Question:
I've heard that there may be a problem absorbing calcium citrate.

I've always heard to take calcium citrate rather than calcium carbonate because the citrate gets absorbed where the carbonate doesn't. Lately I've been hearing opinions and evidence that the calcium citrate may not be effectively absorbed as well, possibly leading to osteoporosis and bone mass loss. Do any longer term post-ops have personal expeience with this subject? Also, if the calcium in supplements such as Calcitrate and Viactive and Tums is not being absorbed in our digestive tract, are there any other options for getting enough calcium? Is the calcium taken in through our diet, like with cheeses, dairy and milk products being absorbed or malabsorbed like the supplements? How often should post-ops be checked by our doctor for osteoporosis and bone mass loss? Any help with this would be appreciated. Thanks.    — Jeanne R. (posted on August 6, 2001)

August 7, 2001
Well, since you asked the question twice, I'll answer it twice. No, the calcium in dairy products and the primary sources, fruits & veggies, are not well absorbed after RNY or DS. We don't pass the food through enough of the enzymes (what little we have left as adults) and acids to break it down fully. You may be able to get a few mg, but not enough to risk your bones. Osteoporosis is not just invisble. It is also painful. We must work diligently to protect our bones. I was too late. However, that does not mean that I would trade this problem today for the problems about to take my life 7 yrs ago! No, my chances for osteoporosis were a little lower, but my chances to take another breath were MUCH less.
   — vitalady

August 7, 2001
I also had this worry so iI asked my nutritionistt she said...those supliments must be eaten with food so have the tims right after you eat and you should be fine....citrate needs stomach acid to be absorbed.....carbonate is also fine but you have to take more of it to benifit...
   — Sharon F.