Take supplements? Then take action

I have mentioned before the potential disaster that could affect your ability to buy the vitamin and mineral supplements that you want for your health. There is great pressure from France and Germany to set very low levels on supplements and the UK will be forced into line if this goes through.

If you value your health, then first sign the petition at www.consumersforhealthchoice.com and then write a personal letter today to Jos Barroso, the president of the European Commission. Patrick Holford, Founder of the Institute for Optimum Nutrition, has drafted an outline letter you can use, and feel free to adapt it to suit yourself. If you don’t register your dissatisfaction then no excuses when you have to buy vitamin C in 25mg doses – it’s the same restriction put on aspirin that you have to look forward to.

Draft letter
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Jos Barroso
President of the European Commission
1049 Brussels
BELGIUM

[date]

Dear President Barroso

THE FOOD SUPPLEMENTS DIRECTIVE

Setting Maximum Levels for Vitamins & Minerals

I am most concerned about the EU proposals for dietary supplements, particularly vitamins and minerals that will be covered by the Foods Supplements Directive. My family and I are all users of dietary supplements to keep ourselves well and maintain good health; we have been watching the progress of the Food Supplements Directive with interest.

Currently we take [explain what supplements you take and why you do so - keep this list short and give examples of vitamins & minerals only]

I understand that key officials at the Health and Consumer Protection division have reached the final stages of the regulations – and that we can expect to be informed of their proposals for the setting of dose levels in a matter of weeks. We have heard conflicting stories about this – not least that the officials are under pressure from some Member State Governments, France and Germany have been mentioned, plus a number of lobbying organisations from mainland Europe to set very low, restrictive maximum dose levels.

I firmly believe that the only way forward is for decisions to be made on the basis of sound science only. It would be unthinkable to have low levels imposed – when millions of consumers like me and my family have been using the specialist higher safe doses for many years. There really is a wealth of scientific information available supporting the products as both safe and beneficial.

Like all sensible consumers, we want quality products, accurately labelled and properly certified as safe. But please don’t allow the levels to be set artificially low; please provide clear and accurate information and allow us to make own informed choices.

I appeal to you for help and a commonsense approach to this matter. Thank you.

I look forward to your reply.

Yours sincerely,

[insert your name and address]

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At current postage rates it will cost you between 1.52 for 100g letter by airmail. That small investment in maintaining personal choice doesn’t seem too much to me.

Successful dieting depends on vitamin D

The Endocrine Society reported at their AGM of 12 June that if you are planning on a low calorie diet to get in shape for those summer clothes then you need to have good levels of vitamin D in your body at the start if you want it to succeed.

The study was reported on from a study at the University of Minnesota and although we associate Vitamin D deficiency with obesity, it’s never been clear as to whether low levels of vitamin D causes obesity or the other way around. The study put their test subjects on a diet that provided 750 calories a day less than they actually felt they needed. Most of their people had low levels of vitamin D at the start, but surprisingly even low levels were able to predict how successful the diet would be. The more vitamin D in their blood, then the greater the weight loss – and vice versa.

Probably of more interest before you shimmy into that swimsuit is the fact that higher baseline levels of vitamin D levels also predicted there would be a greater loss of fat from the abdomen – the prime target for most dieters.

Just taking vitamin D as a supplement won’t help you lose weight on its own. Sadly the same advice applies as usual – eat less, exercise more and focus on healthy foods rather than saturated fats and alcohol. Liqueur chocolates are probably the worst combination, so wait until Christmas!

Do you need an alibi?

Not for anything criminal you understand, but in order to help you to better health? I wrote a couple of weeks ago about the importance of probiotics in helping our overall health, and the rise of a new focus on prebiotics that are designed to help your body’s natural defence system perform at its best. The newest way to take these is in a product called Alibi that you will find in the soft drinks section of your supermarket or health store and it works by combining a blend of 17 body cleansing ingredients including vitamins, amino acids and herbal extracts. The herbs include milk thistle, gingko, shchizandra and last weeks featured weed – dandelion! If you are tired of throwing down supplements, then Alibi looks and tastes like any other refreshing soft drink and you can get it in two flavours, though personally I prefer the pomegranate. It is claimed to help keep you healthy and has associated itself with a campaign, POM354, which persuades farmers in Afghanistan to replant opium poppy fields with pomegranates. So they shouldn’t run out of ingredients any time soon.

Alli – All it’s cracked up to be?

This is the time when the diet industry is maximising it’s advertising as we approach the season of maximum exposure. Great if you are body confident, but the statistics show that the vast majority of women are unhappy with their weight, so the advent of a new ‘miracle’ diet product is greeted with delight, but is it justified?

Alli is on sale at pharmacies like Boots and has been highly featured in magazines as a ‘miracle’ weight loss product, but it is a drug and ought to be treated with caution.

What and how

The pills contain Orlistat that has been used for years but only on prescription to treat obesity. It works by attaching itself to some of that fat in your food and blocking it from being broken down by your body’s natural enzymes. It then passes the fat through your digestive system, into your intestines and eventually out through your bowels. So most of the fat you eat isn’t being absorbed by the body, so those calories aren’t heading for your hips. So what’s the problem?

It won’t get rid of any fat you have already stored, just new intake, so you still have to go on a low calorie diet and these are linked to weight re-gain and unbalanced hormones. Also, these pills strongly suggest you seriously restrict the amount of fat intake you have, but when you block fat from being absorbed in the body, you are blocking the valuable nutrients that fat can provide. You will see those effects in the deteriorating condition of both your skin and hair.

If you go over the fat amount recommendations with Alli you get something called “Treatment Effects”. This has been reported by women as meaning that you will spend a lot of time in the loo as your body rushes to expel the fat straight out of your system, and it will be mostly liquid. Effects include leaking, wet gas, and diarrhoea, plus a sense of urgency you could probably live without.

Risk links you don’t need

The National Cancer Institute in the USA reports a study showing significant increase in the incidence of aberrant crypt foci that are widely believed to be a precursor of colon cancer. There also appears to be a link between Orlistat and breast cancer that the FDA reported as being a higher relative risk of between four and seven times than in women not taking Orlistat. There is also a risk of liver damage from the prescription strength version of Alli available in the USA called Xenical. This is currently under FDA investigation and lists hepatitis as one of the side effects.

There is no doubt that Alli is highly effective for some people, but like all supplements and drugs what suits one may not be ideal for someone else. Popping a pill to lose weight is not a healthy option, sadly the only effective way to diet is to eat less of healthy foods, reduce saturated fats, sugar and alcohol and exercise more. Now if I could get that into a pill I would probably make a fortune!

Folic acid can boost birth weight for healthier babies

I mentioned a few weeks ago the benefits of Omega-3 for premature babies and now there is further help to boost your baby’s birth weight by over 60 grams – and this is very good news for their long-term health. The British Journal of Nutrition has reported that supplementing the mother’s diet with of 400 micrograms of folic acid during the pregnancy is important for two reasons:

The prime reason is that babies with a low birth weight (defined as less than 5lb 8oz) have an increased risk of developing heart disease, diabetes, ADD and depression later in life and sadly their number is increasing. Secondly, being underweight indicates that they have not had their maximum growth potential in the womb as this is dependent on their receiving the correct balance of nutrients during the pregnancy and folic acid has an essential role to play in the normal production of protein, lipids and DNA. Taking the supplement while already pregnant was seen to result in a 40 per cent lower risk of having a child with low birth weight and in fact was even more marked in women having their second child as when they supplemented before conception they saw a 240g higher birth weight compared with first time mothers who didn’t take folic acid at all.

It is recommended in the UK that women take a 400 microgram folic acid supplement daily from the time of conception to the 12th week of pregnancy, in order to cut the rate of neural tube defects such as spina bifida. This is in addition to the 200 micrograms of folate that should be obtained from a healthy diet from sources like brown rice, broccoli, Brussels sprouts, asparagus, peas, and – interestingly – low calorie beer. Unfortunately, it seems that more than 90 per cent of women looking to start a family don’t have anywhere near this amount and so potentially are putting their children’s’ future health at risk.

Fight mood swings with fish oil

A recent report in the American Journal of Nutrition offers some hope for women – and those who have to live with them – who sufferfrom the hormonal havoc that can occur with PMS and in the time running up to the menopause. It’s not just the hormones of course, other stresses such as work and family life also add their load, plus the emotional challenge for many women of approaching the end of their childbearing years.

Other than hiding in a cupboard during the time when you want to lash out at everyone and everything and no sensible partner is insane enough to ask if you are alright without running the risk of a clip round the ear or a torrent of weeping. Now hope is at hand in the form of supplementing the diet with omega 3 oil.

Two groups of women took part in the eight week study; one being given 1.2 grams of omega-3 from fish oil and the others a placebo of sunflower oil. The group who had the placebo showed no improvement, but those taking omega-3 had definite improvements in their emotional state.

To supplement to the level of the trial you would need 1200mg a day of omega 3 and 1,050 mg of EPA. If you are not keen on taking supplements then you could increase the amount of oily fish in your diet such as salmon, sardines, mackerel, herring and anchovies. Or turn to that childhood staple of cod liver oil if you can stand the taste. It contains large amounts of EPA and DHA.

A word of caution, most people can take fish oil supplements safely, but if you are any form of anti-coagulant, such as Warfarin please speak to your doctor. Fish oil supplements can thin the blood so you must check whether they are suitable for you before embarking on adding them to your diet.

Gout in men helped by vitamin C

Crusty old colonels with their feet propped on a cushion and waving a glass of port is the popular stereotype of gout, but sadly the truth is far more common. Traditionally, gout has most commonly developed in middle aged and older people – mostly men – but the condition is now being seen in younger people and also more frequently in women. A recent report suggested that, in the UK, it had increased by about 17 percent between 2007 and 2008. The reasons for this increase are unclear but it may be linked with dietary change and obesity definitely seems to increase the risk of gout.

It’s caused by a build-up of uric acid in the blood which forms crystal deposits in and around the joints, a form of arthritis, which is what causes the pain and inflammation typical of the condition. However a new study in British Columbia, Vancouver, has some good news – at least for men. The researchers suggest that vitamin C might affect the reabsorption of uric acid by the kidneys, increase the speed at which the kidneys work, or protect against inflammation; all of which can reduce the risk of gout.

They examined the relationship between vitamin C intake and gout between 1986 and 2006 in 46,994 men and during 20 years of follow-up, 1,317 men developed gout. Compared with men who had a vitamin C intake of less than 250 milligrams per day, the relative risk of gout was 17 percent lower for those with a daily intake of 500 to 999 milligrams, 34 percent lower for those with an intake of 1,000 to 1,499 milligrams per day and 45 percent lower for those with an intake of 1,500 milligrams per day or higher. For every 500-milligram increase in their vitamin C intake, the men’s risk for gout appeared to decrease by 17 percent. Compared with men who did not take vitamin C supplements, those who took 1,000 to 1,499 supplemental milligrams per day had a 34 percent lower risk of gout and those who took 1,500 supplemental milligrams per day had a 45 percent lower risk. and vitamin C appears to reduce the levels of uric acid in the blood.

What all those boring statistics actually mean is that vitamin C definitely seems to lower a man’s risk of gout so it’s worth supplementing to a level of around 1000mg a day, best in two doses of 500mg if you have any history of gout in your family

Premature babies benefit from Omega 3

Having a premature baby can be a time of great worry, and although medical knowledge has hugely increased the survival rate, there are still potential health problems for such babies that can affect how they develop. The major concern is for their mental development as they may be slower than babies that go to full term, as well as not having fully developed lungs and digestive systems.

A clinical trial in Australia however offers a simple solution that could help, and although it has only been running for 18 months they are claiming interesting results. For adults, the benefits of omega-3 are well known but so far no one has thought to see if they could also help such young babies. The Australian study was published in the Journal of the American Medical Association (JAMA) and carried out at the Adelaide Women’s and Children’s Hospital.

They used normal omega-3 supplements from fish oil that you would buy in any health store and gave them to 272 nursing mothers of premature babies. They were trying to duplicate the amount of omega-3 that full-term babies usually receive in the womb during the third trimester of pregnancy and that premature babies miss out. They found that just 6 pills a day improved the cognitive ability of the babies when tested 18 months after birth.

Interestingly, the benefit seemed to apply solely to girls as the mothers of boys who took the supplements didn’t see any substantial difference. The doctors believe however that this is not due to a problem with the supplements but to the fact that boys generally develop slightly later than girls so a test over a longer period may show the same results. Differences are really going to persist.

BUT please don’t think that getting your omega-3’s naturally from fish and seafood during pregnancy is a precautionary measure as most doctors advise pregnant women to avoid these foods. However, it certainly couldn’t hurt to take the supplements and if it doesn’t improve the baby’s health it will certainly help the mother’s.

Calcium and decreased digestive cancer risks

Women who have a higher calcium intake than the average may be reducing their risk of colorectal and other digestive cancers. A seven year review of a large clinical database in the US by the National Cancer Institute has made this link and its findings also apply to men, but not in such a significant way as for women.

The total cancer risk decreased in women as their calcium intake increased, but that was not the case in men who got no overall benefit. For digestive cancers – particularly colon cancer – the increased calcium seemed to protect both men and women equally.

The recommended daily amount of calcium for adults over the age of 50 is 1,200 mg in order to protect bone health and a recent addition in the USA has been a guideline to add three cups of fat-free or low-fat dairy products to the daily diet. The benefit appears to be the same whether the calcium is from food or from supplements.

How vitamins can help stroke patients

Taking vitamin supplements is an area fraught with controversy. In the red corner are the true believers who think it can cure everything and in the blue corner the sceptics who won’t accept they do any good at all. As ever, I like the balanced view and personally have found supplements very helpful for some things and not much use for others though in general I am more in favour than not.

The following report though gives me hope that the sceptics might see a chink of light as it was carried out in a bona fide hospital by properly qualifed doctors. In fact it was tested at the Burke Rehabilitation Hospital for stroke victims at Cornell University in the USA. One of the features of hospital stroke patients is that they are often undernourished and have lost weight and the researchers took 100 people who ‘qualified’ and gave half the standard hospital regime for stroke patients but included a multivitamin and mineral supplement and a drink that which would give them calories, protein and 36 mg of vitamin C which they were given every eight hours. The other half of the group got the same, but with double the quantities, and an increased amount of vitamin C – 90mg.

When the patients were studied, the group that had the higher levels of vitamins and minerals were found to have a much better rate of improvement, so that more of them were able to go home after their hospital stay, rather than being moved to a nursing home for more care. The use of supplements for stroke patients is not new, in fact previous researchers have focused on the role of the B vitamins for reducing the risk of strokes by up to 20 percent in those with a genetic predisposition, or who are deemed to be vulnerable.

If this is you, or someone you know then I would first consult a qualified nutritionist who will be able to advise on the dosages required, though the levels of vitamin C in the trial seem woefully to me. Dr Linus Pauling, the Nobel prize winner who pioneered the use of vitamin C for many conditions advocated a minimum of 500 mg a day for healthy people and much higher doses when dealing with chronic illness. Vitamin C is not stored in the body, and is immediately excreted if not used. Increasing the levels needs to be done slowly and with full body awareness as we all have a different tolerance level. Signs that your body has had enough, or that you need to go more slowly are either a tingling sensation on the tongue, or a loosening of the bowels. In either case, cut back your dose and only gradually increase again when things have settled down.

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