{"id":"https://openalex.org/W2425454922","doi":null,"title":"Bariatric Surgery: Bad to the Bone, Part 2.","display_name":"Bariatric Surgery: Bad to the Bone, Part 2.","publication_year":2016,"publication_date":"2016-04-01","ids":{"openalex":"https://openalex.org/W2425454922","mag":"2425454922","pmid":"https://pubmed.ncbi.nlm.nih.gov/27330488","pmcid":"https://www.ncbi.nlm.nih.gov/pmc/articles/4898280"},"language":"en","primary_location":{"id":"pmh:oai:pubmedcentral.nih.gov:4898280","doi":null,"is_oa":true,"landing_page_url":"https://www.ncbi.nlm.nih.gov/pmc/articles/4898280","pdf_url":null,"source":{"id":"https://openalex.org/S2764455111","display_name":"PubMed Central","issn_l":null,"issn":null,"is_oa":true,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Integr Med (Encinitas)","raw_type":"Text"},"volume":null,"type":"article","is_traditional":true,"indexed_in":["pubmed"],"open_access":{"is_oa":true,"oa_status":"green","oa_url":"https://www.ncbi.nlm.nih.gov/pmc/articles/4898280","any_repository_has_fulltext":true},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5018651453","display_name":"Lara Pizzorno","orcid":null,"observed_orcids":[]},"institutions":[],"countries":[],"is_corresponding":true,"raw_author_name":"Lara Pizzorno","raw_affiliation_strings":["Lara Pizzorno, md iv, ma , lmt , is senior medical editor at Integrative Medicine Advisers, LLC, in Seattle, Washington"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Lara Pizzorno, md iv, ma , lmt , is senior medical editor at Integrative Medicine Advisers, LLC, in Seattle, Washington","institution_ids":[]}]}],"institutions":[],"countries_distinct_count":0,"institutions_distinct_count":0,"corresponding_author_ids":["https://openalex.org/A5018651453"],"corresponding_institution_ids":[],"apc_list":null,"apc_paid":null,"fwci":2.9484,"has_fulltext":false,"cited_by_count":17,"citation_normalized_percentile":{"value":0.90158447,"is_in_top_1_percent":false,"is_in_top_10_percent":true},"cited_by_percentile_year":{"min":88,"max":97},"biblio":{"volume":"15","issue":"2","first_page":"35","last_page":"46"},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T10569","display_name":"Bariatric Surgery and Outcomes","score":0.9970999956130981,"subfield":{"id":"https://openalex.org/subfields/2746","display_name":"Surgery"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},"topics":[{"id":"https://openalex.org/T10569","display_name":"Bariatric Surgery and Outcomes","score":0.9970999956130981,"subfield":{"id":"https://openalex.org/subfields/2746","display_name":"Surgery"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T10071","display_name":"Bone health and osteoporosis research","score":0.002199999988079071,"subfield":{"id":"https://openalex.org/subfields/2732","display_name":"Orthopedics and Sports Medicine"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T11219","display_name":"Bone Metabolism and Diseases","score":9.999999747378752e-05,"subfield":{"id":"https://openalex.org/subfields/1312","display_name":"Molecular Biology"},"field":{"id":"https://openalex.org/fields/13","display_name":"Biochemistry, Genetics and Molecular Biology"},"domain":{"id":"https://openalex.org/domains/1","display_name":"Life Sciences"}}],"keywords":[{"id":"https://openalex.org/keywords/bariatric-surgery","display_name":"bariatric surgery","score":0.996999979019165},{"id":"https://openalex.org/keywords/bone-loss","display_name":"bone loss","score":0.800000011920929},{"id":"https://openalex.org/keywords/obesity","display_name":"obesity","score":0.7789999842643738},{"id":"https://openalex.org/keywords/roux-en-y-gastric-bypass","display_name":"Roux-en-Y gastric bypass","score":0.9789999723434448},{"id":"https://openalex.org/keywords/sleeve-gastrectomy","display_name":"sleeve gastrectomy","score":1.0},{"id":"https://openalex.org/keywords/calcium-malabsorption","display_name":"calcium malabsorption","score":0.8429999947547913},{"id":"https://openalex.org/keywords/vitamin-d-supplementation","display_name":"vitamin D supplementation","score":0.7799999713897705},{"id":"https://openalex.org/keywords/nutrient-malabsorption","display_name":"nutrient malabsorption","score":0.8410000205039978},{"id":"https://openalex.org/keywords/bone-metabolism","display_name":"bone metabolism","score":0.8500000238418579},{"id":"https://openalex.org/keywords/mechanical-unloading","display_name":"mechanical unloading","score":0.8849999904632568},{"id":"https://openalex.org/keywords/leptin","display_name":"leptin","score":0.6520000100135803},{"id":"https://openalex.org/keywords/adiponectin","display_name":"adiponectin","score":0.9559999704360962},{"id":"https://openalex.org/keywords/ghrelin","display_name":"ghrelin","score":0.9240000247955322},{"id":"https://openalex.org/keywords/glucagon-like-peptide-1","display_name":"glucagon-like peptide-1","score":0.949999988079071},{"id":"https://openalex.org/keywords/glucose-dependent-insulinotropic-polypeptide","display_name":"glucose-dependent insulinotropic polypeptide","score":0.9710000157356262},{"id":"https://openalex.org/keywords/osteoporosis-prevention","display_name":"osteoporosis prevention","score":0.6859999895095825},{"id":"https://openalex.org/keywords/dietary-supplements","display_name":"dietary supplements","score":0.8220000267028809}],"concepts":[{"id":"https://openalex.org/C2780439177","wikidata":"https://www.wikidata.org/wiki/Q1442923","display_name":"Malabsorption","level":2,"score":0.8935391902923584},{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.8304128646850586},{"id":"https://openalex.org/C2778586554","wikidata":"https://www.wikidata.org/wiki/Q550141","display_name":"Sleeve gastrectomy","level":5,"score":0.7578379511833191},{"id":"https://openalex.org/C544821477","wikidata":"https://www.wikidata.org/wiki/Q718113","display_name":"Weight loss","level":3,"score":0.6202786564826965},{"id":"https://openalex.org/C124490489","wikidata":"https://www.wikidata.org/wiki/Q7936963","display_name":"Vitamin D and neurology","level":2,"score":0.5799787640571594},{"id":"https://openalex.org/C2780613262","wikidata":"https://www.wikidata.org/wiki/Q223739","display_name":"Leptin","level":3,"score":0.5568495988845825},{"id":"https://openalex.org/C511355011","wikidata":"https://www.wikidata.org/wiki/Q12174","display_name":"Obesity","level":2,"score":0.5183199644088745},{"id":"https://openalex.org/C170033053","wikidata":"https://www.wikidata.org/wiki/Q952019","display_name":"Bone remodeling","level":2,"score":0.5154331922531128},{"id":"https://openalex.org/C2779357093","wikidata":"https://www.wikidata.org/wiki/Q422269","display_name":"Ghrelin","level":3,"score":0.5130066275596619},{"id":"https://openalex.org/C141071460","wikidata":"https://www.wikidata.org/wiki/Q40821","display_name":"Surgery","level":1,"score":0.4818774163722992},{"id":"https://openalex.org/C126322002","wikidata":"https://www.wikidata.org/wiki/Q11180","display_name":"Internal medicine","level":1,"score":0.4153147041797638},{"id":"https://openalex.org/C134018914","wikidata":"https://www.wikidata.org/wiki/Q162606","display_name":"Endocrinology","level":1,"score":0.3902141749858856},{"id":"https://openalex.org/C71315377","wikidata":"https://www.wikidata.org/wiki/Q11364","display_name":"Hormone","level":2,"score":0.36699533462524414},{"id":"https://openalex.org/C90924648","wikidata":"https://www.wikidata.org/wiki/Q120569","display_name":"Gastroenterology","level":1,"score":0.35153841972351074},{"id":"https://openalex.org/C3019402062","wikidata":"https://www.wikidata.org/wiki/Q1813603","display_name":"Gastric bypass","level":4,"score":0.1985226273536682}],"mesh":[],"locations_count":3,"locations":[{"id":"pmh:oai:pubmedcentral.nih.gov:4898280","doi":null,"is_oa":true,"landing_page_url":"https://www.ncbi.nlm.nih.gov/pmc/articles/4898280","pdf_url":null,"source":{"id":"https://openalex.org/S2764455111","display_name":"PubMed Central","issn_l":null,"issn":null,"is_oa":true,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Integr Med (Encinitas)","raw_type":"Text"},{"id":"pmid:27330488","doi":null,"is_oa":false,"landing_page_url":"https://pubmed.ncbi.nlm.nih.gov/27330488","pdf_url":null,"source":{"id":"https://openalex.org/S4306525036","display_name":"PubMed","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Integrative medicine (Encinitas, Calif.)","raw_type":"Journal Article"},{"id":"mag:2425454922","doi":null,"is_oa":false,"landing_page_url":"https://pubmed.ncbi.nlm.nih.gov/27330488","pdf_url":null,"source":{"id":"https://openalex.org/S4306525036","display_name":"PubMed","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":null,"is_accepted":false,"is_published":false,"raw_source_name":"PubMed","raw_type":null}],"best_oa_location":{"id":"pmh:oai:pubmedcentral.nih.gov:4898280","doi":null,"is_oa":true,"landing_page_url":"https://www.ncbi.nlm.nih.gov/pmc/articles/4898280","pdf_url":null,"source":{"id":"https://openalex.org/S2764455111","display_name":"PubMed Central","issn_l":null,"issn":null,"is_oa":true,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Integr Med (Encinitas)","raw_type":"Text"},"sustainable_development_goals":[{"score":1.0,"display_name":"Good health and well-being","id":"https://metadata.un.org/sdg/3"}],"study_designs":[],"awards":[],"funders":[],"has_content":{"pdf":false,"grobid_xml":false},"content_urls":null,"referenced_works_count":74,"referenced_works":["https://openalex.org/W950419809","https://openalex.org/W1512482125","https://openalex.org/W1553009885","https://openalex.org/W1575433196","https://openalex.org/W1607774785","https://openalex.org/W1607985141","https://openalex.org/W1800359573","https://openalex.org/W1909242889","https://openalex.org/W1963988339","https://openalex.org/W1967227307","https://openalex.org/W1967378788","https://openalex.org/W1969955459","https://openalex.org/W1973498853","https://openalex.org/W1974663313","https://openalex.org/W1977440257","https://openalex.org/W1978825215","https://openalex.org/W1985689567","https://openalex.org/W1992826431","https://openalex.org/W1996104146","https://openalex.org/W1996890196","https://openalex.org/W1997544506","https://openalex.org/W2000508389","https://openalex.org/W2003136076","https://openalex.org/W2006104250","https://openalex.org/W2006291120","https://openalex.org/W2010143963","https://openalex.org/W2021396934","https://openalex.org/W2024246329","https://openalex.org/W2028067734","https://openalex.org/W2028198748","https://openalex.org/W2030973773","https://openalex.org/W2035512160","https://openalex.org/W2045851923","https://openalex.org/W2048460721","https://openalex.org/W2049800068","https://openalex.org/W2050100548","https://openalex.org/W2062149404","https://openalex.org/W2079568899","https://openalex.org/W2079666253","https://openalex.org/W2084852695","https://openalex.org/W2088448704","https://openalex.org/W2091509467","https://openalex.org/W2092885048","https://openalex.org/W2094217713","https://openalex.org/W2104563285","https://openalex.org/W2108357302","https://openalex.org/W2114072277","https://openalex.org/W2115470487","https://openalex.org/W2116360830","https://openalex.org/W2118375575","https://openalex.org/W2119221073","https://openalex.org/W2121758725","https://openalex.org/W2123152669","https://openalex.org/W2134393918","https://openalex.org/W2135077734","https://openalex.org/W2138427291","https://openalex.org/W2142820105","https://openalex.org/W2142996665","https://openalex.org/W2143811977","https://openalex.org/W2146239381","https://openalex.org/W2147661630","https://openalex.org/W2149696449","https://openalex.org/W2151146904","https://openalex.org/W2153234283","https://openalex.org/W2159231260","https://openalex.org/W2162660601","https://openalex.org/W2166460684","https://openalex.org/W2169255223","https://openalex.org/W2318765498","https://openalex.org/W2330745483","https://openalex.org/W2404009697","https://openalex.org/W2406063180","https://openalex.org/W2412485582","https://openalex.org/W2614562583"],"related_works":["https://openalex.org/W2916952946","https://openalex.org/W2792310727","https://openalex.org/W1979684924","https://openalex.org/W2768914284","https://openalex.org/W1974663313","https://openalex.org/W2151731752","https://openalex.org/W2066011797","https://openalex.org/W2794670926","https://openalex.org/W2092130013","https://openalex.org/W2765892495"],"abstract_inverted_index":{"As":[0,23],"discussed":[1,140],"in":[2,86,125,167,181,212,271],"Part":[3,111,137,160],"1,":[4],"obesity":[5,27,123],"is":[6,103,247],"now":[7],"a":[8,12,87,108,213],"global":[9],"epidemic":[10],"affecting":[11],"significant":[13],"and":[14,21,52,69,84,128,173,210,228,261,277],"rapidly":[15],"increasing":[16],"number":[17,42,214],"of":[18,26,34,43,61,90,107,122,147,203,207,215,237,252,273],"adults,":[19],"adolescents,":[20],"children.":[22],"the":[24,32,56,64,70,105,114,120,141,145,163,174,178,235],"incidence":[25],"has":[28,31],"increased,":[29],"so":[30],"use":[33,236],"bariatric":[35,62,96,130,152,171,190,243,253],"surgery":[36,97,131,153,172,254],"to":[37,183,189,240,266],"treat":[38],"it.":[39],"A":[40],"growing":[41],"recently":[44],"published":[45],"studies":[46,80],"have":[47,98],"reported":[48],"that,":[49],"despite":[50,201],"calcium":[51,101,199],"vitamin":[53,204],"D":[54,205],"supplementation,":[55],"most":[57],"frequently":[58],"performed":[59],"types":[60],"surgery,":[63],"Roux-en-Y":[65],"gastric":[66,229],"bypass":[67],"(RYGB)":[68],"sleeve":[71],"gastrectomy":[72],"(SG),":[73],"cause":[74],"significant,":[75],"ongoing":[76,133],"bone":[77,135,168,192,245,256],"loss.":[78,136,193],"Recent":[79],"investigating":[81],"nutrient":[82,184],"malabsorption":[83,102,146,200],"changes":[85,165,211],"wide":[88],"range":[89],"hormones":[91],"that":[92,100,119,129,186],"are":[93],"induced":[94,150],"by":[95,151],"indicated":[99],"just":[104],"tip":[106],"formidable":[109],"iceberg.":[110],"1":[112,138,226],"reviewed":[113],"latest":[115],"research":[116],"findings":[117],"confirming":[118],"prevalence":[121],"is,":[124],"fact,":[126],"skyrocketing":[127],"causes":[132],"accelerated":[134],"also":[139],"mechanisms":[142,195],"through":[143],"which":[144],"key":[148],"nutrients":[149],"adversely":[154],"affects":[155],"bone.":[156],"The":[157,249],"current":[158,175],"article,":[159],"2,":[161],"reviews":[162],"specific":[164],"seen":[166],"metabolism":[169],"after":[170],"data":[176],"on":[177,255],"underlying":[179],"mechanisms,":[180],"addition":[182],"malabsorption,":[185],"may":[187],"contribute":[188],"surgery-induced":[191,244],"These":[194],"include":[196],"mechanical":[197],"unloading,":[198],"maintenance":[202],"levels":[206],"\u226530":[208],"ng/mL,":[209],"hormones,":[216],"including":[217],"leptin,":[218],"adiponectin,":[219],"testosterone,":[220],"estradiol,":[221],"serotonin,":[222],"ghrelin,":[223],"glucagon-like":[224],"peptide":[225,231],"(GLP-1),":[227],"inhibitory":[230],"(GIP).":[232],"Research":[233],"discussing":[234],"nutritional":[238],"supplements":[239],"help":[241],"ameliorate":[242],"loss":[246],"summarized.":[248],"adverse":[250],"effects":[251],"must":[257,263],"be":[258,264],"widely":[259],"recognized,":[260],"protocols":[262],"developed":[265],"prevent":[267],"early":[268],"onset":[269],"osteoporosis":[270],"recipients":[272],"this":[274],"increasingly":[275],"utilized":[276],"otherwise":[278],"potentially":[279],"life-saving":[280],"surgery.":[281]},"counts_by_year":[{"year":2025,"cited_by_count":1},{"year":2024,"cited_by_count":1},{"year":2023,"cited_by_count":2},{"year":2021,"cited_by_count":2},{"year":2020,"cited_by_count":2},{"year":2019,"cited_by_count":4},{"year":2018,"cited_by_count":4},{"year":2016,"cited_by_count":1}],"updated_date":"2026-10-28T10:33:24.094632","created_date":"2016-06-24T00:00:00"}
