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State the big ideas for digestion.
Digestion is a north to south process. Big organs: stomach, pancreas, gallbladder. Digestion is fundamental to nutritional therapy. Every cell needs nutrition. Digestion begins in the brain.
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Describe the way digestion is supposed to work.
- 1) Brain: triggers salivary glands at sight/smell of food. Parasympathetic state
- 2) Mouth: Mechanical (chewing) Chemical (salivary enzyme, salivary amylase breaks down carbs)
- 3) Swallow: Bolus goes down esophagus through cardiac sphincter to stomach
- 4) Stomach: churns food mixing it with HCl and pepsin to form chyme
- 5) Chyme releases into small intestine via pyloric sphincter into duodenum. pH of chyme is 1.3 so bicarb is released to change it to pH of 7.
- 6) Liver, gallbladder and pancreas release bile mixes with chyme and moves to small intestine.
- 7) Small intestine: secretin and CCK, bile emulsifies fat
- 8) Large intestine: Sorts out water and vitamins for recycling then sends the rest on to colon and out
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Explain at least three things than can go wrong in the digestive system.
- 1) A person could not be in a parasympathetic state: stress, not chewing food enough.
- 2) Stomach acid could be low
- 3) The pH of the chyme entering duodenum may not be right so pancreatic juice won't be released.
- 4) Low or bad fats don't stimulate the gallbladder to release bile, so fats go undigested.
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Define the three possible reactions a client can have to a nutritional protocol.
- 1) Digestive reaction: Diarrhea, constipation, cramping, heartburn.
- 2)Sensitivity or allergic reaction:Rash, congestion, the allergy symptoms
- 3)Healing reaction: looks like what you are trying to fix. IE: flu like symptoms (detox), nausea when working on gallbladder.
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Summarize the five step process for Coca's Pulse Test.
- 1) Relax
- 2) Take pulse for one minute
- 3) Put food in mouth, hold for 30 seconds.
- 4) Retake pulse, with food still the mouth.
- 5) Do not swallow the food, spit it out
- 6) Repeat test with other foods or meds/supplements as needed.
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