Most people having weight loss surgery (WLS) are placed on proton pump inhibitors (PPIs) such as nexium post-op. Were you also told to take calcium? PPIs inhibit the absorption of calcium so it's important to take supplements. The cheaper calcium is calcium carbonate but the one that is preferred is calcium citrate. If you take calcium carbonate, it should not be taken with the PPI. This is not an issue if you take calcium citrate.

Because calcium and vitamin D work together, it is advisable to supplement vitamin D as well and get regular checks via blood work from your MD.

Most people having weight loss surgery (WLS) are placed on proton pump inhibitors (PPIs) such as nexium post-op. Were you also told to take calcium? PPIs inhibit the absorption of calcium so it's important to take supplements. The cheaper calcium is calcium carbonate but the one that is preferred is calcium citrate. If you take calcium carbonate, it should not be taken with the PPI. This is not an issue if you take calcium citrate.

Because calcium and Vitamin D work together, it is advisable to supplement vitamin D as well and get regular checks via blood work from your MD.

I've taken PPIs for years - Prilosec and then Nexium and I was NEVER told to take any additional supplements.

What dosage is recommended Elisabeth?

I've taken PPIs for years - Prilosec and then Nexium and I was NEVER told to take any additional supplements.

What dosage is recommended Elisabeth?

My GI doctor advises 600 mg for non PPI uses a day and 1200 mg for patients who had weight loss surgery and/or who take PPIs.

My GI doctor advises 600 mg for non PPI uses a day and 1200 mg for patients who had weight loss surgery and/or who take PPIs.

Of both the Cal citrate and the Vit D?

Of both the Cal citrate and the Vit D?

2000IU to 5000IU is ideal for Vit D. I'd start with 2000IU and test to see if that is enough.

I was told that if you have the gastric sleeve you couldnt absorb the calcium citrate? Have you ever heard that?

I have never heard of that. I have always been told to use calcium citrate, not calcium carbonate and that we absorb that just fine.

I was told that if you have the gastric sleeve you couldnt absorb the calcium citrate? Have you ever heard that?

I don't know why you can't absorb it with a sleeve-- your stomach is still a fully functioning stomach, only smaller -- you don't have malnutrition with the sleeve - are you sure it wasn't with the RNY?

Actually, even normies absorb more calcium citrate than carbonate.

But calcium carbonate requires acid to be absorbed properly and most of us are either on a PPI or our tummies have figured out they are smaller and aren't making as much acid.

Bandsters can have carbonate, though.