Bariatric Advantage Ultra Multi is our highest potency multi with each 3 capsule serving delivering at least 200% DV of 13 key nutrients including vitamins A, B1 (thiamin), B12 (cobalamin), D3, K, and (iron optional) along with at least 100% DV of 9 other essential nutrients. Highest potency multi in the Bariatric Advantage Multi line. Capsule form is often preferred over chewable tablets for long-term supplementation by some bariatric surgery patients. Delivers at least 200% DV of 13 key nutrients including critical fat soluble vitamins A, D (3000 IU), E, and K, along with 45 mg of iron (with iron option only). Provides a full complex of B vitamins with at least 200% DV including vitamin B1 (12 mg), vitamin B12 (1000 mcg), and folic acid (800 mg). Delivers at least 100% DV of 9 other essential nutrients including magnesium (400 mg) and 2 mg of copper as copper citrate which may be easier on the digestive system and may be preferred for bariatric surgery patients1. Utilizes only water-miscible form of vitamin D to support better nutrient absorption. Some bariatric surgery patients lack the necessary fat intake or do not completely absorb dietary fat that is necessary to adequately absorb ordinary supplement form of this fat-soluble vitamin. Utilizes only vitamin D3, which is more bioactive and more effective than the D2 form. Utilizes only natural source vitamin E. Provides comprehensive trace mineral support delivering at least 100% DV for iodine, zinc, selenium in selenomethionine form which is the preferred form for the correction of deficiency2 along with copper, manganese, chromium, molybdenum, and potassium. Contains a unique phytonutrient blend. ASMBS and Bariatric Clinical Guidelines. Gastric Bypass (RYGB/RNY), Sleeve Gastrectomy (VSG/SG), and Duodenal Switch (DS) patients are recommended to take a high potency multi-vitamin providing 200% daily value of 2/3 of key nutrients3,4 essential for bariatric surgery patients and which include Vitamin B1 (Thiamine), Vitamin K, Biotic, Folic Acid, Selenium, Iron, Zinc and Copper Quality absorbable form of nutrients should be used after bariatric surgery due to the absorption challenges of bariatric patients. Jacques, J. Micronutrition for the Weight Loss Surgery Patient. Edgemont: Matrix Medical Communications, 2006. 118. Cummings, S. Pocket Guide to Bariatric Surgery, 2nd edition. Chicago: Cathy Iammartino, 2015. 225. Aills, L, et al. ASMBS Allied Health Nutritional Guidelines for the Surgical Weight Loss Patient. Surgery for Obesity and Related Diseases, Volume 4, Issue 5, S73-S108. Mechanick, JI, et al. Clinical Practice Guidelines for the Perioperative Nutritional, Metabolic, and Nonsurgical Support of the Bariatric Surgery Patient—2013 Update: Cosponsored by American Association of Clinical Endocrinologists, The Obesity Society, and American Society for Metabolic & Bariatric Surgery.

WARNING: Excess vitamin A intake, beta-carotene or carotenoid forms excepted, may increase the risk of birth defects and may contribute to osteoporosis. Women who are pregnant or who may become pregnant should not exceed 3,000 mcg of vitamin A per day, beta-carotene or carotenoid forms excepted, 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, call your healthcare practitioner. Keep out of reach of children. TAMPER EVIDENT: Do not use if safety seal is missing or broken.