Transcript Q10

6
Beginning of the Chapter
NutriMe Complete: Personalized
Micronutrients Based on Your Genetic Profile
Genetically Personalized Dietary
Supplements
MICRONUTRIENTS
Genetics allows us to recognize the
micronutrient requirements
Bone health
Osteoporosis (calcium, vitamin D, magnesium)
Eye health
Macular degeneration (antioxidants)
Heart health
Cholesterol (Omega3)
Homocysteine ​(folic acid, vitamin B)
Food intolerances
Lactose intolerance (calcium)
Gluten intolerance (multivitamin)
Joint health
Rheumatoid Arthritis (Omega3)
Metabolism health
Hemochromatosis (iron)
Mental health
Alzheimer's disease (antioxidants)
Detoxification
Heavy metals (calcium, selenium, iron)
MICRONUTRIENTS
An example of a micronutrient
needed in higher doses
OXIDATIVE STRESS
GPX1 – A Selenoprotein which neutralizes free radicals
GPX1
GPX1
Free
Radical
OXIDATIVE STRESS
GPX1 – A Selenoprotein which neutralizes free radicals
Selenium
GPX1
GPX1
Free
Radical
OXIDATIVE STRESS
GPX1 – A Selenoprotein which neutralizes free radicals
GPX1
GPX1
Selenium
Free
Radical
OXIDATIVE STRESS
GPX1 – A Selenoprotein which neutralizes free radicals
GPX1
GPX1
Selenium
OXIDATIVE STRESS
GPX1 – A Selenoprotein which neutralizes free radicals
GPX1
GPX1
Selenium
Neutralized
OXIDATIVE STRESS
GPX1 – A Selenoprotein which neutralizes free radicals
Selenium deficiency
30% activity
OXIDATIVER STRESS
Selenium deficiency and GPX1 activity
Selenium deficiency
More selenium
30% activity
70% activity
OXIDATIVE STRESS
Genetic variations reduce activity
GPX1
GPX1
Free
Radical
OXIDATIVE STRESS
Genetic variations reduce activity
GPX1
GPX1
Selenium
Free
Radical
OXIDATIVE STRESS
Genetic variations reduce activity
GPX1
GPX1
Selenium
weaker binding
(e.g., 50% less)
OXIDATIVE STRESS
Genetic variations reduce activity
Normal selenium
35% activity
OXIDATIVE STRESS
Genetic variations reduce activity
Normal selenium
35% activity
More selenium
60% activity
OXIDATIVE STRESS
The GPX1 Gene
OXIDATIVE STRESS
Dosage Based on Genetics
GPX1
55 µg / day
OXIDATIVE STRESS
Dosage Based on Genetics
GPX1
55 µg / Day
GPX1
96 µg / Day
OXIDATIVE STRESS
An example of how a
micronutrient has no effect
OXIDATIVE STRESS
Coenzyme Q10 must be activated
Q10
Q10 – No effect
OXIDATIVE STRESS
Coenzyme Q10 must be activated
Q10
Q10 – No effect
NQO1
Q10
Ubiquinol
antioxidant protection
UBI
OXIDATIVE STRESS
Coenzyme Q10 must be activated
Q10
Q10 – No effect
NQO1
Q10
Ubiquinol
antioxidant protection
UBI
UBI
Free
Radical
OXIDATIVE STRESS
NQO1 Activates the Q10 Coenzyme
OXIDATIVE STRESS
Coenzyme Q10 Must Be Activated
Q10
Q10 – No effect
NQO1
Q10
OXIDATIVE STRESS
Coenzyme Q10 Must Be Activated
Q10
Q10 – No effect
NQO1
Q10
Free
Radicals
OXIDATIVE STRESS
Coenzyme Q10 Must Be Activated
Q10 – No effect
Q10
NQO1
Q10
UBI
UBI
Free
UBI
Radicals
UBI
UBI
UBI
UBI
OXIDATIVE STRESS
Coenzyme Q10 Must Be Activated
Q10 – No effect
Q10
NQO1
Q10
E
ALA
C
C
Free
Radicals
E
E
E
C
ALA
ALA
OXIDATIVE STRESS
Coenzyme Q10 Must Be Activated
NQO1
Q10
OXIDATIVE STRESS
Coenzyme Q10 Must Be Activated
NQO1
NQO1
E
Q10
Q10
C
UBI
ALA
MIKRONÄHRSTOFFE
Various factors which affect the
calcium requirement
Factor 1) Lactose intolerance
MICRONUTRIENTS
Lactose Intolerance and Calcium
Age++
Lactase gene
LACTOSE TOLERANT
= 600mg
calcium
through diet
MICRONUTRIENTS
Lactose Intolerance and Calcium
Age++
Lactase gene
LACTOSE TOLERANT
= 600mg
Calcium
through diet
Calcium RDA
800mg/day
Ca
Ca
200mg/day
= 800mg Calcium/day
MICRONUTRIENTS
Lactose Intolerance and Calcium
Age++
Age++
Lactase gene
LACTOSE INTOLERANT
LACTOSE TOLERANT
= 600mg
Calcium
through diet
Calcium RDA
800mg/day
Ca
Ca
Lactase gene
200mg/day
= 800mg Calcium/day
= 30mg
Calcium
through diet
MICRONUTRIENTS
Lactose Intolerance and Calcium
Alter++
Age++
Lactase gene
LACTOSE INTOLERANT
LACTOSE TOLERANT
= 600mg
Calcium
through diet
Calcium RDA
800mg/day
= 30mg
Calcium
through diet
Ca
Ca
Ca
Ca
Lactase gene
770mg/day
200mg/day
Ca
Ca
Ca
= 800mg Calcium/day
Ca
Ca
MICRONUTRIENTS
Various factors which affect the
calcium requirement
Factor 1) Lactose intolerance
Factor 2) Osteoporosis
OSTEOPOROSIS
Bone Density and Age
Normal: bone density increases until 30 years of
age and then gradually decreases
Bone density
Gene variations:
The bone density decreases
faster
Osteopenia
Osteoporosis
10
20
30
40
50
Age (years)
60
70
OSTEOPOROSIS
Bone Density and Age
Bone density
PREVENTION
Osteopenia
Osteoporosis
10
20
30
40
50
Age(years)
60
70
OSTEOPOROSIS
What Calcium Dosage is Optimal?
1500 mg
800 mg
0 mg
RDA according to EFSA
OSTEOPOROSIS
What Calcium Dosage is Optimal?
1500 mg
1200 mg
800 mg
0 mg
Effective, according to
studies
RDA according to EFSA
OSTEOPOROSIS
What Calcium Dosage is Optimal?
1500 mg
1200 mg
Normal
(low) risk
800 mg
800mg
0 mg
Effective, according to
studies
RDA according to EFSA
OSTEOPOROSIS
What Calcium Dosage is Optimal?
1500 mg
Maximum risk
Normal
(low) risk
1200 mg
1200mg
800 mg
800mg
0 mg
Effective, according to
studies
RDA according to EFSA
MICRONUTRIENTS
Various factors which affect the
calcium requirement
Factor 1) Lactose intolerance
Factor 2) Osteoporosis
Factor 3) Detoxification of heavy metals
MICRONUTRIENTS
Is the RDA sufficient??
Detoxification of heavy metals
PHASE 2 DETOXIFICATION
Enzymes remove heavy metals from the body
LEAD
GSTM1
GSTT1
GSTP1
Enzymatic
modification
Removed by
the kidneys
Neutralized
PHASE 2 DETOXIFICATION
Genetic variation leads to less
protection against lead
LEAD
GSTM1
GSTT1
GSTP1
Poisoning,
cancer
PHASE 2 DETOXIFICATION
Genetic variation leads to less
protection against lead
LEAD
GSTM1
Calcium supplement
binds lead
GSTT1
Ca
GSTP1
Ca
Ca
Removed by
kidneys
Calcium binds
lead
MICRONUTRIENTS
Various Factors Which Affect the
Calcium Intake
Factor 1) Lactose intolerance
Factor 2) Osteoporosis
Factor 3) Detoxification of heavy metals
To summarize:
what is the right dosage?
CALCIUM
What affects the optimal calcium intake?
Recommended
RDA
Lactose
intolerant
Osteoporosis
risk
Limited
detoxification
No
+0 mg
No
+0 mg
No
+0 mg
Yes
+150 mg
No
+0 mg
Yes
+100 mg
NO
+0 mg
Yes
+150 mg
No
+0 mg
Yes
+150 mg
Yes
+150 mg
Yes
+100 mg
=800mg
=1050mg
800 mg
=950mg
=1200mg
MICRONUTRIENTS
An example of how a
micronutrient can have different
effects
OMEGA 3
An observations often made by doctors
Person 1 with low HDL cholesterol
The doctor recommends omega 3 supplements
HDL cholesterol improves
OMEGA 3
An Observations Often Made by Doctors
Person 1 with low HDL cholesterol
The doctor recommends omega 3 supplements
HDL cholesterol improves
Person 2 with low HDL cholesterol
The doctor recommends omega 3 supplements
HDL cholesterol is becoming worse
What is the difference?
APOA1 (A/A)
APOA1 (G/G)
OMEGA 3
An Observations Often Made by Doctors
Person 1 with low HDL cholesterol
APOA1 (A/A)
The doctor recommends omega 3 supplements
HDL cholesterol improves
Person 2 with low HDL cholesterol
APOA1 (G/G)
The doctor recommends omega 3 supplements
The doctor recommends phytosterols
HDL cholesterol improves
Various micronutrients achieve
similar results
OMEGA 3
What dosage is optimal?
RDA: 250 mg
Based on studies: 1000-2900mg
OMEGA 3
What dosage is optimal?
Daily dose
3000 mg
2900mg
Study 3
1500mg
Study 1
1000mg
Study 2
250mg
RDA according to EFSA
Effective dose, according to
studies
Dose recommended for the
general population
= RDA
0 mg
CHOLESTEROL
Cholesterol is affected by genes
CETP
HDL
APOA5
Cholesterol
OK
Genes that
influence HDL
CHOLESTEROL
Cholesterol is affected by genes
CETP
HDL
APOA5
Cholesterol
OK
Genes that
influence HDL
APOA1
250mg
OMEGA3
CHOLESTEROL
Cholesterol is affected by genes
CETP
HDL
APOA5
Cholesterol
OK
Genes that
influence HDL
APOA1
250mg
OMEGA3
APOA1
250mg
Phytoster.
CHOLESTEROL
Cholesterol is affected by genes
CETP
HDL
APOA5
Cholesterol
OK
Genes that
influence HDL
CETP
HDL
APOA5
Cholesterol
too low
APOA1
250mg
OMEGA3
APOA1
250mg
Phytoster.
CHOLESTEROL
Cholesterol is affected by genes
CETP
HDL
APOA5
Cholesterol
OK
Genes that
influence HDL
CETP
HDL
APOA5
Cholesterol
too low
APOA1
250mg
OMEGA3
APOA1
250mg
Phytoster.
APOA1
1500mg
OMEGA3
CHOLESTEROL
Cholesterol is affected by genes
CETP
HDL
APOA5
Cholesterol
OK
Genes that
influence HDL
CETP
HDL
APOA5
Cholesterol
too low
APOA1
250mg
OMEGA3
APOA1
250mg
Phytoster.
APOA1
1500mg
OMEGA3
APOA1
1500mg
Phytoster.
SUMMARY
Genes Influence the Micronutrient requirement
Genes influence the effect of MN’s
Genes influence the necessary dosage
By analysing 50+ genes, we can
individually dose 20 + micronutrients
For 50 genes, there are
717 000 000 000 000 000 000 000
possible genetic profiles
Each nutrient mixture is unique
MICRONUTRIENTS
How can you follow such a
detailed requirement?
MICRONUTRIENTS
How Can You Follow Such an
Extensive Recommendation?
Standard products?
The dosages are
always too high or
too low
Personalized mixed capsules?
Very expensive
Microtransporter technology
Easy to produce
Optimal absorption
MICRONUTRIENTS
How Can You Follow Such an
Extensive Recommendation?
Various micro transporters
are mixed in different ratios
to produce an unique
combination
Vitamin C mix
Vitamin A mix
Zinc mix
50% w/w
4% w/w
11% w/w
Molecule of filler
Molecule of Vitamin C
Molecule of Vitamin A
Molecule of Zinc
6g
38g
22g
Zinc mix
Mixture for
one genetic
profile
Vitamin A mix
Vitamin C mix
Instructions:
ingest 8g/day
Amounts differ depending on
genetic profile
MICRONUTRIENTS
A spoon of microtransporters
MICRONUTRIENTS
A spoon of microtransporters
Slow Release – absorbed by the body over a period of 8 hours
Absorption-inhibiting micronutrients are released at different locations
in the intestine
The pellets can be swallowed or mixed with yogurt
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End of the Chapter
NutriMe Complete: Personalized
micronutrients based on your genetic profile