This is something that came in the mail recently that I thought you woudl like to read....

Dear Valued Customer,

We wanted to let you know about new data presented this week (June 10, 2009) at the annual meeting of the Endocrine Society in Washington DC.  Doctors from the Mayo clinic looked at 97 patients from the past 20 years who have had bariatric surgery.  They found that 21 of these patients had suffered a total of 31 fractures.  Most fractures occurred an average of 7 years after surgery, with the primary locations being in the hands and feet.  Other sites of fractures were the hip, spine and upper arm.
 
There are many risks for fracture in adults including age, gender, ethnicity, smoking and alcohol use, diseases like type 1 diabetes or rheumatoid arthritis, and use of medications such as steroids, antidepressants, and proton pump inhibitors (PPIs).  But nutrition is also a serious risk.  Inadequate calcium intake and poor vitamin D status are significant factors in the ability to maintain bone health after bariatric surgery.
 
The ASMBS recommended intakes for calcium after bariatric surgery are as follows: