Clinical Example of Vitamin B1 Deficiency (Thiamine) - Easy to remember from this video #psychiatry

Oh, god. I think i have low thiamine.

Nice.

Wouldn’t it be so easy if everyone just “bounced back” in a day? 🤔

Thankyou doc .became a heavy drinker after people close died but coffee doesn't help either, tannins use up b vitimins .so i am down t one or two cups and ketvore .
This is very important .

Give her thiamine then give her sugar to use up the thiamine you just gave her 🤔🤔

Sids is also from b1 difiecency... My brother was a baby with alcohol problem or what

Then, get her to eat some CARBS?!?? Wrong!!! Carbs depleate B1/Thiamine!

Y

Take Benfotiamine absorbed easy...

Can it heal depression if you have defiecency?

‘’ I never forget to dose my malnourished and alcoholic patients with thiamine after seeing a true case of Wernicke's Encephalopathy in medical school.



The patient was a 38 year old women who initially presented to neurology clinic with a chief complaint of burning pain in her legs and gait instability. They diagnosed her with GBS after a nerve conduction study and then even admitted her to the hospital twice for IVIG infusions without any real progress. She later presented to the ED unresponsive and was admitted to the ICU.

After a brain MRI revealed necrosis of both mamillary bodies the diagnosis was clear. After the fact, friends and family endorsed that the patient was a heavy drinker and had been struggling with alcoholism for years. Strangely enough, her B12 and folate levels were within the reference range, so the neurologists treating her dismissed the idea of malnutrition as a cause of her symptoms. I'm not sure that they knew the extent of her drinking. Care was withdrawn about a week after her admission to the neuroscience ICU and she died shortly after extubation.

This woman became a vegetable for want of a cheap and readily available therapy. In my mind there is little to lose and much to gain by empirically treating all alcoholics and malnourished patients with thiamine if they complain of any neurological symptoms what-so-ever. Wernicke rarely presents with the classic triad and there are many other symptoms associated with it other than ophthalmoplegia, ataxia, and encephalopathy.

Don't let your patient's brain turn to mush because you don't want to look foolish by ordering a therapy empirically. Thiamine is cheap, brains are invaluable.‘’
truly UNFORGIVABLE that medical institutions have not educated the public on thiamine. Why do we know about glucose, potassium, and sodium but not about thiamine? Why are we taught about how to identify a heart attack but not that we should eat foods high in thiamine?

Hello sir pls help me with this. I have racing thoughts pins and needles and I have anxiety and I don't have the calmness in my mind and I don't feel clear in my mind nd also i don't feel grounded I feel like I m floating around don't feel in present moment. Tingling nerves and mood very off. Also digestion not good. And nerves also pain sometimes

“Cake and Ice cream.” Cause B1(thiamine) deficiency, “doctor.”
B1 deficiency can cause loss of appetite…
Give her some B1, then give her a damn steak.

Apparently, I have a thiamine deficiency, I've been taking 1000mg every day for over 2 weeks now with no effect. I Also pair it with magnesium and a B complex. How long does Thiamine take to work?

I've started taking B complex with a 100mg of thiamine mononitrate. Now my pee is mountain dew green

would anyone know if it is possible to obtain thiamine IV or IM in Uk?