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Calcium Citrate Supplements after Gastric Bypass
Calcium is the most abundant mineral in the body; actually there is about two
or three pounds of it in your body, most of which is located in the bones and
teeth. In addition to building bones and teeth, calcium is an electrolyte
required for transmitting nerve signals, water balance, acid/alkaline balance
and maintaining osmotic pressure. It helps the blood to clot and is necessary
for the heart muscle function. It's long been known that calcium will aid in the
prevention of osteoporosis, but new studies are also identifying calcium for it's
anticancer actions within the colon.
Osteoporosis - Bone Disease
Osteoporosis (osteomalacia), is a possible long-term risk from bariatric surgeries. It is
estimated that osteoporosis affects 20 to 25 million people over the age of 45
years. Osteoporosis results in about 1.5 million fractures per year.
Almost 70 percent of Americans are not getting enough calcium in their diets. The average daily intake is 500 milligrams,
much less than the Recommended Daily Intake (RDI) of 1,000 to 1,500 milligrams.
Sources of Calcium
Calcium is found in foods and supplements as insoluble salt. Calcium is only absorbed in its ionized form
(Ca2+) so it must first be released from the salt. This takes about one hour in
a mildly acidic environment. Calcium is absorbed in two ways, in the duodenum
and proximal jejunum (the first three to four feet of small intestine) and in
the ileum (last six to eight feet of the small intestine). Absorption in the
duodenum and jejunum is stimulated by low calcium diets (<400 mg).
Vitamin D and ingestion of food or lactose improve the absorption of calcium.
Other sugars, sugar alcohol and protein also appear to have this same positive
effect. Fiber (wheat), phytates (nuts, legumes, cereal) and oxalates (spinach,
beets, celery, eggplant, greens, okra, squash, berries, tea, cocoa, and nuts)
may decrease calcium absorption and retention.
Unabsorbed dietary fatty acids can interfere with calcium absorption as they form soaps that cannot be
absorbed. This is especially true in the more malabsorptive surgeries like the
long limb Roux-en-Y (distal RYGB), bilio-pancreatic diversion (BPD), and bilio-pancreatic
diversion/duodenal switch (BPD/DS).
Calcium
Of importance for the bariatric patient is following:
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Citrate - Calcium combined with citrate (Carbon, Oxygen, Hydrogen and Water) has long been known as the
top quality compound available for maximum absorption of calcium.
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Boron - Studies indicate that boron improves calcium metabolism and utilization. The main dietary
sources for obtaining boron are fruits and vegetables. Natural sources of
boron include black beans, spinach, tomatoes, peaches, apricots,
strawberries, apples, and cantaloupe. The level of boron in each item is
based on the level of boron found in the soil where they are grown. Boron
has been found to have positive results in postmenopausal women in areas of
prevention and reduction of osteoporosis and arthritis. It can enhance, as
well as mimic the effects estrogen produces on calcium metabolism. It also
assists in activating vitamin D to its most active form.
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Vitamin D - Vitamin D is best known for its ability to aid the absorption of calcium. It also exerts
many anti-cancer properties, especially against breast and colon cancer.
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Form - should be quickly dissolving and contain minimum of fillers. Should dissolve within five (5)
minutes of ingestion. This allows for fast digestion,
and most important absorption.
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Servings - Use Calcium Citrate, 1500 mg to 2,000 mg of elemental calcium daily including the
calcium from your diet. If you are not sure how much elemental calcium is in
your supplement, call the manufacturer and ask. Take the calcium citrate
supplement separately from iron supplements as
calcium can block iron absorption. Consider a supplement containing Vitamin
D and magnesium. Calcium citrate decreases risk of kidney stones and is
better absorbed than calcium carbonate found in calcium supplements like Tums and Viactiv.
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There are also special formulated Calcium Citrate products available for the gastric bypass patient
(check here).
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Vitamins after gastric Bypass
After surgery, your body has difficulty absorbing certain nutrients because most of your stomach and the first part of your small intestine are bypassed. To prevent a vitamin or mineral deficiency, take vitamin and mineral supplements regularly. Your
dietitian will prescribe a multivitamin, multi mineral, protein, calcium, vitamin B-12 and possibly an iron supplement.
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Vita4Life
Calcium Citrate
Best for Gastric Bypass patient is Calcium combined with Citrate (Carbon, Oxygen, Hydrogen & Water) Boron and vitamin D - Vita4Life offers your system the highest percentage of absorption available in the marketplace today. Our calcium comes in capsule form and is made to dissolve within five (5) minutes of ingestion. This allows for the most opportunity for digestion, and over-all absorption.
Order here!
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Vita4Life
Vitamin B12
Liquid Protein
Multi Vitamins
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