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------------------- Original Message -------------------
From: J Bruning <[FOI #29768 email]>; 
Received: Thu Jan 16 2025 11:44:40 GMT+1300 (New Zealand Daylight Time)
To: OIA Requests <[email address]>; OIA <[email address]>; 
Subject: Official Information request - Best practice nutritional advice
chronic conditions

Dear Ministry of Health,

Deficiency in key nutrients, the effect of ultraprocessed and
high-carbohydrate diets and insulin resistance in driving many chronic
conditions which are associated with chronic inflammation and depleted
nutrient levels, is well described in the scientific literature. Dietary
and nutritional advice in the context of the following questions includes
advice to prevent chronic disease, reduce the symptoms of chronic disease
and reverse chronic disease.

Excluding dietary and nutritional advice and failing to provide pathways
to access for low-income groups perpetuates inequalities in health.
Expanding access for medicine for 30 years has transparently failed to
reduce inequities in health for low-income populations, which can include
Māori and Pasifika.

1. Please direct me to the best practice Ministry of Health/Te Whatu Ora
dietary and nutritional advice for clinicians/GPs for prevention and
treatment of the following conditions:

a. Respiratory conditions including asthma
b. Childhood skin infections
c. Fibromyalgia
d. Chronic fatigue
e. Epstein-Barr virus/mononucleosis
f. Elevated HbA1c and triglyceride-rich lipoproteins (associated with
neurological, ophthalmological and renal complications, as well as
incident dementia, osteoporosis, peripheral vascular disease, ischemic
heart disease, atrial fibrillation and heart failure).
g. Respiratory virus replication in lower/upper respiratory tract
(influenza, Respiratory syncytial virus (RSV), common cold, COVID-19,
pneumonia etc).
h. Depression and anxiety.

2. Please forward all memos/advice/documentation advising GPs on use and
dosage of B group vitamins, vitamin C, D, selenium and zinc by age group;
or weight; and dosage as general advice.

3. Please advise the name of the departments, and the head of that
departments within the Ministry of Health and Health New Zealand who are
collectively responsible for nutrition strategy and updating nutrition
standards for New Zealand.

Yours faithfully,

J Bruning

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