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  • Hi everyone,
    i am spending LOTS of money on vitamins and supplements, all top of the line and researched. I’ll open the capsules and eat with applesauce. Soft gels i just chew and spit out the outer shell. I’ve been wondering lately if  we jpouchers absorb them properly or if I am throwing money out of the window.
  • Feedback is greatly appreciated.
  • Thank you!
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Most J-pouchers have almost all of their small intestine, and will handle capsules, softgels, and coated tablets completely normally. Even most delayed release products are designed to fully release before they get to the colon, so they will often work fine for us. I haven’t seen a good explanation for why some of us don’t absorb vitamin D very well (it’s mostly “mumble mumble terminal ileum mumble mumble”). Folks with rapid transit times can run into trouble with things exiting before fully dissolved/deployed/absorbed. Those with other GI problems may have additional absorption issues, which may get blamed on the J-pouch. And most of us (including me) seem to have developed food superstitions that aren’t well grounded in reality or evidence, except the scant evidence of one or two bad experiences.

I wouldn't take lots of supplements just because it is "good stuff". I reduce it to things where I know (or have a strong suspicion) that there is a lack that shows in my blood levels for example.

If we can absorb our nutrients in a natural context that is the preferable way in my opinion. But of course there may be things that need to be substituted, like iron for people with chronic inflammation, or vitamin D or B12 for some of us.

That is my opinion too, but my pouch wrecks havoc if I eat vegetables or fruit or protein shakes  ( except bananas) I literally sit in the bathroom all day long and then there is the absorption issue with such short transit time.  
That’s the reason I am taking supplements.   After researching them I found out that the good ones are the expensive ones. Believe me, I rather eat food to get nutrition.   Every once in a while I’ll try a some steamed broccoli or Boston lettuce, but  I am sooo miserable afterwards that i just refrained from it.

Some say I should keep eating them and train my pouch.  
Well after 7 years I gave up.
Thanks Steve!

Hi grateful.  I really can't yet get enough vegetables in my diet either - there's only so much blanched frozen kale I can add to protein shakes. Somewhere along the line a nutritionist advised chewable vitamins.  Since then I've used flintstones brand. And liquid iron when I remember. And Vit D because I've had low levels and don't spend enough time in the sun - plus if it works for Dr Fauci, it works for me. I need more calcium but even liquid form is hard to tolerate.  Luckily I'm ok with dairy and almond milk.  I appreciate the pouch, even with the challenges.  But I do miss my old diet very much!

Hey AMB, I hear you …I do appreciate my pouch tremendously and I am grateful.



I do too miss my old diet so very much but in the big picture we are so lucky to have been able to have our pouch and we are alive.

i am checking into the “Fruits and Vegetables “ vitamins.  They are a little pricey but suppose to give you all the nutrients fresh produce does.  We will see….. nothing like a fresh spinach salad and lots and lots of berries!😏

thank you AMB

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