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A. Schuyler, NP
A. Schuyler, NP, Nurse Practitioner
Category: Health
Satisfied Customers: 16324
Experience:  Board Certified NP, MS, RN. 25 years private practice & hospitalist
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What OTC vitamins can someone with thrombocytosis take and

Customer Question

what OTC vitamins can someone with thrombocytosis take and what kind on foods should he/ she consume and try to avoid? Thank You, Monica
Submitted: 7 years ago.
Category: Health
Expert:  A. Schuyler, NP replied 7 years ago.
Hello, Monica,

Welcome to Just Answer and thanks for your question. Any brand of generic daily multivitamin is fine to take. It is best to avoid other supplements unless your doctors have discovered a lack of a specific nutrient that the supplement provides. That is true for all people who self-treat. There are no specific foods to take or avoid for thrombocytosis. A healthy diet consists of fresh fruits and vegetables, whole grains, lean protein and plenty of water and other fluids. It is best for most people to avoid a lot of sweets, sodas, alcoholic beverages, fried and greasy foods (especially without a gall bladder), etc.
Customer: replied 7 years ago.
Since he is missing part of his pancreas and has been monitoring his insulin levels very closely (and is not diagnosed with diabetes) what fruits n vegetables should he consume cuz I know some of them are high in sugars. My dad does have high blood pressure and high cholesterol I want to help him with a diet plan so he can know what to eat and what to avoid. In reality thats what i am seeking for ideas of the things he can eat or drink. We belong to a small town and most doctors I believe dont have much knowledge like other PA's or doctors in bigger cities. Will the omega oils, flax seed, or vitamin B help?
Expert:  A. Schuyler, NP replied 7 years ago.

The problem with supplements is that they can interact with medications. For instance, omega-3 oils can interfere with "blood thinners" like coumadin/warfarin or aspirin and result in hemorrhaging.

Unless his blood shows a lack of one of the B vitamins, just one multivitamin per day is sufficient. It is best to try just using healthy foods for 2-3 months and see if that will improve his cholesterol numbers rather than piling on a bunch of supplements. Remember that any supplement that has any effect on the body is a drug - just an unregulated, uncontrolled one.

For high cholesterol, he needs to follow a diet low in saturated fat (only lean red meat 2-3 times per week). Most of his protein should come from lean chicken, fish, and legumes (beans, etc.). Any vegetable or fruit is acceptable within reason. While he won't want to eat a whole pineapple because of the sugar content, a slice or two (fresh or canned in pineapple juice) is not going to harm any diet. I am appending some 1,800 calorie diabetic diets which are healthy for everyone to follow. They are low in simple sugars, and heart healthy so they are good for the cholesterol as well. They will give you an idea of what types of food he can eat and about how much. You can tailor the calories depending on his current weight and if he needs to slim down or add calories. If he needs to add calories, he can just have more lean protein and green vegetables. In general it is better to serve whole grains rather than white (processed) ones, whole wheat (or other whole grain) rather than white bread. Solid shortening, butter, margarine should be avoided. There are some stanol-based spreads that actually reduce cholesterol (Benecol, Smart Balance). Olive oil and flaxseed oil are his friends as far as cholesterol are concerned, but they have just as many calories as all other oils and shortening/butter, if weight is a concern.