Joint pain as a nutritional deficiency?

[Guest guest]

I have a patient who is 2 years s/p RNY. Is now complaining of joint pain and

stiffness. His orthopod diagnosed him as " prearthritic. " He doesn't belief the

doctor. He believes it is " yet another unexpected side effect of the bariatric

surgery. " FYI, he eats sashimi about 4-5 times a week.

I am looking for recommendations on what to test or assess.

Thanks,

Darcie Ellyne

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

Darcie Ellyne, MS, RD, CDE

Palo Alto Medical Foundation

795 El Camino Real

Palo Alto, CA 94301

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

650.853.5483

<<Ellyne, Darcie.vcf>>

Attachment: vcard [not shown]

[Guest guest]

Vitamin D would be my first step if there aren't other clinical signs and symptoms. I would also check thiamin since raw fish contains "thiaminases" which decrease bioavailability. Have you done a complete lab set on him?

Jeanne Blankenship, MS RD

Sacramento, CA

-------------- Original message from "Ellyne, Darcie" <ellyned@...>: --------------

I have a patient who is 2 years s/p RNY. Is now complaining of joint pain and stiffness. His orthopod diagnosed him as "prearthritic." He doesn't belief the doctor. He believes it is "yet another unexpected side effect of the bariatric surgery." FYI, he eats sashimi about 4-5 times a week.I am looking for recommendations on what to test or assess.Thanks,Darcie Ellyne********************************************Darcie Ellyne, MS, RD, CDEPalo Alto Medical Foundation795 El Camino RealPalo Alto, CA 94301********************************************650.853.5483 <<Ellyne, Darcie.vcf>>