-IBIS-1.5.0-
tx
immune system
surgical treatment sequelae
nutrition

dietary guidelines

eating principles:
• liquid diet after surgery/Fasting, then slowly return to normal diet
• increase foods rich in Vitamin C, A, bioflavonoids, B-complex and Vitamin E

avoid:
• meat, alcohol, hot sauces, spicy foods, fried foods, fatty foods, rich foods, salty foods, coffee, caffeine, sweet foods and sugar, cow's milk and other dairy products, white bread, refined foods, processed foods, catarrh-forming foods: tofu, ice cream, shellfish


supplements

• Vitamin C 4-6 g per day
• Vitamin A 50,000 IU per day
• Zinc 60 mg per day
• Copper 3 mg per day
• Vitamin E 400 IU per day; esp. for patient using cyclosporin (Sandimmune), where 25 mg/kg of water-soluble d-alpha Vitamin E enabled increased drug absorption and hence a 40-72% decrease in cyclosporin dose, without reducing the effect of the drug (Sokol, et al., 1991; 338: p. 212-215)
• Vitamin B-complex (Kirschmann, 1984)
• bromelain
• omega-3 fats (EPA) for patient using cyclosporin (Sandimmune): reduces nephrotoxicity of cyclosporin; 6 g per day of omega-3 fats for 3 months reduced drop in glomerular filtration rate by more than 50% (Stoof, 1989; 226: 437-441)

» drug interaction:
• Magnesium and cyclosporin (Sandimmune): cyclosporin reduces serum Magnesium, depletion of which increases the risk of seizures due to neurotoxicity (Thompson, et al., 1984; ii: p. 1129)
• Potassium and indomethacin (Indocin): as a prostaglandin inhibitor, indomethacin reduces renin and aldosterone, and consequently reduces potassium excretion and causes hyperkalemia (Goldszer, et al., 1981; 141: 802-804; Tan, et al., 1979; 90: 783-785; MacCarthy, et al., 1979; 1: 550)
• Iron, Sodium, Calcium, carotene, vitamin B12, fat, protein, cholesterol and neomycin (Mycifradin, Neobiotic): neomycin damages the intestinal villi and precipitates bile salts in the lumen; this leads to malabsorption of the enumerated nutrients


footnotes