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Gittleman, Ann Louise
"Copper overload is an insidious but increasingly common nutritional problem, says Ann Louise Gittleman, author of the bestselling Beyond Pritikin. She says that difficulty getting out of bed, midday slumps, mood swings, insomnia, and anxiety may be symptoms of a copper/zinc imbalance. She discovered this link after she encountered several patients in her nutritional practice--most of them women--who were not suffering from hypothyroidism, adrenal problems, or anemia (as she had suspected), but rather a mineral imbalance that was diagnosed after simple hair testing.
Vegetarian diets, low-fat diets, and taking multivitamins--all ostensibly healthy moves--can make you more susceptible to copper overload. So do less-healthy activities, including drinking alcohol and coffee, taking cortisone, and being constantly stressed. (These activities sap the body of zinc, says Gittleman, jeopardizing the delicate zinc/copper homeostasis in the body.) Home tap water may also be overloaded with copper, and women are susceptible to absorbing copper from intrauterine devices.
To remedy the overload, Gittleman outlines an easy plan for renewing health and increasing energy. She includes a questionnaire to help determine if copper overload may be a problem for you; gives resources for hair analysis in case your doctor doesn't have one; instructs on how to read a tissue-analysis report; and outlines a sensible diet plan, including menus to keep the zinc/copper balance in check."
San Francisco: HarperSanFrancisco, 1999
616.075 6 GIT w
Buku Teks SO  Universitas Indonesia Library
cover
Gittleman, Ann Louise
"Copper overload is an insidious but increasingly common nutritional problem, says Ann Louise Gittleman, author of the bestselling Beyond Pritikin. She says that difficulty getting out of bed, midday slumps, mood swings, insomnia, and anxiety may be symptoms of a copper/zinc imbalance. She discovered this link after she encountered several patients in her nutritional practice--most of them women--who were not suffering from hypothyroidism, adrenal problems, or anemia (as she had suspected), but rather a mineral imbalance that was diagnosed after simple hair testing.
Vegetarian diets, low-fat diets, and taking multivitamins--all ostensibly healthy moves--can make you more susceptible to copper overload. So do less-healthy activities, including drinking alcohol and coffee, taking cortisone, and being constantly stressed. (These activities sap the body of zinc, says Gittleman, jeopardizing the delicate zinc/copper homeostasis in the body.) Home tap water may also be overloaded with copper, and women are susceptible to absorbing copper from intrauterine devices.
To remedy the overload, Gittleman outlines an easy plan for renewing health and increasing energy. She includes a questionnaire to help determine if copper overload may be a problem for you; gives resources for hair analysis in case your doctor doesn't have one; instructs on how to read a tissue-analysis report; and outlines a sensible diet plan, including menus to keep the zinc/copper balance in check."
San Francisco: HarperSanFrancisco, 1999
616.075 6 GIT w
Buku Teks SO  Universitas Indonesia Library
cover
Dina Nurul Istiqomah
"Gangguan metabolisme mineral dan tulang pada penyakit ginjal kronik (GMT-PGK) merupakan salah satu komplikasi yang ditemukan pada pasien PGK yang menjalani hemodialisis (PGK-HD). Manifestasi GMT-PGK dapat merupakan kelainan sistemik ataupun hanya ditemukan di tulang yang disebut sebagai renal osteodystrophy(ROD). Risiko kematian akibat GMT-PGK mencapai 17,5%. Di Indonesia, pemeriksaan penanda tulang terkait GMT-PGK belum secara rutin dikerjakan karena belum tercakup dalam pembiayaan Jaminan Kesehatan Nasional (JKN). Tujuan penelitian ini menganalisis profil kalsium, fosfat, PTH, dan vitamin D 25(OH) pada pasien PGK-HD. Penelitian ini merupakan studi potong lintang yang melibatkan 124 pasien hemodialisis rutin di Unit Hemodialisis RS Cipto Mangunkusumo (RSCM) yang berlangsung pada bulan Juni sampai Oktober 2022. Penelitian ini menggunakan data sekunder dari semua pasien hemodialisis yang memiliki data jenis kelamin, usia, durasi HD, fosfat, kalsium total, vitamin D 25(OH), dan PTH. Profil parameter tulang di dominasi turnover tinggi (75,8%), normokalsemia (78%), hiperfosfatemia (57,3%), dan status defisiensi vitamin D (82,3%). Pada penelitian ini didapatkan korelasi hanya pada parameter durasi HD dan PTH. Profil kelainan tulang berdasarkan penelitian ini lebih didominansi kelainan turnover tinggi sehingga dapat menjadi dasar untuk pemberian suplementasi analog vitamin D dan atau kalsimimetik dalam pengendalian peningkatan PTH pada pasien HD. Hiperfosfatemia masih mendominasi proporsi pasien HD sehingga tatalaksana terhadap hiperfosfatemia perlu lebih ditingkatkan dan disarankan untuk pemeriksaan berkala.

Chronic kidney disease–mineral and bone disorder (CKD-MBD) is one of the complications found in CKD patients undergoing hemodialysis (CKD-HD). Manifestations of CKD-MBD can be a systemic disorder or only found in the bone which is known as renal osteodystrophy (ROD). The risk of death from CKD-MBD reaches 17.5%. In Indonesia, examination of bone markers related to CKD-MBD has not been routinely carried out because it has not been covered by the National Health Insurance financing. The aim of this study was to analyze the profile of calcium, phosphate, PTH, and vitamin D 25(OH) in patients with chronic kidney disease undergoing routine hemodialysis. This research is a cross-sectional study involving 124 routine hemodialysis patients at the Hemodialysis Unit of Cipto Mangunkusumo Hospital (RSCM) which took place from June to October 2022. This study used secondary data from all hemodialysis patients who had data on gender, age, duration of HD, phosphate, total calcium, vitamin D 25(OH), and PTH. Bone parameter profile was dominated by high turnover (75.8%), normocalcemia (78%), hyperphosphatemia (57.3%), and vitamin D deficiency status (82.3%). In this study, correlation was found only on the HD and PTH duration parameters. The profile of bone abnormalities based on this study is more dominated by high turnover disorders so it can be a basis for administering supplementation of vitamin D analogues and or calcimimetics in controlling increased PTH in HD patients. Hyperphosphatemia still dominates the proportion of HD patients so that the management of hyperphosphatemia needs to be further improved and periodic checks are recommended."
Jakarta: Fakultas Kedokteran Universitas Indonesia, 2022
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UI - Tugas Akhir  Universitas Indonesia Library