How much B12 should a bariatric patient take?

Posted on 05/03/2019
by Shantelle Lovell
05/03/2019
0 comments

How much B12 should a bariatric patient take?

At least 500 mcg per day of Vitamin B12 (cobalamin or methylcobalamin).

Do bariatric patients need B12?

Gastric bypass patients don’t fully digest or absorb vitamin B12 from protein foods, which puts them at high risk of deficiency. The amount of stomach acid produced in the new stomach pouch is significantly low. Stomach acid is needed to release vitamin B12 from protein foods.

Can you take vitamin B12 sublingual?

Vitamin B12 can be taken sublingually, which involves placing the supplement under the tongue so it absorbs through your mouth. Sublingual B12 may be a particularly useful supplement method for children or people who have trouble swallowing pills.

How much sublingual B12 is safe?

The recommended dose for treating vitamin B12 deficiency is 1000 mcg daily. The recommended dose for preventing vitamin B12 deficiency is 1500 mg or 2500 mcg (sublingual tablets) daily. The dose for treating hyperhomocysteinemia is 400 mg daily in combination with folic acid.

Can you take too much B12?

Since B12 is a water-soluble vitamin, it’s generally considered safe, even at high doses. No Tolerable Upper Intake Level (UL) has been established for B12, due to its low level of toxicity. UL refers to the maximum daily dose of a vitamin unlikely to cause adverse side effects in the general population.

What does B12 help with?

What is vitamin B12 and what does it do? Vitamin B12 is a nutrient that helps keep your body’s blood and nerve cells healthy and helps make DNA, the genetic material in all of your cells. Vitamin B12 also helps prevent megaloblastic anemia, a blood condition that makes people tired and weak.

How do you manage B12 deficiency after gastric bypass?

CONCLUSION: At least 350 µg per day is the appropriate oral dose of crystalline vitamin B12 after gastric surgery for obesity to correct low serum vitamin B12 levels in 95% of patients.

When is the best time to take vitamin B12 sublingual?

“Take water-soluble vitamins on an empty stomach with a glass of water,” recommends Dr. Perez-Gallardo. And since it can be energizing, Dr. Perez-Gallardo says that the best time to take vitamin B12 is in the morning, so it won’t affect your sleep.

How quickly does sublingual B12 work?

B12 injections work quickly; they are the most effective way for your body to absorb Vitamin B12. Within 48 to 72 hours, your body will begin to make new red blood cells. For mild deficiencies, you may need two to three injections over several weeks to notice peak impact.

Can vitamin B12 cause rapid heartbeat?

5. Fast heart rate. Share on Pinterest A fast heart rate and shortness of breath may be symptoms of vitamin B-12 deficiency. A fast heart rate may be a symptom of vitamin B-12 deficiency.

Why might B12 deficiency anemia occur after bariatric surgery?

Post-bariatric anemia is in most cases due to iron deficiency, along with vitamin B12 deficiency as a secondary cause. Iron deficiency, expressed by low serum ferritin, occurs in more than 30% of patients after 5 years from surgery, with a similar rate after RYGB and SG, as recently reported by Alexandrou et al[20].

How long does it take for vitamin B12 sublingual to work?

Should I take sublingual B12 on an empty stomach?

(Try American Health Enzyme Probiotic Complex) Vitamin B12 is also better absorbed on an empty stomach because an acidic environment increases absorption. B-complex vitamins should be taken early in the day, preferably with your first meal.

Hear this out loudPauseVitamin B12 is recommended at a dose of 300-500 mcg daily in a sublingual form, meaning it dissolves preferably under the tongue or between cheek and gum. Alternatively, patients may choose a nasal spray (which requires a prescription) or an intramuscular monthly injection, also a prescription.

Hear this out loudPauseVitamin B12 deficiency occurs in 39.6% of patients after a gastric bypass. Gastric acid and enzymes are required to release protein bound vitamin B12 from ingested food, while intrinsic factor is required for intestinal absorption of vitamin B12.

Can you absorb B12 after gastric sleeve?

Hear this out loudPauseTreatment includes patients taking 700 to 2,000 mcg/week of vitamin B12, with the deficiency usually resolving after several weeks. 27 To ensure absorption, it’s recommended vitamin B12 be taken sublingually, intranasally, or as an injection.

Hear this out loudPauseVitamin B12 can be taken sublingually, which involves placing the supplement under the tongue so it absorbs through your mouth. Sublingual B12 may be a particularly useful supplement method for children or people who have trouble swallowing pills.

Why do you have to give vitamin B12 injections to someone who has had some of their stomach removed?

Hear this out loudPauseMost people who have had a total gastrectomy, and some who have had a partial gastrectomy, need regular injections of vitamin B12 because this is difficult to absorb from food if your stomach has been removed.

How long does it take for B12 sublingual to work?

Hear this out loudPauseB12 injections work quickly; they are the most effective way for your body to absorb Vitamin B12. Within 48 to 72 hours, your body will begin to make new red blood cells. For mild deficiencies, you may need two to three injections over several weeks to notice peak impact.

Hear this out loudPause“Take water-soluble vitamins on an empty stomach with a glass of water,” recommends Dr. Perez-Gallardo. And since it can be energizing, Dr. Perez-Gallardo says that the best time to take vitamin B12 is in the morning, so it won’t affect your sleep.

Is there a vitamin B12 supplement for bariatric surgery?

B12 VITAMIN FOR BARIATRIC. SURGERY PATIENTS. Vitamin B12 which is also known as cobalamin is a water-soluble vitamin that is often prescribed along with other supplements (calcium, vitamin D, and iron) after bariatric surgery to prevent deficiency. Vitamin B12 can be gotten from different natural food sources.

How does gastric sleeve surgery affect vitamin B12 absorption?

There is also a reduction in the production of an intrinsic factor that is necessary for vitamin B12 absorption. For example, in gastric sleeve surgery, the stomach is resected, and the production of an essential factor is reduced.

What to do if you have a B12 deficiency?

B12 Intranasal spray and injections also are available. Bariatric patients should have blood testing annually to check for deficiencies — or sooner if deficiency symptoms present. Cheryl Ann Borne, writing as My Bariatric Life, is an obesity health activist and Paleo, Keto, low-carb recipe developer.

How often should I take vitamin B12 injections?

Sublingual vitamin B12 supplements are needed daily. The recommended dosage of vitamin B12 is 1000 milligrams per week taken sublingually. B12 Intranasal spray and injections also are available. Bariatric patients should have blood testing annually to check for deficiencies — or sooner if deficiency symptoms present.

Why are vitamin deficiencies common with gastric bypass surgery?

Vitamin B12 and folic acid (B9) are among the gastric bypass vitamin deficiencies. Why are vitamin deficiencies common with the gastric bypass? This has to do with the way the digestive anatomy is altered. The stomach is stapled in the gastric bypass surgery to create a pouch.