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SECONDARY HYPERPARATHYROIDISM AFTER BARIATRIC SURGERY: TREATMENT IS WITH CALCIUM CARBONATE OR CALCIUM CITRATE?

Background :

Bariatric surgery, especially Roux-en-Y gastric bypass, can cause serious nutritional complications arising from poor absorption of essential nutrients. Secondary hyperparathyroidism is one such complications that leads to increased parathyroid hormone levels due to a decrease in calcium and vitamin D, which may compromise bone health.

Aim

: To compare calcium carbonate and calcium citrate in the treatment of secondary hyperparathyroidism.

Method

: Patients were selected on the basis of their abnormal biochemical test and treatment was randomly done with citrate or calcium carbonate.

Results

: After 60 days of supplementation, biochemical tests were repeated, showing improvement in both groups.

Conclusion

: Supplementation with calcium (citrate or carbonate) and vitamin D is recommended after surgery for prevention of secondary hyperparathyroidism.

Secondary hyperparathyroidism; Bariatric surgery; Nutritional deficiencies


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