{"id":3863,"count":26,"description":"Deficien\u021bele de vitamine \u0219i minerale sunt comune la nivel global \u2014 chiar \u0219i \u00een popula\u021biile cu securitate alimentar\u0103, aportul sc\u0103zut de vitamina D, B12, fier \u0219i calciu afecteaz\u0103 o propor\u021bie semnificativ\u0103 de adul\u021bi, cu rate mai mari \u00een sarcin\u0103, la vegetarieni, vegani, pacien\u021bii post-bariatrici, v\u00e2rstnici \u0219i pacien\u021bii sub tratament pe termen lung cu metformin\u0103, PPI sau anticonvulsivante. Catalogul de Vitamine \u0219i Minerale MedsBase include <strong>25 de produse<\/strong> acoperind formul\u0103ri cu un singur vitamin, un singur mineral \u0219i multivitamine furnizate de <strong>produc\u0103tori certifica\u021bi WHO-GMP<\/strong>.\n\n<strong>Vitamina D \u0219i calciu.<\/strong> Deficitul de vitamina D este cea mai frecvent\u0103 caren\u021b\u0103 de micronutrien\u021bi la nivel mondial. Sachete de colecalciferol (vitamina D3) la doze mari (60.000 IU o dat\u0103 pe s\u0103pt\u0103m\u00e2n\u0103 timp de 8 s\u0103pt\u0103m\u00e2ni, apoi \u00eentre\u021binere lunar\u0103) sunt disponibile sub form\u0103 de <a href=\"https:\/\/medsbase.com\/ro\/calcirol\/\">Calcirol<\/a>. Depozit de colecalciferol intramuscular 6.00.000 IU pentru deficien\u021b\u0103 sever\u0103 (injec\u021bie anual\u0103 unic\u0103 \u00een cazuri selectate) este stocat sub form\u0103 de <a href=\"https:\/\/medsbase.com\/ro\/arachitol-6l-injection\/\">Arachitol 6L Injectabil<\/a>. Vitamina D activat\u0103 (alfacalcidol, pentru deficien\u021b\u0103 asociat\u0103 bolii renale cronice unde hidroxilarea renal\u0103 1-\u03b1 este afectat\u0103) este disponibil\u0103 sub form\u0103 de <a href=\"https:\/\/medsbase.com\/ro\/alphadol\/\">Alphadol<\/a>. Combina\u021bii de carbonat\/citrat de calciu cu vitamina D pentru s\u0103n\u0103tatea osoas\u0103 postmenopauz\u0103 sunt stocate sub form\u0103 de <a href=\"https:\/\/medsbase.com\/ro\/cipcal\/\">Cipcal<\/a> \u0219i <a href=\"https:\/\/medsbase.com\/ro\/topcal-m\/\">Topcal M<\/a> (cu magneziu \u0219i vitamina D). Bisfosfonatul alendronat pentru tratamentul osteoporozei este listat sub form\u0103 de <a href=\"https:\/\/medsbase.com\/ro\/osteofos\/\">Osteofos<\/a>.\n\n<strong>Vitamina B12 \u0219i complexul B.<\/strong> Deficitul de vitamina B12 provoac\u0103 anemie macrocitar\u0103, neuropatie periferic\u0103, glosit\u0103 \u0219i (\u00een cazuri severe) degenerare combinat\u0103 subacut\u0103 a m\u0103duvei spin\u0103rii. Cianocobalamina oral\u0103 la doze mari de 1500 \u00b5g ac\u021bioneaz\u0103 prin difuzie pasiv\u0103 (1% absorb\u021bie este suficient\u0103 la aceste doze, ocolind dependen\u021ba de factorul intrinsec) \u0219i este non-inferioar\u0103 administr\u0103rii intramusculare lunare \u00een anemia pernicioas\u0103. Stoc\u0103m <a href=\"https:\/\/medsbase.com\/ro\/vitamin-b12\/\">Vitamina B12 1500 \u00b5g<\/a>. Injec\u021bia intramuscular\u0103 de metilcobalamin\u0103 pentru \u00eenlocuire rapid\u0103 \u0219i ca adjunct \u00een neuropatia diabetic\u0103 este disponibil\u0103 sub form\u0103 de <a href=\"https:\/\/medsbase.com\/ro\/walcobal-injection\/\">Walcobal Injectabil<\/a>. Op\u021biuni parenterale \u0219i orale cu complex B multiplu includ <a href=\"https:\/\/medsbase.com\/ro\/polybion-ampoule\/\">Ampol\u0103 Polybion<\/a>, <a href=\"https:\/\/medsbase.com\/ro\/beplex-forte\/\">Beplex Forte<\/a>, \u0219i <a href=\"https:\/\/medsbase.com\/ro\/becozinc\/\">Becozinc<\/a> (complex B cu zinc). Tiamina 100 mg (pentru neuropatie asociat\u0103 alcoolului, profilaxie Wernicke, beriberi) este stocat\u0103 sub form\u0103 de <a href=\"https:\/\/medsbase.com\/ro\/thiamine-hcl-100\/\">Tiamin\u0103 HCL 100<\/a>.\n\n<strong>Vitamina A.<\/strong> Vitamina A masticabil\u0103 este disponibil\u0103 sub form\u0103 de <a href=\"https:\/\/medsbase.com\/ro\/vitamin-a-chewable-tablet\/\">Tablet\u0103 Mestecabil\u0103 cu Vitamina A<\/a> pentru deficien\u021b\u0103 documentat\u0103 (xeroftalmie, orbire nocturn\u0103 \u00een malnutri\u021bie, malabsorb\u021bie post-bariatric\u0103). Not\u0103: dozele mari pe termen lung de vitamina A sunt teratogene \u00een sarcin\u0103 \u0219i hepatotoxice \u2014 suplimentarea ar trebui ghidat\u0103 de nivelurile sanguine, nu luat\u0103 nedeterminat ca \"pentru s\u0103n\u0103tate general\u0103\".\n\n<strong>Vitamina C \u0219i antioxidan\u021bi.<\/strong> Vitamina C \u00een doze mari (acid ascorbic) pentru deficien\u021b\u0103, adjuvant la vindecarea r\u0103nilor \u0219i ca antioxidant este disponibil\u0103 sub form\u0103 de <a href=\"https:\/\/medsbase.com\/ro\/celin\/\">Celin<\/a> \u0219i combina\u021bia de C + zinc + multi-minerale <a href=\"https:\/\/medsbase.com\/ro\/c-vitan-z\/\">C Vitan Z<\/a>. Glutation redus (principalul antioxidant intracelular; utilizare oral\u0103 \u0219i IV pentru ficatul gras non-alcoolic \u0219i ca adjuvant \u00een neuropatia periferic\u0103 indus\u0103 de chimioterapie) este disponibil sub form\u0103 de <a href=\"https:\/\/medsbase.com\/ro\/l-glutathione\/\">L-Glutathione<\/a> \u0219i <a href=\"https:\/\/medsbase.com\/ro\/l-glutathione-250mg\/\">L-Glutathione 250mg<\/a>.\n\n<strong>Vitamina E \u0219i vitamina K.<\/strong> Vitamina E (alfa-tocoferol \u2014 rol antioxidant; excesul este asociat cu risc de s\u00e2ngerare \u0219i reducerea beneficiului statinelor) este inclus\u0103 \u00een multivitamin <a href=\"https:\/\/medsbase.com\/ro\/multivite-gold\/\">Multivite Gold<\/a> \u0219i sub form\u0103 topic\u0103 <a href=\"https:\/\/medsbase.com\/ro\/e-vitan-hair-oil\/\">E-Vitan Hair Oil<\/a>. Vitamina K1 (fitomenadion\u0103 \u2014 antidot la supradozarea de warfarin, profilaxie neonatal\u0103 cu vitamina K, deficien\u021b\u0103 sever\u0103 de vitamina K \u00een malabsorb\u021bie\/colestaz\u0103) este disponibil\u0103 sub form\u0103 de <a href=\"https:\/\/medsbase.com\/ro\/kenadion-injection\/\">Kenadion Injection<\/a>.\n\n<strong>Preparate de fier.<\/strong> Fierul oral (sulfat feros, fumarat feros) pentru anemie feripriv\u0103 este disponibil sub form\u0103 de <a href=\"https:\/\/medsbase.com\/ro\/fesovit\/\">Fesovit<\/a> (fumarat feros + vitamina C + complex B) \u0219i <a href=\"https:\/\/medsbase.com\/ro\/feronia-xt\/\">Feronia-XT<\/a>. Se administreaz\u0103 pe stomac gol pentru o absorb\u021bie optim\u0103 (1 or\u0103 \u00eenainte de mese) cu vitamina C; se pot observa scaune \u00eentunecate. Dac\u0103 toleran\u021ba gastrointestinal\u0103 este slab\u0103, administrarea \u00een zile alternante \u00eembun\u0103t\u0103\u021be\u0219te eficien\u021ba absorb\u021biei \u0219i toleran\u021ba conform studiilor recente.\n\n<strong>Multivitamine \u0219i minerale.<\/strong> Formul\u0103rile complexe de multivitamine includ <a href=\"https:\/\/medsbase.com\/ro\/multivite-gold\/\">Multivite Gold<\/a> \u0219i combina\u021bia de suport pentru metabolism\/metilare <a href=\"https:\/\/medsbase.com\/ro\/metabolis\/\">Metabolis<\/a>. Adjunctul cardiovascular cu con\u021binut ridicat de vitamine\/minerale <a href=\"https:\/\/medsbase.com\/ro\/cheri\/\">Cheri<\/a> este de asemenea disponibil.\n\n<strong>Supliment de L-Tirosin\u0103 + Iod.<\/strong> Numele <a href=\"https:\/\/medsbase.com\/ro\/thyropace\/\">Thyropace<\/a> capsula con\u021bine L-tirosin\u0103 plus iod \u0219i este v\u00e2ndut\u0103 ca supliment nutri\u021bional de suport tiroidian. <strong>Important \u2014 Thyropace NU este un \u00eenlocuitor pentru levotiroxin\u0103<\/strong> \u00een hipotiroidism diagnosticat (Hashimoto, post-tiroidectomie, post-radioiod), \u0219i poate agrava puseurile de tiroidit\u0103 autoimun\u0103 din cauza \u00eenc\u0103rc\u0103turii cu iod. Poate ajuta doar \u00een deficien\u021b\u0103 u\u0219oar\u0103 de iod documentat\u0103 (acum rar\u0103 \u00een \u021b\u0103rile cu sare iodat\u0103) sau ca adjunct \u00een diete vegane. Pacien\u021bii cu hipotiroidism confirmat ar trebui s\u0103 ia levotiroxin\u0103 \u2014 consulta\u021bi categoria noastr\u0103 de Tratament Hipotiroidism.\n\n<strong>Cum s\u0103 alegi.<\/strong> Deficien\u021b\u0103 confirmat\u0103 (documentat\u0103 \u00een laborator) \u2192 \u00eenlocuire terapeutic\u0103 cu vitamin\u0103\/mineral unic la doza terapeutic\u0103, apoi \u00eentre\u021binere. Deficien\u021b\u0103 suspectat\u0103 \u00een popula\u021bii cu risc crescut (sarcin\u0103, diet\u0103 vegan\u0103, post-bariatric, v\u00e2rstnici, tratament pe termen lung cu metformin\u0103 sau PPI, tulburare de consum de alcool) \u2192 verificare niveluri \u0219i \u00eenlocuire specific\u0103. \"Asigurare\" pentru s\u0103n\u0103tate general\u0103 \u2192 un polivitaminic la doz\u0103 moderat\u0103 o dat\u0103 pe zi este rezonabil, dar dozele masive de vitamine unice nu sunt inofensive (teratogenitatea vitaminei A, riscul de s\u00e2nger\u0103ri cu vitamina E, semnalul de cancer pulmonar la fum\u0103tori cu beta-caroten, semnalul cardiovascular la doze mari suplimentare de calciu).\n\n<strong>Important.<\/strong> Lua\u021bi fierul \u0219i calciul la interval de 4 ore fa\u021b\u0103 de levotiroxin\u0103, fluorochinolone \u0219i tetracicline \u2014 chelarea reduce absorb\u021bia tuturor. Suplimentarea cu vitamina K interfereaz\u0103 cu warfarina \u2014 pacien\u021bii sub warfarin\u0103 ar trebui s\u0103 men\u021bin\u0103 aportul de vitamina K constant (f\u0103r\u0103 \u00eenceputuri sau \u00eentreruperi bru\u0219te de polivitaminice). Sarcin\u0103: acid folic 400\u2013800 \u00b5g zilnic de la 3 luni preconcep\u021bional p\u00e2n\u0103 \u00een primul trimestru este obligatoriu; iodul \u0219i vitamina D continuate pe toat\u0103 durata; suplimentarea cu vitamina A este restric\u021bionat\u0103 (retinol &gt;700 \u00b5g\/zi teratogen).\n\nToate produsele Vitamine \u0219i Minerale MedsBase se expediaz\u0103 din <strong>produc\u0103tori certifica\u021bi WHO-GMP<\/strong> cu livrare discret\u0103 la nivel mondial \u0219i sunt acoperite de <a href=\"https:\/\/medsbase.com\/ro\/medsbase-re-shipment-assurance-policy\/\">Politica noastr\u0103 de Reexpediere Garantat\u0103<\/a>.","link":"https:\/\/medsbase.com\/ro\/vitamins-and-minerals\/","name":"Vitamine \u0219i minerale","slug":"vitamins-and-minerals","taxonomy":"product_cat","parent":3342,"meta":[],"menu_order":0,"acf":[],"_links":{"self":[{"href":"https:\/\/medsbase.com\/ro\/wp-json\/wp\/v2\/product_cat\/3863","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/medsbase.com\/ro\/wp-json\/wp\/v2\/product_cat"}],"about":[{"href":"https:\/\/medsbase.com\/ro\/wp-json\/wp\/v2\/taxonomies\/product_cat"}],"up":[{"embeddable":true,"href":"https:\/\/medsbase.com\/ro\/wp-json\/wp\/v2\/product_cat\/3342"}],"wp:post_type":[{"href":"https:\/\/medsbase.com\/ro\/wp-json\/wp\/v2\/product?product_cat=3863"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}