Patch MD - 3 months post OP tests
Most of my three month labs are in. I was low pre-surgery in Vit D, was on 50,000iu once a week because level was in the high teens. Now it is 98, so I was told to take daily dose of 800iu. But, my Celebrate chewable multi has 3000iu. What should I do?
Nurse said everything was good. Thyroid, B vits, and copper not back yet.
RNY 12/22/2016. HW 228. SW 224. CW 122
Dr. Aviv Ben-Meir. Lake West Medical Center, Willoughby OH
on 3/18/17 2:17 pm - WI
Any patch, not just the vitamins, depends on skin permeability to a large degree. It's very difficult to get the skin to absorb certain things, since it's job is to keep everything possible outside the body. I forget where, but I posted some studies which show there's a high degree of variability between individuals when it comes to patches, whether they are vitamins, nicotine, hormones, or other drugs. The same with compound ointments/meds, too, not just vitamins. Those work a bit better and I am unsure why, actually.
Rambly tangential science for those who are interested: injections or IV prep (like TPN) probably deliver vitamins in the most direct manner with the least interference. Nasal or sublingual absorption is second in terms of delivery. Digestion is third most effective. Skin, typically, is the least effective of all delivery systems for drugs and what have you. (Drugs are a bit different, as inhaled preps are always #1 in getting to the brain the fastest, even over IV stuff.)
I follow a ketogenic diet post-op. I also have a diagnosis of binge eating disorder. Feel free to ask me about either!
It is not that we have so little time but that we lose so much...the life we receive is not short but we make it so; we are not ill provided but use what we have wastefully. -- Seneca, On the Shortness of Life
Do you know if the patches have a carrier, like DMSO? I was assuming they must have something to 'grab' the vitamins and pull them through the skin.
Referral TWH: Sept 2015 Orientation: Nov 2015 Social Worker: Jan 2016 Nurse practitioner: Feb 2016 Nutrition (group): Mar 2016 Nutritionist: May 2016 Psych: May 2016 Meeting with Surgeon: July 2016 Surgery!: Nov 2016
So far 80 pounds lost!
Do you mean dimethyl sulfoxide? That I dunno. Even with DMSO, I have read that there are issues with that compound in and of itself. Now that I passed my dumb licensure exam, I should invest some time into researching it and poke a few chemical engineers I know to ask them.
I follow a ketogenic diet post-op. I also have a diagnosis of binge eating disorder. Feel free to ask me about either!
It is not that we have so little time but that we lose so much...the life we receive is not short but we make it so; we are not ill provided but use what we have wastefully. -- Seneca, On the Shortness of Life
I meant like DMSO. I know it isn't really a good chemical for human applications. We use it with horses frequently. I just remember reading the insert and it discussing studies about painting mice tails with DMSO and (IIRC) a narcotic and the mice got high..
I was wondering if there was a carrier chemical that would pull the vitamins through the dermis. Really there has to be doesn't there?
Referral TWH: Sept 2015 Orientation: Nov 2015 Social Worker: Jan 2016 Nurse practitioner: Feb 2016 Nutrition (group): Mar 2016 Nutritionist: May 2016 Psych: May 2016 Meeting with Surgeon: July 2016 Surgery!: Nov 2016
So far 80 pounds lost!