Showing posts with label vitamins. Show all posts
Showing posts with label vitamins. Show all posts

Monday, April 18, 2016

Why I hate supplements

“Very expensive urine” is the Sheldon Cooper quote I use to describe vitamins and supplements. Every time I think of taking a supplement I am reminded what a terrible idea it is.


Part of me wants to take supplements, that part of me that remembers the love in my grandma’s eyes as she gave me my Flintstone’s chewable. She did what she did out of love and I did the same with my kid. People take vitamins; it is what one does. But are we really risking our health and the health of our children?
The law defines dietary supplements in part as products taken by mouth that contain a "dietary ingredient." Dietary ingredients include vitamins, minerals, amino acids, and herbs or botanicals, as well as other substances that can be used to supplement the diet.
As an adult, I haven’t regularly taken any dietary supplements. I used to eat some of my kid’s Flintstone chewables and I bought a supplement recently that was recommended by doctors for reducing the symptoms of arthritis, but I hated the idea and my memory problems made it difficult for me to keep up the habit.

People take supplements for all kinds of reasons according to the U.S. Food and Drug Administration (FDA)
People use dietary supplements for a wide assortment of reasons. Some seek to compensate for diets, medical conditions, or eating habits that limit the intake of essential vitamins and nutrients. Other people look to them to boost energy or to get a good night's sleep. Postmenopausal women consider using them to counter a sudden drop in estrogen levels.
I wouldn't be trying the anti-inflammatory diet, if I didn't hope that I would get some benefit from the right kinds of vitamins etc. However, study after study is finding that we can't be sure over-the-counter supplements contain the ingredients listed on the bottle. The University of Guelph found that one in three supplements on the market are fake. The FDA has had similar findings, but there’s still little consumers can do about it.
 
The FDA even says on their website that the law doesn't require supplements to be proven safe before they are marketed, which means that what these little capsules contain could be seriously harmful to you.
The researchers from the CDC and the FDA analyzed representative surveillance data from 63 hospital Emergency Rooms over a 10-year period (2004-2013), and their statistical analysis projected about 23,000 ER visits annually resulting from ingestion of supplements, about one-tenth of which led to hospitalization. 
According to the authors, “Such visits commonly involve cardiovascular manifestations from weight-loss or energy products among young adults and swallowing problems, often associated with micronutrients, among older adults.” But because of irresponsible, two-decade-old legislation, the answer to the critical question, “How many Americans are killed each year due to ingestion of so-called dietary-nutritional supplements?” cannot be answered. 
The culprit is the Dietary Supplements Health and Education Act of 1994 (DSHEA). Congress virtually exempted supplements from oversight under DSHEA, which bars federal authorities from requiring evidence that herbal remedies are safe or effective, or even that the dosage information on the label is correct. Since 1994, these products have not been subject to the same regulatory requirements as prescription drugs—or in fact to any meaningful regulation at all. Source.
You can read the details of the DSHEA here.


Imagine you get one of the two in the three bottle of vitamin C that actually contain the 500 mg of vitamin C promised on the bottle. Some vitamin C supplements on the market contain 1,000 mg. An adult only needs 65-90 mg of vitamin C per day. Taking that much extra vitamin C rarely causes adverse reactions, like diarrhea, nausea, and stomach cramps, rarely. Luckily, vitamin C is water soluble, which means that the excess 910 mg of vitamin C become expensive urine.

Unfortunately, that’s not the case with some other vitamins, like vitamin A, which can build up toxic levels in the body. A 2001 study by the National Cancer Institute found that men who took vitamin E supplements were 17% more likely to develop prostate cancer. Alpha-Tocopherol, Beta-Carotene Cancer Prevention Study found that vitamin A increases a smoker’s chance of developing lung cancer by 18%.

The third most popular supplement in the US is fish oil. Fish and fish oil are recommended by Dr Weil as part of the anti-inflammatory diet. Manufacturers of fish oil supplements even put a nice lady in the grocery store near my house, who gave me free samples. As I’ve told you before, I'm sick and I want to feel better. It is so tempting to believe in the magic pill, especially if that pill seems natural and inexpensive, but I’m glad I didn’t take those fish oil supplements.


As long as it’s not rancid, fish oil isn’t bad for you. Norway is one of the world's largest producers of fish oil. However, one study in Norway found that 95% of non-prescription fish oil on the market is rancid. When fish oil goes rancid, the omega-3 oxidizes creating free radicals. Free radicals actually encourage inflammation and cancer.
A study different than the Norwegian one found between 11%-62% of over-the-counter fish oil pills showed oxidation. Source.
I don’t want to take supplements that cause inflammation, especially not when I’m on an anti-inflammatory diet. I’d rather have a burger and fries, but I won’t.


Fish are a reliable source of fish oil, just like carrots are a reliable source of vitamin A, and oranges provide plenty of vitamin C.

I’m not saying that you should never ever take a supplement. In certain circumstances, you may benefit from taking a supplement. In those circumstances, your doctor will prescribe one to you and you should buy it from a pharmacist from a supplier that has been regulated. Otherwise, who knows what you’ll be ingesting?

Thursday, April 14, 2016

What is the anti-inflammatory diet?

Shrimp bur blanc on linguini with a side salad.
Dr Andrew Weil says:
It is becoming increasingly clear that chronic inflammation is the root cause of many serious illnesses — including heart disease, many cancers, and Alzheimer's disease. […] Learning how specific foods influence the inflammatory process is the best strategy for containing it and reducing long-term disease risks.
The anti-inflammatory diet is not intended to cause weight loss, which is fine. Other than the constant pain, I am pretty comfortable in my body (I think I look hot). The anti-inflammatory diet isn’t so much a diet as it is a lifestyle change, in which you eat foods that reduce chronic inflammation in your body. Dr Weil calls understanding which foods to eat ‘scientific,’ though I still think parts of his approach are hookum, for example vitamins are a racket (Sheldon Cooper once referred to supplements as “very expensive urine”). If this means that the placebo aspect of this diet doesn’t work as well on me, so be it. I’m really sick and I want to feel better, but I prefer evidence-based medicine.



Supplements appear third from the top of Dr Weil's anti-inflammatory diet food pyramid, which illustrates the recommendations of the anti-inflammatory diet in a visually pleasing way -- not according to recommended quantities. Red wine and dark chocolate are the two recommendations that top supplements in the pyramid. Supplements were the first thing that made me skeptical of Dr Weil's approach, but he is not the only advocate of the health benefits of anti-inflammatory foods.

The Arthritis Foundation promotes the idea that certain foods help combat inflammation, implying that a diet of these foods may benefit people with rheumatoid arthritis (that's me). The Arthritis foundation recommends eating 3-4 ounces of omega-3 rich fish twice a week; "at least 1½ to 2 cups of fruit and 2 to 3 cups of veggies per meal"; a handful of nuts every day; lots of beans; 2-3 tablespoons of olive oil every day; onions (I'm not a big fan of those); lots of fibre; less processed food and salt; and moderate alcohol (they have a picture of red wine and that is good enough for me). The Arthritis Foundation encouraged me to calculate a diet plan that is right for me through the USDA.

The USDA recommended I eat 2600 calories a day to maintain my current weight, or 2400 calories a day to lose weight. I chose the 2400 calories a day option, because I can't imagine I ate more than that before I started really thinking about food, and this is what was recommended:



For breakfast I had enough fruit and grains for the day with a glass of pro-biotic blueberry pomegranate juice, half a cup of 7-grain oatmeal, topped with blueberries and strawberries. I put almond milk on my oatmeal and soy milk in my coffee, so (according to this) I can have two more cups of dairy, three cups of vegetables, and 6.5 ounces of protein before the day is over.

This is similar to, but not the same as Dr Weil's food pyramid. His food pyramid would have me eating more (I like him for that). Dr Weil says I can have all the mushrooms, garlic, ginger, turmeric, and cinnamon I can eat. After the wonderful breakfast I had, he would also let me have 2-4 more servings of whole grains; two more servings of protein than the USDA recommends (if one is beans and the other is tofu); another serving of fruit; and one more helping of vegetables than the USDA recommends. According to Dr Weil's food pyramid, I can also have 2-4 cups of tea and a couple glasses of red wine before bed. Either way, I am not going to starve.