Diagnostics - Nutritional Testing Flashcards

1
Q

What are the main options for nutritional testing?

A

Serum testing, Red Blood Cell (RBC) testing, urine testing, and hair mineral testing.

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2
Q

What is the purpose of serum testing in nutritional assessments?

A

Serum testing assesses standard nutrients (e.g., Vitamin B12, D3) and inflammatory markers.

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3
Q

What does Red Blood Cell (RBC) testing measure?

A

RBC testing evaluates minerals and toxic elements in red blood cells, indicating tissue levels.

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4
Q

What are the limitations of serum nutritional testing?

A

Serum levels may not reflect tissue utilization, as blood levels remain stable due to homeostasis until extreme deficiencies occur.

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5
Q

Why are other markers needed alongside serum testing?

A

Other markers, like organic acids in urine, provide a more comprehensive assessment of biochemical pathways that serum testing alone might not capture.

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6
Q

What are some key nutrients tested in serum testing?

A

Vitamin B12 (Holotranscobalamin), Folate, Ferritin (iron storage), Vitamin D3, Serum Magnesium, and Serum Calcium.

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7
Q

What is the optimal range for Vitamin D3 levels?

A

The optimal range is 100-150 nmol/L, with levels above 75 nmol/L considered sufficient.

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8
Q

What is C-Reactive Protein (CRP) used to assess?

A

CRP is used to assess inflammation, with normal CRP range being less than 5 mg/L. High sensitivity CRP (hsCRP) assesses low-grade inflammation (range 0.2-3 mg/L), often used for cardiovascular risk.

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9
Q

What does Red Blood Cell (RBC) nutrient testing indicate?

A

RBC nutrient testing indicates mineral uptake in cells and tissue levels, providing insight into essential and toxic minerals as well as fatty acid profiles.

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10
Q

What are mixed methodology nutrient tests?

A

These tests combine serum, organic acids, and RBC markers for a comprehensive nutrient profile, offering extensive interpretation, though they are often more expensive.

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11
Q

What does hair mineral and toxic element analysis assess?

A

Hair analysis assesses mineral status and toxic metal accumulation over 2-3 months. It is non-invasive, cost-effective, and can also assess toxic metals through urine clearance.

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