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Do You Need Supplements? An Evidence-Based Discussion - Part I


Do You Need Supplements? An Evidence-Based Discussion - Part I

 

Think you don’t need supplements?

Think again!

You may want to reconsider your thoughts about supplements to improve your health and well-being since your body requires a certain amount of each of the essential nutrients daily to function optimally!

  • Without folate, you would not be able to produce serotonin and melatonin1,2

  • Without magnesium, you would not be able to generate the cellular energy required for your heart to beat3

  • Without Vitamin C, you would not be able to produce collagen, which is necessary for healthy skin, bones, and joints4

Ideally, you would get these nutrients from the food you eat each day, but the research definitively shows most Americans are not eating in a way that provides enough nutrients. According to a study published in June 2020, a significant number of Americans do not meet the daily intake recommendations for micronutrients essential for the optimal function of the immune system. Specifically, 45% of adults over 19 years of age in the US consumed an inadequate amount of vitamin A, 46% did not consume enough vitamin C, 95% consumed insufficient vitamin D, 84% did not meet the daily estimated average requirement of vitamin E, and 15% had insufficient intake of zinc. There is also a smaller prevalence of inadequacy in other essential immune nutrients, such as 11% for Vitamin B6, 12% for folate, 6% for copper, and 5% for iron.5

There are many reasons why Americans might not consume enough nutrients in their diets, including:

Modern Agriculture and Food Processing Methods – 

  • Modern farming techniques can lead to a phenomenon known as “soil depletion.” If crops are not rotated properly, and if nutrients are not replenished after every harvest, the nutrients in the soil will become depleted. Fertilizers by themselves are often not enough, and research has determined the nutrient content of food grown today is much lower than the nutrient content of food that was grown decades ago.6,7

  • Hybrid crops can lower the nutrient density of crops because they yield more food per acre.8

  • Pesticides and herbicides may damage soil microorganisms, which are needed to make minerals and other nutrients available to plants.9 Also, exposure to pesticides and herbicides may cause our bodies to require extra nutrients to process and eliminate them.10

  • Long-distance transportation of many foods diminishes their nutrition because there could be weeks between the harvest and consumption. Nutrient levels naturally begin to decrease just after harvest.11

  • Food processing and refinement drastically reduce nutrient content.12 For example, refining certain grains, such as corn, may remove over 50% of essential nutrients including magnesium, zinc, and chromium.13

  • Food additives, such as artificial flavors, colors, stabilizers, and preservatives can further deplete nutrients and nutrient absorption.14

  • Even modern water is unwholesome and depleted of minerals! Humans have always relied on nutrient-rich water to get the essential minerals our bodies need, but modern-day processing and filtration of water remove many nutrients, especially in North America.15

Dietary Restrictions – 

  • Many individuals are on special diets that restrict the intake of certain food groups. For example, those on a vegetarian or vegan diet might need to supplement with zinc, iron, B-12, iodine, amino acids, and other nutrients.16,17

  • Individuals, especially children, who are allergic or sensitive to certain foods such as dairy might need to supplement with calcium, magnesium, Vitamin D, and other nutrients.17

  • A gluten-free or grain-free diet can lead to nutrient deficiencies since grains are excellent sources of B vitamins, zinc, and magnesium.18

Unhealthy eating habits – 

  • Those who consume the “Standard American Diet (SAD)” often choose processed and fast foods with minimal nutrient content.19

  • Individuals with an eating disorder or a low appetite might not consume enough food to ensure adequate nutrient intake.20

  • Busy people who eat their meals and snacks while “on the go” often choose unhealthy processed foods, and eating on the go could impair the optimal digestion and absorption of nutrients.21

  • Ideally, we would eat the rainbow by seeking out white, red, orange, yellow, green, blue, and purple fruits and vegetables daily. Picky eaters and many others are unlikely to choose a colorful variety of nutrient-dense foods.22

You are in a life stage that requires extra nutrients –

  • Individuals over the age of 50 have an increased need for calcium, Vitamin D, potassium, and other nutrients.23

  • Pregnant and lactating women tend to have higher nutrient needs and could benefit from taking Vitamin D, iron, folate, and other nutrients.24

  • Growing infants, toddlers, children, and adolescents must consume adequate nutrients for optimal growth and development.25

You have a health condition –

  • Those who have had bariatric surgery will likely require life-long nutrient support and guidance.24

  • Celiac disease, inflammatory bowel disease, and other conditions can lead to nutrient malabsorption.18,26

  • Individuals with pernicious anemia are unable to absorb Vitamin B-12 and require B-12 from sources other than foods.27

  • Many pharmaceutical medications affect nutrient status. For example, those taking metformin require extra Vitamin B-12. Those taking statins may require extra CoQ10. Women on birth control likely need to take B Vitamins and other nutrients.28

Lifestyle factors could contribute to nutrient depletion and increase the need for certain nutrients, for example:

  • People who use sunscreen or have limited sun exposure might need to supplement with Vitamin D.29

  • Smoking increases the need for antioxidants.30

  • Alcohol intake increases the need for B Vitamins and many other nutrients.31

  • Intense physical exercise increases the need for vitamins, minerals, antioxidants, and amino acids.32,33

  • Sweating due to sauna or other factors increases the need for trace minerals.34,35

  • Exposure to air pollution, unfiltered water, some work environments, and other toxic or potentially toxic substances increases the need for many nutrients.36

  • Drinking significant amounts of coffee and tea with high tannin levels may increase the need for iron, calcium, magnesium, and other minerals because tannins can block the absorption of the minerals. The diuretic effect of caffeine can also deplete nutrients.37,38

  • Chronic stress may increase the need for magnesium, B vitamins, and many other nutrients while also diminishing digestion and nutrient absorption.39

While vitamins, minerals, and other nutrients are essential, it is possible to take too much and cause harm. Always follow the dosing guideline on the label of a supplement and consult a qualified health professional first to avoid any drug-nutrient conflicts. It is best to avoid supplements with added excipients such as sweeteners, preservatives, artificial colors, artificial flavors, binders, and fillers. Also, children should only take supplement formulas designed for their age and needs unless prescribed by a physician or other licensed healthcare professional.

In conclusion, even a “nutrient-dense and balanced” diet might not be enough to meet all nutrient requirements each day due to soil depletion and the many other factors discussed above. In the modern rushed world, taking supplements is an essential step towards achieving optimal wellness.

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DO YOU NEED SUPPLEMENTS? AN EVIDENCE-BASED DISCUSSION – pART ii

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References:

  1. Fournier I, Ploye F, Cottet-Emard JM, et al. Folate deficiency alters melatonin secretion in rats. J Nutr. 2002 Sep;132(9):2781-4. doi: 10.1093/jn/132.9.2781

  2. Delport D, Schoeman R, van der Merwe N, et al. Significance of dietary folate intake, homocysteine levels and MTHFR 677 C>T genotyping in South African patients diagnosed with depression: test development for clinical application. Metab Brain Dis. 2014 Jun;29(2):377-84. doi: 10.1007/s11011-014-9506-7

  3. Fazekas T, Scherlag BJ, Vos M, et al. Magnesium and the heart: antiarrhythmic therapy with magnesium. Clin Cardiol. 1993 Nov;16(11):768-74. doi: 10.1002/clc.4960161105.

  4. Oakes B, Bolia IK, Weber AE, et al. Vitamin C in orthopedic practices: Current concepts, novel ideas, and future perspectives. J Orthop Res. 2021 Apr;39(4):698-706. doi: 10.1002/jor.24947

  5. Reider CA, Chung RY, Devarshi PP, et al. Inadequacy of Immune Health Nutrients: Intakes in US Adults, the 2005-2016 NHANES. Nutrients. 2020;12(6):1735. Published 2020 Jun 10. doi:10.3390/nu12061735

  6. Kemper KJ, Lal R. Pay dirt! human health depends on soil health. Complement Ther Med. 2017 Jun;32:A1-A2. doi: 10.1016/j.ctim.2017.04.005

  7. Davis DR, Epp MD, Riordan HD. Changes in USDA food composition data for 43 garden crops, 1950 to 1999. J Am Coll Nutr. 2004 Dec;23(6):669-82. doi: 10.1080/07315724.2004.10719409

  8. Davis, Donald. Declining Fruit and Vegetable Nutrient Composition: What Is the Evidence? HortScience. 2009 Feb;44(1):15-19. doi: 10.21273/HORTSCI.44.1.15

  9. Abdul Rahman NSN, Abdul Hamid NW, Nadarajah K. Effects of Abiotic Stress on Soil Microbiome. Int J Mol Sci. 2021;22(16):9036. Published 2021 Aug 21. doi:10.3390/ijms22169036

  10. Casida JE. Pesticide Interactions: Mechanisms, Benefits, and Risks. J Agric Food Chem. 2017 Jun 14;65(23):4553-4561. doi: 10.1021/acs.jafc.7b01813

  11. Managa MG, Tinyani PP, Senyolo GM, et al. Impact of transportation, storage, and retail shelf conditions on lettuce quality and phytonutrients losses in the supply chain. Food Sci Nutr. 2018;6(6):1527-1536. doi:10.1002/fsn3.685

  12. Matos RA, Adams M, Sabaté J. Review: The Consumption of Ultra-Processed Foods and Non-communicable Diseases in Latin America. Front Nutr. 2021 Mar 24;8:622714. doi: 10.3389/fnut.2021.622714

  13. Gwirtz JA, Garcia-Casal MN. Processing maize flour and corn meal food products. Ann N Y Acad Sci. 2014;1312(1):66-75. doi:10.1111/nyas.12299

  14. Holder MK, Chassaing B. Impact of food additives on the gut-brain axis. Physiol Behav. 2018 Aug 1;192:173-176. doi: 10.1016/j.physbeh.2018.02.025

  15. Azoulay A, Garzon P, Eisenberg MJ. Comparison of the mineral content of tap water and bottled waters. J Gen Intern Med. 2001;16(3):168-175. doi:10.1111/j.1525-1497.2001.04189.x

  16. Sakkas H, Bozidis P, Touzios C, et al. Nutritional Status and the Influence of the Vegan Diet on the Gut Microbiota and Human Health. Medicina (Kaunas). 2020;56(2):88. Published 2020 Feb 22. doi:10.3390/medicina56020088

  17. Protudjer JLP, Mikkelsen A. Veganism and paediatric food allergy: two increasingly prevalent dietary issues that are challenging when co-occurring. BMC Pediatr. 2020;20(1):341. Published 2020 Jul 10. doi:10.1186/s12887-020-02236-0

  18. Vici G, Belli L, Biondi M, et al. Gluten free diet and nutrient deficiencies: A review. Clin Nutr. 2016 Dec;35(6):1236-1241. doi: 10.1016/j.clnu.2016.05.002

  19. Martínez Steele E, Popkin BM, Swinburn B, et al. The share of ultra-processed foods and the overall nutritional quality of diets in the US: evidence from a nationally representative cross-sectional study. Popul Health Metr. 2017;15(1):6. Published 2017 Feb 14. doi:10.1186/s12963-017-0119-3

  20. Setnick J. Micronutrient deficiencies and supplementation in anorexia and bulimia nervosa: a review of literature. Nutr Clin Pract. 2010 Apr;25(2):137-42. doi: 10.1177/0884533610361478

  21. Ziauddeen N, Page P, Penney TL, et al. Eating at food outlets and leisure places and "on the go" is associated with less-healthy food choices than eating at home and in school in children: cross-sectional data from the UK National Diet and Nutrition Survey Rolling Program (2008-2014). Am J Clin Nutr. 2018;107(6):992-1003. doi:10.1093/ajcn/nqy057

  22. Minich DM. A Review of the Science of Colorful, Plant-Based Food and Practical Strategies for "Eating the Rainbow" [published correction appears in J Nutr Metab. 2020 Nov 28;2020:5631762]. J Nutr Metab. 2019;2019:2125070. Published 2019 Jun 2. doi:10.1155/2019/2125070

  23. Center for Food Safety and Applied Nutrition. Using the nutrition facts label: For older adults. U.S. Food and Drug Administration. https://www.fda.gov/food/new-nutrition-facts-label/using-nutrition-facts-label-older-adults. Accessed January 5, 2022.

  24. Kominiarek MA, Rajan P. Nutrition Recommendations in Pregnancy and Lactation. Med Clin North Am. 2016;100(6):1199-1215. doi:10.1016/j.mcna.2016.06.004

  25. Faizan U, Rouster AS. Nutrition and Hydration Requirements In Children and Adults. [Updated 2021 Sep 2]. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2021. Available from: https://www.ncbi.nlm.nih.gov/books/NBK562207/

  26. Zuvarox T, Belletieri C. Malabsorption Syndromes. 2021 Jul 30. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2021. Available from: https://www.ncbi.nlm.nih.gov/books/NBK553106/

  27. Rodriguez NM, Shackelford K. Pernicious Anemia. 2021 Jul 7. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2021. Available from: https://www.ncbi.nlm.nih.gov/books/NBK540989/

  28. Cortney M. Mospan PD. Drug-induced nutrient depletions: What pharmacists need to know. U.S. Pharmacist – The Leading Journal in Pharmacy. https://www.uspharmacist.com/article/druginduced-nutrient-depletions-what-pharmacists-need-to-know. Published December 17, 2019. Accessed January 6, 2022.

  29. Passeron T, Bouillon R, Callender V, et al. Sunscreen photoprotection and vitamin D status. Br J Dermatol. 2019;181(5):916-931. doi:10.1111/bjd.17992

  30. Polidori MC, Mecocci P, Stahl W, et al. Cigarette smoking cessation increases plasma levels of several antioxidant micronutrients and improves resistance towards oxidative challenge. Br J Nutr. 2003 Jul;90(1):147-50. doi: 10.1079/bjn2003890

  31. Barve S, Chen SY, Kirpich I, et al. Development, Prevention, and Treatment of Alcohol-Induced Organ Injury: The Role of Nutrition. Alcohol Res. 2017;38(2):289-302.

  32. Manore MM. Effect of physical activity on thiamine, riboflavin, and vitamin B-6 requirements. Am J Clin Nutr. 2000 Aug;72(2 Suppl):598S-606S. doi: 10.1093/ajcn/72.2.598S

  33. Pendergast DR, Meksawan K, Limprasertkul A, et al. Influence of exercise on nutritional requirements. Eur J Appl Physiol. 2011 Mar;111(3):379-90. doi: 10.1007/s00421-010-1710-5

  34. Hoshi A, Watanabe H, Kobayashi M, et al. Concentrations of trace elements in sweat during sauna bathing. Tohoku J Exp Med. 2001 Nov;195(3):163-9. doi: 10.1620/tjem.195.163

  35. Baker LB, Wolfe AS. Physiological mechanisms determining eccrine sweat composition. Eur J Appl Physiol. 2020;120(4):719-752. doi:10.1007/s00421-020-04323-7

  36. Furst A. Can nutrition affect chemical toxicity? Int J Toxicol. 2002 Sep-Oct;21(5):419-24. doi: 10.1080/10915810290096649

  37. Wu G, Ashton J, Simic A, et al. Mineral availability is modified by tannin and phytate content in sorghum flaked breakfast cereals. Food Res Int. 2018 Jan;103:509-514. doi: 10.1016/j.foodres.2017.09.050

  38. Delimont NM, Haub MD, Lindshield BL. The Impact of Tannin Consumption on Iron Bioavailability and Status: A Narrative Review. Curr Dev Nutr. 2017;1(2):1-12. Published 2017 Jan 19. doi:10.3945/cdn.116.000042

  39. Lopresti AL. The Effects of Psychological and Environmental Stress on Micronutrient Concentrations in the Body: A Review of the Evidence. Adv Nutr. 2020;11(1):103-112. doi:10.1093/advances/nmz082


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