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233 Cards in this Set

  • Front
  • Back
Carbs are broken down here.
The mouth.
Protein digestion happens here.
The stomach.
GALT comes from ___________, and matures in the ___________.
The thymus. Small intestine.
The endocrine pancreas does what?
Controls blood glucose by producing insulin/glucagon.
The exocrine pancreas does what?
Secretes digestive enzymes, controls acid-based balance, and bicarbonate.
What neutralizes stomach acid?
Bicarbonate.
How many much micro flora is in the colon?
Three pounds.
Which organ controls water balance?
Large intestine.
Symbiotic microflora does what 3 functions?
Makes vitamins.
Stimulates immune system.
Protects from pathogenic organisms.
Dysbiotic microflora is responsible for what 4 issues?
Harmful organisms causing disease.
Candida.
Fungi.
C. difficile.
This syndrome increases exposure of toxic and immunogenic substances from the gut to the liver.
Leaky Gut/Intestinal Hyperpermiability
Which two tests are used to dx leaky gut?
Lactulose/Mannitol and IgG.
What is the difference between IgE and IgG reactions?
IgE is immediate and may cause anaphylaxis & hives. It is a TRUE allergy.

IgG is delayed, has diverse symptoms, and considered a hypersensitivity, and NOT an allergy.
What two factors contribute to digestive enzyme/HCl insufficiency?
Poor protection from ingested microbes.
Poorly digested food (allergenic, fermenting).
What are the 6 factors that influence digestion?
Diet, stress, allergies/hypersensitivity, enzyme/HCl insuff, dysbiosis & parasites, drugs & alcohol.
What is disbyosis? Name two examples.
An imbalance of normal intestinal microorganisms.
Candida & fungi.
What is the calorie density of: proteins, carbs & fats?
Protein: 4 cals/gram
Carbs: 4 cals/gram
Fats: 9 cals/gram
Four ways to measure body mass.
BMI, body composition (lean vs. fat), waist circumference, waist: hip ratio.
The body is made up of what % of water? What is the avg. requirement per day?
70%. 3 quarts.
Water requirements are influenced by what 4 factors?
Climate, health concerns, diet, activity.
Simple sugars (glucose, fructose, galactose), double sugars (maltose, sucrose, lactose) & short chain sugars (maltodextrins, HFCS), are also known as:
Simple carbs.
Complex carbs examples:
Veggies, fruit, legumes, tubers, starches, roots, whole grains.
Soluble fiber has these superpowers:
Slows down digestion, delays emptying of stomach, gives feeling of fullness, regulates blood sugar, interferes w/ absorption of cholesterol, lowers LDL.
Insoluble fiber does what?
Remains intact in the GI, adds bulk & promotes BM, fermentation in the gut produces butyrate.
Functions of butyrate? What food contains it?
Fuel for GI cells, decreased intestinal permeability, inhibits colon cancer cells. Also found in butter.
What hormone increases blood sugar?
Cortisol.
In relation to diabetes, the pancreas is responsible for what two actions?
Insulin stimulates glucose uptake.
Glucagon releases glucose into the blood.
The liver stores glucose as ______________ or ____________.
Glycogen or triglycerides.
What is the difference b/t Type I and Type II Diabetes?
Type I: results from a rheumatoid-like autoimmune reaction in which the body attacks & destroys the beta cells of the pancreas. These are the cells that normally produce insulin. The patient in a relatively short time has no insulin production.

Type II: metabolic syndrome: insulin resistance. The result of the muscles & other tissues of the body developing a resistance to insulin produced by the beta cells of the pancreas. The pancreas first tries to overcome this resistance to insulin by making more insulin. The blood sugar goes up as a patient's body is no longer able to make enough insulin.
Four methods of preventing & treating diabetes:
high fiber
low refined carbs
low simple sugars
whole plant foods
Four tests for screening diabetes:
blood glucose
fasting blood glucose
fasting insulin
c-peptide
Protein is what % of our body weight?
20%
Protein digestion is aided by what two organs and which chemicals?
Stomach: HCl & pepsin
Pancreas: trypsin, chymotrypsin, peptidases break peptides into amino acids.
In relation to protein digestion, what does the portal vein do?
Carries protein into circulation.
What are catabolism & anabolism, and why are they relevant?
Catabolism: Break down of tissue to release amino acids (60-70%)
Anabolism: using amino acids to build tissue

Both, including diet, are key in protein metabolism.
How much protein is required daily? When would this increase?
.37g/lb - so a 154lb. person requires 56g of protein.
Increase during times of healing, growth, pregnancy, illness, mood disorders.
What happens to excess protein, and what diseases are associated with this?
Excess converted to glycogen, or fat.
Assoc. w/ chronic degenerative dz, cancer, KD stone formation, generally harmful in KD dz.
Symptoms of low protein intake?
Fatigue, mood swings, difficult concentrating, depression/anxiety.
Amino Acids. Discuss. How many? How many essential, and source?
22 amino acids. Eight are essential, and acquired through diet only. Animal proteins contain all 8, and are complete. Veggie protein = incomplete.
What three chemicals are vegetarian diets low in? What foods can help w/ inadequate sources?
Lysine, methionine, tryptophan. Combining beans, nuts, seeds, & grain helps w/ protein intake.
For kidney dz, what should patients consider in regards to protein?
XS proteins require more work from kidney.
Pts should have minimum amnt for anabolism.
There is a decreased glomerular filtration rate.
What are the 8 essential amino acids?
PVT TIM LL
phenylalanine
valine
threonine
tryptophan
isoleucine
methionine
leucine
lysine
This amino acid crosses the BBB, forms tyrosine (epi and norepinephrine, dopamine), and used in mood control disorders.
Phenylalanine.
This amino acid is the least abundant, contains sulphur, is lipotropic, a mood & energy enhancer, and reduces inflammation/allergies.
Methionine.
This amino acid is highly concentrated in eggs, meat, dairy, legumes, wheat germ & yeast. It supports calcium absorption & collagen formation. One should take 500mg a day during a _____________ outbreak.
Lysine. Herpes.
This amino acid is a precursor to 5HTP, which makes serotonin & melatonin. Cofactors are B6, C, folate. It's a treatment for dep/anxiety, insomnia & pain. CTX if patient is taking _____________.
Tryptophan. CTX w/ SSRIs.
If someone has depression, pain, sensitivity to pain, is an adrenaline junkie, craves sweets, & cries a lot, they might be lacking in this amino acid.
Phenylalanine
Leucine, Isoleucine, Threonine, and Valine all have similar functions, mainly muscle building. What other fnx do they have?
Leucine: protein synthesis, growth, wound healing
Isoleucine: energy production, prevents tremors
Threonine: immune, collagen/elastin, tooth enamel.
Valine: muscle building
Name 5 functions of lipids, and how many calories/gram?
Storage form of energy
Insulation & protection
Brain, myelin, hormones
Form cell membranes
Carry fat soluble vitamins (A, D, E, K).
9 cals/gram.
Too much of this sterol is a stress/inflammation marker. It could be b/c someone is eating too much of it, OR, the body is requiring a lot of it for repair. What is it?
Cholesterol.
What are the classification of fats?
Saturated
Trans/hydrogenated
Unsaturated
Essential
Cholesterol
In this fat, the carbon chain is filled to capacity with hydrogen atoms. What kind is it, and what dz is associated with it?
Saturated fats. Assoc. w/ CV dz, and cancer.
Trans/hydrogenated fats are solid at room temp. What are three other facts about it?
Chemically altered to be filled w/ hydrogen bonds, weaker structure does not function properly in the body, has increased coronary artery dz.
These fats are not stackable, so is a liquid at room temperature. What kind is it, and what are two subsets?
Unsaturated fats. Monounsaturated and polyunsaturated.
What are examples of mono and polyunsaturated fats?
Monounsat: olive oil, has one double bond
Polyunsat: corn, cottonseed, soybean, multiple double bonds.
Essential fatty acids are polyunsaturated. What are two other facts about it?
Cannot be synthesized by the body.
Ideally a 3:1 ratio of omega3 to omega6.
Linoleic acid comes from safflower, sunflower and corn. Which omega is it, and what are some dz factors?
It's an omega 6.
Is an arachidonic acid, and consumed in animal fat. It's pro-inflammatory, increases clots and BP.
What are the two omega 3s, and where do they derive?
ALA: alpha-linolenic acid (flax, soy, canola, pumpkin seeds, walnuts) and EPA/DHA (cold water fish).
What are some of the benefits of taking alpha-linolenic acid? What is a precaution?
Reduces clotting, improves lipid balance, supports mood & memory, nerve fnc, & skin health. Precaution: don't take before surgery, since it reduces clotting.
Cholesterol is the precursor to _______________, and therefore, ________________.
Cortisol, progesterone.
What are a few functions of cholesterol?
Form of fat made by the liver.
Required for myelin sheath & bile production.
Essential for cell membrane structure, permeability.
Required to repair damaged cells.
Increases during stress.
What are low and high levels of cholesterol, and what are the risks?
Low is below 130mg/dL. Associated w/ increased risk of suicide. Lower than 165 assoc. w/ impulsivity in mood patients.

High is 240mg/dL and above. Borderline is 200-239. Assoc. w/ atherosclerosis, but also decreased mortality in elderly (85+)
What are the three functions of digestion & metabolism?
Chewing & stomach digestion separate fat from food.
Fats float in GI & promote fullness.
Slow down gastric emptying increasing satiety.
Lipases break down _____________, into _____________, and ____________.
lipases break down triglycerides into fatty acids and glycerols.
Functions of HDL and LDL.
HDL: carries cholesterol from blood vessels & tissues to liver. Increased by exercise, good fats, estrogen, healthy wt.

LDL: carries cholesterol to blood vessels and tissues.
Which vitamins are fat soluble? Water soluble?
Fat: ADEK & beta carotene. Water: B & C.
What is the role of vitamins?
-Cofactors in cellular metabolic rxns
-Antioxidants that prevent cell damage
-Free radicals are unstable oxygen compounds that
react w/ cell structure & DNA - antioxidants interrupt this process.
This vitamin is an antioxidant, anti-imflammatory, offers immune support, tissue repair, MUCOSAL & SKIN & EYE health, treats acne & other skin issues, as well as asthma, osteoporosis and PMS.
Vitamin A - Retinol
What are deficiency sx of Vitamin A/Retinol? Where can it be found? Where is it stored in the body?
Night blindness, poor wound healing, dry skin & hair, impaired immunity, loss of app. Found in dairy, egg yolk, cod liver oil. Stored in the liver.
This vitamin is a precursor to Vit A/Retinol.
Beta Carotene
Between Vit D2 and D3, which is better absorbed and has a longer shelf life? This also produces naturally when exposed to sun.
D3
Vit D/Calcitriol works with which hormone for calcium & phosphorus regulation?
Parathyroid
What are Vit D/Calcitriol deficiency sx? What conditions is it used to prevent?
bone problems, rickets, osteomalacia. prevention: osteoporosis, psoriasis, scleroderma, cancer.
What are sources of Vit D/Calcitriol, and what other vitamin is it often combined with?
cod liver oil, egg yolks, butter, liver, fortified milk. Combo'd w/ Vit A/Retinol.
Functions of Vitamin E/Tocopherols?
Protects cell membranes (myelin sheath), prevents oxidation of B/C, increases fatty acid metabolism; helps arthritis, immunity, PMS, promotes heart efficiency, reduces clotting.
Sources of Vitamin E/Tocopherols?
vegetable oils, seed & nut oils, butter, egg yolk, milk fat, liver.
What should not be taken with Vit E, and why?
Iron, d/t increased absorption of both.
This vitamin is required for proper clotting.
Vitamin K (Koagulation).
What are the three different types of Vit K, and where do they come from?
K1 is the food source
K2 is produced by intestinal bacteria
K3 is the synthetic form
What are the benefits of Vit K?
clotting; helps osteoporosis, rheumatoid arthritis, pregnant n/v, heavy menses
What are sources of Vit K, and where is the best source made?
leafy greens, alfalfa,kelp, blackstrap molasses, liver, milk, yogurt, egg yolk, fish liver oil. Best source made by gut bacteria.
This vitamin maintains the health of the nervous system, digestion, hair,skin, eyes, mucous membranes, esp. the mouth.
B Vitamins
Deficiency sx of B Vitamins. What depletes them?
fatigue, depression, insomnia, loss of app, sores/cracks around the mouth, lowered immunity, anemia, constip, acne, hair loss/graying.

Depleted by antibiotics, birth control pills, sugar, coffee, alcohol & stress.
Sources of B vitamins?
In foods, never in isolation. Whole grains, yeast, liver, legumes, nuts, egg yolks, broccoli, leafy greens, intestinal microorganisms.
Thiamine is also known as ___________? What do the deficiency sx look like?
B1. Berberi, nerve changes, edema, heart failure. Low intake = glucose intolerance, mood changes, & fatigue.
B1 is deficient in this population, and aids stomach HCl production, as well as ___________ and ______________ function.
Depleted in alcoholics. Aids stomach HCl production, nerve function, and heart function.
Riboflavin is also known as __________? What condition this vitamin act as a prophylactic?
Vit B2, good for migraines.
Deficiency of B2 looks like?
cracks at corner of the mouth, sensitive eyes, poor fat metabolism.
B3 is also known as ___________?
Niacin
What is Pellagra, and what are the sx?
B3 deficiency.
Dermatitis
Diarrhea
Dementia
Death
Also: tremors, , sore/swollen tongue, fatigue
B3/Niacin benefits?
needed for synthesis of sex hormones, treats high choles, schizophrenia, learning disorders, arthritis, hypoglycemis, PMS. Needed for HCl production & anti-inflamm. prostaglandins.
What causes the niacin flush?
nicotonic acid
B5 is also known as?
Pantothenic Acid.
This vitamin promotes proper adrenal function by stimulating production of cortisol.
B5/Pantothenic Acid
Benefits of B5/Pantothenic Acid?
strengthens immunity, promotes adrenals, memory (ACH), reduces cholesterol; reduces, stress, fatigue, arthritis, allergies
Vitamin B6 is also known as? What is the active co-enzyme form?
Pyridoxine. P5P.
What does B6/Pyridoxine treat?
Helps control cholesterol, balance blood sugar, fight free radical damage. Useful in stress, fatigue, arthritis, hypoglycemia, immune stim, and allergies.
B6/Pyridoxine is a major antioxidant & is immune stimulating. What other functions does it have?
Fatty acid & protein metabolism
Converts amino acids
Maintains sodium to potassium ratios
Homocysteine metabolism
B6/Pyridoxine is best when combined with what vitamins and minerals?
magnesium, zinc and riboflavin (B2).
What are sx of taking too much B6/Pyridoxine?
Stocking & glove neuropathy.
B12 is also known as? Where is it found?
Cobalamin. Found in animal products, after being synthesized by gut bacteria.
Absorption of B12/Cobalamin requires _____________, and is stored in ______________.
Absorption requires "intrinsic factor", produced by the same cells that produce HCl in the ST. B12 stored in tissues.
What are the risk factors of low B12/Cobalamin?
Low HCl, aging, poor digestion & absorption, vegans, celiac
What are the sx of B12/Cobalamin deficiency?
Megaloblastic anemia, low RBC, fatigue, irreversible neuro degeneration, "strawberry tongue".
What are the functions of B12/Cobalamin?
Cell metabolism, synthesis of DNA & RNA, formation of RBC.
Which disorders can B12/Cobalamin treat?
Fatigue, asthma, bursitis, alcoholism, neuralgias, mental disorders, immune & GI disorders.
B12/Cobalamin deficiency can be masked by _______________. Why is this important for non meat eaters?
masked by high folic acid. B12 is rare in plant sources, but folic acid is high.
Folic acid is abundant in ______________. It can also mask a ______________ deficiency. Stored in the ____________ for up to 9 months.
Plants. B12. Liver.
Deficiency sx of folic acid:
fatigue, depression, irritability, decreased app, inflamed tongue, diarrhea, palps, forgetfulness, hostility & paranoia.
Folic acid can be used to prevent spina bifida, and improves these conditions:
improve digestion, heal the skin, treat cervical dysplasia, used as an oral rinse to treat gingivitis.
Low levels of folic acid can be seen in these populations:
elderly, alcoholics, psych patients, adrenal stress, pregnancy/lactation, OC pill use, antibiotics, and vit C use over 2G per day.
Folic acid is often given with these two vitamins to reduce homocysteine.
B6 and B12
Biotin deficiency is triggered from eating _______________. Biotin is produced _______________.
Raw eggs. Produced by gut bacteria.
Functions of Biotin.
Helps synthesize proteins, RNA, & DNA.
Required for proper essential fatty acid metabolism, blood sugar reg., and production of healthy hair, skin, and nails.
These two are not true vitamins, but regarded as such b/c they are often deficient in the diet. They are needed to produce lecithin (an imp. factor in metabolism of fat & cholesterol, and a component of cell membranes).
Inositol and Choline
Mutual functions of Inositol & Choline
promote production of neurotransmitters, proper clotting and detoxification, needed to promote lecithin.
Choline can cross the BBB, and what other two functions?
helps nerve conduction, and is the "memory" vitamin d/t its part in acetylcholine.
PABA is part of which molecule?
Folic acid
High doses of ____________ can irritate the liver causing n/v, anorexia, fever & skin rash.
PABA
Functions of Vit C
A powerful antioxidant
Produces collagen
immune stimulant
antihistamine action
This vitamin aids the absorption of iron.
Vitamin C
Vitamin C is helpful in which conditions?
Viral (colds, mono, Hep), cancer, degenerative dz.
Minerals are elements of the earth, and are essential for proper _______________.
Cell metabolism.
The two most abundant minerals are?
calcium & magnesium
What conditions can calcium treat?
Insomnia, muscle cramps, osteoporosis, rickets.
Functions of calcium?
buffers blood pH
regulates heart & muscle contraction & nerve conduction
Excess calcium interferes with ___________ and ____________ absorption.
zinc and iron
What three things are needed for calcium absorption?
Vit D, magnesium, HCl
In calcium regulation, one hormone increases blood levels, and one decreases it. What are they?
Parathyroid hormone increases blood level.
Calcitonin (from the thyroid) decreases it.
Food sources of calcium.
Dairy, broccoli, cauliflwr, peas, beans, nuts, seeds, molasses, citrus, figs, bonemeal.
__________% of magnesium is stored in bone
50%
Magnesium functions?
muscle & nerve function
heart rhythm
immune system
BP regulation
energy metabolism
protein synthesis
Deficiency sx of magnesium?
loss of app, n/v, fatigue, numbness, tingling, spasm, HT rhythm defects, seizures, personality changes
Which conditions can magnesium treat?
Insomnia, anxiety, fatigue, cramping, palps, HA, HTN, osteoporosis, asthma, angina
Magnesium is depleted by?
low plant food in diet
oral contraceptives
diuretics
XS trans & saturated fats
XS calcium
chocolate, alcohol, sugar & caffeine
What is the ratio of magnesium to calcium? What are sx of too much mag?
2:1 ratio of calcium to magnesium
Too much mag = diarrhea
Sources of magnesium in food?
Dark greens, nuts, seeds, legumes, whole grains, avocado, apricot.
Which two ways are chloride present in the body?
Either in the body as salt (with sodium), or HCl (with hydrogen.
Chloride, a mineral electrolyte, works with sodium and water to do what?
Distribute body fluids
Common sources of chloride?
seaweed, rye, tomatoes, lettuce, celery, olives, salt.
Functions of Potassium?
Regulates heart contractility
Nerve conduction (Na-K pump), blood pressure, fluid balance, acid-base balance
Sx of potassium deficiency?
fatigue, muscle weakness, slow reflexes, dry skin, acne.
Sodium intake should be limited to ____________ mg/day.
2,300 (1 tsp)
Phosphorus needs to be balanced with ____________.
calcium
This is the 'P' in ATP
Phosphorus
Where is phosphorus stored?
In all cells, but mainly in bones as calcium phosphate.
Sources of phosphorus?
seafoods, meats, grains, nuts, vegs, dairy
This mineral is an important part of proteins, found in keratin of skin, hair and nails.
Sulfur
Sources of sulfur?
Cruciferous vegs, eggs, onions & garlic, meat & other protein-rich foods.
This hard mineral increases strength of bones, blood vessels, cartilage, skin and tendons.
Silicon
Chromium is a trace mineral, and is an essential part of what factor?
GTF: glucose tolerance factor. Enables insulin to carry glucose into cells.
Functions of chromium?
Important for blood sugar regulation, both hypoglycemia and diabetes.
Improves cholesterol.
Sources of chromium?
Brewer's yeast (2 tbsp/day), whole grains, meats, some vegs.
Cobalt is a part of what vitamin?
B12
Functions of Copper?
Needed to make hemoglobin.
Helps Vit C make collagen & heal tissues
Cofactor for many enzymes.
This dz presents with a golden ring around the iris. What is the dz, and what trace mineral do they have too much of?
Wilson's Dz. Too much copper.
Sources of copper?
oysters, shellfish, nuts, whole grains, water pipes, cookware.
Which vitamin and mineral can interfere with copper absorption?
Vit C and Zinc
This mineral is needed to manufacture thyroid hormones.
Iodine
This condition is due to iodine deficiency.
Cretinism (arrested physical and mental development with dystrophy of bones and soft tissues, due to congenital lack of thyroid secretion)
Function of Iron?
Necessary for hemoglobin formation so that RBCs can carry oxygen to cells.
What is the most easily absorbed form of iron, and where is it found?
Heme form, from meat.
____________ is the storage form of iron, and can be measured in the blood.
Ferritin
Manganese can be found in nuts, seeds, & whole grains. What is its' function?
Important cofactor for many enzymatic reactions, esp. mitochondria.
If someone can't tolerate red wine, they can take 50mcg/day of this trace mineral.
Molybdenum
Molybdeum can be found in whole grains, vegs and legumes, and helps to mobilize _____________.
iron from storage
This trace mineral is an component of glutathione peroxidase, an important anti-oxidant.
Selenium
Uses for selenium?
Cancer and CV Dz prevention, used topically for dandruff & fungal derm, used to enhance male fertility.
Sources of selenium?
Brewer's yeast, wheat germ, fish, whole grains, vegs, nuts, molasses.
Sx of Zinc deficiency?
poor wound healing & fracture healing, sweet craving, poor app, high cholesterol and frequent infections, and issues with taste.
Functions of Zinc?
Powerful immune stimulant that promotes wound healing, stimulates T lymphocytes & NK cells.
Assists in conversion of linolenic acid to anti-inflamm. prostaglandins.
What are the enzymes for carbs, proteins, fats, veggies, & dairy?
amylase, protease, lipase, cellulose, lactase.
What vitamins and mineral is used to stimulate the body's production of HCl?
Niacin (B3), Magnesium, P5p (B6).
This protects mitochondria & prevents DNA damage.
Alpa lipoic acid
Function of ALA?
Used in heart dz, helps control blood sugar and prevent long term consequences of diabetes.
Functions of bioflavonoids?
Help to maintain blood vessel integrity, and aid wound healing, stabilize mast cells to inhibit histamine release, anti-inflammatory.
Examples of bioflavonoids?
Hesperidin, rutin, quercetin, catechin.
Risk factors for HTN?
poor diet, obesity, no exercise, hyperlipidemia, smokes, diabetes, family hx, men, over 50 y.o.
Tests for risk factors of HTN?
Cholesterol, homocysteine, Hs-CRP, fibrinogen.
What is the difference between EKG and an Echo Cardiogram?
EKG looks for normal rhythms and indications of decreased blood flow. Stress EKG only abnormal after 70% occlusion!

Echo is an ultrasound that looks for normal blood flow and function of valves.
What is the side effect of statin drugs?
It inhibits cholesterol and CoQ10.
Lifestyle changes for HTN?
exercise, decrease smokes & coffee, stress mngmnt, increase water intake, reduce salt, weight loss.
Diet recommendations for HTN?
DASH diet, variety of fruits & vegs, lower sat. fat intake, 30-40g fiber, decrease carbs, consume garlic/onions/leeks/shallots, low salt.
Supplements for HTN?
Vit E & C (anti-oxi), magnesium (vasodilator), niacin/B3 (increases HDL).
Why is Vit B12 (methyl form) good for HTN? Folate? Omegas?
B12 & Folate helps to lower homocysteine, omegas reduce cholesterol & inflamm.
Why is CoQ10 important for HTN? What are two other supplements that HTN can benefit from?
CoQ10 is an anti-ox, ATP production, and cardio-protective. Curcumin and Bromelain (anti-imflam), and Hawthorn (hypo-tensive and cardiac tonic).
Heavy metal detox, food allergies, gut healing and a mediterranean diet are all other considerations for which dz?
Hypertension
Metabolic Syndrome, or Insulin Resistance, have what sx?
HTN, hyperinsulinemia, hyperglycemia, tummy obesity, elevated cortisol, dyslipidemia
Risk factors of Insulin Resistance?
Overweight, smokes, family hx, gestational diabetes hx, ethnicity.
What are the labs for Insulin Resistance?
Fasting blood glucose, glucose tolerance test, insulin & c-peptide, hemoglobin A1C (HgbA1C).
In fasting blood glucose, what levels are considered pre-diabetes, and diabetic? What about the glucose tolerance test?
FBG:
pre: 100-125
diabetic: 125

GTT:
pre: 140-199
diabetic: 200+
Why are insulin and c-peptide tests important for diabetes?
Tracks insulin levels and helps diff. b/t Type 1 and 2. C-peptide is a natural by-product of insulin production.
What are prevention goals for diabetes and heart dz?
Normal BMI, BP <130/80, LDL <100, Total Chol <200
Benefits of exercise and diabetes?
Increase wt loss, improve cardio health, build muscle (improves insulin sensitivity), more effective than drugs.
Diet recs for diabetes?
Regular meals, high protein, high fiber, limit carbs, foods on low glycemic index.
Supplements for diabetes?
Chromium, ALA, magnesium, Vits C, E & B6, herbs
What is the blood type diet based on?
based on the proteins expressed on the surface of your blood cells. These blood proteins interact w/ food proteins (lectins).
In the blood type diet, what are the general recs for Type A, B, A/B, & O?
Type A: HT dz, cancer, diabetes: veg diets, some chick, no beef.
Type B: auto-immune dz, minimize chick & wheat, no tomatoes.
Type A/B: can lean towards A or B. Better w/ alkaline diets.
Type O: thrive on intense activity, better w/ acidic system, min. dairy & grain, no eggs, can get hypothyr.
This diet is used for epileptic children, wt loss, and body building.
Ketogenic diet
Theory of Ketogenic Diet?
Forces body to use ketones for energy instead of glucose. 3-4g of fat for every 1g protein or carb.
What are the organs of detoxification?
LV/GB, KD, Colon, Urinary Tract, Skin, Respiratory
This organ absorbs & filters toxins via the portal vein from intestines
Liver
Bile contains ___________ and _______________.
emulsified fats and fat soluble toxins
What is the difference b/t Phase I and Phase II of liver detox?
Phase I: chemical reactions can turn nontoxic substance into bioactive or toxic ones. These may be excreted or interact w/ the body.

Phase II: usually detoxifying, when function is compromised, damage can occur.
Benefits of water fasting?
allows digestive organs to rest, proposed as a cure of acute & chronic dz.
Challenges of water fasting?
slow down of bile function/peristalsis, potential for reabsorption of toxins, hypotension, dangerous w/o adequate reserves, medically supervised.
This cleanse can be used to reverse insulin resistance.
Master Cleanse
This gene is activated by caloric resistance
Sirtuin
Benefits of going veg?
Better cardiovascular health (BP, lipids)
• Lower BMI
• Lower rates of cancer
• Reduced dementia incidence
• Reduced diabetes
• Strong correlation between red meat:
disease
Challenges of vegetarianism?
If poorly done, can be comprised of a lot of processed foods.
fatigue, depression, immune problems, risk of B12 and anemia.
Common triggers for food sensitivities?
Gluten, dairy, eggs, nuts, citrus, corn, nightshades, meat, or any foods that are eaten > than 2x/wk. Also, sugar, caffeine, alcohol.
Detox sx of elimination diet?
Rash, fatigue, HA, irritability, hunger, coated tongue, runny nose.
Benefits of elimination diet?
relief of sx, increased energy, improved mental clarity, wt loss, skin/hair/nail improvement
Concern about GMOs?
Not rigorously tested by FDA, instead
tested by manufacturers
• Uncertainty regarding the effects of DNA
alterations in foods
• No way to evaluate allegenicity of GMOs
• Decreased nutritional content
• Transfer of antibiotic resistance from plants
What is the purpose and rationale of the Paleo diet?
human genome has changed v. little in the last 40K yrs.
nutritional reqs were selected b4 advent of agriculture.
ancestors hunted game & ate lots of meat, gathered nuts, fruits & vegs. no carbs.
Paleo health effects?
Grains have a high omega 6 to omega 3 ratio (6:3). Increased CV dz. Paleo = 1:1 - 3:1
Problems with Paelo diet?
tendency to eat lg. quantity of meat, ignore periods of fasting, most foods today unlike animals/plants of that era.
Similar diets to Paleo?
-GAPS diet
-specific carb diet
Contributing factors to candida?
oral antibiotic, use of steroids (cortisones)
– birth control pills
– antacid and and ulcer medications
– high sugar diets
– decreased digestive secretions, impaired liver
function, altered bowel flora
– impaired immunity
– nutrient deficiency
– underlying disease states
anti-candida diet dx:
lack of absolute proof - made on patient hx & sx
determining factor is whether sugar triggers sx
stool and blood tests can be performed
Goals of anti-candida diet?
Kill candida, create an "unfavorable" enviro for candida
Anti-candida treatment?
REMOVE (sugar, simple carbs, milk, etc), REPLACE (improve digestive secretions: HCl, pan enzymes) , REPAIR (heal GI lining, immune support, detox), REINOCULATE (probiotics)
Immune support therapy/general diet?
decrease toxins, low sugar, low/mod sat & trans fats, eat healthy fats, low processed, remove food allergens, increase water, get enough protein, lots of F & V.
Immune support therapy nutrients?
multi-vit, anti-ox, essential fatty's, Vit D, melatonin, herbs, glandulars
Other areas of immune support therapy?
Chew food, balance blood sugar, exercise, contrast therapy, smoothies, emotions & attitude, detox.
auto-immune support?
general immune support, plus mushrooms and plant sterols (improves balance b/t TH1 and TH2 cells).
Cancer support?
General immune support, GI support, anti-ox, green tea, Vit D, melatonin, modified citrus pectin, curcumin, I3C or DIM, folic acid.
Guidelines for macrobiotic diet?
considered an approach to life
balance of yin & yang foods
natural & organic, plant-based
be present w/ eating and chew thoroughly.
only eat when hungry
eat local & with the seasons
avoid microwaves
Gerson diet claims?
boost immune system, heal degenerative dz (cancer, arthritis, ht dz, allergies).
Basic elements of Gerson?
organic, veg diet, raw fresh juices (13 cups a day!), coffee enemas, some supplements
This diet claims that humans achieve perfect physical form and health generation after generation only when they consume nutrient-dense whole foods & the vital fat soluble activators found in animal fats.
Weston Price Diet
Weston Price diet rec?
consume unprocessed/min process foods
eat traditional fats (animal, olive oil)
organic F/V, whole grains
raw dairy
sauerkraut
bone stocks
Controversial ideas of Weston Price diet?
Butter is a super food, contains X factor ???
Glandular organ extracts to promote health of that organ
Poached brains should be added to other ground meats
Raw cows milk & meat broth should be fed to newborns who don't breastfeed.