You may want to try piercing the capsule and massaging the contents into the skin surface. Vitamin d is made very near the skin surface and so this is the natural route for vitamin d absorption and it would avoid any gastric distress. A further alternative would be simply to chew/bite the capsule and hold the contents in the oral cavity and spitting out the capsule shell.
Causes. Kwashiorkor disease is very rare in children in the United States and when it does occur, severe neglect and child abuse is suspected (The New York Times, 2008). Children get a number of vital nutrients and amino acids through their mothersâ milk.
Although kwashiorkor is not common in the United States, protein deficiency can occur with prolonged hospitalization or in nursing home residents. It is estimated that up to half of the elderly living in nursing homes have diets low in protein (Source: PubMedHealth).