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> Thanks for the info.

You're welcome Jen :)

> I checked out the site. Since Quinton is getting

> beta carotenes he cannot get a Vitamin A toxic problem (

You will find in that page signs of beta caroten toxicity. That's why I gave

you the link. Sorry, I should have realized it's confusing...

" Although carotene is metabolized in the body to vitamin A at a slow rate,

excessive ingestion of carotene does not cause vitamin A toxicity but

produces carotenemia (carotene blood levels > 250 µg/dL [> 4.65 µmol/L]).

This condition is usually asymptomatic but may lead to carotenosis, in which

the skin (but not the sclera) becomes deep yellow, especially on the palms

and soles.

Carotenosis may also occur in diabetes mellitus, myxedema, and anorexia

nervosa, possibly from a further reduction in the rate of conversion of

carotene to vitamin A. "

> from what I just

> read). I think what I need to do is drop his Carotnoid Complex pill and

> add in some real Vit A

Why don't you give him CLO? I think it has a very " healthy " form of Vit.A

> My current understanding is

> that Vit A as a beta carotene is a precursor to Vit A but not actually

> Vit A.

Yes, the body converts beta carotene into Vit A only if it needs it.

Valentina

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> " Although carotene is metabolized in the body to vitamin A at a slow rate,

>excessive ingestion of carotene does not cause vitamin A toxicity but

>produces carotenemia (carotene blood levels > 250 µg/dL [> 4.65 µmol/L]).

>This condition is usually asymptomatic but may lead to carotenosis, in which

>the skin (but not the sclera) becomes deep yellow, especially on the palms

>and soles.

What the above says is that if you ingest LARGE amounts of carotene you

may get orangish skin on hands/feet but it is otherwise NOT A PROBLEM.

I have heard of people getting orangish hands/feet from drinking LARGE

amounts of carrot juice, and have heard this does not cause other

problems.

Your body may or may not be able to use the carotene effectively to

make vitamin A --- which Andy pointed out is a reason to take vitamin

A instead. My (very limited) understanding is that vitamin A also

has more potential for toxicity or overdose than carotene.

With carotene if there is excess the body just doesn't bother to

process it into vitamin A. As is pointed out in the quoted text

above, excessive ingestion of CAROTENE does NOT result in excessive

vitamin A. Assuming your body is able to do the conversion.

If your body is not good at processing carotene into vitamin A, then

more carotene is not going to help. (back to Andy's point.)

Moria

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  • 3 months later...
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> http://www.ansci.cornell.edu/courses/as625/625vita.html Click on

URL, for

> vitamin A toxicity. ltldab1@ juno.com

Thank you.

Converting the graph to IU's, the first potential for toxicity occcurs

at an ongoing intake of about 5,000 IU per pound of kid per day, while

liver toxicity occurs at about 100,000 IU per pound of kid per day.

So for kids of various weights:

Weight, # skin problems start liver problems start

20 # 100,000 IU 2,000,000 IU

30 # 150,000 IU 3,000,000 IU

40# 200,000 IU 4,000,000 IU

60# 300,000 IU 6,000,000 IU

100# 500,000 IU 10,000,000 IU

As you can see my suggestions are much more conservative than this

table.

Andy . . . . . . . . . . . . . . . .

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  • 1 year later...

last year our local WAPF chapter ran a booth at the Common Ground Fair,

which is a big agricultural fair put on by the maine organic farmers and

gardeners association. 50,000 people attend. in any event, the day i was

running the booth, one of the people who stopped to talk was a nutritionist

who was very upset with the foundation's emphasis on animal fats, which she

said could cause vitamin A toxicity. she said it was " dangerous " or

something to that effect, and she wrote down all the names of the books were

displaying and/or selling, for what purpose i don't know. i debated the vit.

a toxicity subject with her for a little bit, but i didn't know a heck of a

lot about the subject then, and still feel like i don't have a good handle

on it. i told her the WAPF didn't make a recommendation for a specific

quantitiy of any nutrient that i was aware of, but rather made general

recommendations for things like animal fats and other foods characteristic

of healthy traditional diets. so how she could determine that that would

cause vit. a toxicity, i don't know.

nonetheless she was adament that the emphasis on animal fats, and perhaps

cod liver oil could be harmful in regards to vit. a. i have no doubt that

stuffing oneself with animal fats is not problematic in terms of vitamin a,

but i'm not so clear on the CLO issue, nor am i very familiar with studies

that have been done on vit. a toxicity. i keep hearing that only *synthetic*

vit. a is toxic, but not *natural* vitamin a. does anyone know what the

basis of that is? it sounds logical, but is it based on actual data?

i will be running the wapf booth at the same fair in two days and would like

to get a little more informed about the vit. a issue in case this

nutritionist comes back to debate it with me. if anyone has any studies that

measured toxicity of synthetic and natural forms, that would be helpful. i

do have one reference about a study that fed 300,000 iu vit. a to 283 people

for up to 2 years and found no symptoms associatied with hypervitaminosis A.

no mention of which form it was. however, my understanding is that it's an

individual thing, with some tolerating much higher amounts than others.

Suze Fisher

Lapdog Design, Inc.

Web Design & Development

http://members.bellatlantic.net/~vze3shjg

Weston A. Price Foundation Chapter Leader, Mid Coast Maine

http://www.westonaprice.org

----------------------------

" The diet-heart idea (the idea that saturated fats and cholesterol cause

heart disease) is the greatest scientific deception of our times. " --

Mann, MD, former Professor of Medicine and Biochemistry at Vanderbilt

University, Tennessee; heart disease researcher.

The International Network of Cholesterol Skeptics

<http://www.thincs.org>

----------------------------

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>>>Suze below is an excerpt from a WAP article I'm sure you've seen but

these are the two references to this excerpt. This may help.

------>oh excellent! that's exactly what i'm looking for. i had forgotten

the WAPF covered this issue. thanks for posting it :-) where did you get the

second excerpt from...i couldn't find it. it's the one that gives specific

vit. A dosing recommendations for women, excerpt below:

" Thus if you are or may become pregnant, limit cod liver oil intake to

not more than a total vitamin A value of 30,000 IU. If using my

favorite brand, Carlson Labs cod liver oil, that would equal the

amount of vitamin A found in 12 teaspoons or 4 tablespoons, more than

anyone would ever take. If using high-vitamin cod liver oil, the

limit would be 2 tablespoons. Two tablespoons of regular cod liver

oil provide 15,000 IU vitamin A, 2600 IU vitamin D and 6 grams of

mixed omega-3 fatty acids, safe for pregnancy and good for mom and

baby. "

Suze Fisher

Lapdog Design, Inc.

Web Design & Development

http://members.bellatlantic.net/~vze3shjg

Weston A. Price Foundation Chapter Leader, Mid Coast Maine

http://www.westonaprice.org

----------------------------

“The diet-heart idea (the idea that saturated fats and cholesterol cause

heart disease) is the greatest scientific deception of our times.” --

Mann, MD, former Professor of Medicine and Biochemistry at Vanderbilt

University, Tennessee; heart disease researcher.

The International Network of Cholesterol Skeptics

<http://www.thincs.org>

----------------------------

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Mike,

Since I and I'm sure others would be interested, you should, if you would be

willing, upload the file to the files section of this list.

I haven't done the research you have, but I just want to point out we have to

remember that Price's subjects didn't *just* have 10 times the vitamin A

Americans had (which indicates to me, since Price focused on the skeletal

system,

that excess vitamin A is NOT something to worry about), but also had much more

calcium.

A lot of hormones and compounds could help or hurt depending on your calcium

level. For example, calcitriol (vitamin D) doesn't cause Ca to go into the

bones, but rather regulates the amount of Ca in the blood. So if there is

deficient Ca in the diet, calcitriol will leach Ca from the bones, but if there

is

a net excess of Ca, calcitriol will cause Ca to be included in bone. The same

could be said for even an ionic element such as P for example.

The same could also be said for estrogen, which increases Ca retnetion in the

blood. Theoretically estrogen could help bones if one's problem is Ca loss

in the urine, but estrogen also supports osteoclasts which break down bone to

include in the blood, so barring a major deficiency that is causing urine loss

more estrogen would probably be harmful.

Parathyroid hormone has a similar effect, in that it raises blood Ca, but it

also supports osteoclasts, which is how it does so, but on the other hand it

promotes the conversion of cholicaliciferol to calcitriol, without which any

vitamin D would be useless. (Since some evidence indicates UV on the eyes

causes decrease in parathyroid and increase in calcitonin, maybe the natural

cycle

of being outside in UV in the day, and producing calcitonin, and also

producing cholacaliciferol on the skin, and then going inside or it getting dark

and

producing parathyroid to turn the cholacaliciferol into calcitriol is the

normal day to day cycle?). Still, the parathyroid increases Ca retention in

the

diet.

So since Price thought vitamin A was necessary for Ca *absorption* and other

folks seem to think vitamin A causes Ca *loss* my guess is the answer is " it

depends " and also " it's complicated. " I don't know, but I would guess that

vitamin A has a relationship to Ca that is not clear-cut, and that could be bad

or good depending on how the amount of vitamin A compares to the amount of Ca,

similar to vitamin D. If you have high Ca, the more vitamin D the better up

to an enormous amount (for most people, not for some). But if you have low Ca,

the more vitamin D the more harm.

Chris

In a message dated 9/19/03 11:56:48 AM Eastern Daylight Time, bwp@...

writes:

> a few months back i found out about the issue with retinol and

> osteoporosis, which is one of my absolute biggest interests, yet i

> haven't had a chance to really investigate the issue by reading

> actual journal articles, contacting experts, etc. summarizing

> briefly, there are a few studies that link excessive retinol to

> osteoporosis, and they don't look easily dismissable. i haven't

> seen any clear separation of effects from natural vs. synthetic

> retinol, so i'm still hoping it's the excess synthetic stuff that's

> the culprit. in a way, though, we shouldn't be surprised that the

> body needs a certain amount of a crucial hormone like retinol for

> various processes, and that too much or too little can be a problem.

> even if the worries about excess retinol with respect to other bodily

> processes are exaggerated or unjustified, the bone thing could be a

> valid risk. i'm presently cautious about retinol, taking only about

> 1/2 tsp CLO (radiant life stuff) per day, and i don't eat liver in

> general, although now that it's deer season and i live near a good

> butcher, i'm thinking about doing a few ounces of raw deer liver and

> raw deer heart once a week. i'm not sure if i should skip the CLO

> for those days, but of course the daily intake is probably not the

> crucial issue for fat-soluble vitamins, just the total over a longer

> stretch. and i still want the vit D, E, and omega-3's, which i don't

> get much from other stuff, so i'll probably still do a 1/2 tsp of the

> CLO.

>

> a few months back i did some websearching about this, and i have a

> folder of stuff i could privately email you if you'd like. it's

> about 740KB. i will get around to a more serious investigation

> sometime because osteoporosis is my number one health concern.

" To announce that there must be no criticism of the president, or that we are

to stand by the president, right or wrong, is not only unpatriotic and

servile, but is morally treasonable to the American public. " --Theodore

Roosevelt

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hey Suze,

a few months back i found out about the issue with retinol and

osteoporosis, which is one of my absolute biggest interests, yet i

haven't had a chance to really investigate the issue by reading

actual journal articles, contacting experts, etc. summarizing

briefly, there are a few studies that link excessive retinol to

osteoporosis, and they don't look easily dismissable. i haven't

seen any clear separation of effects from natural vs. synthetic

retinol, so i'm still hoping it's the excess synthetic stuff that's

the culprit. in a way, though, we shouldn't be surprised that the

body needs a certain amount of a crucial hormone like retinol for

various processes, and that too much or too little can be a problem.

even if the worries about excess retinol with respect to other bodily

processes are exaggerated or unjustified, the bone thing could be a

valid risk. i'm presently cautious about retinol, taking only about

1/2 tsp CLO (radiant life stuff) per day, and i don't eat liver in

general, although now that it's deer season and i live near a good

butcher, i'm thinking about doing a few ounces of raw deer liver and

raw deer heart once a week. i'm not sure if i should skip the CLO

for those days, but of course the daily intake is probably not the

crucial issue for fat-soluble vitamins, just the total over a longer

stretch. and i still want the vit D, E, and omega-3's, which i don't

get much from other stuff, so i'll probably still do a 1/2 tsp of the

CLO.

a few months back i did some websearching about this, and i have a

folder of stuff i could privately email you if you'd like. it's

about 740KB. i will get around to a more serious investigation

sometime because osteoporosis is my number one health concern.

mike parker

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Here you go Suze

http://www.westonaprice.org/nutrition_guidelines/codliveroil.html

> >>>Suze below is an excerpt from a WAP article I'm sure you've

seen but

> these are the two references to this excerpt. This may help.

>

> ------>oh excellent! that's exactly what i'm looking for. i had

forgotten

> the WAPF covered this issue. thanks for posting it :-) where did

you get the

> second excerpt from...i couldn't find it. it's the one that gives

specific

> vit. A dosing recommendations for women, excerpt below:

>

>

> " Thus if you are or may become pregnant, limit cod liver oil

intake to

> not more than a total vitamin A value of 30,000 IU. If using my

> favorite brand, Carlson Labs cod liver oil, that would equal the

> amount of vitamin A found in 12 teaspoons or 4 tablespoons, more

than

> anyone would ever take. If using high-vitamin cod liver oil, the

> limit would be 2 tablespoons. Two tablespoons of regular cod liver

> oil provide 15,000 IU vitamin A, 2600 IU vitamin D and 6 grams of

> mixed omega-3 fatty acids, safe for pregnancy and good for mom and

> baby. "

>

>

> Suze Fisher

> Lapdog Design, Inc.

> Web Design & Development

> http://members.bellatlantic.net/~vze3shjg

> Weston A. Price Foundation Chapter Leader, Mid Coast Maine

> http://www.westonaprice.org

>

> ----------------------------

> " The diet-heart idea (the idea that saturated fats and cholesterol

cause

> heart disease) is the greatest scientific deception of our

times. " --

> Mann, MD, former Professor of Medicine and Biochemistry at

Vanderbilt

> University, Tennessee; heart disease researcher.

>

> The International Network of Cholesterol Skeptics

> <http://www.thincs.org>

> ----------------------------

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> Mike,

>

> Since I and I'm sure others would be interested, you should, if you

would be

> willing, upload the file to the files section of this list.

okay, i uploaded eight of the better webpages from my websearch, in

the folder " retinol and osteoporosis " .

just skimming through this stuff again, i think the key unresolved

issues are:

1. synthetic vs. natural retinol (sweden fortifies low-fat dairy with

synthetic retinol, so it's more than CLO that contributes to retinol

intake.)

2. ratio of A and D. many people in studies might've been vit D

deficient.

mike parker

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>>>a few months back i did some websearching about this, and i have a

folder of stuff i could privately email you if you'd like. it's

about 740KB. i will get around to a more serious investigation

sometime because osteoporosis is my number one health concern.

---->mike, i would be interested in seeing your file on this, so please do

send it to me. thanks very much!

just curious as to why osteoperosis is your #1 health concern?

Suze Fisher

Lapdog Design, Inc.

Web Design & Development

http://members.bellatlantic.net/~vze3shjg

Weston A. Price Foundation Chapter Leader, Mid Coast Maine

http://www.westonaprice.org

----------------------------

“The diet-heart idea (the idea that saturated fats and cholesterol cause

heart disease) is the greatest scientific deception of our times.” --

Mann, MD, former Professor of Medicine and Biochemistry at Vanderbilt

University, Tennessee; heart disease researcher.

The International Network of Cholesterol Skeptics

<http://www.thincs.org>

----------------------------

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oops! sorry, disregard my last message. i'm wading throught the hundred or

so posts to this list today and see mike already uploaded this material to

the website.

Suze Fisher

Lapdog Design, Inc.

Web Design & Development

http://members.bellatlantic.net/~vze3shjg

Weston A. Price Foundation Chapter Leader, Mid Coast Maine

http://www.westonaprice.org

----------------------------

“The diet-heart idea (the idea that saturated fats and cholesterol cause

heart disease) is the greatest scientific deception of our times.” --

Mann, MD, former Professor of Medicine and Biochemistry at Vanderbilt

University, Tennessee; heart disease researcher.

The International Network of Cholesterol Skeptics

<http://www.thincs.org>

----------------------------

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i just added another file sitting somewhere else on my computer...

as for your question, it's just because i don't expect to have much

in the way of other health concerns since i'm starting out healthy

(26 yrs) and should be able to prevent the normal problems through

diet, exercise, etc, and i practice calorie restriction, which means

i might have a long lifespan and it's only a matter of time before

bone falls apart. also, calorie restriction in itself may increase

one's osteoporosis risk (basically being skinny)...

mike parker

> >>>a few months back i did some websearching about this, and i have

a

> folder of stuff i could privately email you if you'd like. it's

> about 740KB. i will get around to a more serious investigation

> sometime because osteoporosis is my number one health concern.

>

> ---->mike, i would be interested in seeing your file on this, so

please do

> send it to me. thanks very much!

>

>

> just curious as to why osteoperosis is your #1 health concern?

>

> Suze Fisher

> Lapdog Design, Inc.

> Web Design & Development

> http://members.bellatlantic.net/~vze3shjg

> Weston A. Price Foundation Chapter Leader, Mid Coast Maine

> http://www.westonaprice.org

>

> ----------------------------

> " The diet-heart idea (the idea that saturated fats and cholesterol

cause

> heart disease) is the greatest scientific deception of our times. " -

-

> Mann, MD, former Professor of Medicine and Biochemistry at

Vanderbilt

> University, Tennessee; heart disease researcher.

>

> The International Network of Cholesterol Skeptics

> <http://www.thincs.org>

> ----------------------------

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  • 3 years later...

Now I am hooked. This is very intriguing. I did a pub med search and this was all i found. Nothing in either book. If you can't figure it out, let me know and i will forward to Complementary Care Nutrition.

Tariq Al-Fahad1, Ali Ismael2, M Osama Soliman3 and Mousa Khoursheed4

(1)

Department of Medicine, Mubarak Al-Kabeer Hospital, Kuwait

(2)

Department of Surgery, Mubarak Al-Kabeer Hospital, Kuwait

(3)

Department of Surgery, Mubarak Al-Kabeer Hospital, Kuwait

(4)

Department of Surgery, Mubarak Al-Kabeer Hospital, Kuwait; Department of Surgery, Faculty of Medicine, Kuwait University, Kuwait

Published online: 01 May 2006

Postoperative complications resulting from bariatric surgery can lead to severe vitamin-deficiency states, such as Wernicke's encephalopathy (WE). We present a 29-year-old woman with BMI 41.7 with no history of alcoholism who developed acute WE after a gastric bypass for morbid obesity. After persistent vomiting for 2 weeks postoperatively, symptoms began with headache, vertigo, diplopia, nystagmus, tingling and weakness in both upper and lower extremities, urinary incontinence, and memory loss to recent events. All investigations, including upper GI endoscopy, Gastrografin® meal and even MRI, were normal. A dramatic improvement occurred in 24 hrs after starting 100 mg thiamine infusion daily. We recommend that patients undergoing bariatric surgery should be started on thiamine supplementation once oral intake begins, because this case showed that postoperative acute WE can develop before 6 weeks, unlike other reports.

MORBID OBESITY - GASTRIC BYPASS - VOMITING - THIAMINE DEFICIENCY - WERNICKE'S ENCEPHALOPATHY

From: [mailto: ] On Behalf Of jbach11Sent: Thursday, September 20, 2007 1:49 PM Subject: Re: Vitamin A Toxicity

This is a very interesting case.....we just got her Vit A lab, and it turns out she is deficient in Vitamin A, not toxic!! Not what I was expecting at all, since she has all the symptoms of toxicity. Any recommendations on what to do now, or what else may be causing these symptoms? Thanks!>> Very interesting case. I looked up Vit A toxicity in both the> Micronutrition for weight loss surgery patients and Krause's Food,> nutrition and Diet Therapy and did not see anything about reversing> toxicity.> > I would however, find her a vitamin with mixed carotenoids vs. retinol.> this is much less toxic as the conversion rate of carotene to retinol> varies per the body's need at the time. Both books also noted that the> carotene form is non-toxic.> Tina Musselman RD, CCN > Bariatric Program Coordinator > (708) 747-4000 ext. 7444 or > (708) 679-2717 > (708) 679-2418 (fax) > > > ________________________________> > From: > [mailto: ] On Behalf Of> jbach11> Sent: Thursday, September 20, 2007 1:16 PM> > Subject: Vitamin A Toxicity> > > > I have a patient who was taking 12000IU of Vitamin A for ~6 months post > RNY. She presented with vertigo, bone and joint pain, and headaches. > I told her to decrease the vitamin supplementation, however she is > still getting 6000 IU of Vitamin A in the vitamins she is using. We > have not yet received her Vit A lab result, but I'm assuming it will be > high. I have never had a patient with this before. What is the > correct treatment for Vit A toxicity?> > > > > > > > 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.>

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.

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Have you checked Vit. D, magnesium, B6, and B12 levels?

Ava

> >

> > Very interesting case. I looked up Vit A toxicity in both the

> > Micronutrition for weight loss surgery patients and Krause's

Food,

> > nutrition and Diet Therapy and did not see anything about

reversing

> > toxicity.

> >

> > I would however, find her a vitamin with mixed carotenoids vs.

> retinol.

> > this is much less toxic as the conversion rate of carotene to

> retinol

> > varies per the body's need at the time. Both books also noted

that

> the

> > carotene form is non-toxic.

> > Tina Musselman RD, CCN

> > Bariatric Program Coordinator

> > (708) 747-4000 ext. 7444 or

> > (708) 679-2717

> > (708) 679-2418 (fax)

> >

> >

> > ________________________________

> >

> > From:

> > [mailto: ] On Behalf

Of

> > jbach11

> > Sent: Thursday, September 20, 2007 1:16 PM

> >

> > Subject: Vitamin A Toxicity

> >

> >

> >

> > I have a patient who was taking 12000IU of Vitamin A for ~6

months

> post

> > RNY. She presented with vertigo, bone and joint pain, and

> headaches.

> > I told her to decrease the vitamin supplementation, however she

is

> > still getting 6000 IU of Vitamin A in the vitamins she is using.

We

> > have not yet received her Vit A lab result, but I'm assuming it

> will be

> > high. I have never had a patient with this before. What is the

> > correct treatment for Vit A toxicity?

> >

> >

> >

> >

> >

> >

> >

> > 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.

> >

>

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I had a patient 30 year post intestinal bypass patient who had Vitamin A deficiency and experienced night blindness. We ended up giving him IV Vitamin A. Bartholomay <.Bartholomay@...> wrote: What is this patient's vitamin D status? Does she have sufficient Magnesium intake? Bartholomay, LRDManager, Nutrition TherapyMeritCare Health Systems.Bartholomay@...(701) 234-6166>>> "jbach11" 9/20/2007 1:49 PM >>>This is a very interesting case.....we just got her Vit A lab, and it turns out she is deficient in Vitamin A, not toxic!! Not what I was expecting at all, since she has all the symptoms of toxicity. Any recommendations on what to do now, or what else may be causing these symptoms?

Thanks!>> Very interesting case. I looked up Vit A toxicity in both the> Micronutrition for weight loss surgery patients and Krause's Food,> nutrition and Diet Therapy and did not see anything about reversing> toxicity.> > I would however, find her a vitamin with mixed carotenoids vs. retinol.> this is much less toxic as the conversion rate of carotene to retinol> varies per the body's need at the time. Both books also noted that the> carotene form is non-toxic.> Tina Musselman RD, CCN > Bariatric Program Coordinator > (708) 747-4000 ext. 7444 or > (708) 679-2717 > (708) 679-2418 (fax) > > > ________________________________> > From: >

[mailto: ] On Behalf Of> jbach11> Sent: Thursday, September 20, 2007 1:16 PM> > Subject: Vitamin A Toxicity> > > > I have a patient who was taking 12000IU of Vitamin A for ~6 months post > RNY. She presented with vertigo, bone and joint pain, and headaches. > I told her to decrease the vitamin supplementation, however she is > still getting 6000 IU of Vitamin A in the vitamins she is using. We > have not yet received her Vit A lab result, but I'm assuming it will be > high. I have never had a patient with this before. What is the > correct treatment for Vit A toxicity?> > > > > > > > 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.>This e-mail message is intended only for the named recipient(s) above and is covered by the Electronic Communications Privacy Act 18 U.S.C. Section 2510-2521. This e-mail is confidential and may contain information that is privileged or exempt from disclosure under applicable law. If you have received this message in error please immediately notify the sender by return e-mail and delete this e-mail message from your

computer.

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What kind of vitamin A did she consume?Retinol v. Carotene?

Was it really 50,000?A week? a month?Sometimes patients forget to

check serving size.

Was she taking enough protein ? Check RBP (etinol binding

protein),prealbumin

Did you check vit A (retinol)?

I also agree that bone ,joint pain can be Vit D def.

Check vit D 25 (OH)

-- In , " debragrossman "

<deblengrossman@...> wrote:

>

> Hi all!

>

> I also have a clinet 1 year post Roux-En-Y who has been taking

50,000units of Vitamin A for 1 year! As of her last labs in June,

the Vitamin A level was still low at 18.

> She has not complained of any of these symptoms but I have been

concerned about this level of supplementation. Some research I have

done said that too much Vitmain A can eventually cause bone loss!

The doctor in charge who calls himself a nutrition specialist has

recently moved so I have an opportunity to recommend something else.

Any suggestions would be appreciated.

>

> Debra Brown Grossman,MPH,RD,CDE

> 62 So Fullerton Ave.

> Montclair, N.J. 07042

> 973-655-1335 V

> 973-655-1336 F

> deblengrossman@...

>

>

> Vitamin A Toxicity

> >

> >

> >

> > I have a patient who was taking 12000IU of Vitamin A for ~6

months

> post

> > RNY. She presented with vertigo, bone and joint pain, and

> headaches.

> > I told her to decrease the vitamin supplementation, however

she is

> > still getting 6000 IU of Vitamin A in the vitamins she is

using. We

> > have not yet received her Vit A lab result, but I'm assuming

it

> will be

> > high. I have never had a patient with this before. What is the

> > correct treatment for Vit A toxicity?

> >

> >

> >

> >

> >

> >

> >

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