360° Multivitamins

360 multivitamins include 49mg of Elemental Iron. That’s 351% of your daily serving to prevent a deficiency.

The typical gastric sleeve or gastric bypass patient typically needs 49-60 mg daily. Maybe more if you are menstruating.

Yes, this multivitamin includes 600 mcg of B12. That’s 24,000% of your daily serving to prevent a deficiency.

There are 3 things we formulated to ensure
Calcium and Iron do not interfere with absorption within our BariXP® 360 Multivitamins:

Our multivitamin formula contains Iron
as Ferrous Fumarate, a non-heme iron. You’ll find
non-heme iron in fortified foods such as cereal that is designed to be taken
alongside milk containing calcium. Studies show that non-heme iron has little
to no competition with calcium. So you are able to take these together without
worrying about absorbing the iron.

For Calcium to negate the absorption
of Iron also it needs to be in a ratio adequate to interfere with this.
Evidence puts this around a 220:1 calcium to iron
ratio. The ratio in BariXP® 360 Multivitamins is only 31:1, so iron absorption
will not be affected at such a low ratio and in this non-heme form.

Thirdly, the presence of Vitamin C
(ascorbic acid) in the diet has proven to increase the absorption of non-heme
iron so we have made sure to have this in abundance. We’ve included Vitamin C
in our formula to be efficacious at a ratio over 2:1 Vitamin C to Iron, where
there is evidence to support this increases absorption and positive effects for
patients suffering with anaemia and consequent low haemoglobin levels (a common
concern for post-bariatric surgery patients).

We advise taking no more than 3 tablets at once to ensure optimal absorption of Calcium.

Unlike many other bariatric supplements, our formula includes this essential nutrient, aiming to simplify your routine.

Following a typical gastric sleeve or gastric bypass procedure, clinical recommendations suggest a daily intake of 1200-1500mg of calcium. However, the body can only absorb 600-800mg at a time, rendering higher doses ineffective for most individuals.

With each of our tablets containing a potent 750mg of calcium, exceeding the recommended dosage is not advisable. We prioritise simplicity and efficacy in our product to support your health journey effectively.

When referencing specific vitamins such as Vitamin A, Vitamin D or Calcium, each of these has a ’source type’. This source type affects how well they're absorbed by the body.

For instance, Vitamin D exists in forms such as D2 and D3, with D3 being notably more bioavailable and thus better absorbed. This is why we put it in our supplements.

Similarly, calcium comes in two common forms: Calcium Carbonate and Calcium Citrate.

For bariatric patients, Calcium Citrate is the preferred option for two main reasons:

1. Enhanced Absorption: Following bariatric surgery, the body's reduced stomach acid environment significantly hampers calcium absorption. Unlike Calcium Carbonate, Calcium Citrate doesn't rely on stomach acid for absorption, making it far more absorbable for bariatric patients.
2. Bypassed Intestinal Uptake: Patients who undergo certain types of bowel bypass procedures, such as Gastric Bypass or Duodenal Switch, have parts of their small intestine responsible for calcium uptake bypassed. This alteration diminishes the body's ability to absorb calcium as effectively as before.

While some companies opt for Calcium Carbonate in their supplements due to its smaller size and lower cost, we at BariXP prioritise efficacy and patient well-being.

Here's 2 main reasons why some companies will use Calcium Carbonate in their supplements:

1. Size Consideration: Calcium Carbonate allows for more elemental calcium to be packed into supplement forms like tablets, making it advantageous for managing the size of the tablet or required tablet count. However, we haven't compromised on calcium content in our BariXP 360 formula multivitamins. Instead, we've developed a special coating on our tablets to ensure they are easy to swallow and digestible, without including undesirable additives like titanium dioxide.
2. Cost Efficiency vs. Effectiveness: While Calcium Carbonate may be cheaper, it's less effective compared to Calcium Citrate. Despite the higher cost to us of using Calcium Citrate in our formulas, we prioritise the superior absorption and overall well-being of our patients.

BOMSS Guidelines recommend 1200-1500mg of Calcium be supplemented daily.

BariXP 360 multivitamins provide 1500mg of Calcium Citrate with each dose.

Q: Why aren't blood tests reliable for assessing bone health?

A: Blood tests are not ideal for measuring true bone health because only about 1% of the calcium in our bodies is found in our bloodstream. The remaining 99% is stored in our teeth and bones, where it plays a crucial role in maintaining bone density and strength. Blood tests primarily measure the calcium levels circulating in the bloodstream and may not accurately reflect the overall status of bone health.

Q: What alternative method is recommended for bariatric patients to assess bone health?

A: For bariatric patients, who are at increased risk of bone-related complications due to factors such as malabsorption and changes in metabolism following surgery, periodic evaluation of bone health is essential. One recommended method for assessing bone health is through specialised X-rays called Dexa Scans. These scans provide detailed images of bone density and can help determine the effectiveness of supplementation with calcium, vitamin D, and magnesium.

Dexa Scans are particularly valuable for bariatric patients as they offer insight into bone density changes over time, helping to identify signs of osteoporosis or other degenerative bone diseases early on. If Dexa Scans are not already part of your nutritional screening routine, it's important to speak with your GP and request a referral to ensure comprehensive monitoring of your bone health.

Nutritional deficiencies can contribute to hair loss following bariatric surgery, which is a common concern among patients. Deficiencies in protein, biotin, zinc, folic acid, vitamin D, and ferritin (which affects iron levels) are often observed. Our formula at Bari XP is carefully crafted to address these needs comprehensively, containing essential nutrients to support hair, skin, and nails.

It's crucial to recognise the interconnectedness of B vitamins, particularly biotin (Vitamin B7). B vitamins function in harmony with each other, and one is often vital for the conversion and activation of the other. That's why you often see B Vitamin supplements grouped together and sold as a 'B-Complex', this is because taking them at high doses in isolation can often be ineffective and even counterproductive.

Unlike many other bariatric supplements on the market, our formula is designed to simplify your regime. A typical daily dose for gastric sleeve or gastric bypass patients includes:

• 1200% Biotin
• 300% Zinc
• 351% Iron
• 400% Folic Acid
• 3000% Vitamin D

These percentages are carefully calculated to meet the unique needs of post-bariatric surgery patients, supporting optimal health and wellness.

In addition to our comprehensive multivitamins, collagen protein can be valuable supporting hair, skin, and nails.

Bariatric patients can trust the guidelines provided by esteemed organisations such as the British Obesity & Metabolic Surgery Society (BOMSS) and the American Society for Metabolic and Bariatric Surgery (ASMBS) due to their rigorous scientific review processes and expert consensus.

These guidelines are developed by leading medical professionals in the field of bariatric surgery, including surgeons, dietitians, and other healthcare experts, who thoroughly evaluate the latest research and clinical evidence.

By adhering to these guidelines, patients can ensure that their vitamin and mineral supplementation regimen is based on the most up-to-date, evidence-based recommendations tailored specifically to their post-surgery needs.

Following these guidelines can help optimise patient outcomes, promote long-term health, and minimise the risk of nutritional deficiencies associated with bariatric surgery.