Calcium Absorption
Thanks so much Michelle!!!! I am really not very knowledgable on any of this and it sure seems like my surgeon's office doesn't really explain any of this~they are happy with a multi vit 2x's, calcium 1500mg, B12 sublingual and iron if you need it. I guess there is WAY more to it than that and I didn't go thru all of this to end up unhealthy in the end due to lack of supplementation!
~*~Tracy B~*~
328/160 *** 5'9"
start/current
Surgeons are, ah, not always the best source of nutritional info. Think about it. Some KNOW we will all have vit D issues, for example, but their teaching says to fix a problem, not prevent it. Same with iron. You're not really anemic til you can't get out of bed.
With any WLS, you will eventually become deficient in iron, calcium, D, but most programs do not launch on enough, the right kind or any at all. 1500 mg is so, so, NINETY's, you know? This is the modern days and we now count our calcium citrate mg and our dry form vit D3 IU in the thousands, not hundreds.
My PT is a 2 yr lapband. She mentioned she had low vit D levels. Now, if the docs are saying low, they mean toilet, since their alarms would not go off at even mid-range on older studies (training). I gave her 50,000 and told her she might feel a little better in a week. She SWEARS she felt better in a few hours.
Well, I don't think so, but if she thinks so, and she wasn't hurting me today, then it's all good, right?
It was interesting to listen in to the dietitians special interest group last year? 05? ASBS conference time. A coupla questions were asked which were left unanswered in a room with aabout 200 dietitians, either RD or in some other aspect of nutrition. Why do WLS need any more than RDA of calcium? Is vit D important? Should vit D be tested?
So, that is where they are right now. Just discovering vit D. Again. Since I didn't make it this year, since I was drooling on myself in the hospital when I shoulda been in class, I checked with my buddies and vit D was indeed the dishh du jour, but I didn't hear the presentations to see how far behind real life this is. Bearing in mind that presentations for next June are being submitted NOW, so even if someone learns more, they would have to insert it as a note later.
The field of bariatric nutritoin doesn't really exist, so we are largely on our own, as far as finding what we need, using the correct forms and doses of things. We can't use the rules for normies.
The vit D article I found so fascinating yesterday recommends 2000 to 10,000 units of D3 (at least that part is right) FOR NORMIES to attain vit D levels of 70 or so. Of course, for an average proximal RNY, 10,000 units might get them to a level of 40, but to reach 70, it'll take US a lot more vit D.
With any WLS, you will eventually become deficient in iron, calcium, D, but most programs do not launch on enough, the right kind or any at all. 1500 mg is so, so, NINETY's, you know? This is the modern days and we now count our calcium citrate mg and our dry form vit D3 IU in the thousands, not hundreds.
My PT is a 2 yr lapband. She mentioned she had low vit D levels. Now, if the docs are saying low, they mean toilet, since their alarms would not go off at even mid-range on older studies (training). I gave her 50,000 and told her she might feel a little better in a week. She SWEARS she felt better in a few hours.
Well, I don't think so, but if she thinks so, and she wasn't hurting me today, then it's all good, right?
It was interesting to listen in to the dietitians special interest group last year? 05? ASBS conference time. A coupla questions were asked which were left unanswered in a room with aabout 200 dietitians, either RD or in some other aspect of nutrition. Why do WLS need any more than RDA of calcium? Is vit D important? Should vit D be tested?
So, that is where they are right now. Just discovering vit D. Again. Since I didn't make it this year, since I was drooling on myself in the hospital when I shoulda been in class, I checked with my buddies and vit D was indeed the dishh du jour, but I didn't hear the presentations to see how far behind real life this is. Bearing in mind that presentations for next June are being submitted NOW, so even if someone learns more, they would have to insert it as a note later.
The field of bariatric nutritoin doesn't really exist, so we are largely on our own, as far as finding what we need, using the correct forms and doses of things. We can't use the rules for normies.
The vit D article I found so fascinating yesterday recommends 2000 to 10,000 units of D3 (at least that part is right) FOR NORMIES to attain vit D levels of 70 or so. Of course, for an average proximal RNY, 10,000 units might get them to a level of 40, but to reach 70, it'll take US a lot more vit D.
Michelle
RNY, distal, 10/5/94
P.S. My year + long absence has NOTHING to do with my WLS, or my type of WLS. See my profile.
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