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Flashcards in Nutri Theraputics Deck (115)
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1

1. Know how to interpret folate, B12, and iron deficiency anemias on blood chemistries and nutrient support for anemia.
• decreased transferrin saturation – in those with?

• Hemolytic anemia
• iron deficiency anemia
• macrocytic anemia

iron deficiency anemia

2


• megaloblastic anemia resulting from _____ deficiency is identical to the megaloblastic anemia resulting from _____ ___ deficiency, and further clinical testing is required to diagnose the true cause of megaloblastic anemia

• B12, B6
• B6, iron
• folate, B12
• folate, iron

folate, B12

3

Signs of what?

fatigue, poor balance memory loss, pallor (paleness), reduced sensation of touch, shortness of breath, or tingling feet

anemia

4

Megaloblastic or macrocytic anemia: can be classified by what kind of cells? what nutrients?

• B12, B6
• B6, iron
• folate, B12
• folate, iron

• enlarged, immature red blood cells
• enlarged, immature white blood cells
• shrunken, immature red blood cells
• sickle shaped cells

enlarged, immature red blood cells.

B12, or folate

5

Recommendations for:
• the DASH, Mediterranean or a full plant-based diet3 in order to help balance out his blood chemistry.
• Lower dietary sodium
• Increase water
• Increase plant based protein (pg112)
• Omega -3’s (pg114)
• Fiber, Alpha Lipoic Acid, CoQ10, garlic etc

2. Know dietary and nutritional support for hypertension pg 105 - Week 2 Discussion Board A

6

What condition do these test for?
• Homocysteine,
• CoQ10,
• alpha-tocopherol,
• gamma- tocopherol,
• lipid peroxieds
• low vitamin C
• CRP

cardiovascular health

7

two heavy metals associated with poor cardiovascular health

• aluminum, cadmium
• cadmium, lead
• lead, aluminum

cadmium, lead

8

T or F: RBC potassium is a better indicator of total body stores than serum potassium

True

9

Numerous research has demonstrated a significant reduction of blood pressure with increased dietary intake of ____. At ___ g per day

• biotin, 5.7
• folate, 5.7
• magnesium, 4.7
• potassium, 4.7

potassium, 4.7

10

A high dietary intake of 500 – 1000 mg per day of ____ reduces blood pressure in most of the clinical trials.

• calcium
• magnesium
• potassium
• sodium

magnesium

11

T or F: Body magnesium is more accurate in assessing total RBC magnesium

False , opposite

12

Adding 1000 – 2000 mg/d of _____ will enhance the anti-hypertensive effects of magnesium.

• Glycine
• Lysine
• Serine
• Taurine

taurine

13

T or F: High serum zinc levels have been associated with hypertension as well as cardiovascular disease

false, low

14

______ mcg of allicin (four cloves) is the required amount to have a significant effect on lowering blood pressure

• 100
• 1000
• 10,000
• 100,000

10,000

15

____ : decrease potassium, magnesium, phosphorus, sodium, chloride, folate, vitamin B6, zinc, iodine, and CoQ10.

• Beta blockers
• Diuretics
• PPI
• SSRI

Diuretics

16

_____ reduce CoQ10 and zinc

• Beta blockers
• Diuretics
• PPI
• SSRI

Beta Blockers:

17

5 statements required to be on dietary supplement labels

1.Name of the dietary supplement
2.Amount
3.Nutrition labeling
4.Ingredient list
5.The name and place of business of the manufacturer, packer, or distributor

18

Vital for brain and organ function

•25% of total _______ in the body is in the brain
•Required for the synthesis of steroid hormones
•Required to synthesize vitamin D
•Required to produce bile salts

• Cholesterol
• Chylomicron
• LDL
• Lipids
• VLDL

cholesterol

19

Mechanisms in which _____ induce vascular damage

• Inflammation
• Oxidative stress
• Autoimmune dysfunction
• None
• All
• A and B only

all

20

_____ and ____ have a positive effect on serum lipids and CHD risk.

• Monounsaturated and PUFAs
• Monounsaturated and Saturated
• PUFAs and n-3s
• PUFAs and saturated

Monounsaturated and PUFAs

21

_____ _____ contribute to:
–Insulin resistance
–Artherogenic LDL
–LDL particle number
–VLDL
–Triglycerides
–Total HDL and HDL subfractions

Refined carbohydrates

22

___ Particles Cause Plaque
•Cholesterol cannot float freely in the body
•Cholesterol is carried inside ___ particles through your blood.

• Cholesterol
• Chylomicron
• LDL
• Lipids
• VLDL

LDL

23

Expanded Lipid Panels looks at what 4 things?

LDL particle number
LDL small
LDL medium
LDL Large

24

How to Change Small ___ to Large ___

Exercise
–4-5 days per week for at least 30 minutes
–2 days per week, do weight training
•Nutrition
–Consume fish 2-3 times per week or take a fish oil supplement
–Plant Sterols (2,000 mg/day)

Small LDL to Large LDL

25

How to improve ____?

–Body fat loss
–Exercise
–Consume fish 2-3 times per week or take a fish oil supplement (3 - 5 g/d)
–Niacin (500 mg to 4000 mg in divided doses)
–Quit smoking


• Apo A
• Apo B
• Cholesterol
• HDL2B
• LDL
• VLDL

HDL2b

26

____ is a true measurement direct measurement of amount of LDL particles
•A high number of ____ increase your risk of heart disease
•____ is a direct measurement whereas LDL is a calculated number, so ____ is a better marker for disease risk


• Apo A
• Apo B
• Cholesterol
• HDL2B
• LDL
• VLDL

Apo B

27

How to improve ____?

Increase foods with plant sterols
–Decrease foods high in saturated and eliminate trans fat
–Increase soluble fiber
–Exercise


• Apo A
• Apo B
• Cholesterol
• HDL2B
• LDL
• VLDL

Apo B

28

____ fiber binds fatty acids, cholesterol and bile acids and prevents their absorption or reabsorption during circulation.
•____ fiber increases bile acid synthesis, creating a pathway for cholesterol excretion.
•Since insulin stimulates cholesterol and triglyceride synthesis, lowering insulin with fiber may lower blood lipids.

soluble fiber

29

most of the cholesterol found in serum is derived from intestinal reuptake of cholesterol that has been deposited into the intestine from the ____ and ____

• Gall bladder and kidney
• Liver and gall bladder.
• Liver and kidney

liver and gall bladder.

30

• High levels can increase your risk for heart attacks and strokes
• Diet and exercise have no significant affect on lowering abnormal values
• A high level of ___ can be genetic -- Family members may consider testing to see if they are at risk
• Niacin
• High dose vitamin C


• Apo B
• HDL
• LDL
• Lp(a)

Lp(a)