Question:
Calcium Citrate or Carbonate

Which one is best for Gastric Bypass Patients? I forgot which one we do better on    — nicole30 (posted on January 5, 2008)


January 5, 2008
Citrate. Aborbs better in our new pouch. Good luck!
   — jammerz

January 5, 2008
Either one, I just spoke to my assistant surgeon yesterday and it's whatever we can tolerate after surgery. My surgeon's office is ranked number 1 in Georgia and number 2 in the United States. Good luck and God bless!
   — crystalsno

January 5, 2008
Hi Nicole, We as bariatric patients are required to take calcuim citrate (only). I messed up for a while and got the wrong kind went to the Dr. and he advised me to get back on citrate right away. The nutritionist will also agree.
   — Jean N.

January 5, 2008
Absolutely citrate according to my surgeon and nutritiiionist.
   — t_roxus

January 6, 2008
Female Gastric By-pass patients are usually told calcium citrate is better absorbed. My doctor told me that male patients can absorb any type of calcium, but female patients need the calcium citrate.
   — maggie1952

January 6, 2008
I was told by the bariatric hospital nutritionist that the difference in absorption between calcium citrate and calcium carbonate is small at best and that either is fine. Having not looked at the data myself, however, it would be worth researching. TUMS (calcium carbonate) are so easy to take and inexpensive compared to Calcium citrate products. I'm using both and alternating until I do some further investigating.
   — loveathome3

January 6, 2008
Citrate is also the only one my group says is adequately absorbed, and therefore Tums isn't.
   — obeseforever

January 6, 2008
citrate all the way!!!!!!!!!!!!!
   — RNlvnCARSON

January 6, 2008
Hi Nicole Calcium carbonate requires stomach acid to break down the pills and the citrate does not require it. It is better to be safe than sorry, if you take the carbonate and then find out later that your body has not used it. Good luck.
   — Paula K.

January 6, 2008
My surgeon and nut. said either is fine but if you choose to take the carbonate should eat first then take so you will absorb better.
   — tinluv27

January 7, 2008
Hi Katie..as so many before me have said, citrate, all the way. And remember, you need to take it (if it's powder form) four times a day at best. Your body can only absorb so much a one time so you need to take it several times throughout the day, I use UpCal-D, it can be ordered in a canister or in individual packets from colonialmedical.com, I will be 8 weeks out on Wednesday and I am still on my 1st canister (but I use packets when I'm out)... I believe each canister has 277 doses and it really mixes easily with any liquid. I even know folks (not me tho--) who will put it on their tongue and wash it down with a drink of something. Anyhow...if you take more than your body can absorb at one time then it's just being washed out of your system and not being used as it should. Good luck to you, Leslie
   — LuvNSummer

January 9, 2008
Calcium CITRATE is ideal for us bariatric patients for the reasons mentioned above. Try to avoid Calcium CARBONATE (Tums etc) because carbonate is notorious for contributing to kidney stone formation. I've had some kidney stones and you do not want that kind of torture and pain. I recommend CITRACAL PLUS (it has magnesium and other minerals in it) 2 tabs twice daily - make sure to separate it into twice daily so that your body can absorb it. Also do not take within 2 hours of taking a multiple vitamin with iron. Iron can prevent absoprtion of calcium. Good luck.
   — NMlakerFan




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