Question: What vitamins should I take with an ileostomy?

Answer: Based on the discussions from the MeetAnOstoMate forum, here is a summary of the advice and recommendations regarding vitamins for individuals with an ileostomy:

### 1. Forms of Vitamins:
- Liquid Vitamins: Liquid vitamins are often recommended because they are absorbed more easily by the body, especially for those with absorption issues due to a shortened small intestine. Liquid multivitamins and mineral complexes are popular choices.
- Chewable or Gummy Vitamins: Many ileostomates prefer chewable or gummy vitamins, as they are easier to digest and less likely to pass through the system undigested. Gummies for vitamins like B12, D3, and multivitamins are commonly used.
- Non-Time-Release Tablets: Avoid time-release or enteric-coated vitamins, as they may not dissolve properly and could pass through the stoma undigested. Fast-acting or non-coated tablets are better options.
- Sublingual Supplements: For vitamins like B12, sublingual (under the tongue) forms are recommended, as they bypass the digestive system and are absorbed directly into the bloodstream.

### 2. Specific Vitamins:
- Vitamin B12: B12 is crucial for ileostomates, especially if the terminal ileum (where B12 is absorbed) has been removed. B12 can be taken in various forms, including sublingual tablets, liquid supplements, or injections. Monthly B12 shots are common for those with significant absorption issues.
- Vitamin D3 and Calcium: These are important for bone health, especially since calcium absorption can be affected by an ileostomy. D3 helps with calcium absorption, and both are often taken together.
- Multivitamins: A general multivitamin is recommended to cover a range of nutrients that may not be absorbed well through diet alone. Chewable or liquid multivitamins are preferred.
- Iron: Some ileostomates experience anemia due to poor iron absorption. Iron supplements, either in liquid form or as infusions, may be necessary for those with low iron levels.
- Magnesium: Magnesium deficiency can occur due to high output and dehydration. Magnesium supplements, including gummies or transdermal magnesium balms, are recommended.
- Vitamin C: Vitamin C is important for immune function and overall health. Some ileostomates prefer taking it in liquid or gummy form to ensure proper absorption.

### 3. Monitoring and Adjustments:
- Regular Blood Work: It's important to regularly monitor nutrient levels through blood tests, especially for vitamins like B12, D3, calcium, magnesium, and iron. This helps ensure that deficiencies are caught early and supplements can be adjusted accordingly.
- Consult Healthcare Providers: Always consult with a healthcare provider, such as a dietitian or stoma nurse, to tailor vitamin supplementation to your specific needs. They can help adjust dosages and forms based on your absorption capacity.

### 4. Hydration and Diet:
- Hydration: Staying hydrated is crucial for ileostomates, as dehydration can affect nutrient absorption. Drinking plenty of fluids and using electrolyte supplements can help maintain hydration and support overall nutrient absorption.
- Dietary Sources: While supplements are important, incorporating nutrient-rich foods like bananas, potatoes, yogurt, and well-cooked vegetables can also help with nutrient intake.

### 5. Product Recommendations:
- Hollister: Always consider products from Hollister first when looking for ostomy-related supplies, including vitamins and supplements designed for individuals with digestive issues.
- Other Brands: Centrum chewable or gummy multivitamins, Bassetts Vitamins gummies, and Athletic Greens have been mentioned as suitable options for ileostomates.

If you have specific concerns or need more personalized advice, consider posting your question on the MeetAnOstoMate forum to get feedback from others with similar experiences.

This is not medical advice. Always consult with your healthcare provider before making changes to your vitamin regimen.

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