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Designs for Health Twice Daily Multi 60 Capsules - [Discontinued]

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DHTMUL
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Quick Overview
  • Comprehensive Multivitamin
  • Featuring Quatrefolic®, a highly bioavailable form of folate
  • Includes Both Quatrefolic and Folinic acid
  • Contains both Hydroxycobalamin & Methyl B12
  • Contains a combination of vitamins for optimal immune support
  • Contains Vitashine, a plant-based Vitamin D
  • Includes B vitamins to maintain energy production
  • With vitamin E from Annatto Tocotrienols
  • Vegan Friendly

Education:

Quatrefolic®
Folic acid and folate are the unmetabolised, inactive versions of vitamin B9 that must be metabolised down to 5-methyltetrahydrofolate (5-MTHF) in order to be active. Quatrefolic® is a (6S)-5-methyltetrahydrofolate glucosamine salt, an activated vitamin B9 with sustained stability, high water-solubility and increased bioavailability.
Vitashine Vitamin D 
Vitashine uses the oily extract of Lichen, a unique plant species made up of fungus and algae. Lichen is naturally rich in vitamin D3 (cholecalciferol) and fatty acids. While most vitamin D3 supplements are derived from lanolin (sheep’s wool), Vitashine is the only vegan, plant-based source of vitamin D3.
Annatto Tocotrienols
Vitamin E encompasses eight separate molecules belonging to either the tocopherol or tocotrienol grouping. There are four tocotrienols - delta, gamma, alpha and beta. Recent studies have revealed that vitamin E tocopherols impede the body’s absorption of tocotrienols. This discovery is significant as tocotrienols, particularly the delta and gamma molecules, do remarkable work in the body. The annatto plant is exceptionally rich in tocotrienols and recent advances have allowed for the extraction of only the delta and gamma tocotrienols from annatto.
B Vitamins in Energy Production
  • Vitamin B1 as thiamin diphosphate is involved in several reactions that produce ATP via a coenzyme role.
  • Vitamin B2 as the coenzymes flavin adenine dinucleotide (FAD) and flavin mononucleotide (FMN) is involved in the redox reaction required for energy production.
  • Vitamin B3 as nicotinamide adenine dinucleotide (NAD) is involved in the metabolism of macronutrients and macromolecules which is necessary for energy production.
  • Vitamin B5 is an essential precursor required for the synthesis of Coenzyme A. Coenzyme A as acetyl-CoA is a necessary component of the citric acid cycle where it is oxidised for energy production.
  • Vitamin B6 as pyridoxine-L-phosphate is vital to the function of the enzyme glycogen phosphorylase. Glycogen phosphorylase aids in the release of stored glycogen from muscle and liver tissue for energy production.
  • In order to extract energy from macronutrients, adequate amounts of succinyl CoA are essential. Succinyl CoA needs to be converted from L-methylmalonyl CoA - a conversion that involves vitamin B12 as 5-deoxyadenosyl cobalamin.

Immune System Support

Vitamin B6 is required for the synthesis of amino acids which, in turn, are required for cytokine production.9 B12 exerts an immunomodulatory effect on cellular immunity by influencing cytotoxic cells and the production of antibodies. Vitamin C provides support for epithelial cells, creating a stronger barrier against pathogenic invasion. This water-soluble vitamin enhances chemotaxis and phagocytosis and is also shown to support B- and T-cell proliferation and differentiation. Vitamin D inhibits B cell proliferation and differentiation, while also blocking the proliferation of T cells, leading to the regulation of the T helper 1 to T helper 2 ratios. Vitamin D aids in the induction of T-regulatory cells, leading to a decrease in inflammatory cytokine production and a subsequent increase in anti-inflammatory cytokine production. Dendritic cell differentiation and maturation is also inhibited by adequate vitamin D, improving self-tolerance. Zinc is vital to the healthy development and function of cells involved in the mediation of neutrophils and natural killer cells. The processes of phagocytosis, cytokine production and intracellular killing of invading pathogens all require adequate zinc. Zinc also supports the healthy growth and function of T and B cells. Betacarotene supports immune function by stimulating the growth and function of cytotoxic T-cells, B- and T-lymphocytes, the production of cytokines and the function of macrophages.

Healthy Nervous System Function

Vitamins B1 and B5 are necessary for the production of myelin to insulate and protect nerves, as well as neurotransmitters, including acetylcholine, serotonin and precursor amino acids. Vitamin B6 is essential for the normal function of the nervous system and is also responsible for normal neurotransmitter production, including dopamine, serotonin and GABA.14 Vitamin B12 is an essential coenzyme in numerous biochemical processes that help to maintain nervous system health and function. B12 is also vital to the production of myelin in its role in the DNA synthesis of the oligodendrocytes that produce myelin. High levels of vitamin C in the adrenal glands, along with its release as a response to adrenocorticotrophic hormone highlight that it is an essential nutrient for nervous system function and stress response. Vitamin C is released at a higher rate when the hypothalamic-pituitary-adrenal axis is activated, suggesting higher intake is needed during times of greater stress.
  Health Hair, Skin and Connective Tissue
Vitamin C is a cofactor required for prolyl hydroxylase and lysyl hydroxylase - enzymes that are involved in the hydroxylation of proline and lysine, also known as “pro-collagen”. Therefore, vitamin C is required for collagen synthesis. Vitamin C aids in maintaining skin and soft tissue health, including healing and repair. Vitamins B2, B3, B5 and B6 are distributed throughout the body where they help maintain healthy skin cells and other tissues. Biotin has been found to support the health of hair and skin cells where there is a deficiency. This may be due to its role as a coenzyme in a number of major metabolic reactions, as well as cell signalling. The importance of zinc for skin and hair health is due to two of its major physiological functions - its involvement in cell growth/replication and integrity, including hair and skin cells. Similarly, carotenoids such as betacarotene are involved in cell proliferation, growth and differentiation, as well as protecting the lipid cell membranes from oxidation - functions that are all required for healthy skin and hair.
 
Support for Healthy Gums and Bones
Vitamin C is an essential nutrient in the health of the gums. Adequate vitamin C intake helps to prevent gum inflammation, swelling and bleeding by maintaining the integrity of the tissue. Deficiency of vitamin C can lead to impaired bone health due to a decrease in bone formation and an increase in osteoclast formation. Vitamin C has been shown in animal models to maintain bone density.24 Healthy bone development and mineralisation also rely heavily on vitamin D status; vitamin D enhances calcium absorption and aids in the mineralisation of osteoid tissue (the unmineralised portion of bone matrix that undergoes calcification) formation.  There is also growing interest in the benefits that Vitamin K has been shown to exert on bone mineralisation. Proposed mechanisms for the importance of Vitamin K in bone health include providing a positive influence on calcium balance and acting as a cofactor in the gamma-carboxylation reaction of osteocalcin - a protein required in bone mineralisation. Magnesium homeostasis is vital to bone health - deficiency in this mineral is associated with a decrease in osteoblastic and osteoclastic activity

Directions for use

Adults: Take 2 capsules daily with breakfast or as directed by your healthcare professional.
 

Allergen Information

  • No added: Gluten, yeast, dairy, lactose, nuts, eggs, fish, or soy.
Adults: Take 2 capsules daily with breakfast or as directed by your healthcare professional.
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Prescription FAQ's

How to use my electronic prescription?

After selecting your medications, send us your e-script token in one of the three ways listed below.

# Please note that each medication you're prescribed will have its own unique token. Your e-Script token is the string of 14-20 letters and numbers underneath the QR code in your Electronic Prescription email or SMS.

How to use my paper prescription?

After purchasing your medications, post your paper prescription to:

Fitchs Pharmacy
731 Hay Street Mall
Perth WA 6000

# Please note, your script must be delivered to our Online Pharmacist in Perth WA before we can process and ship your order.

I selected "I need a script." What happens next?

After selecting this option, you will receive an SMS within 24 hours of placing your order, containing a link to book an appointment with a telehealth medical practitioner via the HotDoc platform. During the consultation, the practitioner will assess your needs and, if clinically appropriate, provide a prescription. Please note that the consultation incurs an additional fee, billed separately through HotDoc. Medicare rebates are available for telehealth consults. If the practitioner is unable to provide a prescription, a refund will be issued for the product, but not for the consultation.

How long does it take for my prescription to be processed?

At Fitchs Pharmacy, we aim to ship your medicines within 1 business day. However, there are some things that may delay your order:

  • For paper prescriptions, your script must be delivered to our Online Pharmacist in Perth WA before we can process and ship your order, depending on your location this may take 2-5 business days.
  • Electronic prescriptions can be processed immediately provided your token number has been entered correctly, in the case of an error our Pharmacist will contact you to check details.
  • Fridge Items: Medications that require refrigeration are shipped early in the week, depending on your location, to ensure they are not held over the weekend and ensure optimal storage. For faster delivery, we recommend selecting Team Global Express instead of Australia Post.
  • Our Pharmacist may need to get in contact with you to talk about your medicines before your prescription can be shipped, be sure to provide your best contact details in the checkout.

How will my prescription be delivered?

Once your order is reviewed and approved by our pharmacist, it will be shipped via Australia Post or Team Global Express. Fridge items will be packed in an esky with ice to maintain the necessary temperature, while other medications will be sent in discreet packaging.

Can I return my prescription items for a refund?

Due to the nature of prescription items, we are unable to offer refunds for change of mind after they have been shipped. However, if you change your mind before your order is shipped, a refund can be issued, minus a 5% fee to cover payment processing costs.
If there is a problem with your order, please contact us at support@fitchs.com.au

Can I contact the online Pharmacist for help?

You can get in contact with our online Pharmacist through the email or phone below, Monday to Friday 8am-4pm: