Guest guest Posted May 3, 2010 Report Share Posted May 3, 2010 The National Osteoporosis Foundation just released a continuing education module on bariatric surgery and bone (1 unit) in April 2010. I think you will find the most up to date guidelines on bone health there with resources you can then also look up there. Go to www.nof.org and it is under the professionals section. They have a newsletter I subscribe to. A question that has come up that I haven't been able to answer, so if any of you know, I would greatly appreciate some help... vitamin D is commonly low and plays a very important role in bone health and osteoporosis prevention. But many of the post ops have also had their gall bladders removed and or many are commonly bypassed 100-125 cm and some report Bristol Form Stool scale changes from type 4 to type 5, 6, an 7 with s/s of steatorrhea and identifiable foods in their feces when taking therapeutic doses of vitamin D3 or calcitriol. Some can't even do 1000 mg vitamin D3 bid or qD with out transit time changes. I have been recommending vitamin D sources in food form, unprotected sun exposure in early am and late afternoon (not to exceed 15 min qday due to ACS concerns/recommendations). But as the body ages it loses it's ability to synthesize vitamin D from sunlight through the skin. What can I tell these people on how to replete vitamin D levels needed to prevent osteoporosis? Anybody out there have any ideas??Thanks for your help in advance,Lora , MS, RD, LDDietitianFull Circle Nutrition940-536-4433www.fullcirclenutrition.com Quote Link to comment Share on other sites More sharing options...
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