Nutritional deficiencies and neuropsychiatry

[jcc]

I just found this... not sure about the accuracy, but I like the idea of a checklist like this...for quick review.

http://www.energywave.com/self-help/nutrient-deficiencies/nd-neuropsychiatry.htm

looks like they might have some interesting things here...
http://www.energywave.com/self-help/self-help.htm

[rose]

I think the list is a great place to start. Much better than most resources.

I would, however, add the low B12 to several more than already appear, including strangely enough both the possibility of hyporeflexia and hyper.

And in the case of combined degeneration of the spinal cord, I would caution people that high folic acid is far more likely to mask B12 deficiency signs and result in extremely late diagnosis of B12 deficiency. And I believe that most researchers would argue that low folic acid is not a cause of combined degeneration.

[rose]

From Chapter 163 of Goldman: Cecil textbook of medicine

Celiac:

...A significant number of adults with celiac disease present with anemia or osteoporosis without gastrointestinal symptoms. These individuals likely have proximal disease that impairs iron, folate, and calcium absorption but an adequate surface area in the remaining intestine for absorption of other nutrients. Other extraintestinal manifestations of celiac disease include rash (dermatitis herpetiformis), neurologic disorders (myopathy, epilepsy), psychiatric disorders (depression, paranoia), and reproductive disorders (infertility, spontaneous abortion).

B12 deficiency

...may produce cognitive and neuropsychiatric manifestations. [1] [2] The symptoms, which may be subtle and arise from atypical causes of cobalamin deficiency, [3] are assumed to be reversible and produced by white matter abnormalities. Despite the presumed central myelin etiopathogenesis of cognitive impairment in this disorder, [3] white matter abnormalities on brain imaging are rarely reported, [4] and the effects of cobalamin replacement therapy on such structural abnormalities are not known.

rose