Biology of incretins: GLP-1 and GIP
Used when: Oral intake is inadequate The gut is functional ASPEN Golden Rule: If the gut works, use it or loose it . Core Components of EN Formulas All EN formulas contain: Protein (intact, peptides, or amino acids) Carbohydrates Fat Water Electrolytes Vitamins & Trace Elements What really differentiates formulas: Protein form Fat composition Osmolality Fiber content Disease-specific modifications Classification of EN Formulas (ASPEN-Based) Intact protein Require normal digestion & absorption Used in: Normal GI function Most hospitalized patients Examples: Ensure | Jevity | Osmolite - (-) Protein as peptides Often enriched with MCTs Easier absorption Used in: Mildmoderate malabsorption Pancreatitis Partial short bowel syndrome Feeding intolerance Examples: Peptamen | Vital | Monogen Free amino acids Minimal fat High osmolality Used in: Severe malabsorption Severe short bowel syndrome Refractory intolerance Example: Vivonex To view or add a comment, sign in One major nutraceutical trend: Targeted nutrition
Nihon Rinsho Meneki Gakkai Kaishi
Management of viral acute liver failure When patients present with acute liver failure, it is necessary to look for a viral cause by serologic testing, including hepatitis A virus IgM antibody, hepatitis B surface antigen, and hepatitis B core IgM antibody
These people had previously experienced calf pain while walking, but with twice-daily IV glutathione treatment, they could walk farther without pain
