S. A friend of the family was told by their doctor that they had high cholestero
ID: 242647 • Letter: S
Question
S. A friend of the family was told by their doctor that 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? An elderly woman in a nursing home was found to have anemia due to a vitamin deficiency and was also found to have tingling hands and feet and at times disoriented with memory loss. What vitamins can cause anemia? What vitamin deficiency caused her change in mental status? What vitamin may she have been taking, at what dose, that hid her deficiency from showing up in routine lab tests? 6. 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? 7. Jim, a 51-year-old male, has been abusing alcohol for the past 10 years. He reports drinking at least S-6 beers every day. He reports he does eat however, his diet is high in fast food/takeout meals and he only generally has one small meal per day. He presents to the emergency room with abnormal eye movement, impaired coordination and appears confused. What does Jim have? What vitamin deficiency caused this? How does alcohol intake play a role? 8.Explanation / Answer
Answer for q 5: The vitamin that caused flushing and liver damage is is vitamin B3 niacin. This vitamin helps to lower LDL and triglycerides and increase HDL. It is used for treating high cholesterol levels. Niacin is got from dietary sources like poultry, meat, fish, egg and greens. The side effects are flushing, upset stomach, diarrhea, liver and kidney diseases. The upper limit (UL) for niacin in adults is 16mg/day for men and 14mg/day for females. Maximum intake is 35mg/day.
Answer for q 6: Anemia is a condition where there is lack of healthy red blood cells. The vitamins that causes anemia are folate, vitamin B12 and vitamin C. Vitamin B12 is responsible for her change in mental status. She might be taking folic acid which has hid her deficiency from showing up in the lab reports.
Answer for q 7: The patient is having a condition called pellagra. It is caused due to the deficiency of vitamin B3 niacin. The signs and symptoms are rough skin on areas that were exposed to sun. Grains and meat items are rich in niacin.
Answer for q 8: The patient has Wernicke Korsakoff syndrome. It is caused by deficiency of vitamin B1 - thiamine and alcohol intake. Chronic alcohol intake can cause this condition due to depletion of thiamine, reduced enzyme activity, inadequate dietary intake, malabsorption of thiamine and impaired utilization by the body.
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