eCAM Advance Access originally published online on November 27, 2006
eCAM 2007 4(2):247-250; doi:10.1093/ecam/nel089
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Three Case Reports to Illustrate Clinical Applications in the Use of Erythrocyte Transketolase
24700 Center Ridge Road, Westlake, OH 44145, USA
Non-caloric nutrients (NCN) are extremely numerous and it is more than obvious that they work in a team relationship. These vitally important interactions are, for the most part, poorly understood. These brief case reports illustrate this in the therapeutic use of thiamin in a clinical setting. The initially abnormal erythrocyte transketolase activity (TKA) and/or the thiamin pyrophosphate effect (TPPE), indicating intracellular cofactor deficiency, usually improves with thiamin administration. Biochemical correction of the abnormality is, however, invariably dependent on the provision of other NCN, especially magnesium. In two patients reported here, this correction required several infusions containing magnesium and other NCN administered intravenously. In a third patient, hemoconcentration associated with an abnormal TPPE was normalized after administration of nutrients that included thiamin and magnesium.
Keywords: transketolase – thiamin/magnesium deficiency – hemoconcentration
For reprints and all correspondence: Derrick Lonsdale, 24700 Center Ridge Road, Westlake, OH 44145, USA. Tel: +1-440-835-0104; Fax: +1-440-871-1404; E-mail: dlonsdale{at}pol.net
Received March 4, 2006; accepted October 12, 2006