Nutritional Supplementation for the GP-Friendly Diet Living (Well!) - - PowerPoint PPT Presentation

Nutritional Supplementation for the GP-Friendly Diet

Living (Well!) with Gastroparesis Program Class 9

 Essential to human health; each vitamin/mineral has a specific function within the body  Vitamins (organic; made by plants and animals)

 9 water-soluble: all Bs and C

 Not stored in body; excess is excreted

 4 fat-soluble: A, D, E and K

 Fat is necessary for absorption; stored in body

 Minerals (inorganic; absorbed by plants/eaten by animals)

 Calcium, phosphorus, magnesium, potassium, sodium, chloride, sulfur  Trace minerals: chromium, copper, iodine, iron, selenium, zinc

What are vitamins & minerals?

Poor dietary intake

 Typical GP-friendly diet does not provide all of the necessary vitamins and minerals due to limited volume and decreased consumption of nutrient- dense foods (fruits, veggies, fats)  Food, in general, often contains fewer nutrients than in the past due to soil depletion, long distance travel, and time spent on store shelves

Poor absorption

 Due to bacterial overgrowth, Celiac disease, non-Celiac gluten sensitivity, or leaky gut  Due to medications, such as H2 blockers and PPIs

Chronic stress

 Increases body’s need for A, C, E and B vitamins, as well as magnesium, potassium, zinc and calcium

Get levels checked every 6-12 months via blood tests

Why supplement?

 Many symptoms that are often attributed to worsening gastroparesis or other conditions can actually be a result of vitamin/mineral deficiencies  Vitamin B1: lack of appetite; confusion  Vitamin B7: hair loss  Vitamin B12: numbness in fingers/toes; memory problems  Vitamin E: weakened immune system; fertility problems  Iron: fatigue; irritability  Magnesium: muscle spasm or weakness; Restless Leg Syndrome; constipation  Zinc: slow healing; diarrhea  Fatty Acids (deficiency in Omega 3 or imbalance of Omega 3/6): dry skin; mood swings; reproductive problems

Signs of Nutritional Deficiencies

Multi Vitamin/Mineral Supplement  chewable or liquid Vitamin D  1,000-2,000 IU per day (or more depending on blood test)  liquid or chewable Magnesium  250-1,000 mg per day  tablet, liquid, powder, or transdermal (oil, lotion, baths) Vitamin B Complex  sublingual or injection Omega-3  2,000 grams per day; combo of DHA and EPA  liquid Iron* (only if test indicates deficiency) See Supplementation Handout

Supplementation Suggestions

1. Review the Vitamin/Mineral charts. Look for deficiency symptoms that you may be experiencing.

• 2. If you have concerns about specific deficiencies, talk with your
• doctor. You may wish to request blood work at this time.
• 3. Start slowly incorporating necessary vitamin/mineral

supplements into your routine, one at a time (see handout).

• 4. Continue keeping your food journal with daily symptom score.

Action Steps

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Class 9