AFMCP Flashcards
ABCD
Anthropometrics and vital signs
Biomarkers and Labs
Clinical indicators (nutritional PE)
Diet and Lifestyle assessment
Functional Nutrition Biomarkers
Proteins fats and oils carbs minerals vitamins phytonutrients
GOTOIT
Gather - oneself and hx, intake, Timeline, PE, diet/lifestyle journal
Organize - put info into Matrix, assess system (e.g. allergy, endocrine, neuro)
Tell - share story with patient (conventionally - share dx)
Order and Prioritize - your priorities + patient goals
Initiate - diagnostic tests, referrals, tx
Track - f/u, MSQ
Antecedents
factors that predispose individual to illness
a trigger with a delayed effect
e.g. SAD, family hx, VAT, chronic low stress
Triggers
factors that provoke s/sxs of illness
e.g. “not well since”, auto accident, ACE, acute stress
Mediators
biochemical or psychosocial factors that contribute to pathology/dysfunction
triggers that are ongoing
e.g. SAD, high alcohol, sedentary, adiposity
Evidence-based benefits of MBSR
increases BDNF, stimulates left prefrontal cortex, facilitates neurogenesis and neuroplasticity, brain waves assoc with cognitive restructuring and learning
lower 8-OH2dG, ROS, cortisol, IL-6; higher TAC, telomerase activity, beta endorphins, sirtuin-1
changes gray matter assoc with learning/memory, emotional regulation, self-deferntial processing, perspective taking
decrease anxiety, physical sxs, CRP
decrease post-stress inflammation (TNF alpha and IL-8)
increase HRV, serotonin, beta-endorphin, melatonin, Ach; decrease norepi
increase cortical thickness in grey matter and right hippocampal volume
Stages of Change
pre-contemplation – denial/lack of intention to change behavior
contemplation (next 6 months) – bargaining, searching for certainty
preparation (next month) – sets a date, announces intentions, makes a clear plan
action – acceptance, modifies behavior and surroundings
maintenance – I solved my problem more than 6 months ago
Dry hair assoc with ___ nutritional def
EFA
Dandruff assoc with ___ nutritional def
EFA, Zn
Dull hair assoc with ___ nutritional def
protein, iron, EFA
premature gray hair assoc with ___ nutritional def
copper, B12
hair depigmentation assoc with ___ nutritional def
protein, copper, zinc, biotin, B12
corkscrew and swan neck hairs assoc with ___ nutritional def
vit C
Menke’s disease hair finding assoc with ___ nutritional def
copper
hair thinning assoc with ___ nutritional def
protein, zinc, selenium
hair loss assoc with ___ nutritional def
protein, zinc, copper, iron, B vitamins, biotin, vitamins C, E, A, D, coQ10
altered smell assoc with ___ nutritional def
Zinc, copper, iron, iodine, vitamin A, vitamin E, B2, B3, B5, biotin, folate, B12
loss of which sense precedes Parkinson’s and Alzheimer’s dx by 5 years
smell
loss of taste assoc with ___ nutritional def
protein malnutrition, copper, zinc, niacin, B12 deficiency
macroglossia assoc with these conditions
insulin resistance, sleep apnea, food allergy/hypersensitivity, hypothyroidism
red painful tongue assoc with ___ def
niacin
angular cheilitis assoc with ___ def
riboflavin, nicotinic acid, folic acid, biotin, cobalamin, vit C, iron, zinc, niacin, pyridoxine
burning mouth assoc with ___ def
B6 ( or Candida ifxn)
candidiasis assoc with ___ def
folic acid, B12, iron
glossitis assoc with ___ def
riboflavin, nicotinic acid, B6, folic acid, B12, iron, protein
lip fissures assoc with ____ def
B6
oral sensitivity assoc with ___ def
thiamine, B6
recurrent apthae assoc with ____ def
riboflavin, folic acid, B12, vitamin C
stomatitis assoc with ____ def
nicotinic acid, folic acid, B12
periodontal disease assoc with ____ def
vit A, D, E, thiamine, folate, B12, Ca, Se
geographic tongue assoc with ____ def
Iron, Zinc, Niacin, B6,12, folate insufficiency
glossitis assoc with ____ def
protein, iron, riboflavin, niacin, B6, B12, folate
tongue fissuring assoc with
autoimmune, malabsorption, genetic, infection
taste bud atrophy assoc with ___ def
iron, riboflavin, niacin, B12
Leukoplakia assoc with ___ def
vit A, B2, B3, B6, folate, B12
Black hairy tongue
associated with smoking, sulfur granule positive bacteria-oral dysbiosis, Bismuth, antibiotics
Hyperkeratosis pilari assoc with ____ def
zinc, vitamin A, vitamin C, B vitamins, zinc
Seborrheic derm assoc with ___ def
EFA, zinc, vit A, biotin
Koilonychia (spooned nail) assoc with ____ def
protein, iron, chromium, copper, zinc
Leukonychia punctate assoc with ___ def
zinc
Leukonychia striae assoc with
Se def or toxicity
Arsenic toxicity
Brittle nails assoc with ___ def
protein, EFA, Ca, Mag, iron, silicon, zinc, biotin
EXCESS vit A and selenium
“Bracelet pain” or “knee high pain”
vitamin D def
Beau’s lines - growth arrest on nails - assoc with ____ def
zinc, protein, niacin
thiamine def conditons
berberi, Wernicke/Korsakoff, encephalopathy, calf cramping, muscle tenderness, burning feet, irritability
niacin def conditions
peripheral neuropathy, encephalopathy
B6 def conditions
peripheral neuropathy, pure sensory neuropathy (toxicity)
folate or B12 def conditions
myelopathy, peripheral neuropathy, neuropsychiatric, optic neuropathy, autonomic dysfunction
vit D def conditions
cutaneous hyperalgesia, bone pain of osteomalacia
vit E def conditions
spinocerebellar syndrome, peripheral neuropathy, opthalmoplegia
copper def conditions
myelopathy, myeloneuropathy
protein def conditions
muscle wasting, weakness, hypotonia, hyporeflexia
factors that improve cellular sensitivity to thyroid hormones
Vitamin A, exercise, and zinc
nutrients that contribute to thyroid hormone production
Iron, iodine, tyrosine, zinc, selenium, vitamin E, B2, B3, B6, vitamin C
increase conversion of T4 to T3
Se and zinc