Magnesium Calcium Citrate

[Elizabeth Champagne]

Two questions:

1. If you are giving a patient with high oxalates as much as 600 mg/meal, should the patient expect to have loose stools all day?

2. I have a pt that did the H2 breath test through Lab Plus and she was confirmed to have SIBO and was given the recommendation of either a FODMAP diet or the diet recommended by Cedars-Sinai Diet, which is quite different from the SCD diet in that it allows white bread. Of course, in the end it is what the patient tolerates, but I am a bit confused by this recommendation as the first go to diet. Any input?

Thanks,

Liz

[DrWoeller]

Liz,
I am assuming you mean 600mg of calcium with each meal? Does it also contain magnesium? If so, the magnesium can cause loose stools.

FODMAPS is going to be more up-to-date and comprehensive for SIBO. The white bread, although not the greatest from a nutrition standpoint, is often recommended for people with a lot of sensitivities since it is low allergenic.

Dr. Woeller

[Elizabeth Champagne]

Thanks, Dr. Woeller!

So, if loose stools are going to be a problem for the patient, would smaller amounts of Ca/Mg citrate with meals be beneficial too?

Liz

[DrWoeller]

Liz,
Yes. Either smaller amounts or you could separate out the calcium citrate and magnesium and give separately. It likely is the magnesium causing the loose stools.
Dr. Woeller

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