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Internal Medicine, Geriatrics and Rheumatology

Nutritional deficiencies are a widespread issue that can significantly affect quality of life and worsen the progression of chronic diseases. In the fields of internal medicine, geriatrics and rheumatology, targeted supplementation of essential micronutrients is critical to support physiological functions and prevent debilitating conditions such as anaemia, osteoporosis, sarcopenia and chronic inflammation.  

Although each clinical area has its own specificities, they all share the need for personalised supplementation to optimise patient care. Key nutrients include iron, vitamin B12, vitamin D, calcium and magnesium, which are essential for energy metabolism, muscle function and immune health. Correct supplementation, tailored to individual needs, can improve treatment outcomes and enhance overall well-being. 

Internal medicine: the importance of micronutrients in managing chronic diseases

In internal medicine, nutritional deficiencies are often linked to conditions such as anaemia, osteoporosis, sarcopenia and metabolic disorders. Iron plays a vital role in haemoglobin production and oxygen transport, while vitamin B12 is essential for red blood cell formation and proper neurological function. Vitamin D and calcium are crucial for maintaining bone health, helping to prevent mineral density loss, while magnesium regulates electrolyte balance and supports muscle function.
In addition to these common issues, targeted nutritional supplementation can be a valuable tool in managing high-prevalence chronic diseases such as: 

  • Diabetes: magnesium and vitamin D help improve blood glucose regulation and insulin sensitivity.
  • Kidney failure: iron and vitamin D play a preventive role against renal anaemia and bone fragility.
  • Cardiovascular disease: iron and magnesium help maintain proper blood pressure balance and support heart function. 

A combined approach that includes balanced nutrition, personalised supplementation and drug therapy can optimise the management of internal diseases.

 

Geriatrics: countering nutritional deficiencies to preserve the health of the elderly

Ageing is often associated with a decline in the absorption and utilisation of essential nutrients, increasing the risk of deficiencies that can compromise overall health. Among the most important micronutrients for the elderly are: 

  • Iron: essential for preventing iron deficiency anaemia, which is common in older adults due to malnutrition or chronic conditions.
  • Vitamin B12: necessary to prevent megaloblastic anaemia and maintain cognitive function, which often declines with age.
  • Calcium and Vitamin D: vital for bone health, they help prevent osteoporosis and fractures.
  • Magnesium: supports muscle and neurological function, preventing weakness and muscle cramps. 

Proper supplementation not only prevents nutritional deficiencies but also helps maintain physical strength, mobility, balance and cognitive function, promoting greater autonomy and improving overall quality of life. 

 

Rheumatology: the role of supplementation in managing inflammatory diseases

Rheumatological diseases, such as rheumatoid arthritis and systemic lupus erythematosus, are often marked by chronic inflammation and a high risk of sideropenic anaemia. In this context, nutritional supplementation can complement conventional therapies by helping to modulate the inflammatory response and improve patients' quality of life. 

  • Iron: essential for combating anaemia associated with chronic inflammatory diseases by improving tissue oxygenation.
  • Multivitamins and multiminerals: support energy metabolism and help reduce the chronic fatigue commonly experienced in rheumatological conditions.
  • Adaptogenic tonics: help to improve resistance to oxidative stress and combat fatigue.
  • Cetylated Fatty Acids (CFAs):phytoactive complexes that contribute to physiological joint mobility, reducing inflammation and joint pain. 

Customised nutritional supplementation, in combination with appropriate clinical management, can significantly enhance the quality of life for patients with rheumatological diseases, helping to slow disease progression and preserve joint function. 

 

Role of nutritional deficiencies and supplementation in internal medicine, geriatrics and rheumatology

Micronutrient supplementation plays a crucial role in internal medicine, geriatrics and rheumatology, offering valuable therapeutic support in managing chronic diseases and preventing nutritional deficiencies. The use of essential nutrients such as iron, vitamin B12, vitamin D, calcium, magnesium and others provides significant clinical benefits, improving quality of life and the progression of diseases.  

An approach tailored to the specific needs of each patient optimises therapeutic efficacy and promotes long-term well-being, offering critical support in managing clinical conditions across different age groups. 

 

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