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
Rutin is a potent senomorphic agent to target senescent cells and can improve chemotherapeutic efficacy
Additionally, genetic susceptibility should not be overlooked, with twin studies indicating that genetic factors contribute approximately 3040% to comorbidity, and certain genetic polymorphisms such as 5-HT transporter gene ( SLC6A4 ) and brain-derived neurotrophic factor ( BDNF ) gene variants are associated with comorbidity susceptibility (Levy et al., 2001)
Molecular Pharmacology, 70 (3), 10791086
They are especially beneficial for people with health conditions or genetic variants that interfere with the metabolism of non-methylated folate or B12
Es wird bevorzugt in der Leber gebildet, kommt aber in allen Zellen des Organismus vor, in besonders hohen Mengen (abgesehen von der Leber) in den roten Blutkrperchen und den Zellen des Immunsystems
