Deficiencies
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Vitamin deficiencies are common in CFIDS/GWI/FM/MCS. Some nutrients are very high in some patients and very low in others. The cause is often due to "malabsorption"
Supplements for items marked  [HIGH and LOW] should not be taken without testing first for those.

Resources:

 

From Origins and evolution of the Western diet: health implications for the 21st century  Am J Clin Nutr 2005;81:341–54.
   
  • Dietary Reference Intake (DRI) is the latest term replacing daily dietary reference values such as Adequate Intake (AI), Tolerable Upper Intake Level (UL), Estimated Average Requirements (EAR),
    Nutrient Reference Value (NRV),
  • (Therapeutic Range)
  • If no literature on Optimal, 4 x min of therapeutic is suggested provided that it does not exceed the top of the Therapeutic Range.

  • - indicates based on pages of people asserting remission.

  • Recommended Reading for Medical Staff: http://www.ajcn.org/cgi/reprint/75/4/616 "High-dose vitamin therapy stimulates variant enzymes . . ."

  • Symptoms of various deficiencies: http://gastroresource.com/GITextbook/En/Chapter7/7-9.htm 

Always introduce supplements at 10% or less of target and increase slowly (up to a month) and spread dosage across the day.

 1000 mcg = 1 mg

Vitamin / Mineral
[Link to interactions]		 Government Recommendations
DRI (Range)		 Supplement Suggestion Synergy Min Target Lab Results Deficiency
Aldosterone        
A 5000 IU (10,000 IU - 100,000 IU) 30,000 IU or 3 7" Carrot Choline, fatty acids, zinc, Vitamins C, D, and E 50 µg/dL[median] Probable
B1 Thiamine 1.5mg (50mg-1000+mg)[2} 300mg Magnesium
Manganese, Vitamin B complex, C, and E		   29%[1]
B2 1.7mg (50mg-500+mg)[2} 200mg Vitamins B complex, C   30%[1]
B3/B4 Niacin / NADH 2-mg (100mg-2000+mg)[2} 500mg Vitamins B complex, C   19%[1]
B5 (Panothetic Acid) 10mg (250mg-20+g)[2} 50mg Vitamins B complex, A, C, and E   No data
B6 (Pyridoxine) 2.5mg (50mg-1000+mg)[2} 200 mg Potassium, Vitamins B complex, and C 250 nmol/L 64%[1]
B7 Biotin 300mcg (50mcg-15mg)[2} 800mcg B complex, B5, B12, C, and folic acid   No data
B8 - Inositol 40mg(100mg-3000mg)[2} 400mg B complex, C   No data
B9 Folic Acid 400mcg (400mcg-20+mg)[2} 400mcg     27%[1]
B10 PABA Para-aminobenzoic Acid 25 mg(50mcg-1000+mg)[2} 200mg B complex, C, folic acid   No Data
B11 Cholin 200 mg(400mcg-20+mg)[2}       No Data
B12 [Dosage Details] 4-6mcg (50mcg-10+mg)[2} 1000mcg B6  307 pmol/L 430pg/mL

542 ng/L (425 pmol/L) [median]

 12%[1]
  Boron 1-13mg/day 6 mg/day     No Data
C 75+mg (125mg- 20,000mg)   calcium, magnesium, and  bioflavonoids   6%[1]
Calcium (Calcium Citrate) 1500mg (250mg-5000mg) 1800 mg or
400mg

 

 Vitamin D,  ,Boron, fatty acids, lysine, magnesium, manganese, phosphorus 2.44 mmol/L (9.5 mg/dL) [median]
Carnitine / Acetylcarnitine /Acylcarnitine   3000mg    
Chromium 200+mcg (200mcg-3000mcg+) 400mcg    0.25 µg/L 5.8 nmol/L [median] 88%[1]
Copper 3mg (1mg-5mg  ) 1-2mg Cobalt, folic acid, iron, zinc 15 µmol/L (150mg/dL) [median]
Cortisol        
Creatinine / 17-Ketosteroid-Sulfates        
D (with Calcium Citrate) 400IU (400IU- 100,000 IU) 4000IU Vitamin A, Calcium,  choline, fatty acids, phosphorus

 

 108 nmol/l (43 ng/ml)
118 nmol/L
(47 ng/L) [Median]		 97.8%, 24%[1]
Dehydroepiandrosterone sulfate (DHEA)        
Iodine [Caution: HIGH AND LOW] 150mcg (250mcg-130mg)   Iron, manganese, phosphorus  
Iron [Caution: HIGH AND LOW] 18mg (10mg-900mg)     22 µmol/L (100 µg/dL) [median]
Molybdenum 22-1,500mcg -2000mcg 500mcg Copper must be taken with it 3.4ng/g
Manganese   20 mg Calcium, iron, vitamin E, B complex  
Magnesium 400mg(50mg-2500mg) 800mg Calcium, phosphorus, potassium, Vitamins B6, E, D 18.2 mg/L[median]
0.9 mmol/L[median]		 40%[1] 46%
Potassium 5000mg (100mg - 6000+mg) 200mg   4.2 mmol/L [median]
Phosphorus 800 mg (0.5g - 2+g)     3 mg per dL (1.0 mmol/L)
Selenium [Caution: HIGH AND LOW] 70mcg (100mcg-2+mg) 200mcg ALA, Milk Thistle 112 µg/L 12%[1]
Serotonin transporters (5-HTTs)        
Sulphur 1000mg(500mg-5g+)       35%[1]
Zinc [Caution: HIGH AND LOW] 15mg (10-250mg) 15mg calcium, copper, phosphorus, vitamin B6  17 µmol/L[Median]

100 ug/dl

8%[1]

Notes:

  •  "Many had mineral excess in their blood cells"[1]:
    • Copper, Iron, Iodine, Zinc
  • Increase of homocysteine
  • Vitamin A toxicity does not occur with Vitamin A from natural food.
  • Molybdenum is reported to help MCS which suggests a deficiency
  • Do not supplement with strontium - it will decrease Vitamin D and can induce Vitamin D deficiency.
  • [median] indicates that the recommended level is the midpoint of the range reported in the general population.

[1}Helle Kongevang, Chemical Sensitivity  http://listserv.nodak.edu/cgi-bin/wa.exe?A2=ind9612C&L=co-cure&P=R557

[2} DRI / RDA  for B-Complex Vitamins:http://www.acu-cell.com/bx2.html

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