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Gout Medications |
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Uricosuric Agents |
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Depletions |
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Beta-Carotene |
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This nutrient is converted to vitamin A by the body, therefore, deficiency
symptoms are the same as those of vitamin A. The earliest symptom is night
blindness. Prolonged deficiency leads to more advanced changes in eye tissue.
Other potential signs of mild to moderate deficiency include rough, dry skin,
loss of appetite, loss of hair luster, brittle nails, joint pain, and possibly
increased susceptibility to infection. |
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Potassium |
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Symptoms of deficiency include loss of appetite, nausea, drowsiness, feelings
of apprehension, excessive thirst, irrational behavior, fatigue, muscle pain and
weakness (usually of the lower limbs); severe cases may lead to irregular
heartbeat. |
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Sodium |
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Because of the wide availability of sodium in dietary sources, deficiency is
very uncommon. In the rare instances where it does occur, depleted levels have
been associated with gas, nausea and vomiting, headache, memory impairment,
diminished attention, muscle weakness, heart palpitations, lethargy, and
confusion. Extreme cases can cause stupor, seizures, and possibly coma. The
development of symptoms depends in large part on the rate of the loss of
sodium. |
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Vitamin
B12
(Cobalamin) |
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Symptoms of vitamin B12 deficiency are rare because it takes years
to develop complications associated with long-term depletion of this nutrient.
Irritability, weakness, numbness, anemia, loss of appetite, headache,
personality changes, and confusion are some of the signs and symptoms associated
with vitamin B12 depletion. Low levels of this vitamin may also be
associated with an increased risk of colon cancer, heart disease, brain
disorders, and birth defects. |
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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.
Berger W. Incidence of severe side effects during therapy with sulfonylureas
and biguanides. Horm Metab Res Suppl. 1985;15:111-115.
Carpentier JL, Bury J, Luyckx A, Lefebvre P. Vitamin B12 and folic acid serum
levels in diabetics under various therapeutic regimens. Diabetes Metab.
1976;2(4):187-190.
Covington T, ed. Nonprescription Drug Therapy Guiding Patient
Self-Care. St Louis, MO: Facts and Comparisons; 1999:467-545.
Fauci A. ed. et. al. Harrison's Principles of Internal Medicine.
Fourteenth Edition. New York, Mc-Graw-Hill Companies Health Professional
Division, 1998.
Kaplan NM. The dietary guideline for sodium: should we shake it up? NAm J
Clin Nutr. 2000;71:1020-1026.
Kirschmann G. and Kirschmann J. Nutrition Almanac. Fourth Edition.
McGraw-Hill, 1996.
National Research Council, Recommended Dietary Allowances. Tenth
Edition. Washington, DC, National Academy Press, 1989.
Roe DA. Drug-Induced Nutritional Deficiencies. Second Edition.
Westport, CT, Avi Publishing, pp. 159-161, 1985.
Singer GG, Brenner BM. Fluid and electrolyte disturbances. 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; 1998:269. |
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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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