Are multivitamins really effective?

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minnietoty
Veteran Member


Date Joined Dec 2010
Total Posts : 2739
   Posted 9/2/2017 12:10 PM (GMT -6)   
I have to admit something. Almost 6 months ago, I got a severe flare up. I could hardly eat then so I skipped my daily multivitamin. By time, I totally forgot about taking it and I never brought it to my GI's attention. I was only keen to take the monthly B 12 injection.

Last week, when I informed my GI about the foot and calf cramps and he got alarmed and put me on weekly B complex injections, I remembered that I haven't taken a multivitamin for almost 6 months. I always thought that its effect is temporary and it's not that effective.

Now, I'm lying in bed, suffering from dizziness and fatigue, I think I realised the importance of multivitamins. But are these multivitamins really absorbed or does Crohn's impede absorption? I have to take the remaining B injections before seeing my GI but I feel I need something to boost my energy before I see him in 3 weeks. I really do regret what I did to myself. Which type of multivitamin do you take?
GERD, perianal fistula, CD, IBS, persistent mouth ulcers & fissures
___________________
Meds: Remicade, Cortiment, Nexium, Imuran, colifoam, monthly B12 inj.
Pred 40 mg from Oct. 2010 till Jan. 2012
Previous: Mesalamine tablets & supp.
Failed:Azathioprine (generic), Methotrexate

noodlesnoodles
Regular Member


Date Joined Nov 2015
Total Posts : 271
   Posted 9/2/2017 12:28 PM (GMT -6)   
So I will preface this by saying I don't have Crohn's (at least we don't think so anyway), but I do have inflammation in my terminal ileum.

I have never been huge into taking multivitamins because vitamins tend to upset my stomach. Since getting sick with IBD, however, I have developed some deficiencies that require supplementation:

Vitamin D: OK, I live somewhere with little sunshine so I was already deficient in this one. But it got really dire when I got IBD. My doc prescribes a 50,000 IU Vitamin D gelcap that I take once a week. On the other days, I take a regular 1,000 IU Vitamin D/ 400 mg Calcium chew. I need the calcium because I'm on long-term prednisone.

Vitamin B-12: I have struggled with B-12 deficiency for about a decade but again, it got really serious once I got IBD. My doctor prescribes injections for this.

Vitamin C: I take a high dose (1,000 mg) vitamin C pill whenever I remember (a couple times a week). I'm on a limited diet due to my flare so I don't get hardly any fruits/veg.

Potassium: I have prescription potassium pills for when I have a lot of diarrhea and get hypokalemic.

So I guess my perspective is that you should get tested for deficiencies and worry about supplementing those (usually the dose required for this exceeds what a multivitamin can provide and often requires a prescription supplement). That said, I don't think taking a multivitamin hurts anything either.
28 year old female
Issues began in July 2014
Capsule endoscopy in late March 2017 showed "suspected Crohn's Ileocolitis"
After colonoscopy on April 14, 2017, was officially diagnosed with Ulcerative Pancolitis (w/ backwash ileitis)
Current meds: Apriso 4 x daily, Prednisone 30 mg, Canasa 1000mg suppository nightly, B12 injections monthly, 50,000 IU Vit D weekly
Started Remicade July 11, 2017

straydog
Forum Moderator


Date Joined Feb 2003
Total Posts : 14987
   Posted 9/2/2017 2:35 PM (GMT -6)   
Minnie, not everyone has absorption issues because of crohns. I asked about this. I ended up with it as a result of a resection which is not uncommon for folks that has had surgery. Now being much older my PCP says a multivitamin wouldn't hurt at all. I find they upset my stomach so I don't bother taking them. I do monthly B12 shots.

So far this is working for me.
Susie
Moderator in Chronic Pain & Psoriasis Forums

Labradorite
Veteran Member


Date Joined Sep 2009
Total Posts : 1001
   Posted 9/2/2017 3:00 PM (GMT -6)   
I had absorption issues while the crohns was active but now I find most things are well absorbed. I take B6, B12, D, Folate and iron infusions. While I never directly was able to connect feeling better with the supplements they are a part of my treatment to stay well. The low Folate was considered aa possible cause of the PE I had so I'm on it for life. Iron makes my stomach upset so I will not take a multivitamin since it usually has it in it.

I agree with @noodlesnoodles and think that you should have the levels of these things checked to see what deficiencies you have right now and tailor your vitamins to what you need. You may need more or less than what a standard multivitamin contains of each vitamin. While your symptoms could be related to deficiencies I think you are better off having proof and avoid missing something

minnietoty
Veteran Member


Date Joined Dec 2010
Total Posts : 2739
   Posted 9/2/2017 5:05 PM (GMT -6)   
Dear all, thank you so much.

Forgot to mention that I'm too on a very restricted diet w no veggies or fruits. I don't know whether my Crohn's really impedes absorption or not but it's always active. Add to it long-standing GERD (19 years this ecember) and 10 years on double dose of Nexium 40mg. These alone can affect absorption of certain vitamins.
Tests showed I'm deficient of vitamin D (13) and take a daily spray of 3.000 UI. Whenever iron is shown to be low, I take iron infusions. I take calcium too when not constipated as I've been on different forms of steroids for.7 years now.
Once my doctor's assistant suggested to give me all the lacking nutrients in an iv form but my GI refused.
I'll talk to my GI about it but I'm just wondering how many tests I should have. There must be another way that tells what deficiencies I've got given that my diet is very restricted. Just a thought.
GERD, perianal fistula, CD, IBS, persistent mouth ulcers & fissures
___________________
Meds: Remicade, Cortiment, Nexium, Imuran, colifoam, monthly B12 inj.
Pred 40 mg from Oct. 2010 till Jan. 2012
Previous: Mesalamine tablets & supp.
Failed:Azathioprine (generic), Methotrexate
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