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Folic Acid
  Vitamin Folic Acid (B9)
 Recommended for…
 Conditions prevented by it
 


Alternative Names: Folacin or Folate.

Although folic acid is found in vegetables, fruits, grain products, meat and meat alternatives, it is difficult to get the entire amount from food. Cooking foods at high heat on the stove or in a microwave, or with too much water, will reduce folate content. Try to eat vegetables lightly steamed or raw.
Source


While we get some folic acid from our intestinal bacteria, most of our daily intake must come from our diet or through supplementation. It has been estimated that only half of the USRDA, which is 0.4mg (400mcg), is actually consumed in an average American diet. The best source of folic acid is foliage, the green leafy vegetables.

Tips for Obtaining and Absorbing Folic Acid:
  • Eat good food sources of folic acid every day. Some good sources are root vegetables, dark-green leafy vegetables (spinach, kale, beet greens, collard greens, chard), beets, asparagus, brussels sprouts, romaine lettuce and broccoli. Other good sources are red beans, soy, black-eyed peas, cantaloupe, orange juice, peanut butter, oatmeal, other whole grains/whole-grain cereals, wheat germ, brewer's yeast, mushrooms, and liver, kidney and other organ meats.

    Starchy vegetables containing some folacin are corn, lima beans, green peas, sweet potatoes, artichokes, okra, and parsnips. Bean sprouts, such as lentil, mung, and soy, are particularly good, as are wheat germ or flakes and soy flour. Whole wheat bread, other natural, whole grain baked goods, and milk also have some folic acid. And many fruits have folic acid, such as oranges, cantaloupe, pineapple, banana, and many berries, including loganberries, boysenberries, and strawberries.
     
  • Eat fresh, raw fruits and vegetables often. Don't overcook food. Heat destroys folic acid.
     
  • Take the daily vitamin supplement your doctor suggests or prescribes, which will often be a multivitamin supplement that contains 0.2mg (200mcg) or more of folic acid. Taking more than 1mg (1000mcg) of folic acid is not recommended unless prescribed by your physician.
     
  • Don't smoke.
     
  • Don't drink alcohol. It interferes with absorption of folic acid.
Remember that folic acid is available from fresh, unprocessed food, which is why it is so commonly deficient in our culture's processed-food diet. Luckily, though, it is easily absorbed, used, and stored by our body. It is also manufactured by our intestinal bacteria, so if colon flora is healthy, we have another good source of folic acid.

Most of the folic acid in foods (with the exception of the folic acid added to enriched flour and breakfast cereals) occurs as folate. Folate is only about half as available for the body to use as is the folic acid in pills and supplements.

Folic acid is very sensitive and is easily destroyed in a variety of ways, such as by light, heat, any type of cooking, or an acid pH below 4; it can even be lost from foods when they are stored at room temperature for long periods. The potency of this B-vitamin is diminished during most food processing and food preparation.

In 1998 the government ordered some grain products such as flour, breakfast cereal and pasta to be fortified with folic acid. Folic acid is best obtained from fresh vegetables, which should be your primary source. If, for whatever reason, you are unable to obtain folic acid from vegetables and you are a woman who could get pregnant, it would be highly recommended to add folic acid to your supplement program.

The FDA limits the amount that can be purchased over the counter to 400mcg per tablet. Higher concentrations are available and considered safe by holistic doctors.

Higher amounts, such as 1mg (1,000mcg), 1.5mg, or even 10mg, are available only by prescription because of the concern of masking vitamin B12 deficiency. Some doctors describe impressive results in many patients, especially the elderly, with injections of 1,000mcg of B12 and 10mg of folic acid.

Function; Reasons For Use
As an important human vitamin, folic acid is used by the body as a cofactor in many enzymatic reactions. Folic acid is a molecule made from Glutamic acid (an amino acid), para-amino benzoic acid (PABA) and Pteridine.

Folic acid is critical for neural tube formation during the first weeks of fetal development and is vital in the diet of pregnant women. It is for this reason that the US government issued a requirement for folic acid fortification in flours and cereals by the year 2000. Folic Acid is a key component in the enzymatic conversion of homocysteine to methionine. Homocysteine is now considered an independent risk factor for vascular disease, especially atherosclerosis. Folic acid supplementation, with B6 and B12, has been shown to reduce homocysteine levels in a number of clinical studies.

Folic acid deficiency can be a result of alcoholism, low dietary intake, or poor absorbtion. People who are very stressed or fatigued or who have any loss of adrenal gland function may benefit from additional folic acid. Those who drink alcohol or take high amounts of vitamin C also require more of this vitamin. Also, epileptics on drug therapy require more folic acid, which may help them by improving mood and mental capacities. In patients with psoriasis, folate is used rapidly by the skin, thus is needed in increased amounts. Teenagers on poor diets with no vegetables and the elderly often are helped by folic acid supplementation.

With increased estrogen, as in pregnancy or when taking birth control pills, folic acid supplementation helps prevent deficiency symptoms. More is also required during lactation, which it also aids. Folic acid is often used when there are any menstrual problems. The "restless leg syndrome," which is characterized by creeping, irritating sensations in the legs and occurs most commonly in later pregnancy, is often helped by increasing folic acid, as it may specifically be a deficiency problem.

With both folic acid deficiency anemia and pernicious anemia, folic acid is usually supplemented along with vitamin B12. The fatigue, easy bruising, and inflammation of the tongue that may go along with anemia are often helped as well. Treatment of various blood diseases, osteoporosis, and atherosclerosis has been supported with folic acid. There is some suggestion that it helps in ischemia, with reports of improved blood flow to the eyes and improved vision in those with circulatory deficits.

Directions
A healthy adult needs at least 400mcg of folic acid every day. Requirements at least double (800mcg) during pregnancy, and increase by 50% (to 600mcg) when a woman is breastfeeding (lactation). The average American diet, high in fats, sugar, and white flour, provides about 220mcg of folic acid, approximately the amount needed to maintain tissue stores of the substance for six to nine months before a deficiency develops. This reveals why disorders involving folic acid deficiency are so common.

Between 180 and 200mcg of folic acid are needed daily to maintain the tissue stores of folate. During pregnancy, times of stress or illness, or with alcohol use, the demands are increased, and a 200mcg Daily intake is not sufficient for supporting folic acid functions and maintaining tissue stores. Deficiency symptoms may then occur.

Many doctors now recommend at least 800mcg per day of folic acid via supplements. The suggested therapeutic dosages for most uses of folic acid or treating deficiency problems is about 1mg twice daily; it may take several months for this vitamin therapy to correct the deficiency and replenish stores of folic acid. Some studies are researching folic acid doses of 5-15mg, and even up to 60mg daily.

Higher folic acid intake can mask B12 deficiency and reduce zinc absorption, so these should be noted and monitored if high dose (over 2mg/day) folic acid supplementation is continued for long periods.

Side-Effects
There are no specific toxic symptoms from folic acid intake, at least up to 5mg daily. However, excess folic acid in the face of a B12 deficiency, when B12 is not supplemented and absorbed, may lead to serious consequences. Folic acid will mask the B12-related anemia and early symptoms of vitamin B12 deficiency by helping the synthesis of DNA and red blood cell production, but folic acid has no effect on the myelin sheath covering the nerves, so nerve damage may occur where folic acid covers up a B12 deficiency. Higher doses of folate may also depress B12 levels. In recent research where higher levels (15 mg daily) of folate have been used, some side-effects developed after a month of treatment. These included gastrointestinal symptoms, insomnia, irritability, and malaise.





Folic Acid can help with the following:
Addictions  Cigarette Smoke Damage

Autoimmune

  Vitiligo
 See the link between Vitiligo and Vitamin B12.

Circulation

  Atherosclerosis
 For improved homocysteine metabolism, folic acid (800mcg per day), B6 (50mg per day), B12 (400mg per day), betaine (200 to 1,000mg per day are recommended.

Digestion

  Hydrochloric Acid Deficiency
 In cases of low stomach acid (hypochlorhydria) or no stomach acid (achlorhydria), supplemental use of hydrochloric acid normalizes folate absorption.

Hormones

  Histapenia (Histamine Low)
 The rationale underlying this treatment is that folic acid in conjunction with vitamin B12 injections raises the blood histamine while lowering the degree of symptoms.


Not recommended for:
  Histadelia (Histamine High)
 Histadelics should avoid supplemental folic acid as it can produce excess histamine. In fact, anti-folate drugs may be required. Folic acid increases depression in histadelic patients and a trial of folic acid could be used to distinguish between histapenics and histadelics. In extreme cases, folic acid in food or in multivitamins is enough to produce the adverse effects.

Lab Values

  Elevated Homocysteine Levels
 A deficiency of vitamin B12 is associated with elevated homocysteine levels and folic acid is essential for its proper metabolism.

Metabolic

  Metabolic Diet Type
  Syndrome X
 Folic acid helps break down protein and may reduce the risk of heart disease.

Musculo-Skeletal

  Restless Leg Syndrome
 If there is a circulatory problem (as evidenced by other circulatory problems such as athersclerosis, hypertension, etc.), you may respond very well to extra folic acid and B12, as well as a product high in specific nutrients that strengthen and elasticize the vessel walls. One such product is called Cyruta Plus, and can obtained through professionals handling Standard Process Labs products.

Folic acid at 5-50mg per day (a very large dose) may be helpful when the condition runs in the family; otherwise, it may only help the occasional person. RLS may be an early neurologic manifestation of folate deficiency, the most common of all the vitamin deficiencies. Often the deficiency is not due to a poor diet, but to a genetic factor causing a folate dependency. While not all RLS patients complain of uncomfortable sensations, folate-deficient patients always suffer from them. [Folic Acid in Neurology, Psychiatry and Internal Medicine, New York, Raven Press, 1979]

Nutrients

  Increased Folic Acid Requirement
 Whether or not a woman is expecting a child, it is recommended that women of child-bearing age take folic acid every day in order to help prevent NTDs. It is recommended that women take 0.6mg (600mcg) folic acid daily prior to conception and through the first 3 months of pregnancy.

Organ Health

  Chronic Renal Insufficiency
 Patients with chronic renal failure have homocysteine levels that are significantly elevated at an early stage. Taking 5mg of folic acid daily can significantly lower these homocysteine levels. [Hyperhomocysteinemia: A Role in The Accelerated Atherogenesis of Chronic Renal Failure?, Netherlands Journal of Medicine, 1995;46: pp.244-251]

  Hepatitis
 See the link between Hepatitis and Vitamin B-Complex.

Uro-Genital

  Pregnancy-Related Issues
 The need for this vitamin more than doubles during pregnancy. This is often not met by the diets of pregnant women, so a supplement of 400mcg to 1mg per day of folic acid is recommended throughout pregnancy.

In 1992, the U.S. Public Health Service recommended that all women of childbearing age consume additional folic acid. This means that increased consumption of folic acid is crucial not only during pregnancy, but also before conception. It has been estimated that if all women of childbearing age met this allowance, the number of neural tube defect cases in the United States could decrease by at least 50%. [CDC. Morbidity and Mortality Weekly Report, 1992; 41(RR-14)]

Although foods such as dark-green leafy vegetables provide a reasonable source of folic acid, most women don't reach the recommended 400mcg through diet alone. [Johnston RB, Staples DA. 1997. J Am Med Assoc 1997;278 (11): pp.892­3]

Neural tube defects: (spina bifida): In one study, women who consumed 400mcg of folic acid per day cut in half their chances of having babies with birth defects of the brain and spinal cord, such as spina bifida. Whether a baby develops these defects is determined in the first days after conception (the critical time may be day 27-28) - perhaps before a woman knows she is pregnant.

In another study, one-half of women who had delivered children with spina bifida or anencephaly were found to have had a poor diet during the pregnancy which ended with a child with a neural tube defect. 103 of these women received dietary counseling prior to their next pregnancy while 71 controls received no counseling. Of those who improved their diet, all delivered normal children, while all 8 out of 186 newborns with NTD were born to women who ate a poor diet during their first 6 months of pregnancy [Laurence KM. Nutr Health 2( 3/ 4), 1983].

Scientists currently theorize that women who give birth to babies with neural tube defects are less able to convert homocysteine to methionine, and that high levels of homocysteine may cause birth defects. Folic acid, along with vitamin B12, is required for this biochemical conversion, as well as new tissue production and growth in both baby and mother.

Downs: Mothers with a genetic abnormality that hinders how the body processes folic acid were 2.6 times more likely to have a child with Down syndrome than mothers without that genetic defect. Millions of women appear to have this genetic abnormality, yet the risk of having a child with Down syndrome actually is small - one in 600 births. If you have this mutation and you happen to have a very poor diet, it magnifies the problem; the researchers call this a gene-nutrient interaction. The March of Dimes estimates there are 250,000 Americans with Down syndrome. (American Journal of Clinical Nutrition October 1999)

Cleft palate: Only high pharmacological doses (6mg per day) of folic acid in the critical period of the primary and the secondary palate development seem to be effective for the reduction of clefts. Doses less than 1mg of folic acid cannot reduce these birth defects.

Case Report: After giving birth, a woman developed severe depression, confusion, disorientation and hallucinations. Over the next 19 months, trials with numerous medications and electroshock therapy were unsuccessful. Folic acid deficiency was diagnosed and folate supplementation was started. In 10 days, she was completely cured.

  Cervical Dysplasia
 Folic Acid in high doses of 10 to 50mg per day have been used successfully to return Pap smears to normal. Folic acid supplementation has resulted in improvement or normalization of cytological smears in patients with cervical dysplasia in placebo-controlled and clinical studies. As folic acid is the most common vitamin deficiency in the world, and quite common in women who are pregnant or taking oral contraceptives, it is probable that many abnormal cytological smears reflect folate deficiency rather than "true" dysplasia. This is particularly applicable to cases in which patients are taking oral contraceptives.

Folic Acid can help prevent the following:
Aging  Alzheimer's Disease
 There is growing evidence suggesting that low blood folate levels can increase the risk of getting Alzheimer's.

In an ongoing study searching for new clues to the aging process, researchers took blood samples of nuns between the ages of 78-101years old living in a convent in Mankato, Minnesota. After 30 of the nuns died, researchers examined their brains for signs of atrophy and compared the results with previous blood nutrient levels.

In brain samples showing numerous Alzheimer's disease brain lesions, researchers found that significantly lower blood levels of folate corresponded with more severe atrophy of the neocortex, the region of the brain containing a rich supply of nerve cells.

Although the study was small, and did not attempt to prove a causal effect, it supports previous evidence linking defects in B-vitamin metabolism with age-related dementia and Alzheimer's. "Optimal folate concentration may in fact be higher in old age or when diseases such as Alzheimer's are present," commented the researchers.

Low folate levels can trigger a build-up of the amino acid homocysteine, which has been linked to higher risk of Alzheimer's and accelerated atrophy of the medial temporal lobe in Alzheimer's patients.

"There seems little doubt now that there is an association between the evolution of certain brain diseases associated with cognitive decline in the elderly and vitamin deficiencies associated with hyperhomocysteinemia," a related editorial resounded.

Although the full extent to which B-vitamin metabolism influences the actual causal mechanisms of dementia is still not clear, "the potential therapeutic options [implicated by these discoveries] are exciting", the authors posited.

The nuns provided a unique population sample to study because they all had similar long-term diet and exercise habits. Researchers found strong evidence of biochemical individuality among the group, despite their similar lifestyle and eating habits. Blood nutrient levels varied widely, reflecting differences in "drug-nutrient and disease-nutrient interactions or differences in the intake, absorption, and metabolism of the nutrients."

NOTE: As this study suggests, even people with similar diets may show striking differences in nutrient metabolism related to various physiological functions. Assessing each patient is the best way to gauge the effectiveness of nutrient intervention strategies.

Sources:

Snowdon DA, Tully CL, Smith CD, Riley KP, Markesbery WR. Serum folate and the severity of the atrophy of the neocortex in Alzheimer disease: findings from the Nun Study. Am J Clin Nutr 2000;71: pp.993-8.

Weir DG, Molloy AM. Microvascular disease and dementia in the elderly: are they related to hyperhomocysteinemia? Am J Clin Nutr 2000;71: pp.859-60.

Circulation

  Stroke
 A study found that people with a dietary intake of at least 300mcg per day of folic acid reduced their risk of stroke and heart disease by 20% and 13% respectively, compared with those who consumed less than 136mcg of folic acid per day.
[Stroke 2002;33: pp.1183-9]

  Coronary Disease / Heart Attack
 Reduces homocysteine levels (major cause of heart disease), thereby decreasing risk of heart disease. A study found that people with a dietary intake of at least 300mcg per day of folic acid reduced their risk of stroke and heart disease by 20% and 13% respectively, compared with those who consumed less than 136mcg of folic acid per day. [Stroke 2002;33: pp.1183-9]

Musculo-Skeletal

  Osteoporosis - Osteopenia
 Folate (folic acid) and the B-vitamins involved in homocysteine conversion (such as B12 and B6) may be beneficial in reducing the risk of osteoporosis because high levels of homocysteine are implicated in chronic diseases such as osteoporosis.

Tumors, Malignant

  Colon Cancer
 Long-term use of a multivitamin containing 400mcg of folic acid, found mostly in leafy green vegetables, beans and nuts, may reduce the risk of colon cancer in women by as much as 75%. The investigators in one study found that folic acid obtained from dietary supplements had a stronger protective effect against colon cancer than folic acid consumed in the diet. In other words, although foods naturally high in folate may provide other beneficial micronutrients, consumption of these foods is probably less effective than use of supplements and fortified foods in enhancing folate status. [Annals of Internal Medicine October 1, 1998;129: pp.517-524]

  Cancer, General
  Breast Cancer


KEY
May do some good
Likely to help
Highly recommended
Reasonably likely to cause problems


GLOSSARY

Achlorhydria
The complete absence or failure of stomach acid secretion.

Adrenal (Adrenal Gland, Adrenal Glands, Adrenals)
The adrenal glands sit on top of each kidney and consist of an outer cortex and an inner medulla. Of the 50 or so hormones the adrenals make, only cortisone and adrenaline are recognized by most people. Some of these hormones must be produced to preserve life, while others help resist stress. Other hormones from the adrenals control normal energy output (along with the thyroid) and govern the breakdown of stored energy into quick energy sources. The medulla produces epinephrine and norepinephrine, which are specifically designed to help the body deal with stressful situations. The adrenals control the body's potassium/sodium balance, which is vital for energy production. They also produce sex hormones in minute amounts, which is important for later years when the gonads drop or cease their production.

AIDS
Acquired Immune Deficiency Syndrome. An immune system deficiency disorder that suddenly alters the body's ability to defend itself. The AIDS virus invades the T4 helper/inducer lymphocytes and multiplies, causing a breakdown in the body's immune system, eventually leading to overwhelming infection and/or cancer, with ultimate death.

Alzheimer's Disease (Alzheimer's)
A progressive disease of the middle-aged and elderly, characterized by loss of function and death of nerve cells in several areas of the brain, leading to loss of mental functions such as memory and learning. Alzheimer's disease is the most common cause of dementia.

Amino Acid (Amino Acids)
An organic acid containing nitrogen chemical building blocks that aid in the production of protein in the body. Eight of the twenty-two known amino acids are considered "essential," and must be obtained from dietary sources because the body can not synthesize them.

Anemia (Anaemia, Anemias)
A condition resulting from an unusually low number of red blood cells or too little hemoglobin in the red blood cells. The most common type is iron-deficiency anemia in which the red blood cells are reduced in size and number, and hemoglobin levels are low. Clinical symptoms include shortness of breath, lethargy and heart palpitations.

Atherosclerosis
Common form of arteriosclerosis associated with the formation of atheromas which are deposits of yellow plaques containing cholesterol, lipids, and lipophages within the intima and inner media of arteries. This results in a narrowing of the arteries, which reduces the blood and oxygen flow to the heart and brain as well as to other parts of the body and can lead to a heart attack, stroke, or loss of function or gangrene of other tissues.

Bacteria (Bacterial, Bacterium)
Microscopic germs. Some bacteria are "harmful" and can cause disease, while other "friendly" bacteria protect the body from harmful invading organisms.

Bruise (Bruised, Bruising)
Injury producing a hematoma or diffuse extravasation of blood without breaking the skin.

Cancer
Refers to the various types of malignant neoplasms that contain cells growing out of control and invading adjacent tissues, which may metastasize to distant tissues.

CDC
United States' Center for Disease Control.

Cervical Dysplasia
Abnormal cells on the surface of the cervix, classified as either mild (70% of cases fall into this category; the cells regress on their own), moderate, or severe, or as class 1, 2 or 3. While dysplasia itself does not cause health problems, it is considered to be a precancerous condition. Left untreated, dysplasia sometimes progresses to an early form of cancer known as cervical carcinoma in situ, and eventually to invasive cervical cancer.

Chronic (Chronicity)
Usually referring to chronic illness: Illness extending over a long period of time.

Chronic Renal Failure (Chronic Renal Insufficiency, Kidney Failure, Renal Insufficiency)
(CRF) Irreversible, progressive impaired kidney function. The early stage, when the kidneys no longer function properly but do not yet require dialysis, is known as Chronic Renal Insufficiency (CRI). CRI can be difficult to diagnose, as symptoms are not usually apparent until kidney disease has progressed significantly. Common symptoms include a frequent need to urinate and swelling, as well as possible anemia, fatigue, weakness, headaches and loss of appetite. As the disease progresses, other symptoms such as nausea, vomiting, bad breath and itchy skin may develop as toxic metabolites, normally filtered out of the blood by the kidneys, build up to harmful levels. Over time (up to 10 or 20 years), CRF generally progresses from CRI to End-Stage Renal Disease (ESRD, also known as Kidney Failure). Patients with ESRD no longer have kidney function adequate to sustain life and require dialysis or kidney transplantation. Without proper treatment, ESRD is fatal.

Cobalamin (B12, B-12, Cobalamine, Vitamin B12)
Essential for normal growth and functioning of all body cells, especially those of bone marrow (red blood cell formation), gastrointestinal tract and nervous system, it prevents pernicious anemia and plays a crucial part in the reproduction of every cell of the body i.e. synthesis of genetic material (DNA).

Cofactor (Cofactors)
A substance that acts with another substance to bring about certain effects, often a coenzyme.

Colon (Colonic)
The part of the large intestine that extends to the rectum. The colon takes the contents of the small intestine, moving them to the rectum by contracting.

Dementia (Senile Dementia)
An acquired progressive impairment of intellectual function. Marked compromise exists in at least three of the following mental activity spheres: memory, language, personality, visuospatial skills, and cognition (i.e. abstraction and calculation).

Dysplasia
Abnormal development of tissue.

FDA
The (American) Food and Drug Administration. It is the official government agency that is responsible for ensuring that what we put into our bodies - particularly food and drugs - is safe and effective.

Folic Acid
A B-complex vitamin that functions along with vitamin B-12 and vitamin C in the utilization of proteins. It has an essential role in the formation of heme (the iron containing protein in hemoglobin necessary for the formation of red blood cells) and DNA. Folic acid is essential during pregnancy to prevent neural tubular defects in the developing fetus.

Gastrointestinal (GI, GI Tract)
Pertaining to the stomach, small and large intestines, colon, rectum, liver, pancreas, and gallbladder.

Glutamic Acid
Involved in the synthesis of DNA, glutathione and some amino acids. Helps remove excess ammonia from the body. Interconverted by the body into glutamic acid and gamma-amino-butyric acid (GABA).

Hepatitis
Inflammation of the liver usually resulting in jaundice (yellowing of the skin), loss of appetite, stomach discomfort, abnormal liver function, clay-colored stools, and dark urine. May be caused by a bacterial or viral infection, parasitic infestation, alcohol, drugs, toxins or transfusion of incompatible blood. Can be life-threatening. Severe hepatitis may lead to cirrhosis and chronic liver dysfunction.

Histamine
A chemical in the body tissues, produced by the breakdown of histidine. It is released in allergic reactions and causes widening of capillaries, decreased blood pressure, increased release of gastric juice, fluid leakage forming itchy skin and hives, and tightening of smooth muscles of the bronchial tube and uterus. Histamine is the chemical that drives the initial acute allergic reaction, causing itching, swelling and congestion.

Hydrochloric Acid (HCl)
An inorganic acidic compound, excreted by the stomach, that aids in digestion.

Hypertension
High blood pressure. Hypertension increases the risk of heart attack, stroke, and kidney failure because it adds to the workload of the heart, causing it to enlarge and, over time, to weaken; in addition, it may damage the walls of the arteries.

Hypochlorhydria (Hypochlorhydric)
The condition of having low hydrochloric acid levels in the stomach, often the cause of digestive disorders.

Kidneys (Kidney, Renal)
Bean-shaped organs, each about the size of a fist. They are located near the middle of the back, just below the rib cage. The kidneys are sophisticated reprocessing machines, each day handling about 50 gallons of blood to sift out about half a gallon of waste products and extra water. The waste and extra water become urine, which flows to the bladder through tubes called ureters. The actual filtering occurs in tiny units inside the kidneys called nephrons. Every kidney has about a million nephrons. In a nephron, a glomerulus -- which is a tiny blood vessel, or capillary -- intertwines with a tiny urine-collecting tube called a tubule. A complicated chemical exchange takes place, as waste materials and water leave your blood and enter your urinary system. The kidneys recycle chemicals such as sodium, phosphorus, and potassium and thus regulate their levels. Renal: Pertaining to the kidneys.

Lactation (Lactate, Lactates, Lactating)
Production of milk; period after giving birth during which milk is secreted in the breasts.

Lesion (Lesions)
Any damage to tissue structure or function; an abnormal change in body tissue caused by disease or injury. A scar is a lesion, as is cancer, a stomach ulcer or a pimple.

Liver (Hepatic)
The largest and one of the most complex organs of the body, the liver is responsible for much of the metabolism of fats, proteins and carbohydrates. It is the site of much of the body's detoxification. It is connected very closely with digestion and the regulation of blood sugar, among many other functions. Found behind the ribs on the right side of the abdomen, it has many important functions such as removing harmful material from the blood, making enzymes and bile that help digest food, and converting food into substances needed for life and growth. Hepatic: Pertaining to the liver.

Malaise
A vague feeling of bodily discomfort, as at the beginning of an illness. A general sense of depression or unease.

Menstruation (Menses, Menstrual, Menstrual Cycle, Menstrual Cycles, Menstrual Flow, Menstrual Phase, Monthly Cycle)
The periodic discharge of blood, tissue fluid and mucus from the endometrium (lining of the uterus) that usually lasts from 3 - 5 days. It is caused by a sudden reduction in estrogens and progesterone.

Metabolism (Metabolic, Metabolize, Metabolizes, Metabolizing)
The chemical processes of living cells in which energy is produced in order to replace and repair tissues and maintain a healthy body. Responsible for the production of energy, biosynthesis of important substances, and degradation of various compounds. Also defined as the sum total of changes in an organism in order to achieve a balance (homeostasis): Catabolic burns up, anabolic stores and builds up; the sum of their work is metabolism.

Methionine
Essential amino acid. Dietary source of sulfur and methyl groups. Important for proper growth in infants, nitrogen balance in adults, healthy nails and skin and the synthesis of taurine, cysteine, phosphatidylcholine (lecithin), bile, carnitine and endorphins. It is an antioxidant nutrient and lipotropic agent which promotes the physiological utilization of fat.

Microgram (mcg, Micrograms, ug)
0.000001 or a millionth of a gram.

Milligram (mg, Milligrams)
0.001 or a thousandth of a gram.

Myelin
A substance made of protein and lipid (fat) that protects the nerves, especially in the brain. The myelin sheath is a jacket of insulation around axons to help them conduct their electrical discharges quickly down the axon.

Neural Tube
The tube of tissue that lies along the central axis of the early embryo. It gives rise to the brain, spinal cord, and other parts of the central nervous system.

Over-The-Counter (OTC, Over The Counter)
A drug or medication that can legally be bought without a doctor's prescription being required.

Pernicious Anemia
Anemia caused by a vitamin B12 deficiency.

pH
A measure of an environment's acidity or alkalinity. The more acidic the solution, the lower the pH. For example, a pH of 1 is very acidic; a pH of 7 is neutral; a pH of 14 is very alkaline.

Pharmacological
Involving the use of drugs.

Protein (Proteins)
Compounds composed of hydrogen, oxygen, and nitrogen present in the body and in foods that form complex combinations of amino acids. Protein is essential for life and is used for growth and repair. Foods that supply the body with protein include animal products, grains, legumes, and vegetables. Proteins from animal sources contain the essential amino acids. Proteins are changed to amino acids in the body.

Psoriasis
An inherited skin disorder in which there are red patches with thick, dry silvery scales. It is caused by the body making too-many skin cells. Sores may be anywhere on the body but are more common on the arms, scalp, ears, and the pubic area. A swelling of small joints may go along with the skin disease.

Red Blood Cell (Erythrocyte, Erythrocytes, RBC, Red Blood Cells)
Any of the hemoglobin-containing cells that carry oxygen to the tissues and are responsible for the red color of blood.

Serum
The cell-free fluid of the bloodstream. It appears in a test tube after the blood clots and is often used in expressions relating to the levels of certain compounds in the blood stream.

Spina Bifida
A nerve tube defect present at birth that results in a gap in the bone that surrounds the spinal cord. Spina bifida is relatively common, occurring about 10 to 20 times per 1,000 births.

Stomach
A hollow, muscular, J-shaped pouch located in the upper part of the abdomen to the left of the midline. The upper end (fundus) is large and dome-shaped; the area just below the fundus is called the body of the stomach. The fundus and the body are often referred to as the cardiac portion of the stomach. The lower (pyloric) portion curves downward and to the right and includes the antrum and the pylorus. The function of the stomach is to begin digestion by physically breaking down food received from the esophagus. The tissues of the stomach wall are composed of three types of muscle fibers: circular, longitudinal and oblique. These fibers create structural elasticity and contractibility, both of which are needed for digestion. The stomach mucosa contains cells which secrete hydrochloric acid and this in turn activates the other gastric enzymes pepsin and rennin. To protect itself from being destroyed by its own enzymes, the stomach’s mucous lining must constantly regenerate itself.

Stroke (Stroke-Type Event)
A sudden loss of brain function caused by a blockage or rupture of a blood vessel that supplies the brain, characterized by loss of muscular control, complete or partial loss of sensation or consciousness, dizziness, slurred speech, or other symptoms that vary with the extent and severity of the damage to the brain. The most common manifestation is some degree of paralysis, but small strokes may occur without symptoms. Usually caused by arteriosclerosis, it often results in brain damage.

Syndrome
A medical condition characterized by a collection of related symptoms (what the patient feels) and signs (what a doctor can observe or measure).

Vascular
Relating to the blood vessels of the body. The blood vessels of the body, as a group, are referred to as the vascular system. They are composed of arteries, veins and capillaries - arteries that pass oxygen-rich blood to the tissues of the body; veins which return oxygen-depleted blood from the tissues to the lungs for oxygen; and the capillaries that are the tiniest vessels and are between the arteries and veins.

Vitamin B6 (B6, B-6)
Influences many body functions including regulating blood glucose levels, manufacturing hemoglobin and aiding the utilization of protein, carbohydrates and fats. It also aids in the function of the nervous system.

Yeast
A single-cell organism that may cause infection in the mouth, vagina, gastrointestinal tract, and any or all bodily parts. Common yeast infections include candidiasis and thrush.

Zinc
An essential trace mineral. The functions of zinc are enzymatic. There are over 70 metalloenzymes known to require zinc for their functions. The main biochemicals in which zinc has been found to be necessary include: enzymes and enzymatic function, protein synthesis and carbohydrate metabolism. Zinc is a constituent of insulin and male reproductive fluid. Zinc is necessary for the proper metabolism of alcohol, to get rid of the lactic acid that builds up in working muscles and to transfer it to the lungs. Zinc is involved in the health of the immune system, assists vitamin A utilization and is involved in the formation of bone and teeth.




Last updated: May 11, 2008


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