General Discussion
Related: Editorials & Other Articles, Issue Forums, Alliance Forums, Region ForumsWho takes dietary supplements, and why?
By Scott Gavura at http://www.sciencebasedmedicine.org/index.php/who-takes-dietary-supplements-and-why/#more-24810
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If youre a regular reader of this blog, Ill bet youre not a regular consumer of vitamins or supplements. Im in that group. Aside from sporadic vitamin D in winter, I dont take any vitamins or supplements routinely, nor do I give any to my children. Your reasons may be close to mine: There is little to no evidence suggesting that dietary deficiencies are widespread, nor is there good evidence to suggest that vitamin supplements are beneficial in the absence of deficiency. I dont have any need for an other supplements, nor am I confident in the scientific evidence for many of them.This position of no supplements is a cautious and conservative one, but is based on a consideration of the scientific evidence. I view decisions about healthcare as evaluations of risk and benefit, and then cost if necessary. Given supplementation (with some exceptions) has no demonstrable benefits and, in some cases, a little risk, the odds favour not supplementing in most cases. Add in costs, and its even less attractive as a routine health strategy.
Yet a decision not to take vitamins or supplements regularly is becoming a minority position. Supplement use has grown over the past 40 years among Americans, with the National Health and Nutrition Examination Survey (NHANES) showing steadily increasing utilization among younger and older adults
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Given the (lack of) good evidence showing benefit, why are consumers so fond of these products that they willingly shed out $30 billion per year for supplements? Its a question I regularly ask myself when consulting with patients who enquire about supplements as a complement to, or as a substitute for, more conventional treatments. Its a testament to the marketing of these products that they are (from my own observations) perceived as being safe and effective, in contrast to drug products. The reason that Im not promoting them, Im sometimes told, is because Im not trained in botanicals or herbals, unlike the friendly neighbourhood naturopath, who routinely recommends a long list of supplements, in contrast with my typical advice to see a medical doctor, or to make basic lifestyle and dietary changes first.
As a pharmacist I have a simple goal with my patients: improve health by improving medication use. I dont distinguish between drugs, vitamins, and supplements. If theyre being taken for a therapeutic use, theyre fair game. I do this in part by interpreting the scientific evidence to support patient self-care decisions. So as an advocate for science-based medicine, I admit to finding the surging popularity of supplement use a bit frustrating. Ive seen people spend $100 or more per month on a variety of supplements, most of which are either unproven, or proven ineffective. At the same time, they may reject or defer strategies backed by better evidence. Now $30 billion could likely be used much more effectively for health care if redirected towards the strategies that offer more health bang for the buck. So if the goal is to change behaviors, the motivations need to be understood. And I cant rely on my own biased sample I need a more systematic analysis.
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The rest of the entry is breaking down studies and evidence with regards to the effectiveness of supplements.
Science Based Medicine is a blog where many writers from all aspects of medicine (Doctors, surgeons, pharmacists, researchers, etc.) submit articles around issues near and dear to their hearts. Recently, there has been an uptick in trying to show the reason to regulate supplements through the FDA, especially now that Senator Hatch is out of the way (He has long championed keeping supplements unregulated in any way, shape or form). Interesting reading.
onehandle
(51,122 posts)D is closely linked to longer lives.
And it's cheap. Maybe two bucks for a months worth of soft gels.
Mojorabbit
(16,020 posts)and am on prescription strength Vit. D.
I also get regular B12 injections as those levels are low and my neurologist suggested magnesium to help with leg cramps which I also take. I eat a fairly healthy diet but I read that a lot of foods have been stripped of nutrition, esp processed foods so I think a multivitamin would not hurt anyone.
onehandle
(51,122 posts)Ouch.
No matter how much D I take, I test low.
ZombieHorde
(29,047 posts)A nurse said fiber would be good for me, so I decided to try it.
rightsideout
(978 posts)He has asthma and came down with the flu which affected his lung function. He had the flu shot and the doctor said he would have been worse off without the shot so his temperature didn't go above 100. But the bout he had with the flu affected his lung function so his asthma/allergy doctor suggested 500 mg of Vitamin C Supplements for a couple weeks to strengthen his lungs.
I know alot of people this year have been out of commission for several weeks because of respiratory problems associated with the flu. It seems the Vitamin C helps people recover faster. But it has to be the pills. Drinking orange juice alone won't help.
Lars39
(26,109 posts)Archae
(46,335 posts)A huge con job, selling snake oil.
As the author implies, most of the food we eat does have the necessary vitamins and minerals we need.
I've seen the most worthless claims from vitamin makers, pushing all sorts of concoctions on those who believe in this.
Duer 157099
(17,742 posts)I know some people with pretty piss-poor diets, do you think they still get all the vits/mins they need?
Fast food diet? McDonalds every day? Even then? I doubt it.
Archae
(46,335 posts)Obviously there are exceptions.
McDonalds is not really known for their nutrition.
Likewise other junk foods.
My point is, we don't *NEED* to take all sorts of vitamin pills like the vitamin hucksters want us to believe.
Raine
(30,540 posts)big pharma isn't an option and I don't think I would want it anyway.
kestrel91316
(51,666 posts)L-lysine (great at keeping cold sores at bay), and glucosamine chondroitin sulfate (keeps the aches and pains at bay).
You'll have to pry them from my cold, dead hands.
backscatter712
(26,355 posts)LeftyMom
(49,212 posts)And a multivitamin every now and then when I remember.
RebelOne
(30,947 posts)I also take Vitamin E because I would get cramps in my legs at night. I started taking E and no more cramps. I also take Biotin for my hair and nails. When I became vegetarian, my hair starting thinning because I was not getting enough protein.
liberal_at_heart
(12,081 posts)About a year or so ago I was having some funny symptoms. Extreme fatigue and weakness, low blood pressure and high pulse, sweaty, chest pains. I thought I was having a heart attack. Turned out I was low on iron and potassium. My doctor told me to change my diet and take supplements, so that is what I do.
TexasBushwhacker
(20,202 posts)trublu992
(489 posts)and couldn't get thru the day without them as I do not take a stimulant for ADHD.
grasswire
(50,130 posts)I also take
D
E
potassium
cranberry
omega 3
alpha-lipoic
B complex
calcium-zinc
L-carnitine
All doctor-recommended or approved.
jberryhill
(62,444 posts)For buoyancy.
eShirl
(18,494 posts)so I take that... plus fish oil capsules
magellan
(13,257 posts)I've tried heat, otc painkillers, exercise, and calcium supplements for my osteoporosis hip pain, but glucosamine is what makes it go away.
etherealtruth
(22,165 posts)I believe it keeps my hip pain at a level that is tolerable .... most of the time
TM99
(8,352 posts)there have been and still are lots of research and studies done on the use of vitamins and minerals in the treatment of and prevention of disease done both here in the US but also around the world.
What has become typical in America today is the way the discourse is framed is now due to pseudoscience, internet multi-level vitamin scams, self-referential 'alternative health blogs', idiots like Quackwatch, pharmaceutical corporations more concerned with profit than healing, and supposed 'science guys' who will save us all from the woo woo without critically looking at the 'science'.
First of all, check out www.lef.org. There are thousands of articles spanning decades of the positive uses of vitamins, minerals, and herbal supplement. These are M.D.'s & Ph.D.'s and the science is absolutely sound.
Then do a little real reading on the subject. Go to Google or Amazon, and start some searches for Dr. Carl Pfeiffer, M.D., Ph.D. Thirty years ago, he was treating mental illnesses with orthomolecular medicine. So was Dr. Abram Hoffer and Linus Pauling who also did extensive research on Vitamin C & cancer. Neurobiology of the Trace Elements Volume 1 & 2 by Ivor E. Dreosti and Richard M. Smith is a classic in the field. I also recommend Dr. Roger J. Williams, a imminent biochemist who wrote extensively on biochemical individuality. Modern vitamin and supplement sales are just like pharmaceutical ones. They take a single drug in high doses or a single vitamin in low doses and throw it at a million plus users. For some it does something, for others it does nothing, and for most, it doesn't do enough.
I take vitamins, minerals, and herbal supplements. I take them at different times of the year for different reasons. I work with MD's, NMD's, and herbalists to determine which is best when, how much to dose, and for how long. I also do regular blood work. This has helped me to survive a tumor and chemo as well as to keep myself relatively healthy after that experience.
SidDithers
(44,228 posts)Sid
JDPriestly
(57,936 posts)Why do I take calcium? Because medical experts strongly recommend it for women in my age group. My husband's calcium treatments are prescribed.
Why do I take vitamin B? Because a doctor many years ago advised me to take it and because I have pain and other problems if I don't take it.
Why do I take Curcumin? Because it helps with my arthritis just as regular doses of aspirin would. I don't take aspirin. Curcumin, like Aspirin, is a blood thinner as I understand it.
I also eat lots of yoghurt because I believe that it is healthy for the gut. I also eat lots of fruit and vegetables, almost no beef or red meat and not too much chicken. I do like cheese -- so that is beef.
I strongly disagree with the blanket criticism of supplements. It all depends on who, why, what for, and how much.
On edit, I also take fish oil because it is universally recommended.
And no, our food is not as rich in nutrients as it should be. Sorry, I also disagree on that.
NYC_SKP
(68,644 posts)Our modern diet is filled with fail, too few vital nutrients and too many bad substances!
REP
(21,691 posts)Dx'd by doctor and mine is Rx-only strength.
Brickbat
(19,339 posts)don't get the RDA for iron in my daily diet.
Wounded Bear
(58,668 posts)Ddoctor prescribed, but I'm not sure if it's working, and it seems to raise my blood sugar in contravention to my diabetes meds. Gonna see here in a week or so and discuss it again.
I used to take a mulit-vitamin daily, but talied off a year or so ago as it became too expensive. I like to take the good ones, not the cheap-os. Been working more steadily so maybe I can afford it now. Was thinking about the glucosomin-condoroitin thing as I have some sketchy joints. That stuff is really expensive, though.
Mostly, I try to eat healthy (tough one to do!) and drink plenty of water. Dehydration is one of my main paths to fatigue, joint pain, and various illnesses.
magellan
(13,257 posts)I find I'm more susceptible to headaches and fatigue when I ignore my thirst during the day. And I recall reading once that it's very important to hydrate adequately with water if you're diabetic, just not to overdo it.
I hope you and your doctor can sort out the niacin or find an alternative. It's difficult when the supplement or med for one ailment interferes with another.
840high
(17,196 posts)Duer 157099
(17,742 posts)At minimum, D and B complex. Plus many more.
And I KNOW it makes a difference. I have blood tests done regularly that verify that, aside from my subjective analysis of how I feel.
libodem
(19,288 posts)This week so I'm hitting that 5 year old bottle of B&C stress formula. C and zinc would be better. I usually only use C too help cure not prevent. I think you get immune from the benefit with chronic use.
Still Blue in PDX
(1,999 posts)It's just too hard to remember to take pills.
obamanut2012
(26,080 posts)in my smoothies. And, that's because of running, etc., and building muscle.
Unless flaxseed and chia count.
upi402
(16,854 posts)Protein powder is an option for building muscle mass & vegans. 4everFit fruit blast Isolate is good if you are worried about sodium.
Osteo BiFlex Nutrijoint supports the production of collagen - hard to support - if you have joint issues.
If you have no specific body goals, are healthy with no issues to resolve, and eat a huge mix everyday - no worries. IMHO.
I've been eating clean for decades. But want to maintain T levels and muscle mass, so I drink ginseng tea and take zinc.
I will do whatever it takes to avoid getting stuck on regular medication for issues like high blood pressure or blood sugar. You can buy a buttload of vitamins for that price and it will not do harm if you don't abuse it. Not so with pharmaceuticals.
pipi_k
(21,020 posts)I don't always eat healthily, I take a multivitamin.
Then it's extra Vitamin C because if I don't, I bruise easily.
Then I do extra Vitamin D3 because I'm prone to depression, especially in the winter (as part of SAD).
Ground flax seed for the fiber.
That's it.
ChoppinBroccoli
(3,784 posts)................but I definitely do take a protein supplement after every workout, because it has been scientifically proven that taking protein immediately after a workout helps you gain more muscle.
In the past, I've taken Creatine, and it did work (I got stronger), but it also made me retain water and I didn't lose any weight while I was on it. So I stopped taking Creatine and refuse to go back to it. Plus, all the strength I gained while on it disappeared once I was off of it.
The one supplement I take that doesn't seem to make much sense is I take a couple of different fat burners (one with stimulants and one stimulant-free--a combination of CLA and raspberry ketones). I've read that they don't really do anything for you, other than a possible placebo effect, but I can't get myself to stop taking them. Why? I'm not really sure. I HAVE seen results while using them. And while the truth of the matter is that as hard as I work out, I would probably burn that fat anyway, I just can't convince myself to stop taking them. At the end of the day, if you THINK something works for you, then it DOES.
Other than those things, I stay as "natural" as possible. Two hours of lifting and 30 minutes of cardio 5 days a week, and only the bear minimum of supplements.
SheilaT
(23,156 posts)I'm 64 and in absolutely stunningly good health. I eat decently, including plenty of meat, thank you very much. What I never consume any more are soft drinks, and haven't in about twenty years. Neither sugar-laden nor the diet. I do like red wine. Never smoked. I do a fair amount of cooking from scratch, haven't been in a McDonald's in at least eight years.
Four years ago I tripped in my driveway and sustained a hairline, non-displaced fracture of my right ulna, just below the elbow. The ER doctor who looked at the x-rays told me I had absolutely no signs of osteoporosis nor any bone thinning whatsoever. In case you don't already know, the chemicals in the diet soft drinks are known to leach calcium from the bones. No wonder we're having an epidemic of osteoporosis in this country. As for my broken bone, ER doctor put me in a splint, and I saw a regular doctor a few days later. He told me I could be in a cast for a few weeks or keep the arm ace-bandaged and faithfully use the sling. I went for the latter. Two weeks later I was back at work, in a job involving a lot of typing and a small amount of hand writing. At the end of the first day, which was fortunately a Friday, my arm ached. Then I was off the weekend, and it didn't hurt again.
I don't get why so many people are so nutritionally unsound, and need or think they need all kinds of supplements. I do have several hypotheses on the topic, but have no way of researching them. But in many cases I think fake ingredients and fake foods are at the heart of a lot of these things.
I can still do headstands. And no, I don't do yoga and I get lazy about going for a walk when it gets cold. In a few weeks when it's a little warmer I'll go back to walking every day.
Lydia Leftcoast
(48,217 posts)I used to get my annual respiratory infection that kept migrating from nose to head to throat to lungs and back again. Since I started taking vitamin D, I rarely get sick, and when I do, I have only mild symptoms.
Also, I find that taking B-complex and multiminerals helps me focus and concentrate. It may be a placebo, but it works like nothing else.
Blue_In_AK
(46,436 posts)whenever I think about it because my orthopedist told me to for my arthritic knee. I'm not very religious about it, though.
LancetChick
(272 posts)My need for Vitamin C became clear one summer when I stayed at a friend's house for a weekend. We hadn't been eating very well, and spent an entire day drinking beer on a pontoon boat on a lake. The next day I noticed that my gums were sore and bleeding. I looked down at my legs and thought "Oh good, I got a tan". Then I looked closer and realized that every surface capillary that had been exposed to the sun was broken. It was what I imagine hemorrhagic fever might look like. I knew I needed Vitamin C and took a Centrum, which is what they had in the house. The bleeding cleared up quickly.
Then I went home and took One-A-Day vitamins, which is what I had on hand. The bleeding sore gums returned. So I went to the store and looked at the labels. The One-A-Day had 100% of RDA, while the Centrum had 5 or 600% of RDA (it doesn't anymore). I started taking the Centrum and the bleeding gums stopped. Then I went back to my grapefruit juice habit. Sometimes a quart a day plus 3 or 4 grapefruits.
As a child I was addicted to orange juice, and drank it all the time. In high school and beyond it was grapefruit juice. I knew I needed a huge amount of Vitamin C, but I didn't associate my grapefruit juice addiction with Vitamin C because, if you asked why I drank so much, I'd answer that grapefruit juice taste like a wonderfully compelling and complicated Dom Perignon champagne I had once.
Well, several years ago I saw an ad for extended-release 1000 mg. Vitamin C pills. I tried them, and WOW! Totally lost interest in grapefruit juice. This was a BIG deal for me. Not only that, but that's when I realized that grapefruit juice doesn't taste like a wonderfully complex Dom Perignon, it tastes like grapefruit juice. Good, but not the incredibly compelling flavor my brain had been tricking me into believing it was. I mean... my brain lied to me!
So I take Vitamin C and Omega-3 pills, plus the occasional B-Complex and Vitamin D when I'm not out in the sun. To get the RDA of every vitamin and mineral from food I would have to eat so much I'd be morbidly obese!
Lisa0825
(14,487 posts)I take Ubiquinol (a form of Co Q-10) for blood pressure. After 4 weeks on it, both my numbers dropped by about 10 points.
I take Vitamin D because I had an extreme deficiency (normal is between 30 and 74 ng/mL, and I only had 5 ng/mL). Even with supplements for over a year, I still stay on the low end of normal.
I take Flax Seed Oil because it has been shown to help with my blepharitis. My ophthalmologist said that and doxycycline are really the only things that help much.
I take the multi because I still believe they help with minor deficiencies in diet, and B-12 because I think it helps me feel more alert in the morning.
I know there are a lot of supplement fads that come and go, and I have tried other things at times. I believe many have a positive effect, and many others and bunk.
Edited to add: The reason I take Ubquinol for BP is that I had tried 3 prescriptions and had very unpleasant side effects on all three. I have no side effects on the Ubiquinol, and it seems to work for me.
RedCappedBandit
(5,514 posts)Did this quote make anyone else laugh? "As a pharmacist I have a simple goal with my patients: improve health by improving medication use."
upi402
(16,854 posts)"Follow the money" applies here.
BuddhaGirl
(3,608 posts)curcumin/bromelain cap every day. I add a good mushroom blend to boost immunity during the winter.
bananas
(27,509 posts)Does he eat bread? It's supplemented with a dozen vitamins and minerals.
Does he use salt? It's supplemented with iodine.
Does he drink tap water? It's supplemented with flouride.