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There               are               several               different               types               of               weight               loss               surgery,               including               the               gastric               bypass,               adjustable               gastric               banding               (lap               band),               the               vertical               sleeve               gastrectomy,               and               the               duodenal               switch.

Different               weight               loss               surgeries               have               different               implications               for               patients               in               terms               of               medications               they               can               or               should               take               after               surgery               and               in               terms               of               how               they               will               absorb               different               medications.

Liquid               or               Chewable               Medications               Versus               Capsules               or               Tablets
               Weight               loss               surgery               patients               are               sometimes               advised               to               use               liquid               or               chewable               medications               and               vitamins               instead               of               capsules               or               tablets               that               are               swallowed.

Some               doctors               feel               liquids               or               chewables               will               be               better               absorbed.

In               addition,               gastric               bypass               patients               are               usually               advised               to               use               liquid               or               chewable               medications               and               vitamins               for               the               first               few               weeks               after               their               surgery               because               the               stoma               (the               narrow               opening               between               the               stomach               and               the               small               intestine)               will               be               swollen               for               a               while               and               large               pills               or               capsules               could               "get               stuck."               Patients               are               sometimes               advised               to               crush               medications               that               do               not               come               in               a               liquid               or               chewable               form,               but               they               should               check               with               their               pharmacist               before               crushing               any               medications               because               some               drugs               should               not               be               crushed.
               Non-Steroidal               Anti-Inflammatory               Drugs
               Non-steroidal               anti-inflammatory               drugs               (NSAIDS)               are               medications               used               to               treat               pain               and               inflammation.

They               include               over-the-counter               medications               like               ibuprofen,               Motrin,               Advil,               and               Aleve.

They               also               include               prescription               drugs               like               naproxen               and               Toradol.

Gastric               bypass               patients               should               not               take               NSAIDS               in               any               form               due               to               an               increased               risk               of               ulcers.

NSAIDS               are               systemic               drugs,               meaning               that               they               work               by               getting               into               the               bloodstream.

When               NSAIDS               get               into               the               bloodstream,               they               cause               the               lining               of               the               stomach               to               thin,               which               can               cause               ulcers               to               develop.

They               do               not               cause               ulcers               by               coming               into               contact               with               the               lining               of               the               stomach,               so               taking               them               by               injection               or               IV               does               not               reduce               the               risk.
               If               gastric               bypass               patients               have               a               strong               need               to               use               NSAIDS,               some               bariatric               surgeons               believe               it               is               acceptable               to               do               so               for               a               short               period               of               time               provided               they               also               take               an               acid-reducing               medication               at               the               same               time.

Other               surgeons               feel               strongly               that               NSAIDS               should               never               be               used               by               gastric               bypass               patients               for               any               reason.
               There               may               be               some               increased               risk               of               ulcers               with               NSAID               use               in               lap               band               patients,               as               well.

Vertical               sleeve               gastrectomy               patients               and               duodenal               switch               patients,               on               the               other,               are               free               to               use               NSAIDS               as               needed.

Patients               who               regularly               use               NSAIDS               to               treat               conditions               like               arthritis               sometimes               opt               for               the               vertical               sleeve               gastrectomy               or               duodenal               switch               instead               of               gastric               bypass               or               lap               band               so               that               they               will               be               able               to               continue               using               the               medication               they               need               after               surgery.
               Time               Released               Medications
               Time               released               medications,               or               extended               release               drugs,               are               medications               that               are               released               into               the               system               over               time               and               absorbed               slowly.

Many               antidepressants               are               extended               release               drugs,               for               example.

A               patient               takes               one               capsule               in               the               morning               and               it               delivers               a               slow,               steady               stream               of               medication               throughout               the               next               24               hours.

Gastric               bypass               patients               and               duodenal               switch               patients               have               shorter               intestinal               tracts               than               "normal"               people,               so               extended               release               capsules               may               pass               through               their               systems               before               they               can               be               fully               absorbed.

For               that               reason,               these               patients               are               usually               advised               to               avoid               extended               release               drugs.

Most               extended               release               drugs               are               also               available               in               a               standard               release               form,               and               just               have               to               be               taken               more               frequently.
               Vitamins
               Weight               loss               surgery               affects               the               way               some               patients               absorb               certain               vitamins,               too.

For               instance,               gastric               bypass               patients               are               unable               to               absorb               vitamin               B12               from               food               that               they               eat               after               surgery               because               they               no               longer               produce               something               called               intrinsic               factor.

They               also               cannot               absorb               vitamin               B12               from               vitamin               supplements               that               they               swallow.

They               need               to               use               sublingual               B12               supplements,               or               there               is               a               nasal               spray               that               they               can               use,               or               a               patch,               or               they               can               get               injections.
               Lap               band               patients,               vertical               sleeve               gastrectomy               patients,               and               duodenal               switch               patients               do               still               produce               intrinsic               factor,               so               they               will               absorb               B12               from               supplements               that               they               swallow.

They               will               also               absorb               B12               from               food               that               they               eat,               though,               and               may               not               need               to               take               a               B12               supplement               at               all.
               Gastric               bypass               patients               are               also               advised               to               take               calcium               citrate,               not               calcium               carbonate,               because               calcium               carbonate               requires               a               fair               amount               of               stomach               acid               for               absorption               and               gastric               bypass               patients               produce               little               stomach               acid.
               Oral               Contraceptives
               Gastric               bypass               patients               and               duodenal               switch               patients               are               often               advised               not               to               rely               on               oral               contraceptives               because               these               medications               may               not               be               absorbed               well               due               to               the               malabsorption               caused               by               those               surgeries.

Alternative               methods               of               contraception               to               consider               include               the               Depo               Provera               shot,               and               IUD,               the               Nuvaring,               a               diaphragm,               or               condoms.

The               birth               control               patch               is               another               option,               but               it               is               not               suitable               for               patients               weighing               more               than               250               pounds.
               Sources:
               American               Journal               of               Health-System               Pharmacy.

http://www.ajhp.org/cgi/reprint/63/19/1852.

Medication               and               Nutrient               Administration               Considerations               After               Bariatric               Surgery.
               North               Shore               University               Hospital.

http://www.morbidobesity.com/meds_after_bypass.htm.

Medications               After               Gastric               Bypass.
               American               Society               for               Metabolic               and               Bariatric               Surgery.

http://www.asbs.org/Newsite07/resources/bgs_final.pdf.

ASMBS               Guidelines.
               Dr.

Dirk               Rodriguez,               Deaconess               Surgical               Weight               Loss               Center,               Cincinnati,               Ohio.






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                   Vitamin               D               is               sometimes               referred               to               as               the               "sunshine               vitamin"               because               our               body               can               make               vitamin               D               in               response               to               sunlight.

    Most               people,               whether               they've               had               weight               loss               surgery               or               not,               don't               get               enough               vitamin               D               just               from               exposure               to               sunlight,               though,               and               according               to               the               Vitamin               D               Council,               vitamin               D               deficiency               is               extremely               common               these               days.

    Obesity               increases               your               risk               for               vitamin               D               deficiency,               and               people               that               have               malabsorptive               weight               loss               surgeries               like               RNY               and               DS               are               at               even               greater               risk.
                   According               to               the               National               Institutes               of               Health,               Vitamin               D               deficiency               can               lead               to               osteoporosis               and               even               rickets.

    Vitamin               D               also               helps               maintain               a               good               blood               pressure,               helps               with               the               secretion               of               insulin,               and               helps               the               immune               system               function               properly.

    Symptoms               of               vitamin               D               deficiency               include               muscle               pain               and               weakness,               depression,               and               fatigue.

    Many               people               do               not               experience               any               noticeable               symptoms               until               they               have               a               severe               deficiency,               however.
                   D2               vs.

    D3
                   The               Vitamin               D               Council               explains               that               there               are               two               types               of               vitamin               D,               D2               and               D3.

    D2,               or               ergocalciferol,               must               be               converted               to               D3,               or               cholecalciferol,               in               the               body.

    It               takes               a               lot               of               D2               to               make               a               little               D3.

    Therefore,               taking               D3               is               the               best               way               to               raise               or               maintain               your               vitamin               D               level.
                   "Dry"               D3               vs.

    D3               in               Oil
                   Vitamin               D3               supplements               sometimes               come               in               softgels,               those               pills               that               look               like               little               footballs               and               have               oily               stuff               inside.

    Vitamin               D               is               a               fat               soluble               vitamin,               so               most               people               absorb               it               very               well               when               it's               in               oil.

    However,               people               that               have               had               Roux-en-Y               gastric               bypass               surgery               or               duodenal               switch               surgery               malabsorb               fats,               which               helps               them               lose               weight.

    That               means               they               don't               absorb               vitamins               in               oil               as               well               as               dry               vitamins.

    "Dry"               D3               simply               refers               to               D3               that               is               not               in               oil.

    It               might               be               a               dry               tablet               or               a               capsule               filled               with               dry               powdery               stuff.
                   How               Much               to               Take
                   Now               that               you               know               how               important               vitamin               D               is,               you               probably               want               to               know               how               much               to               take.

    I               wish               there               was               an               easy               answer               to               this               question               but               unfortunately,               there's               not.

    The               amount               of               vitamin               D3               people               need               in               order               to               maintain               that               level               varies               widely               from               person               to               person               and               depends               on               a               number               of               factors,               including               how               much               you're               exposed               to               sunlight,               your               age,               weight,               what               type               of               weight               loss               surgery               you're               had,               and               even               your               genes.
                   The               best               way               to               know               if               you're               taking               enough               vitamin               D3               is               by               having               regular               blood               tests               to               monitor               your               vitamin               D               level.

    The               Linus               Pauling               Institute               of               Oregon               State               University               recommends               maintaining               a               vitamin               D               level               of               80               nmol/L               to               prevent               problems               related               to               vitamin               D               deficiency.
                   The               Vitamin               D               Council               reports               that               most               people               that               haven't               had               weight               loss               surgery               need               about               5,000               IU               D3               daily               to               maintain               a               healthy               vitamin               D               level.

    People               that               have               had               weight               loss               surgery               are               likely               to               need               more.

    Since               vitamin               D               is               a               fat               soluble               vitamin,               it's               possible               to               take               too               much               and               develop               vitamin               D               toxicity,               although               that's               not               very               common.

    If               you're               taking               large               doses               of               D3,               it's               very               important               to               get               regular               blood               tests               to               monitor               you               level               to               make               sure               it               doesn't               get               too               high.
                   Sources:
                   National               Institutes               of               Health.

    http://ods.od.nih.gov/factsheets/VitaminD-HealthProfessional/.

    Dietary               Supplement               Fact               Sheet:               Vitamin               D.
                   Vitamin               D               Council.

    http://www.vitamindcouncil.org/about-vitamin-d/how-to-get-your-vitamin-d/vitamin-d-supplementation/.

    Vitamin               D               Supplementation.
                   Vitamin               D               Council.

    http://www.vitamindcouncil.org/about-vitamin-d/what-is-vitamin-d/vitamin-d-toxicity/.

    Vitamin               D               Toxicity.
                   Linus               Pauling               Institute.

    http://lpi.oregonstate.edu/infocenter/vitamins/vitaminD/.

    Vitamin               D.






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    1. gbgirlisin.blogspot.com/   07/26/2006
      ...know by now, I have lost a lot of weight and I am in my mid-30’s. For this reason... to work. Stick with herbal help: Vitamin C has a great reputation for ...
    2. iehealth.blogspot.com/   03/21/2011
      ... used to lose some fat and gain some muscle. So that too has promise... off my waist. Labels: effective weight loss methods , fat loss news , little ...
    3. iehealth.blogspot.com/   04/13/2012
      ...didn’t realize the vitamin C may have helped... yet, fat loss reliably improves...more room to work! And, best of all, there... the weight you gain or even...
    4. iehealth.blogspot.com/   11/21/2011
      ...uptake of water soluble vitamins.) So, I’ll try ... above my goal weight and get me back down...: effective weight loss methods , ...
    5. iehealth.blogspot.com/   03/16/2012
      ... more than 3,000 iu a day of vitamin D3 and blood levels above 60 is...cancer for example than taking less. c) He is a very strong advocate for exercise...
    6. iehealth.blogspot.com/   10/17/2011
      ...uptake of water soluble vitamins.) So, I’ll try ... above my goal weight and get me back down...: effective weight loss methods , ...
    7. drmarkcrapo.typepad.com/   06/15/2009
      ...several types of cancer and type-1 diabetes. This article....com/Research/Vitamin-D-linked-to-successful-weight-loss-with-dieting/?c=hpORIm6dEDs7yRMMwfJrxg%3D%3D&utm...
    8. imaginethespirit.wordpress.com/   08/23/2011
      ...way to begin weight loss is by... to lose weight, which makes...the grocery store and give it out to your... provide vitamin A, vitamin C, carbohydrates...
    9. thelosingweightprograms.blogspot.com/   03/28/2008
      ...you do not include vitamin C in your diet, then you... of the body and vitamins cannot be used...take in, you will lose weight. Therefore, the more you...
    10. shine.yahoo.com/blogs/author/ycn-1137189/   04/03/2012
      ...: 1 cup Try it: Bean and Pineapple Soft Tacos...Brussels Sprouts Vitamin C level: 75 mg Serving... Won t Tell You About Weight Loss Orange Vitamin C level: 70...
    11. Vitamin C And Weight Loss - Blog Homepage Results

      ... ideal for sourcing Vitamins A and C, besides its antioxidant contents... for a fruit to aid your weight loss and slimming program, opt for...
      ... on Google. Content ranges from nutritional vitamins, like vitamin c, vitamin d, and vitamin b-12, to omega-3, sonoran bloom nopalea, energy now, and weight loss. Put your faith in us to meet your SEO needs, and we'll create a blog for your...



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    Very               few               topics               will               spark               as               much               heated               debate               as               those               centered               on               whether               it's               best               to               restrict               meat               or               indulge               in               that               juicy               steak               for               optimal               health               and               weight               maintenance.

    While               the               question               may               not               be               conclusively               answered               anytime               soon,               there               are               distinct               differences               between               the               two               dietary               styles               which               can               have               a               significant               impact               on               health               and               weight               loss               goals.

    Man               Has               Evolved               to               Eat               Meat
                   Our               evolutionary               ancestors               have               eaten               meat               for               hundreds               and               thousands               of               generations,               and               scientists               believe               that               the               size               of               our               brain               and               capacity               to               think,               learn               and               speak               are               all               due               to               increased               consumption               of               meat.

    Unfortunately               the               meat               we               eat               today               is               very               different               from               the               grass               fed               free               range               animals               we               hunted               thousands               of               years               ago.

    Meat               was               consumed               raw,               and               we               evolved               to               eat               all               parts               of               the               animal               which               were               enriched               with               omega-3               fats               and               other               essential               nutrients.
                   Excess               Meat               Linked               with               Weight               Gain
                   Today's               meat               bears               little               resemblance               to               the               natural               source               of               protein               eaten               by               our               predecessors.

    Many               animals               have               been               force               fed               with               grains               and               injected               with               artificial               hormones               to               make               them               fatter,               reducing               the               healthy               Omega-3               fat               ratio               in               the               meat.

    The               hormones               end               up               in               our               body,               wreaking               havoc               with               our               own               metabolic               balance               leading               to               weight               gain.

    The               results               of               a               study               published               in               The               American               Journal               of               Clinical               Nutrition               concludes               that               meat               consumption               is               associated               with               weight               management               issues               due               to               the               excess               calories               eaten.
                   Some               Meat               Necessary               for               Good               Health
                   Some               people               restrict               meat               for               ethical               reasons,               which               is               certainly               their               choice.

    For               the               vast               majority               of               others               looking               to               improve               their               health,               small               quantities               of               meat               are               necessary               as               prescribed               by               our               evolutionary               past.

    In               addition               to               being               a               prime               source               of               Vitamin               B12,               meat               supplies               other               essential               nutrients               which               are               not               present               in               a               vegan               style               diet.

    The               appropriate               question               is               how               much               meat               to               eat,               what               type               and               how               should               it               be               cooked?
                   Meat               Preparation               and               Cooking               is               Important
                   Meat               should               account               for               no               more               than               10%               of               your               total               daily               calories.

    Fill               up               on               a               limitless               supply               of               fresh               vegetables               and               greens               and               minimize               the               calories               from               meat               and               carbohydrates.

    When               meat               is               grilled,               fried               or               overcooked,               the               chemical               properties               of               the               flesh               are               altered               and               the               charred               portion               becomes               carcinogenic               and               dangerous               to               your               health.

    Meats               should               be               minimally               cooked               to               avoid               this               problem.
                   Whenever               possible               it's               best               to               choose               organically               raised               white               meat               chicken,               turkey               or               grass               fed               beef               which               has               been               roasted               or               cooked               at               low               temperature.

    If               grilled               or               seared,               cut               off               any               visible               charring               to               avoid               the               excess               toxins.

    Processed               meats               such               as               sausage,               bacon               and               bologna               should               be               avoided               entirely,               as               these               have               been               impregnated               with               nitrates               which               are               known               to               cause               cancer.
                   Planning               the               Proper               Ratio               of               Meat               to               Vegetables
                   Each               person               has               evolved               with               a               slightly               different               metabolism,               and               will               require               differing               amounts               of               protein,               carbs               and               fat.

    Some               may               need               more               protein               for               ideal               health,               while               others               are               best               served               on               a               vegan               style               menu.

    Experiment               by               making               small               changes               to               your               diet               and               maintain               for               a               week               until               you               find               the               best               dietary               ratio               for               you.
                   Many               choose               a               vegan               diet               thinking               that               may               be               best               for               weight               loss               and               optimal               health.

    A               diet               centered               on               plenty               of               vegetables               and               greens,               nuts,               seeds               and               Omega-3               fats               will               be               ideal               for               the               majority               of               individuals.

    It's               important               to               include               a               small               amount               of               meat               which               hasn't               been               overcooked               or               processed               to               satisfy               our               evolved               genetics               and               achieve               an               ideal               weight               with               vibrant               health.






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    1. gbgirlisin.blogspot.com/   07/26/2006
      ...know by now, I have lost a lot of weight and I am in my mid-30’s. For this reason... to work. Stick with herbal help: Vitamin C has a great reputation for ...
    2. iehealth.blogspot.com/   03/21/2011
      ... used to lose some fat and gain some muscle. So that too has promise... off my waist. Labels: effective weight loss methods , fat loss news , little ...
    3. iehealth.blogspot.com/   04/13/2012
      ...didn’t realize the vitamin C may have helped... yet, fat loss reliably improves...more room to work! And, best of all, there... the weight you gain or even...
    4. iehealth.blogspot.com/   11/21/2011
      ...uptake of water soluble vitamins.) So, I’ll try ... above my goal weight and get me back down...: effective weight loss methods , ...
    5. iehealth.blogspot.com/   03/16/2012
      ... more than 3,000 iu a day of vitamin D3 and blood levels above 60 is...cancer for example than taking less. c) He is a very strong advocate for exercise...
    6. iehealth.blogspot.com/   10/17/2011
      ...uptake of water soluble vitamins.) So, I’ll try ... above my goal weight and get me back down...: effective weight loss methods , ...
    7. drmarkcrapo.typepad.com/   06/15/2009
      ...several types of cancer and type-1 diabetes. This article....com/Research/Vitamin-D-linked-to-successful-weight-loss-with-dieting/?c=hpORIm6dEDs7yRMMwfJrxg%3D%3D&utm...
    8. imaginethespirit.wordpress.com/   08/23/2011
      ...way to begin weight loss is by... to lose weight, which makes...the grocery store and give it out to your... provide vitamin A, vitamin C, carbohydrates...
    9. thelosingweightprograms.blogspot.com/   03/28/2008
      ...you do not include vitamin C in your diet, then you... of the body and vitamins cannot be used...take in, you will lose weight. Therefore, the more you...
    10. shine.yahoo.com/blogs/author/ycn-1137189/   04/03/2012
      ...: 1 cup Try it: Bean and Pineapple Soft Tacos...Brussels Sprouts Vitamin C level: 75 mg Serving... Won t Tell You About Weight Loss Orange Vitamin C level: 70...
    11. Vitamin C And Weight Loss - Blog Homepage Results

      ... ideal for sourcing Vitamins A and C, besides its antioxidant contents... for a fruit to aid your weight loss and slimming program, opt for...
      ... on Google. Content ranges from nutritional vitamins, like vitamin c, vitamin d, and vitamin b-12, to omega-3, sonoran bloom nopalea, energy now, and weight loss. Put your faith in us to meet your SEO needs, and we'll create a blog for your...



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