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1、From Dispensing to Supporting:The Pharmacists Role in Restoring Nutrients,Reducing Side Effects,and Driving Revenue Through Nutrient-Depletion and Cofactor ProtocolsDr.Cheryl BurdetteProtecting The Pharmacy With Practitioner Only ProductsIn todays omni-channel marketplace,patients can easily bypass
2、the pharmacy.A simple test:Take a photo of a Supplement Facts panelRun it through Google LensInstantly locate identical or similar products onlineEven private-labeled supplements often trace back to:AmazonFullscriptBig-box retailersDirect-to-consumer websitesWhen products are searchable,they are sho
3、ppable.Most Common Drugs Used In The USAtorvastatin(Lipitor):For high cholesterol and cardiovascular disease prevention.Metformin(Glucophage):For Type 2 diabetes management.Levothyroxine(Synthroid):For thyroid hormone replacement(hypothyroidism).Lisinopril(Prinivil,Zestril):For high blood pressure a
4、nd heart failure.Amlodipine(Norvasc):For high blood pressure and angina.Metoprolol(Lopressor):For hypertension and heart issues.Albuterol(Ventolin):For asthma and breathing problems.Omeprazole(Prilosec):For acid reflux and gastrointestinal issues.Losartan(Cozaar):For hypertension.Gabapentin(Neuronti
5、n):For nerve pain and seizures.Biosynthetic Pathway to Cholesterol,Ubiquinone,and DolicholSynthesis of CoQ10Nutrition 101,The Statin Controversy Statins suppress HMG-CoA Reductase This not only blocks production of cholesterol,but production of CoQ10 as well While lowering lipids,there is an increas
6、e in CHF as well as increase risk of liver cancer Are lipids even the right end point?Coronary Artery Disease(CAD)is OftenAssociated with Normal Levels of LDL-CholesterolData from Get with the Guidelines Study(Sponsored by AHA,Dallas,TX)Lipid data within 24 hour of admission from patients hospitaliz