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Experts Corner - Health Care Questions and Health Care Answers from Health Care Professionals
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Question |
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Expert's Answer |
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Member's Response |
Lanah Brennan
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Food Allergies |
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Posted on
DietitianCentral.com
by
hdrich
(01/25/12)
Article 2129— I am aware you are probably very busy but, I am in need of
assistance.- My client who has been diagnosis with several
autoimmune disorders-lupus, sjorgen and systemic sclerosis-
she also has ...
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02/01/12
Hello,
It is not uncommon for patients suffering from autoimmune
disorders to also have food allergies. Just as their
immune system attacks their own proteins, it can also do
the same with ...
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Lanah Brennan
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General Nutrition |
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Posted on
DietitianCentral.com
by
MSRDLDN
(01/23/12)
Article 2128— Have you read the book "The Calcium Lie" and if so, what is
your opinion on it? I have had multiple questions recently
about this book and cannot seem to find any expert
evaluations on it. I ...
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01/26/12
Hello,
I have not read "The Calcium Lie". From what I have heard
about the book, it deals with bone health being about more
than just calcium supplementation. There is some truth to
this. ...
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LeeAnn Smith
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Weight Loss/Management |
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Posted on
DietitianCentral.com
by
dianediva
(01/05/12)
Article 2125— Hi! I am a consultant dietitian and have a patient who is
morbid obese (~281kg) Ht: 67" She is bed bound w/ hx of
DM, HTN, PE. Her approximate caloric intake is only
~1200kcal. What is the ...
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01/09/12
Hello Diane,
Thank you for posting your question. Is the patient
receiving physical therapy to help increase energy
expenditure? Is she living at home or in a facility?
The Mifflin-St ...
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Lanah Brennan
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Weight Loss/Management |
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Posted on
DietitianCentral.com
by
dianediva
(01/05/12)
Article 2124— Hi! I am a consultant dietitian and have a patient who is
morbid obese (~281kg) Ht: 67" She is bed bound w/ hx of
DM, HTN, PE. Her approximate caloric intake is only
~1200kcal. What is the ...
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01/10/12
Calorie needs may be best calculated based on her ideal
body weight (IBW). Discuss with the physician goals for
weight loss and be sure to document in her chart. Needs
may vary on her age, but ...
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Lanah Brennan
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Supplements |
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Posted on
DietitianCentral.com
by
carribearg
(01/05/12)
Article 2123— Hi Lanah, I have been asked to speak at a drug and alcohol rehab facility. I am
wondering if you have any experience working with this population of people
and if so, any suggestions or advise? ...
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01/10/12
I have presented a couple of nutrition talks to local
community rehab programs in the past. Since many of the
participants are struggling not only with their nutrition
status, but are trying to ...
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carribearg
(01/17/12):
Thank you for pointing me in the right ...
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LeeAnn Smith
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General Nutrition |
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Posted on
DietitianCentral.com
by
Grenada
(01/05/12)
Article 2122— Hi LeeAnn
How would you calcuate Procalamine at 40ml/hr
Est. needs1610 kcals, 55g protein
Your expertise ...
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01/09/12
Hello,
Thank you for your question. Unfortunately, Procalamine is
not a product that I am familiar with using. You may want
to redirect your question to one of the other RDs who ...
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LeeAnn Smith
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General Nutrition |
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Posted on
DietitianCentral.com
by
rd3157
(12/13/11)
Article 2116— hi leeann,
i was thinking of taking my masters in public health.
what do you think of online mph? any recommendations as to
time, money, and school online? your input is highly
appreciated.
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12/13/11
Because I completed my MPH in a classroom setting I am
unable to speak to the experience of completing an online
program. I can tell you, however, some of the greatest
benefits to my MPH ...
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Melissa Herrmann Dierks
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Career Guidance |
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Posted on
DietitianCentral.com
by
supernut3
(12/12/11)
Article 2114— Hi Melissa,
Your bio is impressive! What especially drew me to your page was your
experience not only in clinical work but also in corporate consulting/food
companies. I am about to graduate ...
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12/12/11
Hello and thanks for your post. In the past, I would have
told you to yes, do whatever it takes to obtain your RD
credential. However with the changes in the economy,
changes in healthcare ...
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LeeAnn Smith
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Renal Nutrition |
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Posted on
DietitianCentral.com
by
honeyb
(12/12/11)
Article 2113— Dear Ms. LeeAnn,
Hi. How are you? I wanted to ask which weight and calories
are you using when calculating for pt caloric
requirement,both overweight and obese pt? Is it adjusted
or IBW ?I ...
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12/13/11
The Mifflin-St Jeor equation using actual body weight will
provide the most accurate assessment of RMR in obese patients.
Men
RMR = (99.9 × weight in kilograms) + (6.25 × height in
centimeters) ...
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Lanah Brennan
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General Nutrition |
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Posted on
DietitianCentral.com
by
dietitianrabbiya
(12/11/11)
Article 2112— hi ,i am a student of nutrition and dietetics , i have
done my BSc, and now want to do my masters , i live in
Pakistan and here we don't have good oppertunities for
further studies , and i ...
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12/14/11
Most MBA degrees in the United States are for general
business or hospital administration. These degrees are
definitely helpful depending on the type of career you
want to pursue. If you are ...
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Sophia Medinsky
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General Nutrition |
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Posted on
DietitianCentral.com
by
cgenie
(12/08/11)
Article 2111— Hi Sophia
I work in LTC with vent dependent patients. Many of our
patients have anasarca, need extensive staff assist for
ADL's and have multiple hospital admits. I find these
patients are ...
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12/11/11
Dear cgenie. Thank you for your question.
Anasarca is simultaneous swelling throughout the body
(generalized subcutaneous edema). The fluid accumulates
within the subcutaneous tissue of the skin ...
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Mary Brighton
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Prenatal Nutrition |
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Posted on
DietitianCentral.com
by
twopeas
(12/07/11)
Article 2110— Hello Mary,
I am in the first trimester of my first pregnancy :)
I have tried three different prenatal vitamins and all of
them have resulted in a horrendous stomach ache. My ...
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12/08/11
Hi Mommy to Be :)
I would NOT take 2 Flintstone's complete vitamins in place
of the prenatal vitamins. It would be too much preformed
Vitamin A.
Take one Flintstone vitamin.
Be sure your ...
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Sophia Medinsky
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Heart Disease |
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Posted on
DietitianCentral.com
by
Mehrshahr2008
(12/01/11)
Article 2109— Hi Sophia,
My name is Mehr :)
I am working on my patient's case with the Admission
diagnosis: aortic dissection; abdominal aortic aneurysm.
Could you possibly let me know about the nutrition ...
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12/02/11
Hi Mehrshahr2008. Thank you for your question! The major
complication of abdominal aortic aneurysms is rupture. This
can be life threatening. Additionally, AAA may cause
abdominal pain and may ...
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Mary Brighton
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Pediatric Nutrition |
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Posted on
DietitianCentral.com
by
Lmandel
(11/17/11)
Article 2108— Hi mary, I am starting a new job at an impatient facility
and I was assigned a Pediatric floor. I was wondering what
a great resource I should turn to for just general
background on peds ...
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11/23/11
Hi Lmandel,
First, deepest apologies for the lateness in this reply.
My suggestions would be the following:
1. Must have: Pediatric Nutrition Manual (PNCM) by The
American Dietetic ...
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Sophia Medinsky
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General Nutrition |
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Posted on
DietitianCentral.com
by
rdlady
(11/16/11)
Article 2107— tpn question - resident admitted to our ltc facility. I
and the MD have virtually no experience with nutrition
support. where should we ...
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11/17/11
Dear rdlady. Thank you for your question. Total Parenteral
Nutrition is used for patients who should get their
nutrition through the vein. TPN may include a combination of
sugar and carbohydrates ...
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LeeAnn Smith
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Diabetes |
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Posted on
DietitianCentral.com
by
Mehrshahr2008
(11/04/11)
Article 2105— Hi,
What whould be a PES statement for a 32 YOM with
DKA and Hx of type 1 DM? Thank ...
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11/07/11
The PES is a part of the nutrition diagnosis aspect of the
ADA's Nutrition Care model.
P: Problem
E: Etiology or Cause
S: Signs & Symptoms
Here is a nice article from Today's Dietitian ...
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Lanah Brennan
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General Nutrition |
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Posted on
DietitianCentral.com
by
kmorris
(11/02/11)
Article 2104— I have a patient (male in his 60's) who is interested in
knowing if there are any types of wine that are lower in
purines to avoid gout flare-ups/rise in uric acid levels.
This patient has well ...
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11/08/11
Chronic elevation of uric acid levels have been linked
with cardiovascular disease and gout. Wine has been shown
to cause an acute uric acid elevation that may be
protective to the heart. ...
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Valerie Weir Houghton
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Pediatric Nutrition |
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Posted on
DietitianCentral.com
by
onyang1060
(10/29/11)
Article 2102— Hi Valerie,
Up to what age do we stop doing the growth charts for kiddo?
Also,is it true that TPN solutions for adults can be used for children?
I thought there is a different TPN solution for ...
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11/04/11
onyang,
The growth charts are available from 2-20yrs..depends on
the reasons for charting the data as to when you cease. I
have included a link to the CDC growth charts.
http://www.cdc.
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LeeAnn Smith
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Renal Nutrition |
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Posted on
DietitianCentral.com
by
bangari1
(10/27/11)
Article 2101— Hi Ms.Smith,
I work in a long tern care. I have a pt who is on T.F. She
has CKD 3, sacral stage 4, and CHF. Especially I found that
she has BUN94 /CRE 1.60, and has hyponatremia.
She is getting ...
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10/28/11
It sounds like in this case wound healing would take
precedence because the pressure ulcer puts her at more
immediate risk. I would considering increasing her protein
to 1.2 to 1.5 grams/kg daily.
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LeeAnn Smith
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Diabetes |
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Posted on
DietitianCentral.com
by
onyang1060
(10/26/11)
Article 2098— Hi Leann,
I have a diabetic patient in the hospital who is very non
compliant. She is diabetic and wants to eat everything--
she insists on fries, cheeseburgers, etc. I have tried to
explain ...
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10/28/11
Hello, and thank you for your question. I, too, have worked
with clients who are unmotivated and non-adherent to the
plan of care. Motivational interviewing (MI) is a valuable
sill to have in ...
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Sophia Medinsky
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General Nutrition |
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Posted on
DietitianCentral.com
by
Mehrshahr2008
(10/18/11)
Article 2097— Hi Sophia, my name is Amir (Dietetic Student) and live in
California, I had a question regarding regarding PES
statement for my patient with history of GERD, post
surgery experiencing Ilues ...
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10/18/11
Hi Mehrshahr2008. Thank you for your question. Nutrition
diagnosis statement or PES statement is composed of three
components: Problem, Etiology, and Signs/Symptoms. Your PES
statements has all ...
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Melissa Herrmann Dierks
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Career Guidance |
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Posted on
DietitianCentral.com
by
TinaPatnodeRDLD
(10/17/11)
Article 2096— Hello Melissa,
I am an RD with 13+ years of clinical and home care
experience. I am looking to start my own private
practice. I have started researching how to go about this
but would ...
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10/30/11
Hi Tina:
Sorry for the delay in response. Since I practice in
North Carolina, I don't know about the managed care
situation in Oregon. Your best bet is to talk to some
Oregon RD's in private ...
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Sophia Medinsky
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Cancer & Nutrition |
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Posted on
DietitianCentral.com
by
gs1234
(10/11/11)
Article 2095— Is Jevity 1 Cal appropriate for J-tube ...
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10/15/11
Dear gs1234. Thank you for your question. You can use
elemental and non-elemental formulas to feed a patient via
jejunostomy. The jejunum should accomodate for digestion and
absorption. Always ...
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LeeAnn Smith
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Renal Nutrition |
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Posted on
DietitianCentral.com
by
moeedpk
(10/03/11)
Article 2094— Hi Doctor Smith,
My name is Moeed Aziz and i live in Pakistan. My mother is a
kidney patient (she is not yet on dialysis). I am worried
about her health. She has been taking medicine for a ...
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10/12/11
Hello Mr. Aziz,
Thank you for your message. Unfortunately, I am unable to
provide individualized diet advice via the internet or
through this forum. However, here are some ...
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Lanah Brennan
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Supplements |
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Posted on
DietitianCentral.com
by
jhboucha
(08/31/11)
Article 2090— Hi there,
I'm the CNM at a long term care facility and noticed that
Abbott has been pushing Ensure Clinical Strength over
TwoCal HN to prevent weight loss. Do you have a ...
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09/01/11
Ensure Clinical Strength and TwoCal HN are both good
choices for supplementation to prevent weight loss. Ensure
Clinical Strength contains B-hydroxy-B-methylbutyrate
(HMB), a leucine metobolite.
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Lanah Brennan
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Weight Loss/Management |
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Posted on
DietitianCentral.com
by
michaeliss
(08/24/11)
Article 2087— How do I calculate percent weight change over a 5 month
time frame for an individual whom has had bilateral below
knee amputations? Do I utilize the current body weight
(post amp - 108.6 lbs) ...
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08/24/11
Hello,
The percent weight change calculation will depend on what
you are trying to assess. If you are looking for a more
accurate assessment of the patient's actual weight loss
for a ...
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Diane King
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Sports Nutrition |
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Posted on
DietitianCentral.com
by
kmorris
(08/19/11)
Article 2086— I am an outpatient RD, CDE and mainly work with Type 2
adults but I am working with a newly diagnosed Type 1&1/2
in his 50's who prior to diagnosis was a marathon bike
rider. Recently, he was ...
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08/21/11
Hi Kimberly, Thanks for your question. Since I cannot
diagnose or prescribe for this patient, my answer may not
fulfill your quest for help so feel free to email me back.
Since there has been a ...
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LeeAnn Smith
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Diabetes |
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Posted on
DietitianCentral.com
by
hunibrd
(08/12/11)
Article 2084— Hi LeeAnn,
Question for you: I've read that caffeine can cause some of
the same symptoms of hypoglycemia. So, is it that the
symptoms MIMIC those of hypoglycemia or is it that the
susceptible ...
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08/17/11
Because caffeine is a central nervous system (CNS)
stimulant it can cause some of the same symptoms as
hypoglycemia (lightheadedness, shakiness, dizziness,
hunger) when consumed in larger doses ...
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Sophia Medinsky
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Cancer & Nutrition |
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Posted on
DietitianCentral.com
by
pambrill
(08/10/11)
Article 2083— Hi Sophia, I am an RD that has recently starting working with a group of breast
cancer survivors. Have you found any significant link between soy and breast
cancer? Also, anything with the ...
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08/14/11
Hi pambrill. Thank you for your question. In research, it is
not clear whether consumption of soy may promote breast
cancer. Some doctors think it is risky to consume soy,
others think that it ...
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Sophia Medinsky
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Cancer & Nutrition |
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Posted on
DietitianCentral.com
by
roising
(08/04/11)
Article 2082— Hi Sophie,
I'm hoping to specialise in oncology, and am keen to
further my training. Something that I am particularly
interested in is anthropometric measurements. What do you
find helpful ...
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08/08/11
Dear Roisin. Thank you for your question. Besides mid upper
arm muscle circumference, I use triceps and subscapular skin
fold thickness to assess changes in patient's nutritional
status. To find ...
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roising
(08/09/11):
Many thanks for answering my question, that's most useful! I
am based in the UK, and hope to join ...
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