Diet And Nutrition

Of what value are folate levels?

Question by Steven M. Schwartz, MD, Bronx, N.Y.; response by Susan Kashaf, MD, MPH March 16, 2009

All my colleagues and I continue to check patients' vitamin B12 and folate levels daily. Is this no longer the recommended standard?
 

Iron deficiency anemia in a vegetarian

Question by Cecelia Madrid, MD, Los Angeles; response by Michael Flamm, MD February 25, 2009

What is the best way to treat true iron deficiency anemia in a vegetarian without inducing constipation or epigastric discomfort? I usually recommend that my patients take iron 325 mg with vitamin C 500 mg on an empty stomach, but this is difficult for most people to digest.
 

Gender-related cravings

Question by Felix N. Chien, DO, Newport Beach, Calif., and response by Daniel G. Tobin, MD February 14, 2009

Is there scientific evidence that women have more difficulty suppressing cravings than men?
 

Feeding ventilator-dependent patients

Question by Katherine McClanahan, DO, Las Vegas; response by R. Steven Tharratt, MD, MPVM January 27, 2009

Is there a risk of aspiration with oral feeding of a patient who is ventilator-dependent and has a chronic indwelling tracheostomy tube?
 

Vitamin D prophylaxis for osteoporosis?

Question asked bu Luan Q. Pho, MD, Allen, Tex., and answered by Jack Waxman, MD January 23, 2009

The role of vitamin D in osteoporosis
 

Antioxidant-cancer protection link? No, say studies

January 05, 2009

Antioxidant supplementation has no effect on cancer risks, according to a pair of large longitudinal trials, leading one of them to be cut short.
 

Administering B12

Question asked by Isaac Blum, MD, Bronx, N.Y., and answered by Christopher Ruser, MD December 16, 2008

How should vitamin B12 be administered? I have read that injections are not necessary for administering vitamin B12—even in gastrectomy patients.
 

5 nutritional deficiencies and how to correct them

By Steven Masley, MD November 17, 2008

Patients may not be getting all the nutrients they need. You can help them eat their way to better health.
 

Fatty diet associated with sleep apnea

October 15, 2008

In patients with severe obstructive sleep apnea, a fat- and cholesterol-laden diet may contribute to the disorder, investigators concluded.
 

Chill on fish oil

Clinical Pearl submitted by Jack Wang, MD, Beloit, Wis. October 06, 2008

Storing fish-oil tablets in the freezer will eliminate the fishy smell and aftertaste.
 

Help for a migraine sufferer

Question submitted by S. Neskovic, MD, Glendale, Calif., and answered by Jay E. Selman, MD October 06, 2008

A 41-year-old man uses zolmitriptan (Zomig Nasal Spray) every other day, sometimes daily, for severe migraine headache. He has hyperlipidemia and metabolic syndrome, and he is...
 

Pre-glucose tolerance test diet

Question submitted by G. Tadros, MD, Wilmington, Del., and answered by Daniel G. Tobin, MD October 06, 2008

What are the dietary recommendations for the three days preceding the oral glucose tolerance test (OGTT)? Many centers offering the OGTT...
 

Who should be screened for celiac disease?

Question asked by Nathan W. Keever, DO, and answered by Laura G. Kehoe, MD July 22, 2008

It seems that I am seeing celiac disease diagnosed more frequently. I suspect this is because the antigliadin serology is available, but I worry that this is going to become an attention deficit disorder/fibromyalgia "diagnosis du jour." How good are these tests?
 

Sunblock and vitamin D production

Question raised by Stephen S. Falkowski, DO, Marlton, N.J., and answered by Jeffrey M. Weinberg, MD April 24, 2008

Does the use of sunblock inhibit the skin's production of vitamin D from sunlight? Is this something we should be concerned about in women with osteoporosis?
 

Bypassing nasotracheal intubation

Question raised by Mapara Qureshi, MD, Frederick, Md. and answered by Christopher Ruser, MD October 17, 2007

Is it possible to give food or oral medications to nasotracheally intubated patients?
 

A healthier fruit

Question asked by S.J. Smith, MD, Wells, Nev., and answered by Susan Kashaf, MD, MPH November 17, 2006

Does mangosteen have health benefits other fruits do not?
 

Effective B12 administration

Question by Robert E. Lowenstein, MD, PhD, Clinton, N.Y.; answer by Susan Kashaf, MD, MPH February 15, 2006

Can oral vitamin B12 supplementation substitute for parenteral administration?
 

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