I diagosed myself when 5 MD's couldn't!!!

[Guest guest]

I have been *suffering* bone pain (excessive) since late prgnancy 19

months ago. I have seen/talked with 5 MD's (obstetrician, maternal-

fetal med specialist, internal medicine specialist, family MD and

hematologist/oncologist)about my pain and they wrote it off

as " arthritis " since my mother has Rheumatoid arthritis and has had

it since she was 13 (although my rhematoid blood panels were

completely NORMAL and I had NO JOINT pain, just bone shaft pain!!!).

I told my Mother nearly 2 years ago that if I didnt know better, I

would think I had " bone cancer " . No one has EVER

mentioned " metabolic bone disease " to me in the year before GBP nor

the 4.5 years since my surgery!!!

take a look at these links!!!!!

==================================================

Severe Metabolic Bone Disease as a Long-Term Complication of Obesity

Surgery

Author(s): Whitney S. Goldner MD ; M. O'Dorisio MD ; ph S.

Dillon MD ; E. Mason MD, PhD

Source: Obesity Surgery Volume: 12 Number: 5 Page: 685 -- 692

Abstract: Background: Metabolic bone disease is a well-documented

long-term complication of obesity surgery. It is often undiagnosed,

or misdiagnosed, because of lack of physician and patient awareness.

Abnormalities in calcium and vitamin D metabolism begin shortly after

gastrointestinal bypass operations; however, clinical and biochemical

evidence of metabolic bone disease may not be detected until many

years later.

Case Report: A 57-year-old woman presented with severe hypocalcemia,

vitamin D deficiency,and radiographic evidence of osteomalacia, 17

years after vertical banded gastroplasty and Roux-en-Y gastric

bypass. Following these operations, she was diagnosed with a variety

of medical disorders based on symptoms that, in retrospect, could

have been attributed to metabolic bone disease. Additionally, she had

serum metabolic abnormalities that were consistent with metabolic

bone disease years before this presentation. Radiographic evidence of

osteomalacia at the time of presentation suggests that her condition

was advanced, and went undiagnosed for many years. These symptoms and

laboratory and radiographic abnormalities most likely were a result

of the long-term malabsorptive effects of gastric bypass, food intake

restriction, or a combination of the two.

Conclusion: This case illustrates not only the importance of informed

consent in patients undergoing obesity operations, but also the

importance of adequate follow-up for patients who have undergone

these procedures. A thorough history and physical examination, a high

index of clinical suspicion, and careful long-term follow-up, with

specific laboratory testing, are needed to detect early metabolic

bone disease in these patients.

================================================================

ADVERTISEMENT

Gastric bypass operations also may cause " dumping syndrome, " whereby

stomach contents move too rapidly through the small intestine.

Symptoms include nausea, weakness, sweating, faintness, and,

occasionally, diarrhea after eating, as well as the inability to eat

sweets without becoming so weak and sweaty that the patient must lie

down until the symptoms pass. The more extensive the bypass

operation, the greater is the risk for complications and nutritional

deficiencies. Patients with extensive bypasses of the normal

digestive process require not only close monitoring, but also life-

long use of special foods and medications.

Risks

Ten to 20 percent of patients who have weight-loss operations require

followup operations to correct complications. Abdominal hernias are

the most common complications requiring followup surgery. Less common

complications include breakdown of the staple line and stretched

stomach outlets.

More than one-third of obese patients who have gastric surgery

develop gallstones. Gallstones are clumps of cholesterol and other

matter that form in the gallbladder. During rapid or substantial

weight loss a person's risk of developing gallstones is increased.

Gallstones can be prevented with supplemental bile salts taken for

the first 6 months after surgery.

Nearly 30 percent of patients who have weight-loss surgery develop

nutritional deficiencies such as anemia, osteoporosis, and metabolic

bone disease. These deficiencies can be avoided if vitamin and

mineral intakes are maintained.

Women of childbearing age should avoid pregnancy until their weight

becomes stable because rapid weight loss and nutritional deficiencies

can harm a developing fetus.

==================================================================

http://www.bariatricoperation.com/articles/Bone_Loss_OSG_Masonj3oju.pd

f

http://www.bariatricoperation.com/articles/Bone_Loss_OSG_p685_s.pdf

[Guest guest]

When was your last DEXAscan? That will give you proof one way or

another of the state of your bone density.

How much calcium do you take? What kind?

How much Vitamin D do you take? What kind?

How much magnesium do you take? What kind?

How much iron do you take? What kind?

What's your normal vitamin/mineral daily schedule?

Z

Open RNY 09/17/01

Alan 02/11/84

Joanne Natasha born at home 01/13/00

http://www.ziobro.us

I diagosed myself when 5 MD's couldn't!!!

To: ossg-pregnant

I have been *suffering* bone pain (excessive) since late prgnancy 19

months ago. I have seen/talked with 5 MD's (obstetrician, maternal-

fetal med specialist, internal medicine specialist, family MD and

hematologist/oncologist)about my pain and they wrote it off

as " arthritis " since my mother has Rheumatoid arthritis and has had

it since she was 13 (although my rhematoid blood panels were

completely NORMAL and I had NO JOINT pain, just bone shaft pain!!!).

I told my Mother nearly 2 years ago that if I didnt know better, I

would think I had " bone cancer " . No one has EVER

mentioned " metabolic bone disease " to me in the year before GBP nor

the 4.5 years since my surgery!!!

[Guest guest]

I've never had a Dexascan. One Dr was going to order it along with an

abdominal US, but it has yet to be ordered.

I am in the process of getting iron infusions. I had been taking

injections twice a week plus a B12 inj once a month, but started IV

iron tonight.

My vit/mineral schedule NOW is:

Vitamin A (as palmitate)

45,000IU

Vitamin B-6 (from pyridoxine HCL)

6 mg

Vitamin B-2 ( as riboflavin )

5.2 mg

Vitamin B-1 (as thiamine mononitrate )

4.5 mg

Vitamin B-12 (as cyanocobalamin)

90 mcg

Vitamin C (as ascorbic acid)

280 mg

Vitamin D (as cholecalciferol)

2,400IU

Vitamin E (as dl-alpha tocopheryl acetate)

60IU

Vitamin E (as d-alpha tocopheryl succinate)

450IU

Vitamin A (as beta carotene)

5,000IU

Biotin

300 mcg

Pantothenic Acid (from d-calcium pantotheenate)

20 mg

Folic Acid

800 mcg

Niacinamide

40 mg

Vitamin K (as phytonadione)

100 mcg

MINERALS

Calcium (from calcium citrate)

2,000 mg

Chromium (from chromium chloride)

50 mcg

Copper (from copper oxide)

4 mg

Iron (from iron fumerate)

70 mg

Magnesium (from magnesium oxide)

200 mg

Manganese (from manganese sulfate)

10 mg

Molybdenum (from sodium molybdate)

50 mcg

Potassium (from potassium chloride)

60 mg

Selenium (from sodium selenate)

50 mcg

Zinc (from amino chelate)

50 mg

[Guest guest]

Holy Cow, Sheila! You are amazing, lady...You are an RN too right?

Ever thought of med school? Its funny, as nurses we are told we do

not diagnose, but I diagnosed my hubby's diabetes, as well as his ?

gallbladder issues since he had WLS a month ago. Both of which

confirmed by Dr's...

I hope that you get some tx for your bone pain, sweetie...That has

GOT to be difficult, especially chasing after an active toddler!

Hugs,

-- In OSSG-pregnant , " Sheila Renae "

wrote:

> I have been *suffering* bone pain (excessive) since late prgnancy

19

> months ago. I have seen/talked with 5 MD's (obstetrician, maternal-

> fetal med specialist, internal medicine specialist, family MD and

> hematologist/oncologist)about my pain and they wrote it off

> as " arthritis " since my mother has Rheumatoid arthritis and has

had

> it since she was 13 (although my rhematoid blood panels were

> completely NORMAL and I had NO JOINT pain, just bone shaft

pain!!!).

>

> I told my Mother nearly 2 years ago that if I didnt know better,

I

> would think I had " bone cancer " . No one has EVER

> mentioned " metabolic bone disease " to me in the year before GBP

nor

> the 4.5 years since my surgery!!!

>

> take a look at these links!!!!!

>

> ==================================================

> Severe Metabolic Bone Disease as a Long-Term Complication of

Obesity

> Surgery

>

> Author(s): Whitney S. Goldner MD ; M. O'Dorisio MD ; ph

S.

> Dillon MD ; E. Mason MD, PhD

> Source: Obesity Surgery Volume: 12 Number: 5 Page: 685 -- 692

>

>

>

> Abstract: Background: Metabolic bone disease is a well-documented

> long-term complication of obesity surgery. It is often undiagnosed,

> or misdiagnosed, because of lack of physician and patient

awareness.

> Abnormalities in calcium and vitamin D metabolism begin shortly

after

> gastrointestinal bypass operations; however, clinical and

biochemical

> evidence of metabolic bone disease may not be detected until many

> years later.

>

> Case Report: A 57-year-old woman presented with severe

hypocalcemia,

> vitamin D deficiency,and radiographic evidence of osteomalacia, 17

> years after vertical banded gastroplasty and Roux-en-Y gastric

> bypass. Following these operations, she was diagnosed with a

variety

> of medical disorders based on symptoms that, in retrospect, could

> have been attributed to metabolic bone disease. Additionally, she

had

> serum metabolic abnormalities that were consistent with metabolic

> bone disease years before this presentation. Radiographic evidence

of

> osteomalacia at the time of presentation suggests that her

condition

> was advanced, and went undiagnosed for many years. These symptoms

and

> laboratory and radiographic abnormalities most likely were a result

> of the long-term malabsorptive effects of gastric bypass, food

intake

> restriction, or a combination of the two.

>

> Conclusion: This case illustrates not only the importance of

informed

> consent in patients undergoing obesity operations, but also the

> importance of adequate follow-up for patients who have undergone

> these procedures. A thorough history and physical examination, a

high

> index of clinical suspicion, and careful long-term follow-up, with

> specific laboratory testing, are needed to detect early metabolic

> bone disease in these patients.

> ================================================================

>

>

>

> ADVERTISEMENT

>

>

> Gastric bypass operations also may cause " dumping syndrome, "

whereby

> stomach contents move too rapidly through the small intestine.

> Symptoms include nausea, weakness, sweating, faintness, and,

> occasionally, diarrhea after eating, as well as the inability to

eat

> sweets without becoming so weak and sweaty that the patient must

lie

> down until the symptoms pass. The more extensive the bypass

> operation, the greater is the risk for complications and

nutritional

> deficiencies. Patients with extensive bypasses of the normal

> digestive process require not only close monitoring, but also life-

> long use of special foods and medications.

>

> Risks

>

> Ten to 20 percent of patients who have weight-loss operations

require

> followup operations to correct complications. Abdominal hernias are

> the most common complications requiring followup surgery. Less

common

> complications include breakdown of the staple line and stretched

> stomach outlets.

> More than one-third of obese patients who have gastric surgery

> develop gallstones. Gallstones are clumps of cholesterol and other

> matter that form in the gallbladder. During rapid or substantial

> weight loss a person's risk of developing gallstones is increased.

> Gallstones can be prevented with supplemental bile salts taken for

> the first 6 months after surgery.

> Nearly 30 percent of patients who have weight-loss surgery develop

> nutritional deficiencies such as anemia, osteoporosis, and

metabolic

> bone disease. These deficiencies can be avoided if vitamin and

> mineral intakes are maintained.

> Women of childbearing age should avoid pregnancy until their weight

> becomes stable because rapid weight loss and nutritional

deficiencies

> can harm a developing fetus.

>

> ==================================================================

>

>

>

>

http://www.bariatricoperation.com/articles/Bone_Loss_OSG_Masonj3oju.p

d

> f

>

> http://www.bariatricoperation.com/articles/Bone_Loss_OSG_p685_s.pdf

[Guest guest]

Do you take supplements that are for GB patients or regular ones?

I was on IV iron also for a hemoglobin of 6

Re: I diagosed myself when 5 MD's couldn't!!!

I've never had a Dexascan. One Dr was going to order it along with an

abdominal US, but it has yet to be ordered.

I am in the process of getting iron infusions. I had been taking

injections twice a week plus a B12 inj once a month, but started IV

iron tonight.

My vit/mineral schedule NOW is:

Vitamin A (as palmitate)

45,000IU

Vitamin B-6 (from pyridoxine HCL)

6 mg

Vitamin B-2 ( as riboflavin )

5.2 mg

Vitamin B-1 (as thiamine mononitrate )

4.5 mg

Vitamin B-12 (as cyanocobalamin)

90 mcg

Vitamin C (as ascorbic acid)

280 mg

Vitamin D (as cholecalciferol)

2,400IU

Vitamin E (as dl-alpha tocopheryl acetate)

60IU

Vitamin E (as d-alpha tocopheryl succinate)

450IU

Vitamin A (as beta carotene)

5,000IU

Biotin

300 mcg

Pantothenic Acid (from d-calcium pantotheenate)

20 mg

Folic Acid

800 mcg

Niacinamide

40 mg

Vitamin K (as phytonadione)

100 mcg

MINERALS

Calcium (from calcium citrate)

2,000 mg

Chromium (from chromium chloride)

50 mcg

Copper (from copper oxide)

4 mg

Iron (from iron fumerate)

70 mg

Magnesium (from magnesium oxide)

200 mg

Manganese (from manganese sulfate)

10 mg

Molybdenum (from sodium molybdate)

50 mcg

Potassium (from potassium chloride)

60 mg

Selenium (from sodium selenate)

50 mcg

Zinc (from amino chelate)

50 mg

Children are a blessing, and a gift from the Lord. -Psalm 127:3