Nutritional Supplements - PowerPoint

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					Nutritional Supplements

 What to look for before buying
 Read and understand the label
 What form is the mineral in? Citrate,
  acetate, gluconate, oxide, etc
 Organic forms (citrates, acetates etc)
  generally better than inorganic forms
  (oxides, carbonates etc)
 How many capsules / tablets are there?
 What is the potency per tablet?
 What are the additional (non-active)
  ingredients?
Which is better value for money?


  ZINC CITRATE      15mg Zinc
                     as Citrate
      15mg
                     60 capsules
    100 capsules


     £4.99             £6.99
         Additional Ingredients
 Fillers, binders, lubricants, emulsifiers,
  preservatives, coating agents, anti-caking agents
  – eg, Lactose, sucrose, corn starch, sodium chloride, talc,
    soap, waxes, dicalcium phosphate, magnesium
    stearate, stearic acid, microcrystalline cellulose, etc
 Introduces undesirable substances into the body
 Can upset the mineral balance of the prescription
 May be difficult for the digestive system to break
  down and obtain the nutrients
 Capsules have less additional ingredients
 Capsules easier broken down by digestive system
         Beware of Marketing
 Marketing literature may not be written by
  qualified nutritionists
 Clever wording designed to sell / make profit
 Beware of vague wording such as “complex”
  “formula” or “blend”
 Patented products not necessarily effective
 Several companies may buy products from
  the same manufacturer and repackage
   Other Types of Supplements
Timed Release Supplements
• May be useful for water soluble vitamins
• Coatings may hinder absorption
• Generally more expensive and benefits not always clear

Food Form
• Mineral is delivered with natural co-factors to enhance absorption and utilisation
• Scientific evidence is lacking in this area
• No clear evidence that these can outperform citrates.

Chelated minerals
• Metallic minerals usually chelated with an amino acid
• Better absorbed within the body than inorganic minerals
• Scientific evidence comparing them to organic forms is lacking
Liquid Supplements
• Often low potency – poor value for money
• Likely to be destroyed by stomach acids
• May be beneficial to those who are unable to swallow tablets
            Independent testing
   Potency
   Stability
   Contamination (heavy metals)
   Yeasts / Moulds / Bacteria
   Chemical solvents / pesticide residues

 If in doubt ask the company if they can provide
  independent test results for their products
      Signs of a good company
 Check the company website for details of
  manufacturing processes / quality assurance etc
 Trained nutritionists will be available to answer
  any questions you have about their products
 Products should have been independently tested
  and chemical assays available
 A good company will provide scientific research to
  back up the claims for its products
 Some companies run seminars or workshops
  which are educational – not just a sales technique
   Problems with cheap products
 Fillers and binders may upset the mineral balance or
  hinder absorption
 Could contain impurities which result in allergic reactions
 May contain heavy metals / chemicals which increase toxic
  load in the patient
 May not contain as much of a particular nutrient as is
  stated on the label
 Potency not adequate for therapy
 Likely to use cheap forms of minerals with lower absorption
 Storage may not be adequate eg for fish oils / probiotics
        Implications for therapy
 Lack of results reduce confidence in the
  practitioner
  – patient is less likely to stick to the diet or take further
    advice
 Results may be slower than expected
  – the patient may become impatient, lose motivation and
    give up the treatment
 Allergies may be triggered
 Mineral imbalances may be caused or worsened
 Toxic load may be increased
                Multivitamin Tablet #1
Each tablet contains:

VITAMINS
                                                           MINERALS
Vitamin A ........................ 750µg (2500 I.U.) 94%
                                                           Calcium ............................ 158mg 20%
Beta Carotene................... 3.144mg **
                                                           Iodine ............................... 100µg 67%
Vitamin D ......................... 10µg (400 I.U.) 200%
                                                           Iron .................................. 15mg 107%
Vitamin E.......................... 34mg (50 I.U.) 340%
                                                           Magnesium ...................... 60mg 20%
Vitamin C ......................... 150mg 250%
                                                           Zinc .................................. 10mg 67%
Thiamin (Vitamin B1) ....... 39mg 2,786%
                                                           Chromium ........................ 25µg **
Riboflavin (Vitamin B2).... 50mg 3,125%
                                                           Copper ............................. 1mg **
Niacin ............................... 50mg 278%
                                                           Manganese....................... 1mg **
Pantothenic Acid .............. 50mg 833%
                                                           Molybdenum .................... 25µg **
Vitamin B6 ....................... 41mg 2,050%
                                                           Selenium .......................... 32µg **
Vitamin B12 ..................... 25µg 2,500%
Folic Acid ......................... 200µg 100%
Biotin................................ 50µg 33%
    Multivitamin Tablet #1 cont’d
Ingredients: Dicalcium Phosphate, Vitamin C (as Ascorbic Acid),
Magnesium Hydroxide, Bulking Agent (Hydroxypropyl Methylcellulose),
Choline Bitartrate, Calcium Carbonate, Soya Lecithin, Pantothenic Acid
(as d-Calcium Pantothenate), Riboflavin (Vitamin B2), Vitamin B6 (as
Pyridoxine Hydrochloride), Thiamin Mononitrate (Vitamin B1), Niacin (as
Niacinamide), dl-Methionine, Inositol, PABA (ParaAminobenzoic Acid),
Anti-Caking Agents (Stearic Acid, Silicon Dioxide, Magnesium Stearate),
Ferrous Fumarate, Vitamin E (as d-Alpha Tocopheryl Acid Succinate),
Natural Carotenoids, Citrus Bioflavonoids, L-Lysine Hydrochloride,
Emulsifier (Acacia Gum), Beta Carotene, Zinc Oxide, Betaine
Hydrochloride, Hesperidin Complex, Glazing Agent (Hydroxypropyl
Methylcellulose), Vitamin A (as Retinyl Acetate), Potassium Iodide, Biotin
(as d-Biotin), Vitamin D, Vitamin B12 (as Cyanocobalamin), Manganese
Sulphate, Cupric Sulphate, Folic Acid, Papain, Rutin, Sodium Selenate,
Sodium Molybdate, L-Cysteine, Chromium Chloride.
                 Multivitamin Tablet #2
Amount Per 2 Tablets % Daily Value
Vitamin A(as natural beta-carotene) 20000 IU      400%
Vitamin C (as calcium ascorbate) 300 mg        500%
Vitamin D(as ergocalciferol) 400 IU      100%
Vitamin E (as D-alpha tocopheryl succinate) 200 IU      667%
Thiamin (as thiamin mononitrate) 100 mg        6667%
Riboflavin 100 mg       5882%
Niacin (as niacinamide, niacin) 100 mg       500%
Vitamin B6(as pyridoxine HCI) 90 mg        4500%
Folic Acid 400 mcg       100%
Vitamin B12(as cobalamin) 100 mcg         1667%
Biotin 100 mcg      33%
Pantothenic Acid (as D-Ca pantothenate) 100 mg        1000%
Calcium (as calcium carbonate, glycinate amino acid chelate†) 50 mg     5%
Iron(as ferrous sulfate, bisglycinate††) 10 mg    56%
Iodine (as potassium iodide) 150 mcg        100%
Magnesium (as magnesium oxide, glycinate amino acid chelate†) 30 mg        8%
Zinc (as zinc oxide, glycinate amino acid chelate†) 15 mg    100%
Selenium (as L-selenomethionine) 25 mcg         36%
Copper (as copper gluconate, glycinate amino acid chelate†, copper oxide) 1.5 mg   75%
Manganese (as manganese gluconate, glycinate amino acid chelate†) 2 mg        100%
Chromium (as chromium picolinate, yeast-free) 25 mcg       21%
Molybdenum (as glycinate amino acid chelate†) 50 mcg        67%
Sodium††† 10 mg
Potassium (as potassium chloride, glycinate amino acid complex) 10 mg
  Multivitamin Tablet #2 contd
Other Ingredients:

 Microcrystalline Cellulose, Vegetable
 Cellulose, Vegetable Stearic Acid, Silica,
 Vegetable Magnesium Stearate, Guar
 Gum, Citric Acid, Vegetable Glycerin, L-
 Aspartic Acid, Picolinic Acid, Carnauba
 Wax.
    What do practitioners use?
       Brands / suppliers used by some of our practitioners include:

• Allergy Research Group                     • Metabolics
• Archturus Healthlink                       • New Vistas
• Biocare                                    • Nutri Ltd
• Bioforce (Herbal tinctures)                • Nutrigold
• Biopathica (Homoeopathic remedies)         • Positive Living UK (NATREN
• Biotics Research Corp (sublingual          products)
free-form amino acids)                       • Practitioner Supplies (herbal
• Cytoplan                                   cleanse)
• Enzyme Process                             • Dr Reckeweg
• Garden of Life (PRIMAL DEFENSE)            • Savant (flax oil)
• Heels Remedies                             • Solgar (selected products)
• Higher Nature (selected products)          • Specialist Herbal Supplies
• Jarrow Formula                             • Thorne Research
• Lamberts

Do not assume that all products from these companies would be suitable, it
is up to your professional judgement to evaluate the products on the market
        and select which ones you are going to use in your practice!!
                    Summary
   Check labels carefully
   Use reputable suppliers
   Beware of fillers and binders
   Don’t be fooled by clever marketing
   Beware of excessively cheap products
   You generally get what you pay for
   Ask for research to support claims for products
   If in doubt ask for independent test results

    If it seems too good to be true it probably is!

				
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posted:11/3/2012
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