Reading Supplement Labels
Supplement Facts Serving Size – # of pills to take – Serving size is the number of pills that make up the daily requirement or the amount represented on the label – Be sure to read the serving size – it is different for many supplements
Supplement Facts • (1)serving size and 1 (2)amount of a vitamin or mineral per serving must match 2 • A product cannot list the serving size as 2 tablets and the amount of a vitamin per serving for one tablet.
Supplement Facts • The Daily Value is the amount of a specific vitamin or mineral needed each day for most people. The amount in each serving is measured as a percentage • Daily Values are not specific for gastric bypass and you may be encouraged to take more than the daily value • Levels are determined by the FDA.
Supplement Facts • Units of measure or weight such as IU, mg, mcg • Check the amount of a vitamin or mineral in a serving against the amount recommended by your bariatric team. • You may need more than one serving per day to meet these recommendations.
Supplement Facts • The form of each nutrient is as important as the amount! • Some forms of vitamins are better for surgical weight loss patients. • Look for: – Ferrous Fumarate (iron) – Calcium Citrate – Vitamin D 3 (Cholecalciferol)
Supplement Facts • What does it mean when a nutrient is made up of more than one form? • Does the order matter? • Why do some have % and some don’t?
Directions Panel 1. The directions will provide instruction on how, when and how much you are to take of a given supplement. 2. They will also provide product care instructions. 3. If they contain iron, they must have an iron overdose warning. 4. They must contain an FDA disclaimer. 5. A companies full address must be listed on each bottle. 1 2 3 4 5
Directions Panel • The expiration date and lot number (manufacturing tracking number) must also be listed. • These will be stamped on to a bottle during production (side or bottom). 0340 C 7 EXP 04/09
Multivitamin Guidelines (RXY, Sleeve or BPD/DS) • • Vitamins A, C, D, E Min 200% RDI (%DV) Folic Acid Min 100% RDI (%DV) B Vitamins Min 200% RDI (%DV) B-12 350 -500 mcg per day Avoid time released Avoid enteric coating Avoid incomplete children’s formulas Begin with chewable or liquid and progress to capsule as tolerated. Aills L, Blankenship J, Buffington C, et al. Bariatric Nutrition: Suggestions for the Surgical Weight Loss Patient. SOARD September 2008, preprint accessed on 7/8/07 at www. soard. org.
Multivitamin Guidelines (Lap Band) • • Minimum 100% RDI (%DV) Avoid time released Avoid enteric coating Avoid incomplete children’s formulas • Begin with chewable or liquid and progress to capsule as tolerated.
Calcium Guidelines (RXY or BPD/DS) AGB Calcium Citrate 1, 500 RYGB BPD/DS 1, 500 -2, 000 1, 800 -2, 400 *Levels indicated are mg/day • Max 500 -600 mg of Calcium per serving, this is usually at least 2 pills. Be sure to check the serving size on calcium • Products that contain magnesium and a minimum of 400 IU of Vitamin D are preferred. • Begin with chewable / liquid and progress to capsule or tablet as tolerated. • Do not take with iron or with multivitamins that contain iron. Separate dose by a minimum of 2 hours)
Iron Guidelines • Iron dosage 18 -30 mg per day. • Menstruating women and those at risk for anemia, including men, are encouraged to take 50 -100 mg per day of iron. * • Avoid enteric coated • Avoid excessive intake of tea. • Vitamin C may enhance absorption iron. * Consult your dietitian or surgeon regarding proper dosage.
Purchasing Vitamins • Do – – – Read labels. Buy from reputable vendors. Check expiration dates. Ask about return policies. Keep your iron supplements away from children. • Don’t – Purchase from dollar or deep discount stores which may have inferior products. – Share your vitamins with children or other family members who don’t have the same needs.
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