Chewable Advanced Multi EA™

Bariatric Advantage Advanced Multi EA is our most advanced and highest potency multi in chewable tablet form, delivering 200% DV of 12 key nutrients along with 100% DV of 8 other essential nutrients. It features proprietary micelle technology, which has been clinically shown to improve absorption of critical fat-soluble like vitamins D and E.1,2 ** Available in delicious Mixed Fruit and Strawberry flavors.

** In a non-bariatric population

• Reformulated to include 36 mg thiamin and 16 mg zinc
• Better-tasting Strawberry flavor
• Designed with proprietary micelle technology to enhance nutrient absorption
• Delivers at least 200% DV of 12 Key Nutrients including critical fat soluble vitamins D (3,000 IU), E, and K, along with 45 mg of iron
• Provides a full complex of all B vitamins including at least 200% DV of vitamin B1, vitamin B12, and folic acid
• Delivers at least 100% DV of 8 other essential nutrients including vitamin A and 2 mg of copper as copper citrate which may be easier on the digestive system* and may be preferred for bariatric surgery patients3
• Utilizes only water-miscible forms of vitamins E and 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 absorb ordinary forms of these fat-soluble vitamins.
• Utilizes only vitamin D3, which is more bioactive than the D2 form. Vitamin D is critical for calcium absorption.*
• Utilizes only natural source vitamin E
• Provides comprehensive trace mineral support with iodine; zinc as zinc amino acid chelate, which may be better absorbed and tolerated by some patients; selenium in selenomethionine form which is the preferred form for the correction of deficiency 4; along with copper, manganese, chromium, molybdenum
• Contains boron to support maintenance of bone *

* These statements have not been evaluated by the Food and Drug Administration. This product is not intended to diagnose, treat, cure, or prevent any disease.

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 nutrients essential for bariatric surgery patients^5,6 and which include vitamin B₁ (thiamin), vitamin K, biotin, 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
• Gastric Bypass (RYGB/RNY) and Sleeve Gastrectomy (VSG/SG) patients are recommended to take dietary supplements as chewable or liquid in the first 1-3 months after surgery. Gastric Band (AGB) patients should always use chewable or liquid dietary supplements.
   

1. Papas K, Kalbfleisch J, Mohon R. Dig Dis Sci. 2007;52(2):347-52.
2. Argao EA, Heubi JE, Hollis BW, Tsang RC. Pediatr Res. 1992;31(2):146-50.
3. Jacques, J. Micronutrition for the Weight Loss Surgery Patient. Edgemont: Matrix Medical Communications, 2006. 118.
4. Cummings, S. Pocket Guide to Bariatric Surgery, 2nd edition. Chicago: Cathy Iammartino, 2015. 225.
5. 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.
6. 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.