 |
 |
|
|
|
|
BASIC INFORMATION
DESCRIPTION
Malabsorption is the failure of the body to properly absorb vitamins, minerals, and other nutrients from food. Even though his or her diet is adequate, and individual with malabsorption develops various nutritional deficiencies. This problem can result form impaired digestion, impaired absorption of nutrients into the bloodstream from the digestive tract (especially the small intestine), or both.
CAUSES
Digestive disorders are among the most common health problems in America today. Impaired digestion leads to malabsorption because if food is not broken down properly, the nutrients it contains cannot be absorbed through the linings of the intestines. The intestinal tract, pancreas, liver, and gallbladder all have parts to play in the uptake of nutrients. Consequently, anything that interferes with the proper functioning of any of these can lead to impaired digestion. Some factors that can contribute to impaired digestion are a lack of adequate levels of digestive enzymes; food allergies; a diet deficient in nutrients, such as the B vitamins, that are needed to produce digestive enzymes; and diseases of the pancreas, gallbladder, liver and bile ducts that result in a lack of bile and essential enzymes. Although any type of nutrient may be affected by poor digestion, lipids (fats) are affected most often. In addition to causing nutritional deficiencies, the failure to digest food properly causes gastrointestinal problems. Undigested food ferments in the intestinal tract, causing gas, bloating, and abdominal pain and discomfort.
Even if food is properly digested, there may be a problem that prevents nutrients from being taken up by the bloodstream and used to nourish the body tissues. Damage to the intestinal walls, through which nutrients are absorbed, is one such problem. Disorders such as celiac disease, colitis, Crohn's disease, diverticulitis, irritable bowel syndrome, lactose intolerance, parasitic infestation, and excessive consumption of alcohol, antacids, or laxatives can all cause intestinal damage. Chronic constipation and/or diarrhea can have the same result. Another problem is too rapid intestinal transit time, which results in nutrients being passed out of the body as waste before they can be absorbed. Radiation therapy, digitalis treatment, and surgery that shortens the intestinal tract all reduce the absorptive area, and therefore the absorptive capacity of the small bowel.
Other factors that can contribute to a malfunction of the absorption mechanism include a poor diet; excess mucus covering the intestinal lining (most commonly a result of the over-consumption of mucus-forming, and processed foods); an imbalance in intestinal bacterial flora, such as in candidiasis; the use of certain medications, such as neomycin (an antibiotic), colchicine (an anti-gout drug); food allergies; and illnesses such as cancer and AIDS. People with AIDS are particularly prone to malabsorption problems because of chronic diarrhea, loss of appetite, and an overgrowth of Candida albicans in the digestive tract. Obstructions in the lymphatic system may also interfere with nutrient absorption.
MoonDragon's Health & Wellness: AIDS
SYMPTOMS
Common symptoms of malabsorption syndrome include:
- Constipation or diarrhea.
- Dry skin.
- Fatigue.
- Gas (flatulence).
- Mental difficulties such as depression or inability to concentrate.
- Muscle cramps and/or weakness.
- Premenstrual syndrome (PMS).
- Steatorrhea (pale, bulky, fatty stools).
- Tendency to bruise easily.
- Failure to grow normally.
- Thinning hair.
- Unexplained weight loss.
- Vision difficulties, especially night vision problems.
- Abdominal discomfort may be present.
A combination of anemia, diarrhea, and weight loss is typical. However, in some individuals, paradoxically, obesity may result, if fats are deposited in the tissues rather than being utilized properly by the body. In addition, in an attempt to get the nutrients it needs but is not absorbing, the body may begin to crave more and more food, often leading to the consumption of many empty and/or fat calories.
NUTRITIONAL DEFICIENCIES ASSOCIATED WITH MALABSORPTION
Regardless of how good your diet is or how many supplements you take, if you suffer from malabsorption syndrome, you will have nutritional deficiencies. These in turn lead to other problems.
COMMON NUTRITIONAL DEFICIENCIES & SYMPTOMS ASSOCIATED WITH MALABSORPTION
The impaired absorption of protein can induce edema (swelling of the tissues due to fluid retention).
A lack of potassium and other electrolytes can result in muscle weakness and muscle cramping and cardiovascular problems, such as irregular heart rhythms.
Anemia results from a lack of needed iron, Vitamin B-12 and folic acid with weakness and fatigue. Anemia is a decrease in the number of red blood cells in th bloodstream, characterized by pallor, loss of energy, and generalized weakness.
Diarrhea, steatorrhea (excessive amounts of fat in the stool), and abdominal distension with cramps, bloating, and gas due to impaired water and carbohydrate absorption, and irritation from unabsorbed fatty acids. The individual may also report explosive diarrhea with greasy, foul-smelling stools.
Calcium and vitamin D deficiency result in bone loss and tetany, a condition characterized by painful muscle spasms, muscle cramping and tremors.
Muscle wasting and atrophy (wasting away of a tissue or organ) due to decreased protein absorption and metabolism.
Edema (fluid retention in the body's tissues, excessive generalized edema may also be referred to as ascites) due to decreased protein absorption. This is important to be aware of during pregnancy since insufficient dietary protein can lead to toxemia of pregnancy (preeclampsia-eclampsia).
Bruising easily and blood clotting disorders results from a lack of vitamin K.
Night blindness may result from a lack of Vitamin A.
Perianal skin burning, itching, or soreness due to frequent loose stools.
Malnutrition and weight loss due to decreased fat, carbohydrate, and protein absorption. Weight may be 80-90 percent of unusual weight despite increased oral intake of nutrients.
Malabsorption is also self-perpetuating, the failure to absorb B vitamins and to transfer amino acids across the intestinal lining interferes with the production of needed digestive enzymes and causes further malabsorption, since these nutrients are essential in the absorption process itself. A vicious cycle results.
THE BODY & MALABSORPTION
Besides being a serious condition in itself, malabsorption is a factor in other medical and physical problems. The body needs all nutrients in balance because they work in concert. If there is a deficiency in even a single nutrient, the body can no longer function as it should, and all kinds of things go awry. The result is disease. Malabsorption is a common contributing factor to a wide range of disorders, including cancer, heart disease, osteoporosis, and - because immune function is damaged by a lack of necessary nutrients - all types of infection.
Several disorders can lead to malabsorption syndrome, including cystic fibrosis, chronic pancreatitis, lactose intolerance, and gluten enteropathy (non-tropical sprue). Cystic fibrosis is a hereditary genetic disorder that occurs most often in Caucasians. Thick, sticky secretions from mucous-producing glands cause blockages in the pancreatic ducts and the airways.
Lactose intolerance is a common disorder caused by a lack of a specific enzyme necessary to break down a sugar in milk, resulting in diarrhea, cramps, and gas.
Celiac disease is a hereditary disorder involving an intolerance to gluten, a protein found in wheat and rye flours. Symptoms include a failure to grow and the passage of fatty, foul-smelling stools that float to the top of the toilet water. The disorder often can be diagnosed on the basis of symptoms and confirmed by examining a small sample of intestinal tissue. As the disease progresses, the finger-like projections that line the intestinal walls, and from which nutrients are absorbed into the bloodstream, become flattened and smooth. Treatment involves consuming a gluten-free diet.
Topical sprue is a malabsorption disorder that is uncommon in the United States, but is seen more often in people from the Caribbean, India, or southeast Asia. Although its cause is unknown, it is thought to be related to environmental factors, including infection, intestinal parasites, or possibly the consumption of certain food toxins. Symptoms often include a sore tongue, anemia, weight loss, along with diarrhea and passage of fatty stools.
Whipple's disease is a relatively rare malabsorptive disorder, affecting mostly middle-aged men. The cause is thought to be related to bacterial infection, resulting in nutritional deficiencies, chronic low-grade fever, diarrhea, joint pain, weight loss, and darkening of the skin's pigmentation. Other organs of the body may be affected, including the brain, heart, lungs, and eyes.
Short bowel syndromes-which may be present at birth (congenital) or the result of surgery-reduce the surface area of the bowel available to absorb nutrients and can also result in malabsorption syndrome. Congenital short bowel syndrome occurs in about 24 out of 100,000 live births and has a high mortality rate (about 38%).
MALABSORPTION & AGING
Malabsorption is also a significant factor in the overall aging process, and it may account for the fact that some people seem to age more rapidly than others. As we age, the intestinal tract gets "out of shape" and the lining becomes covered with hard fecal matter and mucus, which makes absorption of nutrients more difficult. This is one reason why older people need to consume greater amounts of nutrients. It is also why it is so important to keep the colon clean. Fecal deposits can irritate the nerve endings in the colon leading to spastic colon or inflamed colon. Both of these conditions interfere with bowel function and with the proper absorption of nutrients. In addition, the impacted deposits decay after a time, releasing toxins that can seep into the bloodstream, poisoning the organs and tissues.
MALABSORPTION & NUTRITIONAL SUPPLEMENTS
People with malabsorption syndrome must take in more nutrients than the average person to compensate, and to treat and correct the problem. In supplying these nutrients, it is best to bypass the intestinal tract as much as possible. When choosing supplements, sustained-release and large, hard tablets should be avoided. Many people with malabsorption problems are unable to break down supplements taken in hard pill form; some even discharge pills whole in the stool.
Injections, powders, liquids, and lozenges provide nutrients in forms that are more easily assimilated and therefore are preferred.
SYMPTOMS OF NUTRIENT DEFICIENCIES Nutrient Symptoms Calcium Bone pain and deformities; greater likelihood of fractures (due to bone thinning or osteoporosis); muscle spasms; tooth discoloration and greater susceptibility to painful tooth decay. Folate (Folic Acid) Fatigue and weakness (due to anemia). Iron Fatigue and weakness (due to anemia). Magnesium Muscle spasms. Niacin Diarrhea; skin disorders; confusion (pellagra); sore tongue. Protein Tissue swelling (edema), usually in legs; dry skin; hair loss. Vitamin A Night blindness. Vitamin B-1 Pins-&-needles sensation, especially in the feet; heart failure. Vitamin B-2 Sore tongue; cracks at edge of mouth. Vitamin B-12 Fatigue and weakness (due to anemia); pins-&-needles sensation; confusion. Vitamin C Weakness; bleeding gums. Vitamin D Bone thinning; bone pain. Vitamin K Tendency to bruise and bleed.
DIAGNOSIS & TREATMENT
DIAGNOSIS
The diagnosis of malabsorption syndrome and identification of the underlying cause can require extensive diagnostic testing. A health care provider suspects malabsorption when a person has chronic diarrhea, nutritional deficiencies, substantial weight loss despite a healthy diet. Malabsorption is less obvious and often more difficult to recognize in older people than in younger people.
The first phase involves a thorough medical history and physical examination by a health care practitioner, who will then determine the appropriate laboratory studies and x-rays to assist in diagnosis.
A 72-hour (2-3 days) stool collection may be ordered for fecal fat measurement. Increased fecal fat in the stool collected indicates malabsorption and is one of the most reliable test for diagnosing malabsorption of fat. A finding of more than 7 grams of fat in the stool daily is the hallmark of malabsorption. Stool samples are examined with the unaided eye as well as under the microscope. Undigested food fragments may mean that food passes through the intestine too rapidly. In a person with jaundice, stool with excess fat indicates decreased production or secretion of bile. Sometimes parasites or their eggs are seen under the microscope, suggesting that malabsorption is caused by a parasitic infection.
Other laboratory tests can detect malabsorption of other specific nutrients, such as lactose or vitamin B-12.
Pancreatic function tests are performed if the health care provider thinks that the cause of malabsorption may be the insufficient production of digestive enzymes by the pancreas. However, some of these tests are complex, time-consuming, and invasive. In one test, a tube is passed through the mouth and guided to the small intestine, so that intestinal fluids containing pancreatic secretions can be collected and measured. In another test, the person swallows a substance that requires pancreatic enzymes for its digestion. The products of digestion are then measured in the urine.
A biopsy of the small intestine may be done to assist in differentiating between malabsorption syndrome and small bowel disease. A biopsy may be needed to detect abnormalities in the lining of the small intestine. The tissue is removed through an endoscope (a flexible viewing tube equipped with a light source and a small clipper) passed through the mouth and into the small intestine.
Ultrasound, computed tomography scan (CT scan), magnetic resonance imaging (MRI), barium enema, or other x rays to identify abnormalities of the gastrointestinal tract and pancreas may also be ordered.
A newer method of obtaining diagnostic information about the small intestine was approved by the Food and Drug Administration (FDA) in 2001. Known as the M2A Imaging System, the device was developed by a company in Atlanta, Georgia. The M2A system consists of an imaging capsule, a portable belt-pack image receiver and recorder, and a specially modified computer. The patient swallows the capsule, which is the size of a large pill. A miniature lens in the capsule transmits images through an antenna/transmitter to the belt-pack receiver, which the patient wears under ordinary clothing as he or she goes about daily activities. The belt-pack recording device is returned after seven or eight hours to the health care provider, who then examines the images recorded as a digital video. The capsule itself is simply allowed to pass through the digestive tract.
Preparation requires only fasting the night before the M2A examination and taking nothing but clear liquids for two hours after swallowing the capsule. After four hours the patient can eat food without interfering with the test. As of the early 2000s, the M2A system is used to evaluate gastrointestinal bleeding from unknown causes, inflammatory bowel disease, some malabsorption syndromes, and to monitor surgical patients following small-bowel transplantation.
Laboratory studies of the blood may include:
- Serum cholesterol. May be low due to decreased fat absorption and digestion.
- Serum sodium, potassium, and chloride. May be low due to electrolyte losses with diarrhea.
- Serum calcium. May be low due to vitamin D and amino acid malabsorption.
- Serum protein and albumin. May be low due to protein losses.
- Serum vitamin A and carotene. May be low due to bile salt deficiency and impaired fat absorption.
- D-xylose test. Decreased excretion may indicate malabsorption.
- Schilling test. May indicate malabsorption of vitamin B-12.
CONVENTIONAL MEDICAL TREATMENT
Fluid and nutrient monitoring and replacement is essential for any individual with malabsorption syndrome. Hospitalization may be required when severe fluid and electrolyte imbalances occur. Consultation with a dietitian to assist with nutritional support and meal planning is helpful. If the patient is able to eat, the diet and supplements should provide bulk and be rich in carbohydrates, proteins, fats, minerals, and vitamins. The patient should be encouraged to eat several small, frequent meals throughout the day, avoiding fluids and foods that promote diarrhea. Intake and output should be monitored, along with the number, color, and consistency of stools.
The individual with malabsorption syndrome must be monitored for dehydration, including dry tongue, mouth and skin; increased thirst; low, concentrated urine output; or feeling weak or dizzy when standing. Pulse and blood pressure should be monitored, observing for increased or irregular pulse rate, or hypotension (low blood pressure). The individual should also be alert for signs of nutrient, vitamin, and mineral depletion, including nausea or vomiting; fissures at corner of mouth; fatigue or weakness; dry, pluckable hair; easy bruising; tingling in fingers or toes; and numbness or burning sensation in legs or feet. Fluid volume excess, as a result of diminished protein stores, may require fluid intake restrictions. The health care provider should also be notified of any shortness of breath.
Other specific medical management for malabsorption syndrome is dependent upon the cause. Treatment for tropical sprue consists of folic acid supplements and long-term antibiotics. Depending on the severity of the disorder, this treatment may be continued for six months or longer. Whipple's disease also may require long-term use of antibiotics, such as tetracycline. Management of some individuals with malabsorption syndrome may require injections of vitamin B-12 and oral iron supplements. The health care provider may also prescribe enzymes to replace missing intestinal enzymes, or antispasmodics to reduce abdominal cramping and associated diarrhea. People with cystic fibrosis and chronic pancreatitis require pancreatic supplements. Those with lactose intolerance or gluten enteropathy (non-tropical sprue) will have to modify their diets to avoid foods that they cannot properly digest.
PROGNOSIS
The expected course for the individual with malabsorption syndrome varies depending on the cause. The onset of symptoms may be slow and difficult to diagnose. Treatment may be long, complicated, and changed often for optimal effectiveness. Patience and a positive attitude are important in controlling or curing the disorder. Careful monitoring is necessary to prevent additional illnesses cause by nutritional deficiencies.
RISK FACTORS
Risk factors for malabsorption syndrome include:
- Premature birth.
- Family history of malabsorption or cystic fibrosis.
- Use of certain drugs, such as mineral oil or other laxatives.
- Travel to foreign countries.
- Intestinal surgery, including bowel transplantation.
- Excess alcohol consumption.
CONSIDERATIONS
Chronic pancreatic insufficiency is a condition in which the pancreas does not secrete enough enzymes for proper digestion. Serious pancreatic disease can lead to malabsorption severe enough to damage the nervous system. Gallbladder and/or liver problems can lead to trouble in the digestion and absorption of essential fatty acids, which are necessary for good health. Impaired absorption of fats in turn can lead to deficiencies of fat-soluble nutrients, such as beta-carotene and vitamins A, D, E, and K.
Treatment of malabsorption requires recognition and, if possible, correction of the underlying cause of the problems, plus a healthful dietary regimen and supplementation. Appropriate medical consultation is needed in cases related to the use of cancer drugs, pancreatic insufficiency, and special problems associated with gastric or intestinal surgery.
Research has found that people who eat food products containing the fat substitute olestra may test false-positive for malabsorption disorder. If you consume foods containing olestra, you should inform your health care provider prior to any such testing.
Certain drugs interfere with the absorption of nutrients. Examples include:
- Corticosteroids.
- Cholestyramine (Questran).
- Sulfasalazine (Azulfidine).
- Antibiotics (especially).
Corticosteroids depress protein synthesis, inhibit normal calcium absorption, and increase the amount of vitamin C lost through secretion.
Cholestyramine interferes with the absorption of the fat-soluble vitamins A, D, E, and K.
Sulfasalazine inhibits the transport of folate and iron.
Antibiotics disrupt the essential bacterial flora of the intestine.
All of these drugs increase the need for nutritional supplements.
HERBAL & HOLISTIC RECOMMENDATIONS
HERBS
Alfalfa, Dandelion Root, Fennel Seed, Ginger, and Nettle are rich in minerals and can aid the body in absorbing nutrients.
Herbal Remedies: Alfalfa Information
Herbal Remedies: Alfalfa Supplements & Products
Herbal Remedies: Dandelion Information
Herbal Remedies: Fennel Information
Herbal Remedies: Fennel Supplements & Products
Herbal Remedies: Ginger Information
Herbal Remedies: Ginger Supplements & Products
Herbal Remedies: Nettle Information
Herbal Remedies: Nettle Leaf Supplements & Products
Aloe Vera and Peppermint aid digestion.
Herbal Remedies: Aloe Vera Supplements & Products
Black Pepper contains piperine, which aids in the digestion and absorption of nutrients.
Herbal Remedies: Black Pepper Information
Herbal Remedies: Black Pepper Supplements & Products
Buchu decreases inflammation of the colon and mucous membranes.
Herbal Remedies: Buchu Information
Herbal Remedies: Buchu Supplements & Products
Goldenseal promotes the functioning capacity of the colon, liver, and pancreas. Caution: Do not take goldenseal internally on a daily basis for more than one week at a time, do not use it during pregnancy, and use it with caution if you are allergic to ragweed. If you have a history of cardiovascular disease, diabetes, or glaucoma, use it only under a health care provider's supervision.
Herbal Remedies: Goldenseal Information
Herbal Remedies: Goldenseal Supplements & Products
Irish Moss and Rhubarb are good for colon disorders.
Herbal Remedies: Irish Moss Information
Herbal Remedies: Irish Moss Supplements & Products
Herbal Remedies: Rhubarb Information
Herbal Remedies: Rhubarb Supplements & Products
Yellow Dock improves colon and liver function.
Herbal Remedies: Yellow Dock Information
Herbal Remedies: Yellow Dock Supplements & Products
RECOMMENDATIONS
Follow the dietary recommendations in this section for at least 30 days to give the colon a chance to heal and to cleanse the walls of hard matter and mucus. After 30 days, you may gradually reintroduce the foods that you have eliminated back into your diet; however, do not add them back too quickly or all at once. Instead, add small amounts of these foods, one at a time, back into your diet. Be sure to follow specific dietary recommendations for your particular health care problem or dietary regime.
Eat a diet that is high in complex carbohydrates and low in fats. Include in the diet well-cooked brown rice, millet, oatmeal, and steamed vegetables.
Eat plenty of fruits (except for citrus fruits).
Consume fresh papaya and pineapple often. Chew 4-6 papaya seeds after meals.
Eat broiled, steamed, or baked white fish 3 times a week.
Do not eat large meals, as this places too much stress on the digestive system. Instead, eat smaller portions of food throughout the day.
Drink 6 to 8 glasses of liquids daily, including juices, distilled or quality water, and herbal teas (see herbs above for suggestions). Use barley malt, a small amount of honey, or nut or soymilk for sweeteners, if necessary.
Do not consume wheat products until healing is complete.
Avoid products containing caffeine, which interferes with iron absorption. These include teas, coffee, colas, chocolate, many processed foods, and some over-the-counter medications (read labels).
Keep fats and oils to an absolute minimum. Do not consume any animal products (including butter), fried or fatty foods, or margarine. The fats these foods contain exacerbate malabsorption problems by coating the stomach and small intestines, blocking the passage of nutrients. For the same reason, avoid all dairy products and processed food products, which encourage the secretion of mucus.
Eliminate citrus fruits, shellfish, and white rice from the diet.
Do not eat meat or meat products. Meats are difficult to digest and are acid-forming.
Strictly avoid all junk foods, such as potato chips and candy, as well as other products containing sugar, salt, monosodium glutamate (MSG), and preservatives.
Follow a colon cleansing program.
Follow a fasting program once monthly.
Use "Green Drinks" to provide chlorophyll, which aids in detoxification, and other valuable nutrients and enzymes. Kyo-Green from Wakunaga is an excellent choice.
Avoid using mineral oil or other laxatives. Especially avoid using them for extended periods, as dependence and damage to the colon may result.
If diarrhea or other symptoms of digestive disturbance occur for longer than 3 days, call your health care provider. Also consult a professional if you notice black and tarry or bright red stools, or if digestive problems are accompanied by severe abdominal pain or a fever of over 101°F.
If a change of diet and the correct supplements do not improve your health status in a few months, consult your health care provider. You may have a malabsorption problem that requires medical attention.
NUTRITIONAL SUPPLEMENTS
Unless otherwise specified, the dosages recommended here are for adults. For a child between the ages of 12 and 17 years, reduce the dose to 3/4 the recommended amount. For a child between the ages of 6 and 12, use 1/2 the recommended dose, and for a child under the age of 6, use 1/4 the recommended amount.
NUTRIENTS Supplement Suggested Dosage Comments Very Important Acidophilus 1 teaspoon 3 times daily or as directed on label. Take on an empty stomach. Replenishes essential bacteria. Needed for uptake and manufacture of many nutrients. Use a non-dairy formula.
Acidophilus Supplement Powder, Non-Dairy, 3 oz. Bulk,
Acidophilus, 3 Billion, NOW Foods, 90 Tabs,
Lactobacillus Acidophilus Supplement, Non-Dairy, 100 Caps,
Lactobacillus Acidophilus, Kosher Liquid, All Natural, Vegetarian Medium, Lactose Free, Apple Strawberry Flavor, Dynamic Health, 16 fl. oz.,Dioxychlor DC-3 As directed on label. Destroys harmful bacteria in the intestinal tract and cleanses the bloodstream. Or
Micellized Vitamin A Emulsion
(American Biologics)As directed on label. To supply balanced nutrients in a form that allows for faster more efficient absorption. Vitamin B Complex 50-100 mg of each major B vitamin 3 times daily (amounts of individual vitamins in a complex will vary) or as directed on label. Injections: 2 cc twice weekly or as prescribed by a health care provider. To correct deficiencies. B Vitamins must be replenished daily. Injections (under a health care provider's supervision) are best. If injections are not available, use a lozenge, sublingual, or spray form.
Ultimate B (Vitamin B Complex), Nature's Secret, 60 Tabs,
Vitamin B-100 Complex, w/ Coenzyme B-2, Nature's Way, 631 mg, 100 Caps,
PABA / Para-Aminobenzoic Acid, NOW Foods, 500 mg, 100 CapsPlus
Vitamin B-6 (Pyridoxine)50 mg 3 times daily. Reduces swelling in tissues. To correct deficiencies. B Vitamins must be replenished daily.
Vitamin B-6 (Pyridoxine), 100 mg, 100 CapsPlus
Vitamin B-121,000 mcg 3 times daily on an empty stomach. Injections: 1 cc twice weekly, or as prescribed by a health care provider. To prevent anemia and needed in tissue repair. To correct deficiencies. B Vitamins must be replenished daily. Injections (under a health care provider's supervision) are best. If injections are not available, use a lozenge, sublingual, or spray form.
Vitamin B-12 Complex Liquid, NOW Foods, 2 fl. oz.,
Vitamin B-12, Nature's Way, 2000 mcg, 100 Sublingual Lozenges,
Vitamin B-12 Liquid Supplement, 50 mcg, With Vitamin B-9 (Folic Acid), 400 mcg, 1 oz.
Vitamin B-12, California Natural, 1000 mcg, 60 Tabs,
Vitamin B-12 LipoSpray, NOW Foods, 2 fl. oz.,Plus
Raw Liver ExtractAs directed on label. A good source of B vitamins and iron. Consider injections (under a health care provider's supervision). Plus
Folic Acid400 mcg 3 times daily. To correct deficiencies.
Folic Acid (Vitamin B-9), 100% Natural, Nature's Way, 800 mcg, 100 CapsImportant Bioperine As directed on label. Increases the absorption of nutrients and improves digestion. Calcium
And
MagnesiumAs directed on label. Needed to prevent bone loss and necessary for maintaining healthy bones. Use calcium citrate chelate form.
Magnesium needed to balance with calcium and for assisting calcium and potassium uptake. Magnesium is important in energy production. Use chelate form.
Calcium Ionic Mineral Supplement, Fully Absorbable, 700 +/- ppm, 16 fl. oz.,
Magnesium Ionic Mineral Supplement, Fully Absorbable, 350 +/- ppm, 16 fl. oz.,
Liquid Calcium W/ConcenTrace, Orange Vanilla, Trace Minerals, 1000 mg, 32 fl. oz.,
Cal-Mag Pre-Chelated Calcium & Magnesium, Vital Earth, 240 Gelcaps,
Magnesium Ionic Mineral Supplement, Fully Absorbable, 350 +/- ppm, 16 fl. oz.,
Just An Ounce Calcium & Magnesium Liquid, Almond Flavor, 16 fl. oz.,
Calcium & Magnesium Mineral Complex, 100% Natural, Nature's Way, 500 mg / 250 mg, 250 CapsFree-Form Amino Acid Complex As directed on label or 3 times daily, on an empty stomach. Needed because protein is not broken down properly into amino acids, which are needed for virtually all life functions.
Amino 1000 Complete, NOW Foods, 120 Caps,
Amino 1500, Chewable Blend of 20 Amino Acids, Predigested, NOW Foods, 150 TabsGarlic (Kyolic) 2 capsules 3 times daily, with meals or as directed on label. Aids digestion and promotes healing of the digestive tract. Use liquid form, if possible.
Garlic Oil Tincture, Alcohol Free, Nature's Way, 1 fl. oz.,
Garlic Bulb Cloves, Garlic Supplement, Nature's Way, 580 mg, 100 Caps,
Odorless Garlic Supplement, NOW Foods, 50 mg, 250 SoftGels,
Garlic Supplement, Kwai, Triple Concentrated, 180 Tabs,
Every Day Garlic Supplement, Kwai, 30 Tabs,
Garlic Tincture, 100% Organic, 2 fl. oz.,
Aged Garlic Extract, Cardiovascular Formula 100, Wakunaga Kyolic Supplements, 300 Caps,
Kyolic Liquid Aged Garlic Extract, Cardiovascular, Vegetarian, Wakunaga Kyolic, 4 fl. oz.,
Kyolic Aged Garlic Extract, One-A-Day, Vegetarian, 1000 mg, Wakunaga Kyolic, 30 Caps,
Aged Garlic Extract, Cholesterol Formula 104, Wakunaga Kyolic, 200 Caps
Or
InflaZyme Forte
(American Biologics)2 tablets with each meal. Also available in powder form. A balanced, potent enzyme and cofactor as a powerful inflammatory inhibitor. Vitamin C With Bioflavonoids 2,000-8,000 mg daily, in divided doses. Take with juice. Needed to stimulate immune function and to aid uptake of nutrients. Use a buffered powder form.
Vitamin C Liquid w/ Rose Hips & Bioflavonoids, Kosher, Natural Citrus Flavor, Dynamic Health, 1000 mg, 16 fl. oz.,
The Right C, Vitamin C Powder, Nature's Way, 120 grams,
Ester C With Bioflavonoids, Nature's Way, 1000 mg, 90 Tabs,
Vitamin C 1000 With Bioflavonoids, Nature's Way, 100% Natural, 1000 mg, 250 VCaps,
The Right C, Nature's Way, 1000 mg, 120 TabsVitamin E 200 IU daily or 400 IU every other day. an essential antioxidant, it improves circulation and is necessary for tissue repair. Use d-alpha-tocopherol emulsion form.
Ester E Natural Vitamin E, California Natural, 400 IU, 60 Softgels,
Vitamin E, 400 IU, 100% Natural, NOW Foods, 100 Gels,
Vitamin E-1000, NOW Foods, 1000 IU, 100 Gels,
Vitamin E, d-alpha-tocopherol, 400 IU, 100 Softgels
Helpful Essential Fatty Acid Complex As directed on label. A most important element in the diet. Necessary for a healthy immune system. Speeds healing. Reduces inflammation and joint stiffness.
Ultimate Oil, Essential Fatty Acids Supplement, Nature's Secret, 90 SoftGels,
Essential Fatty Acids For Baby & Children, Organic, 8 fl oz.,Liquid Liver Extract
(Enzymatic Therapy)As directed on label. Helps to prevent anemia and supplies necessary B vitamins in natural form. Multi-Vitamin & Mineral Complex As directed on label. To replace lost nutrients. Minerals are the key to protein and vitamin utilization. Use a high potency formula.
Super Multi-Vitamin & Multi-Mineral, Pure Vital Earth, 32 fl. oz. (98% Bio-Available for Absorption),
Damage Control Master Formula, High Potency, Multi-Vitamin & Mineral, 60 Packets (30 Day Supply)
Plus
Carotenoid ComplexAs directed on label. Important antioxidants. Use a powdered form, if available that is yeast- and allergen-free.
Multi-Carotene Antioxidant, Nature's Way, 60 Softgels,Proteolytic Enzymes As directed on label 3-6 times daily. Take with meals and between meals. Needed for protein digestion and breakdown of carbohydrates.
MetabolicZyme (Hypoallergenic), Allergy Research Group / Nutricology, 900 Tabs,
Plant Enzymes, NOW Foods, Vegetarian, 120 VCaps,
Enzymes, All Complete, 250 mg, 90 CapsWith
Pancreatin
And
BromelainAs directed on label 2-3 times daily, between meals and at bedtime. To aid protein digestion and reduce inflammation.
Pancreatin 4X, NOW Foods, 500 mg, 100 Caps,
Bromelain 2000 GDU Supplement, NOW Foods, 500 mg, 90 TabsZinc 1 15-mg lozenge 3 times daily for 1 month. Do not exceed a total of 100 mg daily from all supplements. Aids in the manufacture of digestive enzymes and in protein uptake.
Zinc Ionic Mineral Supplement, Fully Absorbable, 100 +/- ppm, 16 fl. oz.,
Colloidal Silver & Zinc Lozenges, Silva Solution, 90 Lozenges,
Zinc Lozenges W/ Echinacea & Vitamin C, Nature's Way, 23 mg, 60 Lozenges,
Zinc (Chelated), 100% Natural, Nature's Way, 30 mg, 100 CapsCopper 3 mg daily. Needed to balance with zinc.
Copper Ionic Mineral Supplement, Fully Absorbable, 50 +/- ppm, 16 fl. oz.,
MALABSORPTION / MALNUTRITION SYNDROME SUPPLEMENTS
Information, supplements and products for malnutrition and malabsorption, a condition that results in failure of the body to properly absorb vitamins, minerals, and other nutrients from food.
Alive! Whole Food Energizer, Multi-Vitamin & Mineral With Naturally Occurring Iron (No Iron Added), Nature's Way, 90 Tablets
No other supplement contains more life-giving nutrients than Nature's Way Alive Multi-Vitamin. Alive Multi-Vitamin is better absorbed into your blood stream because its tablets disintegrate up to 5X faster than other leading brands.Alive! Whole Food Energizer, Multi-Vitamin & Mineral With 18 mg Iron Added, Nature's Way, 90 Tablets
No other supplement contains more life-giving nutrients than Nature's Way Alive Multi-Vitamin. Alive Multi-Vitamin is better absorbed into your blood stream because its tablets disintegrate up to 5X faster than other leading brands.Crazy Makers: How The Food Industry Is Destroying Our Brains & Harming Our Children By Carol Simontacchi, C.C.N., M.S.
Examining the relationship of diet to changing levels of chemicals in the brain, this book offers nutritional primers, solutions and recipes to stop the damage.Digestion Enzymes, Liquid Gel, Nature's Secret, 60 Softgels
Nature's Secret has once again set a new standard for intestinal health with the world's first digestive enzyme in a liquid gel cap. Liquid-Gel Digestion Enzymes helps soothe the stomach and fuel the digestive system.Digestion Essentials Ultimate Digestion Formula, Peter Gillham's Natural Vitality, 120 Tablets
Digestion Essentials is a superior formulation of digestive enzymes along with digestive acids. Digestion is a vital process necessary for the breakdown and absorption of nutrients needed for basic health.Enzymes, All Complete, 250 mg, 90 Caps
All Complete Enzymes, dietary supplement, is an important combination of critical enzymes that help support normal digestive function, cholesterol levels, fat metabolism and more, all in one convenient tablet.Haritaki Detoxification & Rejuvenation, Banyan Botanicals, 90 Tabs
As a natural laxative and purgative, Haritaki removes undigested food and accumulated toxins from the gastrointestinal tract. It strengthens and nourishes the tissues and supports proper function of the colon, lungs, liver and spleen.Lactobacillus Acidophilus Supplement, Non-Dairy, 100 Caps
Lactobacillus Acidophilus Supplement taken as a dietary supplement may help to detoxify and to rebuild a balanced intestinal flora.Lecithin Fine Vegetarian Granules, NOW Foods, 97% Phosphatides, Pure & Fresh, 1 lb.
Contains Choline & Inositol which are essential for the breakdown of fats and cholesterol. It helps prevent arterial congestion, helps distribute bodyweight, increases immunity to virus infections, cleans the liver and purifies the kidneys.Multi-Vitamin & Multi-Mineral, Baby & Children's Liquid, Childlife, 8 fl. oz.
Children's liquid Multi-Vitamin & Multi-Mineral formula provides the optimal dosage of all the essential vitamins and minerals with trace elements for infants and children of all ages and it tastes great!Primadophilus Bifidobacterium For Children, Powder, Freeze Dried & Refrigerated, Nature's Way, 5 oz.
Primadophilus powder for children is designed to deliver helpful bacteria to the gut. These microorganism strains are essential to maintaining healthy intestinal flora. Other medications taken to combat illness or infection can reduce the number of beneficial bacteria as an unwanted side effect.Primadophilus For Kids, Cherry, Nature's Way, 30 Chewable Tabs
Under normal conditions, trillions of bacteria exist in the intestines. As part of the body's defenses they help maintain good health by preventing harmful microorganisms from infiltrating the body. Medications taken to combat illness or infection can reduce the number of beneficial bacteria as an unwanted side effect.Primadophilus For Kids, Orange, Nature's Way, 30 Chewable Tabs
Designed specifically with children age 2-12 in mind, Primadophilus for Kids chewable tablets contain a special blend of Bifidobacterium longum, Lactobacillus acidophilus and Lactobacillus rhamnosus.Primadophilus Lactobacillus, Nature's Way, 290 mg, 180 VCaps
Original True Potency is designed to deliver helpful bacteria to the gut. These Lactobacillus microorganism strains are essential to maintaining healthy intestinal flora.Primadophilus Reuteri, Nature's Way, 90 VCaps
Primadophilus stimulates gastrointestinal epithelial cell development and improves intestinal cell structure leading to more efficient nutrient uptake, enhanced physical growth and overall better health.Spirulina (Blue Green Algae) Tincture, 2 fl. oz.
Spirulina is rich in chlorophyll, beta carotene, vitamins (including Vitamin B-12), minerals, amino acids, DNA, RNA, and enzymes.Super Digestive Enzymes, 90 Caps
Super Digestive Enzymes contain a complete and balanced digestive enzyme formula.Trikatu Appetite & Digestive Stimulant, Banyan Botanicals, 90 Tabs
Trikatu literally means "three pungents," as it contains the herbs ginger, black pepper and pippali. The powerful heating quality of this combination is traditionally used to enkindle the digestive fire and to effectively burn kapha, fat and toxins. Trikatu supports healthy metabolism, allowing nutrients to be properly digested and assimilated, thus aiding in weight management.Triphala Balancing Formula For Detoxification & Rejuvenation, Banyan Botanicals, 90 Tabs
Triphala is recommended and used more than any other Ayurvedic herbal formulation. Popular for its unique ability to gently cleanse and detoxify the system while simultaneously replenishing and nourishing it, this traditional formula supports the proper functions of the digestive, circulatory, respiratory and genitourinary systems.Triphala Guggulu Metabolic Function, Banyan Botanicals, 90 Tabs
Triphala Guggulu effectively decongests the channels of the body and scrapes away toxins held within the tissues. It is particularly useful for weight management as it enkindles the digestive fire, promotes healthy metabolism and releases excess kapha from the system. Used preventively, Triphala Guggulu minimizes the accumulation of toxins in the GI tract, blood and joints by supporting proper digestion and elimination.Vitamin B-50 Complex With B-2 Coenzyme, 100% Natural, 330 mg, 100 Caps
B Vitamins, as found in a Vitamin B Complex, are precursors of coenzymes involved in the conversion of cellular energy, manufacture of hormones and proteins, and repair and maintenance of nerve structures.Vitamin C 1000 With Bioflavonoids, Nature's Way, 100% Natural, 1000 mg, 250 VCaps
Nature's Way Vitamin C with Bioflavonoids provides antioxidant protection for many of the body's important enzyme systems.
HerbalRemedies: Malnutrition / Malabsorption Information
HerbalRemedies: Malnutrition / Malabsorption Supplements & Products
NOTIFY YOUR MIDWIFE OR HEALTH CARE PROVIDER IF...
You have any symptoms or an increase of symptoms or other signs of malnutrition or have health conditions that cause malabsorption problems.
You have any unexpected or unusual symptoms. Some people may have sensitivity, allergies, or other health conditions which would prevent them from using certain herbs or other treatments.
For a full list of available products from Mountain Rose Herbs, click on banner below:
HELPFUL PRODUCTS & FURTHER EDUCATION
Prescription for Nutritional Healing: The A-To-Z Guide To Supplements
-- by Phyllis A. Balch, James F. Balch - 2nd Edition
Prescription for Nutritional Healing: The A-To-Z Guide To Supplements
-- by Phyllis A. Balch, James F. Balch - 4th Edition
Prescription for Herbal Healing: The A-To-Z Reference To Common Disorders
-- by Phyllis A. Balch
The Complete Guide to Natural Healing
If you see a suggested Amazon product "not there" as indicated by an orange box with the Amazon logo, this only means the specific product link has been changed by Amazon.com. Use the "click here" icon on the orange box and it will bring you to Amazon.com and you can do a search for a specific product using keywords and a new list of available products and prices will show. Their product and resource links are constantly changing and being upgraded. Many times there are more than one link to a specific product. Prices will vary between product distributors so it pays to shop around and do price comparisons.
Educational materials and health products are available through Amazon.com. Use the search box provided below to search for a particular item.
HERBS, OILS, & SUPPLIES
Mountain Rose Bulk Herbs
Mountain Rose Aromatherapy Oils
Click Here To Visit Herbal Remedies Product Page
A Source For Medicinal & Ritual Herbs & Supplies
Aphrodisiacs Aromatherapy Bath & Body Care Bulk Herbs By The Pound Capsules, Tablets & Extracts Chinese Herbals Electronics Extracts First Aid Products Food Products, Mixes, Seeds, Snacks & More! Hair Care Products & Supplies Herbs & Oils, Kilo & Ton Hydroponics & Gardening Kava Products Kitchen & Housewares Mushrooms Musical Instruments Oral Care & Dental Products PC & IT - Computer Supplies & Assessories Skin Care, Cosmetics, & Gift Sets Smokes, Seeds, Cacti Spices, Salts, Sweeteners, & Seasonings Sports, Toys & Games Sweets, Candy, Chips & Snacks Stimulants Sedatives Teas & Coffees
Shaman Shop Home Page
