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[sizzletime]

Ok, I got the 90 tablet BA 28mg chewable passion fruit this last time and it started out very good.  My problem it appears is I live in South Florida where it is quite humid.  Even though I keep the cap closed unless I am getting a vitamin and even though I leave the little moisture packet inside the bottle, the last 30 days the vitamins have sort of "melted".  They are no longer like a powder pill but more of a gooey pill.  I am sure they still work so that is not a problem, more of let dissolve in mouth instead of chew is all.

I have read other reviews and it seems that is the only downside.  Here comes my questions then, for others that live in humid climates.

What are you using for iron?
any solution for the humidity thing other than getting just a 30 day supply?
18mg, 29mg, 60mg, 30mg.  This all seems confusing to me.  Going to ask my NUT but not seeing for a short bit, what size are we supposed to be taking?
BB vitamins is virtually a drive by for me but customer service is terrible as they will only ship but cost for shipping in same town is more than other companies charge for shipping cross country so I have sort of eliminated them.

I have 6 days left out of my 90 day supply so yes I waited till last min to order.  Thanks in advance for the help.

[auntb]

Keep them in the freezer it is a very dry spot you should have no problems.

[baka]

The American Society of Metabolic and Bariatric Surgeons has made a series of suggestions for postoperative vitamin supplementation prior to labs dictating otherwise.

Multivitamin
- Adjustable Gastric Band/VSG: 100% of daily value
- RNY: 200% of daily value
- BPD/DS: 200% of daily value

    Choose a multivitamin that is a high-potency vitamin containing 100% of daily value for at least 100% of daily value of 2/3 of nutrients
    Begin with chewable or liquid
    Progress to whole tablet/capsule as tolerated
    Avoid time-released supplements
    Avoid enteric coating
    Choose a complete formula containing at least 18 mg iron, 400mcg folic acid, as well as selenium, and zinc in each serving
    Avoid children’s formulas that are incomplete
    May improve gastrointestinal tolerance when taken close to food intake
    May separate dosage
    Do not mix multivitamin containing iron with calcium supplement, take at least 2 hours apart
    Individual brands should be reviewed for absorption rate and bioavailability
    Specialized bariatric formulations are available

Additional cobalamin (B12)
- AGB/VSG: Not Applicable
- RNY: 350-500mcg if taken orally, 1000mcg / mo intramuscular injection
- BPD/DS: NA

Additional elemental calcium
- AGB/VSG: 1500mg /day
- RNY: 1500-2000mg
- BPD/DS: 1800-2400mg

    Choose a brand that contains calcium citrate and vitamin D3
    Begin with chewable or liquid
    Progress to whole tablet / capsule as tolerated
    Split into 500-600 mg doses; be mindful of serving size on supplement label
    Space doses evenly throughout day
    Suggest a brand that contains magnesium, especially for BPD/DS
    Do not combine calcium with iron containing supplements
    Wait 2 or more hours after taking multivite or iron supplement to take
    Wait 2 or more hours between doses
    Promote intake of dairy beverages and/or foods that are significant sources of dietary calcium in addition to recommended supplements
    Combined dietary and supplemental calcium intake greater than 1700 mg/day might be required to prevent bone loss during rapid weight loss

Additional elemental iron
- AGB / VSG: NA
- RNY: Minimum 18-27mg / day elemental
- BPD/DS: Minimum 18-27mg / day elemental

    Recommended for menstruating women and those at risk of anemia
    Begin with chewable or liquid
    Progress to tablet as tolerated
    Dosage may need to be adjusted based on biochemical markers
    No enteric coating
    Do not mix iron and calcium supplements, take at least 2 hours apart
    Avoid excessive intake of tea due to tannin interaction
    Encourage foods rich in heme iron
    Vitamin C may enhance absorption of non-heme iron sources

Fat-soluble vitamins
- AGB / VSG: NA
- RNY: NA
- BPD/DS: 10,000 IU of vitamin A, 2000 IU of vitamin D, 300 mcg of vitamin K

    With all procedures, higher maintenance doses may be required for those with a history of deficieincy
    Water-soluble preparations of fat-soluble vitamins are available
    Retinol sources of vitamin A should be used to calculate dosage
    Most supplements contain a high percentage of beta carotene which does not contribute to vitamin A toxicity
    Intake of 2000 IU vitamin D3 may be achieved with careful selection of multivitamin and calcium supplements
    No toxic effect known for Vitamin K1, phytonadione (phyloquinone)
    Vitamin K requirement varies with dietary sources and colonic production
    Caution with vitamin K supplementation should be used for patients receiving coagulation therapy
    Vitamin E deficiency is not prevalent in published studies

Optional B complex
- AGB / VSG: 1 per day
- RNY: 1 per day
- BPD/DS: 1 per day

    B-50 dosage
    Liquid form is available
    Avoid time released tablets
    No known risk of toxicity
    May provide additional prophylaxis against B-vitamin deficiencies, including thiamin, especially for BPD/DS procedures as water-soluble vitamins are absorbed in the proximal jejunum
    Note >1000mg of supplemental folic acid provided in combination with multivitamins could mask B12 deficiency

[ttowe]

Did you take the cotton out of the bottle? tsk tsk. Biggest mistake most people make.

Freaks what ever you do. Don't take the cotton out of the bottle. :-)

Also, I like the BA chewy bite. 30Mg, Rasberry truffle, soft chewy like the calcium.

Yummy Yummy

[sizzletime]

No cotton left in my bottle, guilty as charged on that one.  Ironically I leave the cotton in the big bottles of multivitamins.

Baka, based on your post will just stick with the 28mg I am using now.  I wonder who they want to use the 60mg ones as it must be for someone as they are making and selling them.

actually have a place about 30 mins away I can pick up the BA iron.  Probably costs me more in gas to go and pick up than it would be to ship but can combine it with another venture.

[Indykitty]

I love the BA chewy iron too! Yummy!