{"id":8989,"date":"2024-06-04T21:50:32","date_gmt":"2024-06-04T21:50:32","guid":{"rendered":"https:\/\/oncoalicia.com\/?page_id=8989"},"modified":"2025-07-04T08:43:03","modified_gmt":"2025-07-04T08:43:03","slug":"ensuring-calcium-and-vitamin-d-intake","status":"publish","type":"page","link":"https:\/\/oncoalicia.com\/en\/types-of-cancer\/gastric\/post-surgery-what-to-eat-after-a-gastrectomy\/ensuring-calcium-and-vitamin-d-intake\/","title":{"rendered":"Ensure Calcium and Vitamin D Intake Afetr a Gastrectomy"},"content":{"rendered":"
\n
\n

Osteoporosis is a disease characterised by a decrease in bone density and quality, and osteomalacia is a condition that causes bones to become soft and deformed. Both conditions lead to an increased risk of fractures, bone pain and muscle weakness. A gastrectomy can favour the long-term development of these diseases due to malabsorption and low intake of vitamin D and calcium. Once the diet is back to normal, and depending on the tolerance to different foods, the following should be taken into account:<\/p>\n<\/p><\/div>\n<\/div>\n

\n
\n

WHAT DO WE RECOMMEND?<\/h2>\n<\/p><\/div>\n
\n

To ensure a sufficient, varied and balanced diet, adapted to the new situation. <\/i><\/a><\/h3>\n
\n
\n
\n
\n

Review the section on \u2018Dietary-culinary recommendations after a gastrectomy (partial or total)\u2019. <\/p>\n<\/p><\/div>\n<\/p><\/div>\n<\/p><\/div>\n<\/p><\/div>\n<\/p><\/div>\n

\n

Avoid alcohol, tobacco and coffee consumption, and moderate salt intake. <\/i><\/a><\/h3>\n
\n
\n
\n
\n

Small amounts of coffee can be consumed, always with lactose-free or plant-based milk enriched with calcium or vitamin D.<\/p>\n<\/p><\/div>\n<\/p><\/div>\n<\/p><\/div>\n<\/p><\/div>\n<\/p><\/div>\n

\n

Ensure adequate daily intake of food sources rich in protein, calcium, magnesium and vitamin D. <\/i><\/a><\/h3>\n
\n
\n
\n
\n

They all play an important role in preventing the loss of muscle and bone mass.<\/p>\n<\/p><\/div>\n<\/p><\/div>\n<\/p><\/div>\n<\/p><\/div>\n<\/p><\/div>\n

\n

Calcium sources. <\/i><\/a><\/h3>\n
\n
\n
\n
\n

Calcium can be found in both animal- and plant-based foods and must be incorporated in the way recommended for gastrectomy patients, and depending on tolerance and evolution (lactose-free milk, ground nuts or 100% nut butter, legumes mashed or crushed with a fork, oily fish, depending on tolerance and progression).<\/p>\n<\/p><\/div>\n

\n\n\n
\n\n\n\n
Main sources of animal-based calcium <\/td>\nMain sources of plant-based calcium<\/td>\n<\/tr>\n
\n
    \n
  • Dairy foods (milk, yoghurt, cheese, etc.)<\/li>\n
  • Fish with soft edible bones (such as sardines and anchovies, fresh and\/or tinned) * <\/li>\n
  • Foods fortified** with calcium <\/li>\n<\/ul>\n<\/td>\n
\n