NUTRISI.doc

8/9/2019 NUTRISI.doc

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NUTRISI DAN

NUTRASETIKA

Suwaldi Martodihardjo, Prof.

Dr., MSc., Apt

Fakulta Far!ai U"M,

#o$%akarta

DAFTAR PUSTAKA

1. Lockwood, B., 2007, Nutraceuticals, 2nd Ed.,

Pharmaceu!ca" Pre##, London.2. Anon!m, 200$, PDR Nutritional Supplements Guide.

%. &a#on, R.R. and Preed', (.R., 200), Nutrition and

Heart Disease Causation and Prevention, *R*

Pre##, Boca raon.


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). Tru#we"", A.S., 200%, ABC of Nutrition, )h Ed!!on,

B+ Pu-"!#h!n, London.

$. /em"en!, . and Dan!e", ., 200%, Molecular

Nutrition, *AB Pu-"!#h!n, 34on.5. Fro#, 6., Dornhor#, A., and +o#e#, R., 200%,

Nutritional Management of Diabetes Mellitus, ohn

&!"e' Son#, *h!che#er.

7. Ta"-o, S.+, 200%, A Guide to Understanding

Dietar Supplements, The aworh Pre##, 8ew

9ork.

:. Anon!m, 2000, !ntegrative Medicine Professional

Access, nera!;e +ed!c!ne *ommun!ca!on#.


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• K&(utuha' 'utrii p&ifik*

• K&(utuha' 'utrii pada pai&' d&'$a' p&'%akit

t&rt&'tu*

• P&'%akit !&'d&pl&i 'utrii da' p&rlu'%a

'utrii ta!(aha'*

• +(at dapat !&'d&pl&i 'utrii da' p&rlu'%a

'utrii dita!(ahka' dala! t&rapi o(at*

• Nutrii'utrii %a'$ (&r$u'a dala! t&rapi da'

dala! !&'ja$a k&&hata'. Nutrii u'tuk

!&'i'$katka' it&! i!u', !&'c&$ah p&'%akitkardio-akul&r, !&'c&$ah p&'uaa' di'i,!&'uru'ka' khol&t&rol, !&!p&r(aiki fu'$i$i'jal da' li-&r, !&!p&r(aiki !ood da'p&rilaku* !&'$ura'$i $&jala a!a, da'p&'$ataa' dia(&t& !&llitu.

Arti p&'ti'$ Nutrii da'Nutra&tika

Nutrii)


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Nutri&'t ar& ch&!ical u(ta'c& fou'd i' foodthat ar& '&&d&d for lif&/

E'a! k&la uta!a da' pali'$ &dikit t&rdiri dari 01 j&'i

dip&rluka' ol&h tu(uh u'tuk p&rtu!(uha',

r&produki, da' !&!&lihara jari'$a' da' r&$ulaitu(uh

E'a! k&la uta!a da' atu ta!(aha' (&rupaoki$&' kar(ohidrat

l&!ak

prot&i'

-ita!i'

!i'&ral

air

Nutrii Uta!a Nutrii E&'ial

Kar(ohidrat "lukoa

2&!ak Aa! l&!ak) aa! li'ol&at

Prot&i' Aa! a!i'o) l&ui', iol&ui', lii',!&tio'i', tr&o'i',

triptofa', -ali',f&'ilala'i', hitidi'


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3ita!i' 3ita!i' larut l&!ak) -ita!i' A, D, E,da' K

3ita!i' larut air) tia!i', 'iai',ri(ofla-i', (ioti', folai', -ita!i' 45,-ita!i' 467, aa! pa'tot&'at, da'-ita!i' 8

Mi'&ral Mi'&ral !akro) 8a, P, Na, K, S, da'M$Mi'&ral !ikro) F&, M', 9', 8o, Mo, I,

8r, 3, S', Ni, Si, da' F

Air Air

• Su!(&r &'&r$i) kar(ohidrat, l&!ak, da' prot&i'

• P&rtu!(uha' da' !&'ja$a 'or!al'%a jari'$a')

prot&i', l&!ak, -ita!i', !i'&ral, da' air

• M&'$atur pro&pro& dala! tu(uh) -ita!i',

!i'&ral, da' air.

KESE:ATAN• K&&hata' adalah k&adaa' &jaht&ra (ada', jiwa,

da' oial %a'$ !&!u'$ki'ka' &tiap ora'$ hidup


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produktif &cara oial da' &ko'o!i ;UUK&&hata''o. 7< tahu' 6==7>.

KE8UKUPAN NUTRISI• Nutrii %a'$ di(utuhka' ol&h i'di-idu &cara rata

rata dala! &hari u'tuk !&'capai d&rajat k&&hata'%a'$ opti!al.

• Recommended Dietary Allowance ;RDA>)

Sta'dar 'utrii %a'$ dia'jurka' u'tuk di!aka' a$ardapat !&'ja!i' k&&hata' &(aik(aik'%a*

RDA uatu k&cukupa' ratarata 'utrii &tiap hari

(a$i ha!pir &!ua ora'$ ;=?,1@> !&'urut $olo'$a'u!ur, j&'i k&la!i', ukura' tu(uh, da' akti-itau'tuk !&'capai d&rajat k&&hata' %a'$ opti!al.

RDA A'$ka K&cukupa' "ii ;AK">

:alhal %a'$ !&!p&'$aruhi k&(utuha' 'utriii'di-idu)

6. Tahap P&rk&!(a'$a'a. S&(&lu! da' &t&lah lahir !&!&rluka'

'utrii &&'ial l&(ih ti'$$i di(a'di'$ !aalai''%a. Uia 5 (ula', (a%i &hat (o(ot(ada''%a 7B (o(ot &waktu lahir.


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(. P&rtu!(uha' !aa ka'akka'ak ; growthspurt I, u!ur 6= tahu'> !&!&rluka'

'utrii prot&i', 8a, da' P.

c. Maa R&!aja ; growth spurt II, 6C6= tahu'>!&!&rluka' (a'%ak 'utrii $u'ap&rta!(aha' ti'$$i da' (o(ot* p&rtu!(uha'&kual t&rjadi pada !aa i'i.

d. Maa D&waa ;7C5C tahu'> !aa k&rja

fiik ti'$$i

Maa D&waa !ad%a ;0C5C tahu'>akti-ita !ulai !&'uru' da' 4MR ;(aal!&ta(oli! rat&> r&latif r&'dah. Nutriidip&rluka' u'tuk p&!&liharaa'.

&. Maa Uia 2a'jut ; 5C tahu'> p&'uru'a'

k&$iata' fiik da' r&'ta' t&rhadap p&'%akit.Nutrii di$u'aka' u'tuk !&'$$a'ti

!&!p&r(aiki jari'$a' %a'$ ruak. Di i'i,k&(utuha' &'&r$i !&'uru' t&tapi prot&i'!&'i'$kat.

7. Fiiolo$i Tu(uh

a. K&ha!ila', 'utrii dip&rluka' u'tukp&rtu!(uha' or$a' r&produki i(u da'p&rtu!(uha' ja'i'.ika wa'ita ha!il pada (ula' k& 0 .d. k& ?tidak (&rta!(ah (o(ot (ada''%a,k&!u'$ki'a' aka' !&lahirka' &(&lu!


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waktu'%a atau !&lahirka' (a%i d&'$a' (o(otr&'dah ;G 7,1 k$>.

(. M&'%uui, !&!&rluka' l&(ih (a'%ak 'utrii

u'tuk !&'$hailka' ASI


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J 5C 57 651 77CC 11 5CC 1 6C C 6,C 6,7 6C

a'ita

6C67


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:itu'$) K&(utuha' &'&r$% da' prot&i''%a.

awa() Dari Ta(&l dik&tahui 44 pria uia B ?CC RE O 510, RE

8ara lai'

1. T&ori R4 ;relative body weight >

R4 O ;44 ;k$> ;T4 ;c!> 6CC>Q 6CC@

K&t&'tua')Kuru jika R4 G =C@

k&(utuha' &'&r$% p&rhari O 44 B 0C5C kal

Nor!al O =C 6CC@

O 44 B


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+(&ita ri'$a' O 67C 6E'&r$i 4MR adalah &'&r$% !i'i!al u'tuk!&'jala'ka' pro& k&rja atau pro& faal dala!tu(uh pada ko'dii (&r(ari'$ itirahat di t&!pattidur.

Ru!u u'tuk !&'$hitu'$ &'&r$% 4MR ;&'&r$%(aal &la!a 70 ja!>)

U'tuk pria 4MR O ;44> C,6C61 B A. C,6


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IMT ;4MI> O ;44 dl! k$> Ti'$$i 4ada'

;T4 dala! !7>Q

Kat&$ori IMT IMT ;4MI> Kat&$oriG6?,CC Kuru &kali6?,C 6,0 Kuru

6,1 71,C Nor!al71,6 7?,C "&!uk7?,C "&!uk &kali

NUTRA8EUTI8S;NUTRA8EUTI8A2S>

Th& t&r! of 'utrac&utical wa firt u&d (% St&ph&'D&F&lic& i' 6==6.


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D&fi'itio' of Nutrac&utical)A'% u(ta'c& that !a% (& co'id&r&d a food or a part of a food a'd pro-id& !&dical or h&alth

(&'&fit, i'cludi'$ th& pr&-&'tio' a'd tr&at!&'t ofdi&a&

Accordi'$ to Mu&ll&r a'd N&tl& ;6==1>,NUTRA8EUTI8A2S/ i'clud&)

8o'-&'tio'al Food ;la(&li'$ r&$ulat&d u'd&r

N2EA, Nutritio' 2a(&li'$ Educatio' Act, of6==C>

• 8o'-&'tio'al food

• Fu'ctio'al food

• Ph%toch&!ical

Food for Sp&cial Di&tar% U& ;FSDU> ;la(&li'$r&$ulat&d u'd&r N2EA, Nutritio' 2a(&li'$ Educatio' Act, of 6==C>

• :%poall&r$&'ic food

• &i$ht r&ductio' food

• Dia(&tic food

• R&duc&d odiu! food

• I'fa't for!ula


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Di&tar% Suppl&!&'t ;2a(&li'$ R&$ulat&d U'd&r

DS:EA, Di&tar% Suppl&!&'t :&alth a'dEducatio' Act of 6==0>

• E&'tial 'utri&'t3ita!i'

Mi'&ral

A!i'o acid

• :&r(al pr&paratio'

• "la'dular &Btract

M&dical Food ;EB&!pt fro! !ot N2EA a'd

DS:EA 2a(&li'$ R&uir&!&'t>

• Fall u'd&r 'arrow&r cop& tha' FSDU

• Pri!aril% i'clud& product for tho& with

i'(or' &rror of !&ta(oli!

Suppl&!&'t)Suppl&!&'t could (& co'id&r&d additi-& (&cau&th&% (&co!& part of th& di&t &-&' wh&' th&% ar& 'ot i'a food product. A food additi-& i a'% u(ta'c& that

(&co!& part of a food product.

4road purpo& of food additi-& i'clud&)6. !ai'tai'i'$ or i!pro-i'$ 'utritio'al -alu& uch a

th& additio' of -ita!i' a'd !i'&ral to a food


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product ;additio' of calciu! to juic& a'd oth&rfood>

7. to !ai'tai' fr&h'& i' th& food ;additio' of

a'tioBida't to food proc&&d with fat a'd ofpr&&r-ati-& h&lp to pr&-&'t poila$&>


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Di&tar% uppl&!&'t ar& p&r!itt&d to carr% di&a&clai! for th& followi'$)Folic acid a'd d&cr&a&d rik of '&ural d&f&ct

8alciu! a'd a low&r rik of ot&oporoiP%lliu! &&d huk a'd h&art di&a&

So% prot&i' a'd h&art di&a&

+!&$a< fatt% acid a'd h&art di&a&

4 -ita!i' ;folic acid, 45, a'd 467> a'd h&artdi&a&

Th& a'tioBida't, -ita!i' A, 8, a'd E, ar& a!o'$ th&!ot co!!o'l% k'ow' 'utri&'t which, i' $&'&ral,!a% (& u&ful i' th& pr&-&'tio' of ca'c&r a'dc&r&(ro-acular di&a&.

Th& co!(i'atio' of -ita!i' E, 8, a'd (&tacarot&'&ha (&&' u&ful i' r&duci'$ 2D2 oBidatio' a'du(&u&'t ath&rocl&roi.

ialal a'd Full&r ;6==1, Eff&ct of 3ita!i' E, 3ita!i' 8a'd (&tacarot&'& o' 2D2 oBidatio' a'dath&rocl&roi, Can. J. Cardiol ., 66, =?"6C


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6. 3ita!i' 8 ca-&'$& au&ou radical a'dr&$&'&rat& alphatocoph&rol fro! th&tocoph&roB%l radical p&ci&*

7. 3ita!i' E, i' th& for! of alphatocoph&rolprot&ct pol%u'aturat&d fatt% acid withi' th&2D2 particl&, r&duc& plat&l&t adh&io' a'di'hi(it !ooth !ucl& c&ll prolif&ratio' a'dprot&i' ki'a& 8 acti-it%* a'd


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Food for Sp&cial Di&tar% U& ;FSDU> a'd M&dicalFoodFSDU a'd !&dical food ar& (roadl% d&fi'&d a &'t&ral

product d&i$'&d to !&&t th& p&cific di&tar% '&&dof c&rtai' u(&t of populatio'.

8o!!o' Nutri&'t a'd Th&irAociat&d :&alth 4&'&fit

Nutri&'t :&alth 4&'&fit

FatSolu(l& 3ita!i'3ita!i' A

3ita!i' D ;calcif&rol>

3ita!i' E ;tocoph&rol>

A'tioBida't, &&'tial for$rowth a'd d&-&lop!&'t*!ai'tai' h&alth% -iio',ki', a'd !ucou!&!(ra'&* !a% aid i' th&pr&-&'tio' a'd tr&at!&'t ofc&rtai' ca'c&r a'd i' th&tr&at!&'t of c&rtai' ki'diord&r ;'ot&) th& (od%co'-&rt (&ta carot&'& i'to-ita!i' A>


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3ita!i' K E&'tial for for!atio' of(o'& a'd t&&th* h&lp th&(od% a(or( a'd u& calciu!

A'tioBida't* h&lp for!(lood c&ll, !ucl&, a'dlu'$ a'd '&r-& tiu&* (ootth& i!!u'& %t&!

E&'tial for (lood clotti'$

at&rSolu(l& 3ita!i'

Acor(ic acid ;-ita!i'8>

Thia!i'& ;-ita!i' 46>

Ri(ofla-i' ;-ita!i' 47>

Niaci' ;-ita!i' 4

P%ridoBi'& ;-ita!i' 45>

8%a'oco(ala!i';-ita!i' 467>

A'tioBida't* '&c&ar% forh&alth% (o'&, t&&th, a'dki'* h&lp i' wou'd h&ali'$*!a% pr&-&'t co!!o' colda'd att&'uat& it %!pto!hould a cold occur

:&lp co'-&rt food i'to&'&r$%* &&'tial i''&urolo$ic fu'ctio'

:&lp i' &'&r$% productio'a'd oth&r ch&!icalproc&& i' th& (od%* h&lp!ai'tai' h&alth% &%&, ki',

a'd '&r-& fu'ctio'

:&lp co'-&rt food i'to&'&r$%* h&lp !ai'tai'prop&r (rai' fu'ctio'


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Folic acid

;pt&ro%l$luta!ic acid,folaci'>

Pa'thoth&'ic acid

:&lp produc& &&'tialprot&i'* h&lp co'-&rtprot&i' i'to &'&r$%

:&lp produc& th& $&'&tic!at&rial of c&ll* h&lp withfor!atio' of r&d (lood c&lla'd !ai't&'a'c& of c&'tral'&r-ou %t&!* h&lp !ak&a!i'o acid* i'-ol-&d i'!&ta(oli! of fat, prot&i',a'd car(oh%drat&

N&c&ar% to produc& th&$&'&tic !at&rial of c&ll*&&'tial i' firt < !o'th ofpr&$'a'c% for pr&-&'ti'$(irth d&f&ct* h&lp i' r&d(lood c&ll for!atio'* prot&cta$ai't h&art di&a&

Aid i' %'th&i ofchol&t&rol, t&roid, a'dfatt% acid* crucial fori'tra'&uro'al %'th&i ofac&t%lcholi'&

Mi'&ral

8alciu!

Iro'

E&'tial for (uildi'$ (o'&a'd t&&th a'd !ai'tai'i'$(o'& tr&'$th* i!porta't i'!ucl& fu'ctio'

:&lp i' &'&r$% productio'*


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Ma$'&iu!

Phophoru

h&lp to carr% oB%$&' i' th&(loodtr&a! a'd to tra'f&roB%$&' to !ucl&

E&'tial for h&alth% '&r-&a'd !ucl& fu'ctio' a'd(o'& for!atio'* !a% h&lppr&-&'t pr&!&'trual%'dro!& ;PMS>

E&'tial for (uildi'$ tro'$(o'& a'd t&&th* h&lp i'

for!atio' of $&'&tic !at&rial*h&lp i' &'&r$% productio'a'd tora$&

Trac& El&!&'t8hro!iu!

8o(alt

8opp&r

Fluori'&

Iodi'&

Ma'$a'&&

ork with i'uli' to co'-&rtcar(oh%drat& a'd fat i'to&'&r$%

E&'tial co!po'&'t of-ita!i' 467, (ut i'$&t&dco(alt i !&ta(oli&d i' -i-oto for! th& 467 co&'%!&

E&'tial for !aki'$h&!o$lo(i' a'd colla$&'*&&'tial for h&alth%

fu'ctio'i'$ of th& h&art*h&lp i' &'&r$% productio'*h&lp i' a(orptio' of iro'fro! di$&ti-& tract

Pr&u!a(l% !ak& &'a!&l


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Mol%(d&'u!

Nick&l

S&l&'iu!

Silico'&

Ti'

3a'adiu!

9i'c

r&ita't to &roi-& actio' ofacid produc&d (% (act&ria i'th& oral ca-it%

E&'tial for prop&rfu'ctio'i'$ of th& th%roid

R&uir&d for $luco&utiliatio', %'th&i of th&!ucopol%accharid& ofcartila$&, (io%'th&i oft&roid

Ma% fu'ctio' a a' &'%!&cofactor

I'-ol-&d i' p&cific!&tallo&'%!&

A'tioBida't* &&'tial forh&alth% fu'ctio'i'$ of th&h&art !ucl&

Fu'ctio' i' th& d&-&lop!&'ta'd !ai't&'a'c& ofco''&cti-& tiu&

Ma% (& i'-ol-&d i' $rowtha'd r&producti-& fu'ctio'

Ma% (& i'-ol-&d i' fu'ctio'r&lat&d to $rowth a'dr&productio'

E&'tial for c&ll


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r&productio', 'or!al $rowtha'd d&-&lop!&'t i' childr&',

wou'd h&ali'$, a'dproductio' of p&r! a'd th&

!al& hor!o'& t&tot&ro'&

3ita!i'lik& 8o!pou'd4ioti' ;-ita!i' :>

28ar'iti'&

8holi'&

E&'tial fatt% acid;-ita!i' F>

I'oitol

2a&tril& ;a!%$dali',-ita!i' 46?>

Pa'$a!ic acid ;-ita!i'461>

Tauri'&;a!i'o&tha'&ulfo'at&>

M&!(&r of 4co!pl&B $roup-ita!i'* r&uir&d for -ariou!&ta(olic fu'ctio'

+Bidatio' of fatt% acid,

pro!otio' of c&rtai' or$a'icacid &Bcr&tio', a'd&'ha'c&!&'t of th& rat& ofoBidati-& phophor%latio'

2ipotropic a$&'t* th&% ha-&(&&' u&d to tr&at fatt% li-&ra'd ditur(&d fat !&ta(oli!

I'-ol-&d i' prop&rd&-&lop!&'t of -ariou!&!(ra'& a'd th&%'th&i of prota$la'di',l&ukotri&'&, a'd -ariouh%droB%l fatt% acid

N&c&ar% for a!i'o acid

tra'port a'd !o-&!&'t ofpotaiu! a'd odiu!*2ipotropic a$&'t

No -ita!i' acti-it%* 'o'utritio'al or th&rap&utic


24/107

-alu&* 'o appro-&d !&dicalu&

No 'utritio'al or th&rap&utic

-alu&

Aid i' r&ti'al photor&c&ptoracti-it%, (il& acid co'ju$atio',

whit& (lood c&ll a'tioBida'tacti-it%, 8NS'&uro!odulatio', plat&l&ta$$r&$atio', cardiac

co'tractilit%, p&r! !otilit%,$rowth, a'd i'uli' acti-it%

+akanan 'an -an'akmenandun ;!am!n dan m!nera"

(!am!n dan

m!nera"

+akanan

denan kandunan

;!am!n dan

m!nera"

(!am!n A @Re!no" Ae", !r, !#an, -!, -err',

-roko"!, ku-!#, wore",

kacan mee, ea'a,


25/107

• (!am!n B1

@Th!am!n

(!am!n B2

@R!-o"a;!n

(!am!n B%

@8!a#!n

(!am!n B$

• (!am!n B5

@P!r!dok#!n

(!am!n B12

o (!am!n * @A#am

a#kor-a

ar!ka>ca-a!, -a'am, -!C!

-una maahar!, oma,

dan #e"ada a!r.

• Bu-ur andum,

kacan anah, kede"a!,

ro! andum.

A"mond, -roko"!, keCu, dan

#u#u.

amur, !kan

-erm!n'ak, kacan

anah, kede"a!, dan ro!

andum uuh.

Broko"!

• P!#an, -!, hae"nu,dan kede"a!.

KeCu, e"ur, dan ekrak

ra!.

o Ae", !r, !#an, -!,

-err', -roko"!, ku-!#,wore", ke"aa, -awan

u!h, madu, #a'ur

h!Cau, mana,

aa'a, ca-a!, -a'am,


26/107

oma, dan #e"ada a!r.

(!am!n danm!nera" +akanan denankandunan ;!am!n dan

m!nera"

(!am!n D

• (!am!n E

(!am!n K

A#am o"a

Ka"#!um

• Be#! @Ferum

+anan

KeCu, kun!n e"ur, #u#u,

!kan -erm!n'ak, dan -!C!

-una maahar!.

• Berr', ku-!#, mana,

kacankacanan,

m!n'ak a!un, ee'a,

ca-a!, -!C! w!Cen, -!C!

-una maahar!,

-a'am, oma, dan

#e"ada a!r.

Ba'am dan -!C! -una

maahar!.

Ae", !r, -unc!#, "en!",

-!, -roko"!, ke"aa,

-!C! w!Cen, -a'am, dan

#e"ada a!r.

Kacan a"mond, ae", !r,

-unc!#, "en!", -!, -err',

ku-!#, wore", kacan mee,


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+ane#!um

Poa#!um

• Fo#or

Se"en!um

S!"!kon

Sen

Tem-aa

9od!um

andum, "a-u, -!C! w!Cen,

rumu "au> um-uhan

"au, kede"a!>ahu, -a'am,

-!C! -una maahar!, #e"adaa!r, dan 'our.

• Bunc!#, "en!", -!,

-err', -roko"!,

mana, ea'a, "a-u,

-!C! w!Cen, rumu

"au>um-uhan "au,

kede"a!, -!C! -una

maahar!, dan #e"ada

a!r.

Bunc!#, "en!", -!, dan

-a'am.

Ae", !r, -unc!#, "en!",-!, -err', ku-!#, ca-a!,

"a-u, -!C! w!Cen,

rumu "au, kede"a!,

dan -a'am.

Ae", !r, -unc!#, "en!", -!,

-err', kede"a!, -a'am, dan!#an.

• Ae", !r, -!, andum,

kede"a!,dan ahu.


28/107

Bunc!#, "en!", !kan

-erm!n'ak, -!C! w!Cen,

kede"a!, dan wa"nu.

Rumu "au dan

um-uhan "au.

Kacan a"mond, -err',

-roko"!, mana, aa'a,

"a-u, -!C! w!Cen, rumu

"au, -!C! -una maahar!,

kede"a!>ahu, oma, dan

#e"ada a!r.

Rumu "au dan

um-uhan "au.

P!r, rumu "au, um-uhan"au, !kan "au dan #e"ada

a!r.


29/107

MakananUntuk Kesehatan

!ka mender!a en'ak! aau mena"am!

ke"uhan dan kond!#! 'an d!#e-u d! -awah

!n!, d!anCurkan unuk memakan "e-!h -an'ak

makanan #eer! 'an d!#e-ukan u"a.


30/107


31/107

• Kekuranan

ener!

Pen"!haan

+enurunkan

re#!ko en'ak!

Canun dan

mem-anu

menurunkan

ekanan darah

Penurunan #!#em

keke-a"an u-uh

• 6!nCa", ha!,

kandun kenc!n,

dan !nek#! #a"uran

kenc!n

+a#a"ah #aa

men#rua#! @P+S

u!h, madu, kacan

kacanan, andum,

ea'a, mana,

-a'am, u-!, oma,dan #e"ada a!r.

Ae", !r, -unc!#, "en!",

-roko"!, wore", -a'am,

u-!, dan #e"ada a!r.

Ae", !r, !#an,

-unc!#, "en!",

-roko"!, ku-!#,

wore", -awan

u!h, madu,

andum, m!n'ak

a!un, ea'a,

ra#-err', -!C!

-!C!an, kede"a!>ahu,-a'am, u-!, oma,

#e"ada a!r, dan

'our.

• Ae", !r, !#an,

-"ack-err', -roko"!,

madu, kacankacanan, ea'a,

mana,

ar!ka>ca-a!,

-a'am, u-!,

#!nkon, dan #e"ada


32/107

a!r.

&ore", -a'am, dan -!C!

-una maahar!.

P!#an, -roko"!,

wore", -awan

u!h, kacan

kacanan, !kan

-erm!n'ak, m!n'ak

a!un,

ar!ka>ca-a!,

rumu "au,

um-uhan "au,

-!C!-!C!an,

kede"a!>ahu,

-a'am, u-!, oma,

dan #e"ada a!r.

Ae", !r, -!, -roko"!,

ku-!#, wore", -awan

u!h, madu, !kan

-erm!n'ak, ea'a,

mana, ar!ka>ca-a!,

rumu "au>um-uhan

"au, -!C!-!C!an, -a'am,u-!, oma, dan #e"ada a!r.

• Bunc!#, "en!", -!,

-roko"!, ku-!#,

wore", kacan


33/107

anCan, -awan

u!h, madu, u-!,

oma, #e"ada a!r,

'our.

P!#an, -unc!#, "en!", -!,

wore", kede"a!>ahu,

#!nkon, kacan

kacanan, andum, dan

!kan -erm!n'ak.

Ke"uhan +akanan 'an

d!anCurkan

• S!#em #'ara

+a#a"ah ada

ro#a

+a#a"ah#a"uran naa#

aau -auk

!"ek

• P!#an, -roko"!, ku-!#,

kacankacanan,

andum, rumu

"au>um-uhan "au,

-!C!-!C!an, -a'am, u-!,

dan #e"ada a!r.

B!C! "a-u dan oma.

Ae", -roko"!, ku-!#,

wore", -awan u!h,

madu, dan m!n'ak


34/107

Encok rema!k

Kond!#! adaku"!

+a#a"ah !dur

6!!, u"an, dan

Car!nan !ka

'an kua

@mem-anu

mem-ua !!

dan u"an 'an

kua

+a#a"ah !ro!d

a!un.

Ae", -unc!#, "en!", madu,

kacankacanan, !kan-erm!n'ak, -!C!-!C!an, dan

#ro-er!.

Ae", !r, -roko"!,

ku-!#, wore", kacan

kacanan, !kan

-erm!n'a, m!n'ak

a!un, ea'a,

mana, #ro-er!, u-!,

dan #e"ada a!r.

P!#an

&ore", andum, !kan

-erm!n'ak, ea'a,mana, kede"a!>ahu,

-a'am, u-!, dan #e"ada

a!r.

Ku-!#, andum, !r, rumu"au>um-uhan "au, dan

#e"ada a!r.


35/107

PSA86

+anaa=

1. #um-er ener!

2. #um-er #era 'an -a!k

@memer"ancar BAB%. ada eek enenan

). men!nkakan da'a ahan u-uh

Kandunan ka"or! !#an ada"ah #e!a

100 !#an menandun ka"or! #ek!ar

7< ka"or!. Kandunan !n! #e-and!ndenan )5 -uah ae" aau )1 -uah !r.

P!#an memun'a! kandunan #era

'an !n!#eh!na !#an daa

d!unakan unuk memer"ancar -uan

a!r -e#ar @BAB.

P!#an Cua menandun a#am am!no

trptop"an, 'a!u a#am am!no 'an

memun'a! eek enenan #eh!na


36/107

!#an #ana -a!k d!kon#um#! o"eh

oran 'an mena"am! ke#u"!an !dur.

#rptop"an Cua daa memer-a!k!

#ua#ana ha! dan menuran! eCa"adere#!, kecema#an, dan #!ndrom

ramen#rua#! @P+S remen#rua!on

#'ndrome.

P!#an menandun u"a m!nera",

#eer! ka"!um. Ka"!um !n! da"am u-uh

daa mem-anu erum-uhan #e",

menenda"!kan ekanan darah,

memer"ancar un#! #!#em #'ara, dan

memer"ancar enauran ca!ran u-uh

dan ke#e!m-anan a#am G a"ka"!.

Kandunan an!ok#!dan dar! !#an Cua !n!, khu#u#n'a -eakaroen.

Beakaroen da"am u-uh akan -eru-ah

menCad! ;!am!n A. (!am!n * Cua

erkandun da"am !#an. (!am!n A dan

* daa men!nkakan #!#em keke-a"an

u-uh dan me"awan en'e-a- kanker

@rad!ka" -e-a#.

Se"a!n !u, !#an Cua menandun

;!am!n B5. (!am!n B5 #er!n u"a

d!#e-u #e-aa! ;!am!n an!#re#.


37/107

(!am!n B5 !n! daa me"!ndun! u-uh

dar! en'ak! Canun, menaur #'ara,

dan mem-anu menuran! ma#a"ah ha!d

dan menoau#e.

P!#an #e-aa! makanan 'an "em-u

P!#an #e-aa! makanan 'an

-ermanaa dan mudah d!cerna #eh!na

!#an menCad! makanan erama 'an

!dea" -a! -a'!. +e#k!un dem!k!an,

#e'o'an'a !dak mem-er!kan !#an

ada -a'! d! -awah u#!a 5 -u"an karena

daa erCad! kond!#! !dak o"eran

erhada makanan.

Karena ra#an'a 'an man!#, !#andaa menCad! a"erna! 'an #eha

unuk menan!kan ermen, kue, aau

-!#ku!, dan mem-ua ham!r #emua

makanan menCad! man!#.

+em!"!h dan men'!man !#an

P!"!h"ah !#an 'an !dak "em-ek

denan warna kun!n denan #ed!k!

-!n!k coke"a. P!#an daa


38/107

d!kom-!na#!kan denan ham!r #emua

-uah. P!#an daa menCad! cam!"an

'an -ermanaa -a!k #e"ama -eer!an

mauun #ewaku d! rumah.P!#an daa d!ma#ak menCad!

-er-aa! ud!n -uah dan kue. Unuk

d!ma#ak, #emak!n maan !#an,

#emak!n -a!k.

S!man"ah !#an d!ema 'an #eCuk

dan Cauhkan dar! #!nar maahar!, ea!

Canan d! ma#ukkan da"am a"mar! e#.

+A866A DA8 PEPA9A

Ma'faat)

• M&rupaka' a'tiokida' kuat

• M&'i'$katka' fu'$i k&k&(ala' tu(uh

• M&rupaka' a'tika'k&r

• M&!p&r(aiki ko'dii kulit da' kuku• M&!p&rla'car %t&! p&'c&r'aa'

• M&'i'$katka' &'&r$%


39/107

Ma'$$a da' papa%a (a'%ak !&'$a'du'$ (&takarot&'* &'%awa i'i (a'%ak pula dika'du'$dala! &!ua j&'i j&ruk da' (uah &rta a%ura'

(&rwar'a ora'%&. S&!aki' i't&' war'a uatu(uah, &!aki' ti'$$i ka'du'$a' (&takarot&''%a.Ma'$$a da' papa%a !&'$a'du'$ (a'%ak -ita!i'8Ma'$$a !&'$a'du'$ pula -ita!i' EMa'$$a da' papa%a !&'$a'du'$ at (&i da'&'$4a'%ak'%a a'tiokida' dala! (uah !a'$$a da'papa%a !aka k&dua (uah itu dapat !&'i'$katka'da%a taha' tu(uh &hi'$$a !&li'du'$i tu(uh dari(&r(a$ai p&'%akit dari i'f&ki a!pai ka'k&rMa'$$a da' papa%a !&!pu'%ai &f&k d&tokifikai%a'$ ditu'jukka' &cara '%ata d&'$a'

!&!(aik'%a t&ktur kulit, (&rkura'$'%a k&ruta',da' !&'i'$katka' k&c&raha' kulit &rta dapat!&!p&rkuat kuku Ma'$$a da' papa%a dapat !&!(&ri &'&r$%Ma'$$a da' papa%a !&!(a'tu !&!p&rla'carp&'c&r'aa'. P&pa%a !&!pu'%ai &'i! papai'%a'$ dapat !&'c&r'a prot&i'


40/107

KEDE2AI DAN MAKANAN+2A:ANN#A

MANFAAT)

• M&'uru'ka' t&ka'a' darah ti'$$i

• M&'uru'ka' kadar kol&t&rol

• M&'$ura'$i $&jala PMS da' !&'opau&

• M&li'du'$i tu(uh dari r&iko ka'k&r %a'$(&rkaita' d&'$a' hor!o'&

• Su!(&r prot&i' 'a(ati

• M&'uru'ka' r&iko p&'%akit ja'tu'$

;kardio-akul&r>

• M&'$atur kadar $ula darah

• M&'c&$ah &!(&lit

K&d&lai !&rupaka' j&'i kaca'$ %a'$ pali'$ (&r$iikar&'a !&'$a'du'$ aa! l&!ak &&'ial +!&$a<;dari l&iti'>, aa! a!i'o, iofla-o' ;ph%to&tro$&'>,prot&i', !i'&ral, da' -ita!i'. K&d&lai dapat di$u'aka'

dala! !aaka' atau !aka'a' %a'$ (&rupa uu,t&pu'$, t&!p&, tahu, dll.


41/107

F2A3+N+IDS

At o'& ti!& a !iBtur& of fla-o'oid wa how' tod&cr&a& capillar% p&r!&a(ilit% a'd fra$ilit% i' hu!a'(&i'$ a'd wa 'a!&d -ita!i' P, (ut lat&r, 6=1C, wh&'it wa fou'd that th&% ar& 'ot di&tar% &&'tial, th&'a!& wa dropp&d.Mor& r&c&'tl% th&r& ha (&&' &pid&!iolo$ical &-id&'c&

fro! o(&r-atio' i' populatio' $roup with a hi$hi'tak& of fruit a'd -&$&ta(l& that fla-o'oid !a%ha-& a rol& i' prot&ctio' a$ai't o!& for! of ca'c&r.So!& ar& a'tioBida't a'd !a% h&lp to pr&-&'t


42/107

ath&rocl&roi* oth&r ha-& w&ak &tro$&' acti-it%;ph%to&tro$&'> a'd ha-& (&&' aociat&d with low&ri'cid&'c& of (r&at, ut&ru a'd protat& ca'c&r.

So%a ;o%>A (&a' ;Glycine max > i i!porta't a a ourc& of (othoil a'd prot&i'. Th& prot&i' i of hi$h&r (iolo$ical -alu&tha' !a'% oth&r -&$&ta(l& prot&i', a'd i of $r&at

-alu& for a'i!al a'd hu!a' food. h&' raw it co'tai'a tr%pi' i'hi(itor, which i d&tro%&d (% h&at. Nati-&of 8hi'a, wh&r& it ha (&&' culti-at&d for 1CCC %&ar*$row 5C6CC c! hi$h with 7< (&a' p&r pod.

8o!poitio'6CC $) ;&di(l& portio' 1 wat&r 5?.1 $, 561 k ;60? kcal>,

prot&i' 67.= $, fat 5. $ ;of which 61@ aturat&d, 71@!o'ou'aturat&d, 5C@ pol%u'aturat&d>,car(oh%drat& 66.6 $, fi(r& 0.7$, ah 6.?$, 8a 6=?!$, F&


43/107

So%a flour D&hull&d, $rou'd o%a (&a'. Th& u'h&at&d !at&rial i a rich ourc& of a!%la& a'd

prot&i'a& a'd i u&ful a a (aki'$ aid.

8o!poitio'6CC $) at&r ?.< $, 6, car(oh%drat& ,fi(r& 6?.1 $, ah 5.7 $, 8a 706!$, F& =.7!$, M$ 7=C!$,P 5?0!$, K 7

So% auc&A co'di!&'t pr&par&d fro! f&r!&'t&d o%a (&a',co!!o'l% u&d i' 8hi'a a'd apa'. Traditio'all% th&(&a', oft&' !iB&d with wh&at, i f&r!&'t&d with

Aspergillus oryae o-&r a p&riod of 6< %&ar. Th&!od&r' proc& i carri&d out at a hi$h t&!p&ratur& ori' a' autocla-& for a hort ti!&.

Tofu +ri$i'all% apa'&&* o%(&a' curd pr&cipitat&d fro!th& au&ou &Btract of th& o%a (&a'.


44/107

8o!poitio'6CC $) at&r 1 $, 7=< k ;?C kcal>, prot&i' .7 $, fat 0.7 $ ;of

which 7


45/107

:i$h fat food !a% alo $i-& a low $l%ca&!ic i'd&B,(&cau& of d&la%&d $atric &!pt%i'$, (ut ar& 'otr&co!!&'d&d.

2&cithi' A' A!ai'$ #outh El&!&'t

2&cithi' i th& !ot a(u'da't of th& phopholipid. Iti a fatt% food u(ta'c&, which &r-& a a tructural

!at&rial for &-&r% c&ll i' th& (od%. It i a' &&'tialco'titu&'t of th& hu!a' (rai' a'd '&r-ou %t&!. Itfor!


46/107


47/107

2ik& chol&t&rol, l&cithi' i co'ti'uoul% produc&d i'th& li-&r, pa& i'to th& i't&ti'& with (il& a'd ia(or(&d i' th& (lood. It h&lp i' th& tra'portatio' of

fat. It alo h&lp th& c&ll to r&!o-& fat a'dchol&t&rol fro! th& (lood a'd to utili& th&!. Iti'cr&a& th& productio' of (il& acid !ad& fro!chol&t&rol, th&r&(% r&duci'$ th& a!ou't i' th& (lood.It will thu (& &&' that chol&t&rol ca' cau& trou(l&o'l% if l&cithi' i lacki'$ i' th& %t&!.

All ath&rocl&roi or cha'$& i' th& art&rial wall ar&charact&ri&d (% a' i'cr&a&d of th& (lood chol&t&rola'd a d&cr&a& i' l&cithi'. It ha (&&' how' that&Bp&ri!&'tal h&art di&a&, produc&d (% f&&di'$chol&t&rol, could (& pr&-&'t&d !&r&l% (% $i-i'$ a!all ua'tit% of l&cithi'.

Ath&rocl&roi ha (&&' produc&d i' -ariou p&ci&of a'i!al (% i'cr&ai'$ th& (lood chol&t&rol ord&cr&ai'$ th& l&cithi'.

I' 'or!al h&alth, wh&' a di&t hi$h i' fat i tak&', th&r&i tr&!&'dou i'cr&a& i' th& productio' of l&cithi'.

Thi h&lp i' cha'$i'$ th& fat i' th& (lood fro! lar$&particl& to !all&r a'd !all&r o'&. I' ca& ofath&rocl&roi, how&-&r, th& l&cithi' i' th& (loodr&!ai' -&r% low r&$ardl& of th& ua'tit% of fat&'t&ri'$ th& (lood. Th& r&ult i that, th& fat particl&


48/107

r&!ai' too lar$& to (& a(l& to pa throu$h th& art&rial wall. A !or& &riou ituatio' ca' d&-&lop if th&r& ilack of l&cithi' i' c&ll alo.

4&id& r&duci'$ th& chol&t&rol l&-&l i' th& (lood,th&r& i !ou'ti'$ ci&'tific &-id&'c& to u$$&t&-&ral oth&r (&'&fit fro! l&cithi'. It ha (&&'u$$&t&d that it i'tak& i' uffici&'t a!ou't ca'h&lp r&(uild tho& c&ll a'd or$a' which '&&d it.2&cithi' h&lp to !ai'tai' th&ir h&alth o'c& th&% ar&r&pair&d. It !a% !&a' that a d&fici&'c% of l&cithi' i'th& di&t !a% (& o'& of th& cau& of a$&i'$ a'd that itu& !a% (& (&'&ficial i' r&tardi'$ th& a$&i'$ proc&.

!dward R. "ewith in his boo#$ %he &ears Between '(and )* says, Xwith old&r p&opl& th& fat r&!ai' hi$h i'

th& (lood for fro! fi-& to &-&' hour a'd i' o!&ca& a lo'$ a 7C hour, thu $i-i'$ th& fat !or&ti!& to (&co!& locat&d i' th& tiu&. If l&cithi' i$i-&' to old&r p&opl& (&for& a fatt% !&al, it ha (&&'fou'd that th& fat i' th& (lood r&tur' to 'or!al i' ahort ti!&, i' th& a!& wa% th&% do i' %ou'$&rp&opl&./

I' o!& ca&, th& co!&tic &ff&ct of l&cithi' do& a!uch for th& !&'tal outlook of p&ro' a it do& forth&ir ph%ical w&ll(&i'$. It ha (&&' fou'd to &li!i'at&th& %&llow or %&llow (row' plau& o' th& ki' or


49/107

arou'd th& &%& cau&d (% fatt% d&poit. It i a'atural tra'uilli&r which i (&'&ficial i' '&r-ou&Bhautio'. It ca' produc& $r&at al&rt'& i' &ld&rl%

p&opl&.

So!& tudi& ha-& i'dicat&d that l&cithi' i'cr&a& th&$a!!a $lo(uli' i' th& (lood. Thi h&lp fi$ht i'f&ctio'.It pro-id& a' i'cr&a&d i!!u'it% a$ai't p'&u!o'ia.It ha alo (&&' fou'd to low&r (lood pr&ur& i' o!&p&opl&. I' co!(i'atio' with -ita!i' E, it ha pro-&dh&lpful i' low&ri'$ th& r&uir&!&'t of i'uli' i'dia(&tic. It ha alo pro-&d -alua(l& i' th& tr&at!&'tof c&rtai' ki' ail!&'t, i'cludi'$ ac'&, &c&!a a'dporiai.

2&cithi' ha (&&' u$$&t&d a a &Bual aid. It wa

u&d i' "&r!a'%


50/107

r&ulti'$ i' $r&at&r (od% &B&rtio' a'd l& fataccu!ulatio'. 2&cithi' i &&'tial 'ot o'l% for tiu&i't&$rit% of th& '&r-ou a'd $la'dular %t&! i' all

li-i'$ c&ll, (ut ha (&&' r&$ard&d a alo th& !ot&ff&cti-& $&'&rator a'd r&$&'&rator of $r&at ph%ical,!&'tal a'd $la'dular acti-it%. Shatt&r&d '&r-&,d&pl&t&d (rai' pow&r, wa'i'$ acti-it% of -ital $la'd,fi'd i' l&cithi', &p&ciall% i' th& c&llular tructur& ofth& '&r-ou %t&! a'd &'docri'& $la'd a ourc& ofd%'a!ic &'&r$%.X

Th& (&t wa% to i'cr&a& l&cithi' i to &at th& a!&a!ou't of fat a uual, (ut r&duc& a'i!al fat &Bc&ptthat fro! fih. +il !a% (& u&d for cooki'$, &ao'i'$a'd alad dr&i'$. All h%dro$&'at&d fat uch a!ar$ari'&, cooki'$ fat, h%dro$&'at&d p&a'ut (utt&r

a'd proc&&d ch&&& hould (& a-oid&d a alofood pr&par&d with th&!.

:ER4A2 PR+DU8TS


51/107

8o!!o' :&r(al a'd Ph%toch&!i

8o!pou'd R&port&d Acti

Di$&ti-& S%t&! Diord&r 8ha!o!il& ;Matricaria recutita 2.>

"i'$&r ; +ingiber o,,icinale Roc.>

2icoric& ;Glycyrrhia glabra 2.,

Glycyrrhia uralensis Fich.>Milk thitl& ;-ilybum marianum 2.> P&pp&r!i't ;Mentha piperita 2.>

Pla'ta$o &&d, P%lliu! &&d;lantago arenaria aldt.,lantago arenaria Kit., lantagoovate>

S&''a ;Cassia acuti,olia D&l.,

Cassia angusti,olia 3ahl., -ennaalexandrina Mill.>

+ral) a'tii'fla!!ator%

Topical) wou'dh&ali'$a'ti!icro(ial8ar!i'ati-&, a'ti&!&titr&at!&'t of dii'&

EBp&ctora't, &cr&tol%

Proph%laBi a'd tr&at! 2&af) car!i'ati-& a'd

+il) r&duc& %!pto!8athartic

8athartic

Kid'&%, Uri'ar% Tract, a'd Protat&Diord&r

4&a(&rr% ; Arctostaphylos uva/ursi 2., Spr&'$ ;Ericaca&a&>

8ra'(&rr% ;0accinium macrocarpon

Ait.>"old&'rod ;-olidago virgaurea 2.,-olidago serotina Ait., -olidagoCanadensis 2.>

Saw pal!&'to ;-erenoa repens

Z4atr.[>

A'ti(act&rial for UTI, d

4act&riotatic for tr&at

Proph%laBi a'd tr&at!to'&

A'tia'dro'&r$ic, a'tii

(&'i$' protatic h%p&r


52/107

P&rfor!a'c& a'd &'dura'c& &'ha'c&rEchi'ac&a ;!chinacea purpurea 2.Mo&'ch., !chinacea angusti,olia

D8, !chinacea pallid a Nutt. Nutt.>

El&uth&ro ;!leutherococcussenticosus Rupr. MaBi!. >

"i'&'$ ;anax ginseng 8.A.M&%&r,anax 1uin1ue,olius 2.>

+ral) i!!u'oti!ula'%!pto!

Topical) tr&at!&'t of h(ur', poriai, h&rp&Adapto$&' ;a' a$&'t fki'd of tr&>

Adapto$&'

N&r-ou %t&! Diord&r F&-&rf&w ;Ta'ac&tu! parth&'iu!

2.>

St. oh' wort ;:%p&ricu!

p&rforatu! 2.> 3al&ria' ;3al&ria'a offici'ali 2.>

illow (ark ;SaliB al(a 2., SaliB

fra$ili 2., SaliB daph'oid& 3illar,SaliB p&'ta'dra 2.>

Tr&at!&'t of h&adach&

proph%lactic to r&duc&of !i$rai'& h&adach&

A'Biol%tic, a'tii'fla!!

Spa!ol%tic, !ild &da

A'tii'fla!!ator%, a'a

tr&at!&'t of rh&u!atich&adach&, a'd $out

M&ta(olic a'd E'docri'& Diord&r4lack cohoh ;8i!icifu$a rac&!oa 2. Nutt.>

4lack curra't &&d oil ;Ri(&

'i$ru! 2.>4ora$& &&d oil ;4ora$o offici'ali2.>8hat& tr&& (&rr% ;3it&B a$'ucatu 2.>E-&'i'$ pri!ro& oil ;+&'oth&ra

E!!&'a$o$u& ;a' a$&tr&at!&'t of pr&!&'tDi&tar% uppl&!&'tatioatopic &c&!a

Di&tar% uppl&!&'tatioatopic &c&!a Tr&at!&'t of !&'trua

Di&tar% uppl&!&'tatioatopic &c&!a


53/107

(i&''i 2.>

R&pirator% tract Diord&r

• Eph&dra

• :or&hou'd

• Slipp&r% &l!

• 4ro'chodilator, -aoc&d&!a, app&tit& uppr&ph&draco'tai'i'$ pr

• EBp&ctora't, a'titui-

i'&ff&cti-& a a 'o'pr&&Bp&ctora't>

• Mucila$i'ou d&!ulc&

to ooth irritat&d !uco

th& di$&ti-& tract ;FDAoothi'$ d&!ulc&'t fo

8ardio-acular %t&! Diord&r "arlic ;Alliu! ati-u! 2.>

"i'k$o ;"i'k$o (ilo(a 2.> "rap& &&d ;3iti -i'if&ra 2.>

:awthor' ;8rata&$u la&-i$tata

ZPoir[ D8.> Pi'& (ark ;Pi'u !ariti!& 2a!.>,

pi$'o$&'ol

Diord&r of th& ki', !ucou!&!(ra'&, a'd $i'$i-al

Alo& -&ra $&l ;Alo& -&ra 2. N.2.4ur!.>

"old&'&al ;:%drati 8a'ad&'i2.>M&llia ;M&lia offici'ali 2.>,l&!o' (al!T&a tr&& oil ;M&lal&uca alt&r'ifoliaZMaid&' 4&tch&j 8h&&l>


54/107

itch ha&l ;:a!a!&li -ir$i'ia'a2., :a!a!&li -&r'ali Sar$.>

DRUGS & THEEFFECT ONNUTRITION

A8TA*DS

Anac!d# can cau#e nur!!ona"

de!c!enc!e# -ecau#e eo"e m!#u#e he#e

dru#. Anac!d# are reHuen"' aken !n

e4ce## o cur- ro-"em# roduced -' hem!#u#e o oher d!ear' #u-#ance#, #uch

a# a"coho" or coee, or -' e4ce##!;e

ea!n.


55/107

Anac!d# -!nd o d!ear' ho#hae# !n

he !ne#!ne# and !ncrea#e he!r e4cre!on.Th!# u#e he de"!cae ra!o o ca"c!um o

ho#horou# ha !# nece##ar' or norma"

ca"c!um a-#or!on and deo#!!on !no

-one. Bone d!#order# m!h re#u".

Th!# r!#k or -one d!#order# !# urher!ncrea#ed !n he e"der"' who canno

a-#orca"c!um we"" and who oen

con#ume !nadeHuae amoun# o ca"c!um

r!ch ood# !n he d!e.

Anac!d# neura"!e e4ce## ac!d !n he 6T

and he' m!h !nerere w!h he

a-#or!on o !ron and he B ;!am!n# G

o"!c ac!d and B12.

The unc!on# o o"!c ac!d and ;!am!n B12are re"aed. A de!c!enc' o e!her ;!am!n

re#u"# !n anem!a, wh!ch !# a reduc!on !n


56/107

red -"ood ce""#, and a reduced a-!"!' o

-u!"d and rea!r !##ue#.

*!me!d!ne @Taame, a dru ha

!nh!-!# he #ecre!on o #omach ac!d and

!# u#ed !n he reamen o u"cer#, a"#o

reduce# ;!am!n B12 a-#or!on.

The heraeu!c eec# o anac!d#deend on when he' are aken.

A"um!num h'dro4!de=

o reduce a#r!c ac!d!', ! #hou"d -e

aken2 hr# -eore or aer a mea".

o r!d he -od' o e4ce## ho#hae#, !

!#

aken w!h a mea".

Th!# ca#e, he anac!d -!nd# o d!ear'

ho#horou# and doe# no a""ow ! o-e

a-#or-ed.


57/107

The nur!!ona" eec# o anac!d#

T'e o anac!d 8ur!!ona"

con#eHuence#

A"um!num

h'dro4!de

Sod!um

-!car-onae

+ane#!um

h'dro4!de

A"um!num o4!c!'

Pho#hae de"e!on

Fo"!c ac!d ma"

a-#or!on

Sod!um o;er"oad

+ane#!um o;er"oad

Pho#hae de"e!on

A8TB3T*S

Some e##en!a" nur!en# are roduced -'

-acer!a !n he #ma"" and "are !ne#!ne#


58/107


59/107

2.

!ncrea#e# he e4cre!on o n!roen,

#od!um, oa##!um, and ca"c!um.

%.

reduce# he a-#or!on o o"!c ac!d,

!ron, ;!am!n B12, and ;!am!n K.

). reduce# he a-#or!on o he #uar#,

#ucro#e, and "aco#e.

A8T*38(ULSA8TS

An!con;u"#an dru# are u#ed o conro"

e!"e!c #e!ure# and o re;en or rea

#e!ure# ha re#u" rom neuro#ur!ca"

rocedure# or head !nCur!e#.

Lonerm an!con;u"#an hera' w!h

hen'o!n, heno-ar-!a", r!m!done, or


60/107

car-amae!ne m!h cau#e r!cke# and

o#eoma"ac!a.

An!con;u"#an# !nh!-! he manuacure

o ;!am!n D. A ;!am!n D de!c!enc' w!""

cau#e -one deenera!on, e;en w!h

adeHuae ca"c!um !nake.

!# recommended ha a!en# who ake

an!con;u"#an dru# a"#o ake a ;!am!nD #u"emen ha cona!n# )00 o :00 U

o ;!am!n D.

The an!con;u"#an dru# are a##oc!aed

w!h anem!a.

Th!# anem!a !# cau#ed -' a de!c!enc' o

o"!c ac!d and ;!am!n K and !#

characer!ed -' reHuen hemorrhae.

owe;er, ! "are do#e# o o"!c ac!d are

!;en o counerac "ow -"ood "e;e"#, a

o##!-"e under"'!n de!c!enc' o ;!am!nB12 m!h o unno!ced.


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62/107

The r!c'c"!c comound# #uch a# am!r!'"!ne=1. A"er ae!e and can cau#e we!h a!n or

"o##.

2. ncrea#e ur!nar' e4cre!on and m!h !ncrea#e

"o##e# o B ;!am!n and ;!am!n *.

D!aeam and d!aeo4!de m!h a"er mane#!um#au# and !ncrea#e ur!nar' "o## o ca"c!um.

The #!de eec# o +A3# !nc"ude=

. *on#!a!on,

. 8au#ea,

. D!arrhea,

. A-dom!na" a!n

The#e cond!!on# m!h reduce nur!en !nake and

e4cre!on.

DRU6S F3R ARTRTS

TREAT+E8T


63/107

DPen!c!""am!ne !# u#ed=

1. n he reamen o rheumao!d arhr!!#.

2. n he reamen o hea;' mea" o!#on!n and

&!"#onI# d!#ea#e @coer o4!c!'.

DPen!c!""am!ne -!nd# oher m!nera"# ha are no

o4!c and can conr!-ue o m!nera" de!c!enc!e#.

3ne o he #!de eec# o Den!c!""am!ne !# "o## o

ae!e @anore4!a. The "o## o ae!e m!h -e

cau#ed -' a dru!nduced de!c!enc' o !nc.

The #'mom# o a !nc de!c!enc' are d!m!n!#hed

a#e #en#!!;!' and a reduced ae!e.

ASPR8 A8D 8SAD#

A#!r!n !# u#ed !n he conro" and a""e;!a!on o

a!n, headache, and he #'mom# o arhr!!#.

E4ce##!;e u#e o a#!r!n can cau#e #e;era"

nur!!ona" #!de eec#.

A#!r!n!nduced 6 -"eed!n !# a##oc!aed w!h=

1. ncrea#ed "o##e# o !ron and !ron de!c!enc'

anem!a.


64/107

2. De!c!enc!e# o o"!c ac!d, oa##!um, and

;!am!n *.

3. Reduced a-#or!on o ;!am!n B12.

3RAL *38TRA*EPT(ES

3ra" conrace!;e# aec ood !nake andnur!!ona" #au# !n #e;era" wa'#.

The' ha;e -een a##oc!aed w!h=

1. !ncrea#!n ae!e and encoura!n we!h

a!n,

2. !ma!r!n "uco#e o"erance,

%. !ncrea#!n -"ood "e;e"# o cho"e#ero" and

r!"'cer!de#,

). reduc!n a-#or!on o o"!c ac!d, and

$. Promo!n waer reen!on @edema.

3ra" conrace!;e# are a##oc!aed w!h #e;era"

nur!en de!c!enc!e#.

Some women who ake ora" conrace!;e#

e4h!-!=

1. !h -"ood "e;e"# o ;!am!n A and coer.


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2. Low -"ood "e;e"# o ;!am!n EJ (!am!n *J

;!am!n B1, B2, B5, B12J o"!c ac!dJ !ncJ and

!ron.

(!am!n B5 !# o ar!cu"ar !nere# -ecau#e o !#

ro"e !n mood and -eha;!or. &hen da!"' !nake !#

!ncrea#ed rom 2 m o 20 o )0 m da!"', he

dere##!on a##oc!aed w!h ora" conrace!;e

dru# m!h -e a""e;!aed.

DRU6S T3 L3&ER

*3LESTER3L

E"e;aed -"ood cho"e#ero" "e;e"# are a##oc!aed

w!h an !ncrea#ed r!#k or hear d!#ea#e.

Some dru# -!nd o cho"e#ero" and -!"e ac!d# !n

he !ne#!ne# and re;en he!r rea-#or!on and

hu# reduc!n he c!rcu"a!n -"ood "e;e"# o

cho"e#ero". Some o he#e dru# arecho"e#'ram!ne, c"o!-rae, cho"e#!o", and

neom'c!n.


66/107

The dru# o "ower cho"e#ero" -!nd oher a

#o"u-"e #u-#ance# and m!h cau#e ;!am!n K

de!c!enc', ;!am!n D de!c!enc', and re"aed -one

d!#order#.

3her #'mom# o a#o"u-"e ;!am!n

de!c!enc!e# !nc"ude=

1. n!h -"!ndne##,

2. he de#ruc!on o red -"ood ce""# @anem!a, and

%. emorrhae.

*ho"e#'ram!ne

Th!# dru can cau#e=

1. #eaorrhea @a' #oo"#J

2. ma"a-#or!on o he a#o"u-"e ;!am!n# A, D,E, and KJ

%. de!c!enc!e# o !ron, caroene, ca"c!um, ;!am!n

B12, and o"!c ac!d and m!h re#u" !n -one

d!#order# and anem!aJ

). !ncrea#ed ur!nar' e4cre!on o ca"c!umJ

$. !ncrea#ed -"ood "e;e"# o r!"'cer!de#J

5. Reduced -od' #ore# o !ron when aken o;er a

"on er!od o !me or a h!h do#e#.


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*"o!-rae

Th!# dru=

1. -!nd# cho"e#ero" and -!"e ac!d# #o ha reduce#he!r rea-#or!onJ

2. !ncrea#e# e4cre!on o he a#o"u-"e ;!am!n#J

3. *hane# he a#e #en#a!on, wh!ch m!h

reduce a er#onI# de#!re o ea.

*o"e#!o"

Th!# dru ma' cau#e de!c!enc!e# o he a#o"u-"e

;!am!n# A, D, E and o"!c ac!d.

(!am!n K #u"emena!on !# reHu!red on"' !n he

re#ence o oor -"ood c"o!n and ro"oned-"eed!n !me#.

The eec!;ene## o cho"e#!o" !# !ncrea#ed when

! !# com-!ned w!h he B ;!am!n n!co!n!c ac!d

@n!ac!n.

DRU6S F3R 9PERA*T(T9

TREAT+E8T


68/107

De4roamheam!ne and a #!m!"ar comound

meh'"hen!dae are u#ed o conro" -eha;!ora"

ro-"em# !n h'erac!;e ch!"dren. The#e#!mu"an# ca"m, raher han e4c!e, h'erac!;e

a!en#.

6rowh rearda!on ha# -een noed !n h'erac!;e

ch!"dren who are on "onerm dru hera'. Th!#

#!de eec m!h -e a re#u" o reduced ood !nake

a##oc!aed w!h dru!nduced #ure##!on o

ae!e.

DRUGS FOR

HYPERTENSION THERAPY

The d!ure!c dru# u#ed !n reamen o

h'eren#!on and *F !nc"ude he h!a!de#,

uro#em!de, and ehacr'n!c ac!d. The#e dru#

!ncrea#e he ur!nar' "o## o oa##!um and oher

m!nera"#, a# we"" a# waer.


69/107

oa##!um de!c!enc' were a""owed o rore##,

a er#on m!h e4er!ence=

1. -one ra!"!',

2. ara"'#!#,%. #er!"!',

). mu#c"e weakne##,

$. ner;e d!#order#,

5. !rreu"ar hear -ea @arrh'hm!a#, and

7. K!dne' damae.

Some d!ure!c#, #uch a# #!rono"acone, are no

a##oc!aed w!h a de!c!enc' o m!nera".

3her dru# ha de"ee he -od' o

oa##!um !nc"ude=

. LDoa

. Senna

. 6enam!c!n

. Amhoer!c!n B

. B!#acod'"

. Sa"!c'"ae#

. Pheno"hha"e!n

. *or!co#ero!d#

+ane#!um


70/107

+ane#!um !# anoher m!nera" ha can -e

de"eed w!h he u#e o h!a!de#.

+ane#!um unc!on# !n=1. ener' roduc!on,

2. he manuacure o a and

roe!n,

%. he remo;a" o o4!c comound#

#uch a# urea and ammon!a,

). mu#c"e re"a4a!on,

$. ner;e ran#m!##!on,

5. he re;en!on o ooh deca',

7. he ran#ora!on o nur!en#

!no he ce""#, and

:. Bone orma!on and

ma!nenance.

A de!c!enc' o mane#!um aec#=

1. he hear,

2. he ner;e#, and

3. The k!dne'#.

Low mane#!um !n he -od' ma' cau#e=1. arrh'hm!a# @!rreu"ar hear

-ea,

2. hear a!"ure,

%. ahero#c"ero#!#,


71/107

4. de#ruc!on o he hear mu#c"e,

and

$. con;u"#!on#

Drugs that afectmagnesium status

A"coho"

Amhoer!c!n B

*areom'c!n

*ar-en!c!""!n

*!#"a!n

*'c"o#er!ne

D!!a"!# "'co#!de#Ehacr'n!c ac!d

Furo#em!de

6enam!c!n

L!h!um

Pheno-ar-!a"

Phen'o!n

Terac'c"!ne#

Th!a!de#

To-ram'c!n

(!om'c!n

+ercur!a" d!ure!c#= . ch"ormerodr!n

. mera""ur!de

. mercaomer!n

. mercuroh'""!ne

. mer#a"'"

The u#e o uro#em!de and ehacr'n!c ac!d ma'

cau#e he de!c!enc' o =

1. *a"c!um,


72/107

2. od!ne, and

%./!nc.

Pro"on u#e o d!ure!c# ma' "ace a er#on a r!#k

or de!c!enc!e# o he waer#o"u-"e ;!am!n#, #uch

a# ;!am!n * and he B ;!am!n#.

The an!h'eren#!;e h'dra!ne !nerere# w!h

;!am!n B5 mea-o"!#m and cau#e# de!c!enc'

#'mom# ha !nc"ude=

1. -eha;!ora" d!#order#,

2. #"ee !rreu"ar!!e#, and

%. con;u"#!on#

STER3DS

Sero!d# are a rou o dru# ha are u#ed o

!ncrea#e mu#c"e ma## !n ah"ee#, and !nc"ude ora"conrace!;e# and e#roen.

E#roen, h!# dru can cau#e=

1. a-dom!na" cram!n,


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2. "o## o ae!e,

%. d!arrhea, and

).nau#ea

The#e #!de eec# can reduce ood and nur!en

!nake or !ncrea#e nur!en "o##e#. Sa" and "u!d

reen!on and we!h a!n a"#o are o##!-"e.

TUBER*UL3SS DRU6S

8 !# u#ed !n he "onerm reamen o TB.

Th!# dru can cau#e=1. dr' mouh,

2. "o## o ae!e,

%.nau#ea,

). #omach d!#re##, and

$. ;om!!n

The oen!a" nur!!ona" #!de eec# !nc"ude a

;!am!n B5 de!c!enc'. 8 -!nd# o he ;!am!n

and he wo are e4creed !n he ur!ne.


74/107

8 aken w!h 'ra!nam!de and c'c"o#er!ne

ma' cau#e anem!a.

The da!"' #u"emena!on $0 m o ;!am!n B5 m!h roec aa!n# a de!c!enc'.

&E6T *38TR3L PLLS

Phen'"roano"am!ne @PPA !# u#ed !n we!h "o##.

Th!# dru !# !neec!;e !n ermanen we!h "o##J

he we!h a!n e4ceed# we!h "o##.

+ore han 10,000 ca#e# o o4!c eec# ar!-uedo PPA ha;e -een reored o FDAI# Po!#on

*onro" *ener and 1000 o he#e ca#e# were

emerenc' room ;!#!#.

The #!de eec# o PPA !nc"ude=

1. !ncrea#ed -"ood re##ure,

2. re#"e##ne##,

%. !rr!a-!"!',

). an4!e',

$. !n#omn!a, and


75/107

5. headache#

The #!de eec# re"aed o an4!e' and a!n can

reduce a er#onI# de#!re or ood and !nererew!h nur!en !nake and a-#or!on.

LAAT(ES

La4a!;e# !ma!r he a-#or!on o nur!en# rom

!ne#!ne#.

The "a4a!;e#, #uch a# heno"hha"e!n, #enna, and

-!#acod'", !ncrea#e he ac!;!' o !ne#!ne# and

a"er he !ne#!na" "!n!n. A# a re#u", #e;era"nur!en# are e4creed raher han a-#or-ed.

The#e nur!en#=

1. ca"c!um,

2. oa##!um,

%. ;!am!n D

+!nera" o!" -!nd#=

1. he a#o"u-"e nur!en#,

2. he e##en!a" a' ac!d#, and


76/107

%. he a#o"u-"e ;!am!n A, D, E, and K

A# "!"e a# ) ea#oon# o m!nera" o!" u#ed da!"'

can roduce de!c!enc' #'mom# o he a#o"u-"e ;!am!n#.

S'mom# o ;!am!n A de!c!enc' !nc"ude=

1. oor ;!#!on a n!h @n!h -"!ndne##J

2. reduced re#!#ance o !nec!onJ

%. #k!n ro-"em# #uch a# derma!!#J

). a-norma" -one and ooh de;e"omen

nadeHuae !nake o ;!am!n D can re#u" !n -one

ro-"em# #uch a# o#eoma"ac!a.

A de!c!enc' o ;!am!n K cau#e# hemorrhae.

A ;!am!n E de!c!enc' can cau#e #k!n, -"ood, and

ner;e ro-"em#.

DRU6S F3R *A8*ER

TREAT+E8T


77/107

Some dru# u#ed o rea cancer cau#e nau#ea,

;om!!n, #ore or dr' mouh and hroa, -"oa!n,

u""ne##, and oher #'mom# ha cau#e a;er#!on#

o ood and ea!n.

The $"uorourac!" a"er# a#e #en#a!on# and

aec# ae!e. The re#u"# o he#e cond!!on# are

"o## o ae!e, ma"nur!!on, !##ue wa#ae, and

we!h "o##.

3her dru# can damae he "!n!n o 6T or

cau#e d!arrhea reduce# nur!en a-#or!on and

!ncrea#e# he e4cre!on o nur!en#.

Some dru# !nerere w!h he u#e o nur!en# !n

ce""#.

+ehore4ae !# u#ed or he reamen o cancer

and #or!a#!#. The heraeu!c eec o

mehore4ae !# a"er!n o"!c ac!d mea-o"!#m.

+ehore4ae -"ock# he en'me nece##ar' or he

con;er#!on o d!ear' o"!c ac!d o !# -!o"o!ca""'

ac!;e orm and ce""# canno d!;!de or row.

A dru!nduced o"!c ac!d de!c!enc' e4er# a

reaer eec on he#e d!#ea#ed ce""#. Red -"ood

ce""# do no d!;!de roer"' and mea"o-"a#!c


78/107

anem!a !# common !n a!en# ak!n

mehore4ae.

DRU68UTRE8T 8TERA*T38S

Dru U#e Eec on

8ur!!ona"Sau#

A"coho"

Am!r!'"!ne

m!ram!ne

L!h!um

*ar-onae

Amhoer!c!n

B

To4!c eec on

!ne#!na"

"!n!n, a"ered

#ecre!on o

d!e#!;e

en'me#

An!dere##an

An!una"

. Reduced

a-#or!on o

;!am!n B1, o"!c

ac!d, and

(!am!n B2J

. ncrea#ed

e4cre!on o

mane#!um and

!ncJ

. Reduced -"ood"e;e"# o ;!am!n

B12.


79/107

An!h!#am!ne#

Bar-!urae#

B!uan!de#

+eorm!n

Phenorm!n

8a#a"

cone#!on

An!con;u"#an

D!a-ee#

. &e!h a!nJ

. A"ered -"ood

"uco#eJ

. ncrea#ed-"ood "e;e"# o

mane#!umJ

. ncrea#ed

e4cre!on o

ca"c!um.

. ncrea#ed

ur!nar'

e4cre!on o

oa##!um and

n!roenJ

. Reduced -"ood

"e;e"# omane#!um and

oa##!um.

ncrea#e#

ae!e.

. ncrea#ed need

or o"!c ac!dand ;!am!n DJ

. Reduced

a-#or!on o

;!am!n B1J


80/107

. ncrea#ed

e4cre!on o

;!am!n *.

Reduced

a-#or!on o

;!am!n B12.

Dru U#e Eec on

8ur!!ona"

Sau#

*h"oramhen!co"

*h"orroma!ne

*o"ch!c!ne

C!c"nth

*or!co#ero!d#

An!m!cro-!a"

TranHu!"!er

An!

!n"ammaor'

*ahar!c

ncrea#ed need

or ;!am!n B2,

B5, and B12.

ncrea#ed

ae!e and

-od' we!h.

Reduce#a-#or!on o

caroene,

#od!um,

oa##!um,


81/107

*oumar!n

An!coau"an

"aco#e, and

;!am!n B12.

Reduce#ran#! !me

and a-#or!on

o nur!en#.

. Reduced

a-#or!on o

ca"c!um and

ho#horou#J

. ncrea#ed

ur!nar'

e4cre!on o

;!am!n *,

ca"c!um,oa##!um,

!nc, and

n!roenJ

. Reduced

-"ood "e;e"# o

!ncJ

. ncrea#ed-"ood "e;e"# o

"uco#e,

r!"'cer!de#,

and


82/107

cho"e#ero"J

. ncrea#ed

need or

;!am!n B5,;!am!n *, o"!c

ac!d, ;!am!n

D.

. ma!red

-one

orma!onJ

. Reduced

wound hea"!n.

Anaon!# o

;!am!n K.

Dru U#e Eec on 8ur!

*'c"o#er!ne An!u-ercu"ar . Reduced roe

. Reduced a-#orca"c!um and ma

. Reduced -"ood

and B12.


83/107

De4roamheam!ne

ndomehac!n

n#u"!n

6"ueh!m!de

6r!#eou";!n

'dra"a!ne

Istretinin@a #'nhe!c

der!;a!;e o

;!am!n A

a"a

KTa-

Ae!e

#ure##an

Ana"e#!c

D!a-ee#

Seda!;e

h'no!c

An!una"

'oen#!;e

Acne

*ahar!c

Poa##!um

&e!h "o##, red

. Reduced -"ood

. Reduced a-#or

am!no ac!d#J

. Anem!a.

ncrea#e# ae!

ncrea#ed need

A"er# a#e #en#

ncrea#ed e4cre

A;o!d #u"eme

Reduce# ran#!

nur!en#.

Reduce# a-#or


84/107

Dru U#e Eec on

8ur!!ona"

Sau#

L!h!um

car-onae

+eh'"hen!dae

Paraam!no

#a"!c'"!c ac!d

Pen!c!""!n#

Pheno-ar-!a"Phen'o!n

Pr!m!done

#$%h"!!in

Prorano"o"

TranHu!"!er

Ae!e

#ure##an

An!u-ercu"ar

An!m!cro-!a"

An!con;u"#an

*ahar!c

*ard!ac

ncrea#e#

ae!e and

-od' we!h.

&e!h "o##

and reduced

rowh !n

ch!"dren.

Reduced

a-#or!on o;!. B12, !ron,

o"!c ac!d, and

a.

Reduced

-"ood "e;e" o

oa##!um.

. ma!red ;!

D


85/107

Sod!um n!ro

ru##!de

Su"a#a"a!ne

Th!a!de#

(!om'c!n

'oen#!;e

U"cera!;e

co"!!#

D!ure!c

An!m!cro-!a"

mea-o"!#mJ

. ncrea#ed

e4cre!on o

;! DJ. Reduced

-"ood "e;e"# o

o"!c ac!d, ;!

B5, B12J

. Anem!a.

Reduce#

ran#! !me

and

a-#or!on o

nur!en#.

Reduced"uco#e

o"erance.

. ncrea#ed

ur!nar'

e4cre!on o

;!am!n B12J. Reduced

-"ood "e;e" o

;!am!n B12.

Reduce#


86/107

a-#or!on o

o"!c ac!d and

reduce#

!ne#!na"ran#! !me.

ncrea#ed

ur!nar'

e4cre!on o

oa##!um,

mane#!um,

!nc, and ;!

B2.

Reduced

-"ood "e;e"# o

oa##!umand ca"c!umJ

a"ka"o#!#.

DRU68UTRE8T 8TERA*T38S

A8D DETAR9

RE*3++E8DAT38S


87/107


88/107

-"oa!n,

con#!a!on,

"au"ence,

d!arrhea,#eaorrhea.

. D!arrhea,

nau#ea,

;om!!n.

. Reduce#

a-#or!on

or

!ncrea#e#

e4cre!on o

#od!um,

oa##!um,a, caroene,

B12, o"!c

ac!d,

ca"c!um.

. !h !-er d!e !

con#!aed.

. Take w!h waerand oodJ

. A;o!d a"coho"J

. ncrea#e "u!d

!nakeJ

. Su"emen or

!ncrea#e d!ear'

!nake o h!h r!#k

nur!en#.

Dru Eec# on

8ur!!ona"

D!ear'

Recommenda!on#


89/107

Sau#

Furo#em!de

'dra"a!ne

#on!a!d

+ehore4ae

.

*on#!a!on,d!arrhea,

nau#ea

or

;om!!n.

. ncrea#ed

E4cre!on

oa##!um,

ca"c!um,

mane#!um,

#od!um

and waer.

. Dr' mouh,

"o## o

ae!e.

. D!arrhea,

con#!a!on,

nau#eaJ. Reduce# B5J

. Lo## o

ae!eJ

. Sod!um

Take #!n"e do#e

ear"' !n morn!n.

. Take w!h oodJ

. +a!na!n !dea"

we!hJ

. (! B5

#u"emena!onJ

. Sod!um

re#r!c!on.

. Take on em'#omach.

. A;o!d a"coho".

. (! B5

#u"emena!on.


90/107

reen!on.

. Somach

d!#re##,nau#ea,

;om!!nJ

. Reduced B5J

. Dr' mouhJ

. Lo## o

ae!e.

. D!arrhea, 6

-"eed!n,

nau#ea, or

;om!!n.

. Reduce#

o"!c ac!d.. Poor

a-#or!on o

B12.

. Lo## o

ae!e,

#ore mouh

andhroa.

. A"ered

a#e.

. ncrea#e waer!nake.

. A;o!d a"coho".


91/107

Dru Eec# on

8ur!!ona"

Sau#

D!ear'

Recommenda!on

#

+!nera" 3!"

Pen!c!""am!ne

Pheno"hha"e!

n

. F"au"ence,

nau#ea,

;om!!n.. Reduce#

a-#or!on

o ;!am!n#

A, D, E,

and K.

. Lo## oae!e and

we!h "o##.

.

'oka"em!a

. D!arrhea,

nau#ea,;om!!n.

. Reduce#

cooer,

!nc, and

. Take 2 hr#

-eore a

mea".. ncrea#e a

#o"u-"e

;!am!n

!nake.

. Take w!h waer.

. Take on em'

#omach

.Su"emena!on

o B5

and race

m!nera".


92/107

Phen'"-uaone

Sero!d#

Sero!d#

@Ana-o"!c

!ron.

. A"ered

a#e

and "o## oae!e.

. Reduced

a-#or!on

o ;! D,

ca"c!um,

and oher

m!nera"#.

.

'oka"em!a

*on#!a!on,

d!arrhea,

hear-urn,

"u!d

reen!on,

and we!h

a!n.

. B"oa!n,

!nd!e#!on,

nau#ea.

. Take on em'#omach.

. *hew we"".

. Take w!h ood.

. A;o!d a"coho".

. Take w!h ood

or"ow#od!um

#nack.

. Sod!um

re#r!ced d!e.

. ncrea#e

oa##!um.


93/107


94/107

2. decrea#e a druI# eec,

%. re;en # dru u#eu"ne##,

). !ncrea#e he a-#or!on or e4cre!on o dru,

$. decrea#e he a-#or!on or e4cre!on o dru,5. !nerere w!h he druI# mea-o"!c eec#

(!am!n A !n do#e# o $0,000 U !n com-!na!on

w!h erac'c"!ne can cau#e !nracran!a" re##ure

@#e;ere headache.

Pa!en who !# ak!n a +A3 #uch a#

!#ocar-o4a!d, hene"!ne, and ran'"c'rom!ne

#hou"d a;o!d a"" aed or ermened ood#.

The#e ood# !nc"ude=

. !ck"ed herr!n . ermened #au#ae# @#a"am! and eeron!

. #har or aed chee#e

. 'our

. #our cream

. -ee and ch!cken "!;er

. canned !#

. -anana# . a;ocado#

. #o' #auce

. mea ender!er#

. 'ea#


95/107

. -eer

. *h!an! w!ne

. #herr'

. oher w!ne#.

The dru reac# w!h he#e ood# and m!h

roduce h!h -"ood re##ure, headache#, and

-ra!n hemorrhae.

E4ce##!;e con#um!on o ;!am!n Kr!ch ood#,

#uch a# "!;er and dark reen "ea' ;eea-"e#, can

!nerere w!h an!coau"an hera'.

TE EFFE*TS 3F F33D 38

ABS3RPT38 A8D A*T38 3FDRU6S

Food Dru Ac!on

*oee>ea 8euro"e!c aen#

Theoh'""!ne

Reduce# dru

a-#or!on

ncrea#e# dru


96/107


97/107

+!"k

+ea" w!hm!"k

Sa"' ood#

(eea-"e#

@dark

reen

Terac'c"!ne

+ehore4ae

L!h!um

&arar!n

ncrea#e# dru

a-#or!on

Reduce# dru

a-#or!on

nduce#

h'oka"em!a

and #od!um

reen!on

Reduce# dru

a-#or!on

Reduce# drua-#or!on

dru

eec!;ene##

dru

eec!;ene##


98/107

DETAR9 S3UR*ES 3F (TA+8S

A8D +8ERALS

8ur!en D!ear' Source

(!am!n A

(!am!n D

(!am!n E

(!am!n K

(!am!n B1

(!am!n B2

8!ac!n

(!am!n B5

Dark reen and orane

;eea-"e# and ru!# @!.e.,

carro#, ar!co#, #!nach,

"!;er.

For!!ed m!"k, !#h o!"#

(eea-"e o!"#, cerea"#, dark

reen "ea' ;eea-"e

Dark reen "ea' ;eea-"e#

Pork, -ee, oran mea,

cerea"#, nu#, "eume#

+!"k, chee#e, 'our,


99/107

Fo"!c ac!d

(!am!n B12

B!o!n

#anththenic aci$

(!am!n *

*a"c!um

*hrom!um

*oer

ron

mu#hroom#, -rocco"!, a;ocado#

3ran mea#, eanu, mea,

ou"r', !#h, "eume#, m!"k

+ea, oran mea#, ou"r',

!#h, #o'-ean#, dr!ed -ean#

Dark reen ;eea-"e, dr!ed

-ean#, orane Cu!ce,

cana"oue, reen ea#, #wee

oaoe#

+ea, ou"r', !#h, c"am#,

o'#er#, m!"k, chee#e,

ermened #o'-ean roduc#

L!;er, oran mea#, mo"a##e#,

m!"k

+ea, !#h, ch!cken, chee#e,

cerea"#, a;ocado#, reen ea#,

dr!ed -ean#, nu#, dae#

Fre#h ru!# and ;eea-"e#

+!"k, 'our, chee#e, dark


100/107

reen "ea' ;eea-"e#

&ho"e ra!n -read#, *erea"#

and mea#

&ho"e ra!n -read#, *erea"#,

#he""!#h, nu#, oran mea#,

dr!ed -ean# ea#, dark reen

;eea-"e#

+ea, "!;er, dr!ed ru!#,

"eume#, dark reen ;eea-"e,

rune Cu!ce, o'#er#,

#raw-err!e#, waerme"on,

-rocco"!

+ane#!um

+anane#e

Poa##!um

Se"en!um

8u#, "eume#, cerea"#,

#o'-ean#, #eaood, dark reen

"ea' ;eea-"e#

L!;er, "euce, #!nach, cerea"#,

dr!ed -ean# ea#, nu#

+ea, m!"k, ru!#, oaoe#,

-anana#, orane Cu!ce#, dr!ed

ru!#


101/107

/!nc

+ea#, ou"r', #eaood

3'#er#, m!"k, mea, cerea"#and -read#

S9+PT3+S ASS3*ATED &T

(TA+8 A8D +8ERAL

DEF*E8*ES

8ur!en De!c!enc' S'mom

(!am!n A

(!am!n D

(!am!n E

Sk!n d!#order#, oor n!h

;!#!on, reduced re#!#ance o

!nec!on, oor -one and ooh

de;e"omen

R!cke# or o#eoma"ac!a

Anem!a, reroduc!;e #'#em


102/107

(!am!n K

(!am!n B1

(!am!n B2

8!ac!n

(!am!n B5

Fo"!c ac!d

(!am!n B12

(!am!n *

damae

emorrhae

Fa!ue, anore4!a, we!h "o##,

6 ro-"em#, weakne##,

nau#ea, num-ne## !n"!n

!n he hand# and ee, memor'

"o##, reduced aen!on #an,

!rr!a-!"!', conu#!on.

*rack# a he corner# o he

mouh, !n"amma!on o he

mouh, redden!n o he e'e#,

-urn!n and !ch!n o he

e'e#, derma!!#, dere##!on.

Derma!!#, d!arrhea,

!rr!a-!"!', headache,

!n#omn!a, memor' "o##.

&eakne##, mena" conu#!on,

!rr!a-!"!', ner;ou#ne##,

!n#omn!a, oor coord!na!on,anem!a, derma!!#.

Anem!a, !rr!a-!"!', weakne##,

we!h "o##, aah', headache,


103/107

oreu"ne##, 6 ro-"em#,

d!arrhea.

Anem!a, anore4!a, 6ro-"em#, a!ue, d!!ne##,

num-ne## and !n"!n,

mood!ne##.

Anem!a, Co!n enderne##

#we""!n, oor wound hea"!n,

weakne##, -"eed!n um#,

-ru!#!n.

8ur!en De!c!enc' S'mom

*a"c!um

*hrom!um

*oer

ron

+ane#!um

3#eooro#!#.

6"uco#e !n#en#!!;!'

re#em-"!n d!a-ee#.

Low wh!e -"ood ce"" coun,

oor co""aen orma!on, -onedeer!ora!on, anem!a.

Anem!a, "ehar', oor

concenra!on, a"ene##,


104/107

+anane#e

Poa##!um

Se"en!um

/!nc

headache#.

Lehar', weakne##,

conu#!on, er#ona"!'chane#, mu#c"e remor#,

anore4!a, nau#ea, "ack o

coord!na!on, 6 ro-"em#,

hear d!#ea#e and arrh'hm!a.

8o e#a-"!#hed de!c!enc'

#'mom# !n human#.

ma!red rowh, -one

weakne##, #er!"!', mu#c"e

weakne##, reduced hear rae.

Srucura" damae o he

hear.

*hane# !n ha!r and na!"#,

#er!"!', #k!n d!#order#,

"ehar', anem!a, oor wound

hea"!n, "o## o a#e and #me"".


105/107

(!am!n B5 and Temeramen

Dru# m!h aec mood and er#ona"!' -ecau#eo he!r eec on how ;!am!n B5 !# u#ed !n he

-od'.

(!am!n B5 !# an e##en!a" comonen !n he -od'I#

roduc!on o #e;era" neuroran#m!er# and

hormone#. The#e #u-#ance# reu"ae -eha;!or

and numerou# -od' roce##e#.

For e4am"e, #eroon!n !# a r!nc!a"

neuroran#m!er ound !n he -ra!n. !#

roduced rom he am!no ac!d r'ohan !n he

re#ence o ;!am!n B5.

Seroon!n reu"ae# -!o"o!ca" and #'cho"o!ca"

unc!on# !nc"ud!n #"ee, emo!on#, and mood.

Low "e;e"# o #eroon!n are a##oc!aed w!h

dere##!on, !n#omn!a, and #e!ure#. Dru# ha

ra!#e he "e;e" o #eroon!n can aec -eha;!or.

The -ra!n deend# on wha !# eaen o reu"ae heroduc!on o #eroon!n. The "e;e" o #eroon!n !#

reu"aed -' he amoun o r'ohan and

;!am!n B5 !n he d!eJ chron!ca""' "ow !nake o


106/107

e!her or -oh can re#u" !n reduced roduc!on o

#eroon!n and m!h cau#e mood d!#order#.

Dru# #uch a# #ero!d hormone#, ora"conrace!;e#, and 8 !nerere w!h ;!am!n B5

mea-o"!#m and #ure## he #'nhe#!# o

#eroon!n. The mood #w!n# and dere##!on ha

oen accoman' he#e dru# are reduced or

e"!m!naed when ;!am!n B5 #u"emen# are

aken.

3n he oher hand, ;!am!n B5 can !nh!-! he

eec!;ene## o oher dru #uch a# LDoa #!nce

;!am!n B5 !ncrea#e# he decar-o4'"a!on o L

Doa !n he -"ood.

(!am!n B5 #u"emena!on !# recommendedwhen he o""ow!n dru# are u#ed=

• Predn!#one

• +eh'"redn!#o"one

• 3ra" conrace!;e#

• E#roen


107/107

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