RE: Supplementing with bile salts post-op?

[Guest guest]

OTC. To omy knowledge usually used as a laxitive but fairly safe.

Supplementing with bile salts

post-op?

I attended the virtual seminar for bariatric/nutrition issues last week. In

my outline one of the speakers mentioned supplementing with bile salts for

up to 6 months post op to prevent gallstones. Excuse my ignorance, but what

are bile salts are they OTC or Rx? Do any of you use this as part of your

program?

Thanks for your input.

E. , MS, RD, LD/N, CDE

Nutrition Educator

Joslin Center for Diabetes at Mease Countryside Hospital

1840 Mease Drive, suite 104

Safety Harbor, Fl 34695

(727) 725-6165 fax (727) 725-6215

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[Guest guest]

Our program has pts take Actigall for six months post op.

Supplementing with bile salts post-op?I attended the virtual seminar for bariatric/nutrition issues last week. Inmy outline one of the speakers mentioned supplementing with bile salts forup to 6 months post op to prevent gallstones. Excuse my ignorance, but whatare bile salts are they OTC or Rx? Do any of you use this as part of yourprogram?Thanks for your input. E. , MS, RD, LD/N, CDENutrition EducatorJoslin Center for Diabetes at Mease Countryside Hospital1840 Mease Drive, suite 104Safety Harbor, Fl 34695(727) 725-6165 fax (727) 725-6215**************************************************************************************************Confidential: This electronic message and all contents contain information from BayCare Health System which may be privileged, confidential or otherwise protected from disclosure. The information is intended to be for the addressee only. If you are not the addressee, any disclosure, copy, distribution or use of the contents of this message is prohibited. If you have received this electronic message in error, please notify the sender and destroy the original message and all copies.**************************************************************************************************

[Guest guest]

We also use the Actigal for 6 months post-op. We give 300 mg tid, versus

the bid prescribing guidelines in the pocket pharmacopoeia book. The

studies show that this drastically decreases the incidence of gallstone

formation associated with rapid weight loss. If patients have nausea

related to the Actigal in the early post-op period, we hold off until it is

safe to take the capsule (ie 6-8 weeks) and have them restart it.

Incidently, I also recommend this for lap-bad patients after band

adjustments even if they are more than 6 months out. I have also worked

with several patients to lose enough weight to qualify for the surgery (ie

BMI greater than 70) which has involved modified protein fasting and during

this time Actigal was also prescribed.

Jeanne Blankenship, MS RD

Bariatric Surgery Nutrition Coordinator

UC Medical Center

Sacramento, CA 95817

916-734-7260

Millison Beverly

<Beverly.Millison@LonestarH

" ' ' "

ealth.com>

< >

cc:

10/14/2003 08:50 AM Subject: RE:

Supplementing with bile

Please respond to salts post-op?

BariatricNutritionDietitian

s

OTC. To omy knowledge usually used as a laxitive but fairly safe.

Supplementing with bile salts

post-op?

I attended the virtual seminar for bariatric/nutrition issues last week. In

my outline one of the speakers mentioned supplementing with bile salts for

up to 6 months post op to prevent gallstones. Excuse my ignorance, but what

are bile salts are they OTC or Rx? Do any of you use this as part of your

program?

Thanks for your input.

E. , MS, RD, LD/N, CDE

Nutrition Educator

Joslin Center for Diabetes at Mease Countryside Hospital

1840 Mease Drive, suite 104

Safety Harbor, Fl 34695

(727) 725-6165 fax (727) 725-6215

****************************************************************************

**********************

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from

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If you are

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[Guest guest]

I'm confused by your statement about assisting pts to lose wt to qualify for

the surgery? Are you still talking about the lapband?

Supplementing with bile salts

post-op?

I attended the virtual seminar for bariatric/nutrition issues last week. In

my outline one of the speakers mentioned supplementing with bile salts for

up to 6 months post op to prevent gallstones. Excuse my ignorance, but what

are bile salts are they OTC or Rx? Do any of you use this as part of your

program?

Thanks for your input.

E. , MS, RD, LD/N, CDE

Nutrition Educator

Joslin Center for Diabetes at Mease Countryside Hospital

1840 Mease Drive, suite 104

Safety Harbor, Fl 34695

(727) 725-6165 fax (727) 725-6215

****************************************************************************

**********************

Confidential: This electronic message and all contents contain information

from

BayCare Health System which may be privileged, confidential or otherwise

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from disclosure. The information is intended to be for the addressee only.

If you are

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[Guest guest]

We require patients to lose 10% of their weight prior to surgery. We don't

usually use Actigal for this. Our BMI guidelines for open is 70 at the

upper limit. So when we have patients above this, they have to lose weight

to around 70 to have the surgery open. To have it done lap, we usually

want them around a BMI of 60 or below which again can mean that the

pre-operative weight loss is significant. If we use a VLCD or modified

protein fast, Actigal is given.

We do lap bands, but only about 5% of our cases are lap bads. We do about

350 surgeries a year.

JB

Jeanne Blankenship, MS RD

Bariatric Surgery Nutrition Coordinator

UC Medical Center

Sacramento, CA 95817

916-734-7260

Millison Beverly

<Beverly.Millison@LonestarH

" ' ' "

ealth.com>

< >

cc:

10/16/2003 05:24 AM Subject: RE:

Supplementing with bile

Please respond to salts post-op?

BariatricNutritionDietitian

s

I'm confused by your statement about assisting pts to lose wt to qualify

for

the surgery? Are you still talking about the lapband?

Supplementing with bile salts

post-op?

I attended the virtual seminar for bariatric/nutrition issues last week. In

my outline one of the speakers mentioned supplementing with bile salts for

up to 6 months post op to prevent gallstones. Excuse my ignorance, but what

are bile salts are they OTC or Rx? Do any of you use this as part of your

program?

Thanks for your input.

E. , MS, RD, LD/N, CDE

Nutrition Educator

Joslin Center for Diabetes at Mease Countryside Hospital

1840 Mease Drive, suite 104

Safety Harbor, Fl 34695

(727) 725-6165 fax (727) 725-6215

****************************************************************************

**********************

Confidential: This electronic message and all contents contain information

from

BayCare Health System which may be privileged, confidential or otherwise

protected

from disclosure. The information is intended to be for the addressee only.

If you are

not the addressee, any disclosure, copy, distribution or use of the

contents

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message is prohibited. If you have received this electronic message in

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notify the sender and destroy the original message and all copies.

****************************************************************************

**********************

[Guest guest]

Very interesting....thanks for educating me!

Supplementing with bile salts

post-op?

I attended the virtual seminar for bariatric/nutrition issues last week. In

my outline one of the speakers mentioned supplementing with bile salts for

up to 6 months post op to prevent gallstones. Excuse my ignorance, but what

are bile salts are they OTC or Rx? Do any of you use this as part of your

program?

Thanks for your input.

E. , MS, RD, LD/N, CDE

Nutrition Educator

Joslin Center for Diabetes at Mease Countryside Hospital

1840 Mease Drive, suite 104

Safety Harbor, Fl 34695

(727) 725-6165 fax (727) 725-6215

****************************************************************************

**********************

Confidential: This electronic message and all contents contain information

from

BayCare Health System which may be privileged, confidential or otherwise

protected

from disclosure. The information is intended to be for the addressee only.

If you are

not the addressee, any disclosure, copy, distribution or use of the

contents

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message is prohibited. If you have received this electronic message in

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[Guest guest]

One place you can purchase bile salts from is Health Solutions. Check out

Health Solutions.com for a description. I have no experience with them being

used in patients

Strathdee, RD,LD,LMHC, CEDS

>From: " , " <.@...>

>Reply-

> " ' ' "

>< >

>Subject: Supplementing with bile salts

>post-op?

>Date: Tue, 14 Oct 2003 10:03:59 -0400

>

>I attended the virtual seminar for bariatric/nutrition issues last week. In

>my outline one of the speakers mentioned supplementing with bile salts for

>up to 6 months post op to prevent gallstones. Excuse my ignorance, but what

>are bile salts are they OTC or Rx? Do any of you use this as part of your

>program?

>Thanks for your input.

>

> E. , MS, RD, LD/N, CDE

>Nutrition Educator

>Joslin Center for Diabetes at Mease Countryside Hospital

>1840 Mease Drive, suite 104

>Safety Harbor, Fl 34695

>(727) 725-6165 fax (727) 725-6215

>

>*******************************************************************************\

*******************

>

>Confidential: This electronic message and all contents contain information

>from

>BayCare Health System which may be privileged, confidential or otherwise

>protected

>from disclosure. The information is intended to be for the addressee only.

> If you are

>not the addressee, any disclosure, copy, distribution or use of the

>contents of this

>message is prohibited. If you have received this electronic message in

>error, please

>notify the sender and destroy the original message and all copies.

>

>*******************************************************************************\

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>

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[Guest guest]

The surgeons at our facility offer a prescription med called Actigall (generic

ursodiol) for reducing gallstone formation. I have been told the

research is mixed on its effectiveness, so they do not require pts to take

it, but instead say it won't hurt them and might lower risk of gallstones.

If they choose to take it, they do so for 6 months (the period of most

rapid wt loss).

Millison Beverly wrote:

OTC. To omy knowledge usually used

as a laxitive but fairly safe.

Supplementing with bile

salts

post-op?

I attended the virtual seminar for bariatric/nutrition issues last

week. In

my outline one of the speakers mentioned supplementing with bile

salts for

up to 6 months post op to prevent gallstones. Excuse my ignorance,

but what

are bile salts are they OTC or Rx? Do any of you use this as part

of your

program?

Thanks for your input.

E. , MS, RD, LD/N, CDE

Nutrition Educator

Joslin Center for Diabetes at Mease Countryside Hospital

1840 Mease Drive, suite 104

Safety Harbor, Fl 34695

(727) 725-6165 fax (727) 725-6215

****************************************************************************

**********************

Confidential: This electronic message and all contents contain

information

from

BayCare Health System which may be privileged, confidential or

otherwise

protected

from disclosure. The information is intended to be for the

addressee only.

If you are

not the addressee, any disclosure, copy, distribution or use of

the contents

of this

message is prohibited. If you have received this electronic

message in

error, please

notify the sender and destroy the original message and all copies.

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