RAMS: Rheumatoid Arthritis & Multiple Sclerosis
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Flowcharts
B12 Absorption Flowchart-
INcomplete Overview
D3 Absorption Flowchart - INcomplete Overview

Stress Effects Flowchart -INcomplete overview

Vitamin K2 Flowchart
Vitamin K2 (Blood health & needed for Vit D to work)-> Protein C(anticoagulant)-> Vitamin D -> Calcium (bone health and regulated by Para-Thyroid) -> B12 (Nerve health)   FYI  K2 & B12 are also produced by gut bacteria that need base/alkaline pH and green veggie fiber.

So If you have a problem with any of these vitamins you will have problems with specific tissue health.  It is a cascading effect. So the further up the line you go the more overall problems you will have.

Problems arise from vitamin deficiencies caused by:
1.) Not enough of a vitamin 
2.) Excess of certain vitamins.
a.) Excess Vit A or E inhibit K 
b.) Excess iron or D causes problems with calcium levels.

3.) Malabsorption issues- inability to get nutrients into cells so they can be used to replicate and repair the body.

As you can see by the flowcharts I am not a medical professional and these charts are not complete. However, I have put these charts together from about 25 different medical abstracts I have read. It is meant as a way to understand how absorption is a complicated series of events. You need all the links working for the nutrition you take in to get to your cells where they are used to function correctly ie replicate and repair yourself.
As you can see Estriol is required to absorb B12, per the Utah University Physiology dept.
So if you have low estriol, which even men have in their bodies, then you will absorb less B12 required for DNA & Myelin Sheath synthesis.
If you produce too much iron this will cause vitamin deficiencies. Since Iron binds to Calcium (Ca) you will lose most of Ca down the toilet. You need Ca for bone health & for you to process vitamins like B12(nerve health).  Seems like to me, a non-medical professional, blood letting leads to three problems: 1) Fatigue
2.)Produce more iron rich blood
3.) Doesn't address deficiencies
Instead of taking blood maybe they could give you injected form of Ca until Ca is high & iron is low. Then they could administer other vitamins ie D3, K2 & B's. This exact mix of vitamins would be supervised by nutritionist & doctor bi-monthly. This way you address deficiencies & prevent subsequent tissue degradation. See your Physician if this applies to you.
http://web.mit.edu/athletics/sportsmedicine/wcrminerals.html
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