I spoke to a gal named Caldwell over 2 years ago when I called the company for information. She swore by these products, and insisted that her labs were perfect because of them. In fact, she even says it in her biography on their website (http://www.vita4life.net/patcaldwell.html), so I'm surprised by her reviews here. From what I understand, she no longer works for the company, so I'm sure her reviews are spiteful - I wouldn't hold much credence to them.
Anyhow, back to my review. Products are great. I've had wonderful labs since taking them. I started on the old formula, and when Vita4life switched to a new formula, my labs seemed stable although my Iron levels dipped a little. Recently, they came out with a 2nd multi formula, and it is almost identical to the formula I started with, so I switched back. Wonderful company, great customer service. I would highly recommend.
They go down easy and don't repeat on me at all. My Dr. recommends taking 2 in the am and 2 in the late afternoon...far less than what the manufacturer recommends...I follow my Dr.'s advice and my blood work came back EXCELLENT !! SO..I guess they work just fine!!
(indicates that they have used the product)60 packages lasts for 2 months (1 pack per day) and it's cheaper to buy multiple months at a time.
V4L is really useful in that all vitamins you need are in 1 pill, so you don't have to figure out when to take 5 different types of pills!
The only negative is that they've been redesigned more for RNY patients and DS patients need a little more than what they have. I don't need B12, but it's chock full of it. I need more iron and there's very little in there. So I still have to take additional iron supplementation.
Also, a DS patient should ALWAYS take all 12 pills every day - regardless of how much weight you are losing. The instructions on the can do not really apply to DS patients.