As some of you know, I had a heart attack last March, although I'm very physically fit with a very healthy diet and with blood markers near perfect. Needless to say, I've spent the past 9 months investigating what could be the issue if not blood lipids and trying to prevent another incident. What I just stumbled across in Dr. David Grimes' wonderful epidemiological study "Vitamin D and Cholesterol; the Importance of the Sun" inspired the following question: Does anyone know if having a colectomy removes the possibility of bacteria normally found in the colon from producing from fibre what we need for maintaining normal health? For instance Vitamin K and Enterolactone... Does anyone know if we have Bifidobacterium in our small intestines and, if so, do they function as they would function in the colon?
The reason I ask is that Dr. Grimes mentioned that aside from vitamin D levels, one of the greatest markers (risk factors) for cardiovascular disease was low serum Enterolactone levels. Enterolactone is produced by bifidobacterium in the colon from metabolization of plant lignans. The enterolactone enters your blood stream and protects you from both cancer (especially breast cancer) and cardiovascular disease.
One more thing: I recently read from J-Pouch specialists that for some reason or another (not explained or understood), J-Pouchers tend towards a deficiency of Vitamin D. Aside from increased risk of immunodeficiencies and osteoporosis caused by low levels of serum Vitamin D, low Vitamin D creates high risk for hypertension; hence high risk of Cardiovascular Disease.
Does anyone know if anyone has studied cardiovascular risk, colectomies and J-Pouches?
Ross