SUGGESTED USE:
Adults: one (1) tablet daily.
Do not exceed suggested use without physician approval. NOT RECOMMENDED FOR CHILDREN.
As with all supplements, if you are on medication, pregnant or nursing, consult your physician before use.
Ingredients: Fructose, Calcium Citrate, Natural Flavors, Ascorbic Acid (Vit. C), Zinc Glycinate Chelate, Beet Juice, Magnesium Oxide, DL‐Alpha Tocopheryl Acetate (Vit. E), Contains less than 2% of: Beta Carotene, Biotin, Choleocalciferol (Vit. D3), Chromium Picolinate, Citric Acid, Cupric Oxide, D-Calcium Pantothenate, Dicalcium Phosphate, Ferronyl Iron, Folic Acid, Guar Gum, Gum Arabic, Hydrogenated Soy Bean Oil, Magnesium Stearate, Malic Acid, Maltodextrin, Manganese Gluconate, Microcrystalline Cellulose, Methylcobalomin (Vit. B12), Modified Food Starch, Mono- and Diglycerides, Niacinamide, Potassium Iodide, Pyridoxine HCl (Vit. B6), Riboflavin (Vit. B2), Silicon Dioxide, Sodium Carboxymethyl Cellulose, Sodium Carbonate, Sodium Selenite 1% DCP, Starch, Stearic Acid, Sucralose, Sucrose, Thiamin Mononitrate (Vit. B1), Tricalcium Phosphate, Vegetable Oil, Vitamin A Acetate
ALLERGEN INFORMATION: Contains Soy
Note: SOY ingredient is soy oil, not soy protein.
You take vitamins for your health. Yet most multivitamins actually use ingredients from China.
OPURITY™ is CHINA◆FREE. We use no ingredients from China, so you have one less thing to worry about.
Purity Guaranteed. Satisfaction Guaranteed. Learn more at www.opurity.com.
Here are the highlights for key nutrients:
Vitamin D:
Vitamin D is important for calcium absorption, bone health and plays a role in prevention of certain types of cancer, heart disease and other chronic disorders. Supplemental Vitamin D, combined with calcium, is essential because bone loss is a common problem following weight loss surgery.
OPURITY uses all Vitamin D3, the form of Vitamin D made by the human body.
Studies have found that 60% to 80% of bariatric pre-op candidates have low Vitamin D.
The ASMBS recommends 100% of the standard RDI of 400 per day.
We believe 400 IU might also be insufficient for two reasons: a) there is limited data on the needs of gastric band patients, and b) the recommendations for the RDI are also under review, and might be raised. At the same time, the risk of overdose toxicity from 800 IU, for band patients is extremely low.
A note about so-called “Dry” or “water-miscible” Vitamin D”:
Some vitamin makers appear to imply that so-called “dry” or “water-miscible” Vitamin D might have superior absorption. We found no support for this, nor any reason to believe it. “Dry” Vitamin D is actually regular Vitamin D that is encased in a capsule. So in fact, the Dry Vitamin D (or Vitamin A or Vitamin E) requires an extra step for absorption – removing the encapsulation – to be to where the regular Vitamin D already is.
Vitamin B12:
Vitamin B12 is an essential nutrient required for healthy blood cells and to preserve normal nerve function.
Patients should remember that a Vitamin B12 deficiency results in permanent damage to the nervous system.
Thiamin, Riboflavin, Niacin and Vitamin B6
All of these “B” vitamins have important roles, and OPURITY™ Band-Optimized Multi provides 100% of the RDI, consistent with ASMBS Guidelines.
It is particularly important to supplement with Thiamin because the “reserves” in the body are small, and need daily replacement. In one study, 15% of pre-bariatric surgery patients were low in thiamin.
Folic Acid
Folic acid is an important B-complex vitamin. Deficiencies can lead to weakness, fatigue, difficulty with concentration, and irritability. OPURITY™ provides 400 mcg, which is considered sufficient for band patients, consistent with ASMBS nutrition recommendations.
Iron
Iron deficiency anemia is the most common nutritional deficiency in the world.
Your entire body needs oxygen, and every cell depends on red blood cells to deliver that oxygen. To build red blood cells, iron is essential. Supplemental iron is needed to prevent anemia, a common side effect of weight loss surgery. Common symptoms of anemia are fatigue, and reduced capacity to exercise.
OPURITY uses a special iron, Ferronyl® Iron, which supports easier digestion, more complete absorption, and thus good iron levels in the blood. Each tablet has 18 grams, consistent with ASMBS recommendations.
A note about Iron in multivitamins, and calcium: Calcium blocks iron absorption depending on how much calcium is present.
OPURITY™ Band-Optimized Multi uses only moderately low levels of calcium to minimize interference with iron absorption. We provide a separate chewable, Calcium Citrate Plus, which we recommend be taken at different times.
Vitamin A
Vitamin A is important to maintaining good vision, gene expression, growth and immune function and more. At the same time, excessive Vitamin A can be toxic as well; chronic toxicity can cause reduced bone density, disorders of the brain and spinal cord, and liver abnormalities. For these reasons, it is most important to get Vitamin A dosage right.
At the same time, each source of Vitamin A has strengths and weaknesses. Beta-carotene has reduced overdose toxicity risks. Vitamin A Acetate has efficacy advantages. For these reasons, we believe a mix of half Acetate, half Beta-carotene is optimal.
Vitamin C
A 2009 study in Obesity Surgery reports that almost 50% of pre-surgery patients are deficient in Vitamin C.
OPURITY- Band-Optimized Chewable Multi provides 100% of the RDI for Vitamin C, consistent with ASMBS Guidelines.
What’s different about OPURITY™ is the source of our Vitamin C. Approximately 90% of the world’s ascorbic acid (Vitamin C) is made in China. It’s an excellent bet the multi you have been using uses ingredients from China, including Vitamin C.
OPURITY uses no ingredients from China, for your safety.
Calcium
Sufficient calcium is essential to maintenance of healthy strong bones.
Because higher doses of calcium inhibit iron absorption, we use only low levels of calcium in our multivitamins. Your primary sources of calcium should be a combination of dairy foods and calcium-specific supplements taken at a different time from the multivitamin.
Other Ingredients
Sugar alcohols: We use no sugar alcohols and never will.
Other bariatric multivitamins DO use mannitol or sorbitol.
Why you care:the Cleveland Clinic notes, “sugar alcohols can cause diarrhea, bloating, or gas”.
Check the label of your previous multivitamin brand.
Artificial Colors: OPURITY™ Multivitamins use no artificial color.
Check your (check your bariatric brand for “FD&C colors” or “yellow #6” or “red #40”). Many people prefer to avoid them. Other bariatric multivitamins use them.
Sweeteners: OPURITY™ multivitamins use approximately one half of one gram of a combination of dextrose and fructose, as well as a small amount of sucralose.
Every bariatric brand we checked does use one or more sugars, a high-intensity artificial sweetener, and most use a sugar alcohol as well.
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