Vitamin therapy

It is reasonable to prescribe thiamine 50 mg orally three times a day for 2 to 3 weeks, as thiamine stores may be depleted because of poor diet and alcohol-impaired gut absorption. Wernicke-Korsakoff syndrome is life-threatening and steps must be taken to avoid it developing. (8) The malnourished patient, or the patient who shows any sign of Wernicke's encephalopathy (confusion, ataxia, ophthalmoplegia, nystagmus—do not wait for the 'triad' of symptoms), must be given immediate parenteral B vitamins. Anaphylactic shock was a very rare complication of some older preparations. It is less likely with intramuscular than intravenous injection; infusion saline drip, when practicable, is probably preferable to slow bolus injection.

Breaking Bulimia

Breaking Bulimia

We have all been there: turning to the refrigerator if feeling lonely or bored or indulging in seconds or thirds if strained. But if you suffer from bulimia, the from time to time urge to overeat is more like an obsession.

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