Rohit Tiwari:
VITAMINDEFICIENCIES _In Different Conditions::::_*
1 ■■ Alcoholics === Folate and Thiamine.
2 ■■ Smoking === Vitamin C due to used up
by FR in smoke.
3 ■■ New born === Vitamin K due to sterile
gut.
Bcz MC source of Vitamin K is gut
bacteria.
4 ■■ Hospitalized Pts === Vitamin K >>> Biotin.
Bcz of antibiotics use that kills gut bacteria
5 ■■ Renal Failure === Vitamin D.
Due to failure of 1 alpha hydroxylation.
6 ■■ Rice as staple diet === B1 Deficiency.
That's why it has been enriched with B1
in some countries.
7 ■■ Perniciuos Anemia === Autoimmune
atrophic gastritis === B--12 deficiency.
8 ■■ Colostrum (Breast milk upto 4 days) === deficient in Vitamin D.
9 ■■ Breast milk === deficient in D ,C and
pantothenic acid.
10 ■■ Goat milk === deficient in Vitamin B6, Folate.
11 ■■ Cow milk === deficient in Vitamin A, C, D.
12 ■■ Post menopauseal women === deficient in vitamin D (400 IU daily intake
recommended).
13 ■■ Women strict vegetarian === B12
Deficiency in her and her baby if pregnant or not.
14 ■■ Pregnant lady === Folate deficiency.
bcz of its more excretion due to increased GFR and Fetal tissue growth consumption.
15 ■■ Pregnant lady with alcohol consumption === MC Vitamin Deficiency === Folate.
Increased NTDs risk.
16 ■■ People having just maize their Staple
diet === B3 NIACIN deficiency === risk of
PELLAGRA, diarrhea, dementia, dermatitis.
17 ■■ Celiac disease involves === Jejunum mostly === So Folate deficiency.
18 ■■ Crohns disease === Involves Ileum === so B12 deficiency.
19 ■■ Terminal ileal resection === B12
& Bile salts deficiency === osmotic diarrhea and increased water loss and bile salts (Ganong).
20 ■■ Cystic Fibrosis === ADEK fat soluble
vitamins deficiency.
21 ■■ Total pancreatectomy === ADEK Deficiency.
22 ■■ Alcoholics == MC deficiency of Mg.
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