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Jul 02, 2015

Vitamin Benefits for Ileostomy - Do They Get Absorbed?

This topic is about understanding how vitamins and supplements can be beneficial for people with an ileostomy, especially considering the challenges in absorption. Here are some helpful insights and advice:

1. People with an ileostomy often find that chewable, gummy, or liquid vitamins absorb better than hard tablets or capsules. It's best to avoid time-release or slow-release pills, as they might pass through the body without being absorbed.

2. Adding vitamin D3 to your calcium supplement can help improve calcium absorption and has been shown to improve bone density for some individuals.

3. Vitamin B-12 is important for those with an ileostomy, as they may be at risk of deficiency. Options for supplementation include daily sublingual tablets that dissolve quickly or a monthly B-12 injection.

4. If you're taking iron supplements, be aware that standard capsules might not dissolve properly. Some have found success with specific brands like Centrum Specialist, which helped correct iron levels.

5. Regular blood tests are recommended to monitor what vitamins and minerals are being absorbed. Initially, these tests might be every six months, but they can be reduced to yearly once levels are stable.

6. Since the colon is not present, the small intestine takes on more responsibility, which can increase the risk of dehydration. It's important to drink extra fluids to stay hydrated.

7. Other supplements that people with an ileostomy have found beneficial include Omega-3, Milk Thistle for liver support, Biotin, Vitamin C with Collagen, and products like Davrom and Nullo for odor control.

8. The same advice about using fast-dissolving, non-time-release forms applies to medications as well, such as Zofran, Promethazine, Bentyl, and pain medications.

9. Remember, absorption can vary from person to person. It's important to choose quick-dissolving or liquid formulas, avoid time-release products, and confirm their effectiveness through periodic blood tests.
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