| خلاصه مقاله | It is recommended that B12, iron, total iron-binding capacity
(TIBC), and ferritin levels be assessed, keeping in mind that
elevated serum B12 may be a sign of an MTHFR mutation and
inadequate utilization of B12. Measurement of erythrocyte magnesium
and zinc may be helpful, although the laboratory tests
are not reliable indicators of nutritional status. Due to a probably
low-nutrient-density diet and possible increased nutrient
needs, other possible nutrient deficiencies are likely and must
be treated with a healthy diet and nutritional supplements.
Healthy foods may not necessarily be the foods patients
crave, but a routine of high protein, low-carbohydrate meals
and snacks, along with avoidance of sugar, excessive caffeine,
and alcohol are reasonable goals.
These patients often need to increase salt and water intake,
especially in the presence of low blood pressure or orthostatic
dizziness. Salt restriction is generally ill advised in these patients
because of the adrenal dysfunction and orthostatic intolerance.
Gluten avoidance may be helpful in a subset as well |