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Research suggests that patients who have undergone Biliopancreatic Diversion (BP-D) or Biliopancreatic Diversion/Duodenal Switch (BPD-DS) procedures face higher risks for deficiency of fat-soluble vitamins A, D, E, and K.1
ASMBS guidelines for patients of Gastric Bypass (RYGB/RNY), Sleeve Gastrectomy (VSG/SG), and Duodenal Switch (DS) call for a high-potency multivitamin.2 Nutrient forms should be targeted to address the absorption challenges faced by bariatric patients.
Bariatric Advantage High ADEK Multi is specifically designed to help meet the nutritional needs of patients who have undergone malabsorptive procedures by delivering high levels of vitamins A, D, E, and K in bioavailable nutrient forms.
Each two-capsule serving delivers:
Vitamin A 15,000 IU
Vitamin D 5,000 IU
Vitamin E 100 IU
Vitamin K 400 mcg
Provides a full complex of all B vitamins.
Utilizes only vitamin D3, which is more bioactive compared to the D2 form. Vitamin D is critical for calcium absorption.
Utilizes only natural source vitamin E.
Provides comprehensive trace mineral support with zinc, selenium from selenomethionine which is a preferred form for the correction of deficiency,3 along with copper, manganese, chromium, and molybdenum.
Mechanick, Jeffrey I. et al. “Clinical Practice Guidelines for the Perioperative Nutritional, Metabolic, and Nonsurgical Support of the Bariatric Surgery Patient—2013 Update: Co-sponsored by American Association of Clinical Endocrinologists, The Obesity Society, and American Society for Metabolic & Bariatric Surgery.
Aills, L. ASMBS Allied Health Nutritional Guidelines for the Surgical Weight Loss Patient, Surgery for Obesity and Related Diseases 4 (2008) S73-S108.
Cummings, S., et al. Academy of Nutrition and Dietetics Pocket Guide to Bariatric Surgery, 2nd edition, 2015.
Serving Size: 1 Capsule
Amount per serving:
Vitamin A … 2250mcg
(as beta-carotene and retinyl palmitate)
Vitamin C … 90mg
(as sodium ascorbate and ascorbic acid)
Vitamin D … 62.5mcg (2500 IU)
(as cholecalciferol)
Vitamin E … 33.5mg
(as D-alpha tocopheryl acetate)
Vitamin K … 200mcg
(as phytonadione)
Thiamin … 6mg
(as thiamin mononitrate)
Riboflavin … 1.7 mg
Niacin … 20mg
(as niacinamide)
Vitamin B6 … 2mg
(as pyridoxine HCl)
Folate … 665mcg DFE
(as folic acid and calcium L-5 methyltetrahydrofolate†) (160 mcg folic acid)
Vitamin B12 … 500mcg
(as cyanocobalamin)
Biotin … 300 mcg
Pantothenic Acid … 10mg
(as calcium D-pantothenate)
Magnesium … 15mg
(as magnesium oxide)
Zinc … 15mg
(as zinc citrate)
Selenium … 70mcg
(as selenomethionine)
Copper … 1.5mg
(as copper gluconate)
Manganese … 2.3mg
(as maganese citrate)
Chromium … 120mcg
(as chromium picolinate†)
Molybdenum … 75mcg
(as molybdenum aspartate complex)
Other Ingredients: Microcrystalline cellulose, capsule (hydroxypropylmethylcellulose), and silicon dioxide.
Do not use if pregnant or nursing. Excess vitamin A may contribute to a risk of birth defects. Pregnant women and women who may become pregnant should not exceed 3,000 mcg of preformed vitamin A (retinyl palmitate) per day, unless instructed to do so by a healthcare practitioner.
CAUTION: If you have had gastric surgery and experience persistent nausea, vomiting, diarrhea or other symptoms, contact your healthcare practitioner.
Keep out of reach of children.
TAMPER EVIDENT: Do not use if safety seal is missing or broken.
