Vitamin A (Retinol) Function and Deficiency
- Retinol
- Constituent of Visual Pigments
- Differentiation of Epithelial Cells into Specialized Tissue
- Night Blindness
- Dry Skin
- Used to Treat Measles
- Antioxidant
Vitamin A (Retinol) Toxicity
- Alopecia
- Vision Changes
- Headache
- Skin Changes
- Hyperlipidemia
- Hepatotoxicity
- Arthralgias
- Teratogen
- Cleft palate
- Cardiac Abnormalities
Vitamin B1 (Thiamine)
- Branched-chain Ketoacid Dehydrogenase
- Pyruvate Dehydrogenase
- Alpha-ketoglutarate Dehydrogenase
- Transketolase
- Wernicke-Korsakoff Syndrome
- Beriberi
- ATP Depletion
- Aerobic Tissues Like Brain and Heart Affected First
- Deficiency Can Worsen with Glucose Infusion
Beriberi (Thiamine Deficiency)
- Thiamine Deficiency
- Dry Beriberi
- Polyneuritis
- Muscle Wasting
- Wet Beriberi
- Dilated Cardiomyopathy
- Edema
Wernicke-Korsakoff Syndrome
- Thiamine deficiency
- Confusion
- Ophthalmoplegia
- Ataxia
- Korsakoff
- Confabulation
- Personality Changes
- Memory loss
- Alcoholics
- Damage to medial dorsal nucleus
- Damage to mammillary bodies
Riboflavin (Vitamin B2)
- Vitamin B2
- FAD
- FAD Makes 1.5 ATP
- Succinate to Fumarate
- Glossitis
- Cheilosis
- Corneal Vascularization
Vitamin B3 (Niacin)
- Derived from Tryptophan
- Synthesis Requires Vitamin B6
- Constituent of NAD+
- Hartnup Disease
- Carcinoid Syndrome
- Pellagra
- Diarrhea
- Dermatitis
- Dementia
- Glossitis
- Flushing
Vitamin B12 (Cobalamin) Mechanism and Deficiency
- Cobalamin
- Large reserve pool in the liver
- Homocysteine to methionine
- Methylmalonyl CoA to succinyl CoA
- Macrocytic Megaloblastic Anemia
- Hypersegmented Neutrophils
- Neurologic defects
- Posterior column
- Lateral corticospinal tract
- Spinocerebellar tract
Vitamin B5 (Pantothenate)
- Pantothenate
- Pyruvate Dehydrogenase
- Coenzyme A
- Fatty Acid Synthase
- Enteritis
- Dermatitis
- Alopecia
- Adrenal Insufficiency
Vitamin B6 (Pyridoxine)
- Pyridoxal Phosphate
- Transamination
- Decarboxylation
- Glycogen Phosphorylase
- Cystathionine Synthase
- Heme Synthesis
- Niacin Synthesis
- Neurotransmitter Synthesis
Vitamin C Mechanism and Deficiency
- Ascorbic acid
- Antioxidant
- Protects Against Free Radicals
- Keeps Iron in Reduced State
- Hydroxylation of Proline and Lysine
- Necessary for Dopamine B Hydroxylase
- Scurvy
- Swollen Gums
- Bruising
- Poor Wound Healing
- Hemarthrosis
- Perifollicular Hemorrhages
- Anemia
Vitamin B6 (Pyridoxine) Deficiency
- Deficiency From Isoniazid
- Deficiency From Oral Contraceptives
- Seizures
- Hyperirritability
- Peripheral Neuropathy
- Sideroblastic Anemia
Vitamin B12 (Cobalamin) Deficiency Causes
- Vegans
- Pernicious Anemia
- Gastric Bypass Surgery
- Malabsorption
- Sprue
- Enteritis
- Crohn's Disease
- Diphyllobothrium latum
Vitamin D Metabolism/Mechanism
- Ergocalciferol (Vitamin D2)
- Plant Sources
- Cholecalciferol (Vitamin D3)
- Sunlight Conversion in Skin
- 7-Dehydrocholesterol
- Liver Hydroxylation
- 25-(OH) D (25-hydroxyvitamin D)
- Storage Form
- Kidney Hydroxylation
- 1,25-(OH)2 D (1,25-dihydroxyvitamin D)
- Active Form Calcitriol
- Absorbs Calcium and Phosphorus in Intestine
Vitamin D Toxicity
- Kidney Stones
- Metastatic Calcification of the Kidney
- Loss of Appetite
- Abdominal Pain
- Sarcoidosis
Vitamin D Deficiency
- Rickets in children
- Bending bones
- Rachitic rosary
- Breast milk has decreased vitamin D
- Osteomalacia in adults
- Tetany from Hypocalcemia
Vitamin E Deficiency
- Antioxidant
- Protects Erythrocytes
- Protects from Free Radical Damage
- Hemolytic Anemia
- Posterior Column
- Spinocerebellar Tract
Ergocalciferol (Vitamin D2)
- Vitamin D2
- Hypoparathyroidism
- Rickets
- Hypophosphatemia
- Fatigue
- Constipation
- Hypercalcemia
- Kidney Stones
Vitamin E (Alpha-tocopherol)
- Antioxidant
- Fat Malabsorption Syndrome
- Alpha-TTP Deficiency
- Bleeding
- Increased Risk Hemorrhagic Stroke
- Limit Doses < 200 IU per Day
- Nuts and Whole Grains
- Vegetable Oils
Vitamin K
- Dark Green Leafy Vegetables
- Synthesized by Intestinal Flora
- Activated by Epoxide Reductase
- Gamma Carboxylation of Glutamate
- Activation of Clotting Factors II, VII, IX, X, Protein C and S
- Deficiency with Broad Spectrum Antibiotics
- Neonatal Hemorrhage with Increased PT and aPTT
- Warfarin is a Vitamin K Antagonist
Biotin (Vitamin B7)
- Carboxylation Reaction
- Pyruvate Carboxylation to Oxaloacetate
- Propionyl-CoA Carboxylation to Methylmalonyl-CoA
- Acetyl-CoA Carboxylation to Malonyl CoA
- Antibiotic Use
- Ingestion of Raw Eggs
- Alopecia
- Dermatitis
- Enteritis
Iron (Ferrous Sulfate)
- Ferrous Salts
- Anemia
- GI Distress
- Nausea and Vomiting
- Dark Stools
- Take Between Meals
- Liquid can Stain Teeth
- Keep out of Reach from Children
- Caution with GI Disorders
- Avoid Antacids
Zinc Deficiency
- Used in Over 100 Enzymes
- Zinc Finger Formation
- Delayed Wound Healing
- Hypogonadism
- Decreased Adult Hair
- Dysgeusia
- Anosmia
- Perioral Rash
- Acrodermatitis Enteropathica
- Increased Risk in Patients with Cirrhosis
Folate Deficiency
- Macrocytic Anemia
- Megaloblastic Anemia
- Malabsorption
- Dietary
- Tea and Toast
- Alcoholics
- Medication-induced
- Methotrexate
- Trimethoprim
- Increased Requirement
- Hemolytic Anemia
- Pregnancy