Question

6. You have a friend who erroneously heard this vitamin will prevent colds. They started taking 3000 mg a day. They complained to you that they were just diagnosed with kidney stones (calcium oxalate). The doctors told them to stop taking this vitamin at such high doses. Your friend said the chronic case of nausea and diarrhea that was plaguing them for months disappeared. They are worried about not eating enough of this vitamin. What vitamin supplement were they taking? What is the UL? What foods would you suggest they include in their diet? 7. English sailors in the 1700 and 1800's going on long voyages were given rations that mainly contained grains, meat and salted fish. The sailors became depressed, developed bone pain with fractures; showed poor wound healing, bleeding gums and pinpoint hemorrhages. What vitamin deficiency is this? What is this deficiency called? How do you think the ship owners solved the problem? 8. A. A friend of the family was told by their doctor they had high cholesterol. They wanted to treat it using a ‘natural' dietary supplement but it resulted in a symptom of flushing and more critically, liver damage. What vitamin caused these toxicity symptoms? What is the UL? B. The news recently reported someone following an extreme diet removing all meats and grains. Their deficiency was diagnosed by a dermatologist because of the symptom of rough skin on areas that had sun exposure. What vitamin was their diet lacking in? 9. An elderly woman in a nursing home was found to have anemia due to a vitamin deficiency and was also found to be disoriented with memory loss. What 2 pyramid foods groups provide the vitamin she showed signs and symptoms for? What vitamin may she have been taking, at what dose, that hid her deficiency from showing up in routine lab tests? What vitamins can cause anemia but what vitamin caused her change in mental status? 10. Jane, a 20 year old woman is taking 200mg of vitamin B6 for two of the three years she has been taking oral contraceptive. She heard that B6 would relieve the irritability and bloating she had from taking contraceptives. What would you be concerned about and what would your recommendation be for Jane?

Answer 1

6)They were taking vitamin c .thus,the doctor told them to reduce the intake as she is diagnosed with kidney stone.calcium oxalate is the reason for her kidney stone.if she take more vitamin c it can double the risk of forming stone again.because,when vitamin c is excreted in the body it is in the oxalate form which is the main reason for making kidney stone.she can take 1000mg twice a day at least for six days can help to enhance the excretion of oxalate.i suggest her to increase hydration level 3000 ml per day.she should avoid animal protein and oxalate content food.lemon can take among vitamin c foods.calcium rich food also help to balance the oxalate level.

7)patient has vitamin c and vitamin k deficiency..vitamin c deficiency is called scurvy due to this impaired wound healing and bone problems occur.bleeding is due to vitamin k deficiency.lack of this vitamin decrease ability to form clotting.

8)excess amount of vitamin A can leads to liver damage.because it raises the level of niacin.an adult can take 3000 mg of vitamin A per day.

lack of vitamin B12 in the diet cause dry skin.so the patient has vitamin B 12 deficiency

9)patient has anemia due to lack of vitamin B12.sometimes less intake of vitamin c also can cause aneamia .lower intake of vitamin B12 also lead to metal confusion ,disorienting and memory loss.

she should take vitamin B 12 rich food such as animal liver,organ meat,sardines,beef,fortified cereal etc.moreover,more fruits should be included to balance vitamin c such as lemon ,orangeshe may have vitamin B thus it is not shown in lab test

10)some medicines have negative interaction when take vitamin B 6 and contraceptive pills together such as ampicillin,penicillin,and tetracyclines.so tell her to report all her present medication and supplements to a doctor before starting treatment for any other disease.