Alternative Med

Question 1

Fish Oil/ Omega 3 fatty acid

use?

Answer 1

Dyslipidemia
Primary and secondary prevention per AHA
Lowers TG but not effective in lowering TC or LDL-c

Question 2

Fish Oil/ Omega 3 fatty acid

safety stuff

Answer 2

GRAS
Preg limit 12 oz per week
Avoid shark, swordfish and tilefish due to Mg
Increase risk of bleeding when taken with various meds or supplements
DECREASE FISHY TASTE: take frozen or enteric coated, with food

Question 3

Plant Sterols/Stanols

use/timeline/ADRS/DDI

Answer 3

Dyslipidemias, equally effective
Must take for 2-3 weeks to work, then when you stop, cholesterol back to baseline in 2-3 weeks
GI side effects
DDI with Zetia

Question 4

Ephedra

use/safety

Answer 4

weight loss but BANNED by FDA DUE TO FATALITY

Question 5

Bitter Orange
(use/contains?/safety)

Answer 5

Weight loss
Contains caffeine
GRAS although no evidence its safer than Ephedra

Question 6

Calcium (use?)

Answer 6

weight loss, supplement alone not the same as a low fat dietary intake of Ca (whatever the fuck that means)

Question 7

Alli (use/dose/risks and benefits)

Answer 7

weight loss
Take multivitamin qd 2 hours before or after dose
FD approved for long term weight loss
Benefits for pt with BMI more than 27
Risk of liver injruy

Question 8

Chromium (use/forms/caution?)

Answer 8

DM - mixed evidence
Several salt forms (picolinate most common in studies)
Caution in RENAL dysfunction

Question 9

Vanadium (use/Adr?)

Answer 9

T2DM
Kidney toxicity
Increase risk of bleeding when taken with various meds or supplements

Question 10

Garlic (use/safety/prep)

Answer 10

HTN, GRAS
Wait 10 mins after chopped, discontinue 2-3 prior to surgery, if odorless may have no allicin (which is what does the job)

Question 11

Coenzyme Q-10 (use/DDI/risks/take with?)

Answer 11

HTN
Statins, B-blockers and diuretics can lower CoQ-10 levels
Increased risk of bleeding
Increases T4/T8 labs
Take with fatty meal for best absorption