Patient Education Bariatric Nutrition Guide | Page 16

Lactose Intolerance
The symptoms of lactose intolerance are : gas , bloating , and diarrhea . If you are lactose intolerant , try using lactose free milk or chewable lactase enzyme tablets before meals containing milk or dairy products . You may try low sugar / low fat soy milk .
Vitamins and Minerals
One Week After Surgery
• Take one adult chewable multivitamin with iron OR take two children ’ s chewable multivitamins with iron per day with food . Check that the product contains carbonyl iron , or ferrous gluconate .
Six Weeks After Surgery
• Take one multivitamin with iron per day . Check that the product contains carbonyl iron .
• Take Calcium Citrate with vitamin D daily ( 1200 - 1500 mg ). Do not take at the same time as iron because iron interferes with calcium absorption . Do not take any other medications within 1 - 2 hours . Do not take more than 600 mg dose at one time .
• Take one Vitamin B12 1000 - 1200 μg ( micrograms ) sublingual tablet weekly , or 300 - 500 μg daily .
• Take other supplements as directed / recommended by your physician .
Dumping Syndrome
Dumping syndrome is caused by eating or drinking concentrated sources of sugar . Sugar cannot be broken down in your new small stomach and can cause large amounts of fluid to enter your intestine . This can result in facial flushing , increased heart rate , nausea , vomiting , and / or diarrhea . Not everyone gets dumping syndrome but we strongly recommend you avoid high sugar , empty calorie foods to promote weight loss .
Fat
Eating high fat foods can cause diarrhea because your body does not absorb fat as well after surgery . High fat foods usually contain a lot of calories which is not beneficial for weight loss .
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