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Because o l d e r p e o p l e tend to b e o u d o o r s less than y o u n g e r i n d i v i d u a l s herbals teas safe during pregnancy himplasia 30caps on-line, h e Institute o f M e d i c i n e suggests that d a i l y v i a m i n D intake increase w i h age (see table 18 herbs paint and body discount 30caps himplasia fast delivery. V i a m i n E i n c l u d e s a g r o u p o f c o m p o u n d s zip herbals mumbai generic 30caps himplasia, the m o s a c i v e o f w h i c h is alpha-tocopherol herbals herbal medicine himplasia 30caps visa. T h i s v i a m i n is resistant to h e e f f e c s o f heat, a c i d s, a n d v i s i b l e light but is unstable in bases a n d in I h e p r e s e n c e o f u l r a v i o l e light or o x y g e n. V i a m i n E is f o u n d in a l l tissues but is p r i m a r i l y stored in the m u s c l e s a n d a d i p o s e tissue. T h e p r e c i s e f u n c i o n s o f v i a m i n E are u n k n o w n, but it is thought to act as an antioxidant by p r e v e n i n g o x i d a i o n o f v i a m i n A and p o l y u n s a u r a e d fatty acids in I h e tissues. It m a y a l s o h e l p m a i n a i n the s a b i l i y o f c e l l membranes. Its richest s o u r c e s are o i l s f r o m cereal s e e d s such as w h e a l g e r m. Other g o o d sources are salad oils, margarine, shortenings, fruits, nuts, and vegetables. Excess v i a m i n E m a y cause nausea, headache, fatigue, easy bruising and b l e e d ing, and m u s c l e weakness. Because this v i a m i n is s o easily obtained, d e f i c i e n c y c o n d i i o n s are rare. M e m b e r s o f this g r o u p d i f f e r c h e m i c a l l y and functionally. In its pure f o r m, thiamine is a crystalline c o m p o u n d c a l l e d thiamine h y d r o c h l o r i d. It is d e s r o y e d by e x p o s u r e to heat and o x y g e n, e s p e c i a l l y in alkaline e n v i r o n m e n s. M o r e s p e c i f i c a l l y, h i a m i n e is required f o r p y r u v i c a c i d to enter h e citric a c i d c y c l e (see chapter 4. T h i a m i n e a l s o f u n c i o n s as a c o e n z y m e in the synthesis o f the sugar ribose. T h i a m i n e is p r i m a r i l y absorbed through the w a l l o f the d u o d e n u m and is transported b y the b l o o d to b o d y c e l l s. O n l y s m a l l a m o u n s are stored in the tissues, and e x c e s s is e x c r e e d in the urine. S i n c e v i a m i n B o x i d i z e s carbohydrates, the c e l l u l a r r e q u i r e m e n s v a r y w i h c a l o r i c intake, Tl is r e c o m m e n d e d that an adult diet contain 0. G o o d s o u r c e s o f h i a m i n e are lean meats, liver, eggs, w h o l e - g r a i n cereals, l e a f y g r e e n v e g e a b l e s, and l e g u m e s. Excess h i a m i n e is not as c o m m o n as e x c e s s e s o f fat-soluble v i a m i n s, d u e to the e x c r e i o n o f I h i a m i n e in urine, o x i c i y e f f e c s m a y i n c l u d e v a s o d i l a i o n, cardiac d y s r h y h m i a s, h e a d a c h e, weakness, and convulsions. A m i l d d e f i c i e n c y o f h i a m i n e p r o d u c e s loss o f appetite, fatigue, and nausea. P r o l o n g e d d e f i c i e n c y leads l o a disease c a l l e d beriberi, w h i c h causes gastrointestinal disturbances, m e n a l c o n f u s i o n, m u s c u l a r w e a k n e s s and paralysis, and heart e n l a r g e m e n t. V i a m i n K, l i k e the other fat-soluble vitamins, occurs in several c h e m i c a l forms. O n e o f these, v i a m i n (phyll o q u i n o n e), is f o u n d in f o o d s, w h e r e a s another, v i a m i n K 2, is p r o d u c e d b y bacteria (E s c h e r i c h i a coli) that norm a l l y i n h a b i the h u m a n intestinal tract. T h e s e v i a m i n s resist the e f f e c s o f heat but are d e s r o y e d b y o x i d a i o n or b y e x p o s u r e to acids, bases, or light. V i a m i n K p r i m a r i l y f u n c i o n s in h e l i v e r, w h e r e it is n e c e s s a r y f o r the f o r m a i o n o f several p r o e i n s n e e d e d for b l o o d clotting, i n c l u d i n g prothrombin (see chapter 14. C o n s e q u e n l y, d e f i c i e n c y of v i a m i n K c a u s e s prol o n g e d b l o o d clotting i m e and a e n d e n c y to hemorrhage. Excess v i a m i n K is y p i c a l l y associated w i h f o r m u l a - f e d infants, causing j a u n d i c e in n e w b o r n s, h e m o l y i c a n e m i a and hyperbilirubinemia.

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