Ôªø Vitamin C

Functions

 

Vitamin C is essential for growth. It plays a role in the metabolism of amino acids (especially tyrosine and phenylalanine), conversion of folic acid to folinic acid. Vitamin C is essential for many hydroxylation reactions. It has a role in tooth and bone formation, connective tissue integrity, and capillary integrity, promoting the healing of wounds and fractures and reduces chance of infections. Essential for production of collagen, antioxidant, biosynthesis of steroid hormones, prevents scurvy. Has an antihistamine effect.

Uses

 

Used to inc. immunity; wound healing; schizophrenia; manic depression; CV dz, dec. TG, dec. platelet aggregation; allergies; colds; cancer; cataracts, glaucoma; periodontal dz; infertility; back ache; heavy metal toxicity; familial polyposis; Fe def anemia; pressure sores.

Deficiency

 

Vitamin C deficiencies include scurvy (may show bleeding gums as a first sign progressing to pinpoint hemorrhages in the skin, skin changes and internal bleeding). A person with deficiency may be listless, experience fatigue, weakness, SOB, muscle cramps, aching bones, joints, muscles, anorexia, dry skin, feverish, hemorrhage; secondary infection; bleeding gums, pyorrhea, dental carries; decreased glucose tolerance, incr. cholesterol; anemia.

Antagonists

Vitamin C is lost during cooking and storage, light and heat.

Co-factors

 

Vitamin C mobilizes iron from ferritin stores and activates folate. Vitamin C is absorbed from the small intestine. It takes approximately 3 months for severe deficiency symptoms such as scurvy to appear. It is depleted in infectious processes, in smokers, in people with burns and those who have undergone surgery.

Drug Interactions

 

Large doses of vitamin C may increase estrogen levels when taken at the same time as the contraceptive pill. Oral contraceptives may increase requirements but supplements should be taken at a different time. Aspirin, alcohol, antibiotics and steroids may increase vitamin C requirements. Vitamin C may be useful for preventing the development of tolerance to nitrate drugs which are often used to treat angina.

Dose

 

RDA: 60 mg/d adult; 45mg/d kids; 35mg/d infants

More likely requirements are 1-3 grams per day, therapeutic doses may be up to 10g or to bowel tolerance (meaning dose that does not induce diarrhea).

 

Toxicity

 

Excess vitamin C may result in diarrhea; painful urination; flatulence;skin rash; inc. uric acid; rebound scurvy in pregnancy.

Use of vitamin C is contraindicated in cystinuria; oxalate stone formers; Fe storage dz; before lab tests, esp. glucose, guyac stool test.

 

Sources

 

Vitamin C sources include most fruits and vegetables including:

Puerto Rican cherry

Citrus fruit

Tomato

Melon

Peppers

Raw cabbage

Greens

Guava

Strawberries

Pineapple

Potato

 

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