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must also remember that this surgery provides for some malabsorption.

Are the patients consuming sugar alcohols?

A few days ago there was talk on this listserv about "innermint"-chlorophil to help eliminate odor-may also help w/breath/taste. Also, hydration may help

-Sue Manchester

RE: metallic taste

The metallic taste seems to be quite a common problem. I assume it is due to ketosis, and some pts use sugar-free Tic Tacs or something similar. The excessive gas is also common, and could be due to lactose intolerance, swallowing air, etc.

Roxanne Bijold, MSE, RD, LD Registered Dietitian St 's/Duluth Clinic 400 E 3rd St Duluth, MN 55805 (218) 786-3092 rbijold1@...

-----Original Message-----From: Dillenbeck [mailto:.Dillenbeck@...]Sent: Monday, August 30, 2004 3:21 PM Subject: metallic taste

Hello,

Has anyone had any experience with patients experiencing a metallic taste in their mouths after surgery? Does anyone know what causes this? Treatment?

Also, I've had a couple of patients complain of excessive gas. Per my assessment, they aren't overdoing it on fiber, etc. Any other ideas on what might be causing the excess gas? Calcium supplements?

Thanks,

Dillenbeck, RD, CD, CDEDept of Health and Nutrition EducationUW-Health20 South Park Street Suite 402Madison, WI 53715(608) 287-2770Confidentiality Notice follows:The information in this message (and the documents attached to it, if any) is confidential and may be legally privileged. It is intended solely for the addressee. Access to this message by anyone else is unauthorized. If you are not the intended recipient, any disclosure, copying, distribution or any action taken, or omitted to be taken in reliance on it is prohibited and may be unlawful. If you have received this message in error, please delete all electronic copies of this message (and the documents attached to it, if any), destroy any hard copies you may have created and notify me immediately by replying to this email. Thank you.

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That is what I thought as well and I have seen this pretty often...zinc deficiency and metallic taste. Zinc def. is caused by malnutrition and malabsorption so during the first few weeks patients intake is limited which can lead to lower stores of Zn and a metallic or altered taste. I usually recommend 15- 25 mg per day supplement until it resolves and foods higher in Zn are tolerated. Amy

-----Original Message-----From: J [mailto:julie.parrott@...] Sent: Tuesday, August 31, 2004 1:58 PM Subject: Re: metallic taste> interesting,...I always thought of metallic taste as problems w/ zinc (from research re: elderly)

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Patients usually complain about the metallic taste in the first week after surgery, and since these patients have been well-nourished prior to bariatric surgery, I don't see how a zinc deficiency could be the cause of the metallic taste so soon after the surgery. Has this ever been verified with lab work in any of your patients?

Roxanne Bijold

-----Original Message-----From: Adam & Amy [mailto:gburg22@...]Sent: Tuesday, August 31, 2004 4:14 PM Subject: RE: Re: metallic taste

That is what I thought as well and I have seen this pretty often...zinc deficiency and metallic taste. Zinc def. is caused by malnutrition and malabsorption so during the first few weeks patients intake is limited which can lead to lower stores of Zn and a metallic or altered taste. I usually recommend 15- 25 mg per day supplement until it resolves and foods higher in Zn are tolerated. Amy

-----Original Message-----From: J [mailto:julie.parrott@...] Sent: Tuesday, August 31, 2004 1:58 PM Subject: Re: metallic taste> interesting,...I always thought of metallic taste as problems w/ zinc (from research re: elderly)

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I think a zinc deficiency may be a viable option. So could a reaction to the anesthesia or being in a state of ketosis. These patients really aren't that well nourished before surgery. These patients consume very inadequate diets.

Kate Alie, M.S., R.D., L.D. Director of Nutrition Services Medabolix 600 Way

Northgate Business Park

ton, WV 25311 (304) 347-4313 (304) 347-4316 (fax)>From: "Bijold, Roxanne M." <rbijold1@...> >Reply- >"' '" < > >Subject: RE: Re: metallic taste >Date: Wed, 1 Sep 2004 07:58:18 -0500 > >Patients usually complain about the metallic taste in the first week after >surgery, and since these patients have been well-nourished prior to >bariatric surgery, I don't see how a zinc deficiency could be the cause of >the metallic taste so soon after the surgery. Has this ever been verified >with lab work in any of your patients? >Roxanne Bijold > > Re: metallic taste > > > > > > >interesting,...I always thought of metallic taste as problems w/ zinc >(from research re: elderly) > > > > >

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  • 2 years later...

> By the way, I've heard of a metallic taste in the mouth as being

> symptomatic of ES

My opinion is that the " metallic taste " symptom is due to

mobilization of cellular heavy metals (mercury, aluminum,

lead, copper, etc.) into the bloodstream. Probably a

good sign that one is in need of some form of heavy

metal detox.

Marc

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  • 1 year later...

Do the Salt load protocol on the www.breastcancerchoices.org website.

Steph

Metallic Taste

>I know this was just discussed but I skipped over it because it didn't

> pertain to me at the time and now I can't find the asnwer. My daughter

> started taking 1/2 pill of Iodoral and is getting a metallic taste in

> her mouth. Is she taking to much? Is it detox symptoms? Does she need

> to take something else to get rid of the taste?

>

> Thanks, Janie

>

>

>

> Send Message: iodine

>

> Iodine

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Do the Salt load protocol on the www.breastcancerchoices.org website.

Steph

Metallic Taste

>I know this was just discussed but I skipped over it because it didn't

> pertain to me at the time and now I can't find the asnwer. My daughter

> started taking 1/2 pill of Iodoral and is getting a metallic taste in

> her mouth. Is she taking to much? Is it detox symptoms? Does she need

> to take something else to get rid of the taste?

>

> Thanks, Janie

>

>

>

> Send Message: iodine

>

> Iodine

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We discussed that at the Iodine conference and determined that what has been labeled "Iodism" is more than likely "Bromism". The symptoms are the same of both what was recorded for Iodine as it was for Bromide. Either that is a coincidence or it really is bromide since they are testing those with the symptoms and finding that they are toxic in bromide.

Something to think about. You can read about the "theory" of bromism on www.breastcancerchoices.org on bromism. Lynn (who runs the nonprofit that has this site) spoke at the iodine conference about this.

Re: Re: Metallic Taste

If that doesn't help you might want to reduce the dose. Metallic taste is associated with iodism.IreneAt 06:26 PM 10/25/2007, you wrote:

>> Do the Salt load protocol on the www.breastcancerchoices.org website.> > Steph>

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Yes I know about bromism. That is why I said " if the salt doesn't

work " . I don't know that anyone knows for sure that iodism doesn't

exist.

Irene

At 06:42 PM 10/25/2007, you wrote:

We

discussed that at the Iodine conference and determined that what has been

labeled " Iodism " is more than likely " Bromism " .

The symptoms are the same of both what was recorded for Iodine as it was

for Bromide. Either that is a coincidence or it really is bromide

since they are testing those with the symptoms and finding that they are

toxic in bromide.

Something to think about. You can read

about the " theory " of bromism on

www.breastcancerchoices.org

on bromism. Lynn (who runs the nonprofit that has this site) spoke at the iodine conference about this.

Re: Re: Metallic Taste

If that doesn't help you might want to reduce the dose. Metallic taste is associated with iodism.

Irene

At 06:26 PM 10/25/2007, you wrote:

>

> Do the Salt load protocol on the www.breastcancerchoices.org website.

>

> Steph

>

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Well for me the salt hasn't worked but my liver / kidney detox product does. So one may think/label it is Iodism but really it is a block in the detoxification pathway. I have experienced some of the same things you do - anxiety, fatigue, aching joints. I know I am high in bromide because. Dr. Abraham tested it.

Steph

Re: Re: Metallic Taste

If that doesn't help you might want to reduce the dose. Metallic taste is associated with iodism.

Irene

At 06:26 PM 10/25/2007, you wrote:

>

> Do the Salt load protocol on the www.breastcancerchoices.org website.

>

> Steph

>

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Hi , What is the detox product you use and can I purchase it without a script?

Janie>> Well for me the salt hasn't worked but my liver / kidney detox product does. So one may think/label it is Iodism but really it is a block in the detoxification pathway. I have experienced some of the same things you do - anxiety, fatigue, aching joints. I know I am high in bromide because. Dr. Abraham tested it. > > Steph

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  • 3 months later...

Hi ,

I hope this helps....

Everything you've mentioned sounds like a zinc deficiency (metallic

taste, taste aversion, etc.). From my understanding, zinc is

difficult to measure in general. Plasma alk phos is a zinc-dependent

enzyme and its levels may help determine a zinc deficiency - but not

in all cases. If nothing else, the plasma alk phos can help

determine if a patient is respionding to zinc treatment. I'd try

doses of 15-30 mgs of zinc per day, taken between meals and by

itself... always 2 hours apart from iron or copper supplements.

Watch out for copper deficiency, as it can become a side effect of

zinc supplementation.

Again, I hope this helps!

~

>

> I have a 14 wk post-op rny who has been complaining of a metallic

taste

> in her mouth which makes it hard to eat. Nothing tastes good. She

began

> taking chelated zinc (50mg) about a month ago. Metallic taste went

away

> but now is returning. I suggested that she split the dose, 25 in

am and

> 25 in pm. She is taking Optisource, Ca, and ferrous sulfate.

Ferrous

> sulfate is taken separately from other vits/min. She also says

that she

> does not like any food that she used to. She's very sensitive to

smells

> and tastes. She is also having food aversions. I have a handful

with

> this one. Any suggestions?

>

> Lovisa, RD, CD

> Bariatric Dietitian

> Memorial Weight Loss & Bariatric Surgery Center

>

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She is taking zinc because she had diminished sense of smell, metallic taste, poor wound healing, hair loss, and deformed nails which are all listed under zinc deficiencies. Toxicity is more likely to happen with supplemental dose of 100mg or more. We have seen positive changes in her diet and her hair loss has stopped. But, the metallic taste is returning. I am at a loss.

Lovisa, RD, CD

Bariatric Dietitian

From: R@... [mailto:R@...] Sent: Thursday, January 31, 2008 11:33 AM Subject: Fw: metallic taste

Zinc can cause these issues. Why is she taking zinc? Unless her levels are low I would not recommend a patient take zinc. There are just too many problems with supplemental zinc (anemia, decreased immunity, taste changes, etc) Rita , RD, LD/NClinical Nutrition ManagerMemorial Hospital of TampaNOTICE: This email may contain PRIVILEGED and CONFIDENTIAL information and is intended only for the use of the specific individual(s) to which it is addressed. It may contain Protected Health Information that is privileged and confidential. Protected Health Information may be used or disclosed in accordance with law and you may be subject to penalties under law for improper use or further disclosure of the Protected Health Information in this email. If you are not an intended recipient of this email, you are hereby notified that any unauthorized use, dissemination or copying of this email or the information contained in it or attached to it is strictly prohibited. If you have received this email in error, please delete it and immediately notify the person named above by reply email. Thank you. ----- Forwarded by Rita /MHOT/IASIS on 01/31/2008 11:31 AM -----

" " <jlewis@...> Sent by: 01/31/2008 11:05 AM

Please respond to

To

< >

cc

Subject

metallic taste

I have a 14 wk post-op rny who has been complaining of a metallic taste in her mouth which makes it hard to eat. Nothing tastes good. She began taking chelated zinc (50mg) about a month ago. Metallic taste went away but now is returning. I suggested that she split the dose, 25 in am and 25 in pm. She is taking Optisource, Ca, and ferrous sulfate. Ferrous sulfate is taken separately from other vits/min. She also says that she does not like any food that she used to. She's very sensitive to smells and tastes. She is also having food aversions. I have a handful with this one. Any suggestions? Lovisa, RD, CD Bariatric Dietitian Memorial Weight Loss & Bariatric Surgery Center

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Why is she taking ferrous sulfate and not ferrous fumurate (such as

Vitron-C)? Ferrous sulfate is not regarded to be as well tolerated or

absorbed as fumurate form.

J Spector, RD

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Could be ketosis.

Ava

>

> She is taking zinc because she had diminished sense of smell,

metallic

> taste, poor wound healing, hair loss, and deformed nails which are

all

> listed under zinc deficiencies. Toxicity is more likely to happen

with

> supplemental dose of 100mg or more. We have seen positive changes

in her

> diet and her hair loss has stopped. But, the metallic taste is

> returning. I am at a loss.

>

> Lovisa, RD, CD

> Bariatric Dietitian

>

>

> ________________________________

>

> From: R@... [mailto:R@...]

> Sent: Thursday, January 31, 2008 11:33 AM

>

> Subject: Fw: metallic taste

>

>

>

> Zinc can cause these issues. Why is she taking zinc? Unless her

levels

> are low I would not recommend a patient take zinc. There are just

too

> many problems with supplemental zinc (anemia, decreased immunity,

taste

> changes, etc)

>

> Rita , RD, LD/N

> Clinical Nutrition Manager

> Memorial Hospital of Tampa

>

> NOTICE: This email may contain PRIVILEGED and CONFIDENTIAL

information

> and is intended only for the use of the specific individual(s) to

which

> it is addressed. It may contain Protected Health Information that

is

> privileged and confidential. Protected Health Information may be

used or

> disclosed in accordance with law and you may be subject to

penalties

> under law for improper use or further disclosure of the Protected

Health

> Information in this email. If you are not an intended recipient of

this

> email, you are hereby notified that any unauthorized use,

dissemination

> or copying of this email or the information contained in it or

attached

> to it is strictly prohibited. If you have received this email in

error,

> please delete it and immediately notify the person named above by

reply

> email. Thank you.

>

>

>

>

>

>

>

> ----- Forwarded by Rita /MHOT/IASIS on 01/31/2008 11:31 AM ---

--

>

> " " <jlewis@...>

> Sent by:

>

> 01/31/2008 11:05 AM

> Please respond to

>

>

>

> To

> < >

> cc

> Subject

> metallic taste

>

>

>

>

>

>

>

>

>

> I have a 14 wk post-op rny who has been complaining of a metallic

taste

> in her mouth which makes it hard to eat. Nothing tastes good. She

began

> taking chelated zinc (50mg) about a month ago. Metallic taste went

away

> but now is returning. I suggested that she split the dose, 25 in

am and

> 25 in pm. She is taking Optisource, Ca, and ferrous sulfate.

Ferrous

> sulfate is taken separately from other vits/min. She also says

that she

> does not like any food that she used to. She's very sensitive to

smells

> and tastes. She is also having food aversions. I have a handful

with

> this one. Any suggestions?

>

>

> Lovisa, RD, CD

> Bariatric Dietitian

> Memorial Weight Loss & Bariatric Surgery Center

>

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You have probably already suggested this to her, but it might help to

have her eat off plastic spoons & forks to help reduce the metallic

taste. Cold or room temp foods may not bother her sense of smell as

much as hot foods.

Jody

>

> I have a 14 wk post-op rny who has been complaining of a metallic

taste > in her mouth which makes it hard to eat. Nothing tastes good.

She began

> taking chelated zinc (50mg) about a month ago. Metallic taste went away

> but now is returning. I suggested that she split the dose, 25 in am and

> 25 in pm. She is taking Optisource, Ca, and ferrous sulfate. Ferrous

> sulfate is taken separately from other vits/min. She also says that she

> does not like any food that she used to. She's very sensitive to smells

> and tastes. She is also having food aversions. I have a handful with

> this one. Any suggestions?

>

> Lovisa, RD, CD

> Bariatric Dietitian

> Memorial Weight Loss & Bariatric Surgery Center

>

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  • 2 weeks later...

Are you checking zinc levels to make sure she doesn't develop a copper deficiency? Or is copper being supplemented at the same time/?

Kathy J. Shattler, M.S.,RD

Director, Nutrition and Dietitians Division

Http://www.ceu4u.com

kshattler@...

"Virtual Continuing Education Institute"

Re: metallic tasteYou have probably already suggested this to her, but it might help tohave her eat off plastic spoons & forks to help reduce the metallictaste. Cold or room temp foods may not bother her sense of smell asmuch as hot foods.Jody>> I have a 14 wk post-op rny who has been complaining of a metallictaste > in her mouth which makes it hard to eat. Nothing tastes

good.She began> taking chelated zinc (50mg) about a month ago. Metallic taste went away> but now is returning. I suggested that she split the dose, 25 in am and> 25 in pm. She is taking Optisource, Ca, and ferrous sulfate. Ferrous> sulfate is taken separately from other vits/min. She also says that she> does not like any food that she used to. She's very sensitive to smells> and tastes. She is also having food aversions. I have a handful with> this one. Any suggestions?> > Lovisa, RD, CD> Bariatric Dietitian> Memorial Weight Loss & Bariatric Surgery Center>

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  • 11 months later...

causes of Metallic Taste I found this list

In the following lines, we have mentioned the main causes of metallic taste in mouth, along with the exact type of taste the causes lead to.

Copper Toxicity (Metallic Taste) Dental Caries (Foul Taste) Dental Conditions (Bad Taste) Fluctuation in Estrogen Levels (Metallic Taste) Gastritis (Foul Taste) Gastro-esophageal Reflux Disease (Bitter Taste) Heartburn (Acid Taste) Jaundice (Bitter Taste) Lead Poisoning (Metallic Taste) Medications like Antibiotics, Prenatal Vitamins and Antidepressants (Metallic Taste) Mercury Poisoning (Metallic Taste) Oral Infections like Gingivitis or Periodontitis (Metallic Taste) Poor Oral Hygiene (Metallic Taste) Postnasal Drip (Foul Taste) Pyrosis (Acid Taste) Scombrotoxic Fish Poisoning (Metallic Taste) Selenium Overuse (Metallic Taste) Tooth abscess (Foul Taste)

From: adrienneobbard <adrienneobbard@...>Subject: metallic tasteiodine Date: Friday, February 13, 2009, 2:45 AM

Hi,I have been told by an alternative practitioner that a metallic taste is the body's need for iodine.Can anyone confirm this please?Thanks,Adrienne.

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Hi AdrienneI did not really ever notice a metallic taste until I started detoxing from iodine. Then it was real strong, but passed after some time went by.But everyone is different.-- Warmest Regards,Robin Little

Hi,

I have been told by an alternative practitioner that a metallic taste

is the body's need for iodine.

Can anyone confirm this please?

Thanks,

Adrienne.

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