- Always have any lab results available if any of the nutrients were tested and are part of the lab reports.
- Try to keep a food log available for them to look at and if necessary a recipe of some of the ingredients in the foods. Example, if cauliflower is substituted for potatoes, make a note of this.
- Always have a list of medications and supplements you are taking. Indicate which dietary supplements may have been ordered by the doctor. Example, vitamin B12 for long time metformin users as this may indicate that you have lost the ability to absorb vitamin B12 from the foods rich in them.
April 11, 2016
April Meeting with Both Nutritionists
Normally I would have posted this for Sunday, but I wanted to complete the series since I had to hand out copies for Sunday to members. Our April meeting was very different and many were discussing the blogs on nutrients. Both Allison and Suzanne were there and Suzanne commented that our group was very different from most people or small groups she has had contact with and wanted to thank us for thinking of them. Allison said yes, even she could appreciate the blogs as Brenda had made her aware of them.
Tim told them to take over as he had the slides ready and would use them when needed. Allison said we had hit on two ideas that would definitely help them balance our food plans easier and wanted everyone to be aware of these.
Suzanne said that several had two of the above, but no one has had all three. She said Allen and Bob have had the first and third and have been told by their doctors to take vitamin B12 and D. She says this means both have lost the ability to absorb vitamin B12 from the foods. Vitamin D is lack of sunshine more than likely.
There were several questions about vitamin B12, and Suzanne said she would answer the first. There were several about metformin and vitamin B12 and Suzanne said that now we have a link that metformin does cause a deficiency of vitamin B12. We are not sure of why this happens, but if you have taken metformin for several years, you should be tested for vitamin B12. This is the safest way to know and many doctors will not do the test and just tell you to eat animal foods, liver, sardines, and salmon rank highest, with liver having the largest amount of vitamin B12. Kidney, eggs, beef, and pork are also good sources.
Allison continued that often the elderly do not have enough acid to digest the animal foods and absorb the vitamin B12, thereby causing the vitamin B12 deficiency. For any of you that are vegetarians, or vegans, you must take a supplement to maintain vitamin B12 levels.
This drew a few more questions about vegetarians and one asked if they should eat some liver or salmon to prevent vitamin B12 deficiency. Suzanne said that this would not happen because people that were strict vegetarians would not have enough acid in their stomach to absorb vitamin B12. The question was then rephrased to say that she was considering moving to a vegetarian diet. Suzanne said that initially she could have enough acid, but that in a month or two she would not and a supplement would be necessary.
Allison said that if a vegetarian or vegan moved away from this way of eating, that it could take a year or longer to be able to absorb vitamin B12 and some individuals never regain this ability if they are older. People in their 20's still can remain deficient for a year or longer and children have been deficient into their teens. She continued that is one reason we generally stay away from these situations.
Suzanne agreed and said with a group like this, we will work with you to a point, but discourage you from adopting either of these on a full-time basis. The next question was what Suzanne was waiting for and it was about why was it necessary to take many of the nutrients with knowledge or under supervision of a knowledgeable doctor.
Suzanne said that like the B vitamins, they are all water-soluble and the excess is flushed by your system. Vitamin A and E are fat-soluble and can become toxic if you consume too high a dosage. Vitamin D is in truth a hormone and will not become toxic until near 400,000 IU or above. Some people use 10,000 IU and have no problem for several months.
Allison said that the minerals are important, but can become toxic if not taken carefully under the supervision of a doctor. Safety should always be first and care taken to void problems. The mineral iron is tested in women of child-bearing age because they need enough and not too much for carrying the baby. Men can often be ignored by doctors and other doctors just refuse to test for many of the nutrients covered by Bob.
Tim said the meeting was over and then the questions really began as many wanted answers and but did not want everyone to know who asked the question. A few of us started the cleanup and as we finished, Suzanne asked to speak to Tim and myself. She said she would not be able to attend meetings until the next year and was just happy for this meeting. We said thank you for letting us know and asked if she would be doing any consultations. She said no and she would be too busy for consultations. Tim asked for everyone's attention that was still there and made the announcement about Suzanne's planned absence.
Allison then stated she would also be gone for the month of May until the end of September. She said that she would schedule as many as she could before the end of April and the rest would need to wait until October. Tim thanked her and we both asked if there was anyone we could talk to if the need arises. Both said they would each supply two names and phone numbers to Tim after they had approval to do so. We thanked them and the meeting broke up.