Originally Posted by Disneygirl52
How long will it take to make me feel better:normal?
Should I be concerned ?
I'm assuming I'm anemic (sp) ?, should I go see my dr like Monday? Maybe get an iv? Is that dramatic?
Well, my advice is to:
1. Schedule an appointment to get labs drawn. They can't determine what you need until you know where you are deficient.
2. Follow the ASMBS schedule for postop vitamins, found here (table 5):
Your exhaustion could be iron, B12, Vitamin D, or other deficiencies. In essence, if you have had RNY, the ASMBS recommends:
2 multivitamins a day (not a children's or gummy formula)
Calcium CITRATE (not carbonate): 1500-2000mg/day
Vitamin D (preferably D3 in the dry form): most postops take 5000-10000 iu a day to maintain levels
B12 (sub-lingual) 500 mg/day
(Vitamin C helps with iron absorption, so taking 500mg with your iron helps)
Some additional advice:
You can only process 500mg of calcium at a time, so you need at least 3 doses of calcium, spread apart by 2 hour intervals, during the day.
Iron is not absorbed if taken with calcium. Make sure you take your iron at least two hours after taking calcium
If they find you are severely anemic, they can give you iron via IV. I'd be more concerned with a B12 deficiency, as the effects of being low on that can be permanent and can include nerve damage.
3. Should you be concerned? Yes. When you decided on WLS, taking vitamins is not negotiable. Believe me, I understand the desire to not want to take them (esp all the calcium doses), but it is part of the deal you made when you underwent surgery. I hope you find that just 2 months without did not do much damage. Good luck!