Guest guest Posted April 24, 2009 Report Share Posted April 24, 2009 I find that patients have difficulty finding chewable calcium citrate in the stores so they end up buying carbonate. I have started recommending Celebrate calcium supplements (available at celebratevitamins.com) as they are citrate and patients really like the taste. Hope this helps- Cheryl >>> Periou <lauraperiou@...> 4/24/2009 12:39 pm >>> I recommend 1000-1200mg Calcium Citrate for my patients. We go over this in the initial assessment and it is written in all of their take home handouts. They are provided with website links, phone numbers and store info to make finding it as easy as possible. However, it seems like at least 50% of our patients go to the store and buy Calcium Carbonate chewables no matter how much I stress that it needs to be Citrate. Is it appropriate to recommend 2000mg Ca Carbonate?? How is everyone dealing with this Citrate vs Carbonate issue? Do I just have hard-headed patients? Periou New Orleans, LA _________________________________________________________________ Rediscover Hotmail®: Get quick friend updates right in your inbox. http://windowslive.com/RediscoverHotmail?ocid=TXT_TAGLM_WL_HM_Rediscover_Updates\ 2_042009 Please consider the environment before printing this e-mail Quote Link to comment Share on other sites More sharing options...
Guest guest Posted April 24, 2009 Report Share Posted April 24, 2009 Bariatric Advantage also offers a great tasting chewable calcium citrate, as well as other vitamins/minerals supplements. Their website bariatricadvantage.com. Tammy From: Cheryl Deitsch <cdeitsch@...>Subject: Re: Calcium supplements"Bariatric Dietitians" < >Date: Friday, April 24, 2009, 12:47 PM I find that patients have difficulty finding chewable calcium citrate inthe stores so they end up buying carbonate. I have started recommendingCelebrate calcium supplements (available at celebratevitamins. com) asthey are citrate and patients really like the taste. Hope this helps-Cheryl >>> Periou <lauraperiou@ hotmail.com> 4/24/2009 12:39 pm >>>I recommend 1000-1200mg Calcium Citrate for my patients. We go overthis in the initial assessment and it is written in all of their takehome handouts. They are provided with website links, phone numbers andstore info to make finding it as easy as possible. However, it seemslike at least 50% of our patients go to the store and buy CalciumCarbonate chewables no matter how much I stress that it needs to beCitrate. Is it appropriate to recommend 2000mg Ca Carbonate??How is everyone dealing with this Citrate vs Carbonate issue? Do Ijust have hard-headed patients? PeriouNew Orleans, LA____________ _________ _________ _________ _________ _________ _Rediscover Hotmail®: Get quick friend updates right in your inbox. http://windowslive. com/RediscoverHo tmail?ocid= TXT_TAGLM_ WL_HM_Rediscover _Updates2_ 042009Please consider the environment before printing this e-mail Quote Link to comment Share on other sites More sharing options...
Guest guest Posted April 24, 2009 Report Share Posted April 24, 2009 we recommend our patients take Calcium Citrate with Vitamin D 1500-2000 mg daily. (separate doses into 500-630 mg doses) We use Upcal D (calcium citrate w/ d3) ( this is a powder)1 pkg TID or Tropical Oasis liquid calcium citrate w/ Vit D and magnesium...1/2 tbsp TID or Bariatric Advantage logenzes ( 1 logenze 4 times a day) Most of my patients seem to prefer the Upcal D although you have to order it. Our pharmacy has just been able to start carrying it and all the BA products so it has been helpful on compliance. Carbonate is not a good option for bariatric patients d/t absorption. Angus MS,RD,LDN Vanderbilt Surgical Weight Loss Center > > From: Cheryl Deitsch <cdeitsch@...> > Subject: Re: Calcium supplements > " Bariatric Dietitians " < > > Date: Friday, April 24, 2009, 12:47 PM > > > > > > > > > I find that patients have difficulty finding chewable calcium citrate in > the stores so they end up buying carbonate. I have started recommending > Celebrate calcium supplements (available at celebratevitamins. com) as > they are citrate and patients really like the taste. Hope this helps- > Cheryl > >>> Periou <lauraperiou@ hotmail.com> 4/24/2009 12:39 pm >>> > > I recommend 1000-1200mg Calcium Citrate for my patients. We go over > this in the initial assessment and it is written in all of their take > home handouts. They are provided with website links, phone numbers and > store info to make finding it as easy as possible. However, it seems > like at least 50% of our patients go to the store and buy Calcium > Carbonate chewables no matter how much I stress that it needs to be > Citrate. Is it appropriate to recommend 2000mg Ca Carbonate?? > > How is everyone dealing with this Citrate vs Carbonate issue? Do I > just have hard-headed patients? > > Periou > > New Orleans, LA > > ____________ _________ _________ _________ _________ _________ _ > Rediscover Hotmail®: Get quick friend updates right in your inbox. > http://windowslive. com/RediscoverHo tmail?ocid= TXT_TAGLM_ WL_HM_Rediscover _Updates2_ 042009 > > Please consider the environment before printing this e-mail > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted April 24, 2009 Report Share Posted April 24, 2009 contact bariatric advantage and they will be happy to set you up kyle The Average US Credit Score is 692. See Yours in Just 2 Easy Steps! Quote Link to comment Share on other sites More sharing options...
Guest guest Posted April 24, 2009 Report Share Posted April 24, 2009 I also find that patients have difficulty finding calcium citrate chewables in stores. They are usually able to find chewables at stores like the Vitamin Shoppe. One chewable brand is TwinLab Calcium Citrate Chewable Wafers (4=1000mg). I typically recommend celebrate calcium citrate chewables. They just came out with 500 mg chewable tablets, whereas before they only had 250 mg chewable tablets, therefore the pt. does not have to take as many to meet the requirements. Also, Bariatric Advantage has a chewable calcium citrate, however it does not have as much Vitamin D as the Celebrate Vitamins. I typically offer patients samples of the calcium citrate, give them the ordering info and let them know that it is very difficult to find a calcium citrate chewable in a Walgreens, etc. They seem to be very compliant with the Celebrate. The people from Celebrate are very good about giving samples for your patients to try as well. I think a lot of the patients do not want to order it online and spend the money until they have tried it. Also, Prothera makes a chewable calcium citrate that doesn't seem to be as sweet as the others. One chewable has 250mg of calcium citrate and 100 I.U. of Vitamin D. Most of these companies are pretty good about sending samples. Hope this helps! Kim From: Periou <lauraperiou@...>Subject: Calcium supplements"Bariatric Dietitians" < >Date: Friday, April 24, 2009, 11:39 AM I recommend 1000-1200mg Calcium Citrate for my patients. We go over this in the initial assessment and it is written in all of their take home handouts. They are provided with website links, phone numbers and store info to make finding it as easy as possible. However, it seems like at least 50% of our patients go to the store and buy Calcium Carbonate chewables no matter how much I stress that it needs to be Citrate. Is it appropriate to recommend 2000mg Ca Carbonate?? How is everyone dealing with this Citrate vs Carbonate issue? Do I just have hard-headed patients? PeriouNew Orleans, LA Rediscover Hotmail®: Get quick friend updates right in your inbox. Check it out. Quote Link to comment Share on other sites More sharing options...
Guest guest Posted April 24, 2009 Report Share Posted April 24, 2009 The problem is that I give the patients a list of at least 6 websites to get their Ca Citrate from, but they ignore this and pick up whatever Ca they find in the store - which is always carbonate. They are resistant to ordering vitamins online. Most of them have internet access. So is it ok to just have them take 2000mg Ca carbonate daily? I heard that at a conference somewhere. Periou New Orleans, LA From: kimbo083@...Date: Fri, 24 Apr 2009 11:22:58 -0700Subject: Re: Calcium supplements I also find that patients have difficulty finding calcium citrate chewables in stores. They are usually able to find chewables at stores like the Vitamin Shoppe. One chewable brand is TwinLab Calcium Citrate Chewable Wafers (4=1000mg). I typically recommend celebrate calcium citrate chewables. They just came out with 500 mg chewable tablets, whereas before they only had 250 mg chewable tablets, therefore the pt. does not have to take as many to meet the requirements. Also, Bariatric Advantage has a chewable calcium citrate, however it does not have as much Vitamin D as the Celebrate Vitamins. I typically offer patients samples of the calcium citrate, give them the ordering info and let them know that it is very difficult to find a calcium citrate chewable in a Walgreens, etc. They seem to be very compliant with the Celebrate. The people from Celebrate are very good about giving samples for your patients to try as well. I think a lot of the patients do not want to order it online and spend the money until they have tried it. Also, Prothera makes a chewable calcium citrate that doesn't seem to be as sweet as the others. One chewable has 250mg of calcium citrate and 100 I.U. of Vitamin D. Most of these companies are pretty good about sending samples. Hope this helps! Kim From: Periou <lauraperiouhotmail>Subject: Calcium supplements"Bariatric Dietitians" < >Date: Friday, April 24, 2009, 11:39 AM I recommend 1000-1200mg Calcium Citrate for my patients. We go over this in the initial assessment and it is written in all of their take home handouts. They are provided with website links, phone numbers and store info to make finding it as easy as possible. However, it seems like at least 50% of our patients go to the store and buy Calcium Carbonate chewables no matter how much I stress that it needs to be Citrate. Is it appropriate to recommend 2000mg Ca Carbonate?? How is everyone dealing with this Citrate vs Carbonate issue? Do I just have hard-headed patients? PeriouNew Orleans, LA Rediscover Hotmail®: Get quick friend updates right in your inbox. Check it out. Windows Live™ SkyDrive™: Get 25 GB of free online storage. Check it out. Quote Link to comment Share on other sites More sharing options...
Guest guest Posted April 24, 2009 Report Share Posted April 24, 2009 I guess it can come down to taking calcium carbonate or taking no calcium at all. You would rather have them take some form, then not take any at all. One suggestion would be to carry the calcium citrate in your office, if you have that capability to do so, and sell it directly to the patients. It makes it much easier and convenient for the patient to come into your clinic and be able to get their vitamins there. I have noticed that although both forms of calcium can be constipating, it seems as if calcium carbonate is more constipating then calcium citrate forms. Not sure how to answer your question of increasing the dosage of carbonate to 2000mg. Citracal does make Calcium Citrate Petites that are smaller and easier to swallow, however, it is not chewable for fresh post op patients. From: Periou <lauraperiou@ hotmail.com>Subject: [bariatricNutrition Dietitians] Calcium supplements"Bariatric Dietitians" <bariatricnutritiond ietitians>Date: Friday, April 24, 2009, 11:39 AM I recommend 1000-1200mg Calcium Citrate for my patients. We go over this in the initial assessment and it is written in all of their take home handouts. They are provided with website links, phone numbers and store info to make finding it as easy as possible. However, it seems like at least 50% of our patients go to the store and buy Calcium Carbonate chewables no matter how much I stress that it needs to be Citrate. Is it appropriate to recommend 2000mg Ca Carbonate?? How is everyone dealing with this Citrate vs Carbonate issue? Do I just have hard-headed patients? PeriouNew Orleans, LA Rediscover Hotmail®: Get quick friend updates right in your inbox. Check it out. Windows Live™ SkyDrive™: Get 25 GB of free online storage. Check it out. Quote Link to comment Share on other sites More sharing options...
Guest guest Posted April 24, 2009 Report Share Posted April 24, 2009 You can always just crush calcium citrate if it's not chewable. It was my understanding that calcium carbonate is not well absorbed because of decreased exposure to stomach acid. I do not allow my patients to use calcium carbonate. There are many calcium citrate brands available, they may be in vitamin specialty stores - or I would recommend crushing the pill form. You can get that anywhere. Sent via BlackBerry from T-MobileFrom: Mahoney Date: Fri, 24 Apr 2009 12:23:07 -0700 (PDT)< >Subject: RE: Calcium supplements I guess it can come down to taking calcium carbonate or taking no calcium at all. You would rather have them take some form, then not take any at all. One suggestion would be to carry the calcium citrate in your office, if you have that capability to do so, and sell it directly to the patients. It makes it much easier and convenient for the patient to come into your clinic and be able to get their vitamins there. I have noticed that although both forms of calcium can be constipating, it seems as if calcium carbonate is more constipating then calcium citrate forms. Not sure how to answer your question of increasing the dosage of carbonate to 2000mg. Citracal does make Calcium Citrate Petites that are smaller and easier to swallow, however, it is not chewable for fresh post op patients. From: Periou <lauraperiou@ hotmail.com>Subject: [bariatricNutrition Dietitians] Calcium supplements"Bariatric Dietitians" <bariatricnutritiond ietitians>Date: Friday, April 24, 2009, 11:39 AM I recommend 1000-1200mg Calcium Citrate for my patients. We go over this in the initial assessment and it is written in all of their take home handouts. They are provided with website links, phone numbers and store info to make finding it as easy as possible. However, it seems like at least 50% of our patients go to the store and buy Calcium Carbonate chewables no matter how much I stress that it needs to be Citrate. Is it appropriate to recommend 2000mg Ca Carbonate?? How is everyone dealing with this Citrate vs Carbonate issue? Do I just have hard-headed patients? PeriouNew Orleans, LA Rediscover Hotmail®: Get quick friend updates right in your inbox. Check it out. Windows Live™ SkyDrive™: Get 25 GB of free online storage. Check it out. Quote Link to comment Share on other sites More sharing options...
Guest guest Posted April 24, 2009 Report Share Posted April 24, 2009 Hi ,I noticed in your posting that you suggested selling supplements out of the office...do you happen to have any idea how I would go about getting that set up. That is not something that I had considered before with my patients, but I think it would make it not only convenient for the patients, but would ensure they are purchasing the right supplements that we recommend. Is this something that you do in your practice?Thanks in advance for any insight you have! Chase, RD, LDPersonal Nutrition SolutionsFort Worth, TX From: Periou <lauraperiou@ hotmail.com>Subject: [bariatricNutrition Dietitians] Calcium supplements"Bariatric Dietitians" <bariatricnutritiond ietitians>Date: Friday, April 24, 2009, 11:39 AM I recommend 1000-1200mg Calcium Citrate for my patients. We go over this in the initial assessment and it is written in all of their take home handouts. They are provided with website links, phone numbers and store info to make finding it as easy as possible. However, it seems like at least 50% of our patients go to the store and buy Calcium Carbonate chewables no matter how much I stress that it needs to be Citrate. Is it appropriate to recommend 2000mg Ca Carbonate?? How is everyone dealing with this Citrate vs Carbonate issue? Do I just have hard-headed patients? PeriouNew Orleans, LA Rediscover Hotmail®: Get quick friend updates right in your inbox. Check it out. Windows Live™ SkyDrive™: Get 25 GB of free online storage. Check it out. Quote Link to comment Share on other sites More sharing options...
Guest guest Posted April 24, 2009 Report Share Posted April 24, 2009 Our surgeon’s office sells them. Contact Bariatric Advantage and Celebrate. They are both helpful. Theresa From: [mailto: ] On Behalf Of Chase Sent: Friday, April 24, 2009 3:07 PM kimbo083@...; Bariatric Dietitians Discussion Group Subject: RE: Calcium supplements Hi , I noticed in your posting that you suggested selling supplements out of the office...do you happen to have any idea how I would go about getting that set up. That is not something that I had considered before with my patients, but I think it would make it not only convenient for the patients, but would ensure they are purchasing the right supplements that we recommend. Is this something that you do in your practice? Thanks in advance for any insight you have! Chase, RD, LD Personal Nutrition Solutions Fort Worth, TX From: Periou <lauraperiou@ hotmail.com> Subject: [bariatricNutrition Dietitians] Calcium supplements " Bariatric Dietitians " <bariatricnutritiond ietitians@ groups. com> Date: Friday, April 24, 2009, 11:39 AM I recommend 1000-1200mg Calcium Citrate for my patients. We go over this in the initial assessment and it is written in all of their take home handouts. They are provided with website links, phone numbers and store info to make finding it as easy as possible. However, it seems like at least 50% of our patients go to the store and buy Calcium Carbonate chewables no matter how much I stress that it needs to be Citrate. Is it appropriate to recommend 2000mg Ca Carbonate?? How is everyone dealing with this Citrate vs Carbonate issue? Do I just have hard-headed patients? Periou New Orleans, LA Rediscover Hotmail®: Get quick friend updates right in your inbox. Check it out. Windows Live™ SkyDrive™: Get 25 GB of free online storage. Check it out. Quote Link to comment Share on other sites More sharing options...
Guest guest Posted May 6, 2009 Report Share Posted May 6, 2009 I have been recommending the same thing because people have told me they can't find chewable calcium citrate anymore...we had patients try the Celebrate bariatric supplements at a recent support group and received great feedback. Dana Pearson Schaub MS,RD,LD on Healthcare Food Services @ Singing River Hospital DanaPearson@... From: Cheryl Deitsch <cdeitsch@...>Bariatric Dietitians < >Sent: Friday, April 24, 2009 11:47:25 AMSubject: Re: Calcium supplements I find that patients have difficulty finding chewable calcium citrate inthe stores so they end up buying carbonate. I have started recommendingCelebrate calcium supplements (available at celebratevitamins. com) asthey are citrate and patients really like the taste. Hope this helps-Cheryl >>> Periou <lauraperiou@ hotmail.com> 4/24/2009 12:39 pm >>>I recommend 1000-1200mg Calcium Citrate for my patients. We go overthis in the initial assessment and it is written in all of their takehome handouts. They are provided with website links, phone numbers andstore info to make finding it as easy as possible. However, it seemslike at least 50% of our patients go to the store and buy CalciumCarbonate chewables no matter how much I stress that it needs to beCitrate. Is it appropriate to recommend 2000mg Ca Carbonate??How is everyone dealing with this Citrate vs Carbonate issue? Do Ijust have hard-headed patients? PeriouNew Orleans, LA____________ _________ _________ _________ _________ _________ _Rediscover Hotmail®: Get quick friend updates right in your inbox. http://windowslive. com/RediscoverHo tmail?ocid= TXT_TAGLM_ WL_HM_Rediscover _Updates2_ 042009Please consider the environment before printing this e-mail Quote Link to comment Share on other sites More sharing options...
Guest guest Posted May 6, 2009 Report Share Posted May 6, 2009 I was recently told that calcium carbonate increases risks of ulcers in band patients..has anyone else heard of this or of any research on the subject? Dana Pearson Schaub MS,RD,LD on Healthcare Food Services @ Singing River Hospital DanaPearson@... From: Mahoney <kimbo083@...> Sent: Friday, April 24, 2009 2:23:07 PMSubject: RE: Calcium supplements I guess it can come down to taking calcium carbonate or taking no calcium at all. You would rather have them take some form, then not take any at all. One suggestion would be to carry the calcium citrate in your office, if you have that capability to do so, and sell it directly to the patients. It makes it much easier and convenient for the patient to come into your clinic and be able to get their vitamins there. I have noticed that although both forms of calcium can be constipating, it seems as if calcium carbonate is more constipating then calcium citrate forms. Not sure how to answer your question of increasing the dosage of carbonate to 2000mg. Citracal does make Calcium Citrate Petites that are smaller and easier to swallow, however, it is not chewable for fresh post op patients. From: Periou <lauraperiou@ hotmail.com>Subject: [bariatricNutrition Dietitians] Calcium supplements"Bariatric Dietitians" <bariatricnutritiond ietitians>Date: Friday, April 24, 2009, 11:39 AM I recommend 1000-1200mg Calcium Citrate for my patients. We go over this in the initial assessment and it is written in all of their take home handouts. They are provided with website links, phone numbers and store info to make finding it as easy as possible. However, it seems like at least 50% of our patients go to the store and buy Calcium Carbonate chewables no matter how much I stress that it needs to be Citrate. Is it appropriate to recommend 2000mg Ca Carbonate?? How is everyone dealing with this Citrate vs Carbonate issue? Do I just have hard-headed patients? PeriouNew Orleans, LA Rediscover Hotmail®: Get quick friend updates right in your inbox. Check it out. Windows Live™ SkyDrive™: Get 25 GB of free online storage. Check it out. Quote Link to comment Share on other sites More sharing options...
Guest guest Posted February 9, 2011 Report Share Posted February 9, 2011 What are some good calcium supplement alternatives for a patient who experiences GI upset with “normal” (guessing calcium carbonate) calcium? She mentioned she wanted liquid calcium citrate and mentioned Metagenics but they don’t have such a formula. The patient is a female post-hysterectomy (complete) late 40s, overweight, who has family history of breast cancer, hence no hormone replacement therapy. Oh, and she recently was diagnosed with Ehlers-Danlos. Many thanks, Don , DC548 SW 3rd StreetCorvallis, OR 97333541-758-2225don@... Quote Link to comment Share on other sites More sharing options...
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