Calcium by wuyunqing

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									   Nutrient Depletion




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What is the goal of this class?

                            Upon completion of
                             this class, you should
                             be able to:
                                 recognize that specific
                                  nutrients may be
                                  depleted during a
                                  course of therapy with a
                                  variety of prescription
                                  and/or OTC
                                  preparations.

          Ritzman Natural Health Pharmacies
What is the goal of this class?

                            We will also discuss
                             what happens in the
                             body when a nutrient
                             depletion occurs and,
                            indicate potential
                             customers who may
                             benefit from this
                             information.


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Drug-induced nutrient depletion. . .

                              “Many of the side effects
                               of drug therapy may not
                               be directly related to the
                               drug itself, but rather are a
                               consequence of nutritional
                               deficiencies caused by the
                               drug when taken over
                               time.”
                                   Pelton et al: Drug-Induced
                                     Nutrient Depletion
                                     Handbook, 1999-2000


           Ritzman Natural Health Pharmacies
Drug-induced nutrient depletion. . .

Nutrients may be depleted  “Many of the side effects
  because they are not      of drug therapy may not
                                       be directly related to the
  absorbed, synthesized,
                                       drug itself, but rather are
  metabolized, or excreted             a consequence of
  properly.                            nutritional deficiencies
This, in a nutshell, is the           caused by the drug when
 definition of drug-                   taken over time.”
                                         Pelton et al: Drug-Induced
 induced nutrient                          Nutrient Depletion
 depletion.                                Handbook, 1999-2000


                 Ritzman Natural Health Pharmacies
Prescription depletions. . .

Now let’s focus on
 products that may
 lead to nutrient
 depletions…
 Antibiotics, Anti-
  Diabetics, Anti-
  inflammatories,
  Cholesterol-lowering
  meds, Birth Control,
  Thyroid Meds etc. . .
                 Ritzman Natural Health Pharmacies
Antibiotics

                  Along with killing nasty
                   bacteria in the body,
                   antibiotics also kill all of
                   the good intestinal
                   flora. This results in a
                   deficiency of probiotics.
                  It is very important to
                   take high doses of
                   acidophilus for 2-3
                   weeks during and after
                   a course of antibiotics.
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Antibiotics

                  Probiotics support the
                   production of B vitamins
                   and they become
                   depleted when probiotics
                   are diminished.
                  Supplementing with B
                   vitamins is helpful, and
                   should also be done
                   along with probiotics.

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               Anti-diabetics

Studies have indicated
 that patients taking
 anti-diabetic
 medications have been
 nutrient-deficient in
 three areas:
CoQ10
B12
Folic Acid
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Anti-inflammatories
                      Corticosteroid drugs
                       include prednisone,
                       deflazacort, and
                       betamethasone. These
                       drugs lead to osteoporosis
                       by depleting calcium in
                       the body.
                      Because calcium is
                       depleted, there is a greater
                       need for vitamin D and
                       magnesium which will
                       increase calcium
                       absorption.
   Ritzman Natural Health Pharmacies
Anti-inflammatories

                     Other studies indicate
                      that vitamin C is
                      depleted when anti-
                      inflammatories are
                      used.

                     Nutrients depleted:
                          Calcium, magnesium,
                           vitamin D, vitamin C

   Ritzman Natural Health Pharmacies
Non Steroidal Anti-inflammatories

                            NSAIDs, non-steroidal
                             anti-inflammatories,
                             with brand names,
                             Motrin, Ibuprofen,
                             Advil, Aleve, Feldene,
                             etc., deplete the body
                             of folic acid.



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                 Salicylates

Salicylates include
 aspirin, and may alter
 the availability of
 vitamin C by
 increasing urinary
 excretion.
Salicylates also
 deplete folic acid, iron
 and potassium.

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               Acetaminophen

 Acetaminophin
  depletes glutathione
  and cysteine, leading to
  stress in the liver and
  kidneys. Supplementing
  with glutathione and
  milk thistle may aid in
  protecting the liver from
  toxins and strengthen the
  immune system.


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Oral Contraceptives

                     Oral contraceptive
                      use depletes many
                      nutrients primarily:
                          The B vitamins
                               B-6 & B12
                          Folic Acid
                          Magnesium




   Ritzman Natural Health Pharmacies
    Estrogen Replacement Therapy
    Hormone Replacement Therapy

ERT & HRT deplete
  magnesium and the
  B vitamins.
 Magnesium depletion
  can lead to
  cardiovascular
  problems, asthma,
  and osteoporosis.


              Ritzman Natural Health Pharmacies
    Estrogen Replacement Therapy
    Hormone Replacement Therapy

Women taking long-
 term estrogen
 therapy should take
 500mg of magnesium
 daily, especially if
 taking calcium.
The calcium
 magnesium balance
 needs to be
 maintained.

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Thyroid Medications
                       Thyroid medication brand
                        names include
                        Synthroid and Levoxyl.
                       These medications may
                        delete calcium, although
                        recent studies have
                        indicated there may not
                        be reduced bone density.
                       We recommend
                          supplementing with a
                          calcium/magnesium
                          product.
    Ritzman Natural Health Pharmacies
Cholesterol-Lowering Medications

                           The family of
                            cholesterol-lowering
                            medications referred
                            to as the “statins”
                            include brand names,
                               Lipitor, Mevacor,
                               Lescol, Pravachol &
                               Zocor.


         Ritzman Natural Health Pharmacies
Cholesterol-Lowering Medications

                           These medications
                            deplete the body of
                            CoQ10.
                           Symptoms of CoQ10
                            deficiency include
                               congestive heart
                               failure, high blood
                               pressure, angina, and
                               many other
                               cardiovascular
                               problems.
         Ritzman Natural Health Pharmacies
Diuretics

                  Diuretic products
                   deplete many
                   nutrients:
                       Calcium,
                          magnesium,
                          potassium,
                          CoQ10, B vitamins,
                          zinc & folic acid.
                  Brand names include:
                    Bumex, Lasix,
                    Enduron, Oretic
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Diuretics

                  An excellent multi-
                   vitamin product is
                   appropriate for
                   customers taking
                   diuretics.




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                Antacids

OTC antacids with
 brand names such as
 Maalox, Rol-Aids, etc.
 which contain
 magnesium/aluminum
 hydroxide deplete the
 body of calcium,
 vitamin D, and
 phosphorus.

               Ritzman Natural Health Pharmacies
                Antacids

Sodium bicarbonate
 antacids deplete the
 body of potassium.




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          Proton Pump Inhibitors

Proton pump
 inhibitors are a family
 of drugs which treat
 GERD (esophageal
 reflux) and other
 illnesses. Brand
 names include
 Prilosec and Prevacid.


                Ritzman Natural Health Pharmacies
          Proton Pump Inhibitors

Basically, these drugs
 inhibit gastric acid
 secretion.
This can lead to
  vitamin B12
  deficiency in the
  body.



                 Ritzman Natural Health Pharmacies
                      Wow!

If you are thinking
 this is a lot to
 remember, don’t
 worry:
  QS1 patient leaflets
   provide drug-
   nutrient depletion
   information!
  Use the ET chart
  Check with the
   pharmacist for
   support!
                Ritzman Natural Health Pharmacies
      Wow!

                  Customer “cue-cards”
                   are placed on the
                   shelf near nutrients
                   that are often
                   depleted.
                  And, check in the
                   class notebook for a
                   common drug-
                   nutrient reminder
                   chart!

Ritzman Natural Health Pharmacies
                      Thanks!

Thank you very much
 for taking the time to
 review the class.
We hope to see you
 in the follow-up
 discussion class, look
 for dates and times
 on the Ritzman
 calendar!

                Ritzman Natural Health Pharmacies

								
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