Doctor insights on:
B12 Absorption With Colectomy
Is nutritionally complete semi-elemental diet indicated in malabsorption TVA & ulcers associated with well established coeliac disease. How long ? Ty
Not necessary: Your problem is gluten and with avoidance the damages will heal along with the malabsorption issue . Elemental diet is not palatable and thus you may end up eating less food than you should. Your major problem is gaining back the weight and thus eat whatever you desire as long as it does not contain gluten. ...Read more
Antral erosion with (mild) congestive gastropathy with gastric polyp with erosive duodinitis (polypectomy done) explanation, advice and diet please.
Not reported: Metformin has not been reported to interfere with the absorption of thyroid hormones. One report suggested it could lower TSH levels in some patients but with no effect on thyroid hormone levels (t4). I recommend you have your levels checked if symptomatic or as recommended by your provider. ...Read more
Recommendation regarding using ox bile after gallbladder removal for omega 3 absorption as well as vitamin a d, k.
Not needed: Your liver makes plenty of bile. The gallbladder just stores it. When your gallbladder is removed the bile your liver makes drips into the intestines continuosly and is still there to help digest fats (and fat soluble vitamins) adding bovine bile salts will not be helpful and may lead to diarrhea. ...Read moreSee 1 more doctor answer
Can leviothyrozine and vitamin D3 pills interfere with iron absorption? What foods interfere with hypothyroidism and iron intake and should b avoided?
Is golytely (polyethylene glycol) fatal to pts with partial obstruction with colon perforation? (Stage 4 CRC with mets to lung)
No: Golytely (polyethylene glycol) is a bowel diuretic drawing fluid into the colon. If there is a patient with partial obstruction and with possible colonic performation, why would a bowel diuretic be employed that could cause a greater leak of GI fluid into the periotoneal cavaity, especially in the face of lung mets.? Laparoscopic evaluation of a possible leak may be necessary if not proven by radiologic evaluation ...Read more
No: See answer to another of your questions on the same topic. ...Read more
Gastritis: Certain forms of gastritis destroy cells that secrete intrinsic factor which is essential for absorption of vitamin B12. This can also alter th pH in the GI tract and influence other functions. Vit D is a fat soluble vitamin that is not dependent on the stomach for absorption. ...Read more
Ulcerative colitic on Humira (adalimumab) with recurring antibiotic associated C Diff, 5 d s/p fecal transplant, no better. Consider S Boulaardi supplementation?
Would low dose long term/ ongoing use of antibiotics help with reducing frequency of infections associated with bronchiectasis ?
For 55+ female, does high VitD & calcium dosage directly or indirectly intervene with Iron absorption from food ?
Calcium and iron: calcium supplements can interfere with iron absorption from the diet. Normally, this is insignificant and usually does not cause iron deficiency. If someone is bound to be iron deficient, the first step is to rule out loss of iron in the form of obscure bleeding from the digestive tract. It is vitally important to rule this out first. Good luck. ...Read more
Over 70yrs i take lanzoprazole 15mg Daily for diverticulitis as i have B12 Perniciuos anemia with neurological symptoms can it affect B12 Injections ?
My vitamin B12 level is 283 pgml.my body can't absorb B12 orally.so I'm taking 1500 mcg methylcobalmin inj/day.how long can I take them b4 toxicity ?
Depends: on your individual situation. You should get levels rechecked on a regular basis to determine this. ...Read more
Can I take vitamin B12 supplements with double-dose PPIs for reflux? Worried about the Vit B12 deficiency that might be caused with long-term PPI use.
Sure: You need gastric acid for pepsin to play its role in protecting and then uncoating vitamin B12. Keep having your levels followed. Oral supplements may work despite this mechanism simply by having so much of the stuff around. And talk with your physician from time to time about whether long-term PPI use is still indicated. Glad you're reading up and best wishes. ...Read moreSee 1 more doctor answer
- Talk to a doctor live online for free
- Vitamin b12 absorption deficiency
- Yogurt vitamin b12 absorption
- Improving b12 absorption
- Ask a doctor a question free online
- The characteristics of vitamin b6 b12 absorption
- What influences the absorption of vitamin b12?
- Primary site of absorption of vitamin b12
- Talk to a gastroenterologist online