DTRCN: Ok one question I have for you from last weeks class<BR>
<BR>
DTRCN: The IU form of Vit A comes from .................where?<BR>
PARSHURAM: animal<BR>
DTRCN: good<BR>
DTRCN: and the RE comes from<BR>
PARSHURAM: plant<BR>
<BR>
DTRCN: ok I would like to clarify that even though the Animal form is<BR>
called retinol form it is from animals and they use IU. the plant form is actually called Carotenoid and RE or retinol equivalents is used...confusing but true.<BR>
<BR>
BDeGraz: Why is it necessary to have both in our diets?<BR>
BDeGraz: As you stated last time.<BR>
DTRCN: because they actually perform different tasks in the body as you<BR>
could see by the functions listed for each.<BR>
DTRCN: They activate different systems/enzyems.<BR>
DTRCN: But work so closely together it is detrimental to separate them and use just one.<BR>
<BR>
DTRCN: <B>VITAMIN D</B><BR>
.<BR>
<B>HISTORY</B>: the first written account of Vit D was in 1643. Then in<BR>
the early 1800's 1/3 of the children in London were found to have rickets.<BR>
Vit D was not attributed to the cure until the 1930's.<BR>
.<BR>
<B>NOTE: </B>in 1960 in the US Ten State Survey 4% of the children under<BR>
age six examined showed evidence of Vit D Deficiency,.<BR>
.<BR>
<B>PROPERTIES: </B> <BR>
The active form of Vit D is actually a hormone. Vit D is produced IN the skin<BR>
from ultra violet rays of the sun and it regulates other organs. Some D can be obtained <BR>
<B>NOTE: </B> Anything that blocks UVR's including skin pigment, smog, fog,<BR>
SunScreen, windows, roofs, and hats, etc.......Block Vit D production in the body.<BR>
.<BR>
<B> DIGESTION & ABOSRPTION</B>: Vit D can be stored in the fat cells of the<BR>
liver. Vit D needs fat for absorption when ingested.<BR>
<BR>
<B>TOXICITY:</B> High daily doses over an extended period of time could<BR>
produce excessive Ca (calcium) levels in the blood, first signs=sore eyes, unusual thirst,<BR>
itchy skin, vomiting, diarrhea. Unfortunately these signs are seen with many other<BR>
medical problems.<BR>
.<BR>
Things that hinder Vit D absorption<BR>
1) mineral oil<BR>
2) alcohol<BR>
3) any fat malabsorption diseases<BR>
<BR>
<B>NOTE: Pantothenic Acid (a B vitamin) is necessary for Vit D synthesis in the body.</B><BR>
.<BR>
<B>DEFICIENCY SYMPTOMS</B>: Rickets = demineralization of bones in children<BR>
.<BR>
<B> NOTE: </B> A Vit D deficiency increases the production of a hormone that<BR>
removes Ca from the bones this is called Osteomalacia in adults.<BR>
.<BR>
<B>FUNCTIONS: </B><BR>
.<BR>
DTRCN: 1) Vit D promotes Calcium (Ca) absorption<BR>
.<BR>
DTRCN: 2) it is involved in normal cell growth and maturation<BR>
<BR>
DTRCN: 3) Vit D regulates Ca and ensures healthy functioning of the nerves<BR>
.<BR>
DTRCN: 4) Vit D plays a role in the secretion of insulin by the pancreas<BR>
thus aiding in regulation of blood sugar.<BR>
.<BR>
<B>At Risk: </B> children, elderly, anyone living in Low Sun climates,<BR>
non-milk drinkers, anyone in High pollutions areas, alcoholics.<BR>
<BR>
DTRCN: <B>OHA = 400IU</B><BR>
DTRCN: RDA = 400IU<BR>
.<BR>
DTRCN: <B>1 quart of milk = 400IU of Vit D</B><BR>
<BR>
DTRCN: NOTE: doses of less than 1000 IU are unlikely to cause any adverse<BR>
effects and over exposure to sunlight does not cause adverse effects of Vit D only<BR>
SUNBRUN...ouch.<BR>
<BR>
BDeGraz: Are you saying then we need not worry about not getting enough daily?<BR>
.<BR>
DTRCN: Since no one really knows the amount made by each individual via the<BR>
sun, they are quoting INTAKE amounts.<BR>
DTRCN: YOUR intake needs to be 400IU<BR>
<BR>
DTRCN: This is what they know has to be ingested for minimal health<BR>
DTRCN: think about your day...........do you take a multivitamin<BR>
<BR>
DTRCN: it supposedly has 400IU then you get additional from the sun<BR>
DTRCN: UVR's come through the clouds but not as well.<BR>
DTRCN: .<BR>
DTRCN: Do you suffer from toxcity?<BR>
<BR>
DTRCN: so the body needs at least what you are giving it.<BR>
DTRCN: if you drink milk, etc you are also getting Vit D, but remember<BR>
DTRCN: D & A play a large role also.<BR>
<BR>
<BR>
DTRCN: <B>VITAMIN E<BR>
</B><BR>
<B>STATEMENT:</B> "Processed & convience foods can contribute to a vitamin E deficiency IF their use continues over several years" (Understanding Normal & Clinical Nutrition 2E)<BR>
.<BR>
DTRCN: <B>PROPERTIES: </B> Vit E is made only by plants the richest sources being<BR>
plant oils. The best sourde of Vit E is vegetable oils and some lesser amounts in<BR>
seeds and grains. The richest natural source is Wheat Germ Oil.<BR>
.<BR>
DTRCN: Food made with vegetable oils vary greatly in Vit E amounts. Drying<BR>
in the sun, milling, air, refining, irradation, canning all destroy Vit E.<BR>
<BR>
DTRCN: <B>DIGESTION & ABSORPTION: </B><BR>
<BR>
DTRCN: Vit E is absorbed in the small intestine. It is dependent on bile<BR>
salts and pancreatic juice for absorption.<BR>
Again any malabsorption syndrome such as: cystic fibrosis, gall<BR>
bladder, GI surgery, liver or pancreas disorders will interfere and stop Vit E<BR>
absorption. <BR>
.<BR>
<BR>
BDeGraz: Is it better to take vit individually or combined into 1 tablet?<BR>
<BR>
DTRCN: It is better to take them together as you would get them when you eat<BR>
food and it is better to take them with a meal with a couple of exceptions.<BR>
So a multivitamin is good insurance and necessary then you can add individuals if you feel <BR>
it is necessary for yourself.<BR>
<BR>
PARSHURAM: I take Vitamin E in the morning with my breakfast.<BR>
PARSHURAM: My breakfast did not involve any fats<BR>
PARSHURAM: If it is fat soluble vitamin then<BR>
PARSHURAM: can i get the benefit of Vitamin E if I am taking without any<BR>
fats<BR>
DTRCN: are you sure your breakfast did not have fat? You have stored<BR>
lipids in the body to help with what you ingest.<BR>
PARSHURAM: I take biscotti and a cup of tea<BR>
DTRCN: Cereal have fat, milk has fat, bread usually has some fat.<BR>
.<BR>
DTRCN: check your biscotti label so you may not be taking any in but you<BR>
should have some stored.<BR>
<BR>
<B>WARNING: Supplements CAN NOT/DO NOT take the place of food. </B> They<BR>
are exactly what they say "Supplements" to the food you eat to insure you get the<BR>
nutrients you need with todays lifestyles to protect you as much as possible from outside<BR>
influences.<BR>
.<BR>
DTRCN: Do not Diet and take vitamins to replace food lost.<BR>
<BR>
BDeGraz: Does a "Balanced Diet" really exist?<BR>
DTRCN: Out there somewhere it might have but now I really doubt it.<BR>
<BR>
DTRCN: Did you read the paper I sent on supplementation.<BR>
BDeGraz: Part of it<BR>
DTRCN: I think it states the reasoning very well.<BR>
PARSHURAM: not yet<BR>
DTRCN: in college nutrition we asked our professor, who was not for<BR>
supplementation, if she <BR>
DTRCN: took vitamins, answer yes, for insurance.......go figure.<BR>
<BR>
BDeGraz: smart prof<BR>
DTRCN: that is why I still take mine.<BR>
.<BR>
<B>Inorganic Iron and Birth control pills interfere with Vit E activity.</B><BR>
.<BR>
DTRCN: <B>FUNCTIONS: </B><BR>
<BR>
: 1) Antioxidant = it stops oxidizing radicals that occur during<BR>
normal metabolism=if they cannot oxidize they die. In this Vit E works in conjunction with<BR>
the mineral Selenium.<BR>
.<BR>
2) Stabilizes and maintains cell membrane integrity<BR>
.<BR>
3) Enhances nerve development<BR>
.<BR>
4) Protects Vit A and PUFA's (polyunsaturated Fatty acids) from oxidation<BR>
.<BR>
<B> VIT E DEFICIENCY SYMPTOMS:</B><BR>
<BR>
: 1) suppresses the immune system<BR>
<BR>
2) if blood concentration falls to low, red blood cell membranes break open resulting in <BR>
the lack of oygen to the body and this is called Erythrocytehemolysis and results in anemia.<BR>
.<BR>
3) in children Vit E def. can cause neurological problems that are irreversible.<BR>
.<BR>
4) may promote fibrocystic breast disease<BR>
.<BR>
5) intermittent claudication (pain when walking, cramping of calves<BR>
at night.) from the book, it says "remarkable relief from persistent nocturnal leg and<BR>
foot cramps was reported by pts taking under 300IU's of Vit E daily.<BR>
<BR>
<B>NOTE: </B> one study has shown that 45% of affluent elderly Americans were getting less than 1/3<BR>
of the daily Vit E requirement. They now believe that Vit E deficiencies are more common<BR>
place than once thought.<BR>
.<BR>
<BR>
<B> OHA = up to 400IU with 50-200mcg of organic Selenium</B><BR>
DTRCN: (Dr. Shendler's recommendation)<BR>
<BR>
DTRCN: RDA = 30IU<BR>
.<BR>
<BR>
BDeGraz: There are two kinds of Vit E. Which one is the best?<BR>
DTRCN: are you referring to the tocopherols?<BR>
BDeGraz: yes<BR>
DTRCN: .<BR>
DTRCN: You should be taking, again, a blend not one or the other.<BR>
<BR>
DTRCN: they are not separate in nature so we need to take them as close to<BR>
natural as possible.<BR>
.<BR>
<B>NOTE: </B> <B>DO NOT use Vit E while taking Coumadin/Warfarin without a Dr's ok.</B><BR>
.<BR>
DTRCN: We ingest on the average about 15 IU's of Vit E daily<BR>
<BR>
<B>TOXICITY: </B>Vit E toxicity is rare even at high doses for an extended amount of time.<BR>
<BR>
NOTE: Anyone in high pollution areas may benefit from extra Vit E as<BR>
it goes into the lungs and that is where the tissue/cells have maximum exposure to oxygen.<BR>
So Vit E would prevent oxidation hence stop free radical formation.<BR>
.<BR>
DTRCN: PMS = Vit E improves all major categories of PMS symptoms.<BR>
Researchers found that 400 IU daily will help relieve PMS symptoms.<BR>
<BR>
<BR>
DTRCN: You are asking if a vitamin from a tablet can interact and make<BR>
another vitamin useless?<BR>
BDeGraz: yes..in the same tablet<BR>
DTRCN: Normally, vitamins work together. However, if you get too much of<BR>
some they can throw others out of balance or render them non-absorbable.<BR>
We will learn which ones will counteract withthe others. Mostly<BR>
this is with minerals. we have seen the example of too much Vit D/Ca can bother each other.<BR>
<BR>
DTRCN: <B>VITAMIN K</B><BR>
.<BR>
<B>HISTORY:</B> Identified in 1935 when chicks suffered sever bleeding<BR>
disease then when given alfalfa or hog liver fat (both have K) the blood clotted normally.<BR>
.<BR>
DTRCN: <B>PROPERTIES: </B><BR>
<BR>
3 Forms of Vit K:<BR>
: 1) K1 from green plants<BR>
2) formed by bacteria in the intestinal tract<BR>
3) (most potent and toxic) this is the synthetic (man made) compound<BR>
<BR>
Vitamin K is fat soluble also and is usually formed by the intestinal bacteria but a little is also<BR>
gotten from plant or animal sources.<BR>
<BR>
DTRCN: Vit K can be destroyed by sunlight but is resistant to the heat of cooking.<BR>
.<BR>
<B>ABSOPRTION</B>: the abosorption of Vit K requires bile and pancreatic<BR>
juice.<BR>
.<BR>
: <B>FUNCTIONS:</B><BR>
.<BR>
1) coagulation of the blood by formation of prothrombin <BR>
2) formation of Gla a calcium binding protein.<BR>
3) Vit K may help Ca get deposited in the bones<BR>
<BR>
Vit K has no specific RDA requirement but newborn infants are given a shot of Vit K shortly <BR>
after birth to promote blood clotting.<BR>
.<BR>
<B>SOURCES</B>: green leafy veggies, wheat bran, cheese, egg yolk, liver<BR>
<BR>
<B>DEFICIENCY:</B> can be caused by liver disease, taking large amounts of<BR>
anitbiotics which destroy intestinal bacteria, fat malabsorption diseases, etc.<BR>
.<BR>
<B>TOXICITY: </B>natural forms are not toxic, synthetic cause anemia or jaundice.<BR>
<BR>
BDeGraz: Why isn't Vit K added to supp's?<BR>
DTRCN: Because the body makes what we need in the intestines.......and too<BR>
much can over coagulate the blood....as long as one does not get sick they should be fine.<BR>
<BR>
DTRCN: if you have to take antibiotics or have other problems. Adding<BR>
yogurt to help replenish good bacteria is recommended.<BR>
<BR>
BDeGraz: Can vitamins be taken with herbs?<BR>
<BR>
DTRCN: I have attended several seminars on herbs and they usually say to<BR>
take 1hr before or after<BR>
<BR>
DTRCN: "The Honest Herbal" by Varro E Tyler, PhD. <BR>
.<BR>
DTRCN: I will be sending some short exams about 10 questions and the log<BR>