Nutrition and family practice

Where necessary, women should be counselled so as to understand that a slim, elegant figure is not the prerogative of all. An inherited large frame requires a corresponding body contour, and dieting to change this situation will be in vain. All weight reducing diets must provide an adequate amount of vitamins and minerals. Women on the contraceptive pill often have diminished serum levels of folic acid and vitamin B6, and there have been suggestions that vitamin supplementation may help overcome depression and diminished libido in some women. This has been partially successful. A well-balanced diet should be recommended prior to trial of supplements. During pregnancy and lactation there is an increased need for protein, calcium, iron, iodide and fluoride. Vitamin and iron supplementation may be required where deficiencies exist due to dietary neglect. Excessive alcohol and smoking should be discouraged--especially during pregnancy. The elderly are particularly vulnerable to diseases of nutritional deficiency for various reasons. The importance of foods providing protein, calcium and vitamins should be stressed, as these are the main nutrients lacking. The consumption of meat, milk, cheese, eggs, fish, fresh fruit and vegetables should be encouraged.