Phenylketonuria - Supplements

 
Phenylketonuria
Early diagnosis is key to treating PKU, a rare genetic disorder that results in an amino acid imbalance in the body. According to research or other evidence, the following self-care steps may be helpful.
  • Fight back with fish oil

    Take a daily supplement containing 500 mg for every 8.8 pounds of body weight to prevent deficiencies caused by the PKU diet

  • Seek support from supplements

    Prevent vitamin and mineral deficiencies caused by the PKU diet by taking supplements that provide the daily value of L-tyrosine, vitamin K, vitamin B12, and selenium

  • Discover branched-chain amino acids

    Under a healthcare provider’s supervision, improve mental functioning by adding amino acid supplements to each meal and at bedtime; take 150 mg per 2.2 pounds (1 kg) of body weight each of valine and isoleucine, and 200 mg per 2.2 pounds (1 kg) of body weight of leucine

  • Monitor amino acids in your diet

    Work with your healthcare provider and a nutritionist to maintain a phenylalanine-restricted diet that is nutritionally adequate

  • Pass up aspartame

    Help prevent increased phenylalanine intake by steering clear of soft drinks, candy, and other foods and drinks sweetened with aspartame (Nutrasweet)

Also indexed as:
  • phenylketonuria,
  • phenylketonuria (PKU),
  • PKU

About this treatment

What Are "Star" Ratings?

a7_3star Reliable and relatively consistent scientific data showing a substantial health benefit.

a7_2star Contradictory, insufficient, or preliminary studies suggesting a health benefit or minimal health benefit.

a7_1star For an herb, supported by traditional use but minimal or no scientific evidence. For a supplement, little scientific support.

Our proprietary “Star-Rating” system was developed to help you easily understand the amount of scientific support behind each supplement in relation to a specific health condition. While there is no way to predict whether a vitamin, mineral, or herb will successfully treat or prevent associated health conditions, our unique ratings tell you how well these supplements are understood by the medical community, and whether studies have found them to be effective for other people.

For over a decade, our team has combed through thousands of research articles published in reputable journals. To help you make educated decisions, and to better understand controversial or confusing supplements, our medical experts have digested the science into these three easy-to-follow ratings. We hope this provides you with a helpful resource to make informed decisions towards your health and well-being.


SupplementAmountWhy
Branched-Chain Amino Acids
Take under medical supervision: 150 mg daily per 2.2 lbs (1 kg) of body weight each of valine and isoleucine, and 200 mg daily per 2.2 lbs (1 kg) of body weight of leucine 2 stars Regular use of branched-chain amino acids (BCAAs) may improve mental functioning.


2 stars Branched-Chain Amino Acids

Take under medical supervision: 150 mg daily per 2.2 lbs (1 kg) of body weight each of valine and isoleucine, and 200 mg daily per 2.2 lbs (1 kg) of body weight of leucine

In a double-blind trial, regular use of branched-chain amino acids (BCAAs) (i.e., valine, isoleucine, and leucine) by adolescents and young adults with PKU improved performance on some tests of mental functioning.25Participants received either placebo, or 150 mg per 2.2 pounds of body weight each of valine and isoleucine, and 200 mg per 2.2 pounds of body of leucine, taken with meals and at bedtime. Participants received one mixture or the other for four three-month periods, for a total of six months’ supplementation of each regimen over the course of a year.

SupplementAmountWhy
Fish Oil
(PUFA Deficiency)
125 mg of oil or 15 mg of docosahexaenoic acid per 2.2 lbs (1 kg) of body weight daily2 stars The PKU diet is low in fatty acids, some of which are essential for proper brain development. Supplementing with fish oil may improve the deficiency.


2 stars Fish Oil

125 mg of oil or 15 mg of docosahexaenoic acid per 2.2 lbs (1 kg) of body weight daily

The PKU diet is low in fatty acids, some of which are essential for proper brain development.26 In one controlled study of children with PKU who were deficient in fatty acids, supplementation with fish oil (but not with black currant seed oil) for six months improved the deficiency. The children received 500 mg of oil per 8.8 pounds of body weight each day for 6 months. The amount varied from 5–8 capsules (each containing 500 mg) per day for each child.27 In another study, fish oil supplementation (providing 15 mg of docosahexaenoic acid per 2.2 pounds of body weight per day) improved body coordination and fine motor skills in children with PKU.28

SupplementAmountWhy
L-Tyrosine
(L-Tyrosine Deficiency)
Consult a qualified healthcare practitioner2 stars Supplementing with L-Tyrosine may help prevent a deficiency caused by the PKU diet and improve behavoir.


2 stars L-Tyrosine

Consult a qualified healthcare practitioner

PKU results from a deficiency or malfunction of the enzyme, phenylalanine hydroxylase, which converts phenylalanine to . People with PKU have elevated concentrations of phenylalanine and low levels of L-tyrosine, which may contribute to behavior problems. In addition, low L-tyrosine levels in women with PKU may contribute to fetal damage. In some, but not all, double-blind studies, keeping L-tyrosine levels in the normal range by adding supplemental L-tyrosine to the diet improved behavior. In a preliminary study, blood L-tyrosine levels fluctuated significantly in people with PKU, suggesting a need for careful laboratory monitoring of people supplementing with L-tyrosine.

SupplementAmountWhy
Selenium
(Selenium Deficiency)
Adolescents and adults: 55 mcg daily; for infants and children: 15 to 40 mcg daily, according to age2 stars Selenium deficiency may develop on the PKU diet, and supplementation may help correct this.


2 stars Selenium

Adolescents and adults: 55 mcg daily; for infants and children: 15 to 40 mcg daily, according to age

People with PKU may be deficient in several nutrients, due to the restricted diet which is low in protein and animal fat. Deficiencies of long-chain polyunsaturated fatty acids (LC-PUFAs),29 , 30 , 31 selenium,32 , 33 , 34 , 35 vitamin B12,36 and vitamin K may develop on this diet.37

Selenium is important for normal antioxidant function. Research suggests that selenium deficiency and decreased antioxidant activity may contribute to the brain and nerve disorders associated with PKU.38 In two preliminary studies involving selenium-deficient people with PKU, supplementation with selenium in the form of sodium selenite corrected the deficiency,39 whereas supplementation with selenium in the form of selenomethionine did not.40


SupplementAmountWhy
Vitamin B12
(Vitamin B12 Deficiency)
Refer to label instructions 1 star Vitamin B12 is found almost exclusively in foods of animal origin, which are restricted on the PKU diet. Supplementing with vitamin B12 may correct a deficiency.


1 star Vitamin B12

People with PKU may be deficient in several nutrients, due to the restricted diet which is low in protein and animal fat. Deficiencies of long-chain polyunsaturated fatty acids (LC-PUFAs),41 , 42 , 43 selenium,44 , 45 , 46 , 47 vitamin B12,48 and vitamin K may develop on this diet.49

Vitamin B12 is found almost exclusively in foods of animal origin, which are restricted on the PKU diet. People on the PKU diet who are inconsistent in their use of a vitamin B12 supplement may become deficient in this vitamin. In a survey of young adults with PKU, 32% were found to have low or low-normal blood levels of vitamin B12.50Vitamin B12 deficiency can cause anemia and nerve problems.


SupplementAmountWhy
Vitamin K
(Vitamin K Deficiency)
Refer to label instructions 1 star People with PKU may be deficient in vitamin K, due to the restricted PKU diet. Supplementing with vitamin K may correct a deficiency.


1 star Vitamin K

People with PKU may be deficient in several nutrients, due to the restricted diet which is low in protein and animal fat. Deficiencies of long-chain polyunsaturated fatty acids (LC-PUFAs),51 , 52 , 53 selenium,54 , 55 , 56 , 57 vitamin B12,58 and vitamin K may develop on this diet.59

Because the PKU diet is low in animal products, fat intake is also significantly reduced. The results of a preliminary study of children with PKU suggested that the low-fat PKU diet intake may impair the absorption of vitamin K, a fat-soluble vitamin, from the diet, possibly resulting in a vitamin K deficiency. In that study, children with PKU on a strict diet had low levels of certain vitamin K-dependent proteins needed for normal blood clotting.60


Last Review: 05-11-2011

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The information presented in Aisle7 is for informational purposes only. It is based on scientific studies (human, animal, or in vitro), clinical experience, or traditional usage as cited in each article. The results reported may not necessarily occur in all individuals. Self-treatment is not recommended for life-threatening conditions that require medical treatment under a doctor's care. For many of the conditions discussed, treatment with prescription or over the counter medication is also available. Consult your doctor, practitioner, and/or pharmacist for any health problem and before using any supplements or before making any changes in prescribed medications. Information expires June 2011.

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