Guest guest Posted November 12, 2006 Report Share Posted November 12, 2006 > But the protein powder doesn't provide potassium and calcium. > Carnation provides additional multivitamins. 1. Designer Whey protein powder (the only one I have nearby) has 100 mg of potassium, 220 mg of calcium, plus other vites. I don't know of ANY predigested protein powders that don't contain numerous vitamins and minerals. Reasons I recommend predigested whey protein over CIB were posted previously. >Are you saying that > bariatric patients should get protein only from whey protein > supplement for the rest of their life? 2. No, RNY pts. should use protein shakes to supplement, not replace, food. > How does Calcium is absorbed > from supplements not from the milk? 3. Most food (with the exception of simple carbs) passes through RNY and DS pts. relatively unchanged. The exceptions are things that are broken down by amylase (in saliva) or are water soluble (citric acid, in calcium citrate). Some fats, especially emulsified ones, may be absorbed with the incidental contact of gastric juices in the gut, but the more distal the surgery, the less likely that is. Calcium is bound to other elements (carbon, citric acid or glucose). They must be exposed to acid, churned, then alkalized, and optimally, run through the duodenum for absorption. That doesn't happen for RNY and DS pts. Their food is chewed, then dumped directly into the small intestine, where it may or may not meet gastric juices. (They each go down different limbs, which may or may not be the same length, and the juice and the food may or may not travel at same rate.) Absorption of calcium from food/milk may or may not occur. Take a look at http://drrossfox.com/pp/pp-gastricbypass.cfm Quote Link to comment Share on other sites More sharing options...
Guest guest Posted November 12, 2006 Report Share Posted November 12, 2006 Ava,This website you linked to your answers below does not have a Registered Dietitian on board to provide nutrition counseling. Do you work with this program or just use as a reference? I noticed you had surgery back in 2004, are you a Registered Dietitian? This is a very good example about how each program has their own recommendations. Beth Whelan, MS, RD, LD Re: Calcium > But the protein powder doesn't provide potassium and calcium. > Carnation provides additional multivitamins. 1. Designer Whey protein powder (the only one I have nearby) has 100 mg of potassium, 220 mg of calcium, plus other vites. I don't know of ANY predigested protein powders that don't contain numerous vitamins and minerals. Reasons I recommend predigested whey protein over CIB were posted previously. >Are you saying that > bariatric patients should get protein only from whey protein > supplement for the rest of their life? 2. No, RNY pts. should use protein shakes to supplement, not replace, food. > How does Calcium is absorbed > from supplements not from the milk? 3. Most food (with the exception of simple carbs) passes through RNY and DS pts. relatively unchanged. The exceptions are things that are broken down by amylase (in saliva) or are water soluble (citric acid, in calcium citrate). Some fats, especially emulsified ones, may be absorbed with the incidental contact of gastric juices in the gut, but the more distal the surgery, the less likely that is. Calcium is bound to other elements (carbon, citric acid or glucose). They must be exposed to acid, churned, then alkalized, and optimally, run through the duodenum for absorption. That doesn't happen for RNY and DS pts. Their food is chewed, then dumped directly into the small intestine, where it may or may not meet gastric juices. (They each go down different limbs, which may or may not be the same length, and the juice and the food may or may not travel at same rate.) Absorption of calcium from food/milk may or may not occur. Take a look at http://drrossfox. com/pp/pp- gastricbypass. cfm Quote Link to comment Share on other sites More sharing options...
Guest guest Posted November 12, 2006 Report Share Posted November 12, 2006 Beth, It's just a reference, regarding the different types of WLS and their respective malabsorption issues. I often refer other WLS pts. to it. I have not worked with SWLC, although I'm familiar with some of Dr. Fox's articles. Yes, each bariatric program is different, which can sometimes make it difficult to develop the most effective aftercare program for individual WLS pts. Forums such as this one are certainly beneficial. My MS is in Human Nutrition. My PhD is in Human Environmental Sciences, Nutritional Sciences. Ava > > > > > But the protein powder doesn't provide potassium and calcium. > > > Carnation provides additional multivitamins. > > > > 1. Designer Whey protein powder (the only one I have nearby) has 100 > > mg of potassium, 220 mg of calcium, plus other vites. I don't know > > of ANY predigested protein powders that don't contain numerous > > vitamins and minerals. Reasons I recommend predigested whey protein > > over CIB were posted previously. > > > > >Are you saying that > > > bariatric patients should get protein only from whey protein > > > supplement for the rest of their life? > > > > 2. No, RNY pts. should use protein shakes to supplement, not > > replace, food. > > > > > How does Calcium is absorbed > > > from supplements not from the milk? > > > > 3. Most food (with the exception of simple carbs) passes through RNY > > and DS pts. relatively unchanged. The exceptions are things that are > > broken down by amylase (in saliva) or are water soluble (citric > > acid, in calcium citrate). Some fats, especially emulsified ones, > > may be absorbed with the incidental contact of gastric juices in the > > gut, but the more distal the surgery, the less likely that is. > > > > Calcium is bound to other elements (carbon, citric acid or glucose). > > They must be exposed to acid, churned, then alkalized, and > > optimally, run through the duodenum for absorption. That doesn't > > happen for RNY and DS pts. Their food is chewed, then dumped > > directly into the small intestine, where it may or may not meet > > gastric juices. (They each go down different limbs, which may or may > > not be the same length, and the juice and the food may or may not > > travel at same rate.) Absorption of calcium from food/milk may or > > may not occur. > > > > Take a look at http://drrossfox. com/pp/pp- gastricbypass. cfm > > > > > > > > > > > > > > > <!-- > > #ygrp-mlmsg {font-size:13px;font-family:arial,helvetica,clean,sans- serif;} > #ygrp-mlmsg table {font-size:inherit;font:100%;} > #ygrp-mlmsg select, input, textarea {font:99% arial,helvetica,clean,sans-serif;} > #ygrp-mlmsg pre, code {font:115% monospace;} > #ygrp-mlmsg * {line-height:1.22em;} > #ygrp-text{ > font-family:Georgia; > } > #ygrp-text p{ > margin:0 0 1em 0; > } > #ygrp-tpmsgs{ > font-family:Arial; > clear:both; > } > #ygrp-vitnav{ > padding-top:10px; > font-family:Verdana; > font-size:77%; > margin:0; > } > #ygrp-vitnav a{ > padding:0 1px; > } > #ygrp-actbar{ > clear:both; > margin:25px 0; > white-space:nowrap; > color:#666; > text-align:right; > } > #ygrp-actbar .left{ > float:left; > white-space:nowrap; > } > .bld{font-weight:bold;} > #ygrp-grft{ > font-family:Verdana; > font-size:77%; > padding:15px 0; > } > #ygrp-ft{ > font-family:verdana; > font-size:77%; > border-top:1px solid #666; > padding:5px 0; > } > #ygrp-mlmsg #logo{ > padding-bottom:10px; > } > > #ygrp-vital{ > background-color:#e0ecee; > margin-bottom:20px; > padding:2px 0 8px 8px; > } > #ygrp-vital #vithd{ > font-size:77%; > font-family:Verdana; > font-weight:bold; > color:#333; > text-transform:uppercase; > } > #ygrp-vital ul{ > padding:0; > margin:2px 0; > } > #ygrp-vital ul li{ > list-style-type:none; > clear:both; > border:1px solid #e0ecee; > } > #ygrp-vital ul li .ct{ > font-weight:bold; > color:#ff7900; > float:right; > width:2em; > text-align:right; > padding-right:.5em; > } > #ygrp-vital ul li .cat{ > font-weight:bold; > } > #ygrp-vital a { > text-decoration:none; > } > > #ygrp-vital a:hover{ > text-decoration:underline; > } > > #ygrp-sponsor #hd{ > color:#999; > font-size:77%; > } > #ygrp-sponsor #ov{ > padding:6px 13px; > background-color:#e0ecee; > margin-bottom:20px; > } > #ygrp-sponsor #ov ul{ > padding:0 0 0 8px; > margin:0; > } > #ygrp-sponsor #ov li{ > list-style-type:square; > padding:6px 0; > font-size:77%; > } > #ygrp-sponsor #ov li a{ > text-decoration:none; > font-size:130%; > } > #ygrp-sponsor #nc { > background-color:#eee; > margin-bottom:20px; > padding:0 8px; > } > #ygrp-sponsor .ad{ > padding:8px 0; > } > #ygrp-sponsor .ad #hd1{ > font-family:Arial; > font-weight:bold; > color:#628c2a; > font-size:100%; > line-height:122%; > } > #ygrp-sponsor .ad a{ > text-decoration:none; > } > #ygrp-sponsor .ad a:hover{ > text-decoration:underline; > } > #ygrp-sponsor .ad p{ > margin:0; > } > o {font-size:0;} > .MsoNormal { > margin:0 0 0 0; > } > #ygrp-text tt{ > font-size:120%; > } > blockquote{margin:0 0 0 4px;} > .replbq {margin:4;} > --> > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted November 13, 2006 Report Share Posted November 13, 2006 This is incorrect. According to the nutritional information found on the labels, most protein powders are chock full of vitamins, minerals, and a form of protein that GB pts can readily absorb. They also contain less sugar than Carnation and milk. In addition to food sources of protein, protein powders are an excellent means of supplementing protein intake. Steve Huntington, PhD, RD, LD > > , > > You are not giving wrong advice. Drinking milk is totally appropriate > for protein, as is eating yogurt and cheese. > > I encourage patients to drink Carnation or Glucerna because it's a > complete supplement where so many of the protein drinks or powders are > only protein and nothing else. I suggest they add whey/soy powder or > non-fat dry milk to get in extra protein. > > > > Griehs, MS, RD, LDN > Clinical Dietitian Specialist > Bariatric Surgery Program > Hospital of the University of Pennsylvania > Phone: 215-614-0993 > Fax: 215-662-3148 > E-mail: rachel.griehs@... > > > ________________________________ > > From: > [mailto: ] On Behalf Of > > Sent: Friday, November 10, 2006 8:46 AM > > Subject: RE: Re: Calcium > > > > Is there any research that states Ca and protein from milk is > malabsorbed? Some of my pt's can only tolerate milk proteins early > post-op. I don't want to cause malnutrition by giving the wrong advice. > RD Quote Link to comment Share on other sites More sharing options...
Guest guest Posted June 28, 2007 Report Share Posted June 28, 2007 , The calcium citrate is fairly soluble. I would have the client dissolve it in a small amount of water and add it to a protein shake or other food/beverage. Just a thought. Jeanne Blankenship, MS RD Sacramento, CA -------------- Original message from "amandavezina" <amandavezina@...>: -------------- Hello all, Does anyone know how much calcium carbonate (chewable) that someone should take if they are not able to take the calcium citrate?I have a patient who is having a lot of trouble swallowing pills even a month and a half after her gastric bypass. She's able to take chewable multivitamins but in Canada I am not aware of any chewable calcium citrate versions. But I'm not sure exactly how much a gastric bypass patient may absorb from calcium carbonate? Does anyone know of any numbers?Thanks, SchneiderClinical DietitianMedicine Hat Regional Hospital Quote Link to comment Share on other sites More sharing options...
Guest guest Posted June 28, 2007 Report Share Posted June 28, 2007 Do you have citrical – they have a chewable formula. K. Mackie, MS, RD, LDN Southeast Bariatrics, P.A. 2300-A Randolph Road Charlotte, NC 28207 (704) 347-4144 x 214 hkennedy@... www.southeastbariatrics.com From: [mailto: ] On Behalf Of amandavezina Sent: Thursday, June 28, 2007 4:20 PM Subject: Calcium Hello all, Does anyone know how much calcium carbonate (chewable) that someone should take if they are not able to take the calcium citrate? I have a patient who is having a lot of trouble swallowing pills even a month and a half after her gastric bypass. She's able to take chewable multivitamins but in Canada I am not aware of any chewable calcium citrate versions. But I'm not sure exactly how much a gastric bypass patient may absorb from calcium carbonate? Does anyone know of any numbers? Thanks, Schneider Clinical Dietitian Medicine Hat Regional Hospital Quote Link to comment Share on other sites More sharing options...
Guest guest Posted June 28, 2007 Report Share Posted June 28, 2007 Citracal has a product called Creamy Bites, it is chewable Calcium Citrate 500mg/chew. There are also several brands of liquid Calcium Citrate on the market, as well as Twin Lab chewable wafers. Hope this helps. amandavezina <amandavezina@...> wrote: Hello all, Does anyone know how much calcium carbonate (chewable) that someone should take if they are not able to take the calcium citrate?I have a patient who is having a lot of trouble swallowing pills even a month and a half after her gastric bypass. She's able to take chewable multivitamins but in Canada I am not aware of any chewable calcium citrate versions. But I'm not sure exactly how much a gastric bypass patient may absorb from calcium carbonate? Does anyone know of any numbers?Thanks, SchneiderClinical DietitianMedicine Hat Regional HospitalBrittany J. Ray, RD Virginia Weight Loss Surgery Center 2280 Opitz Blvd. Ste. 320 Woodbridge, VA 22203 T. 703-878-7610 F.703-878-7614 Luggage? GPS? Comic books? Check out fitting gifts for grads at Search. Quote Link to comment Share on other sites More sharing options...
Guest guest Posted June 28, 2007 Report Share Posted June 28, 2007 This is common with most of my patients. Citracal has a Petite sizes and tend to work better. 3 pills= 600 mg. Beth Whelan, MS,RD,LD Outpatient Dietitian Harbin Clinic office: (706) 378-8163 fax: (706) 238-8037 From: [mailto: ] On Behalf Of jbship@... Sent: Thursday, June 28, 2007 4:26 PM Subject: Re: Calcium , The calcium citrate is fairly soluble. I would have the client dissolve it in a small amount of water and add it to a protein shake or other food/beverage. Just a thought. Jeanne Blankenship, MS RD Sacramento, CA -------------- Original message from " amandavezina " <amandavezina >: -------------- Hello all, Does anyone know how much calcium carbonate (chewable) that someone should take if they are not able to take the calcium citrate? I have a patient who is having a lot of trouble swallowing pills even a month and a half after her gastric bypass. She's able to take chewable multivitamins but in Canada I am not aware of any chewable calcium citrate versions. But I'm not sure exactly how much a gastric bypass patient may absorb from calcium carbonate? Does anyone know of any numbers? Thanks, Schneider Clinical Dietitian Medicine Hat Regional Hospital Quote Link to comment Share on other sites More sharing options...
Guest guest Posted June 28, 2007 Report Share Posted June 28, 2007 UpCalD makes a powdered calcium citrate with vit D3. > > , > The calcium citrate is fairly soluble. I would have the client dissolve it in a small amount of water and add it to a protein shake or other food/beverage. Just a thought. > Jeanne Blankenship, MS RD > Sacramento, CA > > -------------- Original message from " amandavezina " <amandavezina@...>: -------------- > > Hello all, > > Does anyone know how much calcium carbonate (chewable) that someone > should take if they are not able to take the calcium citrate? > > I have a patient who is having a lot of trouble swallowing pills even a > month and a half after her gastric bypass. She's able to take chewable > multivitamins but in Canada I am not aware of any chewable calcium > citrate versions. But I'm not sure exactly how much a gastric bypass > patient may absorb from calcium carbonate? Does anyone know of any > numbers? > > Thanks, > Schneider > Clinical Dietitian > Medicine Hat Regional Hospital > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted June 28, 2007 Report Share Posted June 28, 2007 , Twinlab, KAL, Rainbow Light, and Solaray make chewable calcium citrate. Citracal makes Creamy Bites. UpCal D is calcium citrate in powder form that can be added to foods and beverages. The RNY patient's stomach is bypassed, so s/he doesn't have access to the normal stomach acid, required for calcium carbonate to be absorbed. It took me 3-4 months post-op to be able to swallow Citracal, even though I'd taken it for years pre-op. If time doesn't help, one of the above brands may work. Ava, PhD, MS Lap RNY 4/21/04 > > Hello all, > > Does anyone know how much calcium carbonate (chewable) that someone > should take if they are not able to take the calcium citrate? > > I have a patient who is having a lot of trouble swallowing pills even a > month and a half after her gastric bypass. She's able to take chewable > multivitamins but in Canada I am not aware of any chewable calcium > citrate versions. But I'm not sure exactly how much a gastric bypass > patient may absorb from calcium carbonate? Does anyone know of any > numbers? > > Thanks, > Schneider > Clinical Dietitian > Medicine Hat Regional Hospital > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted April 9, 2009 Report Share Posted April 9, 2009 If it makes you tired try taking it before you go to sleep. Regards, Patti Quote Link to comment Share on other sites More sharing options...
Guest guest Posted April 11, 2009 Report Share Posted April 11, 2009 Has anyone tried medication specifically for osteoporosis? - like advertised on tv My daughter (22 with SMA2) is considering intravenous treatment for osteoporosis. Any advise would be appreciated. Thanks, Donna > > If it makes you tired try taking it before you go to sleep. > > Regards, > Patti > > > > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted April 11, 2009 Report Share Posted April 11, 2009 Hi Donna, I opted not to do any of the osteoporosis medicine because they had not been studied in pre-menopausal women. I did not want to risk any issues with my reproductive system since I wanted children. I also have a history of calcium kidney stones so I didn't want to dump anymore calcium into my kidney's. Just my 2-cents.  Milinovich, SMA Type I Wife to , Mommy to - 2 Years Old! http://www.myspace.com/kindrana http://s174.photobucket.com/albums/w107/boramir/?start=0  ________________________________ From: Donna <donnala_2002@...> Sent: Saturday, April 11, 2009 6:54:52 PM Subject: Re: calcium Has anyone tried medication specifically for osteoporosis? - like advertised on tv My daughter (22 with SMA2) is considering intravenous treatment for osteoporosis. Any advise would be appreciated. Thanks, Donna > > If it makes you tired try taking it before you go to sleep. > > Regards, > Patti > > > > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted April 11, 2009 Report Share Posted April 11, 2009 I used nasal calcitonin until I learned that research showed that it only helped hips and the lower back. My osteoporosis is worst in my legs. I was also told by a few doctors that the meds really only help if one can also bear weight and shift it. Alana Quote Link to comment Share on other sites More sharing options...
Guest guest Posted April 11, 2009 Report Share Posted April 11, 2009 I recently switched to the monthly Actonel. We believe that this type of medication has restored some of my bone health (hmm, I sound like a commercial). My fracture history includes: Two fractured knees due to a fall at summer camp when I was 14 y/o. Three left hip fractures (1983: college mishap-don't ask, 2000: just started having hip/back pain and not sure what happened, 2008: non-rough sex) Lori Sent from my Verizon Wireless BlackBerry Re: calcium Has anyone tried medication specifically for osteoporosis? - like advertised on tv My daughter (22 with SMA2) is considering intravenous treatment for osteoporosis. Any advise would be appreciated. Thanks, Donna > > If it makes you tired try taking it before you go to sleep. > > Regards, > Patti > > > > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted April 11, 2009 Report Share Posted April 11, 2009 I was diagnosed with advanced osteoporosis about 3 years ago at the age of 38. I went on Forteo for two years; its a daily injection. Because I have some difficulty swallowing and occasional problems with heartburn, my doctor and I determined that Forteo was the right choice for me. There is a black box warning for Forteo due to an increased risk for bone cancer. Â I didn't have any problems with the Forteo. I never thought I would be able to give myself shots, but I did. And the Forteo has helped, although I still have osteoporosis. My doctor has decided not to put me on anything else for right now. I take calcium supplements and vitamin D., and I'll get a bone density test once a year. Â I had wanted to do the four times per year intravenous medication, but my insurance would not cover it, and it was too expensive without insurance. Â Dina From: Donna <donnala_2002@...> Subject: Re: calcium Date: Saturday, April 11, 2009, 5:54 PM Has anyone tried medication specifically for osteoporosis? - like advertised on tv My daughter (22 with SMA2) is considering intravenous treatment for osteoporosis. Any advise would be appreciated. Thanks, Donna > > If it makes you tired try taking it before you go to sleep. > > Regards, > Patti > > > > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted December 21, 2010 Report Share Posted December 21, 2010 WOW, that was a lot of reading but excellent information. Thanks for posting this. I was happy to hear about the onions. I eat them all the time. Cheers, JOT Quote Link to comment Share on other sites More sharing options...
Guest guest Posted December 21, 2010 Report Share Posted December 21, 2010 Not to forget one of the leading causes os Osteoporous is an undxed Parathyroid tumour ( adenoma). In Hashimotos Disease - the parathroid levels ( PTH) may never rise above normal as the fibrous Thyroid encapsulates the parathyroid adenoma. Please repeat this 10x. Your PTH levels may NEVER be abnormal if you have Parathyroid tumour + Hashimotos. Never. It is not unusual to be 'fobbed off' by Drs for 10 - 15 years before a dx . Some people probably never get dxed if they give up the fight. It is also common for the start of Thyroid medications to unearth this parathyroid problem. It is also common in Hyperparathryoid for the calcium blood tests to waver around and change at every test. Some literally waste years and years of their lives this way. A normal blood test for calcium should stay consistantly level and be mid range. In summary - blood test for calcium should be consistant and mid range normal and if it is not - then start to look at parathyroid and remember that the PTH may NEVER be abnormal during the diagnostic stage. And Parathyroid adenomas are common and to quote Dr Norman " suck the life out of you " . And give you Osteoporous. More info http://parathyroid.com/ http://www.ncbi.nlm.nih.gov/pubmed/6548840 http://www.parathyroidfoundation.org/ (FaceBook page from this link ) Jane ( who is at her 4 year stage now of trying for a dx) > > I'm sure you've heard that the cause of osteoporosis and the key to its > prevention revolve around calcium, right? > > Unfortunately, nothing could be further from the truth. > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted December 30, 2010 Report Share Posted December 30, 2010 Hi Carol, this includes ANY thyroid hormone replacement, i.e. synthetic levothyroxine (T4), liothyronine (T3) or natural desiccated thyroid extract and yes, Nutri Thyroid too. Try taking any iron or calcium containing supplements just before you go to bed so they will be well away from such thyroid hormone replacements. Luv - Sheila I've read where if you take calcium pills you should leave 4 hours between taking thyroid pills does that include Nutri Thyroid does anyone know Quote Link to comment Share on other sites More sharing options...
Guest guest Posted March 11, 2011 Report Share Posted March 11, 2011 Should we also be taking calcium in addition to the magnesium? I used to only take calcium in the 2:1 calcium-magnesium ratio, but that changed when I started taking mg per the iodine protocol. Now I am having some muscle issues (lots of back pain) and I'm wondering if it's calcium deficiency.Thanks, Angie "Don't try anything stupid!" "I don't have to try!" Quote Link to comment Share on other sites More sharing options...
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