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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

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No but I take a lot of vitamin D with K, 5000 of D daily. My body doesn't process or accept low doses, they didn't maintain the level suggested by my nutritionist. The bottom of the normal range isn't good enough. I keep mine in the low 50 to 60s range.

Thanks for the other information about the Enterolactone  information. I doen'the think it is something that I have been tested for. Is it tested by a blood test?

Hi Te Marie, I imagine they test for enterolactone in the blood stream.  But, I don't know who would offer the test...

I also have taken high doses of vitamin D; as high as 50,000IUs.  But, I've also read that the most effective way of obtaining vitamin D (especially if you have absorption issues) is from the sun.  With 50,000 IUs per week, the highest my Vitamin D has reached is 48... 

I noticed your ailment list...  I removed all wheat products from my diet almost 2 years ago and basically removed my digestive issues, allergies and especially pouchitis.  What I thought I couldn't eat before (dried chiles, vinegar, cabbage, spinach and papaya) I can eat without experiencing inflamation/blockage.  Before removing wheat products, apples helped greatly with pouchitis symptoms.  But... not only did I remove the wheat products, I removed most refined carbs, all alcohol, potatoes, industrial vegetable oils (with a slight exception with Canola), and most commercial foods (to remove additives, conservatives, excess sodium, metals and artifical colorings)...  Not only did I lose over 30 pounds in less than 5 months, but I removed most of my inflamation.  Truthfully, I believe that half of obesity is chronic inflamation.  When I see overweight people running in the park where I run, I want to tell them to change their diet or they get fed up with the exercise before they ever see any true gains.

Ross

I  missed your reply until today Ross.

Thank you for your concern and recommendations! I went gluten and dairy free for around 6 months when I still had my colon but had UC.  I was under the care of an alternative medicine MD. The diet change didn't help. I was tested for gluten intolerance less than a year ago. My BBF has celiac's but the gluten testing is not what revealed it. It's my understanding that we shouldn't just rely on testing but should also go gluten free for awhile, I  think 6 months but forget, to see if we feel better. I've improved my diet ever since my UC diagnosis and as I've aged. I think most of us have tried many different diets over the years. The best diet changes I made was to eliminate alcohol and beef. I have something containing hamburger every now and then but maybe 6 times year. I wish I  could still drink alcohol every now and then. I immediately remember why I can't when I  do. I get the worst of worst hangovers afterwards.  If anyone is battling dehydration please don't drink alcohol.

I was prescribed monster amounts of vitamin D, like you, when my D deficiency was first diagnosed. You are right the best form is sunshine. I don't get enough of it.

When I see an  overweight person walking or running I think/pray something like "way to go!". I have relatives that use to say negative things about obese people. I gained a boat load of weight from Prednisone and started giving them lip service back years ago. No one can diagnosis or make assumptions/judgements about another person by just looking at them. Sometimes I  wish they could as IBD is one of many invisible diseases that others can't see. I  have heard things like "you don't look sick" or that I was in some way faking illness many times. Now that I have to use a cane I don't get these comments. (The cane is due to the peripheral neuropathy in my feet.) 

Thanks again

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