Guest guest Posted December 7, 2007 Report Share Posted December 7, 2007 why are the on so much? What is their goal? Tina Musselman RD, CCN St. Bariatric Program Coordinator (708) 679-2717 phone (708) 679-2418 fax tina.musselman@... From: [mailto: ] On Behalf Of Sent: Friday, December 07, 2007 2:54 PM Subject: herbal supplements Hi Everyone, I am looking for some advice on herbal supplements. I have a patient taking the following: Vitamin C with rose hip 1000 mg per day, Vitamin B-125 complex time released, multi-vitamin without iron, magnesium with chelated zinc, omega-3. coral calcium, spirulina, chlorophyll, apple cidar vinegar, water pills, chromium picolinate, yucca, glucosamine chondroitin, green tea, focus essentials, DHEA, avena sativa, melatonin What are your recommendations for pre and post gastric bypass? thanks so much! Be a better friend, newshound, and know-it-all with Mobile. Try it now. The information contained in this e-mail and any accompanying documents is intended for the sole use of the recipient to whom it is addressed, and may contain information that is privileged, confidential, and prohibited from disclosure under applicable law. If you are not the intended recipient, or authorized to receive this on behalf of the recipient, you are hereby notified that any review, use, disclosure, copying, or distribution is prohibited. If you are not the intended recipient(s), please contact the sender by e-mail and destroy all copies of the original message. Thank you. Quote Link to comment Share on other sites More sharing options...
Guest guest Posted December 8, 2007 Report Share Posted December 8, 2007 I am with Tina; figure out what the problems are, what goal they are trying to achieve and then see what supplements are appropriate. I would think a multivitamin as a minimum; omega-3's I am sure she has a good reason for; look at tolerable upper limits, i.e. the tol. upper limit for vit. C is 2,000 mg so find out her reason for such an excessive amountl - make out an individualized supplement plan. I would question her specific medical condition for the magnesium with the zinc; perhaps measure her zinc levels. Chromium is used to regulate blood sugar but its use needs more research. Enough chromium is found in most MVIs, so you might want to check that out. For further info on chromium, see: http://www.dietitian.com/chromium.html As far as coral calcium goes - I would advise her of the info related in the following site, determine what her calcium requirements are, if they are being met through the MVI and diet and supplement with calcium citrate as assessment indicates: http://www.healthcastle.com/coralcalcium-scam.shtml Find out her reason for taking melatonin. It is used fairly effectively in some people as a sleep aid. Other areas that need more study include anti-aging claims, antioxidant claims etc. See this site to learn about melatonin and its use in sleep, dreaming, as an antioxidant, immune enhancing effects : http://en.wikipedia.org/wiki/Melatonin If she is experiencing sleep problems and is self-treating, the physician needs to be aware of this through your assessment documentation. Glucosamine is effective in reducing the inflammation associated with the pain of arthritis. Check her dosage/drug/nutrient interactions. Determine if appropriate.Chart. Cider/apple vinegar is an old remedy. Again, find out what she is using that for, and when necessary research her plan and individualize for her. I would make access of the following site for information: http://dietary-supplements.info.nih.gov/Health_Information/IBIDS.aspx This is the international bibliographic information site on dietary supplements. Another resource is available when you join ADA's DPG group Dietitians in Complimentary Practice. You gain access to the Natural Database which contains thousands of studies on the use of foods/supplements in complimentary medicine. This woman is obviously getting a lot of confusing info from the internet, t.v. or ads placed in a family magazine. It is our jobs as RDs not to discount what the client is doing already, but to find out why and help make a more solid, evidence-based program including supplements that either will do no harm and she desires to take and supplements that truly will help her - get her on the right dose. Make sure the physician is aware of all substances she is on because of any potential drug/nutrient problem or complication he might see before you do. Good luck with this one. Kathy J. Shattler, M.S.,RD Director, Nutrition and Dietitians Division Http://www.ceu4u.com kshattler@... "Virtual Continuing Education Institute" RE: herbal supplements why are the on so much? What is their goal? Tina Musselman RD, CCN St. Bariatric Program Coordinator (708) 679-2717 phone (708) 679-2418 fax tina.musselman@... From: [mailto: ] On Behalf Of Sent: Friday, December 07, 2007 2:54 PM Subject: herbal supplements Hi Everyone, I am looking for some advice on herbal supplements. I have a patient taking the following: Vitamin C with rose hip 1000 mg per day, Vitamin B-125 complex time released, multi-vitamin without iron, magnesium with chelated zinc, omega-3. coral calcium, spirulina, chlorophyll, apple cidar vinegar, water pills, chromium picolinate, yucca, glucosamine chondroitin, green tea, focus essentials, DHEA, avena sativa, melatonin What are your recommendations for pre and post gastric bypass? thanks so much! Be a better friend, newshound, and know-it-all with Mobile. Try it now. The information contained in this e-mail and any accompanying documents is intended for the sole use of the recipient to whom it is addressed, and may contain information that is privileged, confidential, and prohibited from disclosure under applicable law. If you are not the intended recipient, or authorized to receive this on behalf of the recipient, you are hereby notified that any review, use, disclosure, copying, or distribution is prohibited. If you are not the intended recipient(s), please contact the sender by e-mail and destroy all copies of the original message. Thank you. Be a better friend, newshound, and know-it-all with Mobile. Try it now. Quote Link to comment Share on other sites More sharing options...
Guest guest Posted December 8, 2007 Report Share Posted December 8, 2007 , you bring up another good question. Has anyone put together in one place, the nutrient recommendations for the pre and post-op bariatric patient? Has this list, if there is one, consider the recommendations of the AHA for omega-3 supplementation? Are the needs for omega-3's different for the bariatric patient? What are the requirements and tolerable upper limits for vitamin D, B6, biotin, B12, folate and do the recommendations change in face of hyperhomocyteinuria or the presence of heart disease. Are you screening for complimentary practices that may interact with the surgery; for example you need to have patients discontinue a variety of food supplements and herbal remedies prior to invasive surgery due to excessive bleeding problems - glucosamine would be one of these remedies. So, optimally, as in my physicians' offices there are flyers that list all of the herbs and supplements you should discontinue before surgery. Is that a component of your program? So, Tina's dilemna is more than what should A patient take pre and pro op, but what is safe/dangerouse for a patient to take given the surgical procedure, other medications involved and now, altered absorption. Kathy J. Shattler, M.S.,RD Director, Nutrition and Dietitians Division Http://www.ceu4u.com kshattler@... "Virtual Continuing Education Institute" herbal supplements Hi Everyone, I am looking for some advice on herbal supplements. I have a patient taking the following: Vitamin C with rose hip 1000 mg per day, Vitamin B-125 complex time released, multi-vitamin without iron, magnesium with chelated zinc, omega-3. coral calcium, spirulina, chlorophyll, apple cidar vinegar, water pills, chromium picolinate, yucca, glucosamine chondroitin, green tea, focus essentials, DHEA, avena sativa, melatonin What are your recommendations for pre and post gastric bypass? thanks so much! Be a better friend, newshound, and know-it-all with Mobile. Try it now. Be a better friend, newshound, and know-it-all with Mobile. Try it now. Quote Link to comment Share on other sites More sharing options...
Guest guest Posted September 5, 2009 Report Share Posted September 5, 2009 Dear All, Some herbal remedy labels claim they will help with pregnancy. But, most often there are no good studies to show if these claims are true. These products may contain things that could harm the mother or the growing baby during pregnancy. However, unlike medicines, herbal remedies and "natural products" are not approved by the FDA for safety or for what they say they will do. Use of herbal supplements in pregnancy is likely to be relatively high and it is important to ascertain what supplements (if any) women are taking. Several studies specifically report on the use of herbal supplements in pregnancy and the use has been reported to range from 7% to 96%. The use of herbal supplements during pregnancy may be pregnancy related, for example for nausea and vomiting, reflux, candida, nutritional, or to prepare for labour; or may be for unrelated health issues such as colds and respiratory illnesses or skin problems. Reasons reported for ceasing herbal medicine supplements during pregnancy include concerns for the health of the fetus/baby, the 'condition' improving, the supplement not helping and advice from a health care provider (Ref: Herbal medicine use during pregnancy in a group of Australian women BMC Pregnancy and Childbirth 2006, 6:21doi:10.1186/1471-2393-6-21) It is therefore very essential that pregnancy care providers should be aware of the common herbal supplements used by women, and of the evidence regarding potential benefits or harm. Regards, Dr. Smita Love Cricket? Check out live scores, photos, video highlights and more. Click here. Quote Link to comment Share on other sites More sharing options...
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