Supplements

Question 1

Avoid supplements if

Answer 1

taking meds, breast feeding, prior to surgery, medical tx available for your condition

Question 2

B vitamins

Answer 2

taken separately or as complex, used for energy

Question 3

Vitamin C

Answer 3

antioxidant, protects cells from damage by free radicals, used to boost immunity, water soluble

Question 4

Vitamin D

Answer 4

helps absorb calcium, fat soluble, used for hyperparathyroidism, hypocalcemia, psoriasis, rickets, osteomalacia

Question 5

Vitamin E

Answer 5

antioxidant, cardioprotective, skin care, slowing cognitive decline, eye disorders, cancer prevention, can thin blood

Question 6

Vitamin K

Answer 6

drug used to reverse coagulopathies has much higher dose, fat soluble

Question 7

Saw palmetto

Answer 7

from plant, manage BPH, cause bleeding, many DIs

Question 8

Glucosamine/Chondroitin

Answer 8

pain w/ osteoarthritis, stimulates repair and formation of articular cartilage, highly variable, takes 8-12 weeks to activate

Question 9

Black Cohosh

Answer 9

menopausal sx, caution in Br CA, uterine CA, causes bleeding, many DIs

Question 10

Fish oil

Answer 10

rich in omega-3s, reduces triglycerides, useful for HTN, cardioprotection, anti-inflammation, risk of bleeding

Question 11

Folic acid

Answer 11

brain development in fetus, water soluble

Question 12

CoQ10

Answer 12

antioxidant, energy, cell growth, anti-inflammation, CHF, pt on statin should take

Question 13

Calcium plus Vit D

Answer 13

bone-health, always conjunction w/ Vit D, ct in kidney disease

Question 14

Iron

Answer 14

builds hemoglobin, excess detrimental, causes constipation, for anemia

Question 15

Probiotics

Answer 15

encapsulated bacteria, maintain GI function, caution in immunocompromised, prevent diarrhea w/ anitbiotics

Question 16

Ginko Biloba

Answer 16

antioxidant, treat circulatory probs, enhance memory/ prevent dementia, risk of bleeding

Question 17

Red clover

Answer 17

reduce menopause sx, SE HA, nausea, rash, cause bleeding

Question 18

Echinacea

Answer 18

antioxidant, shortens cold, do not take if TB, DM, liver probs

Question 19

Alli (orlistat)

Answer 19

used to be prescription only for wt loss, prevents absorption of fat, cause GI upset

Question 20

Caffeine

Answer 20

OTC as 200 mg tab, diuretic, inc metabolism, stimulate heart, potentiate muscle contraction, increase neural, increase FFA release

Question 21

Ephedra

Answer 21

herb, performance enhancer, wt loss, cause cardiac probs and stroke, banned but struck down

Question 22

Melatonin

Answer 22

help restore circadian rhythm, many DI (warfarin)

Question 23

St John’s wort

Answer 23

mild to mod depression, lots of DI

Question 24

Ginseng

Answer 24

fatigue and weakness

Question 25

Garlic

Answer 25

cholesterol

Question 26

Supplement tips

Answer 26

avoid isolated nutrients unless prescribed, take recommended dose, look for USP notation

Question 27

Benefits

Answer 27

active vs passive pt participation, less side effects, noninvasive, greater pt satisfaction, emphasis on nutrition and healing

Question 28

Risks

Answer 28

DI, contraindications, ADR, lack of regulation, out of pocket cost, self diagnosing, delay in professional care