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Bariatric Surgery lowered risk of severe liver disease (not a surprise) - Nov 2021

Bariatric Surgery May Lower Risk for Severe Liver Disease, New Study Finds New York Times

  • "The findings were striking: Of a group of more than 1,100 patients who had an aggressive form of fatty liver disease, those who had weight-loss surgery cut their risk of advanced liver disease, liver cancer or related death by almost 90 percent over the next decade."

  • Reporting on Association of Bariatric Surgery With Major Adverse Liver and Cardiovascular Outcomes in Patients With Biopsy-Proven Nonalcoholic Steatohepatitis - JAMA Nov 11, 2021PDF

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Not mentioned in NYT
1) Vitamin D levels increase after weight loss
2) Many Bariatric Surgery patients now get Vitamin D supplementation
     Note: Many would not have required surgery if they had taken vitamin D

VitaminDWiki pages with BARIATRIC in title

This list is automatically updated

Items found: 17
Title Modified
Following Bariatric surgery, weekly 50,000 IU of standard Vitamin D is not enough – Jan 2024 12 Jan, 2024
Vitamin D interactions with poor gut (Celiac, IBD, and Bariatric surgery) – several studies 22 Nov, 2023
Bariatric Surgery in Adolescents: 41% vitamin D deficient - meta-analysis Nov 2023 22 Nov, 2023
Bariatric surgery increases risk of bone fracture (less vitamin D adsorbed) - June 2023 09 Jun, 2023
Bariatric Surgery and Vitamin D - many studies 30 Apr, 2023
Poor heart rate variability for a year after Bariatric surgery if low vitamin D – Nov 2022 08 Nov, 2022
Bariatric Surgery lowered risk of severe liver disease (not a surprise) - Nov 2021 11 Nov, 2021
Weekly oral Vitamin D recommended before surgery (Bariatric in this case) – RCT June 2019 19 Jul, 2020
Bariatric Surgery is Bad for the Bone (reduce vitamin uptake, etc)– 2016 03 Nov, 2019
4 weeks of Omega-3 better than 2 week 800 calorie diet before Bariatric Surgery – RCT March 2019 23 Mar, 2019
Vitamin D probably important for Bariatric Surgery – April 2018 14 Jul, 2018
Obesity special issue in JAMA focuses on Bariatric Surgery (where the money is) – Jan 2018 20 Jan, 2018
Bones helped by Vitamin D, Physical Exercise, etc (this time - Bariatric Surgery) – RCT March 2016 30 Aug, 2017
Bariatric Surgery problems associated with season, latitude (low Vitamin D) – Dec 2015 25 Oct, 2016
Prior to Bariatric Surgery 96 percent were vitamin D deficient – July 2014 25 Oct, 2016
Bariatric surgery less than 30 ng of vitamin D – 82 pcnt teens, 100 pcnt of black teens – June 2012 25 Aug, 2014
Virtually all Bariatric Surgery patients vitamin D deficient – should we routinely supplement – Jan 2011 25 Aug, 2014


Overview Obesity and Vitamin D contains the following summary


  • Normal weight     Obese     (50 ng = 125 nanomole)

Obesity is associated with low Vitamin D (and treated by D as well) – Aug 2019 has the following
Fast weight loss by Obese Adults: Summary of the data as of Sept 2019
1) 50,000 IU Vitamin D weekly for at least 6 months
   If gut problems, should use a gut-friendly form of vitamin D
2) Add calorie restriction diet and light exercise after ~2 months*
   * Vitamin D levels must be above 30ng/ml to help with weight loss
   * Start losing weight 2 months sooner if take a 50,000 IU daily for a week
3) More weight loss if also add Magnesium or cofactors
   30% Improved Vitamin D response with Magnesium - a Vitamin D Cofactor
   Note: Magnesium reduces weight loss by itself as well
   20% improved vitamin D response if also add Omega-3 a Vitamin D Cofactor
  Note: Omega-3 reduces weight loss by itself as well
4) More weight loss if also improve activation of Vitamin D Receptor
   Vitamin D Receptor activator: 0-30% improved Vitamin D response
   Obesity 1.5 X more likely if poor Vitamin D Receptor – meta-analysis Nov 2019
Update Dec 2019 - Dr. Greger plant-based eating (not diet) for both weight loss and health.
  His book does not mention Vitamin D nor Adenovirus


Overview Liver and vitamin D contains the following summary

  • Fact: A properly functioning liver is needed for the efficient activation of vitamin D in the body
  • Fact: Liver diseases often result in lower levels of vitamin D
  • Fact: Various pain relievers damage the liver function
  • Fact: Lower levels of vitamin D result in osteoporosis and many other diseases
  • Options with a poorly functioning liver appear to be:
  1. Increased vitamin D (example: 2X more vitamin D if Liver is 1/2 as efficient)
  2. Increase the response you get from vitamin D
  3. Increase sunshine / UVB,
  4. Get the response you get from the sun/UVB
  5. Consider supplementing with Iron - a patented Iron supplement appears to work very well
  6. Get prescription for active form of vitamin D (Calcitriol) which does not need the liver or kidney to get the benefits of vitamin D in the body
  7. Get Calcidiol which does not need the liver
  8. Use Topical Vitamin D - activation by the skin etc does not require the liver

Click on image for ways of getting vitamin D even if Liver is not functioning well

VitaminDWiki pages with NON-ALCOHOLIC or NAFLD in title

This list is automatcially updated

Items found: 27
Title Modified
Liver Fibrosis (NAFLD) 5X less if not obese and good Vitamin D - Oct 2023 23 Oct, 2023
NAFLD and Vitamin D - many studies 25 Sep, 2023
NAFLD in children nicely treated by combination of Vitamin D and Omega-3 – RCT Dec 2016 21 Aug, 2023
NAFLD weakly associated with low vitamin D – meta-analysis 2013 21 Aug, 2023
Vitamin D is one of only 2 ways to easily prevent NAFLD (380,000 people) – Oct 2021 16 Apr, 2023
Non-alcoholic fatty liver disease: 75 percent of overweight adults and type II diabetics – Aug 2022 16 Jul, 2022
NAFLD not reduced by 1680 IU of vitamin D plus Omega-3 (no surprise) – RCT Jan 2022 24 Jan, 2022
NAFLD was no longer associated with low vitamin D after “adjusting’ for obesity – May 2021 02 Nov, 2021
Liver Inflammation (NAFLD) is prevented by Vitamin D – review May 2015 05 Oct, 2021
Non-Alcoholic Fatty Liver Disease (NAFLD) treated by Vitamin D (20,000 IU weekly after loading dose) – RCT June 2016 05 Oct, 2021
NAFLD somewhat treated in children with 2,000 IU Vitamin D daily – RCT Aug 2021 30 Aug, 2021
Strong association of non alcoholic fatty liver disease and low vitamin D 28 Oct, 2020
Non-alcoholic Fatty Liver Disease (NAFLD) treated by Vitamin D (in rats this time) – Dec 2019 04 Dec, 2019
Non-alcoholic fatty liver disease and the Vitamin D Receptor – editorial Sept 2019 29 Sep, 2019
NAFLD associated with low vitamin D (in children too) – meta-analysis Aug 2019 06 Aug, 2019
Severe Non-Alcoholic fatty liver disease treated by Omega-3 – RCT April 2018 02 Mar, 2019
Non-alcoholic Fatty Liver Disease (4 in 10 seniors) and Vitamin D 26 Aug, 2018
NAFLD is treated by Vitamin D, Omega-3, Curcumin, Silymarinm, etc. Aug 2018 26 Aug, 2018
Non-Alcoholic Fatty Liver Disease treated by Omega-3 – three meta-analysis 2016-2017 13 Aug, 2017
Non-Alcoholic Fatty Liver Disease treated by Omega-3 – meta-analysis Oct 2016 13 Aug, 2017
Non-alcoholic fatty liver disease associated with much lower vitamin D – Aug 2014 24 Jul, 2016
Non-alcoholic fatty liver disease (NAFLD) reduced somewhat by 50,000 IU vitamin D every 2 weeks – RCT Sept 2014 13 Jul, 2016
Sarcopenia and non-alcoholic fatty liver disease (vitamin D not mentioned) – Sept 2013 07 Mar, 2015
Hepatitis C, non-alcoholic fatty liver disease and vitamin D deficiency – Dec 2014 31 Dec, 2014
Non-alcoholic fatty liver disease associated with low vitamin D – independent of BMI – June 2014 31 Dec, 2014
Fatty liver disease (NAFLD), metabolic syndrome, and perhaps vitamin D – June 2013 24 Mar, 2014
Fatty liver disease (NAFLD) and the importance of vitamin D – Oct 2012 25 Jul, 2013

Created by admin. Last Modification: Thursday November 11, 2021 17:19:48 GMT-0000 by admin. (Version 5)

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16577 Bariactric Surgery JAMA.pdf admin 11 Nov, 2021 484.53 Kb 233