerating a solid diet):

  • 200 mg ferrous sulphate or 210 mg ferrous fumarate – twice daily

Vitamin B12

It is advised to have intramuscular injections of 1mg vitamin B12 every 3 months following your procedure.

In your package is a blood test at 6 months that we can get arranged for you. This is to check the levels of vitamin and minerals in your blood to ensure you are not becoming deficient. Our Bariatric Nurse can talk to you more about what needs testing and how frequently.

Call our specialist team today on
0800 313 4618 
or
Get a quote 
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