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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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How To Increase Haptoglobin Level?

Hello, my 16 year old daugher has orange palms and soles of feet. Her ALT is 27 and heptaglobin is a little low. She is a vegetarian and eats a lot of vegetables. Can you tell me how much vitamin A she should consume and if an ALT of 27 is ok? Thank you.
Mon, 23 Jan 2017
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General & Family Physician 's  Response
Dear Patient,

I do understand Your concern.

To answer your question, your daugher should get 700 vit A RAE (retinol activity equivalents).

I do not think that you should worry about her situations. Those orange colour come because she probably is eating too many carrots per day.

I would suggest a normal diet and balanced in her needs. If you cannot decide for her diet than you should go and get a fixed diet by a nutrition doctor locally. He will exam by near your daughter and considering her weight, height, daily activity etc, He may prescribe what foods to take.

Regarding the orange color, just avoid over eating carrots.

All the best,
Dr. Eni.
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Dietitian & Nutritionist Kathy Shattler's  Response
The need for vitamin A in a 16 year old adolescent female is 700 microgram/day of retinol equivalents.The body converts 2 mcg of retinol equivalents to 1 microequivalent of vitamin A. The average requirement for females in general is 5,000 IU. The 5,000 allowance is equivalent to 1000 retinol IU.
One IU is equivalent to 0.3 microgram (mcg) of retinol, 0.6 mcg of Beta-carotene, or 1.2 mcg of other provitamin A carotenoids; one RE is equivalent to 1 mcg of retinol, 6 mcg of Beta-carotene, or 12 mcg of other provitamin A carotenoids; and, one RE equals 3.33 IU of retinol or 10 IU of Beta-carotene or other carotenoids. I know it looks complicated, but you will see both values used on labels and in reference books.

A haptoglobin test is often administered if anemia is suspected although other conditions may be involved. A ALT of 27 falls within the normal range of 7-56 although this may vary slightly from lab to lab. If the haptoglobin test is low, this alerts the doctor to screen for hemolytic anemia. So, the way to get it up is to treat the hemolytic anemia.

The orange palms are often seen when foods high in beta carotene, the precursor to vitamin A, is consumed in the diet and/or vitamins. High beta carotene/A foods include: fortified milk, eggs, shrimp, cheddar and Swiss cheese, sweet potatoes, carrots and juice, pumpkins, squash, spinach, mangoes and turnip greens.

I apologize. I started to answer this question and was interrupted. I hope this covers your query. Sincerely, Kathryn Shattler, MS,RDN
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How To Increase Haptoglobin Level?

Dear Patient, I do understand Your concern. To answer your question, your daugher should get 700 vit A RAE (retinol activity equivalents). I do not think that you should worry about her situations. Those orange colour come because she probably is eating too many carrots per day. I would suggest a normal diet and balanced in her needs. If you cannot decide for her diet than you should go and get a fixed diet by a nutrition doctor locally. He will exam by near your daughter and considering her weight, height, daily activity etc, He may prescribe what foods to take. Regarding the orange color, just avoid over eating carrots. All the best, Dr. Eni.