GI Flashcards
nutrient and phytonutrients to improve intestinal permeability?
L-glatmine and N-acetyl-Glucosamine, zinc, and (GLA)
Hashimotos w/ or w/out GI symptoms should you screen for celiac?
Yes - presenting with autoimmune disease
most likely etiology of SIBO?
hypochlorhydria
SIBO (5 - R gut restoration program)
Remove Replace (enzymes/etc.) Reinoculate (pre/pro) Repair (leaky gut) Rebalance (nervous system - stress/breathing)
3 factors for autoimmune disease
genetic predisposition, trigger, intestinal permeability
bile acid production and secretion
cholagogues - dandelion, bile salts, taurine, limonene, coffee, radishes, bitter greens, artichoke
Hypochlorhydria is increase by which of the following?
iron deficiency and fasting
what support SCFA production?
fiber
what celiac marker shows active exposure?
DGP
a low fecal pH may be associated with what conditions?
carbohydrate malabsorption, rapid fecal fat transit time, SIBO
what is the role of dairy in the low FODMAP diet?
lactose-free dairy products are allowed
What impact does candida albicans have on mucosal immunity?
lowers mucosal immunity.
If a patient meets criteria for IBS and has a normal calprotectin what is true regarding their risk of having IBD?
virtually no change of having IBD
37 yo F worsening atopic dermatitis and frequent colds - former competitive swimmer, log days as an attorney, often skips meals, what likely to find on stool test?
low sIgA
You are treating a 35‐year‐old female for psoriatic arthritis. You have made dietary changes and started her on EPA/DHA and vitamin D. You want to add two botanicals that act as anti‐inflammatories. The best choices are:
Boswellia (Boswellia serrata) and bromelain
Saccharomyces boulardii is most likely to be effective in which of the following conditions?
Clostridium difficile
Which of the following grains are not gluten‐free?
Kamut, triticale, farro
A 22‐year‐old male comes to see you with a diagnosis of microscopic colitis. Which of the following supplements would be the most useful intervention?
Curcumin and quercetin
A 64‐year‐old female presents with a 15‐year history of GERD (she’s on a proton pump inhibitor) and osteoporosis of the right hip and lumbar spine. She is thin, with a BMI of 20, and has the appearance of decreased muscle mass in her arms and legs. On 24‐hour diet recall, you ascertain that her protein intake is about 40 grams per day. Which tests or treatment would be most helpful to perform initially?
Assess using bioelectrical impedance analysis testing (BIA) and design a strength‐training program with adequate protein
Which of the following foods or supplements would be the best prebiotics?
Arabinogalactan, chickpeas, and garlic
Antibiotic use during childhood has been associated with the development of:
inflammatory bowel disease
47-year-old male comes to see you. He has recently undergone chemotherapy for prostate cancer, which is now in remission. He reports NSAID use for chronic knee pain and significant stress due to the cancer and job-related issues. Heis now complaining of food reactions. What is the most reasonable treatment plan to address his concerns?
Implement a 5R program to repair his increased intestinal permeability
A 33-year-old female has a two-year history of abdominal bloating that presents one to two hours post-prandial. She has abdominal discomfort, and alternates between loose stools and constipation. Which laboratory marker would best correlate to her clinical profile?
Depressed pancreatic elastase
A 48-year-old female presents with a history of iron deficiency anemia. She is moderately fatigued. She has been menopausal for the past three years and has infrequent night sweats. She does complain of some ongoing minor bloating directly after meals. You prescribe a highly absorbable form of iron and
Hydrochloric acid
