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105 Cards in this Set

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Sulphur - Role/ Sources
"Maintains base balance in body
A component of:-
sulphur containing aa
co-enzymes
detoxifying compounds in the liver
glutathione
glutathione peroxidase
mucopolysaccharides
alpha-lipoic acid
regulates wtaer in connective tissue
required for the CV system
Component of MSM & DMSO
Sulphur - Interactions
Can increases excretion of calcium
Sulphur - Toxicity
Nil
Sulphur - Care
Nil
Sulphur - Curious fact
All compounds containing mineral known as thiols
Sulphur - Excretion
Urine as sulphate
Chromium - Absorption
"in small intestine jejunum and some in stomach due to acid environment
absorbed based on qty in food"
Chromium - Deficiency
Nil
Chromium - Disease Treatment
"impaired glucose tolerance
insulin resistance
gestational diabetes
Type 2 diabetes mellitus"
Chromium - Disease Prevention
"\impaired glucose tolerance
type 2 diabetes mellitus
cardiovascular disease
Increases muscle mass
promotes weight loss"
Chromium - Disorder
Severe trauma, infection, stress, OR Strenuous exercise increase secretion
Chromium - Those @ Risk
- those on parenteral nutrition
- malnourished infants
- pregnant women
- stress
Chromium - Increased absoprtion by
- acidic solution
- amino acids (methionine and histidine)
- Vit C
- iron deficiency
- chromium picolinate vs chromium chloride
- starch vs glucose
Chromium - Decreased absoprtion by
- neutral or alkaline solutions
- antacids
- phytates
- other minerals
Chromium - Competes with
Iron
Chromium - Role/ Sources
- Broccoli
- Grape juice
- Turkey ham processed
- waffle
- English muffin
Chromium - Interactions
- Iron
- Vitamin C
- carbohydrates
Chromium - Toxicity
- Most issues are based on inhalation of chromium dust
- there have been incidences of reactions to chromium picolinate
-
Chromium - Care
Chromium Cr6 is food as a pollutant in air , water and cigarettes
- individuals with kidney or liver disease should limit consumption
Chromium - Curious fact
- Binds to transferrin OR
on albumin, globulin or lipoproteins
OR unbound in blood
Chromium - Excretion
Urine
Simple sugars increase excretion up to 300% vs. complex carb
Chromium - Transport
Binds to transferrin
Selenium - Absoprtion
"50-100% absorption
duodenum"
Selenium - Deficiency
"Antioxidant
cell mediated immunity
chemoprotective effects
modulates thyroid
anti-inflammatory activity
reduced heavy metal toxicity
testosterone synthesis/sperm health
anti-artherogenic activity"
Selenium - Disorder
"asthma
autoimmune thyroiditis
rheumatoid arthritis
lowered male fertility
mood elevation and reduced anxiety
Reducing morbidity in preterm babies
Keshan disease
Kashin-Beck disease"
Selenium - Those at risk
"Low selenium areas (some parts of NZ)
Long term parenteral nutrition
alcoholics and those w/ liver cirrhosis
crohn's & coeliacs' disease
AIDS"
Selenium - Increased absoorption by
"Vitamin A,C, E
reduced glutathione in GIT"
Selenium - decreased absorption by
"Phytates
heavy metals like mercury"
Selenium - Sources
"Brazil nuts
Shrimp
crab meat
salmon
halibut
"
Selenium - Interactions
"Iodine
antioxidant nutrients"
Selenium - Toxicity
"Fatigue
Depression
arthritis
hair or fingernail loss
garlicky breath & body odour
GIT disorders
irritability"
Selenium - Curious fact
Selenium substsitutes for sulphur
Selenium - Excretion
Faeces & Urine
Iron - Absoprtion
"Haeme iron
Nonhaeme iron
duodenum and upper jejunun"
Iron - Deficiency
"3 stage deficiency:-
1. low ferritin levels
2. red cell formaton impaired
3. red blood cell formation impaired (ANAEMIA)

Symptoms:-
fatigue and lethargy
decreased resistance to infection
cardiovascular/respiratory changes
Increased lead absorption
decreased selenium/glutathione levels

"
Iron - Disease Treatment
"Impaired cpgnitive functon children
Lead toxicity
pregnancy complications
impaired immune system"
Iron - Disorder
"Anaemia
Cognitive function
ADHD
Fatigue"
Iron - Those at risk
"Infants 6mths 4 years
adolescents
Pregnant women
chronic blood loss
GIT malabsorption issues + GIT infections
helicobacter pylori
Vegetarians
Achlorydia
Gastric bypass
Regular intense exercise
excess early consumption of milk"
Iron - Increased absoorption by
"Low Iron Status
Erythropoeisis
meat, poultry/fish intake
2 alcoholics drink per day
Fructose
citric acid, lactic acid
chelators"
Iron - decreased absorption by
"High iron status
egg yolk protein
milk
phytates
oxalates
Polyphenols
rapid GIT time
Helicobacter pylori infection
Poor GIT HCl"
Iron - competes with
Calcium
Iron - Role
"Oxygen storage and transport
Oxygen sensing
Electron transport and energy metabolism
Antioxidant and pro-oxidant functions
DNA synthesis
Regulation of intracellular iron"
Iron - Interactions
"Tannins
dairy & eggs
Vit C (+)
Vit A (-)
copper
zinc
Calcium"
Iron - Toxicity
"Toxicity:-
Herditary haemachromatosis
sub-saharan african haemachromatosis
Hereidtary anaemiathalessemia, siderblastic
"
Iron - Care
GIT upsets top to bottom
Iron - Curious fact
"Not excreted from body
not absorbed"
Iron - Excretion
Lining of GIT
Zinc - Absoprtion
"Jejunum
10-35% absorbed from food"
Zinc - Deficiency
"Anorexia
Skin rashes
Impaired immunity and wound healing
Night blindness
Behavioual issues
Erectile dysfunction
Pregnancy complications
Slowed growth and maturity
loss of taste
Menstrual and male fertility issues
Alopecia
Night blindness
Behaviour issues
Pregnancy complications"
Zinc - Disease Treatment
"Common Cold
Diabetes mellitus
Macular degeneration (age related)
HIV/AIDS"
Zinc - Disorder
"Acne
Alzheimers
Anorexia
ADHD
Depression
Herpes simplex
Hypertension
Taste perception
Impotence
Male fertility
Leg Ulcers
Lipid peroxidation
Osteoporosis
Radiation induced infection
Tinnitus"
Zinc - Those at risk
"Infants/children
Pregnant women
parenteral nutrition
Those with diarrhoea, gut, inflammed bowel issues
Those with sickle cell anaemia
Strict vegetarians
older people
Alcoholic liver disease"
Zinc - Increased absoorption by
"Zinc deficiency
chelators
pancreatic secretions
corticosteroids"
Zinc - decreased absorption by
"Phytates
Oxalates
Polyhenols
Lots of fibre
calcium, copper, iron
decreases with age"
Zinc - competes with
Iron in the intestinal tract
Zinc - Role
"Structural(cell membranes, zinc fingers, transcription, SOD, metalloenzymes)
Immunity
regulatory (genes)"
Zinc - Sources
"Shellfish
Beef
Red meat"
Zinc - Interactions
"Copper
Iron
Calcium
Folic Acid
Vitamin A"
Zinc - Care
"Not too much zinc nasal spray
has drug interactions
High doses may cause vomiting, GT upset"
Zinc - Excretion
"Faeces
increased excretion from:-

excessive sweating and diarrhoea
kidney and liver disease
diabetes
high fibre consumption
semen and menstrual secretions
surgery, burns and trauma

"
Zinc - Transport
"albumins
globulins
amino acids"
Magnesium - Absorption
absorbed in small intestine relevant to how much is consumed (active and passive)
Magnesium - Deficiency
"GIT (Inc. Crohn's disease, intestinal lack of absorption)
Diabetes and long term diuretics
Alcoholism decreased intake and increased output
Old age less absorptionthrough gut, inc. excretion
"
Magnesium - Disease Treatment
"-Hypertension
preeclampsia-eclampsia
Myocardial infarction
Endothelial dysfunction
Diabetes mellitus
Osteoporosis
Migraine Headaches
Asthma IV
"
Magnesium - Those at risk
"GIT issues
Renal issues
Diuretics
Alcoholism
Age"
Magnesium - Increased absoorption by
"PTH
glucocorticoids
Vitamin D
Lactose"
Magnesium - decreased absorption by
"Alcohol
phytates
fibre
low protein intake
oxalates
high phosphate levels
sodium
high dose zinc
malabsorption syndrome"
Magnesium - Role
"-energy production (ATP, kreb's cycle, glycolysis, gluconeogenesis)
biomolecules synthesis (nucleic acid, protein, fatty acid, glutathione, cAMP)
Structural role
ion transport (interacts w/ sodium-potassium pump)
cell signalling (cAMP)
cell migration (wound healing)"
Magnesium - Sources
"Green vegetables (chlorophyll)
Grains and nuts
Meats"
Magnesium - Interactions
"Zinc high doses
high dietary fibre
high protein = higher absorption
Vit D & Calcium"
Magnesium - Toxicity
"oral can equal diarrhoea
GIT disturbance"
Magnesium - Care
Drug inetractions
Magnesium - Excretion
"Ascending loop of henle
Kidneys 96% reabsorbed
Lots of things increases and decrease magnesium excretion"
Magnesium - Transport
believed to be Linked to sodium transport and bicarbonate trasnport
Calcium - Absorption
" absorbed through all small intestine
Active transport in duodenum and proximal jejunum needs calbindin & Vit D
passive transport entire small intestine independent of Vit D"
Calcium - Deficiency
" Vitamin D and it's metabolism
hypo parathyroidism
Chronic kidney failure
low magnesium levels
Chronically low intake of calcium
Some drugs such as anticonvulsants "
Calcium - Disease Treatment
"Hypertension
PMS
Weightloss
Dyspepsia
Hyperlipidaemia
Foetal growth
Neonatal benefits
Fluorosis"
Calcium - Disorder
"Prevention:-
'Lead Toxicity
Colorectal Cancer
Oasteoporosis
Kidney stones
Pregnancy induced eclampsia"
Calcium - Those at risk
"first 2 years of life
puberty and adolscencs
pregnant women especially in last trimester
lactating women
postmenopausal women
elderly men
those experiencing rapid weight loss
those on Total Parenteral nutrition"
Calcium - Increased absorption by
"Lactose
Vitamin D
Calcium deficiency
Acidic PH
Growth
Pregnancy
Lactation
Exercise"
Calcium - decreased absorption by
"Oxalic, Phytic acids
Phosphates
Divalent Cations (Zn2+)
Fat malabsorption
some medications such as anticonvulsants
lack of stomach acid
Fat malabsorption"
Calcium - competes with
"Caffeine
Protein
Phosphorus
"
Calcium - Role
"1. Bone creation and breakdown
2. Neurotransmitter muscle contraction
3. Blood clotting"
Calcium - Sources
"Soy
Sesame seeds
Tahini
Watercress
Kale"
Calcium - Interactions
"Vitamin D
Sodium"
Calcium - Toxicity
"Hypercalcaemia caused by:-
Malignant disease
Hyperparathyroidsm & kidney disease (calcium supplementation under medical supervision)
Sarcoidosis
Vitamin D overdosage
Milk alkali syndrome
Immobilisation
thyrotoxicosis
Hypercalcaemia of infancy
Familial hypocalciuric hypercalcalcaemia"
Calcium - Care
"Drug interactions
Take calcium away from some drugs"
Calcium - Curious fact
99% of calcium is kept in the bone structure together with phosphorus, magnesium
Calcium - Excretion
"Varies through life cycle
100-200mg lost through urine
170mg lost through faeces
Skin 15mg

Increased excretion from:-
Sodium, Protein, boron + magnesium, caffeine
Deficienciencies of :-PTH or Vit D"
Calcium - Transport
"50% ionised calcium
40% bound to proteins
10 % complexed with sulphate, phosphate, citrate"
Calcium - Absorption process
"Low calcium:-
1. PTH released
2. Vit D Converted to Calcitriol in kidneys
3. Calcium uptake in small intestine increased
4. resoprtion of calcium in kidneys
5. Osteoclasts release calcium from bone

High calcium:-
thyroid releases calcitonin and PTH inhibitor
2. Osteoclasts decrease clacium released from bone
3. Decreased synthesis of calcitriol
4. Decreased calcium absorption in small intestine
5. Kidneys excrete excess calcium"
Calcium - How best to measure?
Bone density
Manganese - absorption
Active transport in small intestine
Decreases with increasing doses
Absorbed less efficiently by men than women
Manganese - competes with
Iron and cobalt for absorption
Manganese - decreased absorption by
Fibre
Oxalic acid
phytic acid
Calcium
Phosphorus
Increased iron content of meal
Manganese - transport
Bound to proteins (macroglobulin & albumin) to liver
Then bound to transferrin for periperheral tissue transport
Manganese - storage
Found in apatite in bones
Acumulates in liver, hair, pancreas, pituitary, kidney
Manganese - excretion
Bile and faeces
some through sweat and skin
Manganese - roles
Metabolism - carbohydrate, protein, cholesterol, fatty acid
Synthesis of thyroxine, dopamine and melanin
Antioxidant defence (MnSOD) in mitochondria
Energy production
Prothrombin production - needs Vit K
Bone development - cofactor for bone/cartilage proteoglycan production
Wound Healing - assists collagen production
Manganese - fact
Manganese (component of )
-assists glutathione peroxidase convert hydrogen peroxide to water,
- then catalase + oxygen make hydrogen peroxide into water
Manganese - mechanism of action
Numerous enzymes
- competes with magnesium to activate
Manganese - those @ risk
Chronic Liver Disease
Newborns
Manganese - Prevention
Osteoporosis
Seizure disorders
diabetes mellitus
Taking with calcium assists PMS
Manganese - Toxicity
Inhaled Manganese - neurological issues
High manganese levels in some drinking water - neurological issues
Manganese - food sources
fresh pineapple
pecans
oatmeal, bran, rice
beans
green & black tea