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Thank you, Kathrynne. I should have been more specific. Sorry. I've read that certain vitamins are not good with PD meds. I tried Mother on a good multi-vit but took her off as her tremor did seem to worsen indicating the Carbodopa was being blocked. Do you have specific recommendations for a multi-vit for PWP's? Sharon CG Mom 74/50/45 -----Original Message----- From: Kathrynne Holden, MS,RD <[log in to unmask]> To: Multiple recipients of list PARKINSN <[log in to unmask]> Date: Sunday, October 25, 1998 10:34 AM Subject: Re: sweating episodes, cold hands and feet, and "freezing up" >Sharon, > >> While on the subject of vitamins, are there some that PWP's CAN and do take >> successfully? > >Vitamin supplements should be individualized, just like medications, >because there are many contraindicating factors -- a family history of >hemorrhagic stroke, use of blood-thinning medications, etc. I usually do >recommend vitamin/mineral supplements to my clients, but not always. If >over age 50, it's recommended to use supplements that do not contain >iron unless anemic -- iron is an oxidant, and could potentially >contribute to cancer and heart disease. > >It can be difficult for PWP to get enough calcium, as milk is one of the >best sources but milk's protein can block levodopa absorption. After age >50, the recommendation is 1200 mg calcium daily; so fortified foods or a >supplement may be needed. Vitamin D can also be difficult to get in the >diet unless fortified foods are used, although 5-10 minutes in sunshine >daily provide enough. By age 50, people are recommended to get 400 IUs >vitamin D, and by age 80, 600 IUs. > >Best regards, >Kathrynne > >-- >Kathrynne Holden, MS, RD >"Nutrition you can live with!" >Medical nutrition therapy >http://www.nutritionucanlivewith.com/ >Tel: 970-493-6532 // Fax: 970-493-6538 >