Gastroenterologists Hockessin DE

Scatological jokes aside, it turns out that a lot can go wrong after you swallow your supplements or eat a meal. Digestion and absorption might seem like straightforward processes, but for many people, the 30-foot-long digestive tract can hold a series of ambushes on your nutrients.

Donald Anthony Girard
(302) 633-5755
5211 W Woodmill Dr
Wilmington, DE
Specialty
Gastroenterology

Data Provided by:
Carl Philip Mulveny, MD
(302) 998-0456
1941 Limestone Rd
Wilmington, DE
Specialties
Gastroenterology, Emergency Medicine
Gender
Male
Education
Medical School: Jefferson Med Coll-Thos Jefferson Univ, Philadelphia Pa 19107
Graduation Year: 1967
Hospital
Hospital: St Francis Hosp, Wilmington, De; Christiana Care -Wilmington, Wilmington, De
Group Practice: Gastroneterology Assoc

Data Provided by:
Floro M Resurreccion, MD
(302) 994-3153
1601 Milltown Rd Ste 10
Wilmington, DE
Specialties
Gastroenterology, Internal Medicine
Gender
Male
Education
Medical School: Univ Of The Philippines, Coll Of Med, Manila, Philippines
Graduation Year: 1962

Data Provided by:
Eugene S Bonapace Jr, MD
(516) 466-2340
1941 Limestone Rd Ste 10
Wilmington, DE
Specialties
Gastroenterology
Gender
Male
Education
Medical School: New York Univ Sch Of Med, New York Ny 10016
Graduation Year: 1993

Data Provided by:
Kenneth K Mills-Robertson
(302) 633-5302
1601 Kirkwood Hwy
Wilmington, DE
Specialty
Gastroenterology

Data Provided by:
Dr.Donald Girard
(302) 633-5755
5211 W Woodmill Dr # 36
Wilmington, DE
Gender
M
Education
Medical School: Hahnemann Univ Sch Of Med
Year of Graduation: 1982
Speciality
Gastroenterologist
General Information
Hospital: Christiana Hosp, Newark, De
Accepting New Patients: Yes
RateMD Rating
3.1, out of 5 based on 4, reviews.

Data Provided by:
Joseph Cheng-Chung Lin, MD
Wilmington, DE
Specialties
Gastroenterology
Gender
Male
Education
Medical School: Taipei Med Coll, Taipei, Taiwan (385-04 Prior 1/71)
Graduation Year: 1976

Data Provided by:
George Benes, MD
(302) 832-1545
23 Stonewold Way
Greenville, DE
Specialties
Gastroenterology
Gender
Male
Education
Medical School: Case Western Reserve Univ Sch Of Med, Cleveland Oh 44106
Graduation Year: 1982

Data Provided by:
Kedar N Kapoor
(302) 633-5302
1601 Kirkwood Hwy
Wilmington, DE
Specialty
Gastroenterology, Internal Medicine

Data Provided by:
Seema Khan, MD
(610) 444-8128
PO Box 269
Kennett Square, PA
Specialties
Gastroenterology
Gender
Male
Education
Medical School: Aga Khan Med Coll, Aga Khan Univ, Karachi, Pakistan
Graduation Year: 1990

Data Provided by:
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Gut Check

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By Jack Challem

Why you don’t absorb the nutrients you should—and what you can do about it

A few years ago, while I was chatting with a nutritionally oriented physician, the conversation drifted to absorption. I asked him how a person really knows if he’s absorbing the supplements he’s taking. The doctor chuckled. “If your supplements go ping in the toilet,” he said, “it’s a sure sign that you’re not absorbing them.”

Scatological jokes aside, it turns out that a lot can go wrong after you swallow your supplements or eat a meal. Digestion and absorption might seem like straightforward processes, but for many people, the 30-foot-long digestive tract can hold a series of ambushes on your nutrients. And worse, some of the problems may arise from the very supplements you take.

The bottom line? You aren’t what you eat. You are what you absorb. The good news is that most bioavailability (the degree to which a nutrient is absorbed into your system and thus physiologically available) problems are relatively easy to solve. We’ve investigated seven of the most common, and we offer clear recommendations to help you get the most out of your supplements and foods.

the tighter the pill

problem: Not all supplements are created equal. Occasionally, tablets get pressed too tightly during manufacturing, so they take much longer to break down and instead wind up passing through your system either partially or wholly unused.

Vitamin companies follow US Pharmacopoeia manufacturing guidelines, which stipulate that a tablet must break apart in your gut in 30 to 60 minutes. That doesn’t always happen, making tablet absorption difficult. Over the past 20 years, many vitamin companies have shifted from tablets to soft- and hard-gel capsules because digestive juices break down the thin gel wall more rapidly to release the capsule’s ingredients.

Excipients pose another potential problem, especially in tablets. These compounds aid consistency in supplement manufacturing; the name is really an umbrella term for fillers, binders, lubricants, and disintegrants. Excipients are technically safe and approved by the FDA, but just because they’re safe doesn’t mean you want these artificial colors and sugars in your vitamins.

Capsules contain fewer excipients than tablets because capsule ingredients don’t have to be pressed together to form a tablet. Tableting machines stamp out tablets in fixed sizes, so companies often have to make a tablet bigger than is strictly necessary to deliver a certain dose. They do that by adding more excipients to the mix. Capsules use excipients to ensure that the powdered mixture is consistent and to fill up a hard-gel capsule so it doesn’t look half empty. Generally speaking health-food store brands of capsules and tablets contain fewer and less-noxious excipients than drugstore or discount brands. In health-food brands, the most common excipient is plant cellulose; drugstore brands usually choose lactose. Cellulose is innocuous, ...

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