Why do we take so many vitamins and minerals? How likely are nutritional deficiencies?

This is a reprint from consumerlab.com. My comments appear in bold.

Question:
How likely are Americans to be deficient in vitamins or minerals?

Answer:
Based on the latest data from the Centers for Disease Control and Prevention (CDC) in 2012, about 10% or less of the general population had nutrition deficiencies for selected vitamin and minerals. The rates of deficiency are shown below along with some notable differences by age, gender, and race/ethnicity:
Vitamin A: Less than 1%. However, 2% were at risk for excess vitamin A, with older adults most likely to be at-risk for excess vitamin A (4.8%).
Vitamin B-6: 10.5%.
Vitamin B-12: 2%. Older adults are the most likely to be deficient (4%) IRREGARDLESS OF B12 LEVELS, SUPPLEMENTS MAY IMPROVE MEMORY AND ENERGY
Vitamin C: 6%. Men (7%) were more likely to be deficient than women (5%) DO YOU REALLY THINK VITAMIN C PREVENTS COLDS?
Vitamin D: 8.1% (with deficiency defined as serum 25-hydroxyvitamin D level less than 12 ng/mL). An additional 24% were at-risk for inadequacy (level of 12 ng/mL to to 20 ng/mL). Non-Hispanic black (31%) and Mexican American (12%) people were more likely to be deficient than non-Hispanic white people (3%). I DISAGREE WITH THIS. ACTUAL STUDIES SHOW CAUCASIANS ARE 50% DEFICIENT IN VITAMIN D, HISPANICS 68% AND 80% IN BLACKS!
Vitamin E: Less than 1%.PLEASE NOTE THE INCREASED RISKS OF HEART DISEASE AND CANCER WITH TOO MUCH VITAMIN E
Folate: Less than 1%. Deficiency has decreased since mandatory folic acid fortification of enriched cereal grain products in 1998, raising levels by about 50%.TOO MUCH FOLIC ACID AND HEART DISEASE INCREASES
Iron: 6.7% deficient. Among women ages 12 to 29, 9.5% were deficient, as were 6.7% of children ages 1 to 5. There were higher rates of iron deficiency in Mexican-American children aged 1 to 5 years (11%) and in non-Hispanic black (16%) and Mexican-American women (13%) of childbearing age (12 to 49 years) when compared to other race/ethnic groups. Few men were deficient in iron, but 29% were at risk for iron excess.LOW IRON IN MEN AND POST MENOPAUSAL WOMEN IS NEVER NORMAL.SINCE THIS IS OFTEN ASSOCIATED WITH INTERNAL BLEEDING AND/OR CANCER, IT SHOULD ALWAYS BE EVALUATED BY A PHYSICIAN

HARVEY S. MISHNER MD

Differences in Vitamin D

Those of you who are my patients or who read my blogs are well aware that, although I think vitamins and supplements, for the most part, are unnecessary, I am a BIG fan of Vitamin D.
However, not all Vitamin D products are created equally.


The following is an excerpt from Consumerlab.com:

Incorrect amount of vitamin D or other ingredients
    •    DEVA Vegan Vitamin D 800 IU contained only 664 IU of its listed 800 IU of vitamin D2 per tablet.
    •    Kirkman Calcium/Magnesium Liquid contained its listed amount of calcium but only 18 IU of its listed 41 IU of vitamin D3 per 10 mL serving.
    •    vitafusion Vitamin D3 contained only 317 IU of vitamin D3 per 2 gummy bear serving 31.7% of the listed 1,000 IU.
    •    Li'l Critters Calcium Gummy Bears with Vitamin D, a childrens product, contained much more vitamin D2than listed. A two gummy suggested serving contained 501 IU of vitamin D2, 251% of the claimed 200 IU of vitamin D.
    •    DaVinci Laboratories of Vermont Vitamin K2 Plus contained its listed amount of vitamin D but only 36.8 mcg of its listed 50 mcg of vitamin K2 per capsule.  (A similar deficiency was found in this product when tested in 2009 when ConsumerLab.com reported finding only 63.4% of the claimed amount of vitamin K2.)


Lead contamination
    •    AlgaeCal Plus contained 3.9 mcg and 5.2 mcg of lead, respectively, in suggested servings of 3 and 4 capsules.
    •    Pure Essence Labs Ionic-Fizz Super D-K Calcium Plus contained 2.1 to 4.1 mcg of lead, respectively, in suggested servings of 1 to 2 scoops of powder per day.

Lead contamination is a known potential issue with dietary supplements, particularly those containing minerals or herbal ingredients. AlgaeCal included algae-based calcium and magnesium, while Pure Essence included many minerals and botanical ingredients. Children are most sensitive to lead poisoning and may be affected by total daily exposure to as little as 6 mcg (including all food and drink, as well as supplements). Adults can tolerate higher levels of lead (25 to 75 mcg of lead per day).  Lead is stored in the body and unnecessary exposure should be avoided. The FDA permits supplement manufacturers to set their own limits on lead in their products, but one state, California, requires a warning label on supplements that contain more than 0.5 mcg of lead per daily serving (or 1.5 mcg of lead in supplements that contain 1,000 mg or more of calcium). Neither of the two products with lead contamination had this warning label.


Labeling infractions
    •    Nature's Life D-2 listed potential benefits of vitamin D but did not provide the required FDA disclaimer for such claims. The disclaimer should read: These statements have not been evaluated by the Food and Drug Administration. This product is not intended to diagnose, treat, cure, or prevent any disease. This product did, however, meet the other quality criteria of this Review.
    •    AlgaeCal Plus, Pure Essence Labs Ionic-Fizz Super D-K Calcium Plus, and DaVinci Laboratories of Vermont Vitamin K2 Plus (all of which are noted above for other problems) did not provide the required food allergen disclosure for people with sensitivity to soy. The vitamin K in these products is MK-7, which is produced from natto, a fermented soybean. Neither product stated that they contained soy. Other products with MK-7 provided the proper disclosure of their soy content.

 

 

 

 

Kaizen Kwote of the Day

"Habit is habit, and not to be flung out of the window by anyone, but coaxed downstairs a step at a time."               Mark Twain

Were you aware?

Hmmmmm, I didn't know that!



Not only are Multiple Vitamins of no benefit, they can sometimes increase the risks of disease. We know Vitamin E increases the risks of heart disease and prostate cancer. B-complex vitamins will increase the risks of heart disease.
Vitamin A increases the incidence of lung cancer, especially in smokers. There are no medical studies that show, beyond a reasonable doubt, that vitamins improve health.
 
Herbal cholesterol lowering products are neither safe nor effective. Products like Red Yeast Rice may contain toxic contaminants. The only medications that have PROVEN benefits in lowering heart attack and stroke risks are STATINS.
No other prescription cholesterol products have any PROVEN benefits and these include ZETIA, WELCHOL, NIASPAN (niacin), FENOFIBRATES (Tricor, Trilipix)
 
The higher the Body Mass Index (BMI), the higher the risks of colon polyps and cancer.
 
An Aspirin or NSAID (Advil) daily can reduce the incidence of colon polyps. Please check with your doctor as these drugs may interact adversely with other medications.
 
The risks of heart disease in diabetics are related more to Hypertension, High Cholesterol and lack of Physical Activity than it is to poorly controlled glucose levels.
 
According to Consumer Reports, 25% of FISH species are mislabele
d (remember the grouper shortage a few years ago?)

 
It is not unusual to “hurt” after beginning an exercise program (You are probable using muscles you haven’t used in years-not unlike being sore after throwing a baseball the first time the first warm spring day)
 
Vitamin and Herbal supplements, for the most part are not regulated by the FDA and have limited, if any, proven medical benefits. Consumers spend over $27,000,000,000/year looking for alternative routes to health.

The risks of psychiatric disorders, such as SUICIDE, DRUG ABUSE, DEPRESSION AND  ALCOHOL ABUSE all seem to improve when weight loss is achieved with Gastric LAP-BAND surgery but not Gastric By-Pass Surgery.

3 things equal 1 healthy breakfast...

A survey from Consumer Reports found that 22% of people skipped breakfast. Most people ate fruit. Cereal was the next most popular, followed by eggs, peanut butter and protein bars.
Our feeling is that breakfast should never be skipped because you have just completed a 8-10 hour fast and your body is pleading to be fed.
The problem is, most people think they will lose weight by skipping meals (Never happen) or just load up on CARBS for breakfast.
We think the ideal breakfast should consist of CARBS, PROTEIN and FAT.
A great choice would be low sugar instant oatmeal supplemented with 100% whey protein powder. Fresh fruit, yogurt, eggs, whole grain breads etc are also good. We would skip ANY fruit juice including orange juice as these are just sugar water. Instead of supermarket juice, squeeze the oranges and have some fresh juice!.
Oh yeah? Vitamins. Forget about it. There is no proof that MVI’s are beneficial and may even increase your risk of heart disease or cancer.

Are Vitamins and Supplements Safe?

 

 

There has been a lot of buzz recently about vitamins in the press. This is the result of new studies showing bad outcomes in women ages 55-69 taking different vitamins and supplements. We have known for years that Vitamin E not only has no cardiovascular benefits, but actually increases the risk of heart disease. We also know that women who take greater then 900 mg of calcium/day are also at risk of heart disease (especially if taken on an empty stomach). The other day, I posted a blog stating that even the “B” vitamins can increase the risk of death. We can also add zinc, magnesium, iron and copper supplements to this list. Several years ago, beta-carotene was being investigated as a preventive treatment for lung cancer, but the study had to be stopped because it actually increased the risk of cancer in smokers.

The bottom line is that you should not rely on vitamins and supplements for your health. There are no substitutes for a diet consisting of lean protein, whole grains and fruits and vegetables.
 
For more information, schedule a consultation with our nutritionist at 941-556-7788

Vitamin B Supplements: Avoid Them!!!

 

 

 

There are eight B vitamins generally known as thiamin (B-1), riboflavin (B-2), niacin (B-3), pantothenic acid (B-5), pyridoxine (B-6), biotin (B-7), folic acid (folate) (B-9), and cyanocobalamin (B-12). Like most vitamins, B vitamins are essential — your body needs them but cannot make them; you must get them from your diet or from supplements.
Each B vitamin is associated with a variety of functions, many of which relate to turning food into energy and other needed substances. Folate, for example, is important in reducing birth defects of the spinal cord and is, therefore, a critical ingredient in prenatal vitamins. But at a high dosage, folic acid may increase the risk of certain cancers. Niacin, when taken in very high doses, can improve cholesterol levels but can also cause side-effects and toxicity. Several (B-6, B-12, and folate) have been shown to reduce elevated homocysteine levels -- a risk factor for cardiovascular disease, although studies have not shown this combination to reduce cardiovascular risk itself.
- Harvey S. Mishner, M.D. 

Previous reviews by ConsumerLab.com have uncovered problems with the B vitamin content of several supplements. Neither the U.S. government nor any agency is responsible for routinely testing B vitamin products or other dietary supplements for their contents or quality.

5-Hour Energy (Berry) contained only 75.5% of its claimed folic acid, although it did contain its claimed amounts of niacin, B-6, and B-12. The amount of B-6 and B-12 in this product is many times higher than the RDAs for these ingredients, although not exceeding tolerable upper limits for those vitamins. For young adults, the RDA for B-6 is 1.3 mg and for B-12 is 2.4 mcg, while the suggested serving (one bottle) provides 40 mg of B-6 (3,100% of the RDA) and 500 mcg of B-12 (20,800% of the RDA). ??5-Hour Energy lists among its ingredients an "energy blend" that includes caffeine. The label notes that the amount of caffeine is comparable to that in a cup of "leading premium coffee." ConsumerLab.com found the 2 fluid ounce bottle to contain 207 mg of caffeine. However, this is 15% higher than what you would get from a "short" cup (8 fluid ounces) of a premium coffee such as Starbucks, which Starbucks claims to have 180 mg of caffeine (Starbucks.com 2010).


 Stacker 2 6-Hour Power Shot contained just 40.4% of its claimed folic acid. It provided the same high levels of B-6 (40 mg) and B-12 (500 mcg) as 5-Hour Energy. Also, like 5-Hour Energy, 6-Hour Power Shot also lists among its ingredients an "energy blend" that includes caffeine. The label notes that the amount of caffeine is comparable to that in a cup of "brewed coffee". ConsumerLab.com found the 2 fluid ounce bottle to contain 156 mg of caffeine. However, this is 64% higher than what you would get from a cup (8 fluid ounces) of brewed coffee based on measurements by the USDA of coffee brewed at home and from fast food restaurants (USDA National Nutrient Database 2010)).

Unlike 5-Hour Energy which directs the user not to exceed 2 bottles per day, 6-Hour Power Shot only cautions not to exceed 1 shot every six hours -- which means taking as much as four bottles per day. Be aware that taking 3 or 4 bottles of 6-Hour Power can result in exceeding the Upper Tolerable Intake Levels for several B vitamins (niacin, vitamin B-6, and folic acid), creating a risk of toxicity. Intake exceeding 1,000 mg of folic acid, for example, may increase the risk of precancerous tumors becoming malignant: If 6-Hour Power contained the amount of folic acid that it claimed, 3 to 4 bottles would provide 1,200 mg to 1,600 mg of folic acid, exceeding the ULs. It would be prudent to limit intake of 6-Hour Power to under 2.5 bottles per day. B Complexes:?Supplements containing more than one B vitamin are widely sold. However, two common reasons for buying these complexes are not well supported by scientific evidence.

Our Recommendations:

   AVOID! AVOID AVOID!
   Try to avoid taking too much of any B vitamin. Check the ULs listed above and, if you need to take a product with vitamins exceeding the ULs, do so under a physician's supervision and with awareness of potential side effects. For example, a recent large study of diabetes patients with advanced nephropathy (kidney disease) given high-dose B vitamins (folic acid - 2.5 mg, B-6 - 25 mg, and B-12 - 1 mg daily) showed a worsening of kidney function and doubling of the risk of myocardial infarction (MI), stroke, and death in the B-vitamin group compared to the placebo group. The study was designed with the expectation that the vitamins would have the opposite effect because of the ability of B vitamins to lower homocysteine levels, which did decrease. (House, JAMA 2010)
  Be aware that certain B vitamins can interact with other drugs and supplements as noted above.

www.kaizentotalwellness.com / www.drmishner.com

 

 

Colored Contact Lenses Give 14 Year Old Corneal Transplant

 


A 14 year old girl may need a corneal transplant after buying and wearing $20 colored contact lens.

 

Federal law prohibits the sale of contacts without a prescription. However beauty shops and street vendors sell them to customers very inexpensively for cosmetic purposes.

So, what does this have to do with Kaizen Total Wellness and our adult patients?

Beware what you buy without FDA approval-from supplements to vitamins, even internet prescriptions.


www.kaizentotalwellness.com / www.drmishner.com

 

 

BEETS have more benefits than you think....

Beet roots and greens are loaded with healthy nutrients.  To prepare greens, steam and flavor them as you would any greens such as turnip or collard greens.  For the beet root, I recommend grating them raw onto salads, or, wrapping in foil and roasting in a 400' oven for about an hour, until a knife slides in easily.  There are many ways to enjoy beets hot or cold. The beet root is a good source of manganese, folic acid, potassium, phosporous, magnesium, iron and Vitamin B6.  Betacyanin is what gives beet roots their rich purple-crimson color and studies show this has cancer-fighting qualtities.  Raw or cooked, beet roots are a great source of fiber.

Selenium can prevent cancer? Get the facts!

 

 


At Kaizen Total Wellness, in addition to teaching health, wellness and fitness, we also like our patients to understand the supplement scam that they are exposed to. Here’s another article doubting the anti-cancer benefits of selenium. For years, it was thought that this anti-oxidant would prevent cancer, but there is no proof. Since it is considered a food supplement, it is not required to pass any clinical trials. Anytime you buy a supplement, it you look at the fine print, you will see a legal disclaimer stating that the product is considered a food supplement and it not intended to treat or prevent ANY diseases. I wonder why.

At Kaizen, we feel that we can be objective when it comes to vitamins and supplements because we do not sell any products. Save your money and eat more fruits, veggies and multi-grains!

 

NEW YORK (Reuters Health) - There is no convincing evidence that taking high doses of selenium -- a popular dietary supplement -- can prevent cancer, according to a new review.

Selenium is a mineral that is essential for humans, and is also present in soil and rocks.

While daily selenium recommendations from the United States and World Health Organization vary between 30 and 55 micrograms per day for adults, the authors note, companies that sell the supplements claim that higher doses have a range of health benefits, including cancer prevention.

However, "we still do not have an exact picture of what selenium is doing to human health," Dr. Marco Vinceti, one of the authors of the new review from the University of Modena and Reggio Emilia inItaly, told Reuters Health.

To try to get a better focus on that picture for cancer in particular, Vinceti and his colleagues analyzed 55 studies on the link between selenium and different types of cancer.

Most of those were so-called "observational studies" -- scientists measured how much selenium people ate every day or how much they had in their blood or toenails, then tracked who got cancer over the next few years.

The remaining 6 studies were done through more rigorous trials, in which researchers randomly divided participants into one group that took selenium supplements for a month or more, and another that took a drug-free placebo pill or nothing -- then followed them for cancer. These kinds of studies are thought to be better at accounting for outside factors that may affect cancer risk.

The observational studies suggested that talking selenium may be linked to a slightly lower risk of cancer -- more so in men than women.

But in the randomized trials, people assigned to take selenium at doses at least four times higher than the daily recommendation were not less likely to get cancer -- prostate cancer and skin cancer, in particular -- than those not taking selenium.

And some of those trials raised the question of whether high doses of selenium might be dangerous, such as by increasing the risk of diabetes.

The review is published in the Cochrane Library, a publication of the Cochrane Collaboration, an international organization that evaluates medical research.

"If you put it all together, it's not a good story for patients," Dr. Neil Fleshner, a researcher at University Health Network in Toronto who has studied the effect of selenium on prostate cancer risk, told Reuters Health.

He said it's still possible that selenium may help prevent cancer over a very long time period, or that certain kinds of selenium might work while others don't. But right now, "there's no good evidence at all that selenium is beneficial," said Fleshner, who was not involved in the review.


 

Don't Overlook Pistachios & Brazil Nuts

Nutritional benefits of almonds and walnuts are more commonly known, but other nuts can provide a healthy variety for recipe ingredients or snacks as long as you are getting raw or roasted, not salted or sweetened.   Pistachios are rich in lutein, beta-carotene and vitamin E and can have cardiovascular benefits including lowering 'bad' LDL cholesterol.  Antioxidants found in pistachios (and many other foods) have been scientifically proven to help with a variety of health concerns including cancer prevention, improved immune function, healthier skin or reduced risk of heart disease.    Brazil nuts are an abundant food source of the antioxidant selenium.   A recent study showed that eating just one Brazil nut each day for 8 weeks significantly increased plasma selenium status as well as an increase in the enzyme glutathione peroxidase-1 which protects the body from oxidative damage. 

Why do we spend so much money on vitamins?

kaizenvitaminAccording to a recent report, with ConsumerLab.com a recent analysis evaluating the benefits of taking vitamins failed to show any reduced risk of dying.
 This was a study that followed 180,000 people over an 11 year period. To add insult to injury they also found defects in 30% of the multivitamins that they analyzed.
Our policy at Kaizen total Wellness is that multivitamins are useless unless you have a known vitamin deficit. There is no substitute for fruits, veggies and whole grains.
For more information please contact us. 

Health Claims May or May Not Be Valid

First there was the snake-oil salesman who found that by claiming his product cured numerous ailments more people were enticed to buy it, and pay a higher price as well.  Constantly traveling from town to town served him well because people eventually discovered his boasts and 'guarantees' were false.  Today we are aware and against any false advertising and there are many laws and regulations, especially for things we consume such as vitamins, supplements, medicine, alcohol, tobacco and food.  Currently there are several health claims which are approved for legal use in the U.S. as long as they meet FDA-established criteria.  You will recognize them because of course manufacturers use them in marketing.  These are some of the valid claims which show a tested and true relationship: Consumption of dietary (non-sugar) sweeteners and reduced risk of dental caries; Diets rich in whole grain foods and reduced risk of heat disease and certain cancers; Consumption of soluble fiber from certain foods and reduced risk of coronary heart disease; Diets low in sodium and reduced risk of hypertension; Diets low in total fat and reduced risk of cancer; Diets with enough calcium and reduced risk of osteoporosis in certain populations.   Do not assume that health claims you read are valid, check them out for yourself.  For complete information about claims and food labeling visit www.fda.gov/Food/GuidanceComplianceRegulatoryInformation

Healthy Substitutions are easier than you think

Healthy Substitutions was the nutrition topic discussed in Monday's Healthy Lifestyle class. The Kaizen approach is not about deprivation, it is about making choices that will help you get your optimum nutritional value out of each calorie.

Smart substitutions are ones that provide more 'good stuff' like fiber and vitamins and less 'bad stuff' like saturated fats and sugar. The smartest substitutions do this without making you feel you are missing out on anything, like flavor, texture, or sense of fullness.

Here are some of my favorite substitutions. Please share yours with me!   

 

  • For vegetable oil called for in a baking recipe, substitute the same amount of unsweetened apple sauce.
  • Instead of mayo, use guacamole (healthy, home-made) on a sandwich. 
  • Instead of grits with poached eggs, have half a piece of whole grain toast and ¼ cup black beans.
  • Rather than M & M’s, have a few Emerald's cocoa roasted or cinnamon almonds.
  • Instead of sugar for iced tea, use stevia and fresh mint leaves.
  • Rather than lettuce for sandwiches or salads, use raw spinach and/or arugula.
  • Use no-sodium chicken stock to make soup and spice it with pepper or cilantro.
  • For a change from broth soups, use unsweetened almond milk to make it ‘creamy’.
  • Instead of granola crumbles, add sliced almonds to yogurt or cereal.
  • Use cinnamon instead of brown sugar to top oatmeal.
  • Dip apple slices into natural peanut butter or almond butter, not caramel.
  • For 2/3 of the usual amount of lean ground beef when making meatballs or hamburgers, substitute ground turkey breast and rolled oats.
  • For the bread crumbs needed to make crab cakes or salmon cakes, substitute half the amount with whole grain bread crumbs or crushed original Fiber One cereal,  and half shredded raw zucchini.
  • Make a gallon of orange Crystal Lite to keep in the fridge instead of orange juice.
  • Instead of the usual cocktail, make a mixed drink with club soda, diet cranberry juice and lime wedge.
  • Cut an apple into small chunks, sprinkle with pumpkin pie spice and stevia then microwave 2 min. and ‘dessert’ is ready.
  • Marinate chicken in buttermilk instead of high-sodium marinades - very tenderizing! 
  • Instead of a butter or cream sauce for fish, make a mango salsa, Kaizen's recipe for Georgia Relish, or other interesting fat-free topping.
  • Use plain yogurt and a variety of seasonings instead of sour cream and salt to make dips.
  • Wrap your hors d'oeuvres like cantaloupe bites with smoked salmon instead of prosciutto.
  • Peel and core an apple, then cut across into ½ rings to use as a ‘bagel’ for lox and fat-free cream cheese.
  • Blend a smoothie with skim milk, vanilla whey protein powder, diet root beer and ice and you’ve got a ‘Root Beer Float’.

 

Almonds, Olive Oil, Leafy Veggies and Your Health

An almond-enriched diet improves LDL-Cholesterol and Insulin Sensitivity which are major risk factors for heart disease and type-2 diabetes.

Also olive oil and leafy vegetables have been shown to decrease heart disease in women by 40% according to a recent study that lasted 8 years.

 

   imgres-3 tumblr color   Kaizen Total Wellness • 11505 Palmbrush Trail Suite 220 • Lakewood Ranch, FL 34202 • 941.556.7788 

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