Vitamins & Supplements Archive

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Potassium and sodium out of balance

The body needs the combination of potassium and sodium to produce energy and regulate kidney function, but most people get far too much sodium and not enough potassium.

Facts about fiber

Fiber improves digestion and may help lower a person’s risk for heart disease, diabetes, and cancer. But according to the 2020–2025 Dietary Guidelines for Americans, most people meet only half their daily fiber needs. The main reason is not following a basic healthy diet with foods high in fiber. Making small changes in dietary habits and adopting new fiber-rich foods can help people reach their quota.

Vitamin D supplements may reduce risk of invasive cancer

A study published online Nov. 2, 2020, by JAMA Network Open found that healthy-weight people ages 50 or older who took a daily 2,000-IU vitamin D supplement had a lower risk for developing advanced or fatal cancer, compared with people who didn’t take the supplement.

Are you taking too many supplements?

Taking too many dietary supplements can lead to potential problems. Examples include medication interference, difficulty managing a complicated regimen, missed prescription medication doses, and overdoing it on nutrient intake. It’s not that all supplements are without benefits. For some people, specific supplements may offer some chance of benefit, and little risk. But going overboard can be risky. It’s important to speak with a doctor before starting a supplement to make sure it won’t interfere with one’s health or current medications.

Are you wasting money on supplements?

Taking multivitamins doesn’t prevent heart attacks or strokes, and most dietary supplements (such as fish oil, red yeast rice, and coenzyme Q10) offer no or limited benefits for avoiding heart-related problems. For people who don’t have heart disease, eating two servings of fatty fish weekly or following a healthy vegetarian diet rich in nuts, legumes, and healthy oils makes more sense than spending money on over-the-counter fish oil supplements. People with heart disease would be better off asking their doctor about the prescription drug icosapent ethyl (Vascepa), a high-dose, purified EPA that lowers cardiovascular risk when taken with a statin.

Bleeding gums? You may need more vitamin C

In the journals

Bleeding gums are a sign of gingivitis, an early stage of periodontal disease, but they may also signal low vitamin C in your diet, suggests a study published online Feb. 1, 2021, by Nutrition Reviews. Researchers examined 15 published studies involving 1,140 healthy people as well as data on 8,210 people from the CDC's Health and Nutrition Examination Survey. They found that low vitamin C levels in the bloodstream were associated with an increased risk for gum bleeding with gentle probing. The researchers also observed that increasing vitamin C intake may help resolve the problem.

Increased bleeding in general is one of the symptoms of scurvy, a disease caused by severe vitamin C deficiency. Scurvy, which often affected 18th-century sailors without access to fruits and vegetables, is rare today. Still, this new study sheds light on a potential cause of gum bleeding related to vitamin C levels that are only slightly low — not enough to cause scurvy.

Omega-3 fatty acids and the heart: New evidence, more questions

Omega-3 fatty acids from fish and fish oil have been recommended by the American Heart Association for the past 20 years to reduce cardiovascular events in people who already have cardiovascular disease. But the results of studies of omega-3 supplements have been mixed, leaving both doctors and patients still wondering what to do.

Precious metals and other important minerals for health

Make sure your diet meets the recommended mineral targets.


 Image: © fstop123/Getty Images

Gold, silver, and platinum get all the attention as the world's most precious metals. But they're more precious for the global economy than for human health. Instead, other metals and minerals (metals are one type of mineral) are more important for our health (see "What essential metals do for us"). Indeed, some of them are so important that we can't live without them. "Each one plays a role in hundreds of body functions. It may take just a very small quantity of a particular mineral, but having too much or too little can upset a delicate balance in the body," says Dr. Bruce Bistrian, chief of clinical nutrition at Beth Israel Deaconess Medical Center.

What essential metals do for us

Many metals are used to make strong and durable everyday objects, like copper pipes or iron skillets. But they don't form such strong and durable objects in our bodies. Instead, many essential metals are needed to activate enzymes — molecules with important jobs in the body. And metals have many other essential roles as well. For example:

  • Calcium builds bones and teeth; activates enzymes throughout the body; helps regulate blood pressure; and helps muscles to contract, nerves to send messages, and blood to clot.

  • Chromium helps maintain normal blood sugar levels and helps cells draw energy from blood sugar.

  • Copper assists with metabolizing fuel, making red blood cells, regulating neurotransmitters, and mopping up free radicals.

  • Iron helps make hemoglobin (the oxygen-carrying chemical in the body's red blood cells) and myoglobin (a protein in muscle cells). Iron is essential for activating certain enzymes and for making amino acids, collagen, neurotransmitters, and hormones.

  • Magnesium, like calcium, builds bones and teeth. It also helps to regulate blood pressure and blood sugar and enables muscles to contract, nerves to send messages, blood to clot, and enzymes to work.

  • Manganese helps form bones and helps metabolize amino acids, cholesterol, and carbohydrates.

  • Molybdenum activates several enzymes that break down toxins and prevents the buildup of harmful sulfites in the body.

  • Potassium balances fluids in the body, helps to maintain a steady heartbeat and to make muscles contract, and may benefit bones and blood pressure.

  • Sodium balances fluids in the body, helps send nerve impulses, and helps make muscles contract.

  • Zinc helps blood clot, helps make proteins and DNA, bolsters the immune system, and helps with wound healing and cell division.

Best source of vitamins? Your plate, not your medicine cabinet

Image: iStock

Vitamin and mineral supplements from a bottle simply can't match all the biologically active compounds teeming in a well-stocked pantry.

By focusing on the big picture, it's easy to get plenty of the vitamins, minerals, and other micronutrients you need to keep you healthy and prevent disease. Here are some tips.

Do you need a daily supplement?

Most older adults take some kind of over-the-counter dietary supplement. But are these products right for everyone?


 Image: © phototake/Getty Images

Over-the-counter dietary supplements are big business — more than 90,000 products generate about $30 billion every year in the United States. Older adults make up a big part of these sales, too. A survey of almost 3,500 adults ages 60 and older published Oct. 1, 2017, in The Journal of Nutrition found that 70% use a daily supplement (either a multivitamin or individual vitamin or mineral), 54% take one or two supplements, and 29% take four or more.

But are these pills good medicine, or a waste of money?

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