Exam (elaborations)
CSOWM - Vitamins and minerals
CSOWM - Vitamins and minerals
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CSOWM - Vitamins and mineralsA, E, K supplementation for RY + SG - ANS-Standard MVI
B12 deficiency markers - ANS-Serum MMA > 0.56 mmol/L; decreased serum B12 (May
miss 30-50% of def) <400 pg/mL suboptimal; < 200 pg/mL deficiency; Increased
homocysteine, decreased H/H, increased MCV
B12 supplementation for RY + SG - ANS-Oral 350-500 mcg/day
Calcium deficiency markers - ANS-Ionized calcium < 4.48 mg/dL; increased alk phos,
increased iPTH, Decreased Dexa
Calcium supplementation for RY + SG - ANS-1,200-1,500 mg divided doses of calcium
carbonate per day w/ meals (citrate with or without meals)
Copper deficiency markers - ANS-Serum copper 11 micromol/L; decreased serum
ceruloplasmin
Copper supplementation for SG + RY - ANS-SG: 1 mg (100% RDA in MVI); RY: 200%
RDA (2 mg) in MVI
Corrected calcium - ANS-(0.8 x (4.0- Pt's Albumin)) + Serum Ca
Dry Beriberi - ANS-Thiamine deficiency; convulsions, muscle weakness, pain of
lower/upper extremities, brisk tendon reflexes
Folate deficiency markers - ANS-Serum folate < 340 ng/mL ; decreased RBC folate,
increased homocysteine, decreased H/H, increased MCV (Normal serum MMA **)
Folic acid for childbearing age female RY + SG - ANS-800-1000 mcg total
Folic acid RY + SG - ANS-400-800 mcg in MVI
How to replete B12 - ANS-1,000-2,000 mcg per day OR 1000 mcg/ week Intramuscular
How to replete calcium - ANS-1200-2000 mg daily (Bisphosphonates if T-score is <2.5;
meds that slow the loss of bone)
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