D or not D, that is the question

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How important is vitamin D and calcium after the procedure to lose weight?

Vitamin D is absorbed in the first part of the intestine (vertigo and fasting). It is a fat soluble vitamin that is stored in the fat cells of the body.

In the United Kingdom, an estimated 25% of the population suffers from vitamin D (DoH 2012) and vitamin D is the most common type of vitamin in the northern hemisphere. The low sun exposure that covers our body and the limited dietary intake contribute to it.

It can be said that those with a body mass index greater than 40 have stored a large amount of fat and theoretically more vitamin D. Aills et al. They found that between 60% and 70% of preoperative obese patients had vitamin D deficiency.

After losing weight when you lose weight fast. Vitamin D is released by fat cells and increases by about 30% before stabilization.

What is the relationship between calcium and vitamin D? This is a case of “you can not be without each other”, the food association of Tom and Jerry, and Fred and Dagger.

Bone is a living tissue that is constantly absorbed and replaced. Calcium is essential for this process. Without vitamin D, calcium can not direct the bones. Calcium intake is dependent on vitamin D. Insufficient bone absorption softens and can not regenerate and regenerate. It can cause diseases like rickets and lice.

Bone loss occurs slowly, silently and painlessly, leading to degenerative disease and increased risk of fracture. Long-term bone loss was a major concern after the treatment of obesity. A recent epidemiological study (Rochester, USA) suggests that seven years after a malabsorption operation (eg gastric bypass), patients are more likely to be fractured than the general population.

Simply taking calcium tablets is not ideal for WLS members with absorption problems. Stomach acid plays an important role in the calcium absorption pathway, but in those undergoing gastrectomy or gastric gland, the acidity of the stomach is reduced by surgery.
However, calcium citrate does not require a high acidity of the stomach to be absorbed. Therefore, this option is preferred in such cases.

For some, flying in the sun towards the Sardinian sun will certainly increase vitamin D intake and provide calcium with fresh and delicious local foods. For weight loss patients, this is not enough and the prescribed supplements are the key to preventing the disease. It is important to understand the meaning of this logic and to imagine, assuming that these additions to life are necessary.

Vitamin D and calcium supplements
Daily supplements of vitamin D and calcium. Many vitamins, including those containing calcium citrate and vitamin D, may not provide adequate protection for bone health. Calcium citrate is recommended for doses of 1500 mg / day (hardening of the stomach), 1500-2000 mg (gastric bypass) and 2400 mg / day (according to BPD / DS), in combination with vitamin D3 in divided doses 3 to 4 times a day

It should be more of an aggregate than a high calcium food and drink.

Calcium supplements should not be taken at the same time as iron supplements because they are not well absorbed. Wait more than 2 hours.

Oral vitamin D supplement when a deficiency is found. Your doctor may prescribe 50,000 IU of vitamin D once a week for eight weeks.

The above recommendations are issued by Aills L, Blankenship J, Buffington C, Furtado M and Parrott J. ASMBS, based on nutritional guidelines for patient weight loss.

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