Am I Missing Something

Am I getting the nutrition I need, or am I missing something? It’s a question often asked by those with food intolerance and allergies. It’s also a question parents ask themselves when the kids will only eat mac & cheese and pizza.

An easy way to temper these concerns is to add supplements to our diet. On any given day, roughly half of us make this choice. Some do it with the intent of filling in dietary gaps for overall health. Others desire to prevent diseases like heart disease, osteoporosis, and cancer.

Are supplements the easy answer? I guess the answer to that is yes. Maybe a better question is whether they will accomplish what we intend.

After her Dr. Pepper phase, my mother began her day with somewhere between 15 and 20 pills – all supplements. After that, she drank a cup of hot water. Later, she might have buttered noodles, a lettuce salad topped with lemon juice, toast, and sometimes chili or pickled beets. When she continued to lose weight she couldn’t afford to lose, she began making drinks filled with protein powder.

Her diet leaned heavily on supplements to provide needed nutrition because her food intake was limited in both variety and volume. While she believed strongly in her decisions, supplements were not sufficient to support an optimum state of health.

A review of research suggests her experience is not unique. Supplements may not be as effective as we hope for preventing cancer and cardio-vascular events. And while supplementation of calcium and vitamin D can be helpful in preventing fractures to a point, in excess it can lead to harm.

So maybe the easy solution isn’t all that easy. To get the optimum benefits, you’ll need to carefully study the contents and contraindications of each supplement. Because the FDA doesn’t not have authority to review dietary supplements, this may mean you’ll have to contact manufacturers directly.

It will be prudent to read research on the interaction of dietary supplements and any prescription drugs you may take. And it will be beneficial to be up-to-date on research showing the effectiveness of supplements in many areas.

For those of us who are generally healthy but rely primarily on processed or restaurant food, it may prove to be less time consuming to make dietary changes rather than research supplements. Even if you don’t have lots of time to cook, incorporating more raw fruits and vegetables can improve vitamin and mineral intake. Choosing farm to table restaurants (make sure they are as advertised) can also improve the nutrient quality of your diet without requiring prep time.

If you are eating gluten-free, you may miss out on the vitamins and minerals used to fortify white flour products. But if you are consuming a wide variety of meat, poultry, fish, dairy, fruits, vegetables, nuts, seeds, and allowed whole grains regularly, you may not be missing any necessary nutrients.

For those whose doctors recommend supplements, don’t be afraid to ask questions to make sure you understand why and what benefits you can expect. If you are willing to make them, feel free to ask whether dietary changes could accomplish the same result. Working with your doctor, you can be an active participant in your own health plan.

When it comes to nutrition, we all want to make sure we get what our bodies require to be healthy. Dietary supplements are a tool you may or may not need. And they may or may not be effective in prevention or improvement of the condition you hope to prevent or improve.

Dietary supplements may look like the easy answer to the question, am I missing something? But when it comes to diet and health, it’s complicated.

Pharmaceuticals Are Drugs. Over-the-Counter Medicines are Drugs. Supplements Are Drugs. Period.

pretty pillsPharmaceuticals are drugs. Over-the-counter medicines are drugs. Supplements are drugs. Period. But sometimes we don’t really act that way.
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We take supplements along with prescription drugs without ever checking to see if there can be a bad interaction between the two. We don’t research the company that manufactures our supplements to see if they’re reputable even though we know the supplements are not regulated by the FDA. We pop Tylenol after a late night of drinking with no consideration of the consequences to our liver. We tell our children not to use marijuana, heroin, meth, ecstasy, or bath salts, but encourage them to take Adderall, Dexedrine, Xanax, Prozac, Paxil, Lexapro, Luvox, Celexa, Zoloft, Lorcet, Lortab, Norco, Dilaudid, OxyContin, Oxyfast, and Percocet without always exploring non-drug treatment options.

It’s like we have collectively lost our healthy respect for the power of these substances and their possible detrimental side effects or perhaps it’s overshadowed by our collective expectation of a quick resolution to all of our immediate problems. Whatever this attitude shift is, it’s affecting our health and our society. The CDC reports that since 1999, the amount of pain reported by Americans has stayed about the same, but the amount of prescription pain relievers prescribed and sold has more than quadrupled (1).

I have noticed a change in the way my doctors and dentists approach treatment and the use of medication. When I had all of my wisdom teeth out a few years ago and was visibly bruised down to the base of my neck, I was prescribed two days worth of codeine. More recently, I was prescribed a week’s worth of hydrocodone following the removal of a single root from one tooth in a 15 minute procedure. I filled the prescription on the way home assuming I’d be in severe pain when the deadening wore off. Interestingly, my pain was hardly noticeable and only required one day’s worth of Extra Strength Tylenol. My family physician now uses a medicate-and-see mode for diagnosis rather than the remove-all-medications-and-see-what-happens approach to diagnosis that I experienced at the Ochsner Clinic in 1989 when I had psittacosis.

I have a friend who calls her doctor for Vicodin whenever her life gets stressful, another who calls her gynecologist for Valium when she needs to take the edge off, and several who swear by their longstanding prescriptions for Xanax. All of them are well supplied and none of them are in therapy. None of them think this odd.
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This sort of matter-of-fact incorporation of highly addictive substances into our everyday lives without examination is leading to alarming trends. According to the CDC, 44 people per day die in the US from prescription drug overdose(2), and some users turn to heroin as a less expensive alternative. The number of chronic heroin users in the US in 2014 was reported by Forbes as being estimated at approximately 1.5 million.

While many of us have no experience with addiction, we all know that pharmaceuticals have side effects. Many times it takes years on the market and numerous injuries before a drug is deemed unsafe or prescriptions for it are limited. Perhaps it’s best not to treat drugs casually at all.

I’m not saying we should avoid doctors, their advice, or all medications or supplements. It just seems that now is a good time to get curious about everything we choose to ingest. It’s easier than ever to access information, so why not learn as much as we can about medication, supplements, and food so that we can make informed choices?

Where should the research begin? You can start with anything. Pharmaceuticals are drugs. Over-the-counter medicines are drugs. Supplements are drugs. All of these substances deserve research. Responsibility for our health and the quality of our lives falls appropriately on our shoulders.

When we fail to get informed, we relinquish some of the power we have over our own destiny. Hopefully, when we make that choice it is deliberate rather than by default. Otherwise, we will feel diminished by the process rather than empowered by our choice. My wish is for all of us to choose well and feel powerful.

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1)http://www.cdc.gov/drugoverdose/
2)http://www.cdc.gov/drugoverdose/epidemic/index.html
3)http://www.forbes.com/sites/jacobsullum/2014/03/10/how-many-daily-heroin-users-are-there-in-the-u-s-somewhere-between-60000-and-1-million-maybe/

Disclosure of Material Connection: I have not received any compensation for writing this post. I have no material connection to the brands, products, or services that I have mentioned. I am disclosing this in accordance with the Federal Trade Commission’s 16 CFR, Part 255: “Guides Concerning the Use of Endorsements and Testimonials in Advertising.”