Shadia Care

Supplements Protocol

Evidence-based supplement management

Drug-Nutrient Interactions
CRITICALRosuvastatin (Crestor) + Magnesium

Magnesium reduces rosuvastatin absorption by 54% when taken together.

Solution: Separate by 2+ hours. Crestor at bedtime (10 PM), Magnesium at midday (12 PM).

MODERATEBaclofen + Whey Protein

Baclofen crosses BBB via LAT1 transporter. Amino acids from whey compete for same transporter.

Solution: Separate baclofen from whey protein by 1-2 hours. Current schedule: Baclofen 7:30 AM → Protein 12:00 PM = 4.5hr gap = safe.

Currently Taking (3)

Creatine Monohydrate (PureGanic Creaganic)
Tier 1

Dose

3g/day → titrate to 5g/day over 1-2 weeks

Timing

With meals (midday or post-physio)

Rationale

PureGanic Creaganic uses Creapure® (99.9% pure, German-manufactured). Creatine replenishes brain PCr depleted by TBI. Meta-analysis shows cognitive gains in elderly/stressed populations. 3g/day maintenance sufficient (no loading needed for rehab patient). ESPEN: helps preserve lean mass during cancer survivorship.

Creapure® certified free of contaminants (DCA, DHT). No CYP450 interactions. Safe with all current AEDs. Ensure adequate hydration (≥2L/day). Monitor renal function (already tracked via eGFR).

Whey Protein Isolate (Dymatize ISO100)
Tier 1

Dose

25g/serving (1 scoop = 30g powder)

Timing

Pre/post-physio, separate from baclofen by 1-2 hours (LAT1 transporter competition)

Rationale

Dymatize ISO100 Hydrolyzed — 100% whey protein isolate, 25g protein per 30g scoop with 5.5g BCAAs but only 2.5g leucine (below 3g anabolic threshold for elderly). Hydrolyzed for faster absorption. Informed Choice certified. Gourmet Vanilla flavor. To hit ≥3g leucine: pair with leucine-rich food (egg +0.5g, Greek yogurt +0.5g) at same meal, or use 1.5 scoops (37.5g protein, 3.75g leucine). PROT-AGE recommends ≥3g leucine per meal to overcome age-related anabolic resistance.

Hydrolyzed WPI is lowest-lactose option. Contains milk and soy (lecithin). Gluten-free. Only 2.5g leucine per scoop — insufficient alone for anabolic threshold. Separate from baclofen by 1-2 hours due to LAT1 large neutral amino acid transporter competition. Monitor ammonia if on valproate (borderline 0.86-0.87). Step-up: increase by ~5g/week over 3-4 weeks.

Magnesium Glycinate (NOW Foods)
Tier 1

Dose

2000mg/day

Timing

Evening (≥2hrs after AEDs)

Rationale

Mg 1.7 mg/dL (low end of range, ref 1.9-2.5). Low Mg worsens seizures. SAFE for epilepsy - no clinical evidence of seizure risk.

Chelates AEDs (carbamazepine, valproate) and statins — must separate by ≥2 hours. Start 200mg, can titrate to 400mg if tolerated. GI-friendly (glycinate form avoids diarrhea of citrate/oxide). Monitor for excessive sedation when combined with baclofen/quetiapine.

Dynamic Protein CalculatorESPEN 2022 + PROT-AGE

Weight

89 kg

2026-03-14

BMI

33.1

Obese

IBW

56 kg

Devine

ABW

64.3 kg

For protein calc

Daily Protein Target

7796 g/day

64.3 kg (Adjusted BW (sarcopenic obesity — ESPEN 2022)) × 1.2–1.5 g/kg/day

Practical target: ~85g/day (midpoint). Distribute 25-30g per meal, never >40g per sitting.

Step-Up Protocol Required

Borderline ammonia (0.86/0.87) on VPA. Increase by ~5g/week over 3-4 weeks. Check ammonia at each step. Start L-Carnitine concurrently (urea cycle support). Separate protein from baclofen by 1-2 hours (LAT1 transporter competition). After VPA taper, ammonia constraint disappears.

Estimated Daily Intake
Breakfast (egg/salmon + yogurt)825g
Dinner (chicken/fish/beans)1530g
Crushed meds in yogurt58g
Dymatize ISO100 Whey Proteinlogged 2026-02-2530g

Leucine Gap: 2.5g per scoop (needs ≥3g)

ISO100 provides only 2.5g leucine per 25g serving — below the 3g threshold needed to overcome age-related anabolic resistance (PROT-AGE). Options: add leucine-rich food at same meal (egg = 0.5g, Greek yogurt = 0.5g), or use 1.5 scoops (37.5g protein, 3.75g leucine).

Estimated Total5893 g/day

Potential Gap: below minimum target

On low-protein days, intake may fall below target. Prioritize ≥25g protein per meal with ≥3g leucine to overcome age-related anabolic resistance. Current ISO100 provides only 2.5g leucine per scoop — pair with leucine-rich food or use 1.5 scoops.

Updates automatically when you log a new weight on the Tracking page. Using Adjusted Body Weight per ESPEN 2022 sarcopenic obesity consensus (Donini et al.) and PROT-AGE (Bauer et al., JAMDA 2013). IOM notes 1.5 g/kg/day appropriate for chronic TBI. ESPEN oncology (Arends 2017): 1.0-1.5 g/kg/day.

Pending Doctor Confirmation (13)

Tier 1 — Strong Evidence

Lactoferrin (Pravotin)
T1URGENT

Dose

200mg/day (100mg BID)

Timing

Between meals, separated 1-2hrs from AEDs

Rationale

Functional iron deficiency (ferritin 19.4 misleadingly low-normal with elevated ESR 30, fibrinogen 443). Meta-analysis: lactoferrin superior to ferrous sulfate across all iron parameters. Mechanism: downregulates IL-6 → reduces hepcidin → unlocks ferroportin iron absorption. 200mg/day minimum effective dose for immune effects (T-cell activation CD3+/CD4+/CD8+). Acts as neutrophil survival factor.

Bovine lactoferrin shows selective cytotoxicity toward cancer cells while supporting normal cells. No CYP450 metabolism, no AED interactions. 100mg/day subtherapeutic for immune effects per Zimecki 2013.

Vitamin B6 (Pyridoxine)
T1STARTED

Dose

50mg/day (increase to 100mg if behavioral symptoms persist at 4 weeks)

Timing

With food

Rationale

Both carbamazepine AND valproate deplete B6 (48% of CBZ patients are B6-deficient per Mintzer 2012). B6 depletion impairs GABA synthesis, serotonin/dopamine production. For LEV behavioral effects: 66.6% of adults responded in Alsaadi 2015 (50-100mg). Check baseline serum PLP level before initiating.

Peripheral neuropathy risk: US FNB UL is 100mg/day. Pre-existing right hemiparesis makes neuropathy detection difficult. Baseline sensory exam of unaffected limbs required. Monitor PLP every 6 months. P5P (active form) may carry reduced neuropathy risk. Safe for breast cancer survivors (protective association HR 0.67).

Vitamin D3 (VitaThrive 50,000 IU)
T1URGENT

Dose

50,000 IU/week (loading) → then 4,000-5,000 IU/day maintenance

Timing

Weekly loading tablet with fat-containing meal. After loading phase: daily 4,000-5,000 IU with breakfast.

Rationale

VitaThrive Max Strength D3 50,000 IU — cholecalciferol, 15 tablets per bottle. Weekly loading dose to correct deficiency faster (level was 14.7 ng/mL — severe deficiency). AEDs (carbamazepine, valproate) deplete vitamin D via CYP3A4 enzyme induction. After loading phase (6-8 weeks or until level >40 ng/mL), switch to daily 4,000-5,000 IU maintenance. GMP certified, Non-GMO.

50,000 IU/week is standard medical loading dose for deficiency <20 ng/mL. Monitor 25-OH-D levels at 8 weeks. Target 40-60 ng/mL. Must pair with K2 (MK-7) to prevent vascular calcification. Must pair with calcium for bone protection. Manufactured by Liquidsun Ltd, UK.

Folate (Methylfolate / 5-MTHF)
T1URGENT

Dose

1mg/day

Timing

With food

Rationale

Carbamazepine significantly reduces serum folate. Folate + B12 substitution for 3 months normalized levels in 95% of AED patients and reduced homocysteine and MCV (Linnebank, Ann Neurol 2011). Addresses AED-driven homocysteine elevation — cardiovascular risk compounded by LDL 101 and inflammatory markers. Use methylfolate (active form), not folic acid.

Check baseline homocysteine, folate levels. Safe for breast cancer survivors. Monitor every 3 months until stable.

L-Carnitine
T1URGENT

Dose

1,000mg BID (2g/day)

Timing

With meals, morning and evening

Rationale

SINGLE MOST URGENT ADDITION. Valproate depletes carnitine via inhibited biosynthesis, impaired renal reabsorption, and sequestration as valproylcarnitine. Carnitine depletion shifts VPA metabolism toward hepatotoxic ω-oxidation and directly impairs the urea cycle — the primary mechanism underlying borderline ammonia (0.86/0.87). Pediatric Neurology Advisory Committee consensus recommends supplementation for at-risk VPA patients on polytherapy. Continue until VPA fully discontinued and carnitine levels normalize.

Check free and total carnitine levels at baseline. Well-tolerated. Enables safer protein optimization by supporting urea cycle function.

Omega-3 (DHA-dominant)
T1URGENT

Dose

2-3g total EPA+DHA daily (DHA:EPA ~2:1)

Timing

With fat-containing meals, split doses

Rationale

DHA comprises 97% of brain omega-3s; promotes neurite outgrowth, synaptogenesis, myelin preservation. Preclinical TBI evidence strong for reducing neuroinflammation and axonal injury. Anti-inflammatory at ≥2g/day via specialized pro-resolving mediators (resolvins, protectins) — addresses elevated ESR and fibrinogen. Target DHA 1.5-2g + EPA 0.5-1g daily.

No significant AED interactions. Discuss with oncologist given breast cancer history — overall evidence in cancer survivorship neutral to favorable.

Vitamin B12 (Methylcobalamin)
T1URGENT

Dose

1,000mcg/day

Timing

With food, morning

Rationale

Valproate reduces B12. Combined with folate, normalizes homocysteine in 95% of AED patients within 3 months. Use methylcobalamin (active form). Addresses AED-driven homocysteine elevation.

Check baseline B12 level. Very safe, no upper limit established. Monitor every 3 months.

Calcium
T1URGENT

Dose

1,000-1,200mg/day (split doses)

Timing

Split into 2-3 doses with meals. Separate from AEDs and lactoferrin by 2 hours.

Rationale

Essential co-supplement with vitamin D3 for bone metabolism. DEXA scan strongly recommended given wheelchair dependence, AED-induced vitamin D depletion, and prolonged immobility. ESPEN guideline recommendation.

Do not exceed 1,200mg/day. Split doses for better absorption (≤500mg per dose). Separate from thyroid medications if applicable.

Vitamin K2 (MK-7)
T1URGENT

Dose

100-200mcg/day

Timing

With fat-containing meal, alongside vitamin D3

Rationale

Directs calcium to bones rather than soft tissues/arteries. Essential partner to vitamin D3 + calcium supplementation. MK-7 form has longer half-life than MK-4.

No known AED interactions. Safe in cancer survivors. Monitor if patient ever starts anticoagulant therapy (vitamin K antagonizes warfarin).

Tier 2 — Moderate Evidence

CoQ10 (Ubiquinol)
T2MEDIUM

Dose

100-200mg/day

Timing

Morning with food

Rationale

Rosuvastatin-induced CoQ10 depletion (>40% reduction within 1 year of statin therapy). Supports mitochondrial function for sarcopenia and neurological recovery. Use ubiquinol form (reduced, better absorbed).

Safe. Only start if statin myopathy symptoms present.

Tier 3 — Weak/Optional

Citicoline (Cognizin)
T3OPTIONAL

Dose

500-1000mg/day

Timing

Midday

Rationale

COBRIT trial (1,213 TBI patients) = completely negative. Weak evidence only.

Safe but evidence is weak.

Melatonin PR (Circadin)
T3OPTIONAL

Dose

2mg

Timing

2 hours before bed

Rationale

Grima 2018 RCT (N=33): significant sleep quality improvement in TBI patients. 8/9 studies positive.

Safe with quetiapine 25mg (moderate additive sedation - may allow quetiapine reduction).

N-Acetylcysteine (NAC)
T3MEDIUM

Dose

600mg BID (1,200mg/day)

Timing

Between meals, morning and evening

Rationale

Crosses BBB, raises brain glutathione. 40-year FDA-approved safety history. Preclinical TBI: reduced axonal injury and neuroinflammation. Supports detoxification pathways relevant to borderline ammonia and VPA metabolism. Glutathione precursor — synergistic with whey protein (cysteine source).

Very well tolerated. May cause mild GI symptoms initially. No significant AED interactions.

Daily Timing Guide

8:00 AM

Morning (with food)

  • · VitaThrive D3 + K2 (with fat)
  • · Folate (Methylfolate)
  • · B12 (Methylcobalamin)
  • · B6 (Pyridoxine)
  • · L-Carnitine (1,000mg)
  • · Calcium (500mg)

12:00 PM

Midday (≥2hrs from AEDs)

  • · ISO100 Whey Protein (pre/post PT)
  • · Creaganic Creatine (with meal)
  • · Omega-3 DHA (with fat)
  • · Lactoferrin (between meals)

8:00 PM

Evening (with food)

  • · L-Carnitine (1,000mg)
  • · NOW Magnesium Glycinate (≥2hrs from AEDs)
  • · Omega-3 DHA
  • · NAC (600mg)
  • · Calcium (500mg)
  • · Lactoferrin (between meals)

10:00 PM

Bedtime

  • · NOW Mg Glycinate (if not evening)
  • · Melatonin PR (optional)
  • · CoQ10 Ubiquinol