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Weight Loss with Saxenda

Today’s blog post is brought to you by one of our female customers who is struggling to lose extra flab around the belly. Sound familiar?

Well to make matters worse for this lady she has PCOS aka Poly Cystic Ovarian Syndrome. It’s a terrible cluster of issues leading to:

  • irregular periods or none at all
  • pimples
  • hair loss on head/hair overgrowth on arms and body
  • infertility
  • high cholesterol
  • diabetes
  • weight gain

It’s thought to be a genetic problem in the ovaries and its tough as hell to fix.

One of the indirect ways of dealing with PCOS is losing weight which is the focus of today’s blog.

(Other treatment modalities include: metformin, contraceptive pills to rebalance hormones, hormone blockers like clomiphene)

Saxenda is the new kid on the block and is one of three main players. It’s a surprisingly empty field because like anything complex, there is no silver bullet. Diet and exercise help but if you want something more, read on…

Saxenda is a GLP-1 analogue (if you’re a nerd, search it up on Wikipedia) which basically slows down your stomach contents causing you to feel fuller for longer; it also acts at the brain level to alert you to feel that enough is enough; finally, it tells your pancreas to pump more insulin for each meal you have.

It’s an injection done to the thigh, abs or upper-arm ONCE per day (there’s actually another one on the market called Byetta but that’s twice daily with similar results). A pack will set you back $400-500/month (not on the

To be eligible for a script from your GP you have to have a BMI of 30+ (or 27 with diabetes, heart problems, and/or PCOS)

So how long does it take to work? Best results happen at the beginning thankfully…with most of the weight loss during the initial 20 weeks or 5 months. People tend to lose 5-10% of their starting weight.

If you haven’t lost at least 5% by week 12, then chances are it won’t work much further-stop and save your money.

Side effects include nausea and vomiting-50% of people experience this as mild to moderate in severity. In studies people actually have vomited-which ironically for the drug company…is probably a factor in helping with weight loss. Thankfully for us mere mortals it does improve with time. Other side effects can include: irritation, pain, bruising at the injection site. Other things like gall stones and allergies are quite rare.

Risk of pancreatitis (inflammation of pancreas) is very, very rare but hey we don’t know the complete picture because it’s a relatively new drug. There is concern that it may be associated with cancer of the pancreas. Watch this space.

Apart from the weight loss benefits, it also helps to reduce your chances of diabetes by reducing things like your HbA1c  and your sugar spikes after a meal.

I hope this has been informative for our customer and for others like her who are going through PCOS which is a dreadful disease.

As always speak to doc about your personal situation.

Best

xoxo Vien

 

 

Featured

You’ve taken a fall and now you’ve got scars to show Q: What’s the best scar treatment?

This question comes from Iman who asks what scar creams are available apart from Vitamin E and Silicone?

This is an age old question and surprisingly it’s still a new field of dermatology that is yet to be revolutionized.

We’re still using old technology from the 70s aka the humble silicone gel sheets. But that’s because it works.

Scars are bothersome to us humans because they affect our self-esteem in public. Scars can be large, look red, itch like hell, and  feel hard to the touch which can affect our dexterity.

Scarring is the end process of skin healing following trauma be it a cut, burn, graze etc. Skin goes through three stages:

1) inflammation (things get swollen through extra blow flow to the area, pus forms as a by-product)

2) granulation (new blood vessels form, the structural components are laid down) and

3) matrix remodeling (a fancy word for collagen being packed down)

It’s this third stage that causes often gets out of hand and produces excess collagen and hence the raised look of a scar. The story gets worst in the case of keloid scars as they not only regrow but grow beyond the border of the original damage. See images :

 

(Left) Keloid Scars often overgrow the border of the damage site whereas (Right) Hypertrophic scars stay within the border and are less aggressive in growth.

Why do scars even occur? From a cave-man survival perspective…should we ever get a laceration or trauma, the best thing to ward of infection and ensure quick receovery is to have an inflammatory response that tells the body to lay down plenty of collagen to fill up the exposured areas. It’s a biological response. I read somewhere that only certain reptiles can actually rebuild skin to the exact specifications as the original!

So back to humans. Silicone gel sheets are the go-to. They work by occluding (form a protective barrier) the scar and adding hydration. Left on for at least 12hours a day for 6-12months. Downside is the impracticable nature of strapping on a silcone sheet to your body. Especially if it’s on flexure points like elbows or chin.

Compression Garments/Pressure therapy has been proven to reduce the size of scarring especially those across large areas of the body.  They are thought to work by mechanical pressue on the underlying blood vessels thereby restricting blood flow and hence collagen formation at the damage site. Another theory is they provide the shear forces to help re-organize new collagen. The downsides include the tedious nature of putting them on and off-they’re tight!; must be worn for 23 hours each day for up to one year; needs replacing every 2-3 months to maintain their pressure ~25-30mmHg. Here are some photos:

The combination of compression with silicone is superior to either alone and so there are brands they incorporate silicone into pressure garments.

Now for the white elephant in the room: Vitamin E oil. Known as an antioxidant, the main one in the skin in fact, people including doctors have always used it on anecdotable eveidence that it helps scars-but does it? I read lots of articles on it and nowhere is there solid proof that it works.

If anything it may cause some irriation. If used too early on fresh scars it can actually weaken the scar and cause the scar to widen. Its possible the type and strength of Vitamin E count for something…one study was using 320 IU per gram of cream. Typical Invite E cream in pharmcies is only 100IU per gram (Invite E oil is 25IU per drop).

Not surprisingly scientists decided to use Vitamin E with silicone gel sheets to see what wopuld happen and results blew them away-the combo dramatically improved scar colour, size and appearance.

invite e
Source: http://www.pinsdaddy.com/pure-vitamin-e-oil_6yJEc3SKpc4Ur*0Wu55Ru*QT3cKaAHw5FtCj1eyhdtU/

Now I could go on about the various other remedies out there but not much evidence exists so I’ll just briefly list them here:

  • Onion extract (only slightly better than using Vaseline!)
  • Imiquimod 5% (needs more research, some promise)
  • Vitamin A (aka retinoic acid; reduces scar sizes, can be a teratogen if absorbed into the body, needs more research)

 

More invasive options do exist however…

  • surgical excision (cutting it out) but for keloids, they recur in 45-100% of cases (reserve for resistant scars)
  • Steroid injections (corticosteroids): first line therapy for keloids. Response rate 50-100%, Recurrence of 9-50%. Painful. Side effects: discoloration, dimples, spider veins.
  • Radiotherapy: most effective treatment for keloids but high exposure to radiation. Response rate: 10-94%, Recurrence rate: 50-100%.
  • Laser (carbon dioxide, argon, flashlamp-pumped pulsed-dye): conflicting results. more research needed.
  • Cryotherapy: flattens keloids after two sessions. Side effects: permanent skin discoloration, pain, skin shrinkage. reserved for small scars.

An unusual observation is the use of paper tape to hold together fresh incisions made by a surgeon, used for several weeks, seemed to be “useful”. albeit not as effective as silicone, it could serve the purpose of prepping the skin prior to silicone gel sheets.

So for our friend Iman, I think sticking to silicone gel sheets like Scar FX or Cica-Care is her best bet with the addition of some Vitamin E oil (optional) and a pressure garment.

Sources:

http://voltaicplasma.com/keloids/#scars

Pressure Garments

https://www.regionshospital.com/rh2/specialties-and-doctors/specialties/burn-center/garments/index.html

Burns Scars

http://www.smith-nephew.com/key-products/advanced-wound-management/cicacare/

Scar FX 1" x 22" Self-Adhesive Silicone Sheeting

 

 

Daily Dose Ep51: How To Feed Problem Babies (Colic, Reflux, Constipation, Allergy)

In Australia and New Zealand we have the Food Standards dictating what’s allowed in your baby’s formula powder.

 

Fortunately most brands have to hit minimums for protein, carbs, and fats. 

 

Unfortunately the optional extras are exactly that, optional! I have to also add a disclaimer: breast milk is KING. Formula comes nowhere close. 

 

Breast milk is like the elixir of life: one moment it’s got lots of sugar to quench your baby’s thirst (the first portion of milk), the next it’s filled with nutritious fats (hind milk) which nourishes your baby’s growth. It doesn’t end there, the human oligosaccharides (HMOs) are immune boosting prebiotics and scientists have not quite mastered how to replicate this. However synthetic versions aren’t too bad either and include: non-digestible carbohydrates (NDCs) such as galacto-oligosaccharides (GOS) and fructo-oligosaccharides (FOS). It gets even better! Even if mother isn’t quite up on her nutrition game, her breast milk composition always manages to come together just right. A miracle of the human body! 

 

Enough about breast. Lets talk formula. 

 

Colic babies, no one really knows why this occurs but if your baby is crying for no apparent reason, it could be something internal. Research on gut bacteria (the microbiome) reveals that if mum was given antibiotics during labour, then her ability to transfer good bacteria to the baby via milk is compromised. It leads to breast milk that is too high in HMO’s which remain undigested and upsets baby’s tummy. Probiotic supplementation has been found to improve this situation and it can be given either to mum and/or to baby. Having said that, which formula should you use? Find ones that say Colic on the front! They’re usually partially hydrolysed meaning the proteins are smaller and more easily digested by baby. 

 

Constipation babies, this is a subjective matter because some babies poo daily and others every other day. Generally if a baby hasn’t pooped in three days, we can consider using gentle laxatives like glycerol suppositories. Now in terms of formula, choose those that state Constipation on the front. I haven’t looked closely into what the exact ingredients are that make these suitable but I’d say there’d be more fibre.

 

Reflux babies, now I’ve had the opportunity to work in a compounding pharmacy where I see the most extreme cases ie. projectile reflux, silent reflux, regurgitation. These babies have had to be prescribed a proton pump inhibitor (PPI) like Losec. Again noone really knows why babies do this but it seems to start around month 3 and ease off by month 10-12. Baby formula marketed for colic will generally be thickened with starches so that the stomach contents are less likely to backflow. 

 

Finally allergy babies are those with intolerance to cow’s milk protein and/or lactose (a sugar or carbohydrate). It’s a big difference between the two so be careful selecting the right formula. Most lactose free formula are still based off cow’s milk therefore containing cow milk protein. DANGER! Life-threatening anaphylaxis can occur requiring adrenaline. Ensure your child has an ASCIA Action Plan. 

 

Allergy to cow milk protein also means likely allergy to other animal milk too e.g. goat, sheep, horse. Partially hydrolysed formula are NOT suitable e.g. NAN Supreme, formerly known as NAN HA. Your pediatrician may proceed in a stepwise manner as follows:

  1. Soy-based formula. Only for 6months+. 
  2. Extensively hydrolyzed formula (EHF) which has most of the cow protein broken down – not suitable if the baby is anaphylactic to cow milk protein
  3. Rice-based. Not suitable if food protein induced enterocolitis syndrome (FPIES)
  4. Amino-acid-based formula, 1 in 10 babies will need this. Available on prescription. Most tolerable.

 

A great resource for allergy babies is: https://www.allergy.org.au/patients/food-allergy/cows-milk-dairy-allergy

 

Daily Dose Ep48: A Common Side Effect Of Antidepressants

My of my customers asked how to manage the drowsiness associated with his Prozac.

I share generic advice for all from timing of the dose, conflicting drugs, grace period, dosage and finally cap off with lifestyle advice to improve one’s mood and well being: getting sunshine, posture, exercise, judicious use of caffeine etc…

Enjoy

 

Daily Dose Ep44. How To Treat Thrush (Vaginal & Penile)

https://youtu.be/CFUHhuSgpIo

Busy Bee? Tune into the podcast here

Embarrassing but it happens! If you’re a women over the age of 16 years, you’re likely to get thrush at least once in your lifetime. Men you’re not off the hook either it can happen on the tip of your penis

Now to be clear, thrush is NOT a sexually transmitted disease (STD) and is more a result of a compromised immune system. 

What’s that mean? Well when your not good on the inside, you can start having problems on the outside. E.g. you’re dehydrated, you’ve been sun tanning for hours, you’re physically overworked at the gym or on some project, you’re underslept, you’re running on more than 3 cups of caffeine-containing drink. IMO these are 50% of the time the cause for the thrush.

The other 50% cause is being on antibiotics in the last few days. See antibiotics kill not only the bad bacteria (e.g. causing that skin boil), but also the good bacteria. Yet the good bacteria help maintain a balance of acidity in the vagina. Without good bacteria, yeast aka thrush take advantage and explode in numbers causing serious itching, a white-cheesy discharge. Gosh you think! You were just doing the right thing by going to the doctor for antibiotics but end up with thrush! Yep, happens all the time. That’s why I always feel remiss if I don’t tell my female patients to consider getting a probiotic (good organisms) with their script. A favourite of mine is Saccharomyces boulardii. There’s many brands of it around, ask your local pharmacist for one-it drastically reduces getting thrush (as well as side effects from the antibiotics like diarrhoea). 

Fun fact: “SB is a tropical species of yeast first isolated from lychee and mangosteen fruit in 1923 by French scientist Henri Boulard.” – Wikipedia

So to loop back to my earlier point about your immunity, taking good care of your fundamentals will mean you’re also less likely to get thrush. Stay hydrated on hot days, go gym or stay active couple times a week, eat your veges – they have fibre which nourishes your good bacteria and acts like a detox sponge for your insides, and if you drink coffee/tea drink double the number of cups in water to balance out their diuretic effects. 

Finally, treatments for thrush are all behind the counter so ask your friendly pharmacist for help on these. 

xoxo Smiling Pharmacist

The Friday Tune Up Ep.2

The Friday Tune Up Podcast Cover Image (Smaller JPEG)

Friday, August 21st 2020

My current health hack –

While not quite a health hack in the strictest terms, I’m quite enjoying another new app right now called DuoLingo. Available on Google Play or App Store I’m trying to learn Chinese-Mandarin again for like the 99th time but this app have stick-a-bility. It reminds me each day to give it a go and I do the fun gamified lessons for about 10 mins and call it a night. I like that it’s there on my iPhone within armsreach so no messing around with pen or notepads or chunky dictionaries. To me it’s all about the habit and if it’s a good habit, then it’ll have knock-on effects on other aspects of my life too like health, wealth, relationships and happiness.

New dish of the week –

Tonight I swung by my fiancee’s grandma for Banh Canh, a thick cut rice noodle in a thick chicken broth, chicken pieces, garnished with fried garlic bits and shallots. Comfort food at it’s best. To top it all off, the noodles were freshly handmade a few hours earlier. Considering the cold front that’s hitting much of NSW this weekend, I was super grateful!

What I’m watching on Netflix –

Drive to Survive a documentary about Formula 1 racing. As a kid growing up I was fascinated by fast cars, reading NRMA’s Roadside magazine each quarter. Although not a rev-head in the traditional sense, I came to like Formula 1 for all the high tech it involved. Netflix now lets you in behind the scenes as it follows predominantly two underdog teams: Red-Bull Racing and HASS USA during the 2019 season. The visuals are stunning, the sound is legit, and the struggle in real for these underdogs. I’m personally cheering on our Aussie boy: Daniel Riccardo 

Quote of the week –

“Faster is the scariest word in the world” Gary Vaynerchuck

On having patience to execute the daily menial tasks, so that you can achieve later live on your terms. Gary is like a virtual mentor to me. Bit of context: he was born in Belarus (former Soviet Union), his parents immigrated to America, he helped in his Dad’s liquor store for all of his 20s and now at 43yo he is a leader in the marketting space. More importantly, his legacy is to show impressionable young men (think myself) that success = happiness. To not be misled by all the glamour of entrepreneur land ie jets, bling, girls, champagne. I’ve been pondering a lot this last week about my definition of success. I used to want to become a millionaire but I dont think I have the ambition to get me there. Doing what I love ie. helping others with their health challenges and seeing that AHA moment makes me joyful. What’s yours?

What I’m reading –

The Greatest Salesman In the World, by Og Mandino. A tiny book written in parable form which brought me to tears right at chapter two. It’s about a young sheep herder boy who is working for a wealthy merchant in modern day Damascas whom suddenly is overcome with ambition to become rich to marry the girl of his dreams. I love the simplicity of the tale and the moral of the story at the end of each chapter is worth it’s weight in gold. Currently I’m reading it exactly as prescribed ie. each chapter three times a day for 30days before moving onto the next chapter. It sounds cheesy but it’s a habit thing like I mentioned earlier.  Results thus far? Better reading habits, meal prep habits, gym habits. For most that’s a gamechanger.

Hope you enjoyed that one! xoxo Vien 

PS. Remember to rug up guys, it’s a windy one in Sydney this weekend!

The Friday Tune Up Ep.1

 

Cover Image

Welcome to the blog version of our new podcast titled The Friday Tune Up (click for audio)

We talk: health hacks, books, films, food, and favourite quote of the week!

In bite-sized form, here we go!

My current health hack –

The Fitbod app Available from App Store

Ever gone to the gym wondering what today’s workout should be? Wonder no more! Using smart algorithms, this app will track which muscles are sore from your last exercise and target fresh muscles for your next session. It’ll even give you count-down timers for break time so you don’t slack off too long on social media. My work outs before the app were approx 1hr or more, nowdays I can smash out a full workout in 46 miuntes.

New restaurant I dined at –

So earlier this week my fiance and I had the pleasure of taking our good customer-turn-friend, George, to Mr Wong’s in Sydney. A very fancy (but not fine dining) experience at an historical NAB bank building that burned down long ago and retrofitted with georgous decor, a vintage vibe with old wooden beams and low lit light making you feel like you’re in a gangster’s Chinese restaurant straight out of a James Bond film! Peking Duck Pancakes are a must try; everything else you can save your money for your local diner lol.

What I’m watching on Netflix –

Dr Sleep, the film adaptation of Stephen King’s novel. I gotta say I was never a fan of thriller until meeting my fiance. I realise most of them have pyschotic wives chasing their cheating husbands with knives in hand (Girl On Train, Gone Girl). But King keeps you guessing at every twist of the plot and I’ve come to enjoy his storytelling. Long film but will have you on the edge of your seat!

Quote of the week –

“If you can meet with Triumph and Disaster
And treat those two impostors just the same.”― Rudyard Kipling from his full poem

What I learned here was a man whose luck in life was up and down, from loss of his daughter due to pneumonia, to winning the Nobel Prize in Literature, to the loss of his son in WW1…Life is tough, keeping an even keel helps. I’m forced to remind myself of this when I have difficult customers (embarassingly).

What I’m reading –

Currently reading Tour de France 7x winner, Lance Armstrong’s biography: It’s Not about the Bike: My Journey Back to Life Good Reads

Here’s a man who obviously went through a lot: growing up as a loser kid, proving himself on a bicycle, topping his sport, and getting taken down by scandal at the end of his career. But I’m getting ahead of myself. I’m halfway through the book and it’s detailing his battle against testicular cancer. Cancer of the balls-enough to decimate the manliest of men. Most people die. He’s survived it out of sheer force of his will to live, determination to seek the best doctors, getting second and third opinions when others casts doubt on his chances. For that alone it’s worth a read.

Hope you enjoyed the very first episode! xoxo Smiling Pharmacist Vien

Bushfires and Asthma

It’s sad to see so many bushfires burning across NSW right now =( I take my hat off to all frontline servicemen and women whom are doing their best for us including fireys, paramedics, chopper pilots, doctors, nurses, the SES, and many others!

Today’s topic is on asthma.

If you’re a carer for the elderly, or young kids, or simply have asthma yourself, NOW is the time to check that you have your medications handy and your asthma action plan handy.

ASTHMA ACTION PLAN

Sample Asthma Action Plan that your doctor can tailor to each individual’s needs

ASTHMA ACTION PLAN 2
Sample Asthma Action Plan from the National Asthma Council Australia

 

Now being techy, I hate carrying pieces of paper around in my pocket or wallet so there’s now a digital Asthma Action Plan! Simply go to http://www.asthmabuddy.org.au/ sign up and then fill in your details (this step is best done with your doctor).

 

Medications come in two varieties: relievers (for asthma attacks) and preventers (everyday use).

Ensure you at least have your Ventolin (other names include: Asmol, Salbutamol) with you at all times during this bushfire season as strong winds can bring smoke and fine dust (particulate matter) from kilometres away into your home or work. On this note, it’s a good idea to stay indoors where there is air conditioning with recycled air and to minimize outdoor activity especially on hazy days. When driving, switch on your A/C and recycle the air there too.

 

VIDEO: Below is a video I shot last year for a mum on Instagram whom wanted to know what the signs are of worsening asthma:

I recommend everyone adults and children alike to always have a spacer device with their Ventolin. Reason being: it makes the puffer work almost 90% better (almost as good as using a nebuliser, but minus the hassle).
VIDEO: How-To use an asthma Spacer device for greater effectiveness of your puffer
Useful Links:

Daily Dose Ep22: Slip Slop Slap

 

(Update: I now know what the slap is for…and no it’s not dirty!)

For fun in the sun this summer, remember to protect your family! 

The 80s slogan is:

  • Slip: on a shirt
  • Slop: on some sunscreen
  • Slap: on a hat
  • (Wrap on sunnies)

In babies under 6 months we don’t recommend excessive use of sunscreen, opt for clothing and shade

In kids under 12 years go for zinc based sunscreen as this way less chemicals absorb into their skin

Finally for adults we can use whichever sunscreen that has at least SPF30+ brands 

Remember to reapply after playing in water or after 2hrs of activity.

  

Daily Dose Ep16: Best Vacuum for my Allergic Kid

 

I’m a little too excited for our new Dyson vacuum lol..

Ever wondered what household products are suitable for your child who might be sensitive to allergies like dust mites, mould, smoke, perfume etc…?

The National Asthma Council of Australia has a useful website called Sensitive Choice (https://www.sensitivechoice.com/products-services/) which is a non-profit that gives stamps of approval for products ranging from house paint to roof insulation to you guessed it, vacuum cleaners.

When choosing a vacuum cleaner, go for one with the Blue Butterfly stamp of approval. They will have high level HEPA filters meaning? the air coming out is cleaner than the air that went in! Other vacuums won’t fully trap all the dust and dirt – yikes!

Some even have carbon filters to absorb gases like the “new-paint” smell (avoid moving into a freshly painted room for at least a day, the longer the better), or the smell of house-hold bleach (another good reason to strictly keep them out of reach of children)

During spring season its bad enough to have pollen counts rising outdoors, but indoors, you can do your bit with the right choices of household products =)

Yellow Fever Vaccine

Yellow Fever gets it’s name from the yellowing of the skin, known as jaundice

What is Yellow Fever?

Yellow Fever is a viral infection spread by mosquitoes often in the South American and African continents.

It is potentially lethal as it can harm many functions on our body from heart to kidneys.

In the early days when there was no vaccine, many people travelling into the tropics died of it.

Thankfully there is now a vaccine called Stamaril (Australia) to prevent it.

Why Get It?

It’s a travel requirement for most countries that upon entry you show a vaccination certificate proving you’ve been vaccinated for Yellow Fever…IF….you’ve been travelling to Africa or South America in the last six (6) days.

Strict policy I know, but it’s to prevent international spread of the disease across borders.

If you don’t get it, they’ll most likely detain you in quarantine for 6 days to confirm your free of the disease and/or make you get vaccinated before entry.

Who Needs It?

Everyone over the age of 9 months

How Do You Get Protection?

Only a limited number of medical centres are Approved Yellow Fever Vaccination Centres. Here is a list of them (Scroll to bottom of page): Approved Centres in Aus

What Else Can I Do? Avoid Mosquitoes

The following measures can minimize exposure to mosquitoes-the culprits behind Yellow Fever spreading:

  • Applying insect repellant containing DEET or picaridin
  • Wearing long-sleeved clothes when outdoors
  • Avoid perfume/cologne as these can attract mosquitoes
  • Keep doors and windows closed at night
  • Drape a mosquito net over your bed to act as a physical barrier

What Other Vaccines Might I Need?

A great website I use often is: https://www.travelvax.com.au/

You simply punch in the destination country and it’ll give vaccine recommendations as well and current alerts for that region e.g. wild weather warnings, disease outbreaks etc..

Daily Dose Ep9: Iron Deficiency and Alternatives to Ferro-Liquid

Alternatives to Ferro-Liquid (currently out of stock, July 2019)

Parents, are your kids deficient in Iron but you struggle to find an alternative to Ferro Liquid?

I did some research today into the main causes of iron deficiency, and share with you the currently available products (Maltofer, BioCeuticals Liquid Iron, and SpaTone) as well as a comparison of their pros and cons.

How Do I Take Iron?

Something I forgot to add in the video is when you can take iron with food and when NOT to. Some forms of iron bind to food and therefore won’t be absorbed as well.

Ferro-Liquid and SpaTone: best empty stomach (but do eat about 15 minutes afterward else iron itself may upset your tummy)

Maltofer: best with food

BioCeuticals Liquid Iron: with juice or water

What To Expect

  • Your poop is going to look black-this is completely normal
  • Black teeth: remember to brush after taking a dose!
  • Constipation and Nausea may occur (More common with Ferro-Liquid)

Side by Side Comparison

Brand Form of Iron Concentration of elemental iron Suitable from
Ferro-Liquid Ferrous sulphate 6mg/mL 2 years
BioCeuticals Liquid Iron* Ferric pyrophosphate 1mg/mL 2 years
SpaTone sachets Ferrous iron 1mg/mL 2 years
Maltofer Syrup Iron Polymaltose 10mg/mL 12 years

*Requires GP or Naturopath or Pharmacist advice before buying

From the table its clear that Maltofer is the most potent yet on the box it doesnt allow for dosing in kids under 12yo which is strange.

The alternatives are then the BioCeuticals or the SpaTone sachets.

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