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The Metabolic Medicine Postoperative Bariatric Surgery Consultation
Published in Michael M. Rothkopf, Jennifer C. Johnson, Optimizing Metabolic Status for the Hospitalized Patient, 2023
Michael M. Rothkopf, Jennifer C. Johnson
By the same token, we routinely add an amp of MVI to the IV fluids of every postop bariatric patient. Even though they will be taking a multivitamin at home, the patient may have a pre-existing deficiency and a little extra vitamin therapy won’t hurt. On top of that, I’ve had many patients tell me they couldn’t tolerate the oral MVI for several days. The IV therapy gives us a little bit of buffer zone.
Prenatal Care
Published in Vincenzo Berghella, Obstetric Evidence Based Guidelines, 2022
Gabriele Saccone, Kerri Sendek
There is insufficient evidence to suggest replacement of iron and folate supplementation with a multiple-micronutrient supplement. A reduction in the number of LBW and SGA babies and maternal anemia has been found with a multiple-micronutrient supplement compared to supplementation with two or fewer micronutrients or none or a placebo, but analyses revealed no added benefit of multiple-micronutrient supplements compared with iron and folic acid supplementation [75, 76]. These results are limited by the small number of studies available. There is also insufficient evidence to identify which micronutrients are more effective, to assess adverse effects, and to say that excess multiple-micronutrient supplementation during pregnancy is harmful to the mother or the fetus [75, 76]. Therefore, there is insufficient evidence to recommend routine multivitamin supplementation for all women, or even only for women who are underweight, have poor diets, are smokers, are substance abusers, are vegetarians, have multiple gestations, or others. Excess (>1) prenatal vitamin intake per day should be avoided. No prenatal multivitamin supplement has been shown to be superior to another. Use of multivitamin supplements not specific for pregnancy should be discouraged, as often excess doses can pose risks to the pregnancy. Each supplement, including each vitamin supplement, should be studied for safety and efficacy individually.
Endocrine Disorders
Published in Praveen S. Goday, Cassandra L. S. Walia, Pediatric Nutrition for Dietitians, 2022
Lisa Spence, Nana Adwoa Gletsu Miller, Tamara S. Hannon
In patients with CFRD, almost any consumption of carbohydrates should be covered with rapid-acting insulin to mimic endogenous insulin production, and carbohydrate counting should be used to help patients determine the amount of rapid-acting insulin to take with meals and snacks. When possible, all patients should strive to eat a balanced diet from varied sources to achieve macro- and micronutrient needs with daily multivitamin supplements being recommended to ensure adequate intakes. Pancreatic enzyme replacement therapy should be provided at mealtimes.
The role of nutrition on Parkinson’s disease: a systematic review
Published in Nutritional Neuroscience, 2023
Vittorio Emanuele Bianchi, Laura Rizzi, Fahad Somaa
Dietary intake of vitamin E and β-carotene can reduce the risk of PD [46,60]. Taghizadeh et al. [155] carried out a randomized, double-blinded, placebo-controlled clinical trial on 60 PD patients for 12 weeks. This study showed that supplementation with omega-3 (1000 mg) and vitamin E (400 IU) had a favorable effect on inflammation biomarkers and the Unified Parkinson's Disease Rating Scale (UPDRS). The analysis highlighted that a higher dietary intake of vitamin E was inversely associated with PD occurrence in an age- and gender-independent manner [66,156]. However, Tamtaji et al. [157] found positive effects of omega-3 fatty acid (1000 mg) and vitamin E (400 IU) supplementation for 12 weeks in twenty PD patients. The supplemented group had significantly improved gene expression of TNF-alpha, PPAR-gamma, and LDLR (all related to inflammation and insulin). In this contrasting study, the number of patients was limited, and no information regarding nutritional intake was included in the published research article. In two extensive cohort population studies, followed for 12 and 14 years, respectively, dietary intake of commercial multivitamins was not associated with a reduced risk of PD [156]. In summary, the beneficial effects of vitamin intake remain controversial. In conclusion, a lower risk of PD in patients was observed in patients with a higher vitamin E intake, elucidating a protective effect.
Associations Between Health Status, Training Level, Motivations for Exercise, and Supplement Use Among Recreational Runners
Published in Journal of Dietary Supplements, 2022
Julie Ann Ulery, Bridget F. Melton, Helen Bland, Amy Jo Riggs
The most popular and frequently used dietary supplement types in the runners’ sample were multivitamins with or without minerals and single vitamins or minerals, such as vitamin C, vitamin D, and magnesium. Data analysis showed that 48.2% of participants reported taking a multivitamin daily, while 47.1% reports taking a single vitamin or mineral daily. Positive relationships were found between multivitamin use and exercise for increased muscle mass. Multivitamin consumption was also found to have a positive relationship with dietary supplements for general health promotion, increased energy, and increased muscle mass. When looking at single vitamin and mineral supplementation, positive relationships were found between single vitamin or mineral supplement use for general health promotion and under physician direction.
Vitamin intake is associated with improved visuospatial and verbal semantic memory in middle-aged individuals
Published in Nutritional Neuroscience, 2019
Miles Flitton, Ian A. Macdonald, Helen M. Knight
It is possible that self-reported vitamin intake data, rather than highlighting a causal relationship between vitamin use and cognition, acts instead as a proxy for other environmental factors. As further nutritional and lifestyle information was not available from either NCDS 1958 or TwinsUK, we can only speculate as to any possible underlying relationships. For example, individuals who report taking vitamin supplements may be more health-conscious and more likely to exercise regularly, behaviour that is generally agreed to benefit cognition. Simply taking supplements could also have a placebo effect, as reported in previous vitamin trials.30 While studies of multivitamin supplementation have had varied results,31 the qualitative self-reporting data analysed in this study demonstrates that multivitamin intake as opposed to any single vitamin is most likely to benefit cognitive function. However, further randomized controlled trials assessing single and multivitamin supplementation will be needed to reach a firm conclusion surrounding vitamin intake and cognitive function.