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Diabetes Care 2010;33:1598-601. This section focuses on four diseases or disorders in which thiamin does or might play a role: Wernicke-Korsakoff syndrome, diabetes, heart failure, and Alzheimers disease. [, Butterworth RF, Besnard AM. Polegato BF, Pereira AG, Azevedo PS, et al. Am J Physiol Gastrointest Liver Physiol 2012;303:G389-95. In: Ross AC, Caballero B, Cousins RJ, Tucker KL, Ziegler TR, eds. Boldorini R, Vago L, Lechi A, Tedeschi F, Trabattoni GR. This makes thiamine levels important in diseases of the metabolic and gastrointestinal systems. Because thiamin dissolves in water, a significant amount of the vitamin is lost when cooking water is thrown out [3]. Seligmann H, Halkin H, Rauchfleisch S, Kaufmann N, Motro M, Vered Z, et al. J Geriatr Psychiatry Neurol 1993;6:222-9. As Muslims, we must have knowledge of halal and haram ingredients in order to eat what is permissible. Thiaminase I can degrade thiamin (111), thiamin monophosphate (112), and thiamin pyrophosphate (113) to the pyrimidine (114) and the corresponding thiazole (115-117) moiety (Figure 13).The enzyme from Bacillus thiaminolyticus has been cloned and characterized. How Do I Know If I Have a Thiamine Deficiency? The U.S. Department of Agricultures (USDAs) FoodData Central website [10] lists the nutrient content of many foods and provides a comprehensive list of foods containing thiamin arranged by nutrient content and by food name. Thiamine, also called vitamin B1, is a water-soluble vitamin found in virtually every cell in the body. About half of the thiamin in the U.S. diet comes from foods that naturally contain thiamin; the remainder comes from foods to which thiamin has been added [9]. In a study of 76 consecutive patients with type 1 or type 2 diabetes, for example, 8% had mild thiamin deficiency and 32% had moderate deficiency based on assays of the transketolase enzyme [33]. Intern Med 2012;51:929-32. However, the authors of these studies did not assess the potential clinical significance of these findings. Treatment is with thiamine supplementation. One meta-analysis showed that many studies are not using the same types of measurements to understand how low thiamine levels contribute to heart failure. CJC Open. If low levels of thiamine are found in the urine, it might mean not enough thiamine is in the diet. Kondo K, Fujiwara M, Murase M, Kodera Y, Akiyama S, Ito K, et al. Have a question? Cognitive impairment severity in relation to signs of subclinical Wernicke's encephalopathy in HIV and alcoholism comorbidity. Galvin R, Brathen G, Ivashynka A, Hillbom M, Tanasescu R, Leone MA. A focused review, Potential thiamine deficiency in elderly patients with gastrointestinal cancer undergoing chemotherapy, Allithiamine exerts therapeutic effects on sepsis by modulating metabolic flux during dendritic cell activation, Therapeutic potential of vitamin B1 derivative benfotiamine from diabetes to COVID-19, Comparative pharmacokinetic analysis of thiamine and its phosphorylated metabolites administered as multivitamin preparations, Therapeutic benefits of an oral vitamin B1 derivative for human T lymphotropic virus type I-associated myelopathy/tropical spastic paraparesis (HAM/TSP), Role of the synthetic B1 vitamin sulbutiamine on health, People with human immunodeficiency virus (HIV)/AIDS, Short-term memory loss or other mental problems, Numbness or tingling in the fingers or feet (, Confusion (temporospatial disorientation), Feeling of tingling or pins and needles in the extremities (, 1418 years: Males1.2 mg; females1.0 mg, 1950 years: Males1.2 mg; females1.1 mg, 51 years and over: Males1.2 mg; females1.1 mg, Allithiamine (thiamine allyl disulfide or TAD), Benfotiamine (S-benzoylthiamine-O-monophosphate), Fursultiamine (thiamine tetrahydrofurfuryl disulfide or TTFD), sold under the brand names Alinamin-F, Benlipoid, Bevitol Lipophil, Judolor, and Lipothiamine, Prosultiamine (thiamine propyl disulfide or TPD), including the brandJubedel, Sulbutiamine, sold under the brands Arcalion and Enerion. Mol Cells. Information was obtained from several sources including Muslim Consumers Group, Wikipedia and RoadIslam.com. People with diabetes may be at risk of a thiamine deficiency. Surg Obes Relat Dis. Alcohol addiction, gut microbiota, and alcoholism treatment: a review. Aging with alcohol-related brain damage: Critical brain circuits associated with cognitive dysfunction. Reduced activities of thiamine-dependent enzymes in the brains and peripheral tissues of patients with Alzheimer's disease. Thiamine supplementation for the treatment of heart failure: a review of the literature. For people with diabetes who start to develop kidney damage (nephropathy), thiamine supplementation might be recommended. Is this your first time visiting our site? [. Am J Med. Vitamin B1 is one of the eight B vitamins, also known as thiamin (thiamine). Papila B, Yildiz O, Tural D, Delil S, Hasiloglu ZI, Ayan F, et al. When symptoms of this condition (confusion and problems with balance and walking) appear in people with alcohol use disorder, supplementation with thiamine through an IV is recommended. A 2008 literature review identified 84 cases of Wernickes encephalopathy after bariatric surgery (primarily gastric bypass surgery) between 1991 and 2008 [35]. Yang JD, Acharya K, Evans M, Marsh JD, Beland S. Beriberi disease: is it still present in the United States? Pls also merits of islamic month. Preliminary findings of high-dose thiamine in dementia of Alzheimer's type. J Cardiovasc Magn Reson 2011;13:41. Pathophysiology, prevention, and treatment of beriberi after gastric surgery. The amount of thiamin recommended during pregnancy and lactation varies depending on the pregnancy's phase and the energy needs of the person. They then compared those who received the thiamine and those who didn't. [, Howard AJ, Kulkarni O, Lekwuwa G, Emsley HC. 2020;12:e8027. Please review this supplement label with your healthcare provider to discuss any potential interactions with foods, other supplements, and medications. For example, bread has 20%30% less thiamin than its raw ingredients, and pasteurization reduces thiamin content (which is very small to begin with) in milk by up to 20% [3]. Cookies collect information about your preferences and your devices and are used to make the site work as you expect it to, to understand how you interact with the site, and to show advertisements that are targeted to your interests. Int J Clin Pharmacol Ther. Because thiamin can only be stored in the body for a short time before it is readily excreted, a regular dietary intake of thiamin is necessary to maintain proper blood levels. Thank you for your time. London and New York: Informa Healthcare; 2010:748-53. Healthcare providers may recommend a supplement to people taking those drugs. Hanninen SA, Darling PB, Sole MJ, Barr A, Keith ME. Eur J Neurol 2010;17:1408-18. The role of low plasma thiamin levels in cognitively impaired elderly patients presenting with acute behavioral disturbances. Thiamin: fact sheet for consumers. -Hydroxypropyl starch phosphate As a vitamin, Nicotinic acid/Niacin is general recognized as halal. February 9, 2023 Pediatr Clin North Am 2009;56:1105-21. J Med Case Rep 2010;4:409. Possible reasons include low dietary intakes, a combination of chronic diseases, concomitant use of multiple medications, and low absorption of thiamin as a natural result of aging [24,25]. 2021;58(11):1433-1439. doi:10.1007/s00592-021-01752-4, DiNicolantonio JJ, Liu J, O'Keefe JH. Thiamine is important in maintaining overall good health. It is more common in developing parts of the world than it is in developed areas. Institute of Medicine. It is essential to read the ingredient list and nutrition facts panel of a supplement carefully to know which ingredients and how much of each ingredient is included. Ingested thiamin from food and dietary supplements is absorbed by the small intestine through active transport at nutritional doses and by passive diffusion at pharmacologic doses [1]. Hi do you guys have info on these: As Muslims, we must have knowledge of halal and haram ingredients in order to eat what is permissible. The Dietary Guidelines for Americans describes a healthy dietary pattern as one that: This fact sheet by the National Institutes of Health (NIH) Office of Dietary Supplements (ODS) provides information that should not take the place of medical advice. Multivitamin/multimineral supplements with thiamin typically provide about 1.5 mg thiamin and sometimes more [12]. About 80% of the approximately 2530 mg of thiamin in the adult human body is in the form of thiamin diphosphate (TDP; also known as thiamin pyrophosphate), the main metabolically active form of thiamin. We use cookies to ensure that we give you the best experience on our website. Thiamine is vitamin B1, of which there are several different types that are used as supplements. Thiamine taken by mouth (oral) is available without a prescription. Several food sources of thiamin are listed in Table 2. For example, thiamin deficiency produces oxidative stress in neurons, death of neurons, loss of memory, plaque formation, and changes in glucose metabolismall markers of Alzheimers disease. Thiamine for Alzheimer's disease. Allen L, de Benoist B, Dary O, Hurrell R, eds. Am J Clin Nutr. 2012;101:159-64. doi:10.1007/s00392-011-0376-2, Wong EKC, Lee JY, Chow J, et al. Alcohol Alcohol 2005;40:155-6. Grains such as wheat, rice, rye, barley, oat, etc. 2013;7:CD004033. Thiamine and cardiovascular disease: a literature review. Alcohol Alcohol 2009;44:148-54. The recommended daily allowance (RDA) of thiamine can vary by age and pregnancy status as follows, in milligrams (mg), which can be obtained through food sources or oral supplements: Note that Verywell Health prefers to use inclusive terminology, but when citing health authorities or studies, the terms relating to sex and gender from those sources are used. 2017;13:727741. Since most ingredients are listed using their chemical name, it's difficult to figure out if they are halal or not. Levels of thiamin in the blood are not reliable indicators of thiamin status. Amber J. Tresca is a freelance writer and speaker who covers digestive conditions, including IBD. Also synthetically produced. Giving the supplement slowly and with fluids may help cut this risk, but there arent any accepted guidelines. Blood thiamine levels in outpatients with diabetes mellitus. High-dose thiamine therapy for patients with type 2 diabetes and microalbuminuria: a randomised, double-blind placebo-controlled pilot study. It also covers risk factors of a thiamine deficiency and the potential side effects of taking supplements. The authors of the European Federation of Neurological Societies guidelines for diagnosing, preventing, and treating Wernickes encephalopathy note that even high doses of oral thiamin supplements might not be effective in raising blood thiamin levels or curing Wernickes encephalopathy [38]. Benfotiamine is not water soluble and is converted to thiamin in the body [13]. However, there is some evidence that the drugsLasix (furosemide) and Adrucil (fluorouracil)could cause the body to lose too much thiamine. Elizabeth Barnes, RDN, is a registered dietitian nutritionist who specializes in eating disorders, type 2 diabetes, and heart health. In: Erdman JW, Macdonald IA, Zeisel SH, eds. [. 10th ed. [, Gibson GE, Hirsch JA, Cirio RT, Jordan BD, Fonzetti P, Elder J. Abnormal thiamine-dependent processes in Alzheimer's Disease. Rosen A, van Kuilenburg A, Assmann B, Kuhlen M, Borkhardt A. 2020;78:989-1010. doi: 10.3233/JAD-200896, Alalwan AA, Friedman J, Park H, Segal R, Brumback BA, Hartzema AG. [. Fresh or naturally frozen vegetables. Pork is another major source of the vitamin. Thiamin (or thiamine) is one of the water-soluble B vitamins. The main role of carbohydrates is to provide energy for the body, especially the brain and nervous system. Most people get enough thiamine in their food. The most common effect of thiamin deficiency is beriberi, which is characterized mainly by peripheral neuropathy and wasting [1-3]. Eur J Nutr 2011;50:145-9. In these trials, thiamin supplements significantly improved net change in left ventricular ejection fraction. Thiamine is obtained from the diet. Nutr Rev. High-dose thiamine supplementation in older patients with heart failure: a pilot randomized controlled crossover trial(THIAMINE-HF). Intake recommendations for thiamin and other nutrients are provided in the Dietary Reference Intakes (DRIs) developed by the Food and Nutrition Board (FNB) at the Institute of Medicine of the National Academies (formerly National Academy of Sciences) [7]. [, Alkhalaf A, Klooster A, van Oeveren W, Achenbach U, Kleefstra N, Slingerland RJ, et al. More research is needed to determine whether thiamin supplements might benefit people with heart failure, even if they have normal thiamin status. Nutritional deficiencies in obesity and after bariatric surgery. It's made with high-quality ingredients and all the essential vitamins and minerals to keep your heart +, brain, and eyes healthy and protected. Ask ODS American Society for Metabolic and Bariatric Surgery integrated health nutritional guidelines for the surgical weight loss patient 2016 update: micronutrients. Adequate Intake (AI): Intake at this level is assumed to ensure nutritional adequacy; established when evidence is insufficient to develop an RDA. Up to 20%30% of older adults have laboratory indicators that suggest some degree of thiamin deficiency [2,7]. Groups With a Higher Incidence of Thiamine Deficiency. [, O'Rourke NP, Bunker VW, Thomas AJ, Finglas PM, Bailey AL, Clayton BE. [. A case of Wernicke's encephalopathy following fluorouracil-based chemotherapy. Should people with diabetes take a thiamine supplement? Kosher Halal Vitamin B1 (Thiamin), is part of the group of essential nutrients known as the B Complex. As it in your old islamcan app Bettendorff L. Thiamin. Without carrageenan, some products would not meet organic standards or vegetarian, halal, or kosher diets http://www.foodingredientfacts.org. Incidence of adverse reactions to parenteral thiamine in the treatment of Wernickes encephalopathy, and recommendations. Thiamin fact sheet for health professionals. (adsbygoogle = window.adsbygoogle || []).push({}); We promise, you will not receive more than two e-mails from us per month. A focused review. Arch Neurol 1991;48:81-3. [. 2019;148:101-168. doi:10.1016/bs.irn.2019.09.002, Wang SC, Chen YC, Chen SJ, Lee CH, Cheng CM. The recommended daily intake (RDI) for adults over age eighteen is 1.2 mg/day for men and 1.1 mg/day for women. Autopsies of 380 people with AIDS found that almost 10% had Wernickes encephalopathy [29], and some experts believe that thiamin deficiency is underdiagnosed in this population [30]. Explanations for this association include older age, comorbidities, insufficient dietary intake, treatment with diuretics, and frequent hospitalizations [48]. Severe acute metabolic acidosis and Wernicke's encephalopathy following chemotherapy with 5-fluorouracil and cisplatin: case report and review of the literature. Legumes and nuts like peanuts, cashew nuts, hazel nuts, walnuts, etc. Thiamine helps some of the enzymes in the body that are used in the metabolism of glucose. Gonzalez-Ortiz M, Martinez-Abundis E, Robles-Cervantes JA, Ramirez-Ramirez V, Ramos-Zavala MG. Effect of thiamine administration on metabolic profile, cytokines and inflammatory markers in drug-naive patients with type 2 diabetes. Wernicke-Korsakoff syndrome is a common outcome of thiamine deficiency in the United States than beriberi. The study found that mental decline was less in those who received thiamine. Administration of supplemental thiamin, often parenterally, quickly cures beriberi [2,3]. Some small studies have shown that oral supplementation with 150300 mg/day thiamin can decrease glucose levels in patients with type 2 diabetes or impaired glucose tolerance [41,42]. There are many whole-food and fortified-food sources of thiamine, including: Thiamine (vitamin B1) is often found in multivitamins, usually with other B vitamins. Because of the lack of reports of adverse effects from high thiamin intakes (50 mg/day or more) from food or supplements, the FNB did not establish ULs for thiamin [7]. It is also not stored by the body, so a steady supply is needed. [1] Only small amounts are stored in the liver, so a daily intake of thiamin-rich foods is needed. This is a fact sheet intended for health professionals. Exp Clin Endocrinol Diabetes 2008;116:600-5. A deficiency of thiamine, or vitamin B1, may go undiagnosed and is associated with poor health outcomes, including death. Halal Nicotinic acid/Niacin Nicotinic Acid is a vitamin manufactured through chemical synthesis, available as White Crystalline powder. Checking thiamine levels might be part of an overall management plan. Fluorouracil (also known as 5-fluorouracil; Adrucil) is a chemotherapy drug that is commonly used to treat colorectal and other solid cancers. Present Knowledge in Nutrition. Int J Clin Pract 2011;65:684-90. Acta Diabetol. In addition to insufficient intakes of thiamin from the diet, the causes of thiamin deficiency include lower absorption or higher excretion rates than normal due, for example, to certain conditions (such as alcohol dependence or HIV/AIDS) or use of some medications [3]. Vitamins for Type 2 Diabetes: Whats Recommended? In many patients, Wernicke-Korsakoff syndrome has two phases. Eur J Nutr 2013;52:1821-4. Vitamin B1: As Thiamine (synthetic and from eggs) Thiamin plays a vital role in the growth and function of various cells. Thiamin: One of the B complex vitamins. Injectable thiamine must be given by a healthcare professional. Thiamine injection is used to treat beriberi, a serious condition caused by prolonged lack of vitamin B1. I AM IN LOVE WITH A CHRISTIAN GIRL CAN I MARRY HER? Dietary Reference Intakes: Thiamin, Riboflavin, Niacin, Vitamin B6, Folate, Vitamin B12, Pantothenic Acid, Biotin, and Choline. Thiamine (vitamin B 1) is used as a dietary supplement when the amount of thiamine in the diet is not enough.People most at risk for thiamine deficiency are older adults, those who are dependent on alcohol, or who have HIV/AIDS, diabetes, malabsorption syndrome (problems absorbing food), or have had bariatric surgery (an operation that helps you lose weight by making changes to your digestive . Always speak with a healthcare provider before taking a supplement to ensure that the supplement and dosage are appropriate for your individual needs. Yet it isn't clear that thiamine helps heart failure patients do any better in the long term. Foods providing 20% or more of the DV are considered to be high sources of a nutrient, but foods providing lower percentages of the DV also contribute to a healthful diet. According to animal model studies, thiamin deficiency might play a role in the development of Alzheimers disease [51]. As a synthesized chemical, this food Vitamin is general recognized as halal. Its deficiency is called beriberi . Factors that can increase incidence include: Beriberi is a condition caused by low levels of thiamine. 2013;13:495-499. Larger, well-designed studies are needed to determine whether thiamin supplements are beneficial for Alzheimers disease. If an ingredient is missing, please use the comment form below to report it and we will look into it. They hypothesize that the apparent lack of toxicity may be explained by the rapid decline in absorption of thiamin at intakes above 5 mg. Korsakoffs psychosis, an effect of chronic thiamin deficiency, is associated with severe short-term memory loss, disorientation, and confabulation (confusion between real and imagined memories) [1-3]. J Alzheimers Dis. [. The association between thiamin deficiency and HIV/AIDS is probably due to malnutrition as a result of the catabolic state associated with AIDS. A more common manifestation of thiamin deficiency in the United States is Wernicke-Korsakoff syndrome [2]. Deficiency of thiamine can cause delirium ( source ). The fact that a vitamin source is indicated to be of synthetic origin does not guarantee that the tablet, capsule or liquid formula is Halal. A double-blind, randomized, placebo-controlled clinical trial on benfotiamine treatment in patients with diabetic nephropathy. What Happens If I Take Too Much Thiamine? Here is a comprehensive list of halal and haram ingredients. Thiamine helps some of the enzymes in the body that are used in the metabolism of glucose. In highly industrialized countries, chronic alcohol use disorders appear to be the most common cause of thiamin deficiency [1]. The authors of a 2013 Cochrane review of thiamin to treat or prevent Wernicke-Korsakoff syndrome found only two studies that met their inclusion criteria, and one of these studies has not been published [37]. Other newer studies found this was not the case after thiamine therapy. Nabokina SM, Said HM. [, Gibson GE, Sheu KF, Blass JP, Baker A, Carlson KC, Harding B, et al. However, talking with a healthcare provider about dietary supplements is important for those who live with the condition. Benfotiamine, thiamine monophosphate chloride and thiamine pyrophosphate chloride, as sources of vitamin B1 added for nutritional purposes to food supplements: Scientific Opinion of the Panel on Food Additives and Nutrient Sources added to Food (ANS). [. The body needs thiamine to keep blood glucose levels steady, so this can lead to complications in people with diabetes. Verywell Health uses only high-quality sources, including peer-reviewed studies, to support the facts within our articles. The Cochrane review authors concluded that the evidence from randomized clinical trials is insufficient to guide health care providers in selecting the appropriate dose, frequency, duration, or route of thiamin supplementation to treat or prevent Wernicke-Korsakoff syndrome in patients with alcohol abuse. Choi EJ, Jeon CH, Park DH, Kwon TH. 2nd ed. Some small studies have found that thiamin levels in plasma are up to 76% lower in people with type 1 diabetes than in healthy volunteers and 50%75% lower in people with type 2 diabetes [31,32]. It is a progressive condition. Thiamine deficiencies are more common in areas of the world where there is less access to food sources of thiamine. High prevalence of low plasma thiamine concentration in diabetes linked to a marker of vascular disease. Wooley JA. Zenuk C, Healey J, Donnelly J, Vaillancourt R, Almalki Y, Smith S. Thiamine deficiency in congestive heart failure patients receiving long term furosemide therapy. Jpn J Clin Oncol 1996;26:234-6. 2022;105:368504221096539. doi:10.1177/00368504221096539, Day E, Bentham PW, Callaghan R, Kuruvilla T, George S. Thiamine for prevention and treatment of Wernicke-Korsakoff syndrome in people who abuse alcohol. One of these studies found that 13% of 150 patients with cognitive impairment and acute-onset behavioral disturbances were considered thiamin deficient based on plasma levels [26]. Theres no upper limit set on thiamine supplements. These people will also need more intensive therapy to improve their ability to learn and retain memories. When possible, choose a supplement tested by a trusted third party, such as USP, ConsumerLabs, or NSF. Comparative pharmacokinetic analysis of thiamine and its phosphorylated metabolites administered as multivitamin preparations. Thiamin is a water-soluble vitamin which is essential for energy metabolism. The authors of a 2001 Cochrane review assessed three double-blind, randomized trials (including two crossover trials) that compared the effects of 3 g/day oral thiamin to placebo on cognitive function in patients with Alzheimers type dementia [54]. Foods, fortificants, and supplements: Where do Americans get their nutrients? The average daily thiamin intake from foods and supplements in children and teens is 1.51 mg for ages 25 years, 1.76 mg for ages 611 years, and 1.95 mg for ages 1219 years. Thiamin (Vitamin B1) Thiamin is a nutrient found in Whole grains, rice, meats, eggs, milk, and green-leaf vegetables. The authors of one study reported that 33% of 100 patients with chronic heart failure had thiamin deficiency compared to 12% of 50 healthy volunteers [49]. Vitamin B1, or thiamin, helps prevent complications in the nervous system, brain, muscles, heart, stomach, and intestines. Oral thiamine isnt expected to interact with other medications. Our website is not intended to be a substitute for professional medical advice, diagnosis, or treatment. The remaining dietary thiamin is in free (absorbable) form [1,2]. [, Saito N, Kimura M, Kuchiba A, Itokawa Y. 2022;4:532-539. doi:10.1016/j.cjco.2022.02.007. It should be discarded after the expiration date on the packaging has passed. Case Rep Oncol 2010;3:362-7. Metab Brain Dis 1990;5:179-84. Wernicke encephalopathy after bariatric surgery: a systematic review. Am J Med 2012;125:e5. Vitamin B1, also called thiamine or thiamin, is one of 8 B vitamins. At this chronic state of the disorder, parenteral thiamin treatment does not lead to recovery in about one-quarter of patients [22]. History of changes to this fact sheet, U.S. Department of Health & Human Services, Division of Program Coordination, Planning, and Strategic Initiatives, Strengthening Knowledge and Understanding of Dietary Supplements, My Dietary Supplement and Medicine Record, Analytical Methods and Reference Materials (AMRM), NIH Consortium for Advancing Research on Botanical and Other Natural Products (CARBON) Program, Computer Access to Research on Dietary Supplements (CARDS) Database, Dietary Supplement Ingredient Database (DSID), ODS Funding of Grants & Administrative Supplements: FAQ, Administrative Supplements for Validation Studies of Analytical Methods, Staff Bios, Publications, and Presentations, Federal Working Group on Dietary Supplements, NIH Dietary Supplement Research Coordinating Committee, Guidelines on Food Fortication with Micronutrients. Clin Ther. The rates of poor thiamin status in patients with heart failure have ranged in studies from 21% to 98% [47]. Thiamin: One of the B complex vitamins. Body stores are limited, and deficiencies can develop quickly. Rapidly progressive polyneuropathy due to dry beriberi in a man: a case report. Join the ODS Email List. Therefore, this article makes it easier for you to find out if an ingredient is halal or haram. Also, people with alcoholism tend to have inadequate intakes of essential nutrients, including thiamin. Autopsy studies have shown that transketolase and other thiamin-dependent enzymes have decreased activity in the brains of people with Alzheimers disease [52,53]. The authors used several tools to measure the cognitive (thinking and memory) levels of the people in the trial over time. Diabetologia 2007;50:2164-70. Gibson GE, Blass JP. J Endocrinol Invest 2012;35:951-6. The most commonly used forms of thiamin in supplements are thiamin mononitrate and thiamin hydrochloride, which are stable and water soluble [1,12]. Rates of deficiency were even higher when the investigators excluded those who used thiamin supplements. Cochrane Database Syst Rev. The recommended treatment for severe deficiency consists of 2530 mg intravenously in infants and 50100 mg in adults, then 10 mg daily administered intramuscularly for approximately one week, followed by 35 mg/day oral thiamin for at least 6 weeks. [, Rodriguez-Martin JL, Qizilbash N, Lopez-Arrieta JM. 2016;38:2277-2285. doi:10.1016/j.clinthera.2016.08.009, Kira J. US national trends in bariatric surgery: A decade of study. J Am Coll Cardiol 2006;47:354-61. Halal is an Arabic word means lawful or permitted. Thiamine Deficiency and Its Prevention and Control in Major Emergencies, Breakfast cereals, fortified with 100% of the DV for thiamin, 1 serving, English muffin, plain, enriched, 1 muffin, Mussels, blue, cooked, moist heat, 3 ounces, Tuna, Bluefin, cooked, dry heat, 3 ounces, Rice, brown, long grain, not enriched, cooked, cup, Rice, white, long grain, enriched, cooked, cup, Orange juice, prepared from concentrate, 1 cup, Beef steak, bottom round, trimmed of fat, braised, 3 ounces, Oatmeal, regular and quick, unenriched, cooked with water, cup, Chicken, meat and skin, roasted, 3 ounces. Some occur naturally in foods but might also be made synthetically in a lab. 5 and others (Doubtful), Chocolate Liquour or Cocoa Liqour (Halal), Cream of Tarter (Halal in USA and Canada, elsewhere Doubtful), DATEM (Di- Acetyl Tartrate Ester of Monoglycerides) (Doubtful), Disodium Guanosine 5 Monophosphate (Haram), Disodium Uridine 5 Monophosphate (Haram), Enzymes used in Cheeses or Dairy Products (Doubtful), Ethoxylated Mono- and Diglycerides (Doubtful), Flour, Bleached Flour, Refined Flour, Enriched Flour (Halal), Isopropyl Alcohol or Isoproponal Alcohol (Halal), Microbial Enzymes, Rennet Microbial Enzymes and Lypase Microbial Enzymes (Halal), Modified Food Starch or Modified Starch (Halal), Monoglycerides and Diglycerides (Doubtful), Mustard, Mustard Seed, Mustard Oil (Halal), Partially Hydrogenated Vegetable Shortening (Halal), Polyglycerol Esters of Fatty Acids (Doubtful), Polyoxythylene Sorbitan Monostearate (Doubtful), Potassium (Bicarbonate, Bromate, Sorbate) (Halal), Sovent Extracted Modified Lecithin (Haram), Vanilla Beans or Vanilla Beans Speck (Haram), Vitamin B12: As Cyanocobalamin (Doubtful), Vitamin B5: As Pantotherric Acid (Doubtful), Hi there this list is very helpful for me, as I work in an elementary school delivering our nutrition program . Thiamin is found in fortified processed flours and ready-to-eat cereals, lean pork, beef, wheat germ and whole grains, yeast, organ meats (especially liver), eggs, fish, legumes, and nuts. [, Imai N, Kubota M, Saitou M, Yagi N, Serizawa M, Kobari M. Increase of serum vascular endothelial growth factors in wet beriberi: two case reports.