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Original Article:
http://www.mayoclinic.com/invoke.cfm?id=NU00198 

Using vitamin and mineral supplements wisely



Vitamins and minerals are substances your body needs in small amounts
for normal growth, function and health. Together, vitamins and minerals
are called micronutrients. Your body can't make most micronutrients, so
you must get them from the foods you eat or, in some cases, from
supplements. 


Focus on vitamins 

You need vitamins for normal body functions, mental alertness and
resistance to infection. They enable your body to process proteins,
carbohydrates and fats. Certain vitamins also help you produce blood
cells, hormones, genetic material and chemicals in your nervous system.
Unlike carbohydrates, proteins and fats, vitamins and minerals don't
provide fuel (calories). However, they help your body release and use
calories from food. 

There are 14 vitamins, which fall into two categories:

Fat-soluble: Vitamins A, D, E and K. They're stored in your body's fat.
Some fat-soluble vitamins, such as vitamins A and D, can accumulate in
your body and reach toxic levels. 
Water-soluble: Vitamin C, choline, biotin and the seven B vitamins:
thiamin (B-1), riboflavin (B-2), niacin (B-3), pantothenic acid (B-5),
pyridoxine (B-6), folic acid/folate (B-9) and cobalamin (B-12). They're
stored to a lesser extent than fat-soluble vitamins. 

Focus on minerals 

Your body also needs minerals. Major minerals - those needed in larger
amounts - include calcium, phosphorus, magnesium, sodium, potassium and
chloride. Calcium, phosphorus and magnesium are important in the
development and health of your bones and teeth. Sodium, potassium and
chloride, known as electrolytes, are important in regulating the water
and chemical balance in your body. In addition, your body needs smaller
amounts of chromium, copper, fluoride, iodine, iron, manganese,
molybdenum, selenium and zinc. These are all necessary for normal growth
and health. 


The right balance 

Having the right balance of vitamins and minerals in your body is
essential. Prolonged vitamin or mineral deficiencies can cause specific
diseases or conditions, such as night blindness (vitamin A deficiency),
pernicious anemia (vitamin B-12 deficiency) and anemia (iron
deficiency). On the other hand, too much of some vitamins and minerals
can cause toxic reactions.

You can get your entire daily requirement of vitamin C by just popping a
pill. You can get the same amount by eating a large orange. So which is
better? In most cases, the orange - a whole food. 


Benefits of whole foods 

Whole foods - fruits, vegetables, grains, lean meats and dairy products
- have three main benefits you can't find in a pill: 


Whole foods are complex. They contain a variety of the nutrients your
body needs - not just one - giving you more "bang" for your nutrition
"buck." An orange, for example, provides vitamin C but also beta
carotene, calcium and other nutrients. A vitamin C supplement lacks
these other nutrients. Similarly, a glass of milk provides you with
protein, vitamin D, riboflavin, calcium, phosphorus and magnesium. If
you take only calcium supplements and skip calcium-rich foods, such as
dairy products, you may miss all the other nutrients you need for
healthy bones.
Whole foods provide dietary fiber. Fiber is important for digestion and
to help prevent certain diseases. Soluble fiber - found in certain beans
and grains and in some fruits and vegetables - and insoluble fiber -
found in whole grains and in some vegetables and fruits - may help
prevent heart disease, diabetes and constipation. 
Whole foods contain other substances that may be important for good
health. Fruits and vegetables, for example, contain naturally occurring
food substances called phytochemicals, which may help protect you
against cancer, heart disease, osteoporosis and diabetes. Although it's
not yet known precisely what role phytochemicals play in nutrition,
research shows many health benefits from eating more fruits, vegetables
and grains. If you depend on supplements rather than eating a variety of
whole foods, you miss the potential benefits of phytochemicals. 

Benefits of supplements uncertain 

Only long-term, well-designed studies can sort out which nutrients in
food are beneficial - and whether taking them in pill form provides the
same benefit.

In fact, some nutrients may actually be harmful to your health when
taken as a supplement. In one study, researchers found an increased risk
of prostate cancer among men who drank alcohol and took beta carotene
supplements. In an earlier study, they found that smokers who took beta
carotene supplements had an increased risk of lung cancer. It's possible
that alcohol and tobacco change the way your body absorbs and uses beta
carotene. In addition, large amounts of beta carotene can alter blood
levels of other, similar natural food pigments called carotenoids, some
of which may actually be more beneficial to you than beta carotene. 

Concentrate on getting your nutrients from food, though, not
supplements. Whole foods provide an ideal mix of nutrients, fiber and
other food substances. It's likely that all of these work in combination
to keep you healthy.


Fortified and enriched 

You'll sometimes see the words fortified or enriched on food and
beverage packaging. These terms indicate that nutrients have been added.
If a food or beverage is fortified, it means that one or more nutrients
have been added that weren't originally there. Enriched means that the
nutrients lost during processing have been added back. The Nutrition
Facts listed on the label will tell you which nutrients have been added.
It'll also show what percent of the Daily Value for each nutrient is met
with one serving. 


Choosing and using supplements 

Supplements are not substitutes. They can't replace the hundreds of
nutrients in whole foods you need for a nutritionally balanced diet.
However, if you do decide to take a vitamin or mineral supplement, here
are some factors to consider: 

Avoid supplements that provide "megadoses." In general, choose a
multivitamin-mineral supplement that provides about 100% DV of all the
vitamins and minerals instead of one that supplies, for example, 500% DV
of one vitamin and only 20% DV of another. The exception to this is
calcium. You may notice that calcium-containing supplements don't
provide 100% DV. If they did, the tablets would be too large to swallow.
Most cases of nutrient toxicity stem from high-dose supplements. 
Look for USP on the label. This ensures that the supplement meets the
standards for strength, purity, disintegration and dissolution
established by the testing organization, U.S. Pharmacopeia (USP). 
Beware of gimmicks. Synthetic vitamins are the same as so-called
"natural" vitamins. Don't give in to the temptation of added herbs,
enzymes or amino acids - they add nothing but cost. 
Look for expiration dates. Supplements can lose potency over time,
especially in hot and humid climates. If a supplement doesn't have an
expiration date, don't buy it. 
Store all vitamin and mineral supplements out of the sight and reach of
children. Put them in a locked cabinet or other secured location. Don't
leave them sitting out on the counter or rely on child-resistant
packaging. Be especially careful with any supplements containing iron.
Iron overdose is a leading cause of poisoning deaths among children. 
Store supplements in a dry, cool place. Avoid hot, humid storage
locations, such as the bathroom. 
Explore your options. If you have difficulty swallowing, ask your doctor
whether a chewable or liquid form of the vitamin and mineral supplements
might be right for you.
Play it safe. Before taking anything other than a standard
multivitamin-mineral supplement of 100% DV or less, check with your
doctor, pharmacist or a registered dietitian. This is especially
important if you have a health problem or are taking medication. High
doses of niacin, for example, can result in liver problems. In addition,
supplements may interfere with your medications. Vitamins E and K, for
example, aren't recommended if you're taking blood-thinning medications
(anticoagulants) because they can complicate the proper control of blood
thinning. If you're already taking an individual vitamin or mineral
supplement and haven't told your doctor, discuss it at your next
checkup. 


By Mayo Clinic staff 

NU00198 

May 10, 2002 



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