Vitamin C Flashcards

1
Q

Where is Vit C mainly absorbed?

A

Vit C absorption occurs mainly in the ileum, with some occurring in the jejunum via a Na, energy dependent active transport system.

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2
Q

What does it means that Vit C transport systems are both saturable and dose dependent?

A

Regarding dose dependent, Vit C absorption decreases as intake increases. At normal intakes (20 - 120mg/d), absorption is 80% - 90%. When Vit C serum levels reaches saturation point (80 - 90 umol/L), renal clearance sharply increases.

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3
Q

List some functional roles of ascorbic acid (Vit C).

A
  1. Synthesis of collagen, carnitine, and neurotransmitters.
  2. The enhancement of intestinal absorption of nonheme iron.
  3. Cholesterol hydroxylation into bile acids.
  4. Reduction of toxic transition metals.
  5. Reductive protection of folic acid and Vit E.
  6. The immune-mediated and antibacterial functions of WBC.
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4
Q

What are good sources of Vit C?

A

Citrus fruits and other fruits and vegetables

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5
Q

What is the RDA for Vit C?

A

75/65mg/d age 14-16 (boys/girls) and 90/75mg/d all other groups (men/women).

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6
Q

What are the characteristic of severe Vit C deficiency?

A

Scurvy, which is characterized by anemia, bleeding gums, petechiae, perifollicular hemorrhage, impaired wound healing, joint effusions, fatigue, depression, and/or weakening of collagen of teeth, bone, and connective tissues.

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7
Q

What is the association between hyperglycemia and vit C?

A

Hyperglycemia, which is common during acute stress states prevents Vit C transport, which is needed for leukocytes function.

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8
Q

What conditions warrants large Vit C supplementation?

A

Individuals with renal failure, kidney stones, iron overload disease and/or individuals receiving heparin or warfarin therapy.

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9
Q

What method is used to evaluate Vit C status?

A

Plasma ascorbic acid analysis. According to NHANES-II, plasma levels >11umol/L indicates deficiency. 11 to 23umol/L = low status and <23umol/L = acceptable status

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