Beruflich Dokumente
Kultur Dokumente
Dietar y Supplements
Majority
of
adults
in
US
take
1+
dietary
supplement
either
every
day
or
occasionally
May
include
vitamins,
minerals,
herbals,
botanicals,
amino
acids,
enzymes,
others
Can
be
in
tablet,
capsule,
powder,
drink,
energy
bar
forms
Na#onal
Ins#tutes
of
Health,
Oce
of
Dietary
Supplements,
Dietary
Supplements:
What
You
Need
to
Know,
2011
Supplement Sales
Dietary
supplement
sales
in
the
US
are
$22.5
billion
per
year
(2006)
Source: Natural Products Founda#ons Dietary Supplement Informa#on Bureau, 2009. Image: Jose Paolo S. Borromeo
European Union
EU
Food
Supplements
DirecMve
of
2002
Establishes
purity
criteria
Must
be
proven
safe
before
sale
Must
be
labeled
this
is
not
a
medicinal
product
if
similar
to
medicinal
product
United States
Dietary
Supplement
Health
and
EducaMon
Act
of
1994
(DSHEA)
Includes
vitamins,
minerals,
herbs,
botanicals
(except
tobacco),
amino
acid
or
combinaMon
of
any
of
these
used
to
supplement
the
diet
Regulated
as
a
category
of
foods,
not
drugs
Dont
have
to
prove
ecacy
or
safety
before
sale
FDA
regulates
aYerwards
if
safety
issues
arise
Enforcement
is
spoZy,
industry
largely
unregulated
Quality
Quality
standards
exist
although
may
be
quesMonably
reinforced
IdenMty,
purity,
strength,
composiMon
Independent,
extra-governmental
organizaMons
may
add
addiMonal
quality
tesMng:
U.S.
Pharmacopeia,
ConsumerLab,
NSF
InternaMonal
Concer ns
May
contain
trace
amounts
of
lead
and
other
contaminants
May
displace
income
that
could
otherwise
be
used
for
Rx
drugs
and
healthy
foods
Users
do
not
always
disclose
to
pracMMoners;
pracMMoners
do
not
always
ask
about
supps
Herbals
can
contain
dozens
of
compounds
and
acMve
ingredients
may
not
be
known
Supplement Savvy
Natural
means
nothing
High-potency,
pharmacy-grade,
prescripMon-strength
Self-diagnosing
is
harmful
More
expensive
supplements
beZer
quality
Some
may
interact
with
prescripMon
and
over-the-counter
medicaMons
Contraindications
Vitamin
K
can
reduce
ability
of
blood
thinner
Coumadin
to
prevent
blood
from
clofng
St.
Johns
wort
can
expedite
breakdown
of
many
drugs
including
oral
contracepMves
and
anMdepressants
and
reduce
eecMveness
AnMoxidants
such
as
vitamins
C
and
E
may
reduce
eecMveness
of
certain
chemo
therapies
Na#onal
Ins#tutes
of
Health,
Oce
of
Dietary
Supplements,
Dietary
Supplements:
What
You
Need
to
Know,
2011
No UL for: thiamin, riboflavin, pantothenic acid, biotin, vitamin B12, vitamin K, chromium or carotenoids
Pregnant women 400 mcg folic acid from forMed foods or supplements; prenatal vitamins Older adults Darker skin CigareZe smokers Alcohol abusers MedicaMon Vitamin B12 (gastriMs, decreased IF producMon), calcium and vitamin D Vitamin D Vitamin C helps prevent cigareZe smoke-induced oxidaMve damage B vitamins alcohol inhibits B vitamin absorpMon and metabolism Many medicaMons may interfere with normal vitamin/mineral metabolism
In Summar y
Just
because
you
dont
need
a
prescripMon
doesnt
mean
a
supplement
is
harmless
Dont
waste
Mme
and
money
on
supplements
if
you
dont
need
to
Changing
diet
and
exercise
paZerns
IS
harder
than
popping
a
supplement
pill
Most
individuals
can
obtain
all
nutrients
from
foods
alone
When
supplements
are
indicated,
they
should
be
taken
with
cauMon
and
under
the
supervision
of
a
qualied
medical
professional