oth external and internal communications. We will alsoprovide our readers with a facilitator perspective on usinga battery of supplements.VOCABULARYBasic Sustenance: The specific caloric intake that humansrequire to maintain homeostasis. Caloric sourcesmay be from livestock, produce, or crops, but are usuallycharacterized as organic.Amplification: Items and elements that are syntheticallyproduced regardless of the motive are not categorizedas part of this term. Great liberties are oftentaken with this descriptor when it is removed from textbooksand placed in context of the DOD. The lay descriptoris the word food, however even that has liabilityin a vendor driven conversation.Supplement: Almost exclusively an exogenous substancein any form that is deliberately obtained and ingestedto amplify, increase, regulate, or stabilizephysiologic functions from their baselines.Amplification: It must be stressed that in thevenue of military HP a supplement is an element that is“in addition to” the baseline of basic organic sustenance.In many discussions, advertising and faux technical articlesthis descriptor is often used in an “in lieu” capacity,especially when the word dietary is casually placed in<strong>front</strong> of it. The rationale and purpose for ingesting a supplementis determined by the individual who uses it (e.g.,performance, re<strong>cover</strong>y, health, or wellness). Where orhow a substance is obtained does not qualify it, nor establishits status, as a supplement. Our first litmus testwhen asked about a specific substance is, “is it a food,foodstuff, medicinal or supplement.” 3Policy Note: Regarding use of supplements for humanperformance, some disagreement exists within the DoD,military medicine, and research complexes regarding theacronym that will be used to describe this topic. Currently,three letters are circulating as candidates to be attachedto HP, if not in fact competing to be the finaladjudicated acronym. They are all contextual adjectives.Optimize, Enhance, and Modify all are easily located inliterature searches within the MIL MED libraries. It isthe authors’ opinion that because HP within the largerDoD has yet to be sufficiently defined, any process orprogram unilaterally anchoring an adjective will have inherentconflict. In the SOF environment, clarity and assignmentof boundaries for each term is essential becauseof the parochial and dissimilar executive agents for thesub-components of HP.THE SUPPLEMENT EXPERIENCEIn the last 18 months I have been asked repeatedlywhat product (supplement) should be taken to derive orrealize benefit X. I verbally negotiated most of thesequeries by advertising the upcoming Nutrition Manual.Now that it is out and being utilized by the SOFclaimancy I am ready to submit an AAR on a personalexperience. While this gains no ground towards a coherentdocument on what is, or might be “recommended,”I will post the reference inventory andrationale for each of these selections on the SIPR website.In November 20<strong>07</strong>, I concluded my project researchFigure 2116Journal of <strong>Special</strong> <strong>Operations</strong> Medicine Volume 8, Edition 2 / <strong>Spring</strong> 08
on supplements for this unit of one review. The followingconditions were in effect:1. This panel of supplements is limited to oral vitamins,minerals, amino acids, and anti-oxidants. I wantedthe focus to remain on the concept of supplementingthe basics and addressing the results of assumed dietarydeficiencies.2. The selection of product vendors would be knownonly to me; however, it is a reasonable facsimile ofwhat would be available for patronage by any militarypersonnel in the exchange services. I especiallysought out any product that achieved an FDA, USP,or third party laboratory validation.3. Each selection would be taken at or below the recommendeddaily allowance.4. My basic daily intake of food would remain unchangedfor the term of six months, concurrent with the term ofsupplement usage.5. My PT and occupational demands would remain consistentwith the last five years of SOF service, presentlya focus on anaerobic conditioning patterns and modalitieswith sparse competitive events.6. Each product had to have a supported scientific basis forselection and usage. 4Figure 3Human Ferformance Forum 117
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Spring 08 Volume 8, Edition 2From t
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From the Command SurgeonWARNER D.
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Participants of the first USSOCOM C
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Component and TSOC Surgeons, and wh
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Jay Sourbeer, MDCAPT, USNCommand Su
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Ricardo Ong, MDLTC USASOCCENT Surge
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Wm. John Gill, PA-C MPASLTC USASOCS
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MG Salvatore F. Cambria, commanding
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The Joint Staff and Combatant Comma
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For the RG-33 MRAP SOF Variant vehi
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USSOCOM Education and Training Upda
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OCONUS LTT requires all the same pr
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Better Training Through Lessons Lea
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mans, though thoracocentesis would
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am sure someone will read it and wi
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also litter Urgent based on the EOD
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ISSUE: MAST pantsRECOMMENDATION: I
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use and amount of carried hemostati
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France, Britain honor U.S. woman wh
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Degree plan for 18D Soldiers announ
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44 Current Events
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46Journal of Special Operations Med
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Necessity of Medical Personnel on t
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Aside from the nuisance that flies
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spondence in NEJM 352:2651-2653 Jun
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Tympanic Membrane Perforation in IE
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overall picture of wounds received,
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than did IEDs. We may conclude that
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gesic medications, tourniquets, spl
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dog was included in the unit CASEVA
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aged four therapy sessions per week
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