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MoonDragon's ObGyn Health Information
ANOREXIA NERVOSA


Karen Carpenter

This webpage is dedicated to
And in Memory of
Karen Carpenter
March 2, 1950 - February 4, 1983
(See story at bottom of this page.)


For "Informational Use Only".
For more detailed information, contact your health care provider
about options that may be available for your specific situation.




BASIC INFORMATION


Anorexia Nervosa


DESCRIPTION

The term anorexia nervosa was first coined in 1988. A physician writing in the British medical journal, The Lancet, used the term to describe people who, although thin and weak, insisted that they needed to lose weight and would not eat a sufficient amount of food to remain alive.

Anorexia Nervosa is a psychological eating disorder in which a person refuses to eat adequately in spite of hunger and loses enough weight to become emaciated, even to the point of starvation. The person eats very little, and refuses to stop dieting after a reasonable weight loss. The body perception is distorted; person sees self as "fat" when she or he is at normal weight or emaciated. Anorexia nervosa primarily affects adolescent, teenage and young adult females and occasionally young men. Ninety-five percent of the people who suffer from this disorder are female. 1 to 2 percent of the female population between the ages of 12 and 18 is affected by this disorder.

An estimated 8 million Americans (7 million women and 1 million men) struggle with anorexia, according to the National Association of Anorexia Nervosa and Associated Diseases (ANAD). Eating disorders are not limited to teenage girls. Women aged 40 and older are also susceptible. Health care providers suspect that low levels of serotonin, a neurotransmitter, may be the cause, producing psychological problems linked to anorexia and bulimia.

Some people with anorexia just quit eating; some make themselves vomit immediately after eating, some take laxatives after eating; and some do all three. While most people with anorexia have normal feelings of hunger at the onset of the disease, they teach themselves to ignore them. Despite their refusal to eat, people with anorexia often become obsessed with food, and may spend hours fantasizing about it, reading recipes, or even preparing elaborate meals for others.

Another characteristic feature of the disorders is that people with anorexia usually deny that there is anything wrong, but say that they simply "are not hungry" and even insist that they need to lose more weight.

Many females who are anorexic are also bulimic. Bulimia nervosa is defined as the consumption of extremely large quantities of food in short periods of time (binge eating), followed by self-induced vomiting or the use of either diuretics or cathartics (purging). If anorexia and bulimia occur in the same individual, the disorder is called bulimarexia.

Anorexia Nervosa in the Fashion Industry


Initially anorexia was thought to be strictly a psychological problem. However, in the last few years medical scientists and nutritionists have identified several physical components as well. For example, people with eating disorders have been found to have chemical imbalances similar to those found in individuals with clinical depression. Some cases of anorexia have been found to be caused by severe zinc deficiency.

As researchers have become increasingly aware of the physiological elements of anorexia, the psychological ones continue to be important. Teasing by peers or parents can play a role in making individuals obsessed with the idea that they are fat. In addition, many people who suffer from anorexia display great fear at the prospect of growing up, and girls often have difficult mother/daughter relationships. Some may try to live up to images their parents set for them, but feel inadequate - that they are not as beautiful or intelligent as their parents want them to be. A girl with anorexia may then develop an inferiority complex, seeing herself as fat and/or ugly, and no amount of common sense or persuasion can alter her distorted mental image.

About 30 percent of all people with anorexia struggle with the disorder all their lives. Another 30 percent have at least one life-threatening bout with it, while the remaining 40 percent outgrow it. Even if an individual recovers fully from the acute phase of the disorder, serious damage may have been done to the body.

MoonDragon's ObGyn Health Information: Bulimia





Anorexia Nervosa


FREQUENT SIGNS & SYMPTOMS

  • Weight loss of at least 25 percent of body weight without physical illness.


  • High energy level, extreme over-activity and an obsession with working out despite body wasting.


  • Intense fear of obesity (being fat) that never goes away, no matter how thin the individual becomes.


  • Depression. Deep feelings of shame.


  • Problems with drug and/or alcohol abuse. These include use of diet pills, laxatives, and many other drugs that assist the person with their need to loose weight.


  • Appetite loss.


  • Constipation.


  • Cold intolerance.


  • Refusal to maintain a minimum standard weight for age and height.


  • Distorted and negative body image. The person continues to feel fat even when emaciated.


  • Cessation of menstrual periods.


  • Typically appears during adolescence. The incidence of eating disorders, particularly among young women in the United States, has escalated dramatically during the last decade.





  • CAUSES

    Unknown. Suggested psychological causes of anorexia include:
    • Family and internal conflicts (sexual conflicts and gender issues).


    • Phobia about putting on weight.


    • Society's exaggerated ideals of slenderness and self-image.


    • Changes in fashion in USA (being slim is identified with beauty).


    • A symptom of depression or personality disorder.

    Some researchers believe that neurotransmitters - such as dopamine, serotonin, norepinephrine, and the enogenous opioids - play a role in anorexia.





    Anorexia Nervosa - Fashion Models


    RISK INCREASES WITH

  • Peer pressure to be thin.


  • History of slight overweight.


  • Perfectionist, compulsive or over-achieving personalities.


  • Low self-esteem.


  • Stress due to multiple responsibilities, tight schedules.


  • Ballet dancers, models, cheerleaders, and athletes.





  • loss of subcutaneous fatty tissue


    PREVENTIVE MEASURES

  • Confront personal problems realistically. Try to correct or cope with problems, such as stress, with the help of counselors, therapists, family and friends.


  • Develop a rational attitude about weight.





  • EXPECTED OUTCOME

  • Treatable if the patient recognizes the emotional disturbance, wants help and cooperates in treatment.


  • Starvation tends to increase feelings of depression, anxiety, irritability, and anger. It may take up to a year or more for a person recovering from anorexia to improve his or her body image, to establish normal eating patterns, and to reverse the effects of starvation on mood and behavior.


  • Without treatment, this can cause permanent disability and death. Persons with anorexia nervosa have a high rate of attempted suicide due to low self-esteem.





  • POSSIBLE COMPLICATIONS

  • Chronic anorexia nervosa caused by patient's resistance to treatment.


  • Underweight with extreme weakness & dizziness.


  • Cessation of menstruation. Infertility.


  • Swelling of the neck, ulcers, and erosion of the esophagus, erosion of the enamel of the back teeth from repeated vomiting.


  • Broken blood vessels in the face.


  • Low pulse rate and blood pressure.


  • In some extreme cases, spoons or sticks used to induce vomiting have become stuck in the digestive tract and have had to be surgically removed.


  • Eventually, if anorexic behavior continues long enough, classic complications associated with starvation appear.


  • SYSTEMIC PHYSIOLOGICAL CHANGES

  • Thyroid dysfunction.


  • Irregularity in the secretion of the growth hormone and the hormone cortisol, gonadotropin, and vasopressin.


  • Electrolyte disturbances brought on by insufficient potassium and sodium levels cause dehydration, muscle spasms, and ultimately cardiac arrest.


  • If laxatives are used, these further deplete the body of potassium. Hypokalemia (potassium deficiency) is a major problem with anorexia. Chronic hypokalemia can cause a irregular heartbeat, which can lead to heart failure and death.


  • Osteoporosis.


  • Suicide.




  • Anorexia Affects Your Whole Body


    TREATMENT


    GENERAL MEASURES

  • If an individual shows any of the signs of anorexia, he or she should be seen by a health care provider specializing in eating disorders and who can effectively work with the complex of physical and psychological elements involved. Organic causes for weight loss must be ruled out, and any physical problems arising from weight loss and malnutrition must be addressed. Some type of specialized counseling, such as psychotherapy, in addition to nutritional counseling, is usually necessary for recovery. There are many therapists and clinics specializing in eating disorders. Unfortunately, anorexics may refuse to recognize their condition as a problem and refuse help. Once help is obtained, attention to nutrition, herbal remedies, acupressure and relaxation techniques contribute to recovery.


  • Body Mass Index (BMI)
    BODY MASS INDEX


    Many experts use the Body Mass Index (BMI), a measure of body weight in kilograms against height in meters, to gauge appropriate body size. To determine your BMI: Find your metric weight by taking your weight in pounds and dividing it by 2.2; find your metric height by dividing your height in inches by 39.5; square your metric height; finally divide your metric weight by your squared height. The result is your BMI. For women, a BMI of 21-22 is considered normal; for men, 22-24. A BMI of 18 or less indicates undernourishment.


  • The goal of treatment is for the patient to establish healthy eating patterns to help regain normal weight. The patient can accomplish this with behavior-modification training supervised by qualified professionals.


  • Treatment can usually be done on an outpatient basis.


  • Psychotherapy or counseling for the patient and family. The self-esteem problems typical of those with anorexia often begin at an early age. A child that is told that she is stupid, worthless, fat, ugly, and/or unlovable is likely to come to believe it. In addition, recent research has shown that many (if not most) American girls undergo a severe loss of self-esteem in early adolescence, the very time that eating disorders are most likely to occur.


  • If you have problems with anorexia, you should look at your level of self-esteem. Women with low self-esteem tend to engage in self-destructive behaviors such as entering into abusive relationships, compulsive sexual behavior, and eating disorders. Cultivate relationships with people who make you feel important. These people need to be admiring and encouraging of your accomplishments and interests. As much as possible, remove from your life anything and anyone who makes you feel "put-down," and consider counseling to help you learn to cope with those negative situations you cannot avoid.

  • Hospitalization during crises for intravenous or tube feeding of nutrients, potassium and multi-vitamins to correct electrolyte imbalance, or if patient is suicidal. Zinc, whether as a part of the diet or in supplemental form, has been successful in helping many individuals with anorexia to regain their normal appetite and weight.


  • Anorexic self-Image In Mirror


  • Therapy may continue over several years. Relapses are common, especially when stressful situations occur. Starvation tends to increase feelings of depression, anxiety, irritability, and anger. It may take up to a year or more for a person recovering from anorexia to improve his or her body image, to replenish normal eating patterns, and to reverse effects of starvation on mood and behavior.


  • Additional information available from:

    Anorexia Nervosa & Related Eating Disorders (ANRED)
    P.O. Box 5102
    Eugene, OR 97405
    (503) 344-1144
    ANRED Website

    Anorexia Nervosa & Associated Disorders (ANAD)
    Box 7
    Highland Park, IL 60035
    (708) 831-3438
    ANAD Website

    American Anorexia/Bulimia Association (AABA)
    293 Central Park West, Suite 1R
    New York, NY 10024
    (212) 501-8351
    AABA Website

    Institute for Contemporary Psychotherapy: Center for the Study of Anorexia and Bulimia
    1841 Broadway, 4th Floor
    New York, NY 10023
    (212) 333-3444
    Center for the Study of Anorexia & Bulimia (CSAB)

    National Eating Disorders Organization (NEDO)
    445 East Granville Road
    Worthington, OH 43085-3195
    (614) 436-1112

    National Eating Disorders Association (NEDA)
    (Formerly National Eating Disorders Organization [NEDO])
    (Formerly Eating Disorders & Prevention, Inc. [EDAP])
    603 Stewart Street, Suite 803
    Seattle, WA 98101
    (206) 382-3587 Ext 10
    (206) 829-8501 Fax
    Information & Referral Helpline: 1-800-931-2237
    Website: www.nationaleatingdisorders.org





    MEDICATION

  • Lithium or other antidepressants, or anti-anxiety medications may be prescribed on a temporary basis.





  • PSYCHOTHERAPY

    INDIVIDUAL PSYCHOTHERAPY

    Together, therapist and patient attempt to understand and deal with the patient's self-image, self-esteem, behavior patterns, sexual identity and emotional conflicts that directly contribute to the anorexic mind-set and behavior. Immediate or chronic problems of depression, anxiety and self-loathing should be identified.

    FAMILY THERAPY

    Family therapy can be especially important when the anorexic is an adolescent still living at home. It can help all family members see and begin to alter the dynamics that contribute to the problems. Parental pressure to succeed, lack of parental attention and constant criticism may all be factors; so can messages that only the adorable "little girl", but not the growing young woman, is lovable. The anorexic's role in the family system must also be looked at. The emphasis is not on blame but on reorienting patterns of interfacing.



    EXTRA TIP


    Participating in an eating-disorders support group can provide ongoing encouragement and offset feelings of isolation.







    ACTIVITY

  • Increase activity as weight is gained back.





  • DIET, HERBAL SUPPLEMENTS & NUTRIENTS

  • To help an anorexic to begin to eat nutritiously, soups, "smoothies", fresh juices, and other liquid foods are good choices, since they are easy to digest. It is also much easier physically and psychologically for the anorexic to eat many small but healthful, high-calorie meals than to eat 3 large meals.


  • Controlling your blood sugar level is very important. To keep you blood sugar levels in balance, eat several small high protein snacks.


  • An impaired digestive system is associated with anorexia. To help improve your digestion, eat slowly and chew each bite thoroughly.


  • While a controlled diet program and a normal eating pattern is being established, eat a well-balanced diet that is high in fiber. Eat plenty of fresh raw fruits and vegetables. These foods are cleansing to the system. When the body is cleansed, the appetite tends to return to normal.


  • Be sure to eat adequate amounts of healthy protein foods, such as fish and soy protein. Quality protein is important for repairing body tissues and restoring lost muscle mass.


  • Multivitamins and other supplements can combat the deficiencies associated with malnutrition.


  • Consume no sugar, and avoid white flour products.


  • Avoid fatty, spicy or highly salted foods as they can overtax a sensitive stomach and create aversions.


  • Avoid processed and junk foods. The additives these foods contain tend to add to the aversion to eating. Avoid all alcohol and caffeine.


  • Vitamin and mineral supplements may be prescribed. To be certain you are receiving a good balance of all the nutrients you need, consult a nutritionist. The advice of a qualified professional can be very valuable.


  • MoonDragon's Nutrition Information Index: Nutritional Therapy & Dietary Guidelines

    MoonDragon's Health & Wellness: Underweight & weight Loss





    stress relief for management of anorexia


    RELAXATION TO MANAGE STRESS

    Learning relaxation techniques, such as yoga, meditation and deep breathing, can help anorexics manage their high levels of stress, their disappointments and their fears. Such techniques make working through obstacles less daunting.

    MoonDragon's ObGyn Health Information: Stress

    MoonDragon's Health & Wellness: Anxiety Disorder

    MoonDragon's Health Therapy: Relaxation

    MoonDragon's Health Therapy: Meditation

    MoonDragon's Health Therapy: Massage





    ACUPRESSURE

    Acupressure can activate the appetite by stimulating appropriate pressure points. About 20 minutes before each meal, gently press the point halfway between the navel and the sternum for about 3 minutes. Acupressure on the little finger is effective as well. Press strongly for about 5 minutes on the point where the nail bed begins.

    MoonDragon's Health Therapy: Acupressure





    HERBS

    Psychotherapy is usually recommended, but appetite-stimulating herbs and acupressure can support treatment and help anorexics learn to eat again.

    MEDICINAL TEAS

    This herbal blend stimulates the appetite.

    1 ounce Dandelion
    1 ounce Centaury
    1 ounce Licorice
    1 ounce Peppermint Leaves

    Pour 1 cup of boiling water over 1 teaspoon of the tea. Steep covered for 10 minutes. Strain. Drink 1 cup just before meals.

  • Astragalus helps improve digestion, enhances energy production, and ease feeling of fatigue. Astragalus may be combined with a variety of herbs, including Siberian Ginseng (Eleuthero Root), Cordyceps, and Codonopsis. Clinically, Cordyceps is used to build and support immune function in various immune compromised conditions including chronic fatigue, cancer, and respiratory conditions. If fatigue is a problem, take an Astragalus combination formula as recommended on the product label.


  • Herbal Remedies: Astragalus Immunity Herbal Tea, 20 Tea Bags

    Herbal Remedies: Astragalus Root Powder (Astragalus Membranaceus), 4 oz. Bulk

    Herbal Remedies: Astragalus Extract, Standardized 0.5% Astragalosides, Nature's Way, 60 VCaps

    Herbal Remedies: Astragalus Root Tincture, 100% Organic, 2 fl. oz.

    Herbal Remedies: Astragalus, Echinacea & Reishi Immune Support Supplement, Nature's Way, 400 mg, 100 Caps

    Herbal Remedies: Astragalus Root, Nature's Way, 470 mg, 180 VCaps

    Herbal Remedies: Cordyceps Cs-4, 400 mg, 90 VCaps

    Herbal Remedies: Cordyceps, Standardized 10% Cordycepic Acid, Nature's Way, 60 VCaps

    Herbal Remedies: Ultimate Energy, Ephedra & Caffeine Free, Nature's Secret, 100% Natural, 50 Tabs
    New Ultimate Energy assists the body's natural ability to endure rigorous exercise, enhance mental stamina, and abate the effects of stress. Ultimate Energy contains a highly potent mix of Panax Ginseng, Eleuthero, American Ginseng, and Tienchi Ginseng. Blended with traditional Chinese herbs, the combination of these ginsengs reinforces the body's natural defenses while supporting the body's own ability to demonstrate improved vitality and endurance, without artificial stimulants or caffeine. This product is 100 percent natural. It contains no sugar, yeast, artificial color or preservatives. It contains only the highest quality, most effective, standardized extracts available. It is been manufactured under strict quality controls to ensure equal dosage of ingredients in every tablet. This formula contains 55 mg Calcium (as carbonate) and a proprietary blend, 475 mg, of Panax Ginseng extract (root), Codonopsis Pilosula (root), Eucommia Ulmoides (bark), Eleuthero (root), American Ginseng extract (root), Astragalus (root), Tienchi Ginseng (root), Fo-Ti (root), Bupleurum Chinese (root), Gotu Kola (herb), Licorice (root), Orange (peel), Bioperene black pepper extract (fruit)

  • Bupleurum and Dong Quai is a 2,000 year old Chinese formula that improves the utilization of nutrients and helps relax the nervous system. Take 1,000 mg of a bupleurum and dong quai combination formula two or three times daily for two weeks out of every month.


  • Shaman Shop: Dong Quai & Bupleurum Formula, Sun Ten Pharmaceuticals, Granules, 100 grams

  • Kava Kava helps relax the nervous system. It is most helpful during the first six to eight weeks of recovery, especially if anxiety is an issue. Choose a product containing 30 percent kavalactones and take 200 mg twice a day. Note: In excess amounts, this herb can cause drowsiness. Do not exceed the recommended dose. Do not use kava kava if you are pregnant or nursing, if you have Parkinson's disease, or if you are taking a prescription medication for depression for depression or anxiety.


  • Herbal Remedies: Kava Kava Root Extract, Standardized to 30% Kavalactones, NOW Foods, 250 mg, 120 Caps

    Herbal Remedies: Kava Kava Root, Maximum Strength, Standardized to 90% Kavalactones, 175 mg, 60 Caps

    Herbal Remedies: Kava Kava Root Powder (Piper Methysticum), 4 oz. Bulk

    Herbal Remedies: Kava Kava Extract Tincture, Herbal Remedies USA, 2 fl. oz.

  • To combat blood sugar swings, take a cup of Licorice tea once or twice a day for the first week of therapy. Note: Do not take licorice on a daily basis for more than five days in a row, as it can elevate blood pressure. Do not take it at all if you have high blood pressure.


  • Herbal Remedies: Licorice Root Powder (Glycyrrhiza Glabra), 4 oz. Bulk

    Herbal Remedies: Egyptian Licorice Tea, Yogi Tea, Certified Organic, 16 Tea Bags

    Herbal Remedies: Egyptian Licorice Mint Tea, Yogi Tea, Certified Organic, Caffeine Free, 16 Tea Bags

    Herbal Remedies: Licorice Extract Tincture, Herbal Remedies USA, 2 fl. oz.

    Herbal Remedies: DGL (De-Glycyrrhizinated Licorice) Extract, Now Foods, 400 mg, 100 Lozenges

  • Although some forms of Ginseng are too strong for people with anorexia, Siberian Ginseng (Elethero Root) is a tonic herb that will increase energy levels gently. Choose a standardized extract containing 0.5 percent eleutheroside E and take 100 mg in the morning and again in the afternoon.


  • Herbal Remedies: Siberian Eleuthero Ginseng Root Extract, Standardized, Nature's Way, 485 mg, 60 Caps

    Herbal Remedies: B-Stress Vitamin Complex With Siberian Eleuthero, Nature's Way, 100 Caps

    Herbal Remedies: Siberian Ginseng Eleuthero Vascutone Tea, Wild Siberian Ginseng, 20 Tea Bags

    Herbal Remedies: Siberian Eleuthero Root, Nature's Way, 410 mg, 100 Caps

  • To rebuild the liver and cleanse the bloodstream, use Dandelion, Milk Thistle, Red Clover, and Wild Yam.


  • Herbal Remedies: Dandelion Root Tincture, 100% Organic, 2 fl. oz.

    Herbal Remedies: Dandelion Root Tincture, 100% Organic, 8 fl. oz.

    Herbal Remedies: Dandelion Root, Nature's Way, 540 mg, 180 VCaps

    Herbal Remedies: Milk Thistle Seed Tincture, 100% Organic, 2 fl. oz.

    Herbal Remedies: Thisilyn Milk Thistle Extract, Nature's Way, 175 mg, 100 VCaps

    Herbal Remedies: Milk Thistle (Silybum marianum silymarin) Standardized Extract, Nature's Way, 175 mg, 60 VCaps

    Herbal Remedies: Red Clover Blossoms & Herb, Nature's Way, 500 mg, 100 Caps

    Herbal Remedies: Red Clover Tincture, 100% Organic, 2 fl. oz.

    Herbal Remedies: Wild Yam Tincture, Alternative Health & Herbs, 2 oz.

    Herbal Remedies: Wild Yam Root, Certified, 425 mg, 180 Caps

  • The following herbs are appetite stimulants: Ginger Root, Ginseng, Gotu Kola, and Peppermint. Caution: Do not use ginseng if you have high blood pressure.


  • Herbal Remedies: Ginger Root Tincture, 100% Organic, 2 fl. oz.

    Herbal Remedies: Ginger Root, Nature's Way, 550 mg, 180 Caps

    Herbal Remedies: Truman's Ginseng Power + 6 Tincture, 100% Organic, 2 fl. oz.

    Herbal Remedies: Panax Ginseng (Korean Ginseng) Herbal Tea, 20 Tea Bags

    Herbal Remedies: Red Panax Ginseng, Ultra Strength, 10 ml vials, 30 Vials

    Herbal Remedies: Gotu Kola Tincture, 100% Organic, 2 fl. oz.

    Herbal Remedies: Gotu Kola, Nature's Way, 475 mg, 180 Caps

    Herbal Remedies: Peppermint Oil (Mentha piperita), NOW Foods, 100% Pure Essential Oil, 4 fl. oz.

    Herbal Remedies: Pepogest Peppermint Oil, Enteric Coated, Nature's Way, 60 Softgels

  • St. John's Wort and Kava Kava calm the nervous system and help prevent depression.


  • Herbal Remedies: Kira St. John's Wort, Kwai, 45 Tabs

    Herbal Remedies: St. John's Wort Herbal Tea, 20 Tea Bags

    Herbal Remedies: St. John's Wort Tea, Caffeine Free, Yogi Tea, 16 Bags

    Herbal Remedies: St. John's Wort, Perika, 300 mg, 60 Tabs

    Herbal Remedies: St. John's Wort Tincture, Alcohol Free, 1 fl. oz.

    Herbal Remedies: St. John's Wort Supplement Tincture, 2 oz.

    Herbal Remedies: St. John's Wort Supplement, 350 mg, 180 Caps

    Herbal Remedies: St. John's Wort Extract Standardized, 300 mg, 90 Caps

    Herbal Remedies: Kava Kava Root Extract, Standardized to 30% Kavalactones, NOW Foods, 250 mg, 120 Caps

    Herbal Remedies: Kava Kava Root, Maximum Strength, Standardized to 90% Kavalactones, 175 mg, 60 Caps

    Herbal Remedies: Kava Kava Root Powder (Piper Methysticum), 4 oz. Bulk

    Herbal Remedies: Kava Kava Extract Tincture, Herbal Remedies USA, 2 fl. oz.





    NUTRIENTS
    Supplement Suggested Dosage Comments
    Very Important
    Multi-Vitamin & Mineral Complex As directed on label or by health care provider. All nutrients are needed in extremely high doses because of they are passed through the GI tract rapidly and are poorly assimilated due to malabsorption problems.
    Alive! Whole Food Energizer, Multi-Vitamin with Minerals, Naturally Occurring Iron (No Iron Added), Nature's Way, 180 Tabs,
    Alive! Whole Food Energizer, Liquid Multi-Vitamin with Minerals, Citrus Flavor, Nature's Way, 30 oz.,
    Multi-Vitamin With Minerals, Hi-Tech, 90 Tabs,
    Liquid Multi-Vitamin & Mineral Complex With Trace Minerals, Orange Mango, 32 fl. oz.,
    Liquid Multi-Vitamin & Mineral Complex With Trace Minerals, Strawberry Raspberry, 32 fl. oz.,
    Multi-Vitamin & Mineral, Complete, Trace Minerals, 120 Tabs,
    Super Multi-Vitamin & Multi-Mineral, Pure Vital Earth, 98% Bio-Available For Absorption, 32 fl. oz.,
    Once Daily Multi-Vitamin With Iron, All Natural, Lactose Free, Nature's Way, 100 Tabs,
    Damage Control Master Formula, High Potency Multi-Vitamin, 60 Packets,
    Multi-Vitamin / Multi-Mineral Supplements
    Vitamin A 10,000 IU daily. If you are pregnant, do not exceed 10,000 IU daily. Needed for tissue repair and immune function. Antioxidants enhance immunity and aid in fat storage.
    Vitamin A, 100% Natural, Nature's Way, 10,000 IU, 100 Softgels,
    Vitamin A, Fish Liver Oil, NOW Foods, 25,000 IU, 250 Softgels,
    Dry Vitamin A & D, Nature's Way, 15,000 IU / 400 IU, 100 Caps,
    Shark Liver Oil, NOW Foods, 400 mg With 10,000 IU Vitamin A, 120 Softgels
    Plus
    Natural Beta-Carotene
    With
    Carotenoid Complex (Betatene)
    As directed on label. An antioxidant and precursor of vitamin A. Needed by all cells for repair and rebuilding. Enhances natural killer cell activity. Essential for protein utilization.
    Beta Carotene (Natural Dunaliella Salina), Nature's Way, 100% Natural, 25,000 IU, 100 Softgels,
    Multi-Carotene Antioxidant, Nature's Way, 60 Softgels
    Calcium

    And
    Magnesium
    Calcium: 1,500 mg daily.

    Magnesium: 1,000 mg daily.
    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. Magnesium ensures bowel regularity and also eases a stressed nervous system.
    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 Caps
    Potassium 99-200 mg daily. Needed for electrolyte balance.
    Potassium Ionic Mineral Supplement, Fully Absorbable, 340 +/- ppm, 16 fl. oz.,
    Potassium Chelate, 100% Natural, Nature's Way, 99 mg, 100 Caps,
    Potassium Chloride Powder, NOW Foods, Vegetarian, 8 oz.
    Selenium 200 mcg daily. Do not exceed a total daily intake of 800 mcg daily from all sources, including diet. If you are pregnant, do not exceed 40 mcg daily. Deficiency has been linked with heart disease. Destroys free radicals in the heart. Caution: Do not take supplemental selenium if you are pregnant or have heart, kidney, or liver disease.
    Selenium Supplement, Yeast Free, NOW Foods, 200 mcg, 180 Caps,
    Selenium Ionic Mineral Supplement, Fully Absorbable, 50 +/- ppm, 16 fl. oz.,
    Ionic Selenium, Trace Minerals, 300 mcg, 2 fl. oz.,
    Selenium, 100% Natural, Nature's way, 200 mcg, 100 Caps
    Chromium 200 mcg twice daily for 3 weeks, then reduce to a maintenance dosage of 200 mcg once daily. Helps to keep blood sugar level in balance during treatment.
    Chromium Ionic Mineral Supplement, Fully Absorbable, 50 +/- ppm, 16 fl. oz.,
    Ionic Chromium, Trace Minerals, 550 mcg, 2 fl. oz.,
    Tri-Chromium With Cinnamon, NOW Foods, 500 mcg, 90 VCaps,
    ChromeMate, Biologically Active, Niacin Bound Chromium Complex, NOW Foods, 180 Caps,
    Chromium Picolinate, NOW Foods, 200 mcg, 100 Caps
    Zinc Take a minimum of 25 mg twice daily to 80 mg daily. Do not exceed a total of 100 mg daily from all supplements. All enzymes important for increased appetite and taste require zinc and copper. Most people with anorexia have serious zinc deficiencies. Take zinc with food to prevent stomach upset. If you take more than 30 mg zinc daily for more than one or two months, be sure to take copper each day to maintain proper mineral balance.
    Zinc Ionic Mineral Supplement, Fully Absorbable, 100 +/- ppm, 16 fl. oz.,
    Ionic Zinc, Trace Minerals, 50 mg, 2 fl. oz.,
    Zinc (Chelated), 100% Natural, Nature's Way, 30 mg, 100 Caps
    Plus
    Copper
    3 mg daily. Zinc and copper work together to prevent copper deficiency.
    Copper Ionic Mineral Supplement, Fully Absorbable, 50 +/- ppm, 16 fl. oz.,
    Important
    Acidophilus As directed on label. Take on empty stomach so that it passes quickly into the small intestine. Needed to replace the "friendly" bacteria lost from use of laxatives and/or vomiting. To aid digestion. If troubled by constipation, take acidophilus. If chronic indigestion is troublesome, take bifidus.
    Acidophilus Powder, Non-Dairy, 4 oz. Bulk,
    Acidophilus, 3 Billion, NOW Foods, 90 Tabs,
    Lactobacillus Acidophilus, Kosher Liquid, All Natural, Vegetarian Medium, Lactose Free, Apple-Strawberry Flavor, 16 fl. oz., Dynamic Health,
    Lactobacillus Acidophilus Supplement, Non-Dairy, 100 Caps,
    Acidophilus & Bifidus, NOW Foods, 8 Billion, 60 Caps
    Free-Form Amino Acid Complex As directed on label. To supply easily assimilable protein, needed for tissue repair.
    Amino 1000 Complete, NOW Foods, 120 Caps,
    Amino 1500, Chewable Blend of 20 Amino Acids, Predigested, NOW Foods, 150 Tabs
    5-Hydroxy-L-Tryptophan (5-HTP) As directed on label. Aids in treating depression and nervousness.
    5-HTP Hydroxy Tryptophan, Vegetarian, NOW Foods, 100 mg, 120 VCaps,
    5-HTP With L-Tyrosine, NOW Foods, 200 mg, 60 VCaps,
    5-HTP Supplement / Hydroxy Tryptophan, Natural Serotonin, With Vitamin B-6 & C, Nature's Way, 50 mg, 60 Tabs
    Gamma-Aminobutyric Acid (GABA) As directed on label. Low levels of this amino acid have been found in people who suffer from anxiety and depression.
    GABA (Gamma Aminobutyric Acid) Supplement, NOW Foods, 500 mg, Plus Vitamin B-6, 2 mg, 100 Caps,
    GABA Powder (Gamma Aminobutyric Acid), 100% Pure, Vegetarian, NOW Foods, 500 mg, 6 oz.,
    GABA Calm, Sublingual, Orange Flavor, Source Naturals, 30 Tabs,
    True Calm, Amino Acid Relaxing Formula, NOW Foods, 90 Caps
    Or
    S-Adenosylmethionine (SAM-e)
    As directed on label. Aids in reducing stress and depression, providing a sense of well-being. Caution: Do not use if you have manic-depressive disorder or take prescription antidepressants.
    SAM-e, Enteric Coated, NOW Foods, 100 mg, 30 Tabs,
    SAM-e With Vitamin B Cofactors, Vegetarian, Enteric Coated, NOW Foods, 200 mg, 60 Tabs,
    SAM-e 2X, NOW Foods, 200 mg, 30 Tabs,
    SAM-e (S-Adenosyl-L-Methionine), Source Naturals, 400 mg, 30 Tabs,
    SAM-e, Nervous System Support, NOW Foods, 400 mg, 30 Tabs
    Liquid Kyolic
    With B-1 & B-12
    As directed on label. Helps reduce stress and anxiety.
    Kyolic Liquid Aged Garlic Extract, Cardiovascular, Vegetarian, Wakunaga, 4 fl. oz.,
    Vitamin B-1 / Thiamin HCl (Hydrochloric Acid), 100% Natural, 100 mg, 100 Caps,
    Vitamin B-12 Complex Liquid, NOW Foods, 2 fl. oz.,
    Multi-mineral complex As directed on label. Needed to replace lost minerals.
    Full Spectrum Mineral supplement, NOW Foods, Vegetarian, 250 Tabs,
    Multi-Mineral & Mineral Formulas
    Essential Fatty Acids
    (Primrose Oil, Flaxseed Oil, Ultimate Oil, Kyolic-EPA)
    As directed on label. A most important element in the diet. Necessary for a healthy immune system important for all body functions. Reduces inflammation in nerve cells. Speeds healing.
    Evening Primrose Oil With Gamma-Linolenic Acid (GLA), Barlean's, 1300 mg, 120 Softgels,
    Evening Primrose Oil, 100% Pure, NOW Foods, 4 fl. oz.,
    Evening Primrose Oil, Cold Pressed, Nature's Way, 1300 mg, 120 Softgels,
    Evening Primrose Oil, Cold Pressed, Nature's Way, 500 mg, 250 Softgels,
    Flax Oil, Highest Lignan, Organic, Barlean's, 8 fl. oz.,
    Flax Oil, Highest Lignan, Barlean's, 1000 mg, 250 Caps,
    Ultimate Oil, Essential Fatty Acids Supplement, Nature's Secret, 90 SoftGels,
    Essential Fatty Acids For Baby & Children, Organic, 8 fl oz.,
    Vitamin B Complex 100 mg 3 times daily. (Amounts of individual vitamins in a complex will vary). Helps to prevent anemia and replaces lost B vitamins. The B vitamins are important for proper brain functioning and help increase the appetite and help increase the appetite. Use a sublingual form, if available.
    Ultimate B Complex Formula, Nature's Secret, 60 Tabs,
    Liquid Yeast Vitamin B Complex, TwinLab, 16 fl. oz.,
    Vitamin B-50 Complex, W/Coenzyme B-2, 100% Natural, 330, 100 Capsules,
    Vitamin B-100 Complex, W/Coenzyme B-2, Nature's Way, 631 mg, 100 Caps
    Plus
    Vitamin B-12
    (Injections Recommended)
    As directed on label.

    1 cc 3 times weekly or as prescribed by a health care provider.
    Increases appetite; prevents loss of hair and damage to many bodily functions. If injections are not available use a sublingual or lozenge form.
    Vitamin B-12, California Natural, 1000 mcg, 60 Tabs,
    Vitamin B-12 LipoSpray, NOW Foods, 2 oz.,
    Vitamin B-12 Complex Liquid, NOW Foods, 2 fl. oz.,
    Ultra Vitamin B-12, NOW Foods, 4 oz.,
    Liquid Vitamin B-12 Energy, NOW Foods, Two 1 fl. oz. Bottles,
    Vitamin B-12 Dots, 500 mcg, 250 Dots,
    Vitamin B-12 / Cyanocobalamin, 2000 mcg, 100 Sublingual Lozenges
    Plus
    Raw Liver Extract or Injections
    Extract: As directed on label.

    Injections: 2 cc 3 times weekly or as prescribed by health care provider.
    A rich source of B vitamins and minerals that aids in repairing the liver and in preventing anemia.
    Vitamin C
    With
    Bioflavonoids
    5,000 mg daily, in divided doses. Acts as a powerful antioxidant with healing potential, and for the impaired immune system. To alleviate stress on the adrenal glands.
    Vitamin C Liquid, with Rose Hips & Bioflavonoids, Kosher, Natural Citrus Flavor, Dynamic Health, 1000 mg, 16 fl. oz.,
    Vitamin C 1000 with Bioflavonoids, Nature's Way, 100% Natural, 1000 mg, 250 VCaps,
    The Right C, Vitamin C Powder, Nature's Way, 120 grams,
    The Right C, Nature's Way, 1000 mg, 120 Tabs,
    Ester C With Bioflavonoids, Nature's Way, 1000 mg, 90 Tabs,
    Vitamin C Supplements & Products / Ascorbic Acid / Ester C
    Helpful
    Bio-Strath As directed on label, 3 times daily. An herbal and yeast-based tonic to fight fatigue and stress, increase energy and endurance, enhance memory and concentration, and to strengthen the immune system. A natural source of iron.
    Bio-Strath Liquid, Whole Food Supplement, Kosher, 100% Natural, 8.4 oz.,
    Bio-Strath Tablets, Whole Food Supplement, Kosher, 500 mg, 100 Tabs
    Or
    Floradix Iron Plus Herbs
    As directed on label, 3 times daily. Aids in increasing the appetite.
    Iron Ionic Mineral Supplement, Fully Absorbable, 20 +/- ppm, 16 fl. oz.,
    Iron Gluconate, Nature's Way, 18 mg, 100 Caps,
    Iron Complex with Vitamins and Herbs, Vegetarian, NOW Foods, 250 Tabs,
    Brewers Yeast Start with 1 teaspoon daily and work up to 1 tablespoon daily. Contains balanced amounts of B vitamins.
    Brewers yeast, Debittered, NOW Foods, 1 lb.,
    Brewers Yeast, NOW Foods, 650 mg, 200 Tabs
    Kelp 2,000-3,000 mg daily. Needed for mineral replacement and thyroid function.
    Kelp Supplement, Nature's Way, Certified 650 mg, 100 Caps,
    Kelp Seaweed, Norwegian, NOW Foods, 100% Natural Acophyllum nodosum, 550 mg, 250 Caps
    Proteolytic Enzymes As directed on label. Take between meals. Essential for assimilation of protein, aids digestion and rebuilding of tissue.
    MetabolicZyme (Hypoallergenic), Allergy Research Group / Nutricology, 900 Tabs,
    Plant Enzymes, NOW Foods, Vegetarian, 120 VCaps,
    Enzymes, All Complete, 250 mg, 90 Caps,
    BodyZyme, Systemic Enzymes, 90 Caps,
    Digestive Enzymes, Liquid Gel, Nature's Secret, 60 Softgels,
    Simply Digestion 2000 Plus, With Digestive Enzymes, Dairy-Free, Kosher & Vegetarian, Dynamic Health, 16 fl. oz.,
    Enzymes / Digestive Enzymes / Enzyme Supplements,
    Vitamin D-3 600 IU daily. Needed for calcium uptake and to prevent bone loss.
    Vitamin D, 400 IU, Nature's Way, 100% Natural, 100 Caps,
    Vitamin D, 1000 IU, NOW Foods, 180 Softgels,
    Vitamin D, NOW Foods, 2000 IU, 120 Softgels
    Vitamin E Start with 200 IU daily and gradually increase to 400-600 IU twice daily. Increases oxygen uptake in the body for healing and a powerful antioxidant. Use d-alpha-tocopherol form. Vitamin E assists in balancing hormonal function, which is adversely affected by anorexia. If you have high blood pressure, limit your intake of supplemental vitamin E to a total of 400 IU daily. If you are taking an anticoagulant, consult with your health care provider before taking supplemental vitamin E.
    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,
    Vitamin E Supplements & Products / Alpha-tocopherol





    ANOREXIA SUPPLEMENTAL PRODUCTS

    Supplements and information for help with Anorexia, an eating disorder. To be used in place of or in addition to the above recommended supplements.

    Advanced Gamma E Complex, W/ Mixed Tocopherol & Tocotrienols, 120 Softgels

    Advanced Gamma E Complex provides the necessary full range of antioxidant protection because it contains a more natural balance of Tocopherols plus a full complement of Tocotrienols.
    Alive! Whole Food Energizer, Ultra Multi-Vitamin Powder Shake Mix W/Soy Protein, Vanilla, Nature's Way, 2.2 lb.

    Alive Ultra-Shake from Nature's Way is the ultimate source for nutritional energy and in addition to being a comprehensive whole food multi-vitamin it has the added benefit of soy protein.
    Alive! Whole Food Energizer Multi-Vitamin & Mineral, W/Naturally Occurring Iron (No Iron Added), Nature's Way, 90 Tabs

    Alive Whole Food Energizer Multi-Vitamin & Mineral with Naturally Occurring Iron by Nature's Way is absorbed into your blood stream 5 times faster than other leading brands. NO other supplement contains more life-giving nutrients than ALIVE!
    Appetite Stimulant Formula Tincture, 100% Organic, 2 fl. oz.

    This herbal appetite stimulant has been designed by a Master Herbalist to stimulate the appetite. It combines herbs well known and recommended by the German Commission E, for improving the appetite and eliminating symptoms of appetite loss.
    Aromatherapy Scent Inhaler, Appetite Control With Pure Essential Oils.

    Each pocket-sized essential oil inhaler helps to address our unhealthy habits and daily concerns. They work by coordinating positive affirmations with a scientific blend of natural plant extracts. Scents: rosemary, basil, clove and black pepper.
    Blue Scullcap (Scutellaria Lateriflora), Standardized, Nature's Way, 100 mg, 60 VCaps

    Scullcap is most commonly used as a sedative and it can take the edge off anxiety and promote sleep for those who struggle with insomnia.
    Brewers Yeast, NOW Foods, 650 mg, 200 Tabs

    Brewer's Yeast has been shown to help people having difficulty sleeping, fatigued, and diarrhea caused by Clostridium difficile.
    B-Stress Vitamin Complex w/ Siberian Eleuthero (Formerly Siberian Ginseng Root), Nature's Way, 100 Caps

    If you're looking for herbal stress relief, you've come to the right place. B vitamins are essential precursors of coenzymes involved in the conversion of cellular energy, manufacture of hormones and proteins, and repair and maintenance of nerve structures.
    CoQ10, Vegetarian Coenzyme, NOW Foods, 30 mg, 60 VCaps

    A coenzyme for several key steps in the production of energy within each cell, and an antioxidant important in its clinical effects. It is these two properties make CoQ10 one of the best supplements available today.
    Dandelion Root, Nature's Way, Vegetarian Supplements, 540 mg, 180 VCaps

    Nature's Way Dandelion Root capsules are a convenient way to enjoy the diuretic, antiviral and digestive properties of dandelion herb. This supplement is acceptable for vegetarians.
    Dandelion Root Tincture, 100% Organic, 2 fl. oz.

    Dandelion root is a natural diuretic and improves appetite and minor digestive problems. Dandelion leaves are commonly recommended as a food supplement for pregnant and post-menopausal women.
    Evening Primrose Oil, Cold Pressed, Nature's Way, 1300 mg, 120 Softgels

    Nature's Way EFA Gold is the highest quality Evening Primrose Oil - guaranteed to contain 10% gamma-linolenic acid (GLA).
    5-HTP (Hydroxy Tryptophan), Vegetarian, NOW Foods, 100 mg, 120 VCaps

    5-HTP (Hydroxy tryptophan) is an Amino Acid and precursor to serotonin, a brain chemical responsible for regulating mood, appetite, behavior, and sleep and may help elevate mood, encourage relaxation, control appetite, promote sleep and may prove beneficial in the treatment of depression, eating disorders, insomnia, anxiety and migraine headaches. Helps raise serotonin levels.
    5-HTP The Natural Serotonin Solution, By Richard Pass water, Ph.D. & J. South, M.A

    Explains how 5-HTP (Hydroxytryptophan) helps raise serotonin levels to alleviate depression, insomnia, anxiety and eating disorders.
    Flax Oil, NON GMO, Super Lignan, Certified Organic, Nature's Way, 1300 mg, 200 Softgels

    Worldwide studies have shown that using Flaxseed oil boosts the immune system, promotes anti-tumor activity, normalizes blood pressure levels and inhibits cancer cell growth. Flaxseed oil is beneficial for allergies, cardiovascular health, cholesterol levels, circulation, eczema, eyesight, immune function, learning ability, nerve problems, osteo-arthritis, rheumatoid arthritis, viral illness, weight management, diabetes, blood pressure, inflammation, psoriasis, multiple sclerosis, ulcerative colitis, acne, dry skin, energy levels, PMS, mood swings, and liver problems.
    Ginger Root, Nature's Way, 550 mg, 180 Caps

    Ginger root is especially useful for bowel disorders including indigestion, morning sickness, motion sickness and nausea.
    Ginger Root Tincture, 100% Organic, 2 fl. oz.

    Ginger root has also been recommended as a treatment for atherosclerosis, migraine headaches, rheumatoid arthritis, high cholesterol, burns, ulcers, depression, impotence, and liver toxicity.
    Gotu Kola, Nature's Way, 475 mg, 180 Caps

    Gotu Kola (Centella asiatica) is used in India similar to how the Chinese use Ginseng, for longevity and vitality. Although its name is similar to cola nut, Gotu Kola does not contain caffeine.
    Gotu Kola Tincture, 100% Organic, 2 fl. oz.

    Gotu Kola helps support thyroid if low, the vascular, and the nervous system. Gotu Kola is also used as a nutritive brain tonic for poor memory and mental clarity.
    Iron Ionic Mineral Supplement, Fully Absorbable, 20 +/- ppm, 16 fl. oz.

    WaterOz Ionic Iron is a pure liquid Iron supplement. Iron is called the "energy giver." It attracts oxygen and builds blood.
    Kava Root, Maximum Strength, Standardized to 90% Kavalactones, 175 mg, 60 Caps

    Kava Kava root promotes relaxation and is used by the native inhabitants of the South Pacific as a ceremonial drink to relax the body, relieve anxiety and stress, and enhance mental activity.
    Kava Kava Root Tincture, 100% Organic, 2 fl. oz.

    Kava Kava root is used as an effective natural herbal remedy that may help reduce anxiety, stress, and muscle tensions, promote friendliness and sociability, and produce relaxing physical as well as mental sensations.
    Kava Tea Stress Relief, Yogi Tea, Natural Anxiety Relief, Certified Organic, 16 Tea Bags

    Kava Tea Stress Relief helps you to calm down as it relieves stress, anxiety and minor pain, as well as lending gentle support to the digestion and the kidneys.
    Kelp Seaweed Norwegian, 100% Natural, (Acophyllum Nodosum), NOW Foods, 250 mg, 250 VCaps

    Norwegian Kelp seaweed contains nearly thirty minerals which nourish the glands, especially the thyroid and pituitary. Kelp, also known as seaweed, grows in the rich ocean beds, far below surface pollution levels.
    Lactobacillus Acidophilus Supplement, Non-Dairy, 100 Caps

    Lactobacillus Acidophilus is taken as a dietary supplement. It may help to detoxify and rebuild a balanced intestinal flora.
    Magnesium Ionic Mineral Supplement, Fully Absorbable, Magnesium Water, 350 +/- ppm, 16 fl. oz.

    WaterOz Ionic Magnesium is a pure liquid Magnesium supplement. Magnesium is a natural tranquilizer and assisting in proper digestion.
    Milk Thistle Extract, Standardized, Nature's Way, 175 mg, 60 VCaps

    Nature's Way Milk Thistle extract supports normal liver function. The active bioflavonoid complex, silymarin and it's sub-component silibinin, are powerful antioxidants in the liver and exert a protective effect against substances that may be potentially harmful to the liver.
    Mood Aid Formula with St. Johns Wort & 5-HTP Nature's Way, 60 Caps

    Mood Aid uses St. John's Wort, to promote a positive mood. 5-HTP, the precursor of seratonin - a mood regulating neurotransmitter.
    Pepogest Peppermint Oil, Enteric Coated, Nature's Way, 0.2 ml, 60 Softgels

    Pepogest peppermint oil is a targeted release peppermint oil supplement that provides natural gastrointestinal comfort. Pepogest peppermint oil is a targeted release peppermint oil supplement that provides natural gastrointestinal comfort.
    Peppermint Gels with Ginger & Fennel Oils, Enteric Coated, NOW Foods, 90 Softgels

    This nutrient rich member of the mint family contains menthol, a potent compound that has been used for centuries to help encourage optimal health and wellness. Most notably, it has the ability to promote healthy digestion and may also be able to normalize enzymatic activity.
    Potassium Chelate, 100% Natural, Nature's Way, 99 mg, 100 Caps

    Nature's Way Potassium Chelate is 100% natural for superior absorption. Potassium is a key nutrient in maintaining the electrolyte balance which regulates heart and muscle contraction.
    Primadophilus Optima 35 Billion CFU, Nature's Way, 60 VCaps

    Fortify and replenish microflora with Nature's Way Primadophilus Optima which is the most potent (35 Billion CFUs) and divers (14 Strains) delivery of probiotics for intestinal microflora.
    Red Clover Herb, Nature's Way, 500 mg, 100 Caps

    In Europe, Red Clover herb is widely cultivated and used as a salad herb and as a tonic.
    SAM-e, Enteric Coated, NOW Foods, 100 mg, 30 Tabs

    SAM-e was discovered in 1952 in Italy and has been researched and manufactured there. SAM-e works closely with folic acid and vitamin B-12.
    SAM-e with B Vitamin Cofactors, Vegetarian, Enteric Coated, NOW Foods, 200 mg each Tablet, 60 Tabs

    Important for the production of glutathione, this powerful free radical scavenger defends the body from toxic agents and is necessary for liver detoxification.
    Siberian Eleuthero Root, Nature's Way, 410 mg, 100 Caps

    Siberian Ginseng Root (Eleutherococcus Senticosus Root) improves physical an mental vitality. It is an adaptogenic herb, which helps the body to adapt to daily stress. It is an ideal supplement for those leading a demanding and hectic lifestyle.
    St. Johns Wort Herbal Tea, 20 Tea Bags

    St. John's Wort Herb Tea is made of wild St. John's Wort and Siberian Ginseng. These Herbs tonify the nervous system, ease anxiety and depression, and support the immune system.
    St. Johns Wort, Perika, 300 mg, 60 Tabs

    St. John's Wort promotes a positive mood and extracts have been proven in many clinical studies in Europe, to have antidepressant effects, and is widely used for this reason.
    St. Johns Wort Standardized Extract, 300 mg, 90 Caps

    St. John's Wort promotes a positive mood and extracts have been proven in many clinical studies in Europe, to have antidepressant effects, and is widely used for this reason.
    Stomach Fortifier, Balanceuticals, TCM Formula, 100% Natural, 60 Caps

    Chinese medicine uses it to strengthen the spleen and stomach, normalize peristalsis of the stomach and intestines, promote absorption of water and chlorine ion, improve metabolism, nurture the lung, balance bowel movement and increase energy.
    Taurine, Double-Strength, Free Form Amino Acid, NOW Foods, 1000 mg, 100 Caps

    Taurine is a neurotransmitter and is involved in glucose uptake. It is found in meats, fish, milk and eggs, but not in vegetable proteins, so supplementation is especially important for vegetarians.
    Thisilyn, Milk Thistle Extract, Vegetarian, Nature's Way, 175 mg, 100 VCaps

    Nature's Way Thisilyn, Milk Thistle Extract, is especially recommended for those who drink, smoke, or are exposed to environmental pollutants.
    Ultimate B (Vitamin B Complex Formula), Nature's Secret, 60 Tabs

    Superbly formulated, Ultimate B, vitamin B Complex Formula, is a synergistic blend of herbs, superfoods, and enzymes made of 33 percent food ingredients for easy absorption.
    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.
    Vitamin E Tocotrienols, 100% Natural, 100 IU/45 mg, 30 Softgels

    Vitamin E Tocotrienols is derived from fruits of palm and contains all four isomers which have been shown to support healthy low-density lipoproteins (LDL) levels, which supports cardiovascular health.
    Zinc Lozenges w/ Echinacea & Vitamin C, Nature's Way, 23 mg, 60 Lozenges

    Nature's Way Zinc lozenge boosts cold season defense with zinc, widely recognized as an important nutritional support during the cold season, and echinacea pupurea, clinically shown to support the immune system, and Vitamin C, a vitally important vitamin for general health maintenance.
    Herbal Remedies: Anorexia Nervosa Information

    Herbal Remedies: Anorexia Nervosa Supplements & Products




    NOTIFY YOUR HEALTH CARE PROVIDER IF...

  • You have symptoms of anorexia nervosa or observe them in a family member.


  • Life-threatening symptoms occur, including rapid, irregular heartbeat; chest pain; or loss of consciousness. Call for assistance immediately... THIS IS AN EMERGENCY!!


  • Weight loss continues, despite treatment.


  • MoonDragon's Health & Wellness: Underweight & Weight Loss





    Karen Carpenter


    Karen Anne Carpenter
    (March 2, 1950 - February 4, 1983)


    Karen Carpenter was a highly successful American singer and drummer. She and her brother, Richard, formed the successful duo The Carpenters. Sometimes referred to as the girl next door by the media, Karen Carpenter is considered by some to be one of the most important American female popular vocalists of the 20th century.

    EARLY LIFE

    Carpenter was born in New Haven, Connecticut, USA, (lived at 55 Hall Street, New Haven, Connecticut) to Agnes Reuwer Tatum and Harold Bertram Carpenter. Agnes Carpenter had a very strong will and tended to dominate her daughter Karen while showing little interest in her achievements, favoring Karen's older brother Richard. Richard had developed an interest in music at an early age, becoming a piano prodigy. The family moved in 1963 to the Los Angeles suburb of Downey, California. The move to Southern California, home of many recording studios and record companies, was intended in part to foster Richard's budding musical career.

    When Carpenter went to Downey High School (where an outdoor performance stage is dedicated in their honor), she did not like the gym class, so she asked Richard to ask the conductor of the band if she could substitute it for gym class. The conductor agreed to take her into the band, and gave her the glockenspiel. She did not like the glockenspiel, and upon admiring the performance of a friend who played the drums, asked the conductor if she could play the drums instead.

    Drumming came naturally to Carpenter, and she practiced for several hours a day - her drumming can be heard in many of The Carpenters songs. When she was 17, Carpenter went on "The Stillman Diet" with a doctor's guidance, and lost between 20 and 25 pounds.

    In 1969, John Wayne met the Carpenters on a talent show and urged Carpenter to try out for a role in the film "True Grit". Carpenter did audition, but, Kim Darby was selected instead.

    MUSIC CAREER

    Carpenter joined a band formed by her brother, Richard, called "The Richard Carpenter Trio" (1965-1968). Karen and Richard Carpenter also had a friend, Wes Jacobs, a bassist and tuba player, in the Richard Carpenter Trio. The jazz trio played at numerous nightclubs, and a television show called "Your All American College Show".

    Karen, Richard, and other musicians, including Gary Sims and John Bettis, would also perform as an ensemble known as Spectrum.

    Carpenter signed with A&M Records with her brother, as The Carpenters in early 1969. She sang most of the tunes on their first album, Offering. Their only popular single released from that album, the main track, a remake of The Beatles' "Ticket to Ride", reached #54 on the Billboard Hot 100 Charts. Their next release, 1970's Close to You was a certified #1 smash record, with the title track and "We've Only Just Begun" as major hits. We've Only Just Begun was used in a Crocker Bank television commercial, which showed a young couple moving into their first home.

    Karen's abilities to play the drums were praised by fellow drummers; Buddy Rich, Johnny Carson, and "Modern Drummer" magazine. She placed first in "Playboy's reader poll: Best Rock Drummer of 1975.

    By the mid-1970s, extensive touring and lengthy recording sessions had begun to take their toll on the duo and contributed to their professional difficulties during the latter half of the decade. Karen started out as both the drummer and singer. Since Karen was the lead singer, (and was difficult to see behind her drum kit), she was pressured to just sing, (while standing up), while another person played the drums. Karen rarely selected the songs she would sing, and often felt she had very little control over her life. The rock-and-roll press did not like having to write about the middle-of-the road act and often wrote bad reviews. Carpenter dieted obsessively and developed the disorder anorexia nervosa, which first manifested itself in 1975 when an exhausted and emaciated Carpenter was forced to cancel concert tours in the UK and Japan (and at one point, fainted on stage while performing "Top of the World"). At the same time, Richard developed an addiction to quaaludes, which began to affect his performance by the late 1970s and led to the end of the duo's live concert appearances for several years. On September 4, 1978 The Carpenters gave a concert at the MGM Grand in Las Vegas, not performing on stage again until the 1981 Made in America album, which would include their final live performances together.

    SOLO ALBUM

    In 1979 Richard Carpenter took a year off, (to cure his quaalude problem) so Karen decided to make a solo album with Phil Ramone. Richard wanted his sister to see a doctor about her eating disorder, but Karen said no. While staying at the home of the Ramones, Karen took one quaalude and passed out on the floor. She soon recovered.

    The choice of more adult-oriented and disco/dance-tempo material represented an effort to retool her image. Arguably, her best ever performance is a song on the album by Paul Jabara and Jay Asher, called "Something's Missing (In My Life)." Many who have heard the work-lead feel it truly relates to Carpenter's personal struggles and depth of her feelings. The song remains unmixed and without strings.

    The resulting product met a tepid response from Richard and A&M executives in early 1980, and Carpenter wavered in her dedication to the project. The whole album was shelved by A&M executive Herb Alpert. Quincy Jones tried to get Alpert to change his mind, but, he would not. Carpenter had to pay $500,000 for the cost of producing an unreleased album. Carpenter's fans got a taste of the album in 1989 when one of its tracks, "If I Had You," (as remixed by Richard) turned up on the compilation album Lovelines and was also released as a single, making #18 on the Adult Contemporary chart. 16 years later in 1996, the entire album, featuring mixes as approved by Carpenter and one unmixed bonus track, finally saw release.

    There are 10 unreleased tracks from the album: eight of them are work-leads, while the remaining two are considered outtakes: "I Love Makin' Love to You," and "Truly You." When A&M Records folded in 2000, six out of the eight demos began surfacing on the Internet.

    PERSONAL LIFE

    Carpenter lived with her parents until her mid-20s, although ironically after the Carpenters became successful during the early 1970s, she and her brother bought two apartment buildings in Downey. Called "Close To You" and "Only Just Begun," the "Close To You Apartments" can still be found at 8356 East 5th, Downey, CA.

    In 1976 Carpenter bought two Century City apartments, gutted them, and turned them into one condominium. Located at 2222 Avenue of the Stars, the doorbell chimed the first six notes of "We've Only Just Begun". As a housewarming-gift her mother gave her a collection of leather-bound classic works of literature. Carpenter collected Disney memorabilia, loved to play softball/baseball, and among her friends were Petula Clark, Olivia Newton-John, and Dionne Warwick.

    After a whirlwind romance, on 31 August 1980 Carpenter married real estate developer Tom Burris. At the time they met, Tom was a 39-year-old divorcé with an 18-year-old son Mark; while Carpenter was 30 years old. The couple were married at the Beverly Hills Hotel in the Crystal Room, and a new song performed by Carpenter at the ceremony, "Because We Are In Love," surfaced in 1981. The couple went to Bora Bora for their honeymoon (Carpenter called her family from the island and described it as "Boring"). The marriage turned out to be a disaster and they separated in November 1981, after going out with Carpenter's parents to celebrate her father's birthday. She and Tom returned to the Carpenters' Downey home and after a brief argument Tom told her parents, "you can keep her!" Carpenter never saw her husband again after that night.

    The song "Now", recorded in April 1982, was the last song Carpenter ever recorded. It was recorded in California while Carpenter took a two-week intermission in her therapy with noted psychotherapist Steven Levenkron in New York City for her anorexia, a relatively unknown disease at the time. In the midst of her therapy, she befriended recovered anorexic Cherry Boone, and crocheted a sign above her hospital bed that read "You Win, I gain!" After her recovery, she planned to go public about her battle with anorexia.

    Carpenter returned to California permanently later that year, determined to regain her professional career, finalize her divorce and begin recording a new album with Richard. Carpenter had gained a total of 30 lbs. over a two-month stay in New York, but the sudden weight gain (much of which was intravenously fed) further strained her heart, which was already taxed and weak from years of dieting and abuse. At the height of her illness, Carpenter, who had a normal thyroid, was taking ten times the normal daily dose of thyroid replacement medication (equivalent to 1mg, as opposed to the normal 100 mcg dose) in order to speed up her metabolism, which combined with large amounts of laxatives (between 90 to 100 a day), weakened her heart, digestive and nervous system even further.

    On December 17, 1982 Karen Carpenter made her last public singing appearance at the Buckley School in Sherman Oaks, CA. She sang Christmas carols for friends. In early February 1983 Richard and Karen took part in a group photograph of Grammy winners, (in Los Angeles, CA).

    A few weeks before Karen died, Richard tried to get his sister into a hospital for medical treatment, because in his words; "She did not look well", and "There was no life in her eyes". Two weeks prior to her death at a meeting with Werner Wolfen (their lawyer), Karen told Richard to mind his own business.

    DEATH

    On February 4, 1983, when Carpenter was only 32, she experienced heart failure at her parents' home in Downey and was taken to Downey Community Hospital, where she was pronounced dead twenty minutes later. Carpenter was planning to sign her divorce papers on the day she died.

    The autopsy stated that Carpenter's death was the result of emetine cardiotoxicity due to anorexia nervosa. Under the anatomical summary, the first item was heart failure, with anorexia as second. The third finding was cachexia, which is extremely low weight and weakness and general body decline associated with chronic disease. Emetine cardiotoxicity implies that Carpenter abused ipecac syrup, an easily obtained emetic medicine that is intended for people to take who have accidentally swallowed a poisonous substance. However, there is no definite evidence to prove that Carpenter did abuse ipecac. (Reference Ray Coleman's: The Carpenters, The Untold Story, page 21-24).

    Her funeral service took place on February 8, 1983, at the Downey United Methodist Church in Downey. Carpenter, dressed in a rose colored suit, lay in an open white casket. Over a thousand mourners passed through to say goodbye, among them her friends Dorothy Hamill, Olivia Newton-John, Petula Clark, Cristina Ferrare, and Dionne Warwick. Carpenter's estranged husband Tom appeared at her funeral, and he took off his wedding band and threw it into the casket (according to the Ray Coleman Book The Carpenters: the Untold Story).

    AFTER DEATH

    Carpenter's death brought lasting media attention to anorexia nervosa and also to bulimia. Carpenter's death encouraged celebrities to go public about their eating disorders, among them Tracey Gold and Diana, Princess of Wales. Medical centers and hospitals began receiving increased contacts from people with these disorders. The general public had little knowledge of anorexia nervosa and bulimia prior to her death, making the conditions difficult to identify and treat. Her fame and her "wholesome" image may have made people reluctant to suggest the possibility that she had a problem, much less to intervene directly.

    Her family started the "Karen A. Carpenter Memorial Foundation", which raised money for research on anorexia nervosa and eating disorders. Today the title has been changed to "Carpenter Family Foundation," and in addition to eating disorders, the foundation now funds the arts, entertainment and education (including arts in education).

    On October 12, 1983, the Carpenters received a star on the Hollywood Walk of Fame. It is located at 6931 Hollywood Blvd, a few yards from the Kodak Theater Richard, Harold, and Agnes Carpenter attended the inauguration, as did many fans.

    On December 11, 2003, at 12:30 pm PST, Agnes, Karen, and Harold, who remained in their original caskets and occupied 3 out of the 6 spaces in the Carpenter Private Mausoleum, were exhumed from the Forest Lawn Memorial Park in Cypress, California and re-interred at the Pierce Brothers Valley Oaks Memorial Park in Westlake Village, California. Their mausoleum is a 46,000-pound, Partenope-style structure and was constructed in Texas over seven months. It is polished sunset red, and features crystal patterns. It is located in the Tranquility Gardens section of the cemetery. Similar structures constructed at the time had a price range around $600,000.

    "A Star on Earth - A Star in Heaven" is written on Carpenter's mausoleum stone.

    Official Website: www.richardandkarencarpenter.com


    Information obtained from: Wikipedia: Karen Carpenter


    OTHER WEBSITES ABOUT KAREN CARPENTER

    www.karencarpenter.com: Karen Carpenter Collection

    Battling Anorexia - The Story of Karen Carpenter

    LeadSister.com: Karen Carpenter Site

    Official Website of Richard & Karen Carpenter





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