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.

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http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4795306PMC
http://dx.doi.org/10.1590/S0102-6720201500S100013DOI Listing

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