Reminder about calcium

poet_kelly
on 4/2/11 6:26 am - OH
Maybe we should do a petition.  Or letter writing campaign or something.  Let me think about it.

View more of my photos at ObesityHelp.com          Kelly

Please note: I AM NOT A DOCTOR.  If you want medical advice, talk to your doctor.  Whatever I post, there is probably some surgeon or other health care provider somewhere that disagrees with me.  If you want to know what your surgeon thinks, then ask him or her.    Check out my blog.

 

poet_kelly
on 4/2/11 6:01 am - OH

View more of my photos at ObesityHelp.com          Kelly

Please note: I AM NOT A DOCTOR.  If you want medical advice, talk to your doctor.  Whatever I post, there is probably some surgeon or other health care provider somewhere that disagrees with me.  If you want to know what your surgeon thinks, then ask him or her.    Check out my blog.

 

cherryblossoms
on 4/2/11 6:20 am
 5. Appropriate Equipment and Instruments
Hospitals should have, or be in the process of acquiring, the equipment and instruments appropriate for the care of bariatric surgery patients.


   A excellent criteria, but the correct supplements also need to be stressed, and no more of this Flintstone, calcium oyster, carbonate ect.... crap.


I'm sorry! I just can't take anymore  
~ whoops, nurse uh... we don't seem to have "acquired" the correct scalpel to finish this patients surgery.....  but she can use the toilet when she wakes up. 


poet_kelly
on 4/2/11 6:26 am - OH
Hee hee.  It is scary to think they must be "required" to have to proper instruments, isn't it?

View more of my photos at ObesityHelp.com          Kelly

Please note: I AM NOT A DOCTOR.  If you want medical advice, talk to your doctor.  Whatever I post, there is probably some surgeon or other health care provider somewhere that disagrees with me.  If you want to know what your surgeon thinks, then ask him or her.    Check out my blog.

 

Bootssie
on 4/2/11 7:11 am - CA
RNY on 12/17/10 with
While we're at at, I really wish the ASMBS would add vitamin supplement requirements for VSG. I know a lot of people with the sleeve who are confused about what they should be taking. I've read on other sites that it is assumed that they should take 100% of the RDA because they do not have malabsorption, just restriction. But can't they just include that in their guidelines?
 
      
poet_kelly
on 4/2/11 10:29 am - OH
Yes they should include them.

I believe - but could be wrong - that their recommendations should be similar to those for lap banders, with added sublingual B12 (because they make less intrinsic factor, just like RNY folks do).

View more of my photos at ObesityHelp.com          Kelly

Please note: I AM NOT A DOCTOR.  If you want medical advice, talk to your doctor.  Whatever I post, there is probably some surgeon or other health care provider somewhere that disagrees with me.  If you want to know what your surgeon thinks, then ask him or her.    Check out my blog.

 

Down200Pounds
on 4/2/11 10:59 am, edited 4/2/11 10:59 am - MA
7 years ago i was told SQUAT about vtamins. NADA.

"take a flinstones, and get your iron and calcium....bye".

Am i pissed? you bet. I have learned more on this board from the wonderful  members than ANY DOCTOR ever could and has told me.

anemia, bone loss, high blood pressure, malnutrition.....boy, wonder why.

i am now taking MY health into MY own hands...and on the path to better days :-)


Ginny, Orange, MA
RNY with Silastic Ring: 7/3/03~Dr. Alan Newhoff, Phoenix, AZ
Total Weight Loss:  #200
[email protected]




Karen P.
on 4/3/11 9:10 am
Kelly...are you saying that Wellessee is no good for us? I've been taking it, and I actually like it. Maybe I can up the dose? I'm 3 months out RNY and my 2month labs came back good, but they can only check calcium with a bone test (correct?).
poet_kelly
on 4/3/11 11:07 am - OH
Not that it's no good, but yeah, you'd need to up the dose.  You'll absorb the calcium citrate in it but not the tricalcium phosphate.  What you might do - what I would do if I liked it and wanted to keep using it - is call the company and ask how much calcium citrate is in it.  Then you'd know how much to up the dose.

Even if you'd been taking no calcium at all, you would not have hurt your bones in just two months.

But here's what you  need to know about calcium in your labs:

the calcium level in our blood really tells us very little about our calcium intake/absorption.

See, if the calcium level in our blood drops too low, our muscles cannot contract.  The heart is a muscle and if it cannot contract, as in beat, we drop dead.  So if we don't take in enough calcium or don't absorb the calcium we take in for some reason (like if our vitamin D level is too low), our bodies produce extra parathyroid hormone, which sucks calcium out of our bones to keep that level in our blood good.  As long as you have bones and teeth to suck calcium out of, that calcium level in your blood will likely be OK. 

If it drops low, it may mean you have problems with your endocrine system or other potentially serious health problems, but it doesn't mean you aren't getting enough calcium.

For lab results that tell you about calcium, what you want to know is your D level and PTH.  If the D is below 80, that means you won't absorb calcium well, no matter how much you take. Doesn't mean you won't absorb any, you will.  But maybe not enough and you will be at increased risk for osteoporosis as well as other unpleasant things.

If the PTH is on the high side (even in the normal range, just on the high side), it suggests you are indeed leaching calcium out of your bones.

Some surgeons do not routinely order a PTH when they order labs.  If yours doesn't, ask for it.

At one year out, you should get a bone density scan to see the true state of your bones.  However, you don’t want to wait ‘til then to at least try to get enough calcium and keep your vitamin D level above 80.  If you get a bone density scan and find out you’ve suffered bone loss, you’re already in trouble.


View more of my photos at ObesityHelp.com          Kelly

Please note: I AM NOT A DOCTOR.  If you want medical advice, talk to your doctor.  Whatever I post, there is probably some surgeon or other health care provider somewhere that disagrees with me.  If you want to know what your surgeon thinks, then ask him or her.    Check out my blog.

 

Karen P.
on 4/3/11 12:03 pm
Thank you so much for that wonderful information! I'll definately keep an eye on my D adnd PTH.
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