Accessory Nutrients

Question 1

After a full recovery from acute diverticulitis, which supplement is most indicated?

A. Niacin, Potassium
B. Ascorbic acid, Proline
C. Pyridoxine, Manganese
D. Pantothenic acid, Calcium

Answer 1

B. Ascorbic acid, Proline

Vit C - General healing

Proline - collagen formation

Question 2

What are the indications for Pepsin/Protease?

Answer 2

Prot. malabsorption

Question 3

What are the indications for Papain/Bromelain?

Answer 3

Systemic use for inflammation (take away from food)

Question 4

What are the indications for Pancreatin?

Answer 4

Prot. malabsorption

Systemic inflammation

Question 5

What are the indications for Lipase?

Answer 5

Fat malabsorption

GB removal

Question 6

What are the indications for Glutamic Hydrochloric acid (HCl or Betaine)?

Answer 6

Hypo/Achlorhydria

Elderly d/t DEC acid production, Acne, Rosacea, GERD

Question 7

After a full recovery from acute diverticulitis, which supplement is most indicated?

A. Niacin, Potassium
B. L-arginine, Ca
C. Pyridoxine, Wheat germ
D. L-glutamine, Flax seed meal

Answer 7

D. L-glutamine, Flax seed meal

L-glutamine for any GI condition

Question 8

Which supplements are most effective in Txing Bicipital tendonitis?

A. Glucosamine as a placebo
B. Selenium to regen CT
C. Bromelain to act as an Anti-inflamm
D. Probiotics to enhance proteoglycan chemotaxis

Answer 8

C. Bromelain to act as an Anti-inflamm

Question 9

Why is there concern for HCl toxicity?

Answer 9

Ulcer formation and tissue irritation with long-term or high dose use

Question 10

What are the indications for b-galactosidase?

Answer 10

Lactase, lactose intolerance

Question 11

What are the indications for Amylase?

Answer 11

Carb metabolism

Question 12

When taking enzymes how do you explain the sig to the pt for in regards to taking for digestion or taking for systemic effects?

Answer 12

Take away from food for systemic

Take with food for digestion

Question 13

Which supplements are most effective in Txing Bicipital tendonitis?

A. Glucosamine to INC IL-6
B. Selenium to regen CT
C. Bromelain to act as an Anti-inflamm
D. Probiotics to enhance proteoglycan chemotaxis

Answer 13

C. Bromelain to act as an Anti-inflamm

Question 14

Beta-carotene is not for?

Answer 14

Smokers/Tobacco users

Question 15

Indications for SOD/Superoxide Dismutase?

Answer 15

Free radical scavenger
Oxidative stress
Antioxidant

Question 16

Indications for Policosanol?

Answer 16

HLD, PCOS

Question 17

Indications for Phosphatidylserine?

Answer 17

Brain! Alzheimer’s, Parkinson’s, Stress, Age-related cognitive decline

Question 18

B6 toxicity?

Answer 18

neuropathy (peripheral), N/T

>500 mg/day

Question 19

B12 route of admin?

Answer 19

IV, IM, PO, Sublingual

Question 20

What must you give B12 with?

Answer 20

Folic acid

Question 21

Vit. K for?

Answer 21

Clotting - intrinsic pathway

Question 22

Mg used for?

Answer 22

MM Cramps, Constipation, arrhythmias, HTN, Spasms

Question 23

Boron used for?

Answer 23

osteoporosis

Question 24

What is phosphatidyl choline indicated for?

Answer 24

Liver health, hepatoprotective, Alzheimer’s, HLD

Question 25

Vandium used for?

Answer 25

DM

Question 26

Cold sore Tx should include which amino acid?

Answer 26

Lysine

Question 27

Pt has BPH, what AA is indicated?

Answer 27

Alanine

Question 28

Pt is on a SSRI, which AA is contraindicated?

Answer 28

Tryptophan, 5-HTP d/t serotonin syndrome

Question 29

IP6 is good for?

Answer 29

HLD, atherosclerosis, arterial health

Question 30

Phosphatidylserine is used for?

Answer 30

Brain health, Parkinson's, Alzheimers, stress

Question 31

Pt has histrionic personality d/o. Recommend _____, because research has shown this lifestyle change can reduce anxiety, release endogenous opioids, and enhance immune function. A. eat raw food diet B. Sleep 9-10 hrs per night C. Begin aerobic exercise routine D. Begin systemic desensitization therapy

Answer 31

C. Begin aerobic exercise routine

Question 32

What are indications for PABA (para-amino benzoic acid)?

Answer 32

Topical for skin, scar, sunscreen

Question 33

What are indications for MSM (methylsplfonyl methane)?

Answer 33

Skin/Topical, Anti-inflammatory, Pain relief, Anti-allergy PO

Question 34

What are indications for Isoflavones?

Answer 34

Soy, estrogen conditions (PMS, menopause, endometriosis, fibroids)

Question 35

What are indications for Myo-inositol?

Answer 35

PCOS

Question 36

What are indications for Inositol Hexaphosphate (IP6)?

Answer 36

Arteries, atherosclerosis, DM, peripheral vascular dz

Question 37

What are the indications for DIM/Indole-3-carbinol (I3C) and Di-indoyl methane? What is its food source?

Answer 37

Prevents CA - breast, cervical Cruciferous veggies (broccoli, cauliflower, kale, cabbage)

Question 38

What are indications for Glutathione? What allergy must you watch for?

Answer 38

Detoxification, AIDS, liver dz, DM, cataracts, oxidative stress, respiratory conditions if inhaled Sulfa

Question 39

What are indications for Glucosamine/Chondroitin sulfate?

Answer 39

Osteoarthritis, builds cartilage

Question 40

What are indications for Flavonoids/Flavonol/Quercetin?

Answer 40

Inflammation, Eczema, Allergies, CVD health, Venous insufficiency, DM, HSV

Question 41

What are indications for DMSO (Dimethyl sulfoxide)?

Answer 41

Promotes healing (PO, topical, IV), antioxidant, NSAID for injury, arthritis

Question 42

What are indications for DMAE (Dimethylaminoethanol)? What is it a precursor for? What's its food source?

Answer 42

Alzheimer's, tar dive dyskinesia, ADHD, boost brain power Acetylcholine Fish

Question 43

What are indications for CoQ10?

Answer 43

Heart, HTN, muscles, energy production, statin therapy, chronic fatigue, and fibromyalgia

Question 44

What are indications for choline? What does it make up and what indication does it have?

Answer 44

brain - alcoholism, epilepsy, memory loss Lecithin - liver health

Question 45

What are indications for GABA (gamma-aminobutyric acid)?

Answer 45

Inhibitory NT | Relaxation, insomnia, anxiety

Question 46

What are indications for Carnitine?

Answer 46

Heart, angina, CHF, intermittent claudication, brain, dementia, Alzheimers, depression, EtOH use, cataracts, nerve pain, infertility