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.
Protein deficiency, energy deficiency, and the oedema of malnutrition. Golden MH. The role of dietary protein deficiency in kwashiorkor is uncertain, although it has been shown not to be involved in the famine oedema of adults.he accessory ingredients must be low in foods associated with human and experimental nutritional oedema. It is suggested that protein deficiency is not the cause of the oedema of kwashiorkor and that there is no need to postulate a different pathogenesis for this oedema from starvation oedema of adults.