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Wednesday, May 4, 2016

The Smoothie of Avocado, Banana, Yogurt, Plain Chocolate and Vitamin D fortified low fat milk for Treatment of Gitelman syndrome

Kyle J. Norton(Scholar, Master of Nutrients), all right reserved.
Health article writer and researcher; Over 10.000 articles and research papers have been written and published on line, including world wide health, ezine articles, article base, healthblogs, selfgrowth, best before it's news, the karate GB daily, etc.,.
Named TOP 50 MEDICAL ESSAYS FOR ARTISTS & AUTHORS TO READ by Disilgold.com Named 50 of the best health Tweeters Canada - Huffington Post
Nominated for shorty award over last 4 years
Some articles have been used as references in medical research, such as international journal Pharma and Bio science, ISSN 0975-6299.

The smoothie for treatment of Gitelman syndrome
Yield: 2 servings (about 8 ounces each)
1/2 cup avocado
1/2 cup banana
1/4  cup yogurt
1/4 plain chocolate
1 cup vitamin D fortified low fat milk

1. Place all ingredients in a blender and puree about 1 minute
2. Blend on high speed about 1 minute or until the mixture is thick and the ice is well crushed.
3. Serve immediately

The finding of a natural source for treatment of Gitelman syndrome has been running into many obstacles, many ingredients showed initially with promising result in animal studies have not produced same potentials in large sample size and mutli centers human trials.

Gitelman syndrome is an autosomal recessive distal renal tubular disorder caused by defective sodium chloride transporters inducing hypokalaemic metabolic alkalosis, hypomagnesaemia and hypocalciuria(1). In other words it is a kidney disease caused by an imbalance of ions of potassium, magnesium, and calcium. Recent study lead by the University of Padova suggested that patients with Gitelman syndrome are associated to increase existence of reactive oxygen species (ROS) and oxidative stress of that status could offer chances for new therapeutic targets in disease characterized by high levels of reactive oxygen species(2).
According to the Royal Liverpool and Broadgreen University Hospitals NHS Trust. treatment of Gitelman syndrome may include oral potassium supplement, weekly intravenous potassium and magnesium infusion, correction of vitamin D level and the offering of appropriate dietary advice(3).

Avocado and banana rich in potassium and yogurt and  plain chocolate may be used a daily dietary sources for treatment of Gitelman syndrome in replacement of oral potassium and magnesium supplements.
In take of vitamin D fortified low fat milk should also be necessary for increased absorption of calcium according to study. Furthermore dietary change plays an important role to maintain right levels of potassium, magnesium, and calcium in the blood for prevention of the syndrome induced complications.

The combination of  Avocado, Banana, Yogurt, Plain Chocolate and Vitamin D fortified low fat milk  smoothie may hold a key in further studies in production of an effective natural ingredients for  treatment of Gitelman syndrome without inducing adverse effects.
People with Gitelman syndrome should drink as much as they can depending to the digestive toleration.
Dietary change with lot of vegetables, fruits and deep sea fish will be helpful in reduced risk of muti nutrients deficiency case of syndrome exaggeration.


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References
(1) Management of a severe case of Gitelman syndrome with poor response to standard treatment b Koudsi L1, Nikolova S1, Mishra V1.(PubMed)
(2) Bartter/Gitelman syndromes as a model to study systemic oxidative stress in humans by Maiolino G1, Azzolini M1, Rossi GP1, Davis PA2, Calò LA3(PubMed)
(3) Management of a severe case of Gitelman syndrome with poor response to standard treatment by Koudsi L1, Nikolova S1, Mishra V1.(PubMed)

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