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.
The term protein-energy malnutrition (PEM) applies to a group of related disorders that include marasmus, kwashiorkor (see the images below), and intermediate states of marasmus-kwashiorkor.The term marasmus is derived from the Greek word marasmos, which means withering or wasting.he term kwashiorkor is taken from the Ga language of Ghana and means the sickness of the weaning.. Williams first used the term in 1933, and it refers to an inadequate protein intake with reasonable caloric (energy) intake.