In 2006 the National Institutes of Health in their State-of-the-Science Statement concluded that, "the present evidence is insufficient to recommend either for or against the use of MVMs (multivitamins) by the American public to prevent chronic disease."
If you think you should be taking a multivitamin because of what you eat, the most obvious solution is eat a more balanced diet. But if you still want to take a pill to make up for any deficiencies, you should at least be educated about what to look for.
Start by eliminating things that have no benefit. Dozens of companies add ingredients that haven't been shown to help in supplement form. That includes boron, biotin, chloride, iodine, manganese, molybdenum, nickel, panthothenic acid, phosphorus, potassium, silicon, tin and vanadium. You get more than enough of all these from a regular diet. Don't bother with brands pushing any of them.
Avoid pills with megadoses of anything. Many sports supplements pack in ridiculous amounts of the B vitamins. Unfortunately little more than 50 mg a day of B-3 (niacin) can cause a "niacin flush" and more than 3,000 mg a day may lead to liver damage. Take more than 100 mg daily of B-6 and you could experience neurological damage.
Skip the high doses of vitamin C too, there's no evidence it helps prevent colds or wards off other illnesses, despite more than 30 years of research. The United States Recommended Daily Amount (USRDA) is 60 mg. Any more than 250 to 500 mg and your body tissues become saturated. At doses of 1,000 mg or more and the only thing you have to look forward to is possible diarrhea.
The suggested amount of vitamin A people should take has dropped in the last couple of years. The old value was 5,000 IU but current research puts the number at no more than 3,000 IU daily. Take too much and you increase your risk of hip fractures and liver abnormalities. Very high doses of 33,000 IU and up might increase the risk of lung cancer in smokers.
Calcium is a mixed bag. It can help prevent colon cancer and reduces the risk of osteoporosis. Up to age 50 a reasonable amount is 1,000 mg a day and around 1,200 mg daily if you're older than that. However, if you're a man, don't take more than 200 mg from pills. Men who take in 1,500 mg or more daily may be at increased risk of prostate cancer.
One more suggestion. Don't purchase pills from people that you pay for advice. That's a conflict of interest.
When you go to a doctor or health care advisor, you're paying for a medical opinion. If that same person then tries to sell you vitamins or supplements, they're no longer looking after your best interests. What you've just done is pay for someone to give you a sales job. Don't buy it.
My grandfather used to tell me, "When all you have is a hammer, everything looks like a nail." The same can be said for people selling you vitamins. They have one solution for whatever problems you may have. There's no objectivity.
Get your advice and your products from separate sources.
For complete details on safe levels of all the major vitamins and minerals, click on the chart at the top of this page. Print it out and use it to make an informed decision the next time you're shopping for or comparing multivitamins.
Want to know more about what individual vitamins and minerals do? Click Here to read our overview on all the major vitamins and minerals.
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CAUTION: Check with your doctor before beginning any diet or exercise program.
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