B-12 Status Associated w/ Bone Mineral Content, Density in Frail Elderly. I’m a very big fan of Vitamin B12, especially in my senior patients. It is a very common deficiency due to poor absorption from decreased stomach acid. It is also very cheap, coming in at a few dimes/day. Unfortunately, many docs do not recognize […]
While it’s been some time (and my memory is going with age) I still remember the first time I heard of a newborn being put on Prilosec for reflux. Incredulous. Stupefied. Dazed. All adequate descriptions for how I felt at that time. After this time, I heard more often of cases where infants were given […]
Empiric Folate Therapy Over Testing for Folate Levels in Macrocytosis This is really a progressive article with a concept that I support wholeheartedly. Many times I can look at a CBC of a patient who has abnormally high or even normal levels at the high end and treat that patient with Vit B12 and folic […]
Cobalamin, folate, MMA, total homocysteine as B12 and folate markers This study demonstrated that deficiency of B12 and folate is very common among the elderly, and is reduced by the use of multivitamins. The researchers used the functional status of the nutrients to assess the levels found in the blood. Too many times a serum […]
Alteration of DNA methylation in gastrointestinal carcinogenesis I know this sounds a little technical, but the take home message is that alterations in the body’s ability to methylate DNA may lead to cancer. Methylation helps to protect DNA from damage. Slow methylation can come from a variety of sources, with dietary alterations and genetic sluggishness […]
