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Nathan Goodyear

The Beneficial Effects of Antioxidant Supplementation in Enteral Feeding in Critically ... - 0 views

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    IV vitamin C and vitamin E was found to lower the mortality rate in those with critical illness at the 28 day mark.  This study showed the safety and efficacy of IV vitamin C and vitamin E in those critically ill.
Nathan Goodyear

Total vitamin C, ascorbic acid, and dehydroascorbic acid concentrations in plasma of cr... - 0 views

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    Vitamin levels decreased in critically ill.
Nathan Goodyear

The Association of Vitamin D Status With Pediatric Critical Illness - 0 views

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    Vitamin D deficiency found more prevalent in those children with critical illnesses; and with greater severity of illness.
Nathan Goodyear

Reduced Activation and Increased Inactivation of Thyroid Hormone in Tissues of Critical... - 0 views

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    critical illness is associated with low TSH, reduced T3, and increased rT3 production.  Inflammation is critically involved in this process.  This study from JCEM shows how unreliable TSH and T4 are.
Nathan Goodyear

Reduced Activation and Increased Inactivation of Thyroid Hormone in Tissues of Critical... - 0 views

  • T3 syndrome of severe illness.
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    low T3 (thyroid) seen in those with severe illness
Nathan Goodyear

Hypovitaminosis C and vitamin C deficiency in critically ill patients despite recommend... - 0 views

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    Septic patients have lower vitamin C levels and respond less to typical dosing due to inflammaiton
Nathan Goodyear

Reduced activation and increased ina... [J Clin Endocrinol Metab. 2003] - PubMed - NCBI - 0 views

  • These observed changes, in correlation with a low T(3)/rT(3) ratio, may represent tissue-specific ways to reduce thyroid hormone bioactivity during cellular hypoxia and contribute to the low T(3) syndrome of severe illness.
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    inflammation and critical illness associated with low TSH, low T3, elevated rT3 and low T3:rT3 ratio.
Nathan Goodyear

Vitamin D Deficiency in Critically Ill Children - 0 views

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    vitamin D deficiency found highly prevalent in children with critical illness
Nathan Goodyear

Vitamin C may reduce the duration of mechanical ventilation in critically ill patients:... - 0 views

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    Meta-analysis finds that vitamin C shortened ventilation time by 25% in critical ill.
Nathan Goodyear

Free T4, Free T3, and Reverse T3 in Critically III, Thermall... : The Journal of Trauma - 0 views

  • Significant suppression of serum concentrations of 3,5,3'-triiodothyronine (T3) and elevation of serum concentrations of 3,3',5'-triiodothyronine (rT3) were seen
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    low free T3: elevated reverse T3 in critically ill patients
Nathan Goodyear

Vitamin C revisited | Critical Care | Full Text - 0 views

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    Great read on IV vitamin C in the critically ill.
Nathan Goodyear

Luteinizing hormone secretion and hypoandrogenaemia in critically ill men: effect of do... - 0 views

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    Decreased pulse amplitude and Testosterone in ill men.  The addition of dopamine for vascular effects worsened these findings.
Nathan Goodyear

Depletion of plasma antioxidants in surgical intensive care unit patients requiring par... - 0 views

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    Critically ill patients found to be depleted in glutathione, vitamin C, Zinc, and too a lesser extent: vitamin E.  The obvious treatment would be to replace those identified deficiencies
Nathan Goodyear

Thyroid Replacement Therapy and Heart Failure - 0 views

  • A good biomarker of intracardiac TH signaling would be helpful but has not been identified. In the absence of such a marker, a rational, cautious therapeutic approach might be to restore and maintain over time biochemical euthyroidism as documented by normal circulating levels of TSH, FT4, and FT3.
  • a low-T3 state resulting from altered peripheral TH metabolism secondary to caloric restriction is associated with impaired cardiac contractility
  • Low-T3 syndrome is the central finding and defines the illness in a variety of acute and chronic severe nonthyroidal illnesses with cardiac origin, including MI, HF, and surgically treated cardiac disease.1 Low circulating levels of T3 in the absence of primary thyroid hypofunction have been found in 20% to 30% of patients with dilated cardiomyopathy.
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  • FT3 levels were inversely correlated to coronary artery disease
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    Great review of the current understanding of thyroid hormone metabolism in cardiac tissue.  Low T3 and increased rT3 (via increased D3 activity) is CLEARLY associated with poor cardiac performance and post MI and CHF is associated with poor outcomes.  T3 is critical in cardiac remodeling and recovery post MI.  T3 is actually a vasodilatory in the coronary arteries.   Why a endocrinologist would call rT3 useless only points to their ignorance of the literature.
Nathan Goodyear

A critical view on transgenerational epigenetic inheritance in humans | Nature Communic... - 0 views

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    Is there something here missed on the authors. If one had ill intentions, could one not recommend a pregnant mother as the ideal candidate to program, or reprogram the offspring. Changes induced to F2 are called inter generational inheritance.
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