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Alcohol also decreases the absorption of zinc and increases urinary zinc excretion, and zinc deficiency is common in alcoholics [80]. Diarrhea also results in loss of zinc and zinc deficiency. Chronic diarrhea and malabsorption from celiac sprue, Crohn’s disease, short bowel syndrome, pyrroluria, and bariatric surgery are risk factors for zinc deficiency [81]. Furthermore, one of the physiologic responses to emotional and physical stress is higher urinary excretion of zinc, which results in increased need of this trace mineral.

According to package warnings, they should not be used for more than 14 days during any four-month period. Chronic use of these medications in patients with AMD, combined with the relative achlorhydria of aging further aggravates the depletion of valuable ocular nutrients such as the carotenoids, B complex vitamins, and vitamins A, D, and E. Warfarin Warfarin (Coumadin) is a common oral anticoagulant that inhibits vitamin K reductase. Warfarin affects the synthesis of the vitamin K–dependent clotting factors by preventing the recycling of vitamin K.

They should not be used for cooking, but can be stored in the refrigerator and added to cereal, salad, vegetables, and sauces. Age-Related Macular Degeneration 21 Vitamin D in Older Adults Older adults have a much higher risk for developing vitamin D deficiency. Elderly individuals typically have insufficient dietary vitamin D intake, inadequate sun exposure, and impaired renal conversion of provitamin D to calcitriol (vitamin D3) [121]. org). Furthermore, ultraviolet damage to the skin from sunlight exposure is associated with an increased risk for skin cancer.

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