CALCIUM AND VITAMIN D PREPARATIONS. Calcium and vitamin D are two essential nutrients long known for their role in bone health.

Save this PDF as:
 WORD  PNG  TXT  JPG

Size: px
Start display at page:

Download "CALCIUM AND VITAMIN D PREPARATIONS. Calcium and vitamin D are two essential nutrients long known for their role in bone health."

Transcription

1 CALCIUM AND VITAMIN D PREPARATIONS. Calcium and vitamin D are two essential nutrients long known for their role in bone health. Estimated Average Requirement (EAR): Reflects the estimated median requirement and is particularly appropriate for applications related to planning and assessing intakes for groups of persons. Recommended Dietary Allowance (RDA): Derived from the EAR and meets or exceeds the requirement for 97.5 percent of the population. Tolerable Upper Intake Level (UL): As intake increases above the UL, the potential risk of adverse effects may increase. The UL is the highest average daily intake that is likely to pose no risk of adverse effects to almost all individuals in the general population. Adequate Intake (AI): Used when an EAR/RDA cannot be developed; average intake level based on observed or experimental intakes. Calcium is required for: Muscle and nerve functional integrity. Cardiac function. Coagulation of blood. Cementing substance of the bones. Daily requirements: g/day. It increases during pregnancy and lactation. Normal serum calcium: 9-11mg% mg% exists in ionized form, which is the active form. Uses: As a supplement during pregnancy and lactation or when dietary calcium is

2 low. Osteomalacia and osteoporosis. Hypoparathyroidism. Acute tetany: 10 ml calcium gluconate 10% i.v in emergency. Control of Calcium Metabolism Parathyroid hormone. Calcitonin. Vitamin D Types of Preparation There are various types of calcium. Some are made of derivatives of oyster shell or bone. Also, calcium antacid formulations can be used as supplements. Calcium carbonate and phosphate preparations have the highest concentration of elemental calcium - about 40%. The elemental calcium content of calcium citrate is 21%, of calcium lactate 13%, and of calcium gluconate, 9%. CALCIUM PREPRATION Absorption Calcium absorption is inefficient, averaging only about 30% and decreases with age. Taking calcium with food increases its absorption, particularly so with calcium carbonate Potential Indicators of Adverse Outcomes for Excess Intake of Calcium Hypercalcemia Hypercalciuria Vascular and soft tissue calcification Nephrolithiasis (kidney stones) Prostate cancer Interactions with iron and zinc Constipation Vitamin D It is a fat-soluble vitamin. Normally, adults do not require vitamin D. Children and female during pregnancy and lactation require units/day.

3 Forms of vitamin D: Vit.D2 (ergocalciferol): it is of plant origin & formed by ultraviolet irradiation of ergosterol in plants. Vit.D3 (cholecalciferol): it is made by ultraviolet irradiation of 7- dehydrocholesterol. It is the form presents in natural foods and is formed in the skin. Vitamin D Supplements Normally, the body makes its own supply of vitamin D. A precursor molecule is produced by skin cells, converted to an intermediate form by exposure to sunlight, and processed into its final state by the liver and kidneys. Vitamin D is added to dairy products and offered in supplements primarily to sustain people in areas are the sunlight is too weak to initiate vitamin D production. But when too much is taken, it causes excessive amounts of calcium excreted from the urine that in turns causes release of calcium from the bones that results in bone loss. It is recommended that to take no more than 50 grams (2,000 IU) daily. VITAMIN D Activation of vitamin D: D2 & D3 are made active by two hydroxylation reactions: 25-hydroxylation in the liver to 25-OH-cholecalciferol (calcifediol). 1α-hydroxylation in the kidney under the influence of parathyroid hormone to 1α- 25(OH)2 cholecalciferol (calcitriol). Absence or deficiency of hydroxylase enzyme in the kidney causes renal rickets. Renal rickets is treated with (1α-hydroxycholecalciferol) = alfacalcidol (one alpha). Functions of vitamin D: Increases absorption of calcium & phosphate from intestine. Increases reabsorption of calcium & phosphate from renal tubules. It deposits calcium into bone. It raises plasma calcium and phosphate. Increases excretion of magnesium in the urine.

4 Uses: Rickets and osteomalacia. In renal failure & renal rickets use 1α-OHcholecalciferol (alfacalcidol or one-alpha) that needs only hepatic hydroxylation to be more active (1α- 25(OH)2 cholecalciferol) Pregnancy and lactation Hypoparathyroidism. Hypophosphatemia. Osteoporosis. Psoriasis: local vitamin D (creams or ointments) preparation is available. : Adverse reactions Hypervitaminosis-D: Hypercalcemia, hypercalciuria and soft tissue calcification especially in the kidney & blood vessels (calcinosis) Potential Indicators of Adverse Outcomes for Excess Intake of Vitamin D Intoxication and related hypercalcemia and hypercalciuria Serum calcium Measures in infants: retarded growth, hypercalcemia Emerging evidence for all-cause mortality, cancer, cardiovascular risk, falls and fractures Forms available for clinical uses include 1. Natural forms: D2 = ergocalciferol. It is of plant origin. D3 = cholecalciferol. It is of an animal origin and formed by sunrays in the skin. 2. Active metabolites: Calcitriol. Alfacalcidol or one-alpha (1α- OH- cholecalciferol) 3. Vit. D analogue Dihydrotachysterol. REFRENCES Katzung Lippincots pharmacology xxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxx

5

D. Vitamin D. 1. Two main forms; vitamin D2 and D3

D. Vitamin D. 1. Two main forms; vitamin D2 and D3 D. Vitamin D. Two main forms; vitamin D2 and D3 H H D3 - Cholecalciferol D2 - Ergocalciferol Technically, vitamin D is not a vitamin. It is the name given to a group of fat-soluble prohormones (substances

More information

For the use of a Registered Medical Practitioner or a Hospital or a Laboratory only OR for Specialist Use only

For the use of a Registered Medical Practitioner or a Hospital or a Laboratory only OR for Specialist Use only For the use of a Registered Medical Practitioner or a Hospital or a Laboratory only OR for Specialist Use only Cholecalciferol Granules VITOMIN D3 COMPOSITION Each sachet of 1 g contains: Cholecalciferol

More information

Vitamin D Deficiency and Thyroid Disease. Theodore C. Friedman, M.D., Ph.D.

Vitamin D Deficiency and Thyroid Disease. Theodore C. Friedman, M.D., Ph.D. Vitamin D Deficiency and Thyroid Disease Theodore C. Friedman, M.D., Ph.D. Vitamin D deficiency and thyroid diseases Vitamin D is an important vitamin that not only regulates calcium, but also has many

More information

Vitamin D Deficiency and Thyroid Disease. Theodore C. Friedman, M.D., Ph.D.

Vitamin D Deficiency and Thyroid Disease. Theodore C. Friedman, M.D., Ph.D. Vitamin D Deficiency and Thyroid Disease Theodore C. Friedman, M.D., Ph.D. Vitamin D deficiency and thyroid diseases Vitamin D is an important vitamin that not only regulates calcium, but also has many

More information

Vitamin D (serum, plasma)

Vitamin D (serum, plasma) Vitamin D (serum, plasma) 1 Name and description of analyte 1.1 Name of analyte Vitamin D 1.2 Alternative names The term vitamin D covers a group of closely related naturally occurring lipid soluble compounds

More information

DVITA PLUS Vitamin D 1000 IU Tablet INDICATED CLAIMS:

DVITA PLUS Vitamin D 1000 IU Tablet INDICATED CLAIMS: DVITA PLUS Vitamin D 1000 IU Tablet INDICATED CLAIMS: Vitamin D is the principal regulator of calcium homeostasis in the body Vitamin D is particularly important in skeletal development and bone mineralization.

More information

Corporate Medical Policy

Corporate Medical Policy Corporate Medical Policy File Name: Origination: Last CAP Review: Next CAP Review: Last Review: testing_serum_vitamin_d_levels 9/2015 2/2016 2/2017 2/2016 Description of Procedure or Service Vitamin D,

More information

YOUR TRUSTED SOURCE - FOR ALL YOUR VITAMIN D 3 NEEDS

YOUR TRUSTED SOURCE - FOR ALL YOUR VITAMIN D 3 NEEDS Vitamin D YOUR TRUSTED SOURCE - FOR ALL YOUR VITAMIN D 3 NEEDS ü Natural form of vitamin D 3, cholecalciferol (from lanolin) ü Strengths from 400 iu to 10,000 iu ü Capsule and liquid forms available ü

More information

Week 30. Water Balance and Minerals

Week 30. Water Balance and Minerals Week 30 Water Balance and Minerals Water: more vital to life than food involved in almost every body function is not stored--excreted daily largest single constituent of the human body, averaging 60% of

More information

Question I. A vitamin D deficient mother will give birth. A. True B. False. Answer A

Question I. A vitamin D deficient mother will give birth. A. True B. False. Answer A Vitamin D Jatinder Bhatia, MD, FAAP Question I A vitamin D deficient mother will give birth to an infant with Vit D deficiency A. True B. False Answer A Question II Human breast milk has adequate amounts

More information

Vitamin D. Sources of vitamin D

Vitamin D. Sources of vitamin D 1 has been in the news frequently this past year, including an article in The New York Times on November 16, 2009. So what is this vitamin? Why is it important? Most people have heard that vitamin D is

More information

Calcium. 1995-2013, The Patient Education Institute, Inc. www.x-plain.com nuf40101 Last reviewed: 02/19/2013 1

Calcium. 1995-2013, The Patient Education Institute, Inc. www.x-plain.com nuf40101 Last reviewed: 02/19/2013 1 Calcium Introduction Calcium is a mineral found in many foods. The body needs calcium to maintain strong bones and to carry out many important functions. Not having enough calcium can cause many health

More information

NEW ZEALAND DATA SHEET

NEW ZEALAND DATA SHEET Presentation Vit.D3 1.25 mg (equivalent to 50,000IU) capsules are presented as natural coloured, transparent, oval shaped, soft gelatin capsules, containing pale yellow coloured oil. Uses INDICATIONS Colecalciferol

More information

Vitamin D. Frequently Asked Questions

Vitamin D. Frequently Asked Questions Vitamin D Frequently Asked Questions What is vitamin D? What is a vitamin? Why do we need vitamins? Is there more than one form of vitamin D? Where do I get vitamin D? How long should I be outdoors, and

More information

Vitamin D and Calcium Guideline

Vitamin D and Calcium Guideline Vitamin D and Calcium Guideline Vitamin D Functions of Vitamin D 2 Serum Levels 2 Deficiency 2 Toxicity 2 Dietary Reference Intakes 3 Sources of Vitamin D 3 Therapeutic Options 4 Adults 4 Children (0 18

More information

Shining a light on the Sunshine Vitamin Lin A. Brown,MD Dartmouth and DHMC

Shining a light on the Sunshine Vitamin Lin A. Brown,MD Dartmouth and DHMC Shining a light on the Sunshine Vitamin Lin A. Brown,MD Dartmouth and DHMC Vitamin D What do surfers have in abundance and maybe most of the rest of us lack? Vit D - a vitamin primarily obtained by man

More information

GUIDE FOR VITAMIN D IN CHILDHOOD

GUIDE FOR VITAMIN D IN CHILDHOOD GUIDE FOR VITAMIN D IN CHILDHOOD October 2013 Introduction There are many different recommendations for the prevention, detection and treatment of Vitamin D deficiency in the UK. The following is a practical

More information

Hypocalcaemia. Shaila Sukthankar

Hypocalcaemia. Shaila Sukthankar Hypocalcaemia Shaila Sukthankar Ca Daily Requirements Age/ sex Ca (mg) 1-3 350 4-6 450 7-10 550 11-18 M 1000 11-18 F 800 19 + 700 Ca Dietary Sources (NDC) Milk 100 ml =120mg Cheese 15gm = 110mg Yoghurt

More information

PHARMACOLOGICAL PROPERTIES

PHARMACOLOGICAL PROPERTIES ANTİ-FOSFAT ca 700 mg Film Tablet COMPOSITION 1 film tablet contains 700 mg Calcium acetate, as an active ingredient. Excipients are Microcrystalline cellulose, Povidone K30, Crosspovidone, Magnesium stearate,

More information

Micronutrient. Functio. Vitamin A

Micronutrient. Functio. Vitamin A EHPM Leaflet UK 25/4/00 14:50 Page 1 (1,1) Vitamin and mineral intake We cannot, however, afford to be complacent about our intake of vitamins and minerals. Poor diets with low quantities of fruit and

More information

Considerations With Calcium And Vitamin D Supplementation

Considerations With Calcium And Vitamin D Supplementation Considerations With Calcium And Vitamin D Supplementation Activity Preview Calcium is an electrolyte involved in many systems in the body including bone health, nerve signaling pathways, muscle contractions,

More information

PHOSPHATE-SANDOZ Tablets (High dose phosphate supplement)

PHOSPHATE-SANDOZ Tablets (High dose phosphate supplement) 1 PHOSPHATE-SANDOZ Tablets (High dose phosphate supplement) PHOSPHATE-SANDOZ PHOSPHATE-SANDOZ Tablets are a high dose phosphate supplement containing sodium phosphate monobasic. The CAS registry number

More information

Earth at Night View from the Space Shuttle. Vitamin D: All You Need to Know

Earth at Night View from the Space Shuttle. Vitamin D: All You Need to Know Earth at Night View from the Space Shuttle Vitamin D: All You Need to Know Sunil Wimalawansa, MD, PhD, MBA 11/12/2011 Vitamin D: All You Need to Know Sunil J. Wimalawansa, MD, PhD, MBA, FACE, FACP Professor

More information

Package leaflet: Information for the patient. Cholecalciferol mibe 500 IE, tabletten Cholecalciferol. For use in infants, children and adults

Package leaflet: Information for the patient. Cholecalciferol mibe 500 IE, tabletten Cholecalciferol. For use in infants, children and adults Package leaflet: Information for the patient Cholecalciferol mibe 500 IE, tabletten Cholecalciferol For use in infants, children and adults Read all of this leaflet carefully before you start taking this

More information

Calcium and Vitamin D: Important at Every Age

Calcium and Vitamin D: Important at Every Age Calcium and Vitamin D: Important at Every Age National Institutes of Health Osteoporosis and Related Bone Diseases ~ National Resource Center 2 AMS Circle Bethesda, MD 20892-3676 Tel: (800) 624-BONE or

More information

Drugs affecting calcium and bone metabolism

Drugs affecting calcium and bone metabolism Drugs affecting calcium and bone metabolism Factors which influence bone remodelling Continuous remodelling process (0.5-1% bone loss per year, after the menopause 1-3% per year) - Cells: osteoblasts secrete,

More information

Guideline on Diagnosis & Management of Vitamin D Deficiency in Adults for Non-Specialists

Guideline on Diagnosis & Management of Vitamin D Deficiency in Adults for Non-Specialists Guideline on Diagnosis & Management of Vitamin D Deficiency in Adults for Non-Specialists January 2014 (Review date: Jan 2016) Contents Summary Flowchart... 2 Introduction... 3 Structure and mechanism

More information

Calcium (serum, plasma, blood)

Calcium (serum, plasma, blood) Calcium (serum, plasma, blood) 1 Name and description of analyte 1.1 Name of analyte Calcium (total in serum, plasma, ionised in blood (see 2.1 (2)). 1.2 Alternative names None 1.3 NMLC code 1.4 Description

More information

ALPHA D 3 0.5 mcg Capsules

ALPHA D 3 0.5 mcg Capsules "פורמט עלון זה נקבע ע"י משרד הבריאות ותוכנו נבדק ואושר". עלון מאושר: אפריל 2010 This leaflet format has been determined by the Ministry of Health and the content thereof has been checked and approved.

More information

Irish Medicines Board

Irish Medicines Board IRISH MEDICINES BOARD ACTS 1995 AND 2006 MEDICINAL PRODUCTS(CONTROL OF PLACING ON THE MARKET)REGULATIONS,2007 (S.I. No.540 of 2007) PA0030/038/001 Case No: 2075491 The Irish Medicines Board in exercise

More information

Fat-Soluble Vitamins. Quick Facts... Vitamin A. by J. Anderson and L. Young 1 (8/08)

Fat-Soluble Vitamins. Quick Facts... Vitamin A. by J. Anderson and L. Young 1 (8/08) Fat-Soluble s by J. Anderson and L. Young 1 (8/08) Quick Facts... Small amounts of vitamins A, D, E and K are needed to maintain good health. Foods that contain these vitamins will not lose them when cooked.

More information

Key words: Vitamin D Production, Vitamin D Deficiency, and Vitamin D Treatment

Key words: Vitamin D Production, Vitamin D Deficiency, and Vitamin D Treatment Title: Vitamin D Author: Kerry Lynn Kuffenkam Date: 4-29-09 Key words: Vitamin D Production, Vitamin D Deficiency, and Vitamin D Treatment Abstract: Since the term Vitamin D contains the word vitamin most

More information

Towards an adequate intake of vitamin D

Towards an adequate intake of vitamin D Towards an adequate intake of vitamin D Gezondheidsraad Health Council of the Netherlands To the Minister of Health, Welfare and Sport Subject : Presentation of advisory report Towards an adequate intake

More information

NATIONAL OSTEOPOROSIS FOUNDATION OSTEOPOROSIS CLINICAL UPDATES Vitamin D and Bone Health CE APPLICATION FORM

NATIONAL OSTEOPOROSIS FOUNDATION OSTEOPOROSIS CLINICAL UPDATES Vitamin D and Bone Health CE APPLICATION FORM NATIONAL OSTEOPOROSIS FOUNDATION OSTEOPOROSIS CLINICAL UPDATES Vitamin D and Bone Health CE APPLICATION FORM First Name: Last Name: Mailing Address: City: State: Zip/Postal Code: Country: Phone Number:

More information

Vitamin D deficiency: the cause of everything?

Vitamin D deficiency: the cause of everything? Health problems linked to vitamin D deficiency: Vitamin D deficiency: the cause of everything? Louise Gagné M.D. Family Physician Saskatoon Community Clinic Clinical Assistant Professor Department of Community

More information

(NON-PRESCRIPTION) LEAFLET: USER INFORMATION. CALTRATE VITAMIN D3 600mg/400 IU, film-coated tablet Calcium and Cholecalciferol

(NON-PRESCRIPTION) LEAFLET: USER INFORMATION. CALTRATE VITAMIN D3 600mg/400 IU, film-coated tablet Calcium and Cholecalciferol (NON-PRESCRIPTION) LEAFLET: USER INFORMATION CALTRATE VITAMIN D3 600mg/400 IU, film-coated tablet Calcium and Cholecalciferol Read all of this leaflet carefully because it contains important information

More information

Nutrient Reference Values for Australia and New Zealand

Nutrient Reference Values for Australia and New Zealand Nutrient Reference Values for Australia and New Zealand Questions and Answers 1. What are Nutrient Reference Values? The Nutrient Reference Values outline the levels of intake of essential nutrients considered,

More information

A] Calcium. Absorption is interfered with by: Phytic acid of cereal seeds and bran. Oxalic acid and soluble oxalates of some vegetables and fruits.

A] Calcium. Absorption is interfered with by: Phytic acid of cereal seeds and bran. Oxalic acid and soluble oxalates of some vegetables and fruits. Food Constituents [continued] 6- Essential elements Diet provides a number of inorganic elements that are needed for: Normal functioning of vital processes of the body. Formation and maintenance of bone

More information

Symposium: Vitamin D Insufficiency: A Significant Risk Factor in Chronic Diseases and Potential Disease-Specific Biomarkers of Vitamin D Sufficiency

Symposium: Vitamin D Insufficiency: A Significant Risk Factor in Chronic Diseases and Potential Disease-Specific Biomarkers of Vitamin D Sufficiency Symposium: Vitamin D Insufficiency: A Significant Risk Factor in Chronic Diseases and Potential Disease-Specific Biomarkers of Vitamin D Sufficiency Dietary Recommendations for Vitamin D: a Critical Need

More information

Dietary Reference Intakes (DRIs): Estimated Average Requirements Food and Nutrition Board, Institute of Medicine, National Academies

Dietary Reference Intakes (DRIs): Estimated Average Requirements Food and Nutrition Board, Institute of Medicine, National Academies Dietary Reference Intakes (DRIs): Estimated Average Requirements Life Stage Group Calcium CHO Protein (g/kg/d) Vit A a Vit C Vit D Vit E b Thiamin Riboflavin Niacin c Vit B 6 0 to 6 mo 6 to 12 mo 1.0 6.9

More information

Ca : methods for determining DRIs. Adults. 4average requirement, meta-analyzed balance studies by FAO/WHO :

Ca : methods for determining DRIs. Adults. 4average requirement, meta-analyzed balance studies by FAO/WHO : Minerals Categories of Ds for Minerals - Ca, P, Na, Cl, K, Mg - Mineral Ca RDA P Ca ; 서울대학교 이연숙 Na P ; 국민대학교 김선희 Na, Cl ; 동의대학교 임화재 K ; 국민대학교 장문정 Mg ; 인하대학교 천종희 Cl K Mg Indicators for Estimating Ds Ca

More information

What are Minerals. Lecture 13: Minerals. Trace versus Major Minerals. Minerals are elements, can be found on the periodic table

What are Minerals. Lecture 13: Minerals. Trace versus Major Minerals. Minerals are elements, can be found on the periodic table Lecture 13: Minerals What are Minerals Minerals are elements, can be found on the periodic table Inorganic (in chemical sense) Nutrition 150 Shallin Busch, Ph.D. Not broken down during digestion nor destroyed

More information

Vitamin D: Are higher doses needed? Dan Milosevich, C.N.

Vitamin D: Are higher doses needed? Dan Milosevich, C.N. Vitamin D: Are higher doses needed? Dan Milosevich, C.N. Startling new information shows that the recommendations for Vitamin D may have been set too low. See the following review of what we now know.

More information

Chapter 25: Metabolism and Nutrition

Chapter 25: Metabolism and Nutrition Chapter 25: Metabolism and Nutrition Chapter Objectives INTRODUCTION 1. Generalize the way in which nutrients are processed through the three major metabolic fates in order to perform various energetic

More information

Southern Derbyshire Shared Care Pathology Guidelines. Vitamin D

Southern Derbyshire Shared Care Pathology Guidelines. Vitamin D Southern Derbyshire Shared Care Pathology Guidelines Vitamin D Purpose of guideline Provide clear advice on when to measure vitamin D and identify patients with insufficiency and deficiency. To provide

More information

CALCIUM&Vit D FRIEND OR FOE?

CALCIUM&Vit D FRIEND OR FOE? CALCIUM&Vit D FRIEND OR FOE? Raheela Khawaja, M.D. Clinical Associate Professor of Medicine Division Of Endocrinology Department of Internal Medicine Ohio State University, Columbus OH Is Calcium & Vit

More information

VITAMINS & MINERALS. Geoffrey Axiak. M.Sc. Nursing (Manchester), B.Sc. Nursing, P.G. Dip. Nutrition & Dietetics

VITAMINS & MINERALS. Geoffrey Axiak. M.Sc. Nursing (Manchester), B.Sc. Nursing, P.G. Dip. Nutrition & Dietetics VITAMINS & MINERALS Geoffrey Axiak M.Sc. Nursing (Manchester), B.Sc. Nursing, P.G. Dip. Nutrition & Dietetics VITAMINS Definition An organic chemical compound (or related set of compounds) is called a

More information

Adams Memorial Hospital Decatur, Indiana EXPLANATION OF LABORATORY TESTS

Adams Memorial Hospital Decatur, Indiana EXPLANATION OF LABORATORY TESTS Adams Memorial Hospital Decatur, Indiana EXPLANATION OF LABORATORY TESTS Your health is important to us! The test descriptions listed below are for educational purposes only. Laboratory test interpretation

More information

1. If I go a couple of days without my vitamin D and calcium requirements, can I make up for them?

1. If I go a couple of days without my vitamin D and calcium requirements, can I make up for them? GOOD NUTRITION FOR BONE Calcium, Vitamin D and So Much More QUESTION & ANSWER Wednesday, March 23, 2011 (2:30 p.m. to 4:00 p.m. ET) 1. If I go a couple of days without my vitamin D and calcium requirements,

More information

Liver Function Tests. Dr Stephen Butler Paediatric Advance Trainee TDHB

Liver Function Tests. Dr Stephen Butler Paediatric Advance Trainee TDHB Liver Function Tests Dr Stephen Butler Paediatric Advance Trainee TDHB Introduction Case presentation What is the liver? Overview of tests used to measure liver function RJ 10 month old European girl

More information

Vitamin D & Iron Dosing Guidelines

Vitamin D & Iron Dosing Guidelines Vitamin D & Iron Dosing Guidelines Ayman Khmour, MD I have no actual or potential conflict of interest in relation to this program. Objectives Review Ca metabolism Review Recent AAP Guidelines Review CMH

More information

Phosphate (serum, plasma, urine)

Phosphate (serum, plasma, urine) Phosphate (serum, plasma, urine) 1 Name and description of analyte 1.1 Name of analyte Phosphate 1.2 Alternative names Phosphorus, inorganic phosphorus (Pi), PO 4. 1.3 NMLC number 1.4 Description of analyte

More information

OSTEOPOROSIS REHABILITATION PROGRAM

OSTEOPOROSIS REHABILITATION PROGRAM OSTEOPOROSIS REHABILITATION PROGRAM Tricia Orme, R.N. BSc(N) Mary Pack Arthritis Program Victoria i Arthritis i Centre Objectives Participants will gain an understanding of what Osteoporosis is and how

More information

Four Vitamins You Should NEVER Take

Four Vitamins You Should NEVER Take Four Vitamins You Should NEVER Take If you think that all vitamins are safe, you re dead wrong. Here at the Health Sciences Institute (HSI), we talk a lot about vitamins and minerals being essential for

More information

ACID- BASE and ELECTROLYTE BALANCE. MGHS School of EMT-Paramedic Program 2011

ACID- BASE and ELECTROLYTE BALANCE. MGHS School of EMT-Paramedic Program 2011 ACID- BASE and ELECTROLYTE BALANCE MGHS School of EMT-Paramedic Program 2011 ACID- BASE BALANCE Ions balance themselves like a see-saw. Solutions turn into acids when concentration of hydrogen ions rises

More information

Calcium Magnesium 2:1 with Vitamin D

Calcium Magnesium 2:1 with Vitamin D 5024-0 webber naturals 6-25273-05024-0 NPN: 2241460 Class: Nutrient Calcium Magnesium 2:1 with Vitamin D Ingredients (alphabetical) Medicinal: Calcium (HVP chelate), magnesium (HVP chelate), vitamin D3.

More information

Parathyroid hormone (serum, plasma)

Parathyroid hormone (serum, plasma) Parathyroid hormone (serum, plasma) 1 Name and description of analyte 1.1 Name of analyte Parathyroid hormone (PTH) 1.2 Alternative names Parathormone 1.3 NMLC code 1.4 Description of analyte PTH is an

More information

Regulation of Metabolism. By Dr. Carmen Rexach Physiology Mt San Antonio College

Regulation of Metabolism. By Dr. Carmen Rexach Physiology Mt San Antonio College Regulation of Metabolism By Dr. Carmen Rexach Physiology Mt San Antonio College Energy Constant need in living cells Measured in kcal carbohydrates and proteins = 4kcal/g Fats = 9kcal/g Most diets are

More information

NUTRIENTS: THEIR INTERACTIONS

NUTRIENTS: THEIR INTERACTIONS NUTRIENTS: THEIR INTERACTIONS TEACHER S GUIDE INTRODUCTION This Teacher s Guide provides information to help you get the most out of Nutrients: Their Interactions. The contents in this guide will allow

More information

The evidencebehindthe increased NordicNutritionRecommendations for vitamind. Christel Lamberg-Allardt University of Helsinki

The evidencebehindthe increased NordicNutritionRecommendations for vitamind. Christel Lamberg-Allardt University of Helsinki The evidencebehindthe increased NordicNutritionRecommendations for vitamind Christel Lamberg-Allardt University of Helsinki Aimsfor NutritionRecommendations Aimsfor vitamind The overall aim was to review

More information

DAILY MAXIMUM INTAKE LIMIT IN HEALTH FUNCTIONAL FOOD ACT

DAILY MAXIMUM INTAKE LIMIT IN HEALTH FUNCTIONAL FOOD ACT Comment Number 1: By the Council for Responsible Nutrition, Washington, DC, USA DAILY MAXIMUM INTAKE LIMIT IN HEALTH FUNCTIONAL FOOD ACT The Republic of Korea (ROK) proposal is in agreement with the first

More information

Fact Sheet on Vitamin D

Fact Sheet on Vitamin D Fact Sheet on Vitamin D DISCLAIMER: This Fact Sheet Does Not Constitute Medical Advice. This sheet is a compilation of recommendations by top researchers. These recommendations may or may not apply to

More information

Selected Questions and Answers on Vitamin D

Selected Questions and Answers on Vitamin D Selected Questions and Answers on Vitamin D Joint FAQs to the BfR, German Nutrition Society (DGE) und Max Rubner-Institute (MRI) of 03 December 2014 1 Vitamin D promotes the intake of calcium from the

More information

Refresher Course Vitamin D - Post Graduate Level

Refresher Course Vitamin D - Post Graduate Level Refresher Course Vitamin D - Post Graduate Level Reproduced below is an extract taken from: (with my parenthetical commentary in italics where the need is found to amplify and clarify) James M. Orten,

More information

The digestive system eliminated waste from the digestive tract. But we also need a way to eliminate waste from the rest of the body.

The digestive system eliminated waste from the digestive tract. But we also need a way to eliminate waste from the rest of the body. Outline Urinary System Urinary System and Excretion Bio105 Lecture 20 Chapter 16 I. Function II. Organs of the urinary system A. Kidneys 1. Function 2. Structure III. Disorders of the urinary system 1

More information

List of Symptoms that Vitamin E is Possibly Effective

List of Symptoms that Vitamin E is Possibly Effective D POWER A few years ago, Vitamin D was thought to do nothing more than allow calcium to be absorbed for good bone health. New research suggests that Vitamin D may be one of the best vitamins of all for

More information

Vitamin A 10,000 IU Softgels

Vitamin A 10,000 IU Softgels Vitamin A 10,000 IU Softgels Product Summary: Vitamins are required nutrients that must be obtained by diet or supplementation. Vitamin A is a fat-soluble vitamin that helps in the maintenance of eyesight,

More information

A product of living cells that circulates in body fluids. Webinar broadcast at live.oregonstate.edu (only on day and time of the event).

A product of living cells that circulates in body fluids. Webinar broadcast at live.oregonstate.edu (only on day and time of the event). Vitamin D: Bone Up For Winter The "Vitamin D Winter" is coming. In this webinar we will learn about this important molecule and how you can get the you need to help maintain more than just healthy bones.

More information

Vitamin D and You. By Dr. Sherri Tenpenny www.drtenpenny.com www.osteomed2.com

Vitamin D and You. By Dr. Sherri Tenpenny www.drtenpenny.com www.osteomed2.com Vitamin D and You By Dr. Sherri Tenpenny www.drtenpenny.com www.osteomed2.com What is Vitamin D? Vitamin D is a fat-soluble vitamin produced in the body when ultraviolet rays from sunlight strike the skin.

More information

Disability Evaluation Under Social Security

Disability Evaluation Under Social Security Disability Evaluation Under Social Security Revised Medical Criteria for Evaluating Endocrine Disorders Effective June 7, 2011 Why a Revision? Social Security revisions reflect: SSA s adjudicative experience.

More information

Bone Appétit: New Information on Calcium & Vitamin D QUESTION & ANSWER

Bone Appétit: New Information on Calcium & Vitamin D QUESTION & ANSWER Bone Appétit: New Information on Calcium & Vitamin D QUESTION & ANSWER Wednesday, November 17, 2010 1:30 p.m. to 3:00 p.m. ET 1. I like to drink warm milk, but I have heard that heating some vitamins can

More information

Calcium and Vitamin D Supplementation: Who Needs It?

Calcium and Vitamin D Supplementation: Who Needs It? Detail-Document #270102 This Detail-Document accompanies the related article published in PHARMACIST S LETTER / PRESCRIBER S LETTER January 2011 ~ Volume 27 ~ Number 270102 Calcium and Vitamin D Supplementation:

More information

Vitamin D. Introduction

Vitamin D. Introduction Vitamin D Introduction Vitamin D is required in quantities smaller than any other fat-soluble vitamin. The major forms of vitamin D are vitamin D2 (ergocalciferol) and vitamin D3 (cholecalciferol). Vitamin

More information

Nutrients: Carbohydrates, Proteins, and Fats. Chapter 5 Lesson 2

Nutrients: Carbohydrates, Proteins, and Fats. Chapter 5 Lesson 2 Nutrients: Carbohydrates, Proteins, and Fats Chapter 5 Lesson 2 Carbohydrates Definition- the starches and sugars found in foods. Carbohydrates are the body s preferred source of energy providing four

More information

Pseudohypoparathyroidism: A Variation on the Theme of Hypoparathyroidism

Pseudohypoparathyroidism: A Variation on the Theme of Hypoparathyroidism Pseudohypoparathyroidism: A Variation on the Theme of Hypoparathyroidism Amanda Tencza MS IV 1 and Michael A. Levine, MD 2 1 Cleveland Clinic Lerner College of Medicine of Case Western Reserve University

More information

NHS GGC Vitamin D Supplementation Frequently asked Questions

NHS GGC Vitamin D Supplementation Frequently asked Questions Pharmacy & Prescribing Support Unit NHS GGC Vitamin D Supplementation Frequently asked Questions In February 2012 the Scottish Government issued advice on supplements for groups at risk of vitamin D deficiency.

More information

Why are Vitamin and Mineral Supplements so Important Before and after Bariatric Surgery? 6/4/2014 1

Why are Vitamin and Mineral Supplements so Important Before and after Bariatric Surgery? 6/4/2014 1 Why are Vitamin and Mineral Supplements so Important Before and after Bariatric Surgery? 6/4/2014 1 All About Vitamins Reminder for those in Pre-Surgery or Supervised Weight Loss Program 1. Liver reduction

More information

Vitamin D. Why Vitamin D is important and how to get enough

Vitamin D. Why Vitamin D is important and how to get enough Vitamin D Why Vitamin D is important and how to get enough Why is vitamin D vital for health? Vitamin D is needed by the body for both physical and mental health, but is best known for making sure bones

More information

Interpretation of Laboratory Values

Interpretation of Laboratory Values Interpretation of Laboratory Values Konrad J. Dias PT, DPT, CCS Overview Electrolyte imbalances Renal Function Tests Complete Blood Count Coagulation Profile Fluid imbalance Sodium Electrolyte Imbalances

More information

Vitamin D Deficiency in Adults: Primary Care Guideline

Vitamin D Deficiency in Adults: Primary Care Guideline Vitamin D Deficiency in Adults: Primary Care Guideline The prevalence of vitamin D deficiency in the UK is 16% and around 50% of the UK adult population have vitamin D insufficiency in winter and spring.

More information

Study Questions, Chapter 7

Study Questions, Chapter 7 Study Questions, Chapter 7 1. Read the first few paragraphs of chapter 7 as well as the section called Definition and Classification of Vitamins. This section states that some vitamins can be made from

More information

What Each Vitamin & Mineral Does In Your Body. Vitamin A

What Each Vitamin & Mineral Does In Your Body. Vitamin A What Each Vitamin & Mineral Does In Your Body Vitamin A Prevents skin disorders, such as acne, wrinkling and age spots. Enhances the immune system protects against colds, flu, and infections to kidney,

More information

Bariatric Patients, Nutritional Intervention for

Bariatric Patients, Nutritional Intervention for SKILL COMPETENCY CHECKLIST Bariatric Patients, Nutritional Intervention for Link to Dietitian Practice and Skill Standard Met/Initials Prerequisite Skills Competency Areas Knowledge of how to conduct a

More information

NUBONE +D Calcium/Vitamin D 500mg/200 IU Tablet

NUBONE +D Calcium/Vitamin D 500mg/200 IU Tablet NUBONE +D Calcium/Vitamin D 500mg/200 IU Tablet INDICATED CLAIMS: Helps in the maintenance of Bones and teeth. Calcium intake, when combined with Sufficient vitamin D, a healthy diet, and regular exercise,

More information

HYPERCALCEMIA/HYPERCALCIURIA IN WILLIAMS SYNDROME

HYPERCALCEMIA/HYPERCALCIURIA IN WILLIAMS SYNDROME HYPERCALCEMIA/HYPERCALCIURIA IN WILLIAMS SYNDROME WHAT IS CALCIUM AND WHY IS IT IMPORTANT? Calcium is an important mineral for building teeth and bones and in chemical reactions, such as those that cause

More information

Public Assessment Report. UK National Procedure. (colecalciferol) PL 16508/0047 PL 16508/0048. ProStrakan Ltd.

Public Assessment Report. UK National Procedure. (colecalciferol) PL 16508/0047 PL 16508/0048. ProStrakan Ltd. Public Assessment Report UK National Procedure STEXEROL-D 3 1,000 IU FILM-COATED TABLETS STEXEROL-D 3 25,000 IU FILM-COATED TABLETS (colecalciferol) PL 16508/0047 PL 16508/0048 ProStrakan Ltd. 1 LAY SUMMARY

More information

Calcium Citrate 300 mg Tablets

Calcium Citrate 300 mg Tablets Calcium Citrate 300 mg Tablets Product Summary: Calcium is needed to form strong bones and teeth, healthy gums, and maintain regular heart beat and nerve impulse transmission. Calcium helps in the development

More information

Press Information. Vitamin D deficiency

Press Information. Vitamin D deficiency DSM, Corporate Communications P.O. Box 6500, 6401 HJ Heerlen The Netherlands phone +31 (0) 45 578 2421 www.dsm.com Vitamin D is one of the essential nutrients for human health. Unlike other types of vitamins

More information

MEAT AND ALTERNATIVES. Healthy Eating for Healthy Bones

MEAT AND ALTERNATIVES. Healthy Eating for Healthy Bones Nutrition Healthy Eating for Healthy Bones A s we get older, we often pay less attention to our diet. We may live alone and not always bother cooking a meal. We may become less active as we age, which

More information

Chapter 12 Outline. Chapter 12: Vitamins and Minerals. Vitamins and Minerals. Measurements of Vitamin Needs. Measurements of Vitamin Needs

Chapter 12 Outline. Chapter 12: Vitamins and Minerals. Vitamins and Minerals. Measurements of Vitamin Needs. Measurements of Vitamin Needs Chapter 12 Outline Chapter 12: Vitamins and Minerals Vitamins and Minerals Measurements of vitamin needs Water-soluble vitamins Fat-soluble vitamins Selected minerals Drug-induced vitamin deficiencies

More information

Laboratory Monitoring of Adult Hospital Patients Receiving Parenteral Nutrition

Laboratory Monitoring of Adult Hospital Patients Receiving Parenteral Nutrition Laboratory Monitoring of Adult Hospital Patients Receiving Parenteral Nutrition Copy 1 Location of copies Web based only The following guideline is for use by medical staff caring for the patient and members

More information

Public Assessment Report

Public Assessment Report Public Assessment Report Fultium-D 3 20,000 IU Capsules (Colecalciferol) UK Licence No: PL 17871/0210 Jenson Pharmaceutical Services Ltd LAY SUMMARY Fultium-D 3 20,000 IU Capsules (colecalciferol) This

More information

Importance of zinc in human body. Overview of terminology. Rationale for upper intake level for zinc as recommended by the US Institute of

Importance of zinc in human body. Overview of terminology. Rationale for upper intake level for zinc as recommended by the US Institute of Sonja Y. Hess, PhD University of California, Davis Importance of zinc in human body Overview of terminology Rationale for upper intake level for zinc as recommended by the US Institute of Medicine (2001)

More information

Vitamin D und seine Bedeutung im Immunsystem und bei der Infektabwehr

Vitamin D und seine Bedeutung im Immunsystem und bei der Infektabwehr Vitamin D und seine Bedeutung im Immunsystem und bei der Infektabwehr Stefan Pilz Department of Internal Medicine, Division of Endocrinology and Metabolism, Medical University of Graz, Austria Department

More information

Part 1: Essential Nutrients for Bone Health

Part 1: Essential Nutrients for Bone Health Stephanie A. Atkinson, PhD, FCAHS Professor & Associate Chair Dept. of Pediatrics, McMaster University Beyond the Break Module 3: Osteoporosis & Nutrition Part 1: Essential Nutrients for Bone Health Outline

More information

Nutrition for Family Living

Nutrition for Family Living Susan Nitzke, Nutrition Specialist; susan.nitzke@ces.uwex.edu Sherry Tanumihardjo, Nutrition Specialist; sherry.tan@ces.uwex.edu Amy Rettammel, Outreach Specialist; arettamm@facstaff.wisc.edu Betsy Kelley,

More information

What Alcohol Does to the Body. Chapter 25 Lesson 2

What Alcohol Does to the Body. Chapter 25 Lesson 2 What Alcohol Does to the Body Chapter 25 Lesson 2 Short-Term Effects of Drinking The short-term term effects of alcohol on the body depend on several factors including: amount of alcohol consumed, gender,

More information

25-hydroxyvitamin D: from bone and mineral to general health marker

25-hydroxyvitamin D: from bone and mineral to general health marker DIABETES 25 OH Vitamin D TOTAL Assay 25-hydroxyvitamin D: from bone and mineral to general health marker FOR OUTSIDE THE US AND CANADA ONLY Vitamin D Receptors Brain Heart Breast Colon Pancreas Prostate

More information

Dietary Fiber and Alcohol. Nana Gletsu Miller, PhD Fall 2-13

Dietary Fiber and Alcohol. Nana Gletsu Miller, PhD Fall 2-13 Dietary Fiber and Alcohol Nana Gletsu Miller, PhD Fall 2-13 Dietary Fiber It is the complex carbohydrate in plants that can not be broken down by human digestive enzymes Sources Grains Fruits and Vegetables

More information

VIT AM INS EAT WHAT YOU NEED

VIT AM INS EAT WHAT YOU NEED VIT AM INS EAT WHAT YOU NEED Dear customer, This little booklet gives you a bit of information about the vitamins in Jake. You can read about their most important function, the food in which you ll find

More information