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Effectiveness of Carbidopa in a High Protein Diet


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#1 Kitikoko

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Posted 06 April 2012 - 04:14 PM

The patient is an 88 year old female who has a PD diagnosis and a gastric tube for 2+ years. The g-tube was inserted after a pulmonary embolism that left her incapable of taking in enough nutrition orally to maintain blood protein limits.

She eats blended food by mouth, and takes approximately 350 calories orally. Her main source of nutrition comes from three (3) cans of Nutren 2.0. She has been on other products but none were able to keep her blood proteins in the correct range. Since changing to Nutren 2.0 in 10/2011, the markers are finally within normal range.

The question is whether the Nutren 2.0 is considered "high protein" and if this will negatively affect her carbidopa medication, which is 25/100 twice per day.

Below is the nutritional information on Nutren 2.0.
500 Calories. Nutren 2.0 is a complete, calorically dense medical food with a balanced nutritional profile containing 16% protein, 39% carbohydrate, and 45% fat. Medium-chain triglycerides constitute 75% of the fat. Vanilla flavored for oral or tube feeding use. Meets or exceeds 100% of the RDI for 20 key vitamins and minerals in 750 ml (3 cans). Osmolality is 745 mOsm/kg water. 2.0 kcal/ml. 80 g Protein/lt. Lactose and gluten free (not for individuals with galactosemia).

#2 Dr. Okun

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Posted 08 April 2012 - 07:15 PM

First, the mix is not bad at all for protein.

The key question is whether the feeding is in any way making her PD symptoms worse?

If yes, the more important thing to do is to give the meds a one hour head start before feedings so they can be absorbed and then the protein will be less of a factor.

Hope that helps.
Michael S. Okun, M.D.
Author of the Amazon Bestseller Parkinson's Treatment: 10 Secrets to a Happier Life
National Medical Director | NPF
UF Center for Movement Disorders & Neurorestoration
Read More about Dr. Okun at: http://movementdisor...hael-s-okun-md/
or Visit Parkinson's Disease treatment and research blogs at:
NPF's What's Hot in Parkinson's disease
or his parkinsonsecrets.com blog for treatment tips




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