Abstract
Marginal, high calorie malnutrition is widespread in the United States. One of the major causes is all the different forms of sugar, ingested with insufficient concentration of non-calorie nutrients. Although thiamin was one of the first vitamins to be recognized and synthesized, it is surprising that it is ignored to a great extent in the present renaissance that is in process. A few case reports are described here to illustrate the kind of patient where thiamin can be a very important supplement in reviving cellular energy metabolism.
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