Proactive Pharmacist Nutrition Project PDF

The business definition for a pharmacy in Saudi Arabia should emphasize the commitment to quality healthcare, customer satisfaction, and compliance with local regulations. NUTRACEUTICALS The business...

The business definition for a pharmacy in Saudi Arabia should emphasize the commitment to quality healthcare, customer satisfaction, and compliance with local regulations. NUTRACEUTICALS The business definition for a New Sales Opportunities pharmacy in Saudi Arabia should emphasize the commitment to quality healthcare, customer satisfaction, and compliance with local regulations.  By the end of this course, you will be able to: How to search, discover and evaluate the safety and effectiveness of any The business definition for a Discovering the science behind Nutraceuticals pharmacy in Saudi Classification and types of Nutraceuticals Learning Arabia should dietary supplement Identify the most effective dietary supplements emphasize the Objectives commitment to used for managing the most common cases facing you in the pharmacy Invading the world of dietary supplements, quality healthcare, vitamins, minerals, botanicals and others customer satisfaction, Exploring new sales gates of the most common dietary and compliance with supplements local regulations. Nutraceuticals overview/Definition “Food, or parts of food, that provide medical or health benefits, including the prevention and treatment of disease” Dietary Supplements Functional Foods Medicinal Foods The business A dietary supplement, as defined by According to Academy of Nutrition and A food which is formulated to be the Dietary Supplement Health and definition for a Dietetics (AND) “Whole foods along consumed or administered under the Education Act (DSHEA), is a pharmacy in withSaudi fortified, enriched, or enhanced supervision of a physician and which is product that: foods that have a potentially beneficial intended for the specific dietary Is intended to supplement the diet Arabia should effect on health when consumed as part management of a disease or condition Contains one or more dietary emphasize the of a varied diet on a regular basis at for which distinctive nutritional ingredients (including vitamins, effective levels requirements, based on recognized commitment minerals, herbs or other botanicals, The United toStates Department of scientific principles, are established by quality amino acids, and certain other substances) or their constituents healthcare, Agriculture (USDA): "any food, modified food or food ingredient that provides medical evaluation customer Is intended to be taken by mouth, in satisfaction, structural, functional or health benefits, forms such as tablet, capsule, thus promoting optimal health, and compliance powder, softgel, gelcap, or liquid with longevity and quality of life." Is labeled as being a local regulations. e.g. Oats, bran, psyllium, omega-3 milk, dietary supplement prebiotics and probiotics Dietary Supplements/ Types Dietary Supplements The business definition for a pharmacy in Saudi Vitamins Minerals Arabia shouldAmino acids Botanicals Other emphasize the Herbal supplements Nutrients Water- soluble: B1, B2, B3, B5, B6, B7, commitment Major elements: Na, Cl, Ca, Mg, K, P, S to aa`: Essential Histidine, isoleucine, leucine, Garlic, ginseng, ginkgo Cod liver oil, fish oil, Coenzyme Q10, B8, B9, B12, C Fat-soluble: quality healthcare, Trace elements: Fe, Zn, I, Se, Cu, Mn, F, valine, lysine, methionine, phenylalanine, threonine, Green tea, guarana etc. Royal jelly, etc. A, D, E, K customer Cr, Mo satisfaction, and tryptophan Non-essential aa`: and compliance with alanine, asparagine, aspartic acid, and glutamic acid local regulations. Conditional aa`: arginine, cysteine, glutamine, tyrosine, glycine, ornithine, proline, and serine Dietary Supplements/ Searching https://www.webmd.com/ https://pubmed.ncbi.nlm.nih.gov/ The business definition for a pharmacy in Saudi Arabia should emphasize the commitment to quality healthcare, customer satisfaction, 1 and compliance with local regulations.  The business definition for a pharmacy in Saudi Arabia should emphasize the commitment to quality healthcare, customer satisfaction, and compliance with local regulations.  The business definition for a pharmacy in Saudi Arabia should emphasize the commitment to quality healthcare, customer satisfaction, and compliance with local regulations.  The business definition for a pharmacy in Saudi Arabia should emphasize the commitment to quality healthcare, customer satisfaction, and compliance with local regulations.  The business definition for a pharmacy in Saudi Arabia should emphasize the commitment to quality healthcare, customer satisfaction, and compliance with local regulations. Dietary Natural Comprehensive Database Evidence levels Supplements/ This product has passed a rigorous scientific review (like and as rigorous as the review of EFFECTIVE Effectiveness drugs done by the FDA) and found to be effective for a specific use. The business Reputable scientific references generally agree that the product is effective for a specific use, and at least two scientifically rigorous studies (involving at least several hundred definition for a LIKELY EFFECTIVE patients) found the product to be likely effective, and the studies are published in reputable scientific journals. pharmacy in Saudi Reputable scientific references suggest that the product might work for a specific use Arabia should POSSIBLY EFFECTIVE and at least one study (in humans) found that the product might be effective. emphasize the If we know claims are being made about a product but there is no scientific info available INSUFFICIENT EVIDENCE commitment to about the effectiveness or ineffectiveness of the product, we'll let you know quality healthcare, POSSIBLY INEFFECTIVE Reputable scientific references suggest that the product might not work for a specific use and at least one study (in humans) found that the product might not be effective. customer satisfaction, and compliance with LIKELY INEFFECTIVE Reputable scientific references generally agree that the product is not effective for a specific use and at least two scientifically rigorous studies found the product likely to be local regulations. ineffective and the studies are published in reputable scientific journals. Most reputable scientific references agree that the product is not effective for a specific INEFFECTIVE use and no reliable human studies show the product to be effective.  The business definition for a Tolerable Upper pharmacy Intake Level in Saudi (UL) Arabia Is the highest level of daily nutrient should intake that is likely to pose no risk of adverse health effects to almost all individuals in the general population emphasize the Recommended Dietary commitment Allowance to (RDA) The average daily dietaryquality healthcare, intake level; sufficient to meet the nutrient requirements of nearly all (97-98 customer percent) healthy individuals satisfaction, in a group and compliance with Adequate Intakelocal (AI)regulations. Is believed to cover the needs of all healthy individuals in the groups, but lack of data or uncertainty in the data prevent being able to specify with confidence the percentage of individuals covered by this intake  The business Health Problems definition for a and Dietary pharmacy in Saudi Arabia should Supplements emphasize the commitment to quality healthcare, customer satisfaction, and compliance with local regulations.  The businessCardiovascular definition for a Health pharmacy in Saudi Arabia should emphasize the commitment to quality healthcare, Hypertension Hypercholesterolemia Hypertriglyceridemia customer satisfaction, and compliance with local regulations. CVS Health/Hypertension Hypertension (HTN): It is the increase in blood pressure Dietary Supplements for Systolic HTN (tension) in the arteries Co-enzyme Q10: 60 mg twice daily Systolic hypertension: is defined as blood pressure is above Vitamin C: 500 mg daily in addition to regular The business 140 mm Hg with a normal diastolic pressure that is below 90 Possibly Effective antihypertensive drugs definition for a pharmacy in Saudi Arabia should emphasize the commitment to quality healthcare, customer satisfaction, and compliance with local regulations. CVS Health/Hypertension Dietary Supplements for Systolic HTN Possibly Effective The business Garlic: definition for a it decreases blood pressure, systolic by 16 mmHg and diastolic by 9 mmHg. 600 – 1200 mg dailypharmacy in Saudi divided into 3 doses Fish oil: fish oil reduces systolic blood pressureArabia by 3.4-5.5should mmHg and diastolic blood pressure by 2.0-3.5 mmHg inemphasize the individuals with hypertension. 2-4g of omega-3 fatty acids daily for up to one year Cod liver oil: commitment to quality 20 ml daily. 20 ml cod liver oil healthcare, that on average contains 1.8 grams EPA, 2.2 grams DHA, 15,000 IU vitamin A, and 1500 IU vitamin D customer satisfaction, Co-enzyme Q10: 120-200 mg per day divided into 2 doses Calcium: 1000 – 1500 mg and daily compliance with Hibiscus: local regulations. 240mL tea containing 1.25-2g of Hibiscus Calyx (6-30 minutes in boiling water) 1-3 times daily for 4-6 weeks.  Dietary Supplements for Hypercholesterolemia Likely Effective: CVS Health/Hypercholesterolemia Green Tea: 3 – 10 cups OR 1-3 caps daily Possibly Effective: » It is an increased cholesterol level in the blood Calcium carbonate 400 mg three times daily reduces low-density above the normal values. lipoprotein (LDL) cholesterol by 4.4% and increases high-density » LDL, called, “Bad” cholesterol risk for coronary lipoprotein (HDL) by 4.1% after 6 weeks of treatment (American Heart Association Step 1) heart disease. Magnesium: The business » HDL, the “good” cholesterol prevents Calcium 1200 mg plus vitamin D 400 reduces the total cholesterol: HDL definition foratherosclerosis a ratio and the LDL: HDL. In addition, it is supportive for patient suffering from Statin-induced myalgia; by extracting cholesterol from artery walls and disposing of them through liver pharmacy in Saudi Chromium: 15-200 mcg daily for 6-12 weeks decreases low-density lipoprotein (LDL) cholesterol and total cholesterol metabolism Artichoke (modestly reduces total and low-density lipoprotein (LDL) Arabia should cholesterol, and the LDL/high density lipoprotein (HDL) ratio over 6 to 12 weeks of treatment) ‫الخرشوف‬ Insufficient Reliable Evidence to Rate: emphasize the Royal Jelly: 30-150mg for 4-6 weeks Vitamin C: 500 mg daily for at least 4 weeks reducescommitment low-density to lipoprotein (LDL) cholesterol by 7.9 mg/dL and reduces triglycerides by 20.1 mg/dL quality healthcare, Brewer’s yeast: 5-30g of brewer's yeast containing 23-50mcg of chromium customer for 8-12 weeks may decrease the levels of total cholesterolsatisfaction, and can increase levels of high density lipoprotein (HDL)-cholesterol Black seed and compliance with For Statin-induced myopathy local regulations. Coenzyme Q10 Ca plus vitamin D  Coenzyme Q10 (Co Q10) Coenzyme Q-10 is a fat soluble vitamin-like compound present naturally in the heart, liver, kidney, and pancreas (Naturally produced in the body so, it is not a vitamin Diabetic neuropathy, 400 mg/d for 12 weeks The business Hypertension (reduce both systolic and diastolic blood Antihypertensive drugs, pressure), 100-120 mg/d definition for a additive hypotensive effect. Warfarin, reduction in the action pharmacy in Saudi Prevent migraine headache, 100 mg TID for 3 months of warfarin may happen, as CoQ-10 Male infertility, 200 – 300 mg/d for 6 months Arabia should is similar in structure to Improve Fibromyalgia symptoms (physical fitness vitamin K2 emphasize levels, emotional feelings, social activities, overall the health, and pain) commitment to quality healthcare, Reduce pre-eclampsia incidence in women at risk customer satisfaction, and compliance with local regulations. Statin-induced myopathy 100-200 mg daily for 3months Co-enzyme Q10 deficiency (weakness, fatigue and seizures) CVS Health/Hypertriglyceridemia It the case of elevated blood triglycerides over the normal values (greater than 149 mg/dl) Dietary Supplements for Hypertriglyceridemia The business Effective definition for a Fish oil: Fish oils are thought to lower triglycerides by decreasing secretion of VLDL, increasing VLDL apolipoproteinpharmacy in Saudi B secretion, and possibly by increasing VLDL clearance, decreasing VLDL size, and reducing triglyceride transport. The effect is dose-dependent (higher dosesArabia have greater should effects), 2-4 gm of emphasize the omega-3 fatty acids daily for 12 – 24 weeks e.g. Omacor (FDA approved) Likely Effective: commitment to Green Tea Cod liver oil quality healthcare, customer Insufficient Reliable Evidence to Rate satisfaction, Vitamin B12 and compliance with local regulations. Men’s The business Infertility Erectile Benign Prostatic Dysfunction Healthdefinition for a Hyperplasia pharmacy in Saudi Arabia should emphasize the commitment to quality healthcare, customer satisfaction, and compliance with local regulations.  Men’s Health/Infertility SEMEN ANALYSIS CRITERIA What is infertility? Infertility is the inability to conceive despite having regular unprotected sex for at least a year. Approximately 15% of couples experience infertility. The business Male Factors in Infertility Male factors contribute to about one-third of infertility cases. These factorsdefinition can include:for a Varicocele: An enlargementpharmacy ininSaudi of the veins the scrotum. Medication: Certain medications can affect Arabia sperm production or function. should Low sperm count: A reduced number of sperm. Abnormal sperm: Sperm thatemphasizehave abnormalthe shapes or do not move properly. commitment to Undescended testicles: When one or both testicles fail to descend into quality healthcare, the scrotum during development. customer Infections: Infections satisfaction, of the reproductive system can impact fertility. Underlying medicaland conditions: Certain health compliance with conditions, such as diabetes or hormonal imbalances, can contribute to infertility. Lifestyle factors: Smoking, local regulations. obesity, stress, drug use, and excessive alcohol consumption can negatively affect sperm health.  Dietary supplements for Male Infertility The business Acetyl L- Horse chestnut: Zinc: Promising Vitamin E: definition L-Carnitine: A naturally for a In combination carnitine: CoQ10: This antioxidant When combined increase sperm density in men Supplements This antioxidant with with other for Male pharmacy may help improve sperm quality and compound inthatSaudi occurring can L-carnitine, supplement may this can potentially improve sperm antioxidants, zinc may contribute to with varicocele- associated boost sperm count motility and infertility, it may Infertility: motility. Arabia should further and movement. enhance sperm quality. density. increased sperm count. not improve sperm motility. emphasize the commitment to quality healthcare, customer satisfaction, and compliance with local regulations.  Coenzyme Q10 (Co Q10) Coenzyme Q-10 is a fat soluble vitamin-like compound present naturally in the heart, liver, kidney, and pancreas (Naturally produced in the body so, it is not a vitamin Diabetic neuropathy, 400 mg/d for 12 weeks Hypertension (reduce both systolic and diastolic bloodpressure), 100-120 mg/d The business Antihypertensive drugs, Prevent migraine headache, 100 mgdefinition TID for 3 monthsfor a additive hypotensive effect. Warfarin, reduction in the action pharmacy Male infertility, 200 – 300 mg/d for 6 months in Saudi of warfarin may happen, as CoQ-10 Improve Fibromyalgia symptoms (physical Arabiafitness should is similar in structure to levels, emotional feelings, social activities, overall vitamin K2 health, and pain) emphasize the Reduce pre-eclampsia incidence incommitment women at risk to quality healthcare, customer satisfaction, and compliance with local regulations. Statin-induced myopathy 100-200 mg daily for 3months Co-enzyme Q10 deficiency (weakness, fatigue and seizures)  Vitamin E Vit E (Alpha-tocopherol) is the most active form in humans Found in eggs, fortified cereals, fruit, green leafy vegetables (such as spinach), meat etc. Dementia (with Vitamin C), 800-2000 IU/d The business Antioxidant effect Alzheimer’s disease definition for a Cardioprotective: inhibiting pharmacy Dysmenorrhea, reduce menstrual pain severityin Saudi and oxidation of (LDL) cholesterol duration and decrease blood loss), 200 IU twice daily and through the inhibition of or 500 IU daily starting 2 days beforeArabia should menstruation platelet aggregation emphasize and continuing through the first 3 days of bleeding. the Enhance immune system Premenstrual syndrome (PMS) commitment to Physical performance and muscle strength in elderly people quality healthcare, Rheumatoid arthritis customer satisfaction, (reduce pain but not inflammation) and compliance with Anticoagulant/Antiplatelet drugs, e.g. aspirin, clopidogrel, Infertility (asthenospermia or oligoasthenospermia), 200-600 IU daily local regulations. dalteparin, enoxaparin, heparin and warfarin (added bleeding effect)  Men’s Health/Erectile Dysfunction (ED) What is Erectile Dysfunction (ED)? Erectile dysfunction (ED) is the inability to achieve or maintain an erection firm enough for satisfactory sexual intercourse. This can range from a complete inability to achieve an erection to inconsistent erections or difficulty sustaining them. Common Causes of ED: Physical Factors: Injuries or surgeries, especially those affecting the bladder or prostate. Medical conditions such as diabetes, heart disease, hypertension, multiple sclerosis, atherosclerosis, and obesity. Smoking and excessive alcohol consumption. Side effects of certain medications, including blood pressure drugs, antihistamines, antidepressants, tranquilizers, appetite suppressants. Psychological Factors: Stress, anxiety, guilt, depression, low self-esteem, and fear of sexual failure. Dietary supplements for Erectile dysfunction 3. Yohimbine: While it may improve erectile Promising Supplements 1. Panax Ginseng: 2. L-Arginine: function in some cases, it's This herbal supplement may help An amino acid that can support blood for Erectile important to use it with caution and Dysfunction: The business improve blood flow and erectile function. flow and nitric oxide production, which are essential for erections under medical supervision due to potential side effects and definition for a interactions with other medications. pharmacy in Saudi L-Arginine Drug Arabia should Yohimbine Drug interactions emphasize theinteractions 1. Avoid With Nitrates, PDEcommitment 5 to inhibitors (Viagra, Cialis, Levitra), 1. Avoid With Tricyclic antidepressant, Anti-hypertensive drugs) quality healthcare, antihypertensives, pseudoephedrine) customer satisfaction, andattack, 2. Avoid in recent heart compliance with 2. Avoid in recent Bleeding disorders, kidney malfunction, Herpes prostate, psychological problems e.g. infection and Surgery local regulations. anxiety, depression  Men’s Health/Benign Prostatic Hypertrophy Medications used for BPH What is BPH? Benign prostatic hyperplasia (BPH) is a common condition in men where the prostate gland enlarges, but it's not cancerous. As Alpha blockers the prostate grows, it can press The business against the urethra, making it difficult e.g., Cardura, Xatral to urinate. This can lead to various urinary problems. Symptoms of BPH: definition for a pharmacy in Saudi Frequent and urgent urination Phosphodiesterase- 5 inhibitors Difficulty starting a urine stream Weak or interrupted urine flow Arabia should Tadalafil may relax smooth muscles in Dribbling after urination emphasize the the lower urinary tract in addition to Nocturia (waking up to urinate commitment during the night)to ED treatment Urinary retention (inability to empty the bladder completely) quality healthcare, Urinary incontinence (accidental loss of urine) 5-alpha reductase inhibitors Pain during or after customer ejaculationsatisfaction, e.g., Finasteride Urine with an unusual color or smell and compliance with and Dutasteride local regulations. Combination medications Dietary supplements for BPH 2. Saw Palmetto: 1. Garlic: The 1. Pumpkin Seeds:business Rich in phytosterols, This herbal extract has been used traditionally While some studies suggest garlic may be Promising Supplement with Supplements for pumpkindefinition seeds may help reduce prostate for toatreat BPH symptoms. It may help reduce Insufficient beneficial for BPH symptoms, more BPH: pharmacy inflammation and in Saudiprostate size and improve urinary flow. improve urinary Evidence: research is needed to confirm its Arabia should function. effectiveness. emphasize the commitment to quality healthcare, customer satisfaction, and compliance with local regulations. Women’s Pregnancy Dysmenorrhea PMS and Menopause Health The business definition for a pharmacy in Saudi Arabia should emphasize the commitment to quality healthcare, customer satisfaction, and compliance with local regulations. Women’s Health/Pregnancy and Lactation Prenatal Vitamins Folic Acid: Helps prevent neural tube defects (NTDs) like spina Folic Acid: bifida and anencephaly. The business 400-600 micrograms May also reduce the risk of cleft lip and palate. Iron: DHA: definitionIron: (mcg) for a Prevents iron-deficiency anemia in the mother, which 27 mg (for 200-300 milligrams pharmacy in Saudi non-anemic women) or 30 can lead to fatigue, weakness, and other health (mg) Arabia should mg (for women with anemia) problems. Helps ensure the baby receives adequate iron for Prenatalemphasize Vitamin the growth and development, especially important for commitment recommended to be started before to premature and low-birth-weight infants. Calcium and Vitamin D: Iodine: 220 qualityby 12 pregnancy healthcare, Calcium: Support bone health in both the mother and baby. weeks (3 months) micrograms (mcg) customer satisfaction, 1000 mg Adequate intake is essential for preventing and compliance with osteoporosis in the mother and ensuring strong bones in the baby. local regulations. Continuing Prenatal Vitamins Postpartum: Vitamin D: Vitamin B12: 600 This helps maintain the mother's health and ensures the 2.6 micrograms International breast milk is rich in essential nutrients for the baby. (mcg) Units (IU) Dietary supplements for Pregnancy and Lactation (Prenatal Vitamins) 1. Folic acid 2. Vitamin C Likely Effective at least 400-600 mcg continued to improve iron absorption The business during the 1st month of pregnancy definition for a pharmacy in Saudi Arabia should emphasize the 3. Omega-3 Fish oil commitment to 4. Pyridoxine (B6) week 18-30 till delivery quality healthcare, 2.7g of omega-3 fatty acids from 4. Lower1. Baby’s eye and for nausea and vomiting, 25 mg customerpostpartum satisfaction, brain growth and early every 8 hours for 72 to 96 hours depression development and compliance with localpremature 3. regulations. Prevent 2. Lower the baby’s chances of getting asthma and other allergic delivery conditions Women’s Health/Dysmenorrhea Dysmenorrhea is a medical term used to describe painful menstrual cramps in the lower abdomen. It's believed to be caused by an excess or imbalance of prostaglandins and leukotrienes, substances that can cause contractions inThe business the uterus. These contractions can lead to pain and discomfort during menstruation. definition for a pharmacy in Saudi Arabia should 2. Vitamin E: 3. Vitamin B1 Dietary 1.emphasize the Fish oil omega-3s: 200 IU twice starting 2 supplements for EPA 1080 mg and DHA days before the (Thiamine): Dysmenorrhea commitment 720 mg (2 gm fish oil)to menstrual period and 100 mg daily for 90 days continuing through the stops pain quality healthcare, first 3 days of bleeding customer satisfaction, and compliance with local regulations.  Women’s Health/Premenstrual Syndrome (PMS) Premenstrual Dysphoric Disorder (PMDD) is a severe form of premenstrual syndrome (PMS) that causes significant emotional and physical symptoms during the days leading up to a woman's menstrual period. These symptoms can interfere with daily life and relationships. Symptoms of PMDD: The business »Emotional symptoms: Depression, anxiety, irritability, anger, mood swings, crying spells definition »Physical symptoms: Fatigue, bloating, for a tenderness, abdominal pain, food cravings, headaches breast Diagnosis of PMDD:pharmacy in Saudi »Symptoms must be present in the five days before the period for at least three consecutive menstrual cycles. Arabia should »Symptoms must end within emphasize thethe period starts. four days after »Symptoms must interferecommitment to with some of the woman's normal activities. quality healthcare, customer satisfaction, Vitamin D + and compliance with Brewer’s Vitamin E Dietary supplement s for PMS Calcium + Magnesium + 400 IU daily local Ginkgo Yeast plus multivitam Biloba ins regulations. Vitamin B6 Manganese  Women’s Health/Premenstrual Syndrome (PMS) 1. Vitamin D + The business 4. Ginkgo Insufficient Dietary Calcium + Magnesium + definition 2. Vitamin forE a Biloba: 80 mg twice daily, Vitamin evidence to it reduces anxiety, 3. Brewer’s supplement pharmacy Manganese: significantly in craving,Saudi and depression with Yeast plus starting on the 16th day of the B6: rate : Royal Jelly 50-100 mg s for PMS reduce depressed Arabia should the dose, 400 IU multivitamins menstrual cycle mood, water per day with Bee daily until the 5th day retention, and pain emphasize the of the next cycle. pollen commitment to quality healthcare, customer satisfaction, and compliance with local regulations. Women’s Health/Menopause Menopause is a natural biological process that occurs in women when their ovaries stop producing estrogen. This typically happens around the age of 51. The years leading up to menopause, characterized by The fluctuating hormone levels, are knownbusiness as perimenopause. definition for a Common Symptoms of Menopause: »Hot flashes: Sudden sensations of heat and sweating. pharmacy »Sleep problems: Insomnia, in Saudi night sweats, and difficulty falling asleep. »Vaginal dryness: Can leadArabia should to discomfort during sex. »Increased urinary tract infections: emphasize Due tothechanges in the vaginal environment. Treatment Options: commitment to quality lost Hormone therapy: Replacing healthcare, estrogen can help alleviate many menopausal symptoms. customer Estrogen receptor modulators:satisfaction, Can provide some of the benefits of and estrogen without the compliance same risks. with Antidepressants and local anti-seizure medications: May help manage regulations. mood swings and hot flashes. Local vaginal estrogen: Can address vaginal dryness and discomfort. Dietary supplements for Menopause The business definition for a Evening primrose in Dietary Soy: help reducing St. John’s wart: combination with supplements for pharmacy in Saudi hot flushes, 50- 120 it might help improve mg/day of fish oil and calcium hot flushes with 300 Menopause Arabia should isoflavones mg once daily for treating age- related Osteoporosis emphasize the commitment to quality healthcare, customer satisfaction, and compliance with local regulations.  The business definition for a pharmacy in Saudi Arabia should emphasize the commitment to quality healthcare, customer satisfaction, and compliance with local regulations.  The business definition for a pharmacy in Saudi Arabia should emphasize the commitment to quality healthcare, customer satisfaction, and compliance with local regulations. Women’s Health/Hair and Skin Health Vitamin B7 Hair Loss The Vitamin B5 business (Biotin) in Wrinkles Pycnogenol (Pantothenic acid) combination with and Glutathione for 3 definition for aZinc Whitening months pharmacy in Saudi Arabia should emphasize the commitment to quality healthcare, customer satisfaction, and compliance with local regulations.  The business definition for a pharmacy in Saudi Arabia should emphasize the commitment to quality healthcare, customer satisfaction, and compliance with local regulations. Women’s Health/Hair and Skin Health The business Zinc (oral and topical) Acne Supplement definition orally withfor a of 30-130 doses pharmacymgin Saudizinc daily elemental Arabia should emphasize the commitment to quality healthcare, customer satisfaction, and compliance with Zinc 23.9 local mg regulations. Weight Management The business Obesity Management definition for a pharmacy in Saudi Weight Gaining Arabia should emphasize the commitment to quality healthcare, customer satisfaction, and compliance with local regulations. Weight Management/Weight Reduction BMI = Weight in kilograms / (Height in meters)2 Obesity Types The business definition for a pharmacy in Saudi Arabia should emphasize the commitment to quality healthcare, customer satisfaction, and compliance with local regulations. Obesity Management Guidelines Summary The business definition for a pharmacy in Saudi Arabia should emphasize the commitment to quality healthcare, customer satisfaction, and compliance with local regulations.  Obesity Management Guidelines Summary The business 2. Physical Adults should do at least 30 minutes of Preventing obesity may require 45-60 minutes 1. Dietary Aim for a 600 kcal moderate-intensity Modifications: definition daily energy deficit. for a Activity: exercise five days a of daily exercise, especially without calorie week. adjustments. pharmacy in Saudi Arabia should emphasize the commitment to quality healthcare, customer satisfaction, Address emotional Consider medication Evaluate as an option 3. Behavioral and compliance eating, stress with 4. Pharmacological for those with BMI 4. Surgery: for those with BMI Change: management, and Interventions: ≥30 or ≥27 with ≥40 or ≥35 with local regulations. social support. comorbidities. comorbidities.  Weight Management/Weight Reduction Saxenda or Victoza (liraglutide), Ozempic (Simaglutide), Mounjaro (Tirzepatide): Mimics Centrally Acting Medications: GLP-1, a hormone that regulates appetite The business definition for a pharmacy in Saudi Xenical (orlistat): Inhibits lipase, reducing fat Arabia should Peripherally absorption. Acting Medications emphasize the commitment to quality healthcare, customer satisfaction, and compliance with local regulations.  Dietary supplements for Weight Reduction Supplements that act Supplements that peripherally to Supplements that impair dietary intake impair dietary increase energy Others absorption expenditure The business definition for a Fibers pharmacy Chitosan in SaudiChromium Arabia should Garcinia (Hydroxy citric acid, HCA), has a role in preventing fatty acid emphasize the synthesis and lipogenesis following Formoline ingestion of a high carbohydrates commitment toGreen Tea diet quality healthcare, customer satisfaction, and compliance with Caffeine local regulations.  The business definition for a pharmacy in Saudi Arabia should emphasize the commitment to quality healthcare, customer satisfaction, and compliance with local regulations.  The business definition for a pharmacy in Saudi Arabia should emphasize the commitment to quality healthcare, customer satisfaction, and compliance with local regulations.  The business definition for a pharmacy in Saudi Arabia should emphasize the commitment to quality healthcare, customer satisfaction, and compliance with local regulations.  + + + The business Cross Selling definition for a + Body Weight Scale Sweetener Alcohol Swab pharmacy in Saudi Arabia should emphasize the commitment to +quality healthcare, + + customer satisfaction, and compliance with local regulations. Multivitamins Omega-3 Rich Fiber Analgesic  + The business Cross definition forSelling a + Probiotics pharmacy in Saudi Arabia should emphasize the commitment to + quality healthcare, + + customer satisfaction, and compliance with local regulations. Green Tea Apple Cider Glavonoid Tablets Vinegar Chromium  + Herbal Green Tea The business definition for a + Cross Selling pharmacy in Saudi Arabia should emphasize the +commitment + to + + quality healthcare, customer satisfaction, and compliance with local regulations. Protein Bars Free Sugar Health Cereal Peanut Butter High Protein Milk Chocolate  + Cross Selling + The business Alcohol Swab definition for a pharmacy in Saudi Arabia should emphasize the commitment to + quality healthcare, + customer satisfaction, and compliance with local regulations. Stretch Marks Infusion Serum Derma Roller Weight Management/Weight Gaining Weight gain requires nutrient-rich calories. “Eat more calories than you burn” Underweight individuals may experience: Inhibited growth (especially inThe business children and teens) Fragile bones and teeth Weak immune system definition for a Anemia pharmacy in Saudi Hair loss Fertility issues Arabia should emphasize the commitment Tips For Gaining Weight to Eat more frequently quality healthcare, customer satisfaction, Choose nutrient-rich foods and Try smoothies and compliance with shakes Watch when you drink local regulations. Make every bite count Add extras to your dishes for more calories  Dietary supplements for Weight Gaining 1. Branched- 2. Zinc with chain amino supplement: acids (valine, it might help anorexia. The dose is The business leucine and 4 grams isoleucine): increase weight The dose is Appetizers gain and 100 mg of definition fortaken reduce anorexia and improve a three improve zinc pharmacy in Saudi times daily. overall nutrition depression in older, symptoms in gluconate Arabia should undernourished people. people daily emphasize the Meal replacement shakes commitment to quality healthcare, customer satisfaction, and compliance with local regulations. 4 serv. With 2 cups of water or milk  The business definition for a pharmacy in Saudi Arabia should emphasize the commitment to quality healthcare, customer satisfaction, and compliance with local regulations.  The business definition for a pharmacy in Saudi Arabia should emphasize the commitment to quality healthcare, customer satisfaction, and compliance withSupplements local regulations. Vitamins Minerals Botanicals and Nutrients Fat-Soluble Vitamins / Vitamin D 1. Regulates calcium and phosphorus absorption in the intestines. 2. Helps maintain strong bones and teeth. 3. Supports immune function. Cholecalciferol (Vitamin D3) or Ergocalciferol (Vitamin D2) Causes: less intake of Vitamin D, less exposure to sunlight, The business dark skin, kidney defects, obesity. Symptoms: Rickets, Osteomalacia, muscular weakness in definition for a addition to weak bones, Cardiovascular, problems, Asthma, pharmacy in Saudi Aluminum (Antacids): Take vitamin D 2hrs Cognitive impairment in elders and Cancer in late stages before, or 4 hours after antacidsArabia should (may increase Al absorption) emphasize the Digoxin (Lanoxin): May cause fatal cardiac commitment to arrhythmia in case of high doses High Dose Side Effects: Hypercalcemia (excess calcium in Diltiazem. quality healthcare, the blood) -Kidney stones – Nausea - Verapamil customer satisfaction, Thiazide diuretics: cause hypercalcemia vomiting -Weakness. and compliance with local regulations. Required Daily Intake: Generally recommended daily intake for adults: 400-800 International Units (IUs)  The business definition for a pharmacy in Saudi Arabia should emphasize the commitment to quality healthcare, customer satisfaction, and compliance with local regulations.  Fat-Soluble Vitamins / Vitamin D Vitamin D deficient patints: 50,000 IU once weekly for 8 weeks then 1000 IU/d daily for maintenance Vitamin D inadequate patientsThe : 5000business IU/d daily for 4-6 weeks then definition for a 1000 IU/d daily for maintenance Vitamin D adequate: 1000 IU/d for maintenance pharmacy in Saudi Arabia should emphasize the commitment to quality healthcare, customer satisfaction, and compliance with local regulations. 10 drops VIDROP = 1000 IU = One cap of JP vitamin D3 Every 1 ml (28 drop) contains 2800 IU vitamin D3 (Cholecalciferol)  Vit E (Alpha-tocopherol) Fat-Soluble Vitamins / Vitamin E is the most active form in humans Found in eggs, fortified cereals, fruit, green leafy vegetables (such as spinach), meat etc. Dementia (with Vitamin C), 800-2000 IU/d The business Alzheimer’s disease definition for a Antioxidant effect pharmacy Dysmenorrhea, reduce menstrual pain severityin Saudi and Cardioprotective: duration and decrease blood loss), 200 IU twice daily inhibiting oxidation of or 500 IU daily starting 2 days beforeArabia should menstruation (LDL) cholesterol and emphasize and continuing through the first 3 days of bleeding. the through the inhibition of Premenstrual syndrome (PMS) commitment to platelet aggregation Physical performance and muscle strength in elderly Enhance immune system people quality healthcare, Rheumatoid arthritis customer satisfaction, (reduce pain but not inflammation) and compliance with Anticoagulant/Antiplatelet Infertility (asthenospermia or oligoasthenospermia), 200-600 IU daily local regulations. drugs, e.g. aspirin, clopidogrel, dalteparin, enoxaparin, heparin and warfarin (added bleeding effect)  Major Minerals/Calcium (Ca) Essential part of bones and teeth. The heart, nerves, and blood-clotting systems also need calcium to work Found in eggs, fortified cereals, fruit, green leafy vegetables (such as spinach), meat etc. The business definition for a Dyspepsia (Antacids: Ca carbonate) Hypocalcemia pharmacy in Saudi Quinolone Tetracyclines Arabia should Increases fetal bone mineralization and density Bisphosphonates Digoxin (during pregnancy) emphasize the Diltiazem Verapamil Levothyroxine Fall prevention in older peoplecommitment (Ca+Vit D) to Thiazide diuretics quality healthcare, Improve tooth retention in elders Premenstrual Syndrome (PMS), (significantly reduce depressed mood, watercustomer retention, andsatisfaction, pain Salt % Comments and compliance associated with PMS), 1000-1200 mg/d with Calcium Carbonate and phosphate 40% (the highest concentration), requires more acidity to be effectively absorbed so, it should be taken with meals with vitamin D, 1200 mg/d local regulations. Hypercholesterolemia ((reduce LDL and raise HDL) Calcium citrate 21% Best absorbed supplemental form of calcium. It does not require the presence of extra stomach acid to dissolve Mild hypertension, 1000-1500 mg/d Calcium lactate 13% Calcium gluconate 9%  Major Minerals/Zinc (ZN) » Plays a key role in the maintenance of vision (required in hepatic synthesis of retinol binding protein that transports vitamin A). » Important for neutrophil, natural killer cell, and T-lymphocyte function. » Involved in the mineralization of bone The business definition for a pharmacy in Saudi Infants and children diarrhea: reduces the duration and severity of acute and persistent diarrhea) Quinolone Tetracyclines Acne (oral and topical) Arabia should Chromium Digoxin Anorexia nervosa: 50-100mg daily for sixemphasize weeks to six months the Coffee and Infertility (increase sperm count): 66-500mg of zinc sulfate dairy products daily for 13-26 weeks. commitment to quality Depression: in addition to antidepressive weeks in addition to antidepressant healthcare, drugs), 25 mg daily for 12 Immune Enhancer customer satisfaction, and compliance with local regulations.  The business definition for a pharmacy in Saudi Arabia should emphasize the commitment to quality healthcare, customer satisfaction, and compliance with local regulations.  The business definition for a pharmacy in Saudi Arabia should emphasize the commitment to quality healthcare, customer satisfaction, and compliance with local regulations.  The business definition for a pharmacy in Saudi Arabia should emphasize the commitment to quality healthcare, customer satisfaction, and compliance with local regulations.  The business definition for a pharmacy in Saudi Arabia should emphasize the commitment to quality healthcare, customer satisfaction, and compliance with local regulations.  Major Minerals/Iron (Fe) » Iron is stored as ferritin » Found in chicken, fish, beans, and especially beef, liver, and lamb The business Iron deficiency anemia definition for a Oxygen transport and pharmacy Anemia of chronic disease (chronic chemotherapy renal failurein & Saudi metabolism (Hb). Arabia should Pregnancy-related iron deficiency anemia Cofactor in synthesis of neurotransmitters such as ACE inhibitor-associated cough (256 emphasize mg ferrous the dopamine, norepinephrine, and serotonin. sulfate) commitment to Enhance immune system quality healthcare, Fatigue: Ferrous sulfate 80 mg daily customer satisfaction, and compliance with » May cause stomach upset and pain, constipation or diarrhea, nausea, and local regulations. vomiting Likely safe if taken below UL of elemental iron of 45 mg per day » Unsafe in high doses, Iron is the and unsafe in higher doses most common cause of poisoning deaths in children  FORMULATION % OF COMMENTS ELEMENTAL IRON Vitamin C can increase iron absorption if used -Ferric iron is complexed to hydrolyzed starch, making it tasteless as, 200 mg vitamin C for each 30 mg iron. Polysaccharide-iron and odorless complex 100 % -Similar bioavailability as ferrous sulfate Iron should be taken on an empty stomach if e.g. Ferrose, Hemamax -Promoted to cause less GI irritation, but the claim is unproven possible (since food can decrease absorption The business -Consists of microparticles of highly purified elemental iron; not by 40% to 50%). But if it causes too many side definition for a an iron salt -Dissolves in gastric secretion and is converted to hydrochloride effects, it can be taken with food Carbonyl iron 100 % pharmacy in Saudi salt prior to absorption in the stomach -Absorption rate is slow, which permits continued release of iron Arabia should for 1 to 2 days -Less toxic than iron salts emphasize the commitment to -Similar efficacy and tolerability as ferrous sulfate Ferrous fumarate 33 % quality healthcare, -Moderately soluble in water -Almost tasteless e.g. Haemovit , Feroglobin customer satisfaction, -i.e. 325 mg tablet providing 108 mg of elemental iron and compliance with Ferrous sulfate 20 % local regulations. -Formulation of choice for treatment of iron-deficiency anemia given its general tolerability, effectiveness, and low cost e.g. Ferro-fol, Feromin -i.e. 325 mg tablet contains 65 mg of elemental iron Ferrous gluconate -Similar efficacy and tolerability as ferrous sulfate 12 % e.g. Foliron -i.e. 325 mg tablet contains 35 mg of elemental iron Major Minerals/Magnesium (MG) The business definition for a pharmacy in Saudi Arabia should emphasize the commitment to quality healthcare, customer satisfaction, and compliance with local regulations.  The business definition for a pharmacy in Saudi Arabia should emphasize the commitment to quality healthcare, customer satisfaction, and compliance with local regulations.  The business definition for a pharmacy in Saudi Arabia should emphasize the commitment to quality healthcare, customer satisfaction, and compliance with local regulations.  The business definition for a pharmacy in Saudi Arabia should emphasize the commitment to quality healthcare, customer satisfaction, and compliance with local regulations.  The business definition for a pharmacy in Saudi Arabia should emphasize the commitment to quality healthcare, customer satisfaction, and compliance with local regulations.  The business definition for a pharmacy in Saudi Arabia should emphasize the commitment to quality healthcare, customer satisfaction, and compliance with local regulations.  Herbal supplements/Ginkgo Biloba Improve memory and speed of cognitive processing Antioxidant and free radical scavenging properties (Improve Dementia and memory impairment (in Competitively inhibit platelet-activating factor (PAF) elders) Improve blood flow to capillaries throughout the body The business Vertigo and equilibrium disorders (effective as Inhibit toxicity and cell death induced by beta-amyloid peptides in Alzheimer patient betahistine) definition for a Premenstrual syndrome (PMS), relief in breast pharmacy in Saudi tenderness and other physical and psychological symptoms associated with PMS Arabia should emphasize Improve Fibromyalgia symptoms (physical fitness levels, emotional feelings, social activities, overall the Avoid using, as it is not safe health, and pain), 200 mg/d ginkgo commitment plus 200 mg/d to quality healthcare, Co-Q10 (Bio-biloba and Bio-Quinone) For 84 days customer satisfaction, and compliance with Anticoagulant/antiplatelet drugs, e.g. aspirin, clopidogrel, dalteparin, enoxaparin, heparin and local regulations. warfarin (Bleeding Risk) Herbs that may cause bleeding e.g. Clove, Ginger, Ginkgo,  Herbal supplements/Ginseng The business Erectile dysfunction (900mg/day) definition for a pharmacy Increase insuline sensitifity with in Saudi diabetic patient (200mg/day) Arabia should Memory Enhancer (200mg/day) emphasize the Avoid using, as it is not safe Appetite Enhancer (200 : 400 mg/day) commitment to quality healthcare, customer satisfaction, and compliance with local regulations. Anticoagulant/antiplatelet drugs, e.g. aspirin, clopidogrel, dalteparin, enoxaparin, heparin and warfarin (Bleeding Risk)  Herbal supplements/Maca Maca is a plant native to the high Andes Mountains of Peru Hormone balance: Maca is often used to support Adaptogen: helps the body adapt to stress. hormone balance, particularly in women. Nutritional value: Maca is rich in vitamins, minerals, and It may help alleviate symptoms of menopause, such antioxidants. as hot flashes and mood swings. The business Used to improve fertility, enhance energy, and support definition Fertility: improve fertility in both men and women. for a hormonal balance. Energy and stamina: Maca ispharmacy believed to boost in Saudi Arabia should energy levels and enhance athletic performance. emphasize the Mood and cognitive function: It may help improve mood, reduce stress, and enhance cognitive function. commitment to Libido and sexual function: quality Maca is oftenhealthcare, used as a natural aphrodisiac and may help improve libido and sexual function customer satisfaction, and compliance with local regulations.  The business definition for a pharmacy in Saudi Arabia should emphasize the commitment to quality healthcare, customer satisfaction, and compliance with local regulations.  Nutrients/Royal Jelly (Honey Bee Milk) Royal jelly contains B vitamins (including high levels of B5 and B6), as well as vitamins A, C, D, and E, DNA, minerals, enzymes, hormones, 18 amino acids, gelatin, calcium, copper, iron, phosphorus, potassium, silicon, sulfur, antibacterial and antibiotic components The business definition for a Energy and vitality: used to boost energy Immune system support: royal pharmacy in Saudi jelly may strengthen the immune system. Arabia should Menopausal syndrome in combination with Bee pollen » Be careful with asthmatic patients and allergies or dermatitis for 12 weeks emphasize the lower cholesterol levels in peoplecommitment with hyperlipidemia to quality healthcare, customer satisfaction, and compliance with local regulations. Maca with Royal Jelly Cross Selling The business definition for a pharmacy in Saudi Arabia should emphasize the commitment to quality healthcare, customer satisfaction, and compliance with local regulations.  Immune support The business definition for a pharmacy in Saudi Arabia should emphasize the commitment to quality healthcare, customer satisfaction, and compliance with local regulations.  The business definition for a pharmacy in Saudi Arabia should emphasize the commitment to quality healthcare, customer satisfaction, and compliance with local regulations.  The business definition for a pharmacy in Saudi Arabia should emphasize the commitment to quality healthcare, customer satisfaction, and compliance with local regulations. Omega 3 Supplements 1. Contraindications Seafood Allergy Anti-coagulant anti-platelet drugs Triglycerides > 500  Doses and How To Select A Perfect Product EPA (Eicosapentaenoic acid) DHA (Decosahexaenoic acid) The business definition for a pharmacy in Saudi Arabia should Adult Dose < 3 gm Daily emphasize Children’sthe (1/3 : ½ Adult Dose) 1000 : 1500 mg/day commitment (150 : to350 mg/day) quality healthcare, customer satisfaction, and compliance with local regulations. https://www.heart.org/en/news/2023/06/30/are-you-getting-enough-omega-3-fatty-acids How To Select a Perfect Product The business definition for a pharmacy in Saudi EPA + DHA ??? Arabia Purityshould emphasize the commitment to quality healthcare, customer satisfaction, and compliance with local regulations.  The business definition for a pharmacy in Saudi Arabia should emphasize the commitment to quality healthcare, customer satisfaction, and compliance with local regulations.  The business definition for a pharmacy in Saudi Arabia should emphasize the commitment to quality healthcare, customer satisfaction, and compliance with local regulations. Benefits And Uses Of Omega-3 1- Dry Eyes: improve the eye’s oil filmThe business that’s produced by meibomian glands. definition for a pharmacy in Saudi +Arabia should + emphasize the commitment to + quality healthcare, customer satisfaction, and compliance with local regulations. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10672334