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Anti Aging Oral Boards > Fatigue > Flashcards

Fatigue Flashcards

1
Q

What percent of adults complain to their pcp of fatigue?

A

24%

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2
Q

What are the primary reasons for fatigue?

A 
Anemia
Infection
Adrenal dysfunction
Lack of fuel or wrong fuel
Medications
Thyroid disease 
Insomnia
Allergies
Overtraining
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3
Q

What are the 2 primary types of anemia to look for?

A

Iron deficiency

B12 deficiency

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4
Q

What are the most common infections that will result in chronic fatigue?

A 
EBV
CMV
Yeast infection
Lyme disease
Intestinal parasites (international travel or sushi)
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5
Q

What are common symptoms of yeast infection

A 
Feel sick all over
Often feel spaced out
Muscle aches
Digestive problems
Sugar cravings
Unusually sensitive to tobacco, perfume and other chemicals
Food sensitivities
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6
Q

What in a patient’s PMHx would make them susceptible to a yeast infection?

A

Multiple antibiotics over the years

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7
Q

What are common symptoms of yeast infection in women?

A 
Recurrent vaginal yeast infections
Recurrent UTIs
Sexual dysfunction
Dysparenunia
Endometriosis
Interstitial cystitis
Infertility

PMS

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8
Q

What is a common age for yeast infections in women?

A

20-50

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9
Q

What are the common symptoms for a yeast infection in men?

A 
Fatigue
Headache
Memory loss
Depression
Muscle and joint pain
G.I. Upset
Sugar craving
Chemical sensitivities
Food sensitivities
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10
Q

Common symptoms of yeast infection in infants and young children

A 
Irritability
Sleep problems
Hyperactivity
Attention problems
G.I. Upset
Constant colds
Ear problems
Skin rashes
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11
Q

Common symptoms of yeast infection in older children and teenagers

A 
Fatigue
Irritability
Headache
Depression
Irritability
Poor school performance
Food and chemical sensitivities
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12
Q

Illnesses in adults that may be yeast related

A 
Crohn's disease
Scleroderma
Lupus erythematosus
Psoriasis
Eczema
Rheumatoid arthritis
Myasthenia gravis
Multiple sclerosis
Sinusitis
Acne
Chronic hives
Asthma
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13
Q

Positive fungal cultures were found in the nasal secretions in what percent of 210 chronic rhinosinusitis patient?

A

96%

Mayo Clinic Proceedings 1999

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14
Q

What conditions can increase your risk of developing a yeast infection?

A 
Hormonal changes associated with the normal menstrual cycle
Pregnancy
Birth control pills
Steroids
Diabetes
Genital irritations and abrasions
Reinfection from your sexual partner
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15
Q

What nutrients do the mitochondria need to make ATP?

A 
B2 (riboflavin)
B3 (niacin)
B5 (pantothenic acid)
Carnitine
CoQ10
Lipoic acid
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16
Q

L-carnitine can be made endogenously via the combination of what amino acids?

A

L-methionine

Lysine

17
Q

What co-factors are needed to make L-carnitine in the body?

A

Niacin (B3)
Pyridoxine (B6)
Vitamin C
Iron

18
Q

L-carnitine’s performance in the body is improved by eating a diet rich in what?

A

Omega 3 FAs

19
Q

What can inhibit optimal carnitine activity in the body?

A

Insulin

20
Q

What foods have a lot of carnitine?

A

Red meat and avocados

21
Q

What are some common uses for carnitine?

A 
Cognitive performance
Heart disease
Promotes weight loss (if deficient)
Slows aging process
Athletic performance
Immune system health
Destroys free radicals
22
Q

What disease conditions are associated with low CoQ10 levels?

A 
Post MI
Peyronies disease
Fibromyalgia
Depression
Migraines
Parkinson's disease
23
Q

How does CoQ10 help blood vessels and blood flow?

A

Nitric oxide preservation
Decreases the damage from LDLox
Reduces plaque buildup

24
Q

What foods contain CoQ10?

A

Beef, chicken, lamb, turkey
Spinach
Potatoes

25
Q

What medications deplete CoQ10 from the body?

A

Statins
Beta blockers
Metformin

26
Q

How does alpha lipoic acid help with estrogen metabolism?

A

Stimulates production of quinone reductase

27
Q

How does alpha lipoic acid function as an antioxidant?

A

It supports glutathione levels, regenerates vitamins C & E and helps maintain balance between oxidized and reduced CoQ10

28
Q

Can the body produce its own ALA and what foods can it be found in?

A

The body can produce its own ALA. It is found in meats and to a lesser degree in fruits and vegetables.

29
Q

What are safe doses of ALA?

A

300-600 mg per day

30
Q

What does ALA do for diabetic peripheral neuropathy?

A

Studies show that it decreases neuropathic pain and can improve nerve function

31
Q

What types of foods can result in fatigue?

A 
High glycemic index
High fat (wrong fats: too much saturated, trans)
32
Q

What medications can cause fatigue?

A 
Anti-hypertensives
Antidepressants
Benzodiazepines
Narcotics
Sleeping Medscape
Anti-histamine
Antibiotics
Diuretics
Alcohol
33
Q

What are the factors that contribute to insomnia?

A 
Diet
Illness
Hormone abnormalities
Medications
Lack of exercise
Sleep apnea
RLS
PLMD
Blue light
Shift work sleep disorder
Nutritional deficiencies (which ones?)
Chemical exposure (which ones?)
34
Q

What is the difference between an IgE and an IgG food reaction?

A

IgE is an immediate, allergic reaction

IgG is a delayed, hypersensitivity reaction

35
Q

What are the typical symptoms of an IgE reaction?

A

Anaphylaxis
Pruritic lips/tongue/throat
Stuffy nose
Urticaria

36
Q

What are the typical symptoms of an IgG reaction?

A 
Sore throat
Stuffy nose
Congestion
Headaches
Stomach aches
Constipation
Diarrhea
Gas
Bloating
Foggy headed feeling
Weight gain
Fatigue
Joint pain
Mood issues
Skin issues
37
Q

What are the most common allergic foods?

A 
Wheat
Soy
Peanuts
Dairy
Corn
Eggs
38
Q

What nutrients are depleted with over exercise?

A

Mg
Chromium
CoQ10

Anti Aging Oral Boards (5 decks)

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