Microsoft word - drug nutrient depletion - clinical protocol - october 9th 2007 _2_ edited.doc
The Hoffman Centre for Integrative Medicine
Do the Prescriptions you take Deplete your Nutritional Status? Patient Handout TYPE OF DRUG NAME BRAND EXAMPLE NUTRIENTS DEPLETED ACETOMINOPHEN
Glutathione and cysteine in kidneys, glutathione and catalase in liver, depletes glutathione in testes and lung
ANTACIDS
Vitamin B12, Folic Acid, Vitamin D, Calcium, Iron, Zinc
Ca - absorption impaired leading to bone fracture
ANTIBIOTICS
- Produce proteases, lipases and lactase that aid in the
- Friendly beneficial intestinal bacteria
Calcium, Zinc, Magnesium, Iron, Vitamin B6, Zinc
ANTICONVULSANTS
Vitamin D, Vitamin K, Folic Acid, Calcium, Biotin
Vitamin D, Vitamin K, Folic Acid, Calcium, Biotin, B1, B12
ANTI DIABETIC DRUGS ANTIDEPRESSANTS
Increased bone loss at hip-mechanism not understood
ANTIHYPERTENSIVES
Ca, Mg, Ph via increased urinary excretion
ANTI INFLAMMATORIES
Vitamin C, Folic Acid, Vitamin B5, Ca, Na, Iron, Potassium
Advil, Aleve, Anaprox, Dolobid, Feldene,
Vitamin A, Vitamin B6, Vitamin B12, Vitamin C, Vitamin D,
Folic Acid, Iron, Potassium, Selenium, Zinc, Calcium,
ANTIPHYSCHOTICS
Vitamin B2, Coenzyme Q10, Melatonin, NADH
BENZOIDAZEPENES
Melatonin – insomnia, increased cancer risk and free radical damage
S:\Protocols\Clinical Protocols\Updated & Approved Protocols\Drug Nutrient Depletion - Clinical Protocol - October 9th 2007 (2) edited.doc
BRONCHODILATORS CARDIOVASCULAR
Coenzyme Q10 – Propanolol decreases CoQ10
CHEMOTHERAPY CHOLESTEROL
Lescol, Lipitor, Mevacor, Zocor, Pravacol
LOWERING AGENTS
Vitamins A, B12, D, E, K, Ca, Mg, P, Beta-Carotene, Folic Acid, Iron
COUMADIN DIURETICS
Vitamins B1, B6, B, Magnesium, Calcium, Potassium, Zinc,
Magnesium, Potassium, Zinc, Coenzyme Q10, Sodium
Vitamins B1, B2, B6, B12, C, Folic Acid,
REPLACEMENT
Magnesium – Estrogen induced magnesium shifts can be
THERAPY (HRT)
deleterious when estrogen levels are high and serum magnesium is low. Can shift Ca/Mg ratios resulting in a shift toward coagulation
Zinc, Se, Zn, Tyrosine, Q10, Vitamin E – especially Vitamin B6 and Mg – especially Folic Acid
KCI TIME RELEASE
B12 – leads to anemia, increased homocysteine, depression, neurological problems
LAXATIVES
Vitamin A, Vitamin D, Vitamin E, Vitamin K
Calcium – decrease in osteocalcin production
Vitamins B1, B2 – fall in erythrocyte riboflavin concentration,
CONTRACEPTIVES
B3, B6 – reduced synthesis of serotonin and melatonin –
leads to depression, anxiety, decreased libido, impaired
glucose tolerance – use B6 50-100mg per day
C – decreased by 30-42%. It is the estrogenic component
Folic Acid – fall in folic acid can lead to anemia, birth defects,
cervical dysplasia, elevated homocysteine, depression,
increase breast and colorectal cancer. Use adequate folate
before stopping OC and becoming pregnant. Use of folic acid
Tyrosine – decrease leads to depression – mostly in mid
Fall in glutathione reductase activity which helps us detoxify
S:\Protocols\Clinical Protocols\Updated & Approved Protocols\Drug Nutrient Depletion - Clinical Protocol - October 9th 2007 (2) edited.doc
ULCER MEDICATIONS
Vitamins B12, D, Folic Acid, Calcium, Iron, Zinc, Protein
XENICAL/ORLISTAT Information
There is overwhelming evidence confirming that vitamin deficiencies are associated with disease processes and the overall condition of your health. Vitamin, mineral, and antioxidant deficiencies have been shown to suppress immune function which can contribute to degenerative processes such as arthritis, cancer, Alzheimer’s, cardiovascular disease and diabetes to name a few. This research has been recently reaffirmed by The New England Journal of Medicine and the Journal
- SpectraCell Laboratories, Houston, Texas
S:\Protocols\Clinical Protocols\Updated & Approved Protocols\Drug Nutrient Depletion - Clinical Protocol - October 9th 2007 (2) edited.doc
PREPARING FOR YOUR COLONOSCOPY Purchase the fol owing OVER THE COUNTER products for your bowel prep: • Dulcolax Laxative Tablets (buy box of 10). NOT the suppositories! • Miralax Laxative Powder 238 gm bottle 7 DAYS BEFORE YOUR PROCEDURE: • Do NOT take aspirin or anti-inflammatory medications such as Advil, Aleve, Excedrin, Ibuprofen, Motrin, Nuprin, etc. unless otherw
Structure of the welfare system The Danish welfare system has a high degree of local autonomy and the administration is widely decentralized to the 275 municipalities. Current legislation clearly indicates that responsibility for support provision lies with municipalities who are entrusted with the duty of ensuring that there exist appropriate mechanisms for the provision of assistance, car