? 1.Choline ? a.Found to be important during preg ? i.450 mg/day ? b.Consumes eggs, choline will come from ? c.2 eggs=250 mg ? d. Phosphotidyl choline " lecithin " phospholipid ? e. Cell membrane (squiggly guys) those are phospolipids ? f. Acetyl choline (NOT acetyl CoA) ? i. Neurotransmitter ? ii. Rich in nuts, organ meats ? g. 5. Prenatal Supplementation Omega 3s dont matter Mineral poor absorption Vitamins dont matter Folate better absorption ? A.Pica ? a. Clay ? b. Burnt matches ? c. Corn starch ? d. Laundry detergent ? e. Stones ? f. Chalk ? g. Body has nutrient missing possibly ? h. Feel of it " in your mouth ? i. Open communication is needed ? i. A checkbox on history sheet ? ii. Parasites may show up on labs (from soil/clay) ? iii. Anemia from lead or stones or clay (hurting red blood cells) ? 1. Breaking open RBC ? 2. Evaluate anemia based on previous discussion in course pack ? 3. Expanding blood pool ? iv. Blockage ? 1. Vomiting ? 2. Like in exorcist (projectile) I. Please also see Pre-conception lecture outline ? B.Vegetarians (Tables 4.20 and 4.21, pp. 106 and 107) ? a.Worry: need bio-available iron " ovo lacto (egg dairy) ? b.120-150% RDI ? c.Dont need to worry: ? d.Vegan: ? i.Iron there, bioavailable minerals: Ca, Zn, Mg, essential amino acids ? ii.Phytoestrogens in soy products, watch soy intake ? iii.High fiber diets " get nuts, nut butter ? iv.Processed soy foods " not always good ? v.120-150% RDI ? 1.Iron may be an issue ? 2.Food sources!! ? vi.Lactase is a good idea or Vitamin D supplement ? e. Omega 3 ? i. If not getting an omega 3 supp from fish ? 1. Alternatives; watch out ? a. Algae DHA EPA (fish eat this) ? b. Because of pollution ? c. Supplement safer ? d. FOOD AND NUTRITION SCIENCE 474 Dr. Hildebrandt NUTRITIONAL ASSESSMENT OF THE LACTATING INDIVIDUAL I. Lactation Overview A. National goals (Table 6.1, p. 157) ? Good thing to do B. Infant Benefits ? Great mineral bioavailability ? Human milk: special protein that binds iron ? o Lactoferrin protein, increases iron absorption for baby ? Infant problems with milk ? o Casein/whey protein problem, may reject human milk ? o Allergy forming antigen ? o Chemotherapy problems ? Human
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