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FN 225: Nutrition
Tamberly Powell, M.S., R.D.
Health Professions Division
Lane Community College
Eugene, Oregon





LECTURE 8B: Vitamins & Minerals- part 2; Using Supplements

As you might be able to guess, I do not promote supplements, I promote whole foods.  I came across a great response about Supplements from Marion Nestle, who writes often on controversial and political topics.  Check out her bio and blog at Foodpolitics.com.

In an interview, she was asked, "Why are you so hard on nutritional supplements? You must be one of those people who thinks they kill people".

Her response was, "Don’t get me wrong. Nutrient supplements are great for people who have nutrient deficiencies. Whether they make people worse is arguable, but study after study shows that nutrient supplements do not make healthy people healthier. If you like to take supplements, I’m guessing you don’t care much about what the science says. Supplements aren’t about evidence-based medicine. They are about deep distrust of modern diets, science and the health care system. If nothing else, supplements are powerful placebos, and I’m not at all convinced they are seriously harmful. My advice: Supplements, like everything else about nutrition, should be taken in moderation".  

So if you choose to take supplements, keep moderation in mind, and use the following guidelines to help you choose a supplement.


1. As Marion Nestle mentions above, supplements should never be a substitute for whole foods.

Whole foods are complex, and not only supply us with essential vitamins and minerals, but also other beneficial things like phytochemicals.

The below image is of one of my colleague's great-grandfather.

At 100, he was still:

  • tending and eating from his vegetable garden
  • milking his cow, Daisy
  • making hand crank ice-cream
  • feeding neighbors Chesapeake Bay Blue Point oysters
  • napping each afternoon after lunch
  • walking about a mile to work

2. Pay attention to the dose.

Remember the Daily Value (DV) which is used for product comparison is not necessarily the same as the DRI (a value we can use for our own nutrient needs). So keep it simple and try to keep the dose to about 100% of the DV.

 

3. Often times people are getting supplements from multiple sources, so make sure you add together the dose.

When considering your intake from supplements, also consider something people sometimes grab at the checkout counter.





Serving Size: 1 packet % DV
Vitamin C 1,000 mg 1,667%
Thiamin 0.38 mg 25%
Riboflavin 0.43 mg 25%
Niacin 5 mg 25%
Vitamin B6 10 mg 500%
Folic Acid 12.5 mcg 3%
Vitamin B12 25 mcg 417%
Pantothenic Acid 2.5 mg 25%
Calcium 50 mg 5%
Magnesium 60 mg 15%
Zinc 2 mg 13%
Manganese 0.5 mg 25%
Chromium 10 mg 8%
Sodium 60 mg 3%
Potassium 200 mg 6%
Alpha Lipoic Acid 1 mg no DV
Quercetin 1 mg no DV


The front of the above packet says it has "32 mineral complexes"  Many minerals aren't listed in the above table.  That's because some of the minerals have multiple "complexes" listed on the label.  

For example the calcium in it is
calcium carbonate,
calcium phosphate and
calcium pantothenate.


You can click see on this to see a larger image.





Sometimes another source of supplements is a beverage.  Below is a 20-ounce bottle of a Glaceau-brand product called "Vitamin Water".  

Notice that 
the first column of the Nutrition Facts is given for an 8-ounce serving.  

The secomd column of the Nutrition Facts is for the whole bottle.



 

4. Don't let nutrient levels exceed the Upper Intake Level. It is not uncommon to find a supplement that does exceed the UL so you will have to do your own inquiry on this one before buying. Below is an example of how too much can be a concern, and how the UL compares to the DV and RDA/AI.

Usually the UL is exceeded when you buy a supplement with a single vitamin  or mineral (as you can see in the zinc supplement below) versus a multivitamin/mineral supplement.

 

5. Get phytochemicals from foods, not supplements. Research has shown that phytochemicals have benefits when you get them from foods, not supplements, and may even be harmful from supplements. 

The label for the below HERBALIFE-brand supplement says that taken 3 times daily “Garden 7 provides the phytonutrients equivalent to 7 servings of fruits and vegetables”.

Notice on the label below that it does have vegetables (like 133.3 mg "carrot powder" in 1 tablet).  It would take about 30 of the tablets to get 1 TEASPOON of carrot powder.

Most of the "phytonutrients" in the tablets come from individual additives like lycopene and lutein.

As you learned in chapter 2, one serving of a vegetable like broccoli may have 100 different phytochemicals.

6. Look for the USP label (as illustrated below) when purchasing a supplement.  This means that the manufacturer has paid an outside agency to test the product to affirm it contains the nutrients stated, and that it will dissolve.

 

 

If you want to learn more about supplements and their safety, I encourage you to watch this great Frontline Video, "Supplements and Safety". This video is optional and I will not be asking questions on it.

END OF LECTURE 8B