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B1

Proper name Thiamine
Category Vitamin
Functions Thiamine pyrophosphate is necessary to make ATP (the unit of energy in each cell) from glucose (blood sugar). · Also required to make acetylcholine, the primary neurotransmitter in the brain and nervous system and for the maintenance of nerves. · Required for muscular function, especially the heart muscle. · Needed for fatty acid synthesis.
RDA No RDA has been established. Animal studies suggest 1-2 mg per day.
Therapeutic dose 25-250 mg per day.
Deficiency symptoms Thiamine is one the more commonly deficient nutrients in the American diet, probably because it is refined out of whole grains and because it is easily destroyed in cooking. At risk groups for thiamine deficiency include alcoholics, chronic dieters, chronic diarrhea, malabsorption disorders such as celiac disease, the elderly, persons who eat mostly refined foods, and malnourished infants. · Symptoms include, depression, fatigue, irritability, memory loss, confusion, anorexia, weight loss, edema, muscular weakness, soreness in calf muscles, loss of reflexes in legs, pins and needles sensations and numbness, poor coordination, indigestion, edema, heart palpitations and rapid pulse rate.
Toxicity Doses in excess of 1,000 mg for prolonged periods may cause symptoms of thiamine deficiency, possibly by depleting the enzyme necessary to convert thiamine to thiamine pyrophosphate.
Best forms  Thiamine tetrahydrofurfuryl disulfide, Benfotiamine (lipophilic), Allithiamine, Thiamine mononitrate
Food sources Brewer's yeast and organ meats are the most concentrate sources. Most dietary thiamine comes from consumption of whole grains.
Lab tests Red blood cell transketolase
Drug interactions Thiamine deficiency may be induced by taking; Aminoglycosides, Bumetanide, Cephalosporins, Chlortetracycline, Demeciocycline, Ethacrynic acid, Fluoroquinolones, Furosemide, Macolides, Minocycline, Oxytetracycline, Penicillins, Phentoin, Sulphamides, Tetracyclines, Torsemide and Trimethoprim.
Nutrient interactions Works synergistically with other nutrients, particularly other B vitamins.
Metabolism

Thiamine must be phosphorylated to become metabolically active. It is water-soluble and therefor is easily excreted. It's main action is to remove CO2 groups (decarboxylation) in the Krebs cycle and transfer 2-carbon units (transketolation) in the pentose phosphate shunt.



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