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.
Marasmus. Photo by: poco_bw. Marasmus is one component of protein-energy malnutrition (PEM), the other being kwashiorkor. It is a severe form of malnutrition caused by inadequate intake of protein and calories, and it usually occurs in the first year of life, resulting in wasting and growth retardation.Marasmus accounts for a large burden on global health.t is a severe form of malnutrition caused by inadequate intake of protein and calories, and it usually occurs in the first year of life, resulting in wasting and growth retardation. Marasmus accounts for a large burden on global health.