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.
Kwashiorkor is most commonly seen in developing regions of the world with an unstable food supply, particularly in countries where the diet consists mainly of corn, rice and beans which lack essential nutrients such as proteins, vitamins and minerals. However, the exact cause remains unknown.