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Suggest The Ideal Dosage For Arachitol Nano Syrup Taken For Vitamin B12

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Posted on Wed, 6 Apr 2016
Question: postop gastric bypass (rou en x y) surgery for calcium and vitamin b12 can i take neurokind fast mouth disdolving tab alternate day one and arachitol nano syrup dosage u should indicate,diabetic but well controlled after sudurge,age 45yrs ,male weighing mow 78kgs preop o was 107khs
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Answered by Dr. Mukund Savaskar (51 minutes later)
Brief Answer:
Yes..supplemented with Mutlivitamins....!!

Detailed Answer:
Brief Ans-Yes..supplemented with Mutlivitamins....!!

Hi Dear Thanks for your query to HCM.

Read and reviewed facts of your query in context to your requirements of Vitamins/ Mineral Supplements post RYGB-Rou-en -Y Gastric Bypass.

Basically with gastric portion being bypassed with lack of intrinsic factor, possibility of Vit B12 deficiencies , with Folic acid and Iron deficiencies, from bypass of small intestine absorbing Iron, in such cases, creates multiple Vitamin and mineral deficiencies.

Oral soluble / sublingual Vit B12 is needed, as the absorption from Oral Vit B12 is questionable.
Besides this, Vit D3 with Calcium to avoid bone decalcifications/ resorptions is needed.

Yes.. thus you can add these micronutrient-Vit B12- up to 500 mcg per day sub-lingually or 1000 mcg Inj / IM. would resolve the higher daily intake needed in such bypass cases.

You should add up other vitamine and trace minerals-like selenium / magnesium / zinc etc, for lifetime to avoid deficiencies being created otherwise.

Hope this would help you to resolve your Vitamin and minerals related issues post RY-GB surgery.
Welcome for any further query in this regard.

Good Day!!

Dr.Savaskar M.N. XXXXXXX Surgical Specialist
M.S.Genl-CVTS.
Note: Revert back with your health reports to get further guidance on your gastric problems. Click here.

Above answer was peer-reviewed by : Dr. Arnab Banerjee
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Answered by
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Dr. Mukund Savaskar

General Surgeon

Practicing since :1978

Answered : 3606 Questions

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Suggest The Ideal Dosage For Arachitol Nano Syrup Taken For Vitamin B12

Brief Answer: Yes..supplemented with Mutlivitamins....!! Detailed Answer: Brief Ans-Yes..supplemented with Mutlivitamins....!! Hi Dear Thanks for your query to HCM. Read and reviewed facts of your query in context to your requirements of Vitamins/ Mineral Supplements post RYGB-Rou-en -Y Gastric Bypass. Basically with gastric portion being bypassed with lack of intrinsic factor, possibility of Vit B12 deficiencies , with Folic acid and Iron deficiencies, from bypass of small intestine absorbing Iron, in such cases, creates multiple Vitamin and mineral deficiencies. Oral soluble / sublingual Vit B12 is needed, as the absorption from Oral Vit B12 is questionable. Besides this, Vit D3 with Calcium to avoid bone decalcifications/ resorptions is needed. Yes.. thus you can add these micronutrient-Vit B12- up to 500 mcg per day sub-lingually or 1000 mcg Inj / IM. would resolve the higher daily intake needed in such bypass cases. You should add up other vitamine and trace minerals-like selenium / magnesium / zinc etc, for lifetime to avoid deficiencies being created otherwise. Hope this would help you to resolve your Vitamin and minerals related issues post RY-GB surgery. Welcome for any further query in this regard. Good Day!! Dr.Savaskar M.N. XXXXXXX Surgical Specialist M.S.Genl-CVTS.