Nutrition Flashcards
What vitamin preserves glutathione?
Vit C
What is the best antioxidant for LDL?
Vit E
What is the difference between retinol and B-carotene?
B-carotene is two retinol
More difficult to break down to retinol in the body
What considerations should you have when using therapeutic amino acids?
Ensure cofactors are administered with AA
Give away from food/protein
Divide doses > 1g
Managed blood sugar and thyroid levels
What vitamin is used heavily in transaminase reactions?
B6 (if liver enzymes are elevated often indicates more of a need for B6)
Name the macromineral:
Most abundant cation in the body
Functions in muscle contraction, myocardial contractility, propagation of nerve signals, blood coagulation, maintenance of selective membrane permeability, reg of many cell functions, bone matrix.
Ca!
Name the macromineral:
Second most abundant mineral in the body
85% in bone
Functions in nucleic acids, cell membranes, energy-producing reaction, structural component of bone matrix.
Phosphorus
Name the macromineral:
Functions as cofactor in various enzyme reactions including protein synthesis, cAMP formation, muscle contraction, fatty acid synthesis, RNA/DNA synthesis, activates B vit
Mg
Name the macromineral:
Primarily extracellular ion
Maintains fluid balance between intra/extra cellular fluid compartments, acid base balance, nerve and muscle excitability.
Na
Name the macromineral:
Primary intracellular io
Functions to maintain acid-base balance and excitability of nerves and muscles
Potassium (K)
Name the micromineral:
Moste used in hemoglobin
Function in O2 transport, energy creation, and activation of oxygen
Fe
Name the micromineral:
Functions as cofactor for enzymes for protein digestion and metabolism of alcohol, works in conj w/ Vit A needed for normal reproduction, cell division, wound healing, and vision/senses.
Zn
Name the micromineral:
Needed for Fe mobilization from liver, cofactor for superoxide dismutase, collagen synthesis, blood clotting, and energy production, needed for enzyme breakdown of estrogens.
Cu
Name the micromineral:
Part of enzyme glutathione peroxidase, protective in heavy metal toxicity (mercury)
Se
Name the micromineral:
Part of B12
Cobalt
Name the micromineral:
Normal component of calcified tissues
F
Name the micromineral: Part of organic matrix of cartilage and bone
Si
Name the micromineral:
Needed for normal cartilage formation, cholesterol synthesis, avoids fatty liver, and allows for normal brain chemistry
Mn
Name the micromineral:
Needed for normal insulin function and glucose metabolism
Chromium
Name the micromineral:
Essential for the biosynthesis of thyroid hormones
Iodine
T/F: High dose omega-3 can cause Vit A toxicity.
T
Food sources of iron.
Leafy greens, meat (chicken, beef, fish),
What diet is used in GI diet?
Bland diet - low fiber, low irritant
CI in severe IBD, IBS
What liquid diet can be indicated in Crohn’s?
Elemental diet
Difficult to maintain good nutritional status
What condition is a high carbohydrate diet used for?
Malnutrition
CI for cavities
What diet is used in epilepsy?
Ketogenic diet/High fat diet
What diet is comprised of eating whole foods, vegetarian, less carbs, higher-quality complex carbs?
High fiber diet (low fat diet, pritikin, ornish)
What diet is used in DM, anorexia, and obesity and is CI in kidney dz, OA, heart dz, and gout?
High protein diet, Atkins diet
When is a low protein diet indicated?
Renal failure, gout
When is a low protein diet indicated?
Renal failure, gout
What is the portfolio diet used for? What does it include?
Cholesterol management
Nuts, plant sterols, viscous fiber, soy protein
What conditions would you use the mediterranean diet for?
Heart health/dz, CA, Parkinson’s, Alzheimer
What Omega-3 is most helpful in dermatologic conditions? What dose?
EPA
1-6g daily
What Omega-3 is most helpful in brain conditions?
DHA
What Omega-6 is the most therapeutic? What conditions would indicate Omega-6 use? Sources?
GLA
Allergies, RA, Asthma
Evening primrose, borage
What conditions are benefited by Omega-9 (oleic acid)?
Sources?
Atherosclerosis, decreases BP/cholesterol
Olive oil, peanuts, avocado, almonds
What are essential proteins?
PVT TIM HALL
Phenylalanin
Valine
Threonine
Tryptophan
Isoleucine
Methionine
Histidine
Argininine
Lysine
Leucine
Name the amino acid:
Wound healing, release insulin, GABA precursor, male infertility, immune stimulation
Arginine
Arg, the pirate has sex!
Name the amino acid:
Used in anemia, RA, allergies
Histidine
Name the amino acid(s):
BCAAs - muscles strength, endurance, stamina
Isoleucine, leucine, and valine
Name the amino acid:
HSV, lowers triglycerides, forms collagen/connective tissues
Lysine
Name the amino acid:
Reduces cholesterol, antioxidant, hair/skin/nails due to sulfor, precursor for carnitine, melatonin, choline.
Methionine
Name the amino acid:
Alcoholism, OA, depression, arthritis, can be used as monotherapy
SAMe
Name the amino acid:
Enhance mood, thought, conc, memory, suppress appetite, antidepressant.
CI in phenylketonuria (PKU)
Used in Parkinson’s, depression, Brain conditions
Phenylalanine
Name the amino acid:
BRAIN
Epilepsy, depression, MS, alcoholism, ALS
Detox
Threonine
Name the amino acid:
Depression, insomnia, pain, anxiety, migraines. Requires B6 (P5P) to be converted.
Tryptophan (5-HTP)
Name the amino acid:
Energy for MUSCLES, part of connective tissue
BPH
Alanine
Name the amino acid:
Excitatory, liver protective
Asparagine/Aspartic acid
Name the amino acid:
Antioxidant, skin growth/repair, hair ingredient.
Chronic bronchitis (mucolytic)
Cysteine (NAC)
Name the amino acid: Excitatory Precursor to glutamine and GABA Stop alcohol/sugar craving Inc energy
Glutamic acid
Name the amino acid:
Ulcers, leaky gut, IBS/IBD
Precursor to GABA
Highest blood conc
Glutamine
Name the amino acid: Inhibitory Schizophrenia, panic, anxiety Helps with glycogen metabolism, glucagon production. CI: Antipsychotic meds (clozapine)
Glycine
Name the amino acid:
Cartilage, health of joints, tendons, ligaments
Heart muscle function
Proline
Name the amino acid:
Blood sugar maintenance
Immunity
Myelin sheath (MS)
Serine
Name the amino acid: HEART Stabilized cell membranes, anticonvulsant Cardiomyopathy, CHF, HTN Food for heart
Taurine
Name the amino acid:
Precursor to serotonin, thyroxine, L-dopa
Requires B6 (P5P) to convert to NE
Hypothyroidism, Parkinson’s, Depression
Tyrosine
What lab monitoring for Vit A? Food sources?
Liver biopsy (most sensitive/specific), serum retinol
Fish, liver, dairy
Indications for Vit A?
Immune, skin, eyes
What vitamin is NOT FOR SMOKERS?
Beta-carotene - increased risk in smokers
What condition is Biotin CI in?
Psoriasis
Thiamine (B1) indications?
Alcoholism, neurologic, fibrocystic breast dz
Riboflavin (B2) indications?
Cataract, mag degen, migraine, muscle cramps
Niacin (B3) indications? What is a side effect of high dose niacin?
Hyperlipidemia, DM, migraines, schizophrenia
Flushing
Niacin (amides) tend to be used for what conditions? Niacin/nicotinic acid?
Psychiatric conditions
Lipids (raises HDL, better than anything)
Pantothenic acid (B5) indications?
Adrenals, allergic rhinitis
Pyridoxine (B6) indications? Safety consideration?
Pain, nausea, PMS, depression, diabetes, asthma, etc.
> 500mg/d periph neuropathy
Cobalamin (B12) indications?
Megaloblastic anemia, fatigue, memory loss, periph neuropathy.
What must be given w/ B12 to prevent deficiency?
Folate
Folate/Folic acid indications? Food sources
Anemia, cervical dysplasia, cancer, neurological, oral dz
Liver, greens, beets
Vit C indications? Toxicity issues?
CA, immune, colds, CVD, asthma, allergies
Dialysis, diarrhea, iron overload
Doses 1-2 gram to bowel tolerance
Vit D indications? Toxicity issues?
Osteoporosis, bone, hypoparathyroidism, CA
> 10 IU over 6 mo potentially unsafe
Vit E indications? Toxicity issues?
Brain issues, alzheimer, parkinson, memory, cognition, atherosclerosis, PMS, CA
Synthetic forms may inc risk/cause CA
Vit K indications? Which K is used most often in supplementation?
Klotting d/t deficiency, osteoporosis
K2
Dark leafy greens
Boron indication?
Osteoporosis
Calcium indication?
Bone, muscle (tetany, spasm), allergies
Magnesium indication? What are the different forms used for?
Muscle relaxant, HTN, restless leg syndrome, migraines, asthma, laxative
Citrate - well absorbed
Carbonate - more laxative effects
Bisglycinate - muscle pain/spasms
Malate - chronic fatigue, fibromyalgia (energy production)
Chromium indication?
Blood sugar regulation
Hypo or Hyper
Copper indication? Copper is depleted by what other mineral? What ratio?
Immune, bone, anemia
Zinc
Zinc: Copper = 20:1
Fluoride indication? Toxicity issues?
teeth, dental caries
CNS damage
Iodine indications? Toxicity issues?
COPD, CF, sinusitis, fibrocystic breast, thyroid issues
Hypothyroidism goiter
Manganese indications?
DM, immune issues, arthritis
Molybdenum indications?
Asthma
Potassium indications? Food sources? Risks?
People that are depleted - athletes, crohn’s eating disorders, smokers, drug/alcohol users
Banana, avocado, nuts, citrus fruit, greens
Intx w/ drugs, kidney, DM, heart dz - more risk overdose: confusion, low BP, irreg HR
Normal dose 4700mg daily
Selenium indications? Risk?
Atherosclerosis, eyes, CA, immun, thyroid (antioxidant)
Standard dose is 200mcg qd. Narrow margin of safety when > 600mcg
Silicon indication?
Osteoporosis
Sodium indication?
Hypotension, dehydration (IV)
Zinc indications?
Skin, immune, prostate health
Large doses can cause Copper deficiency
25-50mg (anything higher, be cautious)
Vanadium indication?
DM (mcg)
GABA indication?
Relaxation, anxiety, sleep (500-1500mg)
Inhibitory neurotransmitter
Carnitine indications? Acetyl-L-carnitine indications?
HEART (angina, CHF, intermittent claudication)
BRAIN (dementia, alzheimer, depression, alcohol)
Also cataracts, nerve pain, infertility
Choline indications?
BRAIN
Alcoholism, epilepsy, memory loss
As a component of lecithin (good for liver health)
CoQ10 indications? What depletes CoQ10?
Heart, muscles
HTN
Depleted by statins
Doses 100-250mg
Dimethylaminoethanol (DMAE) indications?
Alzheimer, tardive dyskinesia, ADHD
Found in fish
Used to boost brain, precursor to acetylcholine
Dimethyl sulfoxid (DMSO) indications?
DMSO is SO good at promoting healing - oral, topical, or IV
Antioxidant, NSAID for injury or arthritis
Flavonoid indications?
Inflammation, anti-allergy, CVD, DM, herpes, venous insufficiency
500-1500 mg
Glucosamine/Chondroitin sulfate indicationS?
Osteoarthritis
Builds cartilage, but requires higher dose > 1-3g, needs to be taken young and for a long period of time.
Glutathione indications?
Detox, conditions of oxidative stress
Aids, liver dz, DM, cataract
Can be nebulized, but CI with pts with sulfide allergy (sensitive to wine) or asthma
Indole-3-Carbinol or DIM indications? Food sources?
CA prevention (esp breast and cervical)
Cruciferous veg (broccoli, cauliflower, cabbage, kale)
Inositol hexaphosphate (IP6) indications?
Arteries
Atherosclerosis, hypercholesterol, DM, periph vacular dz
Myo Inositol indications?
PCOS, fertility
Isoflavone indications? Dose?
“estrogen conditions”
Menopause, PMS, endometriosis, fibroids
Dose: 2 tbs daily
Methylsufonyl methane (MSM) indications?
Skin, pain relief, anti-inflam, anti-allergy
Some topical, can be oral
Para-amino Benzoic acid (PABA) indications?
Skin, scars, sunscreen
Used topically
Phosphatidylcholine (Lecithin) indications?
Hepatoprotective, Alzheimer’s, hypercholesterol
Phosphatidylserine indications?
BRAIN
Alzheimer, Parkinson’s, depression, stress
Age-related cog decline
Policosanol indications?
Hypercholesterolemia, PCOS
Superoxide dismutase indications?
Free radical scavenger
Oxidative stress conditions, antioxidant
Amylase indication?
Carbohydrate digestion
Beta-galactosidase indication?
Lactose intolerance, lactase digestion
HCl (betaine glutamic hydrochloric acid) indication? Safety concern?
Hypo or achlorhydria
Ulcer formation
Elderly are low in HCl, Acne rosacea
Lipase
Fat malabsorption
Useful in GB removal
Pancreatin indications?
Protein malabsorption
Systemic anti inflammatory
Papain/Bromelain indication?
Systemic use for inflammation
Take away from food.
If using enzymes to digest food take ______ . If using enzymes for systemic inflammation ______.
With food
Away from food
Pepsin/protease indications?
Protein malabsorption
Where is B12 absorbed? And what is required?
Terminal ileum
Acid and Intrinsic factor