Obesity, Bariatric Surgery, and Vitamin D
Journal of Clinical Densitometry, Vol 21, Issue 2, April–June 2018, Pages 157-162, https://doi.org/10.1016/j.jocd.2017.03.001
Lindolfo C.Borges 1 Isabella Santiago de M.Miranda 1 Marta M.S.Sarquis 2 VictoriaBorba 3 Sergio Setsuo Maeda 4 MariseLazaretti-Castro 4 Neil Blinkey 5
- Search VitaminDWiki for "BARIATRIC SURGERY" 275 items as of July 2018
- Virtually all Bariatric Surgery patients vitamin D deficient – should we routinely supplement – Jan 2011
- Bariatric surgery less than 30 ng of vitamin D – 82 pcnt teens, 100 pcnt of black teens – June 2012
- Obesity special issue in JAMA focuses on Bariatric Surgery (where the money is) – Jan 2018
- Bariatric Surgery is Bad for the Bone (reduce vitamin uptake, etc)– 2016
Apparently big differences in Vitamin D response to the same amount of vitamin D
Free image from web
Cannot tell if the differences are bigger than normal for other cohorts
The high prevalence of obesity is a worldwide problem associated with multiple comorbidities, including cardiovascular diseases. Vitamin D deficiency with secondary hyperparathyroidism is common in obese individuals and can be aggravated after bariatric surgery. Moreover, there is no consensus on the optimal supplementation dose of vitamin D in postbariatric surgical patients. We present new data on the variability of 25(OH)D response to supplementation in postmenopausal obese women. It is important to recognize and treat vitamin D deficiency before bariatric surgery to avoid postoperative complications, such as metabolic bone disease with associated high fracture risk. The objective of this article is to discuss the bone metabolism consequences of vitamin D deficiency after bariatric surgery.