Thursday, 23 July 2015

誰需要維生素和礦物質補充劑呢?

     在藥房,經常會有人是否需要服用維生素或礦物質補充劑。對於懷孕或計劃不久懷孕女性,我們建議們儘早開始服用產前維生素。這補充是對於嬰兒的發非常重要,因為它含葉酸以及其他維生素和妊娠過程中所需的礦物質。很多女性生完孩子後停止服用產前維生素。實際上我們建議產婦生產后繼續服用產前維生素補充劑4-6周。如需母乳喂養的女性,則需整個哺乳期都服用。

           對於挑食或經常不吃早餐的人來說,他們可能因為不食用某些種類的食物而缺乏必要的維生素和礦物質。有時,素食者可能會貧血,因為們不任何紅肉。此外,患有乳糖不耐的人可能會缺鈣,因為他們不喝牛奶,也不吃其他乳製品。據加拿大的預防骨質疏鬆症的指南,成年女性每天至少需要1000毫克的鈣, 50歲以上性則每天需要1200毫克的鈣。即使我們平常有喝牛奶,吃奶製品,仍然可能無法從飲食上獲得足夠的鈣。

           要找出您當前的飲食能否為您提供足夠的維生素和礦物質,我們建議你質詢一下營養師。大型雜貨店,像Loblaws,有時有營養師客戶提供免費現場諮詢。

                             藥物引起的維生素或礦物質缺乏症

           有些藥物可能會引起我們身體的維生素或礦物質的不足。一個常見的例子是服用利尿劑來降低血壓的老年人,隨著時間的推移,病人可能會缺鉀,鈉和礦物質。如果你正在服用利尿藥,你應該問你的藥劑師有什麼需要注意的,以及如何防止這些物質的缺乏。有時,方法可能很簡單,只要多吃些香蕉和桔子以增加鉀的攝入量。其他時候,可能需要口服補充。

         服用糖尿病藥二甲雙胍超過10年的人應該知道,他們可能會缺乏維生素B12。這是因為二甲雙胍會障礙你的身體從飲食上吸收維生素B12。如果你連續服用二甲雙胍超過10年,你的醫生可能會建議您服用維生素B12口服補充劑或者每年注射一次維生素B12,以防止這方面的不足。

         經常服用胃藥如“TECTA”來降低他們胃酸的患者,這些藥物可能會改變維生素B12,鎂,鉀和鈣的吸收。如果你每天都需要這種類型的藥物超過幾個月,你可能要考慮補充維生素B12,鎂,鉀和鈣。

        對於服用降膽固醇藥物如立普妥的患者,這類藥物可以減少體內的輔酶Q10的水平。輔酶Q10是人體許多器官正常運作所需的東西,它還為我們身體內的細胞提供能量。為了防止輔酶Q10缺乏,可口服補充劑。




美健藥房即將舉行免費的病人研討會

主題:健康減肥,預防三高減少你對藥物的需要

日期:2015830日(星期日)

時間:下午2時至4

地點:美健藥房

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今天就打電話預約吧! 905-305-0111

Do we need vitamin and mineral supplements?

Who needs vitamin and mineral supplements?

At the pharmacy, people often ask us if they should be taking a vitamin or mineral supplement. For young female patients that are pregnant or planning to get pregnant soon, we recommend that they start taking a pre-natal multivitamin as soon as possible. This supplementation is very important for the development of the baby because it contains 'Folic Acid' as well as other vitamins and minerals that are needed during pregnancy. Many women will stop taking the  pre-natal vitamin after giving birth, however, it is recommended that the pre-natal multivitamin supplementation be continued for 4-6 weeks afterwards and as long as breastfeeding continues. 

   
For people who are picky eaters or those who are often skipping meals, they could be lacking essential vitamins and minerals from not eating certain group of food. Sometimes, vegetarians may become low in iron because they are not consuming any red meat. Also, people who are lactose intolerant may not be getting enough calcium from their diet because they avoid milk and other dairy products. According to Osteoporosis Canada, adult women require at least 1000mg of calcium a day and women over 50 years old require 1200mg of calcium a day. Even for those of us who drinks milk and eat dairy products, we still may not be getting enough calcium from our diet alone. 


To find out if your current diet is providing you with sufficient vitamins and minerals, we recommend that you talk to a dietitian.  Large grocery stores, like Loblaws, will sometimes have dietitians on-site that provide free consultations to customers.


Medications induced vitamin or mineral deficiency

Drugs can often cause deficiencies in vitamins or minerals in our body. One common example is the use of diuretic to lower blood pressure in seniors and over time, the patient may become deficient in potassium, sodium and other minerals depending on the type of diuretic being used. If you are taking a diuretic, you should ask your pharmacist about what to watch out for and how to prevent the deficiency from occurring. Sometimes, it may be as simple as eating more bananas and oranges to increase potassium intake. Other times, oral supplementation may be required. 

People that are taking Metformin, a diabetes medication, for more than 10 years should be aware that their body storage of vitamin B12 could become deficient. This is because Metformin can cause malabsorption of vitamin B12 from diet. If you have been taking Metformin for more than 10 years, your doctor may recommend that you take oral supplementation of Vitamin B12 or have an annual injection to prevent this deficiency. 

For patients that frequently take "stomach pills", like "Tecta", to lower their stomach acid, these medications can alter the absorption of vitamin B12, magnesium, potassium and calcium. If you take this type medications everyday for more than a few months, you may want to consider taking supplementation for Vitamin B12, magnesium, potassium and calcium. 

For patients taking cholesterol lowering drugs, like Lipitor, this class of drug can decrease the body's Co-Q10 level. Coenzyme Q10 is something that the body requires for proper function of many organs. It also helps to provide energy to the cells inside our body. To prevent a deficiency in CoQ10, oral supplements are available for purchase.


Upcoming patient seminar

Mark your calendar for the upcoming FREE patient seminar at Custom Care Pharmacy. 

Topic: Healthy weight loss to reduce your need for chronic medications, like hypertension drugs, cholesterol drugs, diabetes drugs. 

Date: August 30th 2015 (Sunday)

Time: 2 pm - 4 pm


Location: Custom Care Pharmacy



Plus FREE taste test of Ideal Protein weight loss food products




Call to reserve your spot today! 905-305-0111