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Most of us know that most
diuretics can cause a loss of
potassium. Medical Practitioners often
automatically prescribe KCL with thiazide or loop diuretics.
But did
you know that the use of diuretics can also
deplete Calcium, Magnesium,
Sodium, Thiamine and
Zinc as well?
In fact
Thiamine depletion is thought to
contribute to impaired heart function in CHF
patients.
In
addition many other medications can cause problems.
Diabetes Drugs are included, For Example:
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Metformin has been shown to
decrease Vitamin B-12, in fact the PPI
recommends testing for B12 levels every 2 years of
use.
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Glyburide has been shown to
inhibit the enzyme NADH-oxidase, the
enzyme necessary for Coenzyme Q10
formation.
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Many
of our diabetes patients have co-morbidities,
including Hypertension and Gastric
Distress. Some of the most often prescribed
medicines have important nutrient depletion
properties that we should know about.
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ACE inhibitors can decrease
zinc, while increasing
potassium levels. In fact you should
advise your patients on ACE inhibitors to be wary of
potassium containing salt substitutes.
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ARB’s can cause depletion of
Calcium, Magnesium, Potassium and
Phosphate.
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The H-2 Blockers such as
famotidine and nizatidine
and the Proton pump inhibitors such as
Lansoprazole and Omeprazole
cause Vitamin B12 deficits. Have you
seen your older Diabetes Patients who are taking one
of these products get a shot of B12 because
they're tired all the time?
How do you keep up with all these
possible depletions?
The
NutriScan Assessment Tool is the
answer.
Using the
NutriScan Assessment Tool can help you identify
the problems. NutriScan uses the most up to
date references and constantly revises their
software to insure you and your patients are getting
the most current information.
Try the NutriScan
Assessment now.
Click
Here
Please use
Login code:
diabetes
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