#you can get vit d toxicity

[wendybird017]

*chewing on a handful of vitamin D capsules* take that daylight savings 5pm sunset

[i-wish-they-had-stevia]

Daily Foods I eat

My goal are to have a 10-15% body fat, anti-aging regimen, and be physically fit.

Below are foods/supplements I eat every day to for my goals :P health.

I am increasing my protein intake mostly for weight loss and muscle building, so that's the vibe rn.

FOODS + Reasons

300g Greek Yogurt

Satiating

high protein

Good for digestion

Apparently the probiotic can help with micro/nanoplastic toxicity (this is new research so there needs to be an RCT but it look interesting

2 servings Vegan protein powder

I do 1 serving of the Owyn chocolate sugar free which is the best I've tried, its a bit more expensive than Orgain but honestly its so worth it

And 1 serving of the Myprotein vegan tiramisu flavor and it tastes kinda good

I usually do it with water, but with really good with unsweet soymilk

this gets me 50g of protein

Both are made with pea and pumpkin protein so its a full and digestable protein. I have nothing against soy protein but I already eat lots of TVP and tofu, and too much soy can potentially be bad

Fiber supplement with a mix of things

Flax: hypertension, omega 3, brain health, increasing insulin sensitivity, lignans can help with cancer, literally so important and should be part of everyones diet. Just make sure you crush them

wheat germ: has high amounts of spermidine, which is a longevity molecule increases autophagy (eating of dead cells) which is like the cleaners of your body, so more autophagy = less cognitive disease

psyllium husk: weight manaemenet, satiety, cholesterol,

amla: highest anti-ox food great for fighting against metabolic syndrome

Black cumin: same as amla but anti-obesogenic

wheatgrass powder: Vit A, D, C, K and its a leafy green

Apple: an apple a day keeps the cardiometabolic diseases away

Supplements

Astaxanthin 12mg

Sunscreen in a pill

The molecule embeds itself in your epidermis helping combat UV and oxidative damage, anti-inflammatory

gives you a very light tan golden hue type shit

it tints your lips slightly red

Also helps with skin care

Polypodium leucotomos 240mg but a 10:1 extraction so like 2400mg/capsule

Helps repair DNA damage from UV

downregulates inflammation in the dermal layer

Can also help with acne

but this is experimental

Vit D 1,000 IU

Everyone should be taking this its good for everything including weight loss, energy, and mental state

like periodt

multivitamin with no Iron

mostly to get my B vitamins and minerals

Iron is actually not good for you cause its very oxidzing and can cause lots of issues but idk how true that is. I get like 500-600% of iron from the tofu TVP and protein powder so I try to avoid it

Magnesium

Again, literally everyone should take this. Mg in use in so many reactions and most Americans are defiencet

Milk Thistle

To combat the too much iron and antioxidant

[mycreativitysblog]

A2 Cow Ghee: Benefits

Ghee is just one of the staple foods in every Indian home and also is used as a main ingredient for cooking. From children to expecting females, Ghee is recommended for everyone as it is good for bone thickness, helps in the body's growth and also advancement, as well as does not lower the excellent cholesterol degree.

Ghee is made from cow, buffalo, goat, as well as lamb milk. Nevertheless, the purest sort of Desi Cow Ghee is called the A2 Cow Ghee, which can only be created utilizing pure A2 milk (A2 Cow milk) from cows coming from India or typically described as Desi Cows. Now, allow's get to comprehend what exactly is A2 ghee and also how it is a much healthier choice.

What is A2 Cow Ghee?

As already pointed out, A2 Desi Cow Ghee is the purest form of ghee made completely from the milk drawn out from desi cows. It is prepared by complying with the standard bilona or spinning technique. Firstly, the milk is curdled and after that hand-churned or motor-churned. After that, the butter collected while doing so is heated until the cow ghee of desi A2 is obtained.

It is considered a much healthier alternative to routine ghee as the main active ingredient of A2 ghee, A2 cow milk, does not include a kind of β-casein protein called the A1 protein. This healthy protein is thought about harmful to the body as well as has more adverse results on the lactose intolerant. This ghee is also known as one of the most nutrition-dense version for all age groups. The most effective component is that a person can find this ghee online easily!

What are the Characteristics & Contents of this Ghee?

earthomaya A2 Desi Cow Ghee, as already stated, is completely made from A2 cow milk. No other active ingredients, additives, or chemicals are included in this ghee. Below are the features of A2 ghee:

It has a yellow-colored colour, which is due to the visibility of a colouring pigment referred to as Beta-carotene located in A2 cow milk. Beta-carotene is a carotenoid that is a vitamin-A precursor.

It has a grainy texture, an extremely desirable attribute, as it indicates that when generating the ghee, a reduced fire was used.

It has an abundant aroma, which aids it blend precisely with any meal.

A2 Cow Ghee Perks

Below are the A2 Ghee advantages you should recognize:

1. Excellent source of Antioxidants, Vitamins, & Minerals

It is one of the best natural antioxidants as well as an abundant resource of vitamin B2, B3, that aids develop resistance and lowers lotion cholesterol. It is high in Omega 3 as well as 9 too.

2. Aids in Digestion

A2 milk ghee can be absorbed extremely easily, which is why it is a perfect choice for any age groups. It aids in correct food digestion and also prevents irregularity. This ghee is recognized to be having natural detoxing homes as it has butyric acid, which aids in nutrients.

3. It can Boost Immunity

A2 ghee contains a number of crucial vitamins like Vit A, E, K, as well as D; all these important nutrients help in building immunity. These vitamins additionally help in the correct performance of the mind and also heart. A2 Ghee is advantageous for developing bone thickness too.

4. Decreases Inflammation

This ghee is rich in conjugated linoleic acid, which has anti-inflammatory buildings.

5. It can Aid Treat Dry as well as Burnt Skin

A2 ghee, when used on completely dry and even scorched skin, renders a comforting result and can heal various skin ailments.

6. It has a Greater Smoke Point

This indicates that A2 ghee does not launch any toxic fumes when cooked at a high temperature. Whereas regular oils create hazardous fumes when heated at a heat.

7. It can Aid Treat Various other Wellness Issues

A2 cow ghee has actually confirmed to be great in avoiding and dealing with a number of health and wellness issues like heart blockages, enhancing bone health, healing stomach concerns, dealing with bronchial asthma, as well as curing stomach conditions.

A2 Cow Ghee v/s Butter/Oil

Conjectures concerning which one is better, ghee or butter, has been walking around for years. However, numerous research studies and investigates have actually verified that ghee is a much more secure and also healthier alternative to butter or vegetable oil. More nutrients than self-made ghee or a typical container of butter or oil are readily available in the purest form of ghee created from the milk of A2 cows. Besides, here are some facts that sustain these researches meticulously:

According to the facts offered above, Cow ghee comes out to be far better and also much healthier than butter or oil. A2 ghee contains more nutrients than regular butter or oil. The smoke point is additionally higher in Ghee, which implies it does not create any hazardous fumes which food preparation at a heat.

Is A2 Ghee Healthier than Routine Ghee?

Normal ghee may contain additives and also fabricated colourings, which can be damaging to the body. Also, routine ghee does not consist of as several nutrients as that of A2 cow ghee. 

It can additionally deteriorate health by increasing cholesterol as well as fats. Henceforth, it appears that A2 ghee is much better than normal ghee. Besides, it is thicker disparity, and extra ghee is made. Ghee is superior in flavour, healthier, as well as great for food digestion, gotten from A2 milk. A2 cow ghee is rough in texture and also is made by heating butter on reduced flame for a very long time.

Among Ayurveda's a lot of cherished foods, ghee has amazing recovery properties. From daal, khichdi to halwas and chapatis; ghee is one kitchen area staple we never obtain enough of. But, a lot of people refrain from taking in ghee worrying about the weight gain misconception ghee lugs with it. 

The fact is that ghee made from natural butter of pasture-raised cows has CLA (Conjugated Linoleic Acid) that help in weight loss as well as has high nutrient worth. A2 Ghee is among the wealthiest resources of linoleic acid and also has numerous medicinal advantages. Wondering what does A2 ghee means? What is the distinction in between regular desi ghee and A2 ghee? Read this blog site to understand about A2 ghee.

A2 ghee is made from pure-bred, finest milk of Gir cows. Various other foreign-bred cows are genetically altered in labs by blending various ranges to increase milk production at the sacrifice of quality. 

Unlike various other ghees that are made mechanically with a focus on quantity, A2 Ghee is used the conventional 'Hand-Churned Bilona Refine', which keeps the process warmth at a minimum as well as preserves optimum nutrients. First, the milk is alloted to naturally curdle. 

Then, the curd and also water are delicately hand-churned up until the nourishment fat rises to the top. This is then slow-cooked to perfection with patience. There is no involvement of machinery and chemicals.

A2 Ghee Advantages & Nutrition Facts A2 Ghee nutrition realities

A2 Gir Cow Bilona Ghee has essential macro as well as micronutrients that fulfills the day-to-day dietary need of the body It is an abundant source of antioxidants and important vitamins like Vit B2, B12, B6, C, E, and also K, Omega-3 and also Omega-6 fatty acids and healthy and balanced amino acids.

Nurtures the body.

Whether applied externally or taken internally, A2 Ghee nurtures as well as lubes body tissues. According to Ayurveda, consuming ghee in the morning on a vacant stomach treats the body like rasa, which is a significant source of nourishment for cells in the body and also improves the procedure of cell restoration.

Boosts food digestion & absorption

A2 Ghee boosts the secretion of digestion acids in the belly that aid break down food. It additionally aids eliminate toxic substances as well as promotes elimination, therefore boosting gastrointestinal quality. It likewise enhances the absorption of nutrients from the food we eat.

Rises resistance (ojas).

Around 80% of your immunity depends on your intestine health. A2 ghee enhances digestive tract wellness consequently it additionally aids increase immunity and detox the body. This immunity-boosting food additionally loads an effective combination of anti-inflammatory and antioxidant advantages that makes it incredibly hard for conditions to prosper.

Great for heart health.

Although most individuals associate Ghee with fat and a decrease in heart wellness, the presence of Omega-3 fats in A2 ghee decreases cholesterol level as well as supply a healthy and balanced boost to the heart.

Boosts mind function.

Normal consumption of A2 Ghee nurtures the brain and also nervous system and enhances the cognitive functioning of a person. It helps increase memory, intelligence as well as concentration power.

Bone wellness.

A2 Ghee helps reduce swelling therefore it helps stop bone deterioration as well as maintains your bones strong. It can be consumed consistently or made use of for body massage for the lubrication of joints and reduce joint discomforts.

Important nutrition for youngsters.

A2 ghee for babies is necessary as a result of its remarkable top quality as well as nutrition material. It is a vital force resource for growing kids. It aids in raising memory and also brainpower and decreases the threat of neurological problems like ADHD because of the presence of Omega 3 and 6 fatty acids.

Heals & moisturises the skin.

A2 Ghee, when applied on dry and even burned skin, renders a relaxing impact and also can deal with different skin disorders. Also completely dry and also chapped lips can be made smooth and also soft by applying ghee on them. Taking In A2 Ghee with milk during the night makes hair and skin healthy and balanced.

Healthy and balanced alternative to cooking oil.

A2 Gir Cow Bilona Ghee has a smoke factor of around 450 ° F that is greater than a lot of veggie oils and also butter. For that reason, when cooking at extremely heats, ghee does not release poisonous fumes as well as retains the nutritional elements of the food.

The most effective component regarding ghee is that it not only makes you healthy and balanced from within yet it likewise improves the preference of any kind of recipe you put it in! In this blog site, we have provided sufficient reasons for 'why should you go with A2 cow ghee?' So, what are you waiting for? Get your container of A2 Ghee full of preference, nutrition and also wisdom of Ayurvedic benefits today!

[healthier-you-progressing]

Longevity - Tips for Living a Long and Healthy Life

Long life and good health can be greatly assisted by our dietary attitude (most important) and physical activities such as regular exercise.

Rules and habits that ensure longevity:

1st Rule: Eat less, Live longer? Calorie restriction has been an issue of serious debate as one of the best measures to check ageing.

Experiments have showed that underfed rodents lived 40% longer than their well nourished counterparts. The same finding has been reported for fruit flies, worms, monkeys and other experimental lab animals.

One clear fact about this is that it is quite a tough tuff to indulge in calorie restriction as people who have been through it would readily reveal to you.

Research conducted on people practicing calorie intake restriction showed that some markers of ageing e.g. levels of blood glucose, blood pressure, cholesterol etc. all improved on calorie restriction (CR) diets.

Owing to the difficulty encountered by people who try to practice calorie intake restriction, the effort now is at finding drugs that can give people all the benefits of calorie restriction without the diets.

Drugs that would be used to derive the benefits of calorie restriction are not yet out on prescription but more researchers are getting interested in this. Researches are ongoing to determine what happens at the molecular level when calorie restriction slows down ageing. These efforts are trying to throw up facts about chemicals such as resveratrol which is a chemical that is found in red wine and it increases the life spans of yeast and fruit flies.

Resveratrol which occurs in many life forms is released by the body system when it suffers a stress. It slows ageing when it amplifies the action of a molecule called SRT1. This explains how calorie restriction works, the body suffers some constant, mild stress when it is starved, positioning it to fight off any further severe stresses that can lead to the ageing of the cells i.e. the body cells are triggered to protect themselves from further decline.

So if resveratrol could be provided in the form of pills, one may have succeeded in misleading the body to believe that it is not getting enough calories and subsequent reactions by the body would be geared towards protecting itself from further decline and in this way ageing would be slowed down but this is still a hypothesis so is strictly handled by researchers for now.

Rule 2: When you eat, Eat right. People prefer eating junks to eating the right kind of food and in this way they are digging their own early graves in ignorance.

An average today's person would have adapted to the life of patronizing fast food joints in the morning, afternoon and night time. Some believe that costlier cousines adds more value to what they eat. Little do they know that a big bowl of rice with salad dressing plus a big lap of turkey etc. that make up a meal for one person as retailed in fast food joints has many disadvantages which could predispose one to diseases such as diabetes, cancer and many forms of heart diseases. Note some of these problems that would jerk you up.

Consumption of many highly processed foods would not keep one satisfied for a long time and this would cause you to rush back to more food as quickly as possible thereby consuming much more than you would need to in one day.

Highly processed food lack vitamins needed to nourish life because many vitamins are water-soluble while some are heat labile so they must have succeeded in destroying about 80% of the total vitamin contents of the food by the time processing is over. Equally remember that some of these vitamins are called essential vitamins because our bodies can not synthesize them.

Turkey laps are rich in cholesterol which is heavy on saturated fat which is the leading cause of arteriosclerosis, heart attack and stroke.

Most preservatives used in highly processed foods are toxic (alien) to the human system. Some are pro-drugs which are capable of being converted to dangerous metabolites after entering the body while others exert toxic effects in the form in which they enter the body.

Most processed foods are coloured and made more attractive in the eyes by addition of contaminants, these substances are most times unapproved by the food agencies of most countries and are not supposed to be found in food preparations.

To circumvent these problems outlined and to court a healthy old age and longevity, one is admonished to feast always on vegetables and fruits.

Why fruits and vegetables? Vegetables and fruits are not just good for you but rather are far too good because of their composition of several phytochemicals that induce long life.

What are phytochemicals? Some of them are often touted as supplements. Researches coupled with life evidences are all pointing to the fact that these chemicals help to restore good health and quality living as well as help maintain long life. They function by mopping up the free radicals which are very reactive species generated by life processes and which constantly cause damages to cells and tissues of the body. Examples of phytochemicals and their functions are:

a) Flavonoids; they grow naturally in citrus fruits, onions, apples, and grapes. This class of phytochemicals are believed to protect against cancer and other degenerative diseases. So an apple a day in the case of flavonoids helps keep cancer away. Add citrus fruits e.g. Your oranges and grapes to achieve variety and make the whole thing variegated so as to arouse your interest in your vegetable and fruit and not a monotonous an apple a day that may soon begin to wear your interest.

b) Carotenoids; they make your paw paw look red, your banana look yellow, they give colour to your carrots and are converted to Vit A in your bodies. Together with lycopene, lutheine and zeaxanthine (from green vegetables) protect against coronary artery disease, cataract, muscular degeneration and cancer. All the more reason to eat carotenoids.

c) Fiber; apples, oranges, grapes, and carrots are known to be very rich in soluble fiber which can dissolve and become gummy in water. It drives away hunger by restricting digestion therefore it aids to achieve calorie restriction and consequently ageing. Fiber rich diets are tipped to fight off heart disease, diabetes, obesity, cancer and high blood pressure thereby leading to life elongation.

d) Isoflavones; some plant chemicals are known to mimic the women's natural hormones called estrogen is found to reduce drastically in women after menopause. This plant estrogen is a very rich source of the phytochemical called isoflavones. Consumption of isoflavones can offer many advantages such as lower blood lipid levels, relief from menopause symptoms and reduced predisposition to breast cancer, ovarian cancer, endometrial cancer and prostate cancer.

Your problem might be in selecting the right vegetables and fruits and in their right quantities probably because many literatures on nutrition that you have seen and read before now are always giving conflicting details, then, try the following tips.

A glass of juice every morning This should be considered very necessary. Also we should not be ignorant of the fact that juice add to the calorie we consume each day and we must be very mindful of our calorie intake including the juice we take.

In summary, concerning vegetables and fruits, we should note;

Not all fruits are equally beneficial: choose the right vegetables and fruits.

Eat in the right proportion to avoid calorie excesses.

A serving of fruits and vegetables should resemble

-an apple a day

-a piece of banana

-115g of blueberries

-115g of red, green, orange and yellow pepper

-115g or a handful of green beans

-185ml of tomato juice.

And generally about 5-9 servings is advisable in a day. This is a tip. If you court longevity you must be able to make a total adjustment in what the food you eat looks like and see that it is totally rewarding.

CARBOHYDRATE NEED Also eat potatoes but not too much. Potato does not contain fat but carbohydrates, the type that can be converted to sugar easily. You can include some few potatoes in your daily meal and dress them up with other vegetables and not just alone.

Your total carbohydrate need should not exceed 60% of your total dietary need. You derive most of your carbohydrates from grains and cereals. The monomeric units or building blocks of carbohydrates are what you obtain from fruits and vegetables mostly. But the major carbohydrate is starch which is the storage form of carbohydrates in plants and you obtain it mainly from cereals and grains.

[hyrule-trainer-blog]

Secrets Your Peers Won't Share With You about Vitamins

Secrets Your Peers Won't Share With You about Vitamins

The right mineral and vitamin supplement can easily make a difference to your wellbeing. A multivitamin regularly taken provides you with plenty of energy and check great. The subsequent information should assist you in making the right supplement.

Vitamins are also important for getting great results from your exercise plan. The right nutrients will make it easier to burn off fat and increase muscular mass.

Vitamins might be synthesized for body usage, so you must know about any potential reactions. For instance, iron is not absorbed at the same time when calcium is found.

Milk as well as the sun exposure are efficient ways to get vitamin D sources. You may have to have a vitamin D supplement when you aren't a sun person or milk drinker. Vitamin D is critical for your personal bones and prevents them from becoming brittle.

You can find vitaminasparagus and B2, in bananas, dairy, popcorn and asparagus. Riboflavin is very important in the prevention of cataracts, carpal tunnel syndrome, cataracts and anemia.

We frequently do our best to enjoy as healthy but our budgets simply do not allow for it. In order to better burn the junk food you eat to remain healthier, vitamins and minerals help your body work the way in which it's designed to.

Vitamin A will raise the immune system and decelerates skin aging. However, large doses could be toxic, so stick to about 2300 IU.You can find A Vitamin fromsquash and squash, and dark leafy greens.

Supplements are definitely more critical now than they were in today's world. A top quality natural multivitamin supplement is to improve your nutrition.

Vit C is at things like citrus fruits and also other fruits. Supplements are fantastic for people who do not getting enough nutrients within their diet. This important vitamin will help prevent and treat colds, gum disease, skin ailment, gum disease, preventing and treating colds a great deal more. Studies also show that vit c might help people struggling with Alzheimer's disease, ADHD and dementia could be helped with ascorbic acid.

If you wish to use gummy vitamins intended for children as being an adult, it will be advisable that you should take some of them. Adults require more vitamins than children do, so taking one is definitely not enough. Don't take too many though, though!

Exercise caution once you want to take. Though your system advantages of nutritional vitamins, to much can hurt you. This takes place when too many supplements are taking a great deal of supplements it might have very bad consequences. The results can vary dependant upon what vitamin or mineral is over-dosed, although the effects are generally unpleasant and will be life-threatening.

Prescribed along with other medications might interact negatively with your supplements. If you can find any adverse reactions a supplement could possibly have, some potential interactions can put your way of life.Talk to your pharmacist to determine.

Speak with your physician to discover the right multivitamin to your specific situation. You can search the internet for you. Supplements are not regulated throughout the FDA, so they can't help.

It is easy to think about vitamins for an always healthy alternative, nonetheless they might cause trouble for people in certain scenarios. Don't put your infant through your ignorance.

The fact is that nutrients which can be found in supplement form are every bit as good for you personally as those which come in your meals are. You still benefit, even though you won't absorb the maximum amount of goodness from supplements. Purchase a multivitamin to see what achievement you get!

Flax seed oil and turmeric are nutritious supplements you should think of for daily use. The two of these substances have anti-inflammatory properties that combat inflammation and illness.

You need to take a little vitamins must be taken with food.

Cook fresh food only make sure they are when you might eat them for the reason that sitting.

You may feel good about enjoying nuts and nuts.There are numerous nutrients over these nutritious foods. You will get moremagnesium and magnesium, vitamin B, vitamin E and iron. Nuts and seeds needs to be a fantastic thing to incorporate in your day-to-day snacks.You may get many important nourishment by eating a serving per day.

Soy milk is a good alternative to vegetarians and vitamin D they need. It provides a great deal of both nutrients but isn't created from animals. Research on the internet and get the best ones.

The right nutrients may help greater than how your inner body will not be the only items that benefit once you eat the necessary minerals and vitamins.It will likewise can help you look your physical appearance. And also hardwearing . hair and skin healthy and strong, make sure to take a supplement with ascorbic acid, biotin, and E and Biotin are crucial. Be sure you are getting enough of these to stay looking good.

After ingesting the above ideas and tips, you need to currently have a much better understanding on the importance of nutritional supplements to your overall health. It isn't an easy task to weed through each of the health supplements on the market. Apply the following tips immediately to find out results more quickly.

[biologyweeps]

So, my friend told me vitamin gummies are basically a scam because we pee out the vitamins the next morning; I've heard this said before but is this true? Is it just better to stick with vitamin pills instead? Thanks for your time!!

The issue isn’t pill vs gummi, the issue is which vitamin you’re getting and how much.

Different vitamins have different chemical characteristics, including whether they’re soluble in fat, or in water. Water soluble ones (like Vit C) are indeed those that your body can get rid off via the kidneys, so once you’ve given your body enough of it, the rest just gets excreted.

Fatsoluble ones are a different story. As they don’t solve in water, you can’t just kick the excess to the curb via kidneys, since unless something is quite wrong, you won’t be peeing fat. That means that those vitamins are likely to get stuck in your fatty tissues (fat, liver, nerves). That is normally not an issue, however if you overdose on them, you can in fact reach toxic levels. This is called a hypervitaminosis and the usual culprits are vitamins A and D, neither of which leads to pretty results, which is why there’s stuff like ‘Recommended daily dose’ and ‘tolerable upper intake’. 

I hope this helped clear things up a little for you? 

[clorofolle]

Yes!!! This!

Things I found that helped:

- Thermal clothes and wool clothes. Like, thermal undershirts meant for people who go in the snow lol. But wool is the best for thermal regulation. I bought a bunch of used wool sweaters for cheap and they saved my life. No more having 7 layers of cotton and polyester if I can have 2/3 layers of wool and whatever thermal insulator is in that weird shirt!

- Working out! The year I did strength training at least a couple times a week, I felt MUCH less cold, it was unreal. I'd be out in a t-shirt while people wore jackets. It felt like the world had just been turned upside down. It was crazy

- Glycerine cream. This is still a bad sensory experience, I hate hate hate having cream on. But just applying it before going out and before going to bed on my hands prevents them from bleeding all winter long.

- Sun exposure / vit D supplements. I'm not really sure which of these truly help, and in countries that get like no sunlight during winter or people stuck inside an office during all sunlight hours only the supplement might be an option. Last year I tried to keep my face and arms (and legs when I wasn't freezing) under full sun exposure for at least 15 mins a day whenever I was able to, bc in the past I had low vit D in my blood exams. The days I was unable to I took a supplement (not always, when I remembered to). Idk if it was the fact that I was going out taking in some sun or actually a vitamin deficiency, but my mood has been much better last year.

(if you take supplements, of course, do not abuse them. Too much vit D is toxic. There are very strong weekly supplements for people with severe deficiencies and regular daily ones. If you're unsure, do some blood work/check in with your doc!!)

Does anyone else's nose run pretty much constantly in the fall and winter

[dawnluvspossums]

"How to Salvage a Whole Foods Delivery Screwup" There's a LOT that goes into successful opossum care, so when Whole Foods delivers regular loaded with allergens & bad ju ju for me vs. Vegan Carrot Cake, well I can't just give the kiddos the mistake as is. So, I deconstruct the cake by removing the icing, blending in moringa leaf powder, calcium, and vit D (unsure about the amt of Vit K needed, but will check to be sure moringa has it, which it should), then reconstruct the cake with healthier icing to offset the excess phosphorous. Not exactly an ideal situation, but hey, there may be good nutrients in the carrots, raisins, and walnuts for the kids & although the raccoon who lives on the property would love nothing more than to have me just toss this out in the yard, that's no good for my coonie friend who will get only a little of this. Even reconstructed, this is insanely high in sugar, so they'll be getting mini desserts all week. Don't forget, raisins are toxic for dogs, so do your research before giving your best friend your leftovers. Please make sure they're safe! Yep, it's a weird, research filled life when you're responsible for the welfare of wildlife. You can't just go out & by possum chow. Too many do this for all the wrong reasons at the animal's expense. At least some places require a license to do this. Now if only the regulators were wildlife protectors vs. exploiters it would help, but while many claim to care, very few actually do. I wish I could save them all, but gotta settle on saving who I can. There are really evil people in charge, esp in 3rd world state FL. When anyone starts to care, you know where to find me to learn what it's going to take to build a better future. In the meantime, just doing the best I can with what I've got, & part of that actually is getting food delivered & fixing the mistakes to ensure there's less poison pumped into the air we breathe. With tragedy, eg covid-19, comes opportunity to build back better for those of us spared & given another chance to get things right. Hoping to continue to survive so I can keep caring for these disabled animals & improving on myself. Mother's Day Blessings! https://www.instagram.com/p/COrK2rRH8Gt/?igshid=16v1jr73eu4gn

[thehorsedispatch]

New Post has been published on https://horsetoloan.com/horse-health/vitamin-d-for-horses/

Vitamin D For Horses

Vitamin D for Horses

If you’ve ever wanted the run down on vitamin D for horses, you are in luck! Today we will be talking all about vitamin D and what it can do for your equine pal. First of all, let’s talk about what vitamin D really is and how it’s available for your horse.

Humans absorb vitamin D through sunlight and supplementation, and it’s the same for horses. Horses have two different forms of vitamin D that they can absorb, either D2 or D3. Vitamin D2 is found in plants while vitamin D3 is synthesized in the skin by exposure to sunlight. We’ll talk more about which form of vitamin D is better for your horse shortly.

But here’s the deal. Vitamin D is in fact a hormone, and your horse will always have enough vitamin D assuming there is plenty of access to sunlight. Without ample sunlight, it is recommended that you supplement vitamin D for your horse. If you don’t, your horse could experience vitamin D deficiency, which can cause bones not to calcify normally. It can even result in rickets in young horses and a metabolic disease known as osteomalacia in adults. 

Which is Better Vit D or Vit d3?

To understand which is better for your horse, vitamin D2 or vitamin D3, it’s important to understand what each of these hormones does and how they occur in nature. Firstly, D3 occurs in animals and D2 occurs in plants. Both forms of vitamins are absorbed in the small intestines of your horse, where they ultimately work to increase calcium absorption, phosphorus absorption, and magnesium absorption. This results in an increase of the releasing of calcium from the bones and a resorption of calcium into the kidney. 

But which one is better? According to theory, most scientists say that D3 is several times more potent as a source of vitamin D than D2. That means your horse needs a lot of exposure to sunlight. Either that, or your horse needs even more D2 to make up for the lack of D3. This can be achieved through eating hays which have been dried in the sun and from supplements. 

What Does Vitamin D Do for a Horse?

Vitamin D does a lot for horses, just like it does a lot for people. When your horse is exposed to sunshine, vitamin D3 works to increase its calcium blood levels. Just like how humans thrive on vitamin E for the upkeep of our bones, joints, and muscles, so too do horses. They use vitamin D to have proper muscle functions and enough calcium for healthy bones and joints.

Is Vitamin D Really Necessary?

Vitamin D is absolutely necessary for your horse. It’s critical that every horse has optimal levels of vitamin D to maintain proper health. Without vitamin D, your horse could experience a deficiency, and this can result in a whole lot of nasty problems for the animal, including a reduction in appetite, slow growth, the demineralization of bones, easily fractured bones, possible deformities, and often poor muscle contraction. 

Basically, your horse needs vitamin D to survive and thrive. Because vitamin D plays such an important role with the health of bones and joints, it would be preposterous to neglect such an important hormone.

It’s also important to understand when your horse is not getting enough vitamin D. If your horse is stabled quite frequently, if they are stabled during the day and only let outside at night, if they are bathed too frequently, or if you live in a place with very little sunshine, your horse could develop a deficiency. It’s also common in the winter that horses sometimes lack the Vitamin D they require.

How Much Vitamin D to Give a Horse?

It is generally recommended that the average horse has 6.6 IU of vitamin D per kilogram of their body weight each and every day. That equals roughly 3,300 IU per day for a horse that weighs 500 kilograms (1,100 lbs.). Keep in mind that if your horse is outside for between 5 to 8 hours a day in the sun without some kind of outerwear and not coated in bug spray, the necessary requirements for vitamin D will be fulfilled. 

You should also keep in mind that in hay, there is virtually no vitamin D. If you live in a place without sun or if your horse is unable to get the appropriate amount of this vitamin, it’s absolutely critical that you provide supplementations through proper feed or healthy supplements.

Vitamin D Toxicity in Horses

Believe it or not, vitamin D can be toxic for horses. This does not include sunshine. Horses absolutely cannot overdose on vitamin D3 when they are exposed to the sun. The serious danger comes when the horse is given too much vitamin D through supplements. The first outward signs of vitamin D toxicity, also known as vitamin D toxicosis are decreased appetite, weight loss, depression, and limb stiffness. 

There was one study in which young ponies who were fed 14,000 IU of vitamin D per kilogram of their body weight on a daily basis were afflicted with acute toxicity and serious calcification of the kidney, lungs, heart, and other organs – and the toxicity occurred within just ten days.

This is a pretty horrendous thing to happen, so make sure you never let your horse overdose on vitamin D supplements. Chronic toxicity involves calcification of the kidneys, severe weight loss, and rarefication of bone. This will generally occur when 3,500 IU of vitamin D per kilogram of body weight are ingested daily. Do keep in mind that tolerable doses vary depending on a few different factors, such as the intake of calcium and other nutrients that effect calcium metabolism. These include phosphorus, protein, vitamin A, and magnesium.

The good news here is that vitamin D toxicity is incredibly rare. Considering a horse needs upwards of 3,000 IU of vitamin D to get sick and the recommended dose is 6.6, you would have to try very hard to poison your horse.

[kasemabderrahim]

8 Easy Ways To Naturally Boost Your Metabolism & Speed Up Weight Loss!

It’s the start of the new year! A time for resolutions and setting goals. If you’re like me, you only realized an extended season of eating things that were great for your taste buds, but no so great for the waistline finally trapped with you. Time to urge those eating habits in restraint and rev up that metabolism so we will shed that extra weight! You with me?

Proper diet and exercise will always be the cornerstone to true weight loss, but there are some belongings you can do to naturally boost your metabolism, burn fat and assist your body shed additional weight. We teamed up with iHerb.com to suggest 8 ways you revisit into your skinny jeans before later.

1. Drink More Water

This one could seem a touch too easy, but recent studies have shown that beverage before meals has led to a rise in weight loss in test subjects. Studies showed that subjects who would refill on the water before meals would get fuller faster and eat but they might without the water. You're taking in fewer calories without having to believe it.

Drinking more water also can alleviate dehydration, a metabolism killer. Often when we’re dehydrated, our bodies trick us into thinking we’re hungry. Next time you are feeling a hunger pang, your body might just be craving water! Try drinking a tall glass of water first then see if the sensation of hunger dissipates before you go grab a snack.

According to Men’s Fitness, water accelerates metabolism and flushes out toxins from the body, ensuring that your organs can function efficiently.

Try starting your mornings with an ice-cold glass of H2O. Researchers at the University of Utah found that volunteers who drank eight to 12 eight-ounce glasses of water per day had higher metabolic rates than those that drank only four glasses. “Your body may burn a couple of calories heating the cold water to your core temperature,” says Madelyn Fernstrom, Ph.D., founder, and director of the University of Pittsburgh center Weight Management Center.

If you’re not a water drinker, try adding slices of fruit like watermelon, strawberries, lemon or berries for a touch of flavor without the added sugars found in sodas and juices.

2. Drink tea & Matcha

Green tea is understood for its cancer-fighting compounds, but it also packs a punch when it involves weight loss. Although tea does have some caffeine (a metabolism booster on its own), it’s also chock filled with antioxidants. It’s a most notable fat-burning antioxidant, ECGC (Epigallocatechin gallate) has been proven in many studies to be a metabolism-boosting superhero and enhance the fat burning process. Organic Tao of Tea Green Matcha

One study showed that those that consumed tea and caffeine lost a mean of two .9 pounds during 12 weeks while sticking to their regular diet. Another study suggested the rise in calorie output was adequate to about 100 calories over 24 hours. (1)

Matcha, a spread tea is taken into account the richest source of nutrients and antioxidants among all kinds of green teas. meaning, even more ECGC, and more fat-burning power! Here’s why matcha is different: the entire leaf of the tea is ground into a fine powder and consumed within the predicament as against steeping the leaf then removing it. only one glass of matcha is the equivalent of 10 glasses of tea in terms of nutritional value and antioxidant content.

Matcha not only tastes great but is additionally super versatile. It is often wont to add flavor things like smoothies, yogurt, kinds of milk and traditional recipes. Try it served cold over ice for a twist on ice tea and begin burning that fat away!

Green Matcha Tea

Want to undertake matcha for yourself? you would possibly just get hooked. We love The Tao of Tea’s, 100% Organic Japanese Powdered Matcha tea. We wish to order ours from iherb.com.

Here are the right thanks to brewing tea so you get none of the bitter and you preserve all the green tea’s metabolism-boosting chemicals, which are sensitive to completely boiled water.

3. Take animal oil

Fish oil is rich in omega-3 fatty acids, something many folks are deficient in. Omega 3 may be a sort of fat that reinforces the body’s metabolism, helps balance sugar, reduces cravings and maintains heart health. Both DHA and EPA, components of omega-3 fatty acids, are effective in eliminating unwanted body fat.

In a 2010 study, subjects took about 2 grams of Omega 3 fatty acids (EPA and DHA) a day for six weeks. At the top of the study, they lost quite 2 lbs of body fat without a change in exercise, diet, or other habits. (2)Ultimate Omega animal oil

We recommend Ultimate Omega animal oil and obtain ours from our iherb.com. Their prices are great and that they ship super fast. Ultimate Omega animal oil offers concentrated levels of omega-3s for high-intensity essential carboxylic acid support. Plus, it’s wild-caught and tested by a third-party certified lab for environmental toxins, including heavy metals. And better of all there’s absolutely no fishy aftertaste.

4. Cut Out Processed Foods

Processed foods are filled with fillers, GMOs, preservatives, sugars,” bad” carbohydrates, trans fats and empty calories. After eating these foods, usually for convenience, we normally don’t feel satiated and can still eat. Ingredients like salt, sugar, and fat are sometimes added to processed these foods to form them taste better and to prolong their period. beat all, these foods are calorie-dense with not much actual nutrition to offer our bodies and contribute to weight gain. to stay your blood glucose levels steady and your metabolism up, limit the consumption of sugar and refined grain. Instead, choose whole-grain foods with high fiber content.

5. Increase Your Protein

Protein is a crucial nutrient for weight loss and requires more energy to digest. There’s this thing called the “thermic effect of food” (TEF). It’s the energy our bodies use to digest food. Protein features a higher TEF than carbohydrates and fat. Meaning you’re burning more calories to process protein than to process the opposite two. Eating fish, lean meats, eggs and plant proteins keep your metabolism going long after the hours of consumption. Protein shakes are simple thanks to adding more protein to your diet and are shown to assist with weight loss. They’re also an excellent thanks to boosting energy for the day and provides you a meal on the go.

There are many various sorts of protein powders on the market. We quite love this dairy-free, gluten-free, vegan one from Sunwarrior. this is often how it’s described:

“Warrior Blend fuses and multiplies the facility of several rich, raw protein sources into a smooth, great-tasting, and revolutionary proprietary formula that's overwhelmingly superior to the individual components alone. Warrior Blend is an easily digestible, nutrient filled superfood perfect for anyone who wants to amplify their health and fitness levels. better of all, it tastes phenomenal! it's an entire protein contains all essential amino acids. It creates a sense of satiety (fullness). Promotes muscle function. Ideal for healthy weight loss. Easy to Digest. Increases energy. WARRIOR BLEND maybe a green product and is suitable for any diet or lifestyle (NOT only for VEGANS)! Our natural, raw process is freed from solvents, GMOs, radiation, artificial colors, and preservatives.”

Check it out here on iherb.com!

6. Try Supplementing With Guggul

Did you say Google? Nope, guggul. For over 3000 thousand years, Ayurvedic medicine (the traditional Indian system of medicine), has been using Guggul to treat a spread of conditions starting from pain and inflammation to high cholesterol and thyroid problems. Sanskrit “guggul” actually, translates to “one that protects against diseases” and has been used for many years to fight obesity in India. More recently guggul has been getting more credit for increasing metabolism and aiding in weight loss.

Guggul

What exactly is guggul? Guggul springs from a resinous sap obtained from the bark of the Mukul myrrh tree(Commiphora Mukul). Small and thorny these trees are found in India.

Guggul contains chemical compounds called “guggulsterones” and has the power to stimulate the assembly of the thyroid hormones and increase the assembly of the T4 and T3 thyroid hormones. These hormones play an important role in your body’s metabolism and energy regulation within the body generally. When the thyroid isn’t producing enough of those hormones a condition referred to as hypothyroidism occurs. Weight gain and inability to reduce may be a common symptom.

A promising study on guggul was wiped out in 1995 (3). Indian researchers gave 58 subjects 1.5 to three grams of guggulipid in conjunction with a 1200-1600 calorie per day diet and a half-hour of walking. Subjects who took the guggul were measured to possess lost 4.22 pounds quite those that took no guggul.

Guggul

If you’re feeling sluggish and would like to undertake Guggul, Himalaya Herbal Healthcare Guggul is one we recommend. you'll order it directly here from iherb.com.

Although guggul is taken into account non-toxic it's always recommended to consult your doctor before trying something new.

7. Check Your vitamin D Levels

Doctors and scientists now acknowledge there's a definitive link between individuals that suffer from obesity and vitamin D deficiency(4). In other words, if you’re overweight, the likelihood is that your vitamin D levels could also be less than you think that.

Research has also shown that increasing your vitamin D levels can improve weight loss while following a reduced-calorie diet. (5) newer research has found that ladies considered overweight or obese, who then lost weight had a rise in vitamin D levels. (6)

A recent study presented at the Endocrine Society’s annual meeting followed 38 overweight men and ladies on an 11-week diet plan. Subjects with higher levels of vitamin D at the start of the diet lost more total weight than subjects with lower vitamin D levels. (7) Although the precise mechanism of how and why vitamin D influences weight loss remains somewhat of a mystery, the evidence seems to be clear: if you would like to remain lean confirm to urge your D!

What have the simplest thanks to getting vitamin D? Commonly referred to as the sunshine vitamin, our bodies naturally make vitamin D when our skin comes in touch with UVB sun rays. Recommended skin exposure times range from 10-20 minutes within the sun daily. this will take approximately 1,000 to 10,000 IU of the vitamin within the body. But this range is vast and depends upon the time of year, geographical location (distance from the equator), and the way much skin is exposed. Sunlight is taken into account the simplest source of the vitamin. But in winter this will be difficult and next to impossible for those folks who sleep in cold northern climates. Although foods like wild-caught fish like mackerel, salmon, halibut, and mushrooms have higher amounts of vitamin D than most foods, it’s still not enough. It’s recommended by the vitamin D Council to supplement 5000 IU’s of vitamin D3 daily.

8. Eat Your Greens

It’s no secret that adding more leafy greens and fresh veggies to our diets is great for weight loss. Vegetables supply our bodies with plenty of vitamins, minerals, and antioxidants, but they also keep us feeling fuller longer thanks to their higher fiber and water content. Plus, they contain a treasure trove of nutrients. When our bodies are properly nourished, we tend to crave less of the bad stuff (you hear me donuts).

Green Vibrance Superfood

To get more of the green stuff in your diet, try having a salad a day at lunch or sauteing some veggies together with your morning eggs (think kale, peppers, spinach or broccoli). Also do not forget your breakfast.

[seasonallydefective]

In all seriousness, YES YOU CAN and it’s bad. Don’t do it. There are two kinds of vitamins: water soluble and fat soluble. Water soluble (like C, B) you just pee out the excess. Fat soluble (like A, D, E, K) can build up and cause problems. Too much Vit D can mess with calcium absorption.

I’d recommend getting your levels tested before you supplement, then getting them tested while you supplement to figure out how much you really need to be taking. Even at 40,000IU/week my levels were the lowest end of normal. Most people don’t need nearly that much.

can you OD on vitamin D

[garden-of-everything]

ABIM: Endocrinology

ABIM syllabus can be found here Let me know if you find any errors Sources: UWorld, MKSAP 16/17, Rizk Review Course, Louisville Lectures, Knowmedge (free version)

Adrenal Disorders

Primary aldosteronism and mineralocorticoid excess:   - Sx: HYPERNATREMIA, hypokalemia, metabolic alkalosis, HTN - Dx: aldosterone:renin >20 (aldosterone >15 with low renin levels), salt challenge fails to decrease aldosterone levels --> get CT scan  - Tx: thiazide for BP control, spironolactone for hyperplasia, surgery for adenoma Adrenal insufficiency:   - Addison’s = primary: tan, orthostatic HTN, hyponatremia, hyperkalemia, hypoglycemia, prolonged QTc - Dx: morning cortisol levels --> cosyntropin stimulation test <18mcg/dL = adrenal insufficiency --> check morning ACTH levels (if decreased ACTH, MRI brain; if increased ACTH, CT adrenals) - acute Tx: dexamethasone - chronic Tx: hydrocortisone +/- fludrocortisone only if primary - x2-10 dose of steroids during stress Pheochromocytoma:   - associated with MENIIa and IIb (increased calcitonin/medullary thyroid cancer is also associated with both MENII’s; if IIa: hypercalcemia/parathyroid, if IIb: Marfan’s/neuromas) - Dx: serum or 24 hour urine metanephrines --> MRI/CT ab --> if negative: T-MIBG Tx:  surgery: - pre-op BP control with phenoxybenzamine/doxazosin/nicardipine - intra-op HTN crisis: nitroprusside or phentolamine Incidentaloma: - if <4cm, f/u CT; if >6cm, surgery - Dx with 1mg overnight dex suppression test (Cushings) + urine metanephrines (PCC) +/i if hypertensive: aldosterone:renin ratio (hyperaldosteronism if elevated)

Thyroid Disorders

Hyperthyroidism: - Grave’s: anti-TSHR Ab - associated with vitiligo - Tx: Methimazole (AE: sore throat/agranulocytosis, hepatotoxicity) > PTU (for first trimester; AE: hepatotoxicity) Hypothyroidism: - Hashimoto’s: anti-TPO antibodies - associated with primary thyroid lymphoma - Tx if TSH>10 or planning pregnancy or symptomatic *FYI: increase Synthroid dose in pregnancy and in CELIAC DISEASE Thyroiditis: 1.  subacute/DeQuervain’s: PAINFUL, Tx with NSAIDs only 2.  Peripartum: painless, autoimmune 3.  amiodarone-induced *subclinical presentation (decreased TSH, normal T4): repeat TFT in 4-6mo Thyroid nodules: - if <1cm and doesn’t look cancerous, repeat US in 3-6 months - if >1cm, FNA > Sx Euthyroid sick syndrome: transient and mild, weird TSH/T3/T4 levels during illness without prior thyroid issues; usually T3 is decreased while TSH/T4 is normal - Tx underlying illness only (no need for Synthroid) Thyroid storm:  fever, HF, psych changes/coma; Tx: PTU, propranolol/BB, steroids (vs. Myxedema coma from hypothyroidism: hypothermia/hypotension/bradycardia/bradypnea, desaturation, AMS, hyponatremia, hypoglycemia; Tx with Synthroid + hydrocortisone) *if TSH/T3/T4 are all weirdly increased or decreased, cause is likely a pituitary tumor *suspect toxic multinodular goiter when patient experiences hyperthyroid symptoms after receiving IV iodine contrast

Hypertension

Hyperaldosteronism:   - hypernatremia, hypokalemia, metabolic alkalosis (basically the opposite of RTA type 4) - Tx with thiazide Renal artery stenosis:  Tx with ACEi Cushing’s Disease: - round and squishy - Dx: elevated 24 hour urine cortisol, 1mg dexamethasone suppression test (positive if fails to bring cortisol <5), elevated late salivary cortisol

Lipid disorders

- start screening every 5 years in >35yoM, >45yoF; or >20 if +CAD risk - goals: LDL<160, Cholesterol <190; pretty much decrease both goals by 30 for every additional CAD risk up to 3 times - diet > exercise - offer Orlistat if BMI>30 - offer Bariatric surgery if BMI >40 OR >35 with obesity-related condition

Ovarian disorders and female reproductive health

Polycystic ovary syndrome: - amenorrhea and virilization - Dx: bleeds with progesterone challenge, has elevated LH - Tx hirsuitism with OCP --> if fails: spirnolactone; use clomiphene if wants babies Amenorrhea:   1. primary ovarian insufficiency: elevated FSH = menopause --> if normal: check karyotype to r/o Turner’s (obtain cardiac imagining and kidney US for all patients with Turner’s) *if amenorrheic because of super athleticism: screen for bulimia 2.  hypothalamic cause: functional/tumor/lymphoma; has decreased FSH and NO withdrawal bleed after progesterone challenge 3.  anatomic cause/Asherman syndrome: adhesions basically retain periods; also has no withdrawal bleeding --> Tx: surgery Ovarian cancer: - hyperandrogenism; normal DHEA levels but elevated total testosterone levels >200 in a woman = ovarian cancer until proven otherwise - Dx: TVUS --> adrenal CT

Testes and male reproductive health

Male hypogonadism:  total testosterone <200 +: - increased LH/FSH = primary testicular failure (Klinefelter’s, Mumps orchitis, XRT, autoimmune) - normal/decreased LH/FSH, elevated prolactin = secondary cause (prolactinoma --> MRI brain, opiates, steroids) --> obtain iron study to rule out hemochromatosis* *Hemochromatosis presents as tan Diabetes with elevated transaminases, and hypogonadism; has OA symptoms and is associated with CPPD/Pseudogout Male infertility: - Cystic Fibrosis is associated with azospermia, bilateral absence of vas deferens Gynecomastia: associated with anabolic steroids, marijuana, spironolactone - if elevated estradiol --> check testicular ultrasound to r/o neoplasm --> chest/adrenal CT to r/o choriocarcinoma (elevated beta hCG, lung infiltrates, hemoptysis) - if elevated LH, decreased testosterone --> check karyotype to r/o Klinefelters (associated with increased risk of breast cancer) *testosterone therapy can worsen OSA, erythrocytosis, and increases risk of clots

Diabetes mellitus

Type I: - associated with other autoimmune diseases (Celiac, vitiligo, thyroid) - DKA Type II: - Dx with two of the following on separate days: (1) fasting >126, (2) A1c >6.5%, (3) random >200, or just one of this: (4) 2 hour gtt >200 *if a health-seeming patient >35yo with h/o CAD or 2 CAD risk factors wants to do a vigorous exercise program --> do an exercise stress test first Diabetes mellitus and pregnancy:  STOP ACE/ARB/statin (teratogenic!) - obtain eye exam once/trimester - BP control with methyldopa, BB (labetalol), CCB, Hydralazine - goal: preprandial BG <90, 1 hour postprandial <120 using NPH and short-acting insulin (NOT long-acting insulin or orals) - require annual DM screening after delivery Diabetes goals: - BP <140/90: use ACEi - start statin regardless of LDL if cholesterol >135 and check yearly - cholesterol goal <135 > LDL goal <100 - annual eye exam with Q3-5 year dilated eye exam - urine albumin excretion <30; if >30, start ACEi/ARB Indications for continuous BG monitoring: (1) postprandial hyperglycemia (2) Dawn phenomenon: morning hyperglycemia (vs. Somogyi = rebound hyperglycemia) (3) overnight hypoglycemia Diabetes complications: - acute mononeuropathy: spontaneously resolves, no Tx - gastroparesis: Tx: small meals, Reglan/Erythromycin (vs. Rifaximin for Scleroderma-related bacterial overgrowth that presents similarly as bloating) - orthostatic hypotension: Tx with compression stockings +/- fludrocortisone - peripheral neuropathy: BG control --> DULOXETINE > pregabalin - HHS: plasma osm >320, BG >600-1000, normal pH/ketones; Tx with NS --> insulin --> when BG<200 and tolerating PO --> SQ insulin - DKA:  pH <7.3, bicarb <15, BG >250, elevated ketones  elevated AG vs. Diabetes insipidus: excessive thirst for cold water, can’t concentrate urine - r/o DM, hypercalcemia - Dx: water deprivation test --> if urine osm still <200 --> desmopressin challenge: (1) can concentrate after challenge = positive test --> brain MRI; Tx intranasal or PO desmo/vasopressin (2) still can’t concentrate after desmo: negative test --> kidney ultrasound; Tx sodium restriction and thiazide *if Lithium-induced: Tx Amiloride

Disorders of calcium metabolism and bone

Hypercalcemia: - hyperparathyroidism associated with MEN I and IIa (increased PTH or normal PTH with increased calcium and decreased phos), chondrocalcinosis, bone cyst --> Dx: Sestamibi scan --> Surgery *Indications for parathyroidectomy: (1) Age <50yo (2)  Ca >12 or 1 above baseline (3) GFR<60 (4) 24 hour urine Ca >400 (5) symptoms of hypercalcemia - drug-induced hypercalcemia: lithium, thiazide - sarcoidosis: increased calcitriol = active Vit D = 1, 25 Vit D - cancer / multiple myeloma: CRAB, difference in urine vs dipstick protein due to presence of undetected light chain, hypervitaminosis D - Dx: check ionized calcium first --> r/o decreased TSH --> PTH/Ca/Phos/25Vit D levels --> decreased urine calcium ( = familial hypocalciuric hypercalcemia --> Dx: CASR mutation, urine Ca;Cr ratio <0.01) Hypocalcemia:  check ionized level, because may be due to hypoalbuminemia - associated with DiGeorge - symptoms include circumoral paresthesia, Chvostek cheek tap, Trousseau BP cuff Hyperphosphatemia: - CKD (increased PTH, decreased Vit D) --> Tx: Calcitriol/1,25VitD - hypoparathyroid (decreased PTH) - pseudohypoparathyroid (increased PTH, normal Vit D) Hypophosphatemia:  - bone tenderness due to vitamin deficiency Paget’s:   - hat size changes, bone pains, fractures, femur/tibia bowing, cranial nerve compressions; heart failure - elevated alk phos --> bone scan - Tx: bisphosphonate Osteoporosis:  T-score<-2.5 (ignore age-adjusted Z-score) - get DEXA every 10 years (if normal) in woman >65 OR younger if FRAX >9.3% (they smoke, have h/o hip fx, steroid use, etc) Vitamin D deficiency and osteomalacia:   - proximal muscle weakness/falls (especially in elderly), bone pain - decreased calcium, phosphate; increased alk phos - associated with Celiac disease, liver disease, kidney disease - Dx: bone marrow biopsy (BMB) - Tx: ergocalciferol/Vit D2 Renal osteodystrophy:  ESRD pt w decreased Ca, Vit D; increased Phos, PTH; chondrocalcinosis at knees and pubic symphysis

Anterior pituitary disorders

Pituitary tumors:  MRI (order first if mass effect) - associated with MEN I, pregnancy, and check TSH! (1) Prolactinoma: prolactin >500, galactorrhea/amenorrhea/erectile dysfunction; Tx: Cabergoline (2) Acromegaly: Dx: IgF1 or oral glucose tolerance test that fails to decrease GH; Tx: surgery (3) Cushing’s: HTN, DM, proximal muscle weakness; Dx: 24 hour urine cortisol, elevated late night salivary cortisol --> elevated morning ACTH = pituitary tumor --> Tx: surgery > XRT - incidental pituitary tumors: f/u repeat MRI with prolactin levels - Rx (TCA, CCB, Reglan, opiates) and pregnancy  can cause elevated prolactin! Hypopituitarism: (1) apoplexy: sudden HA, vision change, AMS; Tx: steroids (2) Sheehans (after pregnancy): amenorrhea, no lactation (3) lymphocytic hypophysitis (occurs peripregnancy): sellar mass with anti-pituitary antibody; Tx: steroids OR if vision changes, surgery

Posterior pituitary and water metabolism

Hypernatremia:  DI: polyuria, inability to concentrate urine; Dx: water deprivation --> desmopressin: (1) concentrates urine (urine osms goes up) = MRI brain and Tx w desmo/vasopressin; (2) still doesn’t concentrate (urine osms stay low) = kidney ultrasound and Tx with salt restriction, thiazide Hyponatremia:  SIADH:  urine osm > serum osm, urine osm >500, euvolemic (vs. psychogenic polydipsia where decreased serum AND urine osm)

Endocrine tumors and endocrine manifestations of tumors

Pancreatic tumors associated with MENI (hypercalcemia/hyperparathyroid, prolactinoma/pituitary tumor): - Insulinoma: Dx 72 hour fast (BG<45, insulin >5) --> CT abdomen --> still not detected?: check endoscopic ultrasound - VIPOMA: watery diarrhea - Gastrinoma/Zollinger-Ellison syndrome:  severe dyspepsia; Dx: gastrin levels --> secretin stimulation test causing increased gastrin >200 - Glucagonoma:  hyperglycemia, pustular rash, diarrhea, DVTs - Carcinoid: flushing, N/V/D/AP; Dx: 24 hour urine 5-HIAA Malignancy-associated hypercalcemia (squamous cell):  decreased PTH, normal/decreased phosphate, increased PTHrpeptide Ectopic ACTH (Cushing’s) due to tumor: associated with small cell, medullary thyroid cancer (elevated calcitonin), bronchial carcinoid (flushing, wheezing) SIADH from tumor:  associated with small cell; hyponatremia and euvolemia; urine osm >500

Hypoglycemia

- most commonly after gastrectomy/gastric bypass - insulin use: decreased C-peptide - sulfonylurea: increased C-peptide --> check for medication in urine - insulinoma:  seen in MEN I with hypercalcemia/hyperparathyroid, prolactinoma/pituitary adenoma; Dx with 72 hour fast: if BG <45 and insulin >5 --> CT abdomen - exercise-induced delayed hypoglycemia: Tx: complex carbs

Polyglandular disorders

MENI (”3P’s”):   (1) Pituitary: prolactinoma, acromegaly, Cushings (2) Pancreas:  insulinoma hypoglycemia, VIPoma diarrhea, gastrinoma GERD, carcinoid flushing, glucagonoma hyperglycemia (3) Parathyroid: hypercalcemia MENIIa: (1) Parathyroid: hypercalcemia (2) PCC: hypertension (3) Medullary thyroid cancer: elevated calcitonin MENIIb: (1) Marfan’s/neuromas (2) PCC: hypertension (3) Medullary thyroid cancer: elevated calcitonin

[losille2000]

I hope you don't mind me asking, but what's your new vitamin D regime? I'm interested myself because I barely get any sunlight as is because I'm always working and I always feel so much better and like my actual self when I spend a lot of time in the sun.

Well, I’m taking supplements daily. I’m very deficient/stupidly low in the D (take that in all the ways, because it’s true, ha!), so they had me on 50,000IU once a week for three months, but that wasn’t sustaining a higher Vit D content in my body.

So basically the doc told me to take between 5,000 and 10,000IU/ a day to keep the levels up, then they’ll retest. I’ve literally only been doing 10,000IU a day since Saturday (I’m just going to do 70,000 a week because I’m that low) and I already feel better. Sleep has been better. Mood has improved. I’m hurting less. I take it in the mornings, though, and with food. It metabolizes better. 

Also, if you plan to start supplementing, take D3, not D2. D2, as I’ve read, is not as efficient, and D3 is the D your body makes naturally, and studies are beginning to show that D3 is just all around better at everything.

Eventually, I plan to incorporate more sun exposure time when I can. I’ve very pale, so I usually cover up, wear tons of sunscreen and stay out of the sun as much as possible… thus my problems. But the idea is to sit outside with bare arms and legs for 15-30 minutes at high noon, but any sun time is better than none. NO SUNSCREEN. I know, skin cancer and all that, but it shouldn’t be long enough to cause a burn unless you are very, very pale. You can also use a tanning bed.

According to this article, ¾ of all Americans are D deficient. I blame this on the concerted effort to protect from skin cancer–we’re covering up more and using more sunscreen. So we don’t get the right amount of sun exposure.

If you haven’t had a dr check your Vitamin D levels, have them do it, because you don’t want to overdose any vitamin. Toxicity is not good. The dr can better guide you on the appropriate treatment. Also, this answer is not medical advice, and should not be considered appropriate for you. But even a lower level Vitamin D3 supplement can help you out. For instance, this article says around 4000IU a day for normal D levels. Please be careful and consult your physician.

[kyaranflowers]

Top Vitamin A Supplements

As a comparison If I examine Xcel Health’s MultiVite it has taken into consideration New Zealand’s soil depletion here in New Zealand and each of those tablets has 25mgs of the primary A Vitamins. Here you'll find in any Asian grocery store carry this. There are multiple causes of hair loss, and when it happens to you, it may be frustrating to figure out the best plan of action and the very best supplements to incorporate into your routine. The widespread vitamin deficiencies result in hazardous well being issues which could not be cured after the intake of supplements even. Many different research have been performed on using multivitamins to for particular well being conditions, as well as for rising lifespan typically. Nevertheless, if you have any health concerns, pre-current situations, or take other supplements or medications, all the time check with your healthcare supplier before adding a multivitamin into your regimen. Unlike some solutions that present a temporary burst of energy, these supplements can set you up for long-time period wellness. One is that the added taste or fragrance can be used to mask the style or odor of rancid oils.

The most effective fish oil supplements will include few additives, although a contact of mixed tocopherols (the natural form of vitamin E) and a sprint of rosemary extract may be added to prolong the shelf life. This is as a result of worrisome depletion of our soils which can take generations to restore. Should a person take vitamins at all? For those who usually maintain a wholesome life-style but nonetheless feel run down, one of these six vitamins and supplements may address the foundation trigger your fatigue. These vitamins are fat-soluble and may only be absorbed by the physique using fats from meals. Fish is essentially the most easily accessible meals that incorporates Coenzyme Q10, as many aren’t prepared to add more organ meats to the menu. Some meals sources embrace citrus fruit, beans, and fortified breads and cereals. For people who are indoors for giant elements of the day and dont get enough vitamin D Cod liver oil fulfills their want of vitamin D and strengthens bones in youngsters and adults. We'd like a workout program, proper and nutritious consuming habits, and a supplementation program that's designed to assist us do this. For starters it will possibly make it easier to you probably have a sluggish metabolism.

You can also get it in complement form. One other fascinating trend that has grow to be incessantly famous is the use of at-dwelling tools that will assist you to get the salon outcomes without going to 1. That does not imply that different “hair treatments” will not assist the hair you will have - they absolutely will. Many new products are getting used with vitamin E to help cut back the aging course of. The reply is easy; because they're cheaper to provide than their pure counterparts. In case you are starting to find that your skin is getting saggy and its not as firm as it should be. Dry skin on the eyes may be extremely itchy and simply irritated. Apply sunscreen liberally to your pores and skin day by day to forestall further damage to your skin's cells. It basically forces most cancers cells to self-destruct. This is a huge concern when you consider it advantages bone energy, psychological health, (potentially) most cancers danger, and extra.

Commonly sesame seeds are yellow or golden but there are extra unusual variants that pack a slightly completely different nutritional value like the black seed variant. However the Linus Pauling institute has likewise discovered no proof that timed-release formulas are more effective than conventional supplements. And each supply we scoured, from NIH, to Consumer Lab, to the Linus Pauling Institute and the Mayo Clinic beneficial not exceeding 2,000 mg of vitamin C daily. Biotin is a common vitamin in nature that is naturally found in very small quantities. Bergamot is wealthy in polyphenols, a illness-combating compound present in plants. Many medical doctors say the very best option to take vitamin supplements is to recycle all dietary supplements, vitamins, minerals and proteins every ten days. Pregnant Women: Don't take this product in case you are pregnant or more likely to become pregnant. Fillers are just that. What are the advantages of Vitamin A? If you're contemplating falling pregnant please be warned that some supplements have Vit A present in them.

Adults sometimes have much less, with the common round three, however the range varies extensively. Give yourself enough time to advantageous-tune and have fun with it. Some experience new and previous scars disappearing gradually, whereas others don't have any outcomes. Let me know down under on your results i am excited to see if this works for you, good luck! A: Taking a multivitamin is an effective way to cowl your bases if the quality of your diet isn’t what it should be. When I used to be 18 years previous, I had the good fortune of meeting a master herbalist who studied with the famed naturopathic doctor and grasp herbalist John R. Christopher. Such units can be utilized by yourself with none help. It is a natural composition so it has no facet effect and will be utilized by anyone. Do not apply vitamin E oil to open wounds. Your kidneys additionally decrease in effectivity, which implies your body converts less vitamin A into a usable form. Benefits of Carotenoids If you want to enhance your sexual and penis health, Vitamin A is a powerful vitamin and antioxidant. It is important to be certain that you're getting an ample amount of this nutrient. While many foods inside our diet contain high numbers of Vitamin A (including animal liver, dandelion greens, carrots, broccoli, and sweet potatoes) many sources are absorbed to varying degrees. To increase this important penis nutrient, consult with an expert in nutrition or doctor in regards to the various forms it's obtainable in, for example retinoids and carotenoids. However Vitamin A can also be toxic when ingested in high doses, since it accumulates within the fat cells, so always use supplements with caution, being sure that you follow all instructions. Carotenoids are substances who have nutritive properties which happen in the pigment that colors animals and plants. As fat-soluble materials, carotenoids are consumed by people in countless vibrant fruit and veggies. They are important as anti-oxidants best vitamin A supplement and then for their ability to get changed into essential vitamins. Sapota gets the appearance of the round smooth skinned potato. It has a pale yellow with an earthy brown color flesh and possesses two-five seeds. The texture is soft and grainy, consisting of easily digestible pulp. The fruit comes with an exceptionally sweet and malty flavour. This is a delicious tropical fruit, abundant in vitamins, minerals and health benefiting anti-oxidants. The unripe fruit is actually difficult to the touch and possesses high numbers of saponin, containing astringent properties just like tannin causes drying of mouth. Tomato contains abundant lycopene. Lycopene is an efficient antioxidant to resist free radicals and oxidation, which may defer the maturing of brain. Oxidation and toxins may also hurt the skin. Therefore, you also can eat tomato to defer the maturing of skin and increase the immunity. The foods like watermelon also contain abundant lycopene. Acne is a result of three distinct factors: excess secretion of sebum (oil), bacteria (Propionibactium acnes or P.acnes) and excess quantities of dead skin cells. These three elements come together when the body's pores produce excess levels of sebum. When this occurs the oils let the dead skins to mix together blocking the pores of the epidermis. Blockage in the pores traps P. acnes in, which then thrives within the oxygen depleted environment.