Minerals (calcium, phosphorus, Iron, Magnesium, ZInc, Copper, Iodine, Flouride, Selenium, Manganese, chromium, cobalt, sulfur, Choline Flashcards

1
Q

Iron (FE)

A

Bone formation
Anemia
Oxygen transport
enzyme cofactor
Antioxidant: Cu, Fe: pass the baton back and forth.

MOA used Iron,
Immune system: molecules that contain Fe, when they encounter certain species they burst iron. Kill off bacteria and viruses.

Make red blood cells.
Certain species like Iron, some do not like iron.
Digestion/absorption: you have to have stomach acidity to absorp.
Absorb in Small intestine. Very hard to absorb. Too much iron is TOXIC.

Enhancers: B12, Folate, Cu, Lacic, Citric, Nickel, Tartaric, sugars, mucin, meat.

Vitamin C can help absorb it.

Antagonist: Calcium: will not be able to absorb. Need proteases in SI to absorb.

Digestive Enzymes:
Store: In the Liver, Red blood cells, bone marrow, spleen.
Excretion: some in the stool, some in urine. Excretion through bleeding.

Stages of Lifecycle: very little first 6 onths.
6-12 mo a little more
think of growth spurts when you need more.
Men need the most as teenagers, when they become adult (slightly less)

Women: need more when they start periods until they end period.

Pregnancy: need more (highest)
slighlty more then men and women during lactation.

Food: red meat, organ meat, greens, molasses, nuts, legumes, yolks, fortified cereals.
Oxalates will bind iron (wont have alot)

deficiency: anemia , Plummer Vinson ,
Microcytosis, Palpitations, SOB, Glossitis, Stomatitis, Dysphagia, Anemia, Intestinal malabsorption.

Plant based iron that turns into a kelate

prenatals have 25-35 mg of iron.
Only use iron based prenatals if they have heavy periods or pregnant.

Avoid in : Thalassemia, Hemochromatosis.

Klaire labs: cherry chewable iron. Do not give every day. Give every other day.

RDA: CH: <1-11 mg UL 40 mg
Audlts: 8-27

Symptoms of excess: Hemochromatosis, Liver damage, Free radical damage, copper skin color.

Diagnostic: serum Iron IBC %
ferritin: acute phase reactant (when ferritin goes up in sickness, it is not a good indication of iron deficiency/more inflammation) Ferritin is being mobilized from an inflammatory stand point.
Transferin (high): alot of iron, low alot of iron
Iron binding capacity: high (low iron), low (high iron).
Ferritin (high) too much iron or a bunch of inflammation. Can lead to anemia inflammation which can lead to low iron if iron is used up to fight the inflammation.

CBC (hemoglobin, mchc, hematocrit) when low, iron itself is low. When High, it is not iron level.
Iron panel includes serum iron, ferritin, transferin, total binding capacity.

Interactions: PPIs (iron and calcium is a problem) anything that changes stomach acidity (will bind with iron),
coffee, oxalate, phytate, fiber, polyphenols, toxic metals,

Fe, Ca, Mg, Zn, CU: minerals bind to levothyroxine and you will not absorb it.
Take one hour before you eat.

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2
Q

Zinc (Zn)

A

> 200 enzyme functions
Energy metabolism, Protein, Collagen, Immunity, ALK phosphatase, Sexual maturation, sensory, MT, SOD, Detox, Insulin Function. sensory, neurotransmitters, helps with vitamin A conversion. genetic expression, zinc fingers: brush border of gut have zinc fingers, pull things in. testosterone production, DNA synthesis, muscle mass production. nerve conduction, taste. Sensory!!

poor acidity, harder to metabolize

Store: liver, skeletal muscle, bone, kidneys
Distibute: Primarily in all organs and tissues
excretion: stool and urine

infancy>childhood>adolescence
men need more than women
women need more in pregnancy and slightly more in lactation.

Zinc (antiviral, immune function) EBV flare with recurrent mono.

Food: seafood, meat, liver, soy, pumpkin seeds, legumes, cashews, skin of potato, yeast, soybeans

Deficiency: Acrodermatits, enteropathica, poor healing, eczema, acne, malabsoprtion, inflmmation, infertility, sensory disorders, PICA, Picky appetite, Diabetes, loss of smell, taste, vision dysfunction, vitamin A deficiency, pregnancy, lactation,

Nails: white lines

Antagonists: Antacids, CU, Stress, steroids, Ca, Diarrhea, Malabsorption, alcohol, hormones, sugars, iron, diabetes, processed foods, vegetarian diet, fiber

Enhancers: animal proteins,

Toxicity: burning on hands and feet, N/V, Metallic taste, Abdominal pain and cramps, Low CU, Low HDL, high cholesterol.

tests: serum, RBC Zn, WBC Zn, Alk Phos, (on CMP) , Hair, taste test

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3
Q

Copper (Cu)

A

Function: involved in iron production, Bone, Hair, Skin, Immunity, Hemoglobin, Thyroid function, Neurotransmitters, Oxidase, SOD,
Electron transport chain, Neurologic: monoaminoxadase, catacholamine, dopamine>epinephrine>norepinephrine,

Copper SOD is the cytosol, zinc follows copper.
Magnanese/magnesium SOD- mitochondria

cytochrome complex function because copper and iron go between different valence states.

Angiogenesis (blood vessel) generation and creation of blood vessels. Copper dependent.

Lack of copper can make you iron deficient

Digestion: need acidity, mineral transporters, copper can be impaired by presence of zinc, iron , calcium, magnesium.
Storage: kidneys, liver, brain , adrenals (neurotransmitter prodcution)

excretion: bile, stool, urine

Stages of lifecycle:
energy, blood vessel formation: (growth!!) infancy to childhood (bump), childhood to adolescents (bump), as adult : no difference, higher need in pregnancy, even higher in lactation.

food: chocolate, nuts, dried fruits, seafood, liver, organ meats, eggs, milk, oysters, salmon,

deficiency: loss of pigment in skin and hair, Iron resistant anemia, microcyctic anemia, poor muscle coordination, excess (low cholesterol) , Thyroid dysfunction.
hypochromic anemia (not as colorful)

supplementation: Chelate, citrate, gluconate, sulfate (blended in to a multivitamin)
Thorne has a copper citrate supplement

excess: wilson’s disease, jaundice, Hematuria

Test: serum, ESOD, Ceruloplasmin, RBC Cu, Hair,
obvious signs of qilsons: golen rings around cornea (kayser fleisher rings)

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4
Q

vitamin A (fat soluble) Retinol/ not a mineral

A

Instructs genes to activate and to do things.
-bone development (growth)
-thyroid
-Immuninty
-gene expression
-cornea, retina
-antioxidant (A,C, E)
-Anti-cancer
-Help you burn fat (can be deficient in type 11 diabetic)
- wound healing

  • stored in the Liver

Digestion: need a little bit of acid, must need to break down fat. If you dont have gallbladder (digesting fat is hard), need lipase and bile.

Same for E, K, and D .

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5
Q

Calcium

A
  • Most abundant mineral
    -RDA:
    19-50: M and F: 1000mg
    51-70: M: 1000 mg, Females 1200 mg
    71+: 1200 mg

Absorption increased with calcitriol, lactose

-Maintains bones, teeth, heart function, smooth muscle contractions, clotting, nerve transmission.

Low blood calcium –Increase release of PTH–Increase release of calcitriol (D3)–increased intestinal absorption of calcium (increase blood calcium)

Calcitriol and PTH stimulate osteoclasts to crush bones which releases calcium into the blood (bone resorption)

PTH + calcitriol stimulate kidneys to increase calcium reabsorption .

-High blood calcium - increases release of calcitonin– Decreases blood calcium
a. calcitonin attaches to osteoclasts and activates an enzyme that prevents calcium from being rleased into blood.
b. calcitonin decreases kidney reabsorption of calcium.

Parathyroid hormone want to keep calcium HY / increases bone resorption/ RIDs calcium from Bone

Calcitonin: keeps calcium low/decreased bone resorption: calcitonIN/keeps calcium IN bone.

Deficiency: tetany, osteoporosis/osteopenia, tooth decay.

Sources: Tofu, Green leafy vegetables, legumes, dairy.

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6
Q

phosphorus

A
  • second most abundant mineral
    -Ca + P = hydroxyapatite
    -Makes bones and teeth rigid
    -Part of DNA + RNA
  • component of ATP
    -Component of phospholipids
    -PTh + Calcitriol regulate phosphorus levels

Sources:
Cheese, Chicken, Eggs, fish, meat, milk, dark soda.

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7
Q

Iron

A

-component fo hemoglobin
-transfers 02 (oxygen) to body’s tissues
-component of enzymes such as catalase
-Interacts with Copper and zinc
-States of iron
a. Ferric - food
b. Transferrin- Binds iron and TRANSports it through body
c. Ferrous - most readily absorbed
d. Ferritin- stored iron

IRon overload (hemochromatosis)
Iron chelation (remove excession)

Deficiencies:
P: pale tongue, pale conjunctiva, Pica
A: anemia (microcytic)
W: weakness
S: spoon shaped nails (Koilonychia)

Sources:
Heme iron: Animal sources
a. easily absorbed
Non-heme iron : plant sources
a. needs extra help to be absorbed
b. Ascorbic acid (vitamin C), lactic acid, and gastric juices can help absorption,
c. calcium can help with presence of oxalate.
d. Foods that hvae calcium but lack oxalates, tannins and eggs intefere with absorption.

HeMEAT: animal sources (chicken, fish, meat)
NON-heMEAT: Non-animal sources (beans, cereal, lentils, spinach)

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8
Q

Magnesium

A

Attributes:
about 1/2 of all mg in bone, other 1/2 intracellular
-muscle contractions, blood clotting, strong teeth and bones,
-ATP more stable with Mg
-Glycolysis, fatty acid synthesis, protein synthesis.
-central core of chlorophyll
-magnesium needs are increased with higher dietary intake of calcium, vitamin D, protein.

Deficiency: rare: tremors, numbness, tingling, cramps.

Widely distributed among foods
Nuts
U
Most foods/milk
Bread

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9
Q

Zinc

A

-immunity and wound healing
-Cell division, DNA/RNA stability
-Carb metabolism
-can exert insulin like effect (insulin memetic promoting action)
-Contributes to taste
Zinc
Insulin action/Immune function
Taste
Stabilize DNA/RNA

Excess Zinc nullifies iron or copper absorption, leading to iron or copper deficiency.

-phytates and copper may decrease zinc absorption.

Zinc deficiency symptoms:
Wound healing
compromised immune system
Alopecia
Loss of appetite/taste
Deficiency in teens: growth retardation and sexual immaturity.

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10
Q

copper

A

copper + Zn
Iron metabolism
CERuloplasm stores and carries copper
-cofactor for several enzyme based reactions.
-Iron metabolism (COPS put criminals behind IRON bars)
-HEMOGLOBIN FORMATION
-Excess Zinc reduces Copper
-Excess Copper reduces Zinc

Deficiency:
Wilson’s Disease (Kyser Fliescher rings)
-Neutropenia
-Weakness
-Microcytic Anemia

Sources:
Seeds
Potatoes
Oyesters
Nuts
Green Veg
E
Shell fish

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11
Q

Iodine

A

helps with synthesizing thyroid hormones, protein and enzymatic activity.

-Essential componenet of T3 (Triiodothyronine) and T4 (Thyroxine)

  • Central Nervous system development.

Deficiency: Goiter

Sources: Iodized salt, seaweed, shellfish, fish.

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12
Q

Flouride

A

99% of fluoride in the body is stored in teeth and bones/makes them strong.

-Prevents tooth decay (dental caries) progression

-contributes to bone formation. Too much fluoride may cause fluorosis.

-Deficiency: Dental Caries.

Sources: Soil, Fluoridated water, Tea (SoFT)

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13
Q

Selenium(updated)

A

DNA repair
Works with Vitamin E
Antioxidant (along with beta carotene, vitamin C, Vitamin E)

DNA repair
Antioxidant
Tissue Respiration tissue respiration denotes the exchange of respiratory gases within an aggregation of cells in the course of the biological oxidation of nutrients. The oxygen received by the cells from the capillary blood is consumed in oxidative metabolism, and at the same time the metabolic end product carbon dioxide is released into the capillary blood

Deficiency
Keshan’s diesease (cardiomyopathy)
Infertility
Myalgia

Sources: Fish, Grains, Dairy, Meat, Poultry, Soil, Dates, ALmonds.

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14
Q

Manganese

A

Central nervous system (associated with)

Cofactor for several enzyme reactions

it functions as a cofactor for a variety of enzymes, including arginase, glutamine synthetase (GS), pyruvate carboxylase and Mn superoxide dismutase (Mn-SOD). Through these metalloproteins, Mn plays critically important roles in development, digestion, reproduction, antioxidant defense, energy production, immune response and regulation of neuronal activities.

Excess Manganese leads to manganism

Deficiencies: Rare; Limited data suggests decreased bone health and metabolic function

Sources: Shellfish, Grains, Legumes, Nuts.

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15
Q

Chromium

A

-Carbohydrate metabolism
-Activates insulin receptors, promoting insulin action
-Nicacin and Vitamin C helps absorption .
-CINCH : Carbohydrate metabolism
Insulin action
Niacin
C (vitamin)
cHromium

Deficiencies:
Rare
Insulin Resistance
Neuropathy

Sources: Grape Juice , Liver, Oysters, Potatoes, Yeast

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16
Q

Cobalt

A

Essential component of B12 (CyanoCOBALamin)
-Presence of intrinsic factor necessary for proper absorption in ileum.
-Coenzyme in synthesizing proteins RBC production.
-Maintains nerve fiber sheaths

Deficiency:
Analogous to B12 deficiency
-Anemia
a. Megaloblastic, macrocytic anemia
b. Pernicious anemia

Sources:
Analagous to B12 sources.

Animal sources (Kidney, Cheese, Fish, Liver, Meat, Milk, Eggs)

17
Q

Sulfur

A

Component of cysteine and methionine

-Sulfur
-Cysteine
a
-Methionine

-protein synthesis
-Provides structure for things like hair and nails.

Deficiency: Rare, Brittle nails.

Sources: Poultry, Eggs, Meat, Fish, Nuts.

Please Excuse My Friend

18
Q

Choline

A

-Provides structure for cell membranes
-Important component of lecithin
-Involved in LIPID transportation as ACETYLCHOLINE

-Deficiencies: Very Rare

Sources: Milk, Liver, Eggs, Soybeans

19
Q

Potassium (K) Major mineral

A

Intracellular/ electrolyte
cell metabolism, transporting glucose, protein and glycogen synthesis, electrical function of the heart.

Balance inside and outside of cell important
refeeding symptoms is risk (low potassium level)

sweet potatoes, tomatoes, bananas, beans, orange juice an dbeans.

Hyperkalemia: kidney disease
Neuromuscular issues, cardiac arrythmias, muscle twitching, cramping, acid base imbalance

Hypokalemia: Diuretics, GI tract losses from diarrhea and vomiting,
Cramping, arrythmias

Can be given in IV form.
Potassium balance is very important

20
Q

Sodium (Na): major mineral

A

cation, electrolyte, extracellular fluid,
fluid balance and fluid distribution,
Controlled by kidneys and CNS
Normal 135-145

Hyponatremia: most common electrolyte abnormalities
nausea, vomiting, feeling disoriented, confusion, seizures, coma, respiratory distress, death.

Hypernatremia: Elevated sodium levels
Headache, dizziness, seizure, death
Cause: Fluid loss the exceeds sodium loss, excessive sodium intake, diuretics

Dietary: processed meat, processed food, salted pretzels.

When kidney disease, hypertension: low sodium diet.

21
Q

Magnesium (mg) : Major mineral

A

bones, soft tissue, skeletal muscle, heart muscle
plays a role in glucose and protein metabolism, muscle contraction, nerve impulses, bone structure, fatty acid synthesis

Regulation by Gi tract, kidneys, bones

Absorbed in jejunum and ilieum

Hypomagnesaemia: protein calorie malnutrition, gi malnutrition absorption, alcoholism, medications
Symptoms: muscular weakness, seizures, arrythmias, nausea, vomiting

Hypermagnesemia: mostly in kidney failure (kidneys arent working
Toxicity: flushing, dehydration drowsiness, cardiac arrest, death

Foods: tofu, green leafy veg, nuts and seeds,

22
Q

phosphorus (P): major mineral

A

intracellular anion (-)
bones and cell membranes, ATP, glucose metabolism,

controlled by kidneys, absorption in SI, hormonal regulation in regard to bone

Hypophosphatemia: not enough in diet, vomiting, diarrhea, malnutrition, alcoholism’s, malnourished (refeeding)
Breathing issues, neurological issues, decreased heart function

Hyperphosphatemia: too much phosphorous
Kidney failure,
Altered mental status, cardiac arrythmias, bone pain, itchiness.
Phos binder: calcium

Dairy, beans, lentils, whole grains, meats, nuts and seeds.
If the food as protein it also has phosphorous

23
Q

Calcium Anion (negative) Major mineral

A

calcium and phosphorous are friends
Bone health, nerve and muscle function, cardiac and smooth muscle function and blood clotting

Stored in bones and teeth,
Dairy products, yogurt, cheese milk, fish with bones, tofu, almonds, calcium fortified OJ

Low levels due to low magnesium, high phosphorus or certain medications.

Deficiency: muscle spasms, muscle cramps, brittle nails, hair loss.

24
Q

Major minerals:

A

calcium
magnesium
phosphorus
sodium
potassium

25
Q

Refeeding syndrome

A

intracellular shift of magnesium, potassium, phosphorus and glucose.

Happens when glucose is given during a period of starvation.

Phosphorus needed for ATP (Adenosine triphosphate)

26
Q

Trace minerals
iron
zinc

A
27
Q

Iron

A

component of hemoglobin, carries oxygen through the body.

For growing children and babies because needed for development.

Body stores iron in ferritin,
Stored: livers, boen marrow, muscles , spleen.

Needs vary: age, menstruation, certain medical conditions.

Get iron from diet:
Heme iron : more readily available and absorbed. 15-20% absorbed.
non heme iron : needs helps, buddy system. best buddy: VITAMIN C.

ACIDITY, VITAMIN C, HCL, LACTIC ACID, ASPARTIC AND GLUTAMIC ACID: INFLUENCE HOW READILY AVAILABLE IN BODY

FOOD IRON: FERRIC
ABSORBED IN STOMACH TO FERRIS FORM.

IRON DEFICIENCY: microcytic hypochromic anemia. Mean corpusical value drops.

Hemoglobin low.

Small, pale, hypochromic, microcytic cells.

Iron deficiency, tachycardia, fatigue, sleepiness, headache, anorexia, feeling cold.

Food: meat, seafood, beans, dark leafy green veg, bran, enriched foods.

Iron theives: interact with and decrease absorption.

Phitic acid: grains
oxalate acid: spinach, chard, tea, chocolate.
Polyphenols in coffee, tea, and cocoa

Calcium, zinc, manganese interferes with Iron.

Chromium toxicity can contribute to iron deficiency

Nausea, gastric discomfort, constipation ( side effects of iron supplementation)

Iron Toxicity: excessive iron intake.
Hemochromotosis: genetic disorder: increases iron stored in organs (LIVER) can cause damage to organs.

Symptoms of IT: may be genetic condition.

28
Q

Zinc

A

Big Function: wound healing, insulin synthesis, glucose control, immune function, antimicrobial, antiinflammatory properties,
involved in carbohydrate metabolism

excreted by GI tract, skin, and kidneys
needed for enzyme reactions.

Pressure injuries: pay attention to zinc, may need supplement

Food hydrolyzed by amino acids by HCL and enzymes for it to be absorbed.
HCL separates zinc from amino acids.

PPI: decrease zinc absorption.

once absorbed: in duodenum and jejunum it binds to albumin and taken to liver.

Interfere with absorption: phytic acid and calcium supplements,

Large amount of zinc can compete with iron and copper absorption.

Zinc defiency can lead to secondary vitamin A deficiency

seafood, meats, greens, whole grains,
Vegans may need zinc supplementation.

Increased risk: vegans, older adults, alcoholics, post operative patients, burn patients, malabsorptive disease, liver disease, SICKLE CELL ANEMIA, WOUND DISEASE, BURNS.

testing not specific.
Avoid zinc toxicity/ may cause copper deficiency.

29
Q

COPPER

A

oxidation
maintenance of myelin
cholesterol and glucose metabolism
melatonin pigment

Copper homeostasis, maintained by excretion rather than absorption. Copper is excreted excess a

absorbed through intestines and transported with plasmin through the blood.

NEeds help: HCL in stomach and gastric secretions and pepsin help release bound copper so it can be absorbed.

Duodenum by active transport or passive diffusion.
Passive diffusion when there is alot of copper available through dietary intake.

Food sources: Liver, cocoa, beans, nuts, whole grains, dried fruit.

When not enough copper: people with absorption (celiac, surgery, malabsorption disorder)

excessive zinc intake affects copper

copper deficiency can lead to impaired absorption of iron.

Iron cant exit the enterocyte which causes microcytic hypochromic copper deficiency anemia.

Deficiency: hypopigmentation, sensory ataxia (nerves) neutropenia, increased red blood cell turnover, heart issues (arrythmia)

Toxicity: rare in general population
biliary or liver retention and damage.
cholestatsis with prolonged parenteral nutrition, in neonatal population.

cholestasis happens when gut isnt being fed. everything isnt moving.

Wilson’s disease
Copper accumulates in brain, liver and organs.

30
Q

Manganese

A

activate enzymes for urea formation
nutrilizes free radical
plays a role in carbohydrate synthesis.

Absorbed in SI and competes with iron for absorption

excess excreted by liver into bile (how toxicity is prevented)

THose with cholestasis( liver) are at increased risk of manganese toxicity , long term parental feeding.

Toxicity: pancreatitis, nephritis, liver damage, hallucinations, immune system issues, reproductive dysfunction, muscle spasms.

Defciency is rare unless it is totally deficient from diet: abnormal bone, congenital abnormalities, growth retardation, issues with fat and carbohydrate metabolism.

Nuts, oats, whole grains

31
Q

selenium

A

antioxidant
oxidative stress (protects)
Thyroid metabolism

absorbed well from food.

amount found in food depends on amount from soil

brazil nuts, fish, organ meats, milk, shellfish, eggs, spinach.

deficiency: hairloss, nausea, vomiting, fatigue, irritability

32
Q

Iodine

A

amount of iodine in food is dependent of soil
iodized salt
absorbed in stomach and duodenum
cruciferous veg (goitrogens) can interfere with absorption.

Deficiency: goiter

33
Q

Chromium

A

needed for growth.
carbohydrate and lipid metabolism
not well absorbed but when it is transported with IRON.

Rare deficiency

deficiency Symptoms: weight loss, hyperglycemia,

Toxicity: muscle rabdomyalisis, renal failure and liver dysfunction

foods: whole grains, egg yolks, legumes, mushrooms, processed meats.

34
Q

Flouride

A

bone mineral
plays a role in hardening tooth enamel, preventing dental carries and cavities, plays a role in bone mineralization.

Deficiency: cavities a symptoms

flouride - stimulates osteoblasts (bone cells)

may play a role in limiting osteoporosis

Toxicity: enamel flourosis, joint pain and stiffness (too much flouride)

Food: seaweed, flouridated water, toothpaste

35
Q

molybdenum

A

cofactor for metalo enzymes,
bound to oxygen or sulfur
absorbed in SI, transported to albumin,
controlled by excretion

beans, grains, nuts

deficeincy: rare
longterm TPN without supplementation

Altered vision, altered mental statis, tachycardia, lethargy

toxicity: gout like symptoms.