Vitamin B5 – Pantothenic Acid

In Greek 'pantos' means 'everywhere'. Utilised in the manufacture of coenzyme A (CoA) and acyl carrier protein (ACP), conversion of fats and CHO for energy production and the manufacture of adrenal hormones and red blood cells. (Murray 2001)

Deficiency Signs and Symptoms
Fatigue, burning foot syndrome, numbness or shooting pain.

Naturopathic Dosage Range
Will vary depending on what is being treated, adaquate maintenance dose is 100 mg per dose

Main Uses
Adrenal support – known as the anti stress vitamin.
Rheumatoid arthritis – often there are lower levels the worse the symptoms are, helps to alleviation of pain.
High cholesterol and triglycerides – reduces levels, and lipid lowering effect in diabetics.

Safety
No side effects reported

Vitamin B6 – Pyridoxine

Necessary for more than 60 enzymes in the body. Multiplication of cells, so important during pregnancy, and for immune system, mucous membranes, skin, and red blood cells. Manufacture of amino acid neurotransmitters (serotonin, dopamine, melatonin).

Deficiency Signs and Symptoms
Depression, convulsions (especially in children), anaemia, impaired nerve function, cracking of the lips and tongue, seborrhoea or eczema.
Antagonists: hydrazine dyes (FD&C yellow), oral contraceptives, alcohol, excessive protein intake.

Naturopathic Dosage Range
50 – 100 mg

Main Uses
PMS – reduces symptoms of breast tenderness, depression, bloating and irritability.
Carpal tunnel syndrome – commonly a deficiency.
Depression – shown to be low in depressed states, essential for neurotransmitter manufacture.
Morning sickness – reduces nausea and vomiting.
Autism – as supplement, not cure, helps brain chemistry, better if used with magnesium.
Atherosclerosis – deficiency shows increased homocysteine levels, inhibits platelet aggrigation.
Diabetes – to prevent complications.
Immune enhancement – low in AIDS even though consuming enough in diet, correlated to decreased immune function. 

Safety
Some toxicity in large doses for long periods. More than 2000 mg can result in nerve toxicity.
Safest at 50 mg per day.

Vitamin B12 – Cobalamin

Works closely with folic acid in the body for many processes including synthesis of DNA, red blood cells and the myelin sheath. The stomach secretes intrinsic factor (IF) to absorb the small amounts of B12 found in food.

Deficiency

Stored (even though water soluble), in liver kidney and body tissues. May take 5 – 6 years before deficiency signs show due to low diet intake, or lack of IF. Pernicious anaemia, impaired nerve function causing numbness, pins and needles or burning, depression in the elderly. Smooth, red tongue and diarrhoea. Common in vegans. (Murray 2001)

Dosage
Vegetarians 100 mcg daily

Main Uses
AIDS – deficiency often present, in vitro B12 reduces HIV replication.
Impaired mental function – senility, Alzheimer’s, where there is deficiency.
Asthma – improvement in symptoms where related to sulphite sensitivity.
Depression – increase in deficiency especially in elderly. (Braun and Cohen 2005)
Low sperm count – because reduced cellular replication, also improves sperm motility.
Multiple sclerosis – usually low, demylination of nerve fibres.
Tinnitis – stabilises neural activity.

Safety
No side effects reported.

Para aminobenzoic Acid (PABA)

Also a B vitamin, part of the folic acid molecule. Readily available in food and made by bacteria in intestines. Aids in metabolism/utilisation of amino acids. Nourishes hair. (Haas 1999)

Food Sources
Liver, brewers yeast, wheat germ, whole grains, eggs, molasses.

Deficiency

Uncommon, possible with antibiotic use or drugs that alter function of intestinal bacteria. Fatigue, irritability, depression, nervousness, headache, constipation, digestive system problems.

Dosage Range

50 – 100 mg

Main Uses
Used with biotin, pantothenic acid and folic acid for hair. Used in sunscreen, to prevent and treat sunburn. Combined with vitamin E to burns. Vitiligo orally or topically.

Safety
High doses irritating to liver – nausea, vomiting, anorexia, fever, skin rash, vitiligo.

 

Vitamin C – Ascorbic Acid

Essential role in human nutrition, controversy as to how much we need, but definitely needed, works as an antioxidant. Manufactures collagen, improves immune function, absorption and utilisation of other nutrients. Better absorbed if take with bioflavonoids. (Murray 2001)

Deficiency Signs and Symptoms
Scurvy – bleeding gums, poor wound healing, bruising, increased susceptibility to infection, hysteria and depression.

Naturopathic Dosage Range

500 mg maintenance.
1000 mg every three or four hours up to ‘bowel tolerance’ (usually about 5000mg) during infection or disease.

Main Uses
Asthma and allergies – generally low in asthma and allergy, improvement in symptoms, protective against oxidative damage, lowers histamine levels.
Cardiovascular disease – reduces risk of death from heart attack and stroke, strengthens arteries, raises HDL, inhibits platelet aggregation, prevents LDL from being oxidised (especially in smokers).
Immune system – infection rapidly depletes the normal high levels of vitamin C in white blood cells (especially lymphocytes). Enhances white blood cell function and activity, antibody responses and levels, secretion of thymic hormones. (Braun and Cohen 2005)
During stress vitamin C is excreted at an increased rate.
Cancer prevention and treatment – against most forms including lung, colon, breast, cervix, oesophagus, oral cavity and pancreas. Antioxidant, protects DNA from damage, enhanced immune function, able to deal with environmental pollution better.
Common cold – reduced severity of symptoms and duration.
Diabetes – insulin facilitates transport of vitamin C into cells so many diabetics have low level.
Fertility – increased sperm count.
Skin ulcers and wound healing – reduced incidence and increased healing time.
Pregnancy related conditions – reduced pre-eclampsia and premature rupture of membranes, capillary fragility.

Safety

Very safe in most people. If taking high dose then reduce gradually. 

Vegetarian Diet

Vegetarian diets typically lack protein, iron, calcium, zinc, vitamin B12, and possibly vitamin D, but are high in fibre, complex carbohydrates, and nutrient rich. If the vegetarian diet is composed mainly of whole grains, legumes, beans, vegetables, fruits, nuts and seeds then it will provide all the nutrients a vegetarian needs.

Protein
Vegetarians who include eggs and milk products in their diet can meet most nutrient requirements, especially protein. The protein of whole grains, legumes, seeds, nuts and vegetables can provide adequate amounts of all the amino acids, but should be combined appropriately in order to obtain a complete protein. Please see protein combining for more information. 50 g of protein should be consumed daily. Milk, cheese, butter and eggs are complete proteins so can be consumed alone.

Iron
Those who do not eat meat should pay close attention to their iron intake, especially women who are in their menstruating years. The iron in legumes, cereals, fortified cereals and whole grains is not readily absorbed. Iron absorption is enhanced by vitamin C. Requirements are 15 – 20 mg per day. Other sources are: dried beans, dried fruit, spinach, chard, beet greens, blackstrap molasses, prunes and legumes. Cooking in iron cookware increases iron intake. For further reading click on the following links iron deficiency or sources of iron.

Calcium
Vegetarians who do not consume eggs and milk products are at risk of deficiency. Calcium is especially important for children and post-menopausal women. Calcium is found in nuts, broccoli, tofu, soybeans, molasses, all dairy products, seeds especially sesame seeds, tahini is a high source of calcium. Calcium fortified soy milk can help to increase levels. Sources of calcium contains more information on calcium absorbtion and foods.

Zinc
Meat is one of the riches sources of zinc, and unfermented soy products can interfere with zinc absorption, hence vegetarians are often low in zinc. Requirements per day are 20 – 25 mg. It becomes necessary for vegetarians to consume a variety of nutrient dense foods rich in zinc such as legumes, e.g. black eyed peas, pinto beans and kidney beans. Zinc can also be found in pumpkin and sunflower seeds, mushrooms, fermented soy products, and eggs also see sources of zinc .

Vitamin B12
Vitamin B12 is mainly found in animal products, so is present in dairy products and eggs. Some plant foods contain traces of B12 but usually as a B12 analogue that cannot be absorbed by the body, so supplementation may be necessary. Tempeh, miso and brewers yeast contain small amounts of B12, and some seaweeds such as kombu, wakame, kelp, alaria, dulse and nori, and spirulina, chlorella and wild blue green algae (these also have a high amino acid profile, that is – a high protein content).

Vitamin D
This is not such a problem in South Africa because we have adequate sunshine, exposure to sunlight helps the synthesis of vitamin D in our bodies. Vitamin D may be lacking in climates where there is less sunshine. If you are vegetarian and do not like the sun then you may well be deficient as the most common food sources are contained in animal products, click on the following link sources of vitamin D for some options.