Week 2 Flashcards
Vitamin C:
-Consider bowel tolerance with dosing and potential for osmotic diarrhea & GI upset
-Precipitate kidney stones for those susceptible.
“In people with a history of oxalate kidney stones, supplemental Vitamin C 1 gram per day appears to increase kidney stone risk by 40%” (natural medicine)
Zinc:
30-50 mg /day for adult (75mg in study), for specific, limited time period to avoid copper deficiency.
Take with food to avoid GI upset
GI upset, N&V most likely side-effects
Don’t take at same time as antibiotics to avoid interference with absorption
Our role/advice:
-Appropriate & specific product and formula
-Safe and appropriate/therapeutic dose
-Screen for allergies/potential interactions
-Advise on cautions, concerns, and possible side-effects
Probiotics:
-Potential GI upset, likely dose-dependent
-Change in stool habits
-Caution selection for product/brand with dairy allergy
-Focus on studied strains
-To help mitigate/prevent side-effects of antibiotics
-To help resolve infections
-To help prevent infections…could be used as part of foundational, preventative health management plan
Why supplements:
-Want to achieve a therapeutic, researched dose that’s tough (impossible) to do with diet alone
-To improve compliance and respond to patients requests
-To focus and maximize nutritional intake when otherwise unwell and challenged to partake in self-care
Diet sources for Vitamin C, Zinc and probiotics:
Vitamin C: fruits & vegetables (ex: citrus-lemon and honey tea ;45mg/lemon)
Zinc: meats, poultry, seafood, legumes, seeds (33mg/6 medium oysters)
Probiotics: fermented foods (ex: sauerkraut, kimchi, yogurt, tempeh)
Diet:
-Enough nutrients
(Animal studies have found that deficiencies in zinc, selenium, iron, copper, folic acid, & vitamins A, B6, C, D, & E can alter immune responses)
-Avoid diets that are limited in variety and nutrients
-Western diet: high in refined sugar and red meat, low in vegetables & fruits
-Support microbiome
Recurrent acute otitis media could be related to the pro-inflammatory state that causes an incorrect diet:
-Recurrent acute otitis media (RAOM) could be related to a pro-inflammatory state caused by an incorrect diet: Dietary habits were found to be excessively high in animal-based and industrially processed foods
-Traditional mediterranean diet (TMD) was implemented as a treatment for RAOM
-TMD significantly reduces occurrence of acute otitis media and may contribute to the treatment of patients diagnosed with recurrent acute otitis media
A high fat diet is associated with otitis media with effusion:
-An association between obesity and otitis media with effusion (OME) has been previously reported. The aim of this study was to evaluate the association between dietary intake and OME when adjusting obesity.
-A high-fat diet was associated with OME and may represent a confounding factor between obesity and OME.
Diet quality and risk and severity of COVID-19: A prospective cohort study:
A dietary pattern characterised by healthy plant-based foods was associated with lower risk and severity of COVID19.