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Vit & You cls one 1-20-99
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<HTML><FONT SIZE=3 PTSIZE=10> <B>Class Protocol</B><BR>
.<BR>
DTRCN: I will just confirm you know to type ? to ask a question then I will<BR>
type GA/name<BR>
<BR>
BDeGraz: ok<BR>
DTRCN: Use "BRB" if you need to leave the keyboard.<BR>
<BR>
<BR>
DISCLAIMER: The opinions stated by the instructor of this course are<BR>
not necessarily opinions held by other members of the Health Care Profession in<BR>
relation to Nutrition.<BR>
.<BR>
DTRCN: The class is interactive and I appreciate any questions.<BR>
.<BR>
<B>Reference Books used are:</B><BR>
DTRCN: 1# "The Doctor's Vitamin and Mineral Encyclopedia" by Sheldon Saul<BR>
Hendler, MD, PhD<BR>
<BR>
DTRCN: 2# "The Vitamins: Fundamental Aspects in Nutrition and Health" by<BR>
Gerald F Combs, Div ov Nut. Science Cornell U.<BR>
.<BR>
DTRCN: 3# "Food, Nutrition, and Diet Therapy" by Krause & Mahan.<BR>
<BR>
DTRCN: These are available in most book stores.....but not required.<BR>
.<BR>
DTRCN: <B>NUTRIENTS.....</B>....Where do they come from?<BR>
.<BR>
DTRCN: any ideas BD<BR>
BDeGraz: Food<BR>
DTRCN: good answer, also water, and sunlight helps as you will see.<BR>
<BR>
DTRCN: There are 6 basic nutrients our bodies need:<BR>
DTRCN: Carbohydrates, Proteins, Fats, Vitamins, Minerals, and Water<BR>
without any one of these Life ends<BR>
.<BR>
DTRCN: How do we get the nutrients into our body and available for use?<BR>
.<BR>
DTRCN: if you want to answer BD feel free<BR>
<BR>
BDeGraz: eating<BR>
DTRCN: you are good......... : )<BR>
.<BR>
DTRCN: yep first we EAT but that is the easy part.<BR>
<BR>
DTRCN: Then the body has to digest and absorb it and that is the tricky part.<BR>
.<BR>
DTRCN: <B>Digestion = to dissolve in the stomach</B><BR>
.<BR>
DTRCN: Steps in digestion: 1) chewing your food which is mixed with<BR>
salivary amylase (enzyme in mouth) that begins breaking down starches.<BR>
<BR>
DTRCN: 2) food is then swallowed and goes into the stomac where HcL<BR>
(hydrochloric acid) takes over the process and begins to break down protein, fat and starches.<BR>
<BR>
DTRCN: 3) this mixture, called Chyme, moves into the small intestine and<BR>
the digestion process finishes and absorption begins.<BR>
<B><BR>
Meat, eggs, milk cheese = Protein after digestion<BR>
Bread, cereal, (starches) = Carbohydrates<BR>
Fat = Lipids <BR>
<BR>
</B>DTRCN: <B>Absorption = to take in, combine or merge into itself.<BR>
</B><BR>
DTRCN: Most vitamin and mineral absorption takes place in the small<BR>
intestine, some in the large intestine and a little in the colon.<BR>
<BR>
DTRCN: FACTORS that hinder Digestion: antacids, dental problems, not chewing food<BR>
long enough, high fat food, vomiting, diarrhea, intestinal flu, gastroeneritis, ulcers, any<BR>
problem or disease that affects the digestive system. Many medications also interfere with<BR>
absorption. I will be emailing a list of some.<BR>
.<BR>
DTRCN: If you eat a well balanced diet, will you get the nutrients you need<BR>
for Optimal Health?<BR>
<BR>
BDeGraz: Yes theorictally<BR>
BDeGraz: but not actually.<BR>
DTRCN: ok and what calorie amount do you think one would need BD<BR>
BDeGraz: 2000<BR>
DTRCN: close...........2500 is about minimum<BR>
BDeGraz: of various foods<BR>
DTRCN: and right a wide variety of foods. The main problem is most people don't eat a variety of foods or take the time to even eat 3 meals a day.<BR>
.<BR>
BDeGraz: That's for sure.<BR>
DTRCN: Again the 2500kcal is for a normal "healthy" person.........but people<BR>
are so different and have many different lifestyles and that must be taken into consideration.<BR>
so 2500kcal for you may not work for the runner down the street.<BR>
<BR>
DTRCN: In summary of Digestion and Absorption: Optimal D & A of nutrients<BR>
from the food we eat is at the maxium about 60% but that is for a "normal Healthy" person.<BR>
<BR>
DTRCN: NOTE: The RDA board readily admits that it's values are not meant to<BR>
create "Optimal Health.<BR>
<BR>
BDeGraz: Is it true that food is one's best medicine?<BR>
DTRCN: food can also Kill............so true and false.<BR>
BDeGraz: right!<BR>
DTRCN: the key which is so tricky is to eat just right..........or<BR>
supplement.<BR>
<BR>
DTRCN: "Authorities now agree that the average American diet no longer<BR>
provides the needed nutrition for a foundation of good health"<BR>
<BR>
The paper this quote is from is available in the library or on the message<BR>
board.<BR>
.<BR>
DTRCN: Now do either of you take supplements?<BR>
BDeGraz: yes<BR>
PARSHURAM: yes<BR>
DTRCN: Ok then I have a test you may use to see if you are getting the<BR>
optimum benefit from them.<BR>
<BR>
DTRCN: <B>Vitamin Breakdown Test</B><BR>
.<BR>
DTRCN: Use 1/2 cup vinegar at room temp (this imitates the HcL of the<BR>
stomach) in a cup<BR>
<BR>
DTRCN: Drop your vitamin supplement in <BR>
<BR>
DTRCN: Stir the vitamin and vinegar every FIVE minutes for THIRTY minutes<BR>
PARSHURAM: ?<BR>
DTRCN: If the supplement has not disentegrated.........change brands.<BR>
DTRCN: .<BR>
DTRCN: GA Par<BR>
PARSHURAM: What does HcL mean?<BR>
DTRCN: Hydrocloric Acid which is what the stomach makes to break down your<BR>
food.<BR>
.<BR>
DTRCN: If the tablet breaks down you can assume they are available for<BR>
absorption BUT<BR>
DTRCN: Do NOT assume they are being absorbed that is up to the body, its<BR>
needs and you general health.<BR>
<BR>
DTRCN: NOTE: One book states "only 10-30% of nutrients are absorbed and<BR>
that is if you have good digestions and absorption<BR>
<BR>
BDeGraz: Does this test hold true for both tablets and capsules and liquids?<BR>
DTRCN: liquids do not need to be tested. You would not be able to tell<BR>
anything.<BR>
DTRCN: however.........I have an interesting paper I will be sending you<BR>
about D & A and capsule <BR>
DTRCN: breakdown. Again......I was making the assumption capsules would<BR>
always be broken down<BR>
DTRCN: I recently found that is not true so yes I would test them also.<BR>
<BR>
DTRCN: Two thoughts on this:<BR>
DTRCN: 1) I have seen someone considered healthy take tablets and they<BR>
came out the way they went in<BR>
<BR>
DTRCN: They were enteric coated and did NOT breakdown.<BR>
<BR>
DTRCN: 2) Someone recently had a problem with capsules which did not<BR>
dissolve so I would test them also.<BR>
<BR>
DTRCN: I usually suggest capsules, liquid or sub-linguals.<BR>
<BR>
BDeGraz: Also true with entric aspirin?<BR>
DTRCN: well it is possible..........only one way to know.......look in the<BR>
toilet.......LOL<BR>
BDeGraz: No thanks<BR>
BDeGraz: :)<BR>
DTRCN: Ok we are ready to start on Vitamin A. Are there anymore questions<BR>
<BR>
<BR>
BDeGraz: What's the difference between Carbos and starches?<BR>
DTRCN: they are the same but different name<BR>
<BR>
DTRCN: Starch is the composition........carbohydrate is what we call it in<BR>
the body.<BR>
<BR>
DTRCN: Tonight we begin with the <B>"Oil" soluble vitamins which include<BR>
Vitamin A, D, E and K</B><BR>
<BR>
DTRCN: "Oil Soluble" vitamins need lipids (fat) to be carried and used by<BR>
the body. The body needs the right type of fat/lipid to utilize the vitamins we<BR>
intake.<BR>
: A NO FAT diet could after a time put someone in a nutritionally<BR>
deficient state.<BR>
.<BR>
DTRCN: NOTE: Vitamins were discovered through so called "diseases" which<BR>
responded to foods such as: beri beri = B, scurvy = C, rickets = D, and pellagra = niacin<BR>
and A<BR>
.<BR>
: <B>VITAMIN A </B><BR>
.<BR>
DTRCN: HISTORY: Vitamin A was seen in 1500 BC when egyptian scrolls<BR>
described Night Blindness and the cure was feeding afflicted people roasted oxen liver. Even with<BR>
this knowledge, Vit A was not named a vitamin until 1942.<BR>
DTRCN: The research is still going on and they find new uses everyday.<BR>
.<BR>
<BR>
DTRCN: SOURCES: sweet potatoes, carrots, dk green leafy veggies, apricots,<BR>
pumpkin, cantaloupe, liver, eggs, milk products,and fortified foods.<BR>
<BR>
BDeGraz: What is the defination of "vitamin"?<BR>
DTRCN: Vitamin = an essential molecule required in the diet for human life.<BR>
<BR>
DTRCN: PROPERTIES: Vitamin A is the animal form or Retinol form and Beta Carotene is the plant form or Carotenoid form of Vit A.<BR>
<BR>
DTRCN: The carotenoid form is called a Pro-Vitamin since it is not made into<BR>
Vit A until eaten and the body changes its structure to Vit A.<BR>
.<BR>
DTRCN: Research is in progress on 3 types of Vit A and there are actually 10<BR>
chemical structures of Vit A.<BR>
<BR>
DTRCN: WE have 2 ways of reporting food activity of Vit A. These you will see if you go to purchase a Vit A supplement.<BR>
<BR>
one measurement is in <B>IU (international unit)</B> and this is the animal<BR>
measurement.<BR>
<BR>
two is <B>RE (retinol equivalent) </B> the plant measurement<BR>
<BR>
<B>IU vit A </B>(animal form) <B>requires fat for absorption BUT RE </B>(plant form) <B>does not.</B><BR>
.<BR>
Therefore many professionals are recommending the Beta Carotene form<BR>
only<B> but</B> the body needs both for optimal health and a blend is really the best.<BR>
<BR>
DTRCN: Digestion and Absorption: we have learned that some Vit A (IU) needs<BR>
fat/lipids for absorption and a point to keep in mind is this.....BOTH are<BR>
necessary.<BR>
<BR>
BDeGraz: What units are RE's in?<BR>
DTRCN: That is the unit.........it is called a retinal equivalent.<BR>
BDeGraz: oh..sorry<BR>
DTRCN: they just do not use the word unit.<BR>
DTRCN: that is ok how do you know unless you ask......... : )<BR>
<BR>
PARSHURAM: If I am taking Vitamin A then I also need to eat some fatty<BR>
substance to absorb it.<BR>
DTRCN: the right type of fat and it does not take much........meat is<BR>
basically self contained of course..........but basically you need polyunsaturated fats NOT<BR>
saturated. Polyunsaturated usually from plant oil...........saturated from meats or cooked oils.<BR>
<BR>
DTRCN: Again things that affect absorption are: 1) stress 2) illness 3)<BR>
TOO much Vit A 4) being a strict vegetarian 5) malabsorption syndrome 6) alcohol<BR>
and more.<BR>
<BR>
DTRCN: People with fat malabsorption syndrome cannot use ingested Vit A.<BR>
However they found when given oral Vit A their plasma levels become normal.<BR>
.<BR>
DTRCN: Vit A is absorbed by the lymphatic pathway and not the blood route as<BR>
with most vitamins.<BR>
<BR>
DTRCN: This gives us a clue as to why Vit A deficiency can cause problems<BR>
with infection as the lymph system is where the first fight against infection begins.<BR>
<BR>
DTRCN: <B>FUNCTIONS: </B><BR>
.<BR>
DTRCN: 1) Vision = Vit A is the photosensitive part of the rhodopsin<BR>
molecule in the eye.<BR>
.<BR>
DTRCN: 2) Vit A maintains the integrity of the mucosal linings of the nose,<BR>
stomach, intestines, etc.<BR>
<BR>
DTRCN: 3) Vit A keeps our skin healthy<BR>
<BR>
DTRCN: 4) it helps maintian the stability of cell membranes and synthesizes<BR>
corticosterone, and ensures normal output of thyroxine hormone.<BR>
.<BR>
DTRCN: 5) it keeps the integrity of the immune system and helps manufacture<BR>
red blood cells<BR>
<BR>
DTRCN: TOXICITY: the IU form of Vit A can be toxic in MEGA doses and<BR>
research shows this is over 10 times the RDA. However, the RE form of Vit A, since it is only<BR>
converted as needed by the body is unlikely to be toxic.<BR>
.<BR>
DTRCN: <B>RDA = 5000 IU's </B> <BR>
.<BR>
DTRCN: OHA = Optimal Health Allowance this is what has been shown by many<BR>
professionals to maintain optimal health without being toxic.<BR>
<BR>
DTRCN: <B> OHA = 5,000 IU and 15-20 RE</B><BR>
.<BR>
DTRCN: DEFICIENCY: Vit A deficiency is usually rare, signs are:<BR>
DTRCN: skin changes, night blindness, eye problems (drying and thickening).<BR>
?<BR>
DTRCN: NOTE: The main FUNCTION of Beta Carotene after much research has<BR>
been found to be an ANTI OXIDANT.<BR>
.<BR>
BDeGraz: Are there blood tests for vitamins?<BR>
<BR>
DTRCN: Have you heard the term "Free Radical" and do you know what it means.<BR>
<BR>
BDeGraz: yes<BR>
PARSHURAM: Yes<BR>
.<BR>
DTRCN: Ok since a free radical comes out of the gene pool deformed but is<BR>
capable of bonding to good cells and changing them, then they collect together so an anti<BR>
oxidant takes away the oxygen they need for this.<BR>
.<BR>
DTRCN: This prevents them from turning into cancer or other disease.<BR>
.<BR>
DTRCN: now about Blood Test............have either of you had a blood test<BR>
lately?<BR>
<BR>
DTRCN: When a complete blood test is done........it incompasses about 26<BR>
things. Some are vitamins, some minerals, and others.<BR>
.<BR>
DTRCN: Did you request copies of your blood test?<BR>
BDeGraz: yes<BR>
PARSHURAM: yes<BR>
DTRCN: ok<BR>
DTRCN: mostly the results are for minerals iron, potassium, calcium etc.<BR>
DTRCN: however they can do vitamin test also. But they don't because they<BR>
don't believe it is necessary and they consider it more expensive.<BR>
.<BR>
DTRCN: even knowing that vitamin supplementation has irradicated many <BR>
diseases caused only by a vitamin deficiency. <BR>
the medical profession would still rather rely on the drugs<BR>
with high incidence of side effects that nutrient supplementation.<BR>
<BR>
BDeGraz: Why don't Dr's take vit seriously?<BR>
.<BR>
DTRCN: no money in it for one and blind sidedness for the other. It is<BR>
just tooooooo easy.<BR>
.<BR>
BDeGraz: Ah so $.<BR>
DTRCN: in this day with our lifestyle.........good nutrition is almost<BR>
impossible to obtain but drugs reap in the money.........and we are a society for money.<BR>
BDeGraz: And victims!<BR>
DTRCN: but they are doing enormous amounts of research I just hope it is not one sided.<BR>
<BR>
DTRCN: I have a small homework assignment<BR>
<BR>
DTRCN: A small paragraph about your self and what and why you take<BR>
supplements.......keep it simple and SHORT<BR>
<BR>
<BR>
BDeGraz: FDA sees it the same way as Dr's?<BR>
<BR>
DTRCN: oh I think they are much worse........personal opinion only<BR>
.<BR>
DTRCN: Par GA<BR>
PARSHURAM: You said polyunsaturated fat. <BR>
PARSHURAM: Does olive contains that fat?<BR>
DTRCN: that is right and it is Plant fat (except palm and coconut oil) <BR>
DTRCN: olive oil is good and canola very good too.<BR>
<BR>
DTRCN: but do not heat to a high temp or they become denatured and almost<BR>
as dangerous.<BR>
DTRCN: did you get the assignment?<BR>
<BR>
DTRCN: I will be emailing you many things and hope you don't mind reading<BR>
some interesting info <BR>
<BR>
DTRCN: come to the class screen and click on the library icon<BR>
DTRCN: then download the class for today.<BR>
<BR>
BDeGraz: Are you open to answering ? outside of class?<BR>
<BR>
DTRCN: put me on your buddy list and catch me online or email me<BR>
<BR>
<BR>
</HTML>