We report a 20-year-old female patient with Crohn's disease who developed [edit: wernicke's encephalopathy] WE as a result of thiamine deficiency. She had Crohn's disease since age 9 years and was on chronic [edit: total parenteral nutrition] TPN. Two months before admission, [edit: multivitamin infusion] MVI was discontinued in the TPN because of the shortage of its supply. An oral multivitamin tablet was substituted instead. She was admitted to the hospital for persistent vomiting. In the hospital, she continued to receive TPN without MVI, but continued taking an oral multivitamin preparation. Two weeks after admission, she developed signs of WE including diplopia, ophthalmoplegia, nystagmus, and memory disturbance. She also developed hypotension that was thought to be caused by beriberi. She was treated with 50 mg of intravenous thiamine. Within hours of the intravenous thiamine, her hypotension resolved. The day after the infusion, she no longer complained of diplopia, and her ophthalmoplegia had improved dramatically.
jimmylegs wrote:hey there daisy! i am great physically and battered and bruised financially :S lol!
so he's on no supplement regimen at all? sorry to hear your local folks are not as helpful as you need. if they didn't work, perhaps the blood levels still were not high enough, or something else is going on. without a cooperative doc and access to bloodwork it's hard to say.
i am a dunce at pharma stuff, sorry all i can usually provide is info on which if any nutrients are depleted thru their use, or what nutrient supports the body function they are attempting to synthesize. do you know i saw a study that showed interferon restored vitamin e levels to that seen in healthy controls? some of this stuff is so nuts! :S
anyway hope you guys find a solution. take care!
jimmylegs wrote:nails are so handy!
some fortune tellers know about nails and they can really freak people out using that knowledge.
quite seriously, my vitamin regimen costs my mum the earth.
i just lost my apartment and have to move home at the end of this month.
although i work for venues that are open 365 days per year all days and some evenings, i do not have an employer that thinks i deserve hours or wages that will keep a roof over my head.
people in my role also can't get enough income per month during the high seasons to qualify for benefits or for adequate employment insurance in the low seasons.
if this was australia, it would be illegal to do human resources this way!
there done venting
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