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Vitamin Supplements - Do you need them?

By Dr. Di Pasquale

CONT'D...

C - Ascorbic Acid

Perhaps the most well known of the vitamins. Most famous advocate is Nobel Laureate Linus Pauling who promoted daily megadoses of vitamin C (the amount in 12 to 24 oranges) as a way to prevent colds and protect the body from other chronic diseases. Plays a key role in controlling infections. It's also a powerful antioxidant that can neutralize harmful free radicals, and it helps make collagen, a tissue needed for healthy bones, teeth, gums, and blood vessels. There's no evidence however that megadose therapy works. Recommended: 90 mg/day for men, 75 for women (add an extra 35 mg for smokers). 200 - 300 mg/day appears to a good dietary goal. Where to get it from: Citrus fruits/juices, berries, green and red peppers, tomatoes, broccoli, and spinach. Many breakfast cereals are also fortified with vitamin C.

D - Calciferol

Helps ensure that the body absorbs and retains calcium and phosphorus, both critical for building bone. Laboratory studies also show that vitamin D keeps cancer cells from growing and dividing.

Some preliminary studies indicate that insufficient intake of vitamin D is associated with an increased risk of fractures, and that vitamin D supplementation may prevent them. Other early studies suggest an association between low vitamin D intake and increased risks of prostate, breast, colon, and other cancers. Recommended: 5 mg/day up to age 50, 10 mg between 51 and 70. and 15 mg for age 70+. Where to get it from: You can get some by basking in the (preferably morning) sun for at least 15 minutes. Daily products and breakfast cereals and fatty fish like salmon and tuna. For most people, the best way to get the recommended daily intake is by taking a multivitamin supplement.

E - Tocopherol

 Tocotrienol Used to be tagged as the heart friendly vitamin based on some studies, suggesting a reduction in coronary heart disease risk with a regular recommended dosage for at least 2 years. Randomized trials however failed to support these findings. Recommended: 15 mg/day from food, that's the equivalent of 22 IU from natural-source vitamin E or 33 IUs of the synthetic form. Evidence from observational studies suggests that at least 400 IU of vitamin E per day, and possibly more, are needed for optimal health. Where to get it from: Separate vitamin supplement.

K - Phylloquinone

Helps make six of the 13 proteins needed for blood clotting. Its role in maintaining the clotting cascade is so important that people who take anticoagulants such as warfarin (Coumadin) must be careful to keep their vitamin K intake stable. Also involved in building bone. Low levels of circulating vitamin K have been linked with low bone density, and supplementation with vitamin K shows improvements in biochemical measures of bone health. Recommended: 80 mg/day for men, 65 mg/day for women. Where to get it from: many foods especially green leafy vegetables and commonly used cooking oils.

Vitamins as Anti-Oxidants

The same process that creates rust in metals, oxidation, also creates free radicals in the body. These free radicals can damage DNA, the inside of artery walls, proteins in the eye--just about any substance or tissue imaginable. Some are made inside the body, inevitable byproducts of turning food into energy. Others come from the air we breathe. and the food we eat. To fight these, our body extract free-radical fighters, called antioxidants, from food. Fruits, vegetables, and other plant-based food deliver dozens, if not hundreds, of antioxidants. The most common are vitamin C, vitamin E, beta-carotene and related carotenoids. Food also supplies minerals such as selenium and manganese, which are needed by enzymes that destroy free radicals.

Food or Supplements?

The answer is both. Multivitamin supplement can't replace a healthy diet, meaning taking multivitamin supplement is not a ticket to going to Macdonald's everyday. But a daily multivitamin provides a sort of nutritional safety net. While most people get enough vitamins to avoid the classic deficiency diseases, relatively few get enough of five key vitamins that may be important in preventing several chronic diseases.

Dr.Mauro Di Pasquale is a licensed physician in Ontario, Canada, specializing in Nutrition and Sports Medicine.He holds an honors degree in biological science, and a medical degree (1971). He is also certified as a Medical Review Officer (MRO) by the Medical Review Officer Certification Council (MROCC), and as a Master of Fitness Sciences (MFS) by the International Sports Sciences Association (ISSA). www.maurodipasquale.com

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