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Vitamin A may reduce pancreatitis risk during ALL treatment (60% reduction)
Medical Xpress / Cincinnati Children's Hospital Medical Center / Science Translational Medicine ^ | March 15, 2023 | Cheng-Yu Tsai et al

Posted on 03/19/2023 9:10:20 PM PDT by ConservativeMind

Consuming a diet rich in vitamin A or its analogs may help prevent children and young adults with acute lymphoblastic leukemia (ALL) reduce their risk of developing painful pancreas inflammation during chemotherapy treatment.

For people with ALL, treatment with the enzyme asparaginase helps starve cancer cells by reducing the amount of asparagine circulating in the blood, which the cancer cells need but cannot make themselves. The medication, often used in combination with other chemotherapies, is given via injection into a vein, muscle, or under the skin.

However, an estimated 2% to 10% of asparaginase users develop inflammation of the pancreas in reaction to asparaginase treatment. For a third of these people, the symptoms can be severe.

Jegga and colleagues developed predictive analytics using over 100 million data points encompassing gene expression data, small-molecule data, and electronic health records to understand more of the mechanisms driving asparaginase-associated pancreatitis (AAP) and identify potential interventions to prevent or mitigate AAP.

First, they analyzed massive amounts of gene expression data to reveal that gene activity associated with asparaginase or pancreatitis might be reversed by retinoids (vitamin A and its analogs). The team found more supporting evidence by "mining" millions of of electronic health records from the TriNetX database and the U.S. Federal Drug Administration Adverse Events Reporting System.

Ultimately, the team established two sets of human "real-world" experiences. They found that only 1.4% of patients treated with asparaginase developed pancreatitis when they were also taking vitamin A in contrast to 3.4% of patients who did not. Concomitant use of vitamin A correlated with a 60% reduction in the risk of AAP. Lower amounts of dietary vitamin A correlated with increased risk and severity of AAP.

(Excerpt) Read more at medicalxpress.com ...


TOPICS: Health/Medicine
KEYWORDS: all; inflammation; leukemia; lutein; pancreas; vitamina; zeaxanthin
It seems Vitamin A and its analogues lutein, meso-zeaxanthin, and zeaxanthin) can help, according to the free paper, and seemingly the amounts would equate to something normal supplementation could provide, on top of reasonable food intake.

So a normal lutein/zeaxanthin gelcap and some extra Vitamin A as beta carotene would seem to be enough. You could eat half an ounce of goji berries and get quite a bit more zeaxanthin, though.

1 posted on 03/19/2023 9:10:20 PM PDT by ConservativeMind
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To: Mazey; ckilmer; goodnesswins; Jane Long; BusterDog; jy8z; ProtectOurFreedom; matthew fuller; ...

The “Take Charge Of Your Health” Ping List

This high volume ping list is for health articles and studies which describe something you or your doctor, when informed, may be able to immediately implement for your benefit.

Email me to get on either the “Common/Top Issues” (20 - 25% fewer pings) or “Everything” list.

2 posted on 03/19/2023 9:11:08 PM PDT by ConservativeMind (Trump: Befuddling Democrats, Republicans, and the Media for the benefit of the US and all mankind.)
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To: ConservativeMind

Excellent source of vit A is mangoes.


3 posted on 03/19/2023 10:55:20 PM PDT by entropy12 (Food is most popular anxiety drug, exercise is the least popular.)
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To: ConservativeMind

Interesting! I suffer chronic pancreatitis.


4 posted on 03/20/2023 6:12:07 AM PDT by AuntB (Trump is our Ben Franklin - Brilliant, Boisterous, Brave and ALL AMERICAN!)
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To: ConservativeMind

Excess retinol is common and causes bone problems.

In many diseases, retinol and carotene have opposite effects.


5 posted on 03/20/2023 6:59:53 AM PDT by TTFX
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To: ConservativeMind

Symptoms of acute vitamin A toxicity include:

drowsiness
irritability
abdominal pain
nausea
vomiting
increased pressure on the brain

Symptoms of chronic vitamin A toxicity include:

blurry vision or other vision changes
swelling of the bones
bone pain
poor appetite
dizziness
nausea and vomiting
sensitivity to sunlight
dry, rough skin
itchy or peeling skin
cracked fingernails
skin cracks at the corners of your mouth
mouth ulcers
yellowed skin (jaundice)
hair loss
respiratory infection
confusion

https://www.healthline.com/health/hypervitaminosis-a

Studies that have reviewed the association between vitamin A and depression have suggested that retinoic acid, an active form of vitamin A, can cause depression and suicide

Relationship between Vitamin Intake and Depressive Symptoms in Elderly Japanese Individuals: Differences with Gender and Body Mass Index
https://www.mdpi.com/2072-6643/9/12/1319


6 posted on 03/20/2023 7:10:15 AM PDT by TTFX
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To: ConservativeMind

So a normal lutein/zeaxanthin gelcap and some extra Vitamin A as beta carotene would seem to be enough.

- - - - - - -

This study found that long-term use of beta-carotene, lutein or retinol supplements may increase lung cancer risk.

https://www.cancercarewny.com/content.aspx?chunkiid=21803


7 posted on 03/20/2023 7:13:48 AM PDT by TTFX
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To: TTFX
Types of vitamin A

It is “largely impossible” for provitamin carotenoids, such as beta-carotene, to cause toxicity, as their conversion to retinol is highly regulated.[19] No vitamin A toxicity has ever been reported from ingestion of excessive amounts.[22] Overconsumption of beta-carotene can only cause carotenosis, a harmless and reversible cosmetic condition in which the skin turns orange.

https://en.m.wikipedia.org/wiki/Hypervitaminosis_A

8 posted on 03/20/2023 8:33:17 AM PDT by ConservativeMind (Trump: Befuddling Democrats, Republicans, and the Media for the benefit of the US and all mankind.)
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To: TTFX

This study is talking about the forms of Vitamin A that can’t cause any problem with “excess.”


9 posted on 03/20/2023 8:35:38 AM PDT by ConservativeMind (Trump: Befuddling Democrats, Republicans, and the Media for the benefit of the US and all mankind.)
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To: TTFX

And other researchers said and showed that association, was stupid:

https://academic.oup.com/aje/article/170/3/401/105758


10 posted on 03/20/2023 8:45:52 AM PDT by ConservativeMind (Trump: Befuddling Democrats, Republicans, and the Media for the benefit of the US and all mankind.)
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To: TTFX

Just don’t smoke, which is what Yul Brenner told us, too.


11 posted on 03/20/2023 8:46:49 AM PDT by ConservativeMind (Trump: Befuddling Democrats, Republicans, and the Media for the benefit of the US and all mankind.)
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To: ConservativeMind

It is “largely impossible” for provitamin carotenoids, such as beta-carotene, to cause toxicity, as their conversion to retinol is highly regulated.

- - - - - - -

Studies have shown there is a convincing association between β-carotene supplements and an increased risk of lung cancer in current smokers

https://wiki.cancer.org.au/policy/Position_statement_-_Beta-carotene_and_cancer_risk

Some studies have suggested that beta-carotene supplementation may increase the risk of lung cancer, particularly among smokers or former smokers.

https://acsjournals.onlinelibrary.wiley.com/doi/10.1002/cncr.23527


12 posted on 03/20/2023 9:12:12 AM PDT by TTFX
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To: ConservativeMind

This study is talking about the forms of Vitamin A that can’t cause any problem with “excess.”

- - - - - - -

People who read the title and the excerpt might go to a pharmacy and ask for a vitamin a supplement, and get retinol.


13 posted on 03/20/2023 9:15:56 AM PDT by TTFX
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To: ConservativeMind

And other researchers said and showed that association, was stupid:

- - - - - - -

Another interesting study:

we found that lutein intake was associated with lower lung function as measured by FEV1/FVC% in smokers

Association between lutein intake and lung function in adults: the Rotterdam Study
https://www.cambridge.org/core/journals/british-journal-of-nutrition/article/association-between-lutein-intake-and-lung-function-in-adults-the-rotterdam-study/65182F3B24451A86223638A4A0D3A33E


14 posted on 03/20/2023 9:25:32 AM PDT by TTFX
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To: ConservativeMind

This study is talking about the forms of Vitamin A that can’t cause any problem with “excess.”

- - - - - - -

I read the entire article at medicalxpress.com and didn’t find any mention of forms of vitamin a.


15 posted on 03/20/2023 9:46:29 AM PDT by TTFX
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To: TTFX
The actual paper, which I reviewed, put the Medical Xpress writeup’s words of “Consuming a diet rich in vitamin A or its analogs” into better context. They measured “plasma carotenoids,” to determine Vitamin A, which can only be non-retinyl palmitate forms that mattered, so I put the beta-carotine mention in my first comment.

It also specifically stated the items I put into the first comment of analogues “lutein, meso-zeaxanthin, and zeaxanthin” as greatly reduced, along with the reference for food-based amounts of Vitamin A, of which nearly all food forms have Vitamin A in beta-carotene form, except for organ meats. Milk products have it from supplementation, as do breakfast cereals, and that form is the active form (not beta-carotene).

Hope that helps.

16 posted on 03/20/2023 10:41:58 AM PDT by ConservativeMind (Trump: Befuddling Democrats, Republicans, and the Media for the benefit of the US and all mankind.)
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To: ConservativeMind

This study is talking about the forms of Vitamin A that can’t cause any problem with “excess.”

- - - - - - -

From the results section of the article:

Plasma retinol at the end of induction correlated with dietary intake of retinol and RAE during the induction period. Overall, these results suggest that lower vitamin A intake during the induction period could predispose children and adolescents with ALL to pancreatitis.


17 posted on 03/20/2023 4:02:58 PM PDT by TTFX
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