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A 49-year-old member asked:

what is the source of the tpn lipids?

1 doctor answer1 doctor weighed in
Dr. Richard Mangus
Transplant Surgery 22 years experience
Usually soy beans: Most lipids in TPN come from soy beans. This is a problem because one component of these lipids can cause liver injury over time. When soy beans are eaten, this component is not absorbed through the GI tract so the liver is never exposed. However, with TPN the liver is exposed because it goes to the blood stream. So, many centers now minimize soy bean based lipids to protect the liver.

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A 42-year-old member asked:

What type of insulin is usually added to TPN (hyperalimentation)?

1 doctor answer3 doctors weighed in
Dr. Roshani Sanghani
Endocrinology 20 years experience
TPN insulin: Once Insulin is given IV (like tpn) it lasts the same (minutes) no matter what type it is. Usually regular (human r) Insulin is added because it is the cheapest insulin., so why spend more on more expensive Insulin when they all will last for the same timings and have exactly the same effects.
A 30-year-old member asked:

What type of insulin is added to a TPN hyperalimentation?

1 doctor answer2 doctors weighed in
Dr. James Chu
Endocrinology 25 years experience
Reg human insulin: Regular human Insulin (r) is typically added to TPN or total parenteral nutrition. Because TPN is given via the vein, human r Insulin that is delivered with the nutrients can immediately be transported throughout the body to have effects. This is in contrast to the situation when a person injects Insulin into skin. In this case r human Insulin needs at least 30-40 min to start having effects.
A 21-year-old member asked:

What is the significance of lipid profile?

3 doctor answers5 doctors weighed in
Dr. Dan Fisher
Internal Medicine 27 years experience
Predicts events.: Lipid profile tells you about risk for future heart / blood vessel disease. Smoking, hypertension, diabetes and lipids are modifiable risk factors. Non modifiable risk factors are male sex, getting older and having family history of early heart disease. At your age there is virtually no contribution of lipids to mortality within the next 20 years unless numbers very high or many risk factors.
A 48-year-old member asked:

What does carbohydrates and lipids have in common?

1 doctor answer3 doctors weighed in
Dr. Derrick Lonsdale
Preventive Medicine 73 years experience
Both foods: Our food should be a proper balance of protein, fat and carbohydrate. This can be achieved by a plant based diet.
AZ
A member asked:

Hypothyroid and lipids, if tryglcerides are high what problems can this cause along with having hypothyroid?

2 doctor answers6 doctors weighed in
Dr. Rick Koch
Cardiology 22 years experience
High lipids: Can lead to development of atherosclerosis if left inadequately treated. Talk to your physician about appropriate treatment of lipids & thyroid.
Dr. Quang Nguyen
Specializes in Endocrinology
Treat the thyroid first, the triglycerides might improve once the thyroid is adequately treated. If lipids still bad after thyroid is treated, then you will also need to treat the triglycerides.
Sep 27, 2012
Dr. Rick Koch
Dr. Rick Koch commented
Cardiology 22 years experience
Provided original answer
I completely agree with Dr. Nguyen
Sep 27, 2012

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Last updated Feb 9, 2015

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