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Antibiotic Medications |
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Antituberculosis Agents |
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Depletions |
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Calcium |
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Osteoporosis (bone loss) is the primary disease associated with long-term
calcium deficiency; it may be associated with bone pain and spinal deformity.
Depleted levels can also cause muscle cramps, irregular heartbeat, and
depression. |
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Probiotics; Bifidobacteria
bifidum;
Lactobacillus
Acidophilus; Saccaromyces boulardii |
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Reducing the number of probiotic organisms in the gastrointestinal tract may
decrease the body's ability to resist infections and diseases. Symptoms of
deficiency include gas, abdominal distress, diarrhea, and yeast
infections. |
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Vitamin
B3
(Niacin) |
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Because this nutrient plays a key role in many metabolic processes, low
levels may impair the breakdown and use of starches, fats, and proteins.
Symptoms of deficiency may occur within 1 to 2 months. Severely low levels of
niacin cause pellagra, a condition characterized by inflammation of the skin,
mental depression, abdominal pain, and diarrhea. |
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Vitamin
B6
(Pyridoxine) |
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Symptoms of vitamin B6 deficiency may include weakness,
nervousness, insomnia, mental confusion, irritability, and anemia. Long-term low
levels of this nutrient may also increase the risk of heart disease as well as
colon and prostate cancers. |
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Vitamin
D |
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Vitamin D deficiency leads to abnormal bone formation (rickets) in children
and softening of the bones (osteomalacia) in adults. Vitamin D deficiency
interferes with calcium absorption, leading to deficiency of that nutrient with
all of the associated symptoms (such as increased risk of fractures,
osteoporosis (bone loss), and muscle weakness). Because this nutrient is
fat-soluble, prolonged periods of deficiency are required to produce these
symptoms. |
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Vitamin
E |
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While deficiency of this nutrient is uncommon, it negatively affects muscle
tissue, red blood cells, nervous, and reproductive systems. Over the long-term,
depleted levels of this nutrient may also be associated with cancer, heart
disease, and altered immune function. |
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Vitamin
K |
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The major symptom of vitamin K deficiency is an inability of the blood to
clot properly, which may lead to excessive bleeding and a tendency to bruise
easily. |
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Editorial Note |
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Supporting Research |
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Ames BN. Micronutrient deficiencies: A major cause of DNA damage. Ann NY
Acad Sci. 2000;889:87-106.
Biehl, JP and Vilter, RW. Effect of isoniazid on vitamin B-6 metabolism: its
possible significance in producing isoniazid neuritis. Proc Soc Exp Biol
Med. 1954;85:389-392.
Brodie MJ. and Hillyard CJ. Calcium metabolism during rifampicin and
isoniazid therapy for tuberculosis. J Royal Soc Med. 1982;75:919.
Cashman K, Flynn A. Optimal nutrition: calcium, magnesium and phosphorus.
Proc Nutr Soc. 1999;58:477-487.
Conly J. and Stein K. Reduction of vitamin K2 concentrations in human liver
associated with the use of broad spectrum antimicrobials. Clin Invest
Med. 1994;17(6): 531-539.
Covington T, ed. Nonprescription Drug Therapy Guiding Patient
Self-Care. St Louis, MO: Facts and Comparisons; 1999:467-545.
DiLorenzo PA. Pellagra-like syndrome associated with isoniazid therapy.
Acta Dermatol Venereol. 1967;47: 318-322.
Fauci A. ed. et. al. Harrison's Principles of Internal Medicine.
Fourteenth Edition. New York, Mc-Graw-Hill Companies Health Professional
Division, 1998.
Galland L. The Four Pillars of Healing. New York, NY: Random House;
1997:186-199.
Holick MF, Krane SM, Potts JT. Calcium, phosphorus, and bone metabolism:
calcium-regulating hormones. In: Fauci AS, Braunwald E, Isselbacher KJ, et al,
eds. Harrison's Principles of Internal Medicine. 14th ed. New
York: McGraw-Hill Companies Health Professional Division; 1998:2221-2222.
International Life Sciences Institute, Present Knowledge in Nutrition.
Seventh Edition. Washington, DC, ILSI Press, 1996.
National Research Council. Recommended Dietary Allowances.
10th ed. Washington, DC: National Academy Press; 1989.
Potts JT. Diseases of the parathyroid gland and other hyper- and hypocalcemic
disorders. In: Fauci AS, Braunwald E, Isselbacher KJ, et al, eds. Harrison's
Principles of Internal Medicine. 14th ed. New York: McGraw-Hill
Companies Health Professional Division; 1998:2241.
Rao DS. Perspective on assessment of vitamin D nutrition. J Clin
Densitom. 1999:2(4):457-464.
Shahani KM and Ayelo AD. Rise of dietary Lactobacilli in
gastrointestinal microecology. Am J Clin Nutr. 1980;33:2448-2457.
Vieth R. Vitamin D supplementation, 25-hydroxyvitamin D concentrations, and
safety. Am J Clin Nutr. 1999;69:842-856.
Vitamin E Fact Book. VERIS (Vitamin E Research & Information
Service), 1994.
Wilson JD. Vitamin deficiency and excess. In: Fauci AS, Braunwald E,
Isselbacher KJ, et al, eds. Harrison's Principles of Internal Medicine.
14th ed. New York: McGraw-Hill Companies Health Professional
Division; 1998:483-485. |
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Review Date:
October 2000 |
Reviewed By:
All depletions monographs have been reviewed by a
team of experts including
Derrick M. DeSilva, Jr., MD, Raritan Bay Medical Center, Perth Amboy, NJ;
Jacqueline A. Hart, MD, Department of Internal Medicine, Newton-Wellesley
Hospital, Harvard University and Senior Medical Editor, A.D.A.M., Inc., Boston,
MA; John Hinze, PharmD, NMD, Woodbine, IA; Ruth Marlin, MD, Medical Director and
Director of Medical Education, Preventive Medicine Research Institute,
Sausalito, CA; Brian T Sanderoff, PD, BS in Pharmacy, Clinical Assistant
Professor, University of Maryland School of Pharmacy; President, Your
Prescription for Health, Owings Mills, MD; Leonard Wisneski, MD, FACP, George
Washington University, Rockville, MD; Ira Zunin, MD, MPH, MBA, President and
Chairman, Hawaii State Consortium for Integrative Medicine, Honolulu,
HI.
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