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Could this be what you are referring to?

From:

annoucements@...

[mailto:jonathan@...] On Behalf Of annoucements@...

Sent: Friday, June 12, 2009 3:24

PM

, a

Subject: Newsletter - Mayo

Fracture Findings

Dear

Valued Customer,

We wanted to let you know about new data presented this week (June 10,

2009) at the annual meeting of the Endocrine Society in Washington DC.

Doctors from the Mayo clinic looked at 97 patients from the past 20

years who have had bariatric surgery. They found that 21 of these

patients had suffered a total of 31 fractures. Most fractures

occurred an average of 7 years after surgery, with the primary

locations being in the hands and feet. Other sites of fractures

were the hip, spine and upper arm.

There are many risks for fracture in adults including age, gender,

ethnicity, smoking and alcohol use, diseases like type 1 diabetes or

rheumatoid arthritis, and use of medications such as steroids,

antidepressants, and proton pump inhibitors (PPIs). But nutrition

is also a serious risk. Inadequate calcium intake and poor

vitamin D status are significant factors in the ability to maintain

bone health after bariatric surgery.

The ASMBS recommended intakes for calcium after bariatric surgery are

as follows:

Adjustable

Gastric Band (AGB): 1500mg calcium

Gastric Bypass

(RNY): 1500 to

1800mg calcium as calcium citrate

Duodenal

Switch (DS): 1800 to

2400mg calcium as calcium citrate

These recommendations are for calcium intake over and above dietary

intake. While it may sound like a lot it is terribly important

that your body gets the amount of calcium it needs. You need

calcium to keep your heart beating and your brain functioning (as well

as for other things). So when the body does not get enough coming

in each day, it takes calcium from your bones to supply it to the heart

and brain. People will often not know this until they actually

break a bone.

Generally, the ASMBS recommends that AGB and RNY patients get 400 to

800 IU of vitamin D3 daily and that DS patients get 2000 IU of vitamin

D3 daily. There is a lot of data indicating that vitamin D

deficiency is very common both before and after surgery, and that many

patients require higher doses of D3 based on their lab findings.

If you have not had your vitamin D levels tested, it is a good idea to

know what they are. Your doctor or dietitian can help you

determine the amount of vitamin D you need to take based on this test.

To read more about the Mayo Clinic

findings, you can click on the links below:

Mayo Clinic

press release: http://www.mayoclinic.org/news2009-rst/5312.html

Article in

Science Daily: http://www.sciencedaily.com/releases/2009/06/090610124420.htm

Sent to you on behalf of Bariatric Advantage.

Forward

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Lifesciences, Inc. | 18102 Sky Park Cir. | Building 52, Suite J | Irvine | CA | 92614

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Healthcare

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Greenwood, SC 29649

phone: 864 725-5056

fax: 864 725-5113

pager: 88-2509

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