Customer service +44 01794 874240

Q & A

Advice

  • HOW DO I TAKE BARICOL® COMPLETE?

    Baricol® Complete chewable tablets: take 3 tablets a day. You can, of course, take 2 tablets in the morning and 1 tablet in the evening if you have trouble remembering to take the tablet in the middle of the day. Baricol® Complete effervescent tablets are to be dissolved in a glass of water, and it takes around 1 minute for the tablet to dissolve. Ideally, drink immediately. Some people choose to add both tablets to their water bottle and drink it over a slightly longer period. If doing this, remember to shake the bottle every time before drinking in order to be sure that you are consuming the essential calcium citrate.

  • HOW SOON AFTER MY SURGERY CAN I START TAKING BARICOL® COMPLETE?

    You can start taking Baricol® Complete immediately after your surgery. We recommend that you follow the clinic’s instructions.

  • IS IT OK TO TRAVEL ABROAD WITH BARICOL® COMPLETE?

    Of course! Following weight-loss surgery we want everyday living – and luxuries – to run as smoothly as possible. There are no problems travelling with Baricol® Complete in either your hand luggage or hold luggage. However, it is best if you keep the tablets in their original packaging. Happy travels!

Baricol Complete

  • WHY ISN’T BARICOL® COMPLETE AVAILABLE TO BUY FROM PHARMACIES?

    By selling online we can keep our prices lower. Many people also feel that online shopping is a flexible and convenient way to order items. This also allows regular delivery to your home. So by not selling through pharmacies we can offer you a cheaper alternative and simpler everyday living.

  • IS BARICOL® COMPLETE AVAILABLE ON PRESCRIPTION?

    No, because Baricol® Complete is not a medicine, it is a dietary supplement. The product is not sold for any medicinal effect or to treat illness. However, Baricol® Complete is cheaper in the vast majority of cases, even when you obtain traditional options on prescription. This is possible because we sell directly to customers without any middlemen, such as pharmacies, etc.

  • ARE THERE ALTERNATIVES TO BARICOL® COMPLETE?

    Baricol® Complete is a unique product on the European market. We have been working in association with weight-loss surgery since the early 2000s, and have realised that there is a great need for improvements in aftercare. Baricol® Complete was produced to make life easier for those who have undergone weight-loss surgery. One Baricol® Complete tablet taken 1 to 3 times a day replaces four other products in most cases. Baricol® Complete is a tailored tablet. This means, for example, that we have chosen calcium citrate instead of calcium carbonate, because reduced acid secretion following surgery means the citrate form is absorbed much better. Baricol® Complete’s contents are based on treatment guidelines, which in turn are based on current knowledge (Tondapu P, et al. Obes Surg. 2009; 19:1256-61BOMSS Guidelines on peri-operative and postoperative biochemical monitoring and micronutrient replacement for patients undergoing bariatric surgery. Report. September 2014. Kulick D. et al. J Am Dietic Assoc. 2010;110:593-599. Mechanick J.I. et al. Surgery for Obesity and Related Diseases 2013; 9: 159–191)

Calcium

  • CAN YOU REALLY COMBINE IRON AND CALCIUM IN THE SAME TABLET?


    There is much to indicate this, and we have taken the following into account to ensure the absorption of iron in particular: The big problem with iron supplements is adherence. Iron preparations frequently cause stomach-related side effects, particularly with high single doses. We have therefore divided the iron content up so that one effervescent tablet contains 25 mg and one chewable tablet contains 17 mg. This reduces the probable risk of side effects and thus improves adherence.

    Absorption of iron is also improved by a simultaneous supply of vitamin C, as well as the supplement being available in chewable or effervescent form. Baricol® Complete contains vitamin C and is available in both formulations. Baricol® Complete contains iron in the form of iron citrate, and this improves absorption when there is reduced gastric acid secretion (see also calcium citrate). More recent studies have shown that the ratio between the content of iron and calcium is very significant for absorption. To avoid reduced absorption of iron, the ratio between the quantities of calcium and iron should be under 220:1 (Gaitan, et al. J Nutr 2011 Sep 27;141(9):1652-6). The ratio in Baricol® Complete is 20:1. 

  • WHY IS CALCIUM CITRATE BETTER THAN CALCIUM CARBONATE?

    After weight-loss surgery, secretion of stomach acid is reduced. This leads to a more basic stomach environment. This has a crucial effect on the ability to absorb calcium in the intestine. Studies have shown that absorption of calcium in the form of calcium carbonate (found in Calcichew, Kalciopos, Aquamin and others) is limited following weight-loss surgery.

    At least 1000 mg of calcium citrate is needed daily according to national and international guidelines. Since calcium citrate is expensive and takes a lot of space, numerous producers opt for the cheaper and less effective calcium carbonate in their supplements.

    Baricol® Complete is the only tailored supplement based on published science and is recommended by Swedish and international medical care services.

Contents

  • DOES BARICOL® COMPLETE CURE DEFICIENCY DISEASES?

    Baricol® Complete is in the first instance a prophylactic treatment – i.e. the dose is intended to prevent the development of any deficiency diseases. This means that if you have a pronounced deficiency of any vitamin or mineral the prophylactic dose may be insufficient to cure the deficiency condition. If you have a deficiency disease or are concerned about it, you should always be examined by and consult a doctor regarding suitable treatment.

Iron

  • CAN YOU REALLY COMBINE IRON AND CALCIUM IN THE SAME TABLET?


    There is much to indicate this, and we have taken the following into account to ensure the absorption of iron in particular: The big problem with iron supplements is adherence. Iron preparations frequently cause stomach-related side effects, particularly with high single doses. We have therefore divided the iron content up so that one effervescent tablet contains 25 mg and one chewable tablet contains 17 mg. This reduces the probable risk of side effects and thus improves adherence.

    Absorption of iron is also improved by a simultaneous supply of vitamin C, as well as the supplement being available in chewable or effervescent form. Baricol® Complete contains vitamin C and is available in both formulations. Baricol® Complete contains iron in the form of iron citrate, and this improves absorption when there is reduced gastric acid secretion (see also calcium citrate). More recent studies have shown that the ratio between the content of iron and calcium is very significant for absorption. To avoid reduced absorption of iron, the ratio between the quantities of calcium and iron should be under 220:1 (Gaitan, et al. J Nutr 2011 Sep 27;141(9):1652-6). The ratio in Baricol® Complete is 20:1. 

Minerals

  • WHY IS CALCIUM CITRATE BETTER THAN CALCIUM CARBONATE?

    After weight-loss surgery, secretion of stomach acid is reduced. This leads to a more basic stomach environment. This has a crucial effect on the ability to absorb calcium in the intestine. Studies have shown that absorption of calcium in the form of calcium carbonate (found in Calcichew, Kalciopos, Aquamin and others) is limited following weight-loss surgery.

    At least 1000 mg of calcium citrate is needed daily according to national and international guidelines. Since calcium citrate is expensive and takes a lot of space, numerous producers opt for the cheaper and less effective calcium carbonate in their supplements.

    Baricol® Complete is the only tailored supplement based on published science and is recommended by Swedish and international medical care services.

  • WHAT VITAMINS AND MINERALS ARE IMPORTANT TO TAKE AFTER WEIGHT-LOSS SURGERY?

    Here is a summary of which vitamins and minerals are extra important to take as supplements after weight-loss surgery, and a brief explanation of why.

    Calcium is needed for bone tissue, for healthy functioning of the muscles and nerves, and for normal blood clotting. Calcium is found mainly in dairy products, but also in green vegetables and sardines. Prolonged calcium deficiency can lead to osteoporosis. Current guidelines recommend 1000-2000 mg of calcium citrate per day.

    Zinc is a vital mineral that is good for the immune system and the metabolism. Zinc is also good for healthy skin, nails and hair. Deficiency can give rise to poorer wound healing and infection defence, anaemia, depression, aggression and learning difficulties. It can also lead to skin changes, white flecks on the nails and hair loss. The recommendation is 16-30 mg of zinc per day following weight-loss surgery.

    Iron forms part of haemoglobin, which is responsible for transporting oxygen from the lungs via the bloodstream out to all the tissues of the body. Liver, meat, poultry, fish, green vegetables, lentils, egg yolk and wholegrain products are all good sources. Anyone who has had weight-loss surgery will more easily suffer from iron deficiency, because less stomach acid is produced. This reduces the body’s ability to absorb iron. In addition, part of the small intestine, which is especially important for iron absorption, is no longer connected. Typical symptoms of anaemia are being pale, tired and lacking in energy. With more severe anaemia, you may also suffer dizziness, headache, a buzzing in the ears and palpitations, and get short of breath. The recommendation is 45-60 mg of iron per day following weight-loss surgery regardless of age or gender.
    Women with heavy menstrual flows may on occasion need higher doses.
    Annual checks on vitamin and mineral levels are important after surgery.

    Vitamin B12, also known as cobalamin, is necessary for normal functioning of the nervous system and for the formation of blood cells. In the stomach, a protein (IF) is formed, which is needed for absorbing vitamin B12. After weight-loss surgery, less of this protein is formed. Problems with the mucous membranes can be early symptoms of a vitamin B12 deficiency, for example, a sore tongue, bleeding gums or cracks at the corners of the mouth. With a severe vitamin B12 deficiency, the person can have difficulty walking, have memory problems, become depressed or develop eyesight problems. You should make sure you take 500 μg of B12 per day (tablet form) following your weight-loss surgery.

    Vitamin D plays an important role in the body’s metabolism of calcium and phosphate, and in bone mineralisation. In food you find vitamin D in certain enriched dairy products and oily fish. Being out in the sun is also important. Several international authorities consider that the optimal concentration of vitamin D is 75-125 nmol/L after measuring of the “S-25(OH)D” value. You should make sure you take 1000-2000 IU (equivalent to 25-50 μg) of vitamin D per day after weight-loss surgery.

    Folic acid is needed for production of protein. Good food sources are spinach, broccoli, lettuce, beef liver and eggs. Folic acid deficiency can result in anaemia, with tiredness, dizziness, headache, etc. as a consequence. Severe anaemia gives rise to shortness of breath and sometimes angina. You should make sure you get 400 μg of folic acid per day following your weight-loss surgery.

    It is essential to check on your levels with blood tests at least once a year following weight-loss surgery. If you are unsure about arrangements for follow-up checks, contact the clinic that performed the surgery for more information.

  • WHY IS IT IMPORTANT TO TAKE VITAMIN & MINERAL SUPPLEMENTS AFTER WEIGHT-LOSS SURGERY?

    Following weight-loss surgery there is an increased risk of developing a deficiency in essential vitamins and minerals. This is partly due to a change in diet, but also to the fact that the body’s ability to absorb nutrients is impaired. The latter is mainly due to the bypassing of the intestine (as with gastric bypass surgery), and the reduced stomach produces less stomach acid and consequently reduced production of substances that aid absorption in the intestine (in the case of both gastric bypass and sleeve gastrectomy).

    Above all, absorption of vitamin D, iron, vitamin B12, vitamin B1, folic acid, calcium and zinc is affected. Vitamin and mineral deficiencies can lead to serious health repercussions, such as iron deficiency/anaemia, depression, nerve damage, osteoporosis.

    Therefore it is important to take daily vitamin and mineral supplements after surgery and to attend an annual follow-up appointment with blood tests at your clinic or health centre. Naturally it is also important to follow the dietary advice given after your surgery in order to ensure a nutritious diet.

    Research in this field indicates that supplements and regular checks are needed for the rest of your life to ensure that you do not develop deficiencies.

Order

  • HOW DO I ORDER BARICOL® COMPLETE?

    The easiest way to order our products is by visiting our website www.baricol.com or by calling us on telephone number +46 (0)31-333 44 33 or for the UK +44 01794 874240. Our warehouse, head-office and customer service are located in Gothenburg. Goods ordered before 1 pm (CET) are normally dispatched the same day. Your order should reach you within 2-6 working days.

Sleeve gastrectomy

  • DO PATIENTS WHO HAVE UNDERGONE A SLEEVE GASTRECTOMY ALSO NEED TO TAKE EXTRA VITAMIN AND MINERAL SUPPLEMENTS?

    This is mostly indicated. Experience of this surgical method is not as extensive, but a great many studies indicate that they need extra supplements, just as with the more common gastric bypass procedure. Possibly a slightly lower dose is sufficient, but the majority of clinics now give the same supplements regardless of surgical method, pending further research.

Vitamins

  • IS CYANOCOBALAMIN DANGEROUS?


    After weight-loss surgery, it is very important to take B12 supplements, since the body finds it very difficult to absorb this vitamin in the final section of the small intestine (the ileum). Cyanocobalamin is converted into free cobalamin and is delivered to the cells in the form of hydroxycobalamin and converted in the cell liquid into methylcobalamin or in the mitochondria into 5-deoxyadenosylcobalamin. Documented side effects of cyanocobalamin (1000-2000 micrograms) according to Fass.se are as follows: Rare (≥1/10 000, <1/1 000) allergic reaction, fever, acne-type rash and hives. Cyanocobalamin (a harmless compound according to Läkartidningen, volume 94, no. 10, 1997) has been in use for decades and is extremely well-documented and effective with respect to delivery of B12. Cyanocobalamin creates methylcobalamin and 5-deoxyadenosylcobalamin, which represent two distinct and necessary metabolic functions in the body.

    Cyanocobalamin is regarded as safe in very high doses over a long period. Taking B12 solely in the form of methylcobalamin, for example, is not considered to be complete (European Journal of Clinical Nutrition. 2015, 69, 1–2). Therefore we have chosen, in light of current knowledge, to use cyanocobalamin, which is regarded as a safe and tested way to deliver vitamin B12. With regard to Baricol® Complete we have now obtained reports that the cobalamin levels for those taking the tablets are good; the majority no longer need injections of B12 as a result of starting to take Baricol® Complete. No side effects as per the above have been reported despite the fact that we have had thousands of users since the start in 2012.

  • WHAT VITAMINS AND MINERALS ARE IMPORTANT TO TAKE AFTER WEIGHT-LOSS SURGERY?

    Here is a summary of which vitamins and minerals are extra important to take as supplements after weight-loss surgery, and a brief explanation of why.

    Calcium is needed for bone tissue, for healthy functioning of the muscles and nerves, and for normal blood clotting. Calcium is found mainly in dairy products, but also in green vegetables and sardines. Prolonged calcium deficiency can lead to osteoporosis. Current guidelines recommend 1000-2000 mg of calcium citrate per day.

    Zinc is a vital mineral that is good for the immune system and the metabolism. Zinc is also good for healthy skin, nails and hair. Deficiency can give rise to poorer wound healing and infection defence, anaemia, depression, aggression and learning difficulties. It can also lead to skin changes, white flecks on the nails and hair loss. The recommendation is 16-30 mg of zinc per day following weight-loss surgery.

    Iron forms part of haemoglobin, which is responsible for transporting oxygen from the lungs via the bloodstream out to all the tissues of the body. Liver, meat, poultry, fish, green vegetables, lentils, egg yolk and wholegrain products are all good sources. Anyone who has had weight-loss surgery will more easily suffer from iron deficiency, because less stomach acid is produced. This reduces the body’s ability to absorb iron. In addition, part of the small intestine, which is especially important for iron absorption, is no longer connected. Typical symptoms of anaemia are being pale, tired and lacking in energy. With more severe anaemia, you may also suffer dizziness, headache, a buzzing in the ears and palpitations, and get short of breath. The recommendation is 45-60 mg of iron per day following weight-loss surgery regardless of age or gender.
    Women with heavy menstrual flows may on occasion need higher doses.
    Annual checks on vitamin and mineral levels are important after surgery.

    Vitamin B12, also known as cobalamin, is necessary for normal functioning of the nervous system and for the formation of blood cells. In the stomach, a protein (IF) is formed, which is needed for absorbing vitamin B12. After weight-loss surgery, less of this protein is formed. Problems with the mucous membranes can be early symptoms of a vitamin B12 deficiency, for example, a sore tongue, bleeding gums or cracks at the corners of the mouth. With a severe vitamin B12 deficiency, the person can have difficulty walking, have memory problems, become depressed or develop eyesight problems. You should make sure you take 500 μg of B12 per day (tablet form) following your weight-loss surgery.

    Vitamin D plays an important role in the body’s metabolism of calcium and phosphate, and in bone mineralisation. In food you find vitamin D in certain enriched dairy products and oily fish. Being out in the sun is also important. Several international authorities consider that the optimal concentration of vitamin D is 75-125 nmol/L after measuring of the “S-25(OH)D” value. You should make sure you take 1000-2000 IU (equivalent to 25-50 μg) of vitamin D per day after weight-loss surgery.

    Folic acid is needed for production of protein. Good food sources are spinach, broccoli, lettuce, beef liver and eggs. Folic acid deficiency can result in anaemia, with tiredness, dizziness, headache, etc. as a consequence. Severe anaemia gives rise to shortness of breath and sometimes angina. You should make sure you get 400 μg of folic acid per day following your weight-loss surgery.

    It is essential to check on your levels with blood tests at least once a year following weight-loss surgery. If you are unsure about arrangements for follow-up checks, contact the clinic that performed the surgery for more information.

  • WHY IS IT IMPORTANT TO TAKE VITAMIN & MINERAL SUPPLEMENTS AFTER WEIGHT-LOSS SURGERY?

    Following weight-loss surgery there is an increased risk of developing a deficiency in essential vitamins and minerals. This is partly due to a change in diet, but also to the fact that the body’s ability to absorb nutrients is impaired. The latter is mainly due to the bypassing of the intestine (as with gastric bypass surgery), and the reduced stomach produces less stomach acid and consequently reduced production of substances that aid absorption in the intestine (in the case of both gastric bypass and sleeve gastrectomy).

    Above all, absorption of vitamin D, iron, vitamin B12, vitamin B1, folic acid, calcium and zinc is affected. Vitamin and mineral deficiencies can lead to serious health repercussions, such as iron deficiency/anaemia, depression, nerve damage, osteoporosis.

    Therefore it is important to take daily vitamin and mineral supplements after surgery and to attend an annual follow-up appointment with blood tests at your clinic or health centre. Naturally it is also important to follow the dietary advice given after your surgery in order to ensure a nutritious diet.

    Research in this field indicates that supplements and regular checks are needed for the rest of your life to ensure that you do not develop deficiencies.