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Long-Term Post-op Discussions for gastric bypass patients more than one year after surgery.

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Old 10-21-2009, 04:09 AM   #11 (permalink)
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What type of scan did you have? An ultrasound or a sestamibi scan? The sestamibi scan is the better of the two by far but that can even miss damaged parathyroid glands. Normally we have four of them located in our neck - one superior and one inferior on each side. There have been cases of more than four however and they can even be located in the chest which a sestamibi scan would not pick up. A catscan might.

I'm going for my parathyroidectomy on 6 November.
I had the sestamibi scan. Between this and the additional blood work, the doctor does not believe that my parathyroid glands are damaged. But we will be following up in a few months to be sure.

Good luck with the parathyroidectomy.
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Old 10-21-2009, 06:36 PM   #12 (permalink)
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I had something show up on my blood (elevated PTH) and I was wondering if anyone else has seen this issue.

I am going in for a bunch of test tomorrow to help determine the cause. But a little online research indicates that it "could" be caused by a vitamin D deficiency. Ironically, I had recently cut back on the vitamin D thinking that I might be overdoing it (like 5x RDA of D in my daily multi and calcium supplements).
This is such a coincidence - just yesterday I was listening to Dr. Callery on YouTube and he was saying that hyperparathyroidism could be caused by a lack of calcium. Have a look on YouTube - ask for Dr. Callery and vitamins. Uncanny!
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Old 11-19-2009, 10:39 AM   #13 (permalink)
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Looks like my problem was a vitamin D deficiency. Just came for my PCP and was told that my latest blood work showed my PTH levels back in the normal range.
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Old 11-19-2009, 11:19 AM   #14 (permalink)
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That is great! I just saw this thread. I had my vitamin d and pth blood tests come back off as well. It can mean any number of things from Rickets, severe vitamin d deficiency to kidney disease. If you have high blood pressure or type 2 diabetes and these tests come back out of the normal range ask that your doctor check your kidneys.

Also, someone mentioned complications after surgery due to these imbalances. What kind of complications?

And finally, does anyone know how long it usually take Dr. Callery to respond to a post? I have posted two questions for him but have not received an answer on either I am trying not to get frustrated about it.
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Old 11-19-2009, 11:42 AM   #15 (permalink)
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That is great! I just saw this thread. I had my vitamin d and pth blood tests come back off as well. It can mean any number of things from Rickets, severe vitamin d deficiency to kidney disease.
In my case the lack of vitamin D was inhibiting my ability to absorb sufficient amounts of calcium. In response to this my parathyroid gland became overactive to compensate for the lack of calcium in my blood by leaching it from other areas of my body. This caused a sort of false positive on my blood calcium, as it never actually showed as deficient (when it was). Anyway, putting the correct vitamin D back into my supplements has solved both issues.

Man! Mapping out these stupid deficiencies is like trying to solve a murder mystery!!
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Old 11-19-2009, 01:37 PM   #16 (permalink)
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And finally, does anyone know how long it usually take Dr. Callery to respond to a post? I have posted two questions for him but have not received an answer on either I am trying not to get frustrated about it.
There are some questions he never answers.. unfortunately, there are often too many for him to be able to answer them all. I never realized how many questions he gets until I became a moderator, as we don't see them until they're answered. Now I do see them and trust me, he gets a LOT of them. He wouldn't be able to answer them all and still do his reg. job!

I can't and won't speak for him, but it seems that he tries to answer the types of questions that are more general in nature as he can't diagnose or dispense specific advice. Have you scanned through the questions he has answered already to see if maybe he's already addressed something close or similar?
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Old 11-19-2009, 04:42 PM   #17 (permalink)
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I have. I looked looked at all of his threads and put the subject kidney disease/ kidney failure in the search line to see what information that I would get from the forum. I just am trying to figure out if renal failure is a co-morbidity or if it is going to inhibit my ability to have WLS. Does anyone know?
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Old 11-19-2009, 07:51 PM   #18 (permalink)
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vit d2 vs vitd3...I was prescribed vit d2 for hyperparathyroidism after blood work, which does test for d2 and d3. tests improved, but had bad reaction to high doses of d2. So we switched to d3, side effects were tolerable, but next blood worked showed almost no d2, but d3 was normal. So it's not always the d3 that we need. we also need d2. If your doctor is not testing for both, they should be.
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Old 11-20-2009, 09:00 AM   #19 (permalink)
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I have. I looked looked at all of his threads and put the subject kidney disease/ kidney failure in the search line to see what information that I would get from the forum. I just am trying to figure out if renal failure is a co-morbidity or if it is going to inhibit my ability to have WLS. Does anyone know?
I'm pretty sure that if your weight has caused the kidney failure, it would be considered a co-morbidity. However, if say you had diabetes caused by your weight and the diabetes was causing your kidney failure, the co-morbidity would be the diabetes.

I have done some research on the subject as I became a prolific kidney stone producer post-op. You'll need to discuss WLS with your urologist/nephrologist as there can be some issues. Rapid weight loss creates a lot of uric acid that can be a problem, and protein shakes drop a lot of amino acids into your system and that can tax your kidneys. HTH
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Old Yesterday, 10:16 AM   #20 (permalink)
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Thank you so much. I have an appointment with a nephrologist the day after Thanksgiving so I will ask him about the effects of WLS and such on kidney failure. The kidney failure is likely from the fact that I run a very high blood pressure (208/116 this morning) even on 3 different kinds of medications for blood pressure. Some of the other medications that I am taking and two of the medical conditions that I have also increase my blood pressure. And the fact that I am diabetic doesn't help my kidneys either. But getting healthy is the whole reason that I am doing the weight loss surgery, I want to live and not just exist.
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