Guest guest Posted August 8, 2011 Report Share Posted August 8, 2011 I appreciate your help Jo on my fatigue issues.Here is something else for you all to ponder. So I went to my PCP, who has been my advocate since 2007 or 2008, a year or two before I had the DS. She was all for it, if that is what I wanted. She does not know much about it, mostly what I tell her. She still knows diddly-squat about vitamin issues IMO.I gave her a slip with all the lab work required, the one I printed off that someone posted and compared it to the one I got with Dr. K's name, and pretty similar: D, A, K, zinc, copper, B's, you know a bunch of them, and pre-albumin (I still not sure what that is for).She gave me such a hard time arguing with me for almost all of the vitamins I needed. "Why do you need this, why do you need that". "Well I don't want my name on all of these slips" (she has been ordering labs for me since my DS in 05/09. I think she is tired of doing it, I don't know. I explained that I am not a "normal" person and need to check vitamin levels regularly as I take supplements, etc. I had recently started mag glycinate along with my calcium and was very curious if the number of the D has risen, etc. She gave me a very bitchy time on the pre-albumin, saying that is only ordered for in patients, WTH? So to make her happy, and since I did not know what pre-albumin was, I told her not to order it, and she did not need to order the basics HgbA1C, iron (since the hematologist had already confirmed my iron was good), and a few others I told her not to order since it had been only a couple of months and I know my diabetes is gone, no need to do a glucose and HgbA1C, but I needed the Vitamins A, D, B's,K, copper, zinc, folate, ferritin, and others (actually I did tell her she did not have to order copper and zinc since I had those 3 months ago). So in the end, SHE ORDERED EVERYTHING ON MY LIST, except for maybe the pre-albumin. I know she had ordered it before so I have no idea why she was giving me a hard time telling me they only order pre-albumin for patients in the hospital. She told me she wants a standing order from Dr. K as to what labs need to be done. She kept asking me if that is really all the labs he wants. I told her yes, though I know maybe I was told a few of them by the knowledgeable vets here like Jo, Dina, Marla, and several from the OH board too. I took in my lab slip on Friday so they could get it all coded up and went in this morning. I hate going for lab work, no coffee or food and i am so tired to get going so early in the morning. 13 vials of blood, i am depleted man.I plan to email Dr. K and is it still who handles DS patients? And talk to him about my D and about this "standing order" that Dr. wants, and see what he says. I do have a sheet from him listing all the labs. I will do that first before I switch doctors (something i was considering). Sorry to be so winded. DS Friends of Dr. Keshishian DS Friends of Dr. Keshishian Messages In This Digest (3 Messages) 1a. Fw: Re: Fw: Re: Re: Paso Meeting From: Jo 2a. Re: Hello Friends, From: Jo 3a. Re: The importance of the right kind of Magnesium can't be stressed From: Jo View All Topics | Create New Topic Messages 1a. Fw: Re: Fw: Re: Re: Paso Meeting Posted by: "Jo" moobabies@... moobabies2003 Sun Aug 7, 2011 11:20 pm (PDT) I think there was 7 of us at Woolgrowers. Me, Louise, , Pat, Katz, Amy & Sharon. > > Hi All, > > Jo, and Dr. Cannell are both right on! > > "Magnesium malate and glycinate are considered by many to be even more > effective supplemental forms." > > This is true for patients with a "normal" gut but *essential* for folks with > a DS (or RNY for that matter) gut. We don't chelate like a "normal" gut. > Normal absorptive pathways demand chelated forms. > > The forms noted above are both "AMINO ACID CHELATE" forms, the most > bio-available form of minerals. A chelate form of mineral is one in which > the mineral is enclosed within an organic acid molecule. This is > particularly important to us because our new anatomy bypasses our gut's > normal and necessary ability to chelate our minerals. Normal mineral > absorption is by way of an active transport mechanism where specific > "carrier" molecules (amino acids) are recognized and actively absorbed by > specialized receptor cites on the cells that line the gut. > > Calcium citrate is a chelated form using an organic acid (citric acid). Even > better for chelation and absorption is chelation with an amino acid > molecule. We all know that for instance calcium citrate is much preferred to > calcium carbonate (considered a mineral salt). This is true of all the > "di-valent cations". These are the minerals that we all know that we need to > monitor like calcium, iron, zinc and copper. The divalent refers to a +2 > charge to the ion. The difference between ferrous and ferric iron is the > state of charge, ferrous being a +2 and ferric being a +3 charge. The > ferric form predominates in plant sourced iron. This adds another step in > absorption when the ferric form is reduced to ferrous. This is done with > enzymes on the surface of the cells lining the gut before the active > transport into the cell. > > Amino acid chelates should be part of any *good* bariatric specific multi > vitamin/mineral preparation. Stand alone amino acid chelated forms of iron > are available as heme iron or ferrous bisglycinate. Mineral supplementation > by way of mega dosing with mineral salts can raise blood levels of that > particular ion but may be problematic for a number of other reasons > (possibly contributing to oxidative stress within the gut) and can cause > symptoms. These symptoms can be avoided by chelated forms. > > Hope this helps. > > DC > Back to top Reply to sender | Reply to group | Reply via web post Messages in this topic (3) Recent Activity Visit Your Group Meditation and Lovingkindness A Yahoo! Group to share and learn. Sell Online Start selling with our award-winning e-commerce tools. Yahoo! Health Memory Loss Are you at risk for Alzheimers? Need to Reply? Click one of the "Reply" links to respond to a specific message in the Daily Digest. Create New Topic | Visit Your Group on the Web Messages | Files | Photos | Links | Polls | Members | Calendar Change settings via the Web (Yahoo! ID required) Change settings via email: Switch delivery to Individual | Switch format to Traditional Visit Your Group | Yahoo! Groups Terms of Use | Unsubscribe Quote Link to comment Share on other sites More sharing options...
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