Saturday, 17 October 2015

VITAMIN DEFICIENCIES

VITAMIN DEFICIENCIES 

In Different Conditions::::
 
Alcoholics===Folate and thiamine.

Smoking===Vitamin C due to used up by FR in smoke.

New born===Vitamin K due to sterile gut because MC source of Vitamin K is gut bacteria.

Hospitalized Pts===Vitamin K>>>
Biotin because of antibiotics use that kills gut bacteria

Renal Failure ===Vitamin D.
Due to failure of 1 alpha hydroxylation.

Rice as staple diet===B1 Deficiency

That's why it has been enriched with B1 in some countries


Perniciuos anemia===Autoimmune atrophic gastritis===B--12 deficiency.

Colostrum (Breast milk upto 4 days)=== deficient in Vitamin D.

Breast milk=== deficient in D ,C and pantothenic acid (Cpsp key).

Goat milk === deficient in Vitamin B6 ,Folate .

Cow milk === deficient in Vitamin A,C ,D.

Post menopauseal wome=== deficient in vitamin D (400 IU daily intake recommended ).

Women strict vegetarian ===B12

DEFICIENCY in her and her baby if pregnant or non.

Pregnant lady === Folate deficiency because of its more excretion due to increased GFR And Fetal tissue growth consumption.

Pregnant lady with alcohol consumption ===MC Vitamin Deficiency===Folate.

Increased NTDs risk.

People having just maize their Staple diet===B3 NIACIN deficiency ===risk of PELLAGRA 3D diarrhea dementia dermatitis.

Celiac disease involves ===Jejunum mostly===So Folate deficiency.

Crohns disease ===Involves ILEUM===so B12 deficiency occur.

Terminal ileal resection ===B12

&Bile salts deficiency === osmotic
diarrhea and increased water loss and bile salts (Ganong).

Cystic Fibrosis ===ADEK fat soluble vitamins deficiency

Total pancreatectomy === ADEK DEFICIENCY.

Alcoholics==MC deficiency of Mg.



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