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肝胆相照论坛 论坛 学术讨论& HBV English Should Iron Be in Your Multi-Vitamin?
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发表于 2011-12-20 12:35 |只看该作者 |倒序浏览 |打印
http://www.liversupport.com/wordpress/2011/12/liver-disease-bulletin-should-iron-be-in-your-multi-vitamin/
Liver Disease Bulletin: Should Iron Be in Your Multi-Vitamin?

Posted December 19th, 2011

To avoid a worsening of their condition, individuals with chronic liver disease should know which circumstances mandate taking a multi-vitamin with iron.
by Nicole Cutler, L.Ac.
Based on their ability to support the body’s wellness, there are many reasons why someone with chronic liver disease would take a multi-vitamin. Upon first glance, most multi-vitamins appear to be similar. However, closer inspection reveals that quite a few multi-vitamins contain iron. Unless specifically struggling with an iron deficiency, those with chronic liver disease are advised to double-check their multi-vitamin to make sure iron is not listed as an ingredient.
Well-constructed multi-vitamins promote healthfulness by supplying the body with essential building blocks, defending against cellular damage and strengthening valuable systems. For anyone with a chronic illness, such as chronic liver disease, multi-vitamins help the body better contend with the everyday stress that can worsen their condition. For more information on why someone with chronic liver disease could benefit from a multi-vitamin, click here.
As a necessary component of red blood cells, humans need a small amount of iron every day. However, the amount of iron the body needs is usually satisfied by food. Too much iron can be hard on the digestive system and be toxic to the liver. Thus, experts warn that supplements containing iron should only be taken by those who are specifically deficient in iron.
Iron deficient anemia is a common type of anemia, a condition in which blood lacks adequate healthy red blood cells. Red blood cells are needed to carry oxygen to the body’s tissues. There are several reasons someone with iron deficient anemia might need to supplement with iron:
•    They are not getting sufficient iron in their diet.
•    They are not able to absorb iron during digestion.
•    They have a chronic bleeding problem.
•    They are suffering from lead poisoning.
These individuals are candidates for benefitting from the 10 to 20 mg of additional iron found in many multi-vitamins. Unfortunately, anyone who does not fall into one of these iron deficient categories could have unwanted effects from supplemental iron – especially those with chronic liver disease.
The human body has a limited ability to eliminate excessive quantities of iron. Experts estimate that only about 1-2 mg of iron can be excreted each day. In healthy individuals, excessive dietary iron is not properly absorbed and is excreted in the stool. In the presence of chronic liver disease, there is a propensity for extra iron to accumulate in the liver. Regrettably, the liver is particularly susceptible to iron’s toxicity. For the millions of Americans living with chronic liver disease, avoiding unnecessary iron supplementation is a crucial step in maintaining their liver’s health:
•    There is growing evidence that even mildly increased amounts of iron may cause or enhance the amount of injury to the liver in the presence of alcoholic liver disease and chronic Hepatitis C.
•    Iron overload has been found to worsen the prognosis of alcoholic liver disease and chronic Hepatitis C – and to decrease the responsiveness to treatment.
•    Liver scarring and liver cell damage appear to be directly related to the iron content of the liver cell.
Taking a daily multi-vitamin is a simple, commonsense way to support health – especially when living with a chronic illness. However, most individuals with chronic liver disease must avoid multi-vitamins that contain iron. Unless iron deficiency has been specifically confirmed, taking any supplemental iron could easily expedite the advancement of and worsen the prognosis of any chronic liver disease.

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发表于 2011-12-20 12:36 |只看该作者


肝病公告:应铁在你的多重维生素?

发表于12月19日,2011

为了避免自己的病情恶化,慢性肝病的人应该知道这种情况下服用多种维生素与铁一个任务。

妮可卡特勒,L.Ac.

基于自己的能力,以支持身体的健康,也有很多原因,慢性肝病的人将采取多种维生素。乍看之下后,大多数多种维生素似乎是相似的。然而,仔细检查发现,不少多种维生素含有铁。除非专门缺铁挣扎,慢性肝病者应仔细检查他们的多种维生素,以确保铁作为原料上市。

构建良好的多种维生素,促进healthfulness,提供身体的重要基石,防御细胞损伤和加强宝贵的系统。对于任何一种慢性疾病,如慢性肝病,,多维生素,帮助身体更好地抗衡与日常生活中的压力,可以使他们的病情恶化。为什么慢性肝病的人能够受益于多维生素的更多信息,请点击这里。

作为一个红血细胞的必要组成部分,人类需要每天少量的铁。然而,人体所需要的铁量通常是由食物感到满意。过多的铁可能很难对消化系统和肝中毒。因此,专家警告说,只应补充含铁质那些专门缺铁。

缺铁性贫血是一种常见的贫血的类型,在血液中缺乏足够的健康血红细胞的条件。红细胞携带氧气到身体的组织。有几个原因缺铁性贫血的人可能需要补充铁:

•他们没有得到他们的饮食中有足够的铁。

•他们不能够在消化吸收的铁。

•他们有慢性出血问题。

•他们都患有铅中毒。

这些人是从10〜20毫克额外的铁在许多多维生素受惠的候选人。不幸的是,任何人都不会落入这些缺铁类别之一可以补充铁的不良影响 - 尤其是那些患有慢性肝病。

人体有能力是有限的,以消除过量的铁。据专家估计,大约只有1-2毫克的铁,可以每天排出体外。在健康个体,过多的膳食铁是没有正确吸收和大便排出体外。在慢性肝病的存在,有一个额外的铁在肝脏中积累的倾向。令人遗憾的是,肝脏是特别容易受到铁的毒性。对于数以百万计的慢性肝病患者的生活,避免不必要的补铁美国人是一个关键的一步,在维护他们的肝脏的健康:

•有越来越多的证据表明,铁甚至轻度增加可能引起或加强在酒精性肝病和慢性丙型肝炎的存在对肝脏的伤害量

•铁超负荷已经发现酒精性肝病和慢性丙型肝炎的预后恶化 - 并减少治疗的反应。

•肝脏上的疤痕和出现肝细胞损害肝细胞中的铁含量直接相关。

每天服用多种维生素,是一种简单的,常识的方式来支持健康 - 尤其是当与慢性疾病的生活。然而,大多数人的慢性肝病,必须避免含铁的多种维生素。缺铁除非已被明确证实,服用任何补充铁可以轻松加速的进步和恶化的任何慢性肝病的预后。
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