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Dr. Gregory Jantz, Ph.D.

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Just Say No to...Vitamins?

Posted: 10/24/11 01:56 PM ET

"Have you seen that article about older women and vitamins?" a colleague of mine breathlessly asked the other morning. Immediately feeling deficient for missing it, I had to admit, "No. What did it say?" She couldn't remember specifics but said a study came out of Finland that older women who took multivitamins were at greater risk of death. She concluded with, "I saw it on the evening news too." For her, that settled it. It was on the Internet and the evening news.

I had a vision of people -- not just older women -- frantically flushing stashes of multi-colored multivitamins down the toilet, as if just having them in their cabinets constituted some level of risk. The words panic and viral came to mind. Panic is a time-tested word, but viral has a more recent web-based connotation. Viral used to mean something caused by a virus; now it means a widely-spread web-based phenomenon. I wondered how viral this vitamin thing was going to become and how much panic would be generated as a result.

The children's story Chicken Little came to mind, specifically the phrase, "The sky is falling!" replaced by "Multivitamins mean death!" I felt like saying, "Wait a minute -- time out!" But viral panics don't generally take time-outs, they keep racing ahead, a multiplying frenzy, until the next whatever comes along and sucks up all the panic-induced carbon dioxide.

That brought me to the image of a pinball machine -- an actual pinball machine, not a graphic representation, because I'm of that age. I focused on the little silver ball, ricocheting off the nearest lever, getting thwacked from one end of the machine to the next. I decided this vitamin study made me feel like a pinball.

Think of all the stories you've seen over the years about coffee. It's bad for you. Thwack! It's good for you. Thwack! You can have this much. Thwack! You can't have that much. Thwack! Are multivitamins the new caffeine? I happen to take multivitamins and have for years. I remember being excited back in 2002 when -- finally -- JAMA came out with an article recommending all adults take a daily multivitamin. Thwack! Now, there's this study. Thwack!

How many people read the vitamin story and reacted without really investigating the information? They get thwacked by a viral headline and immediately push the panic button. It's hard to blame them, for we live in a world increasingly like the inside of a pinball machine. There are more and more media levers and arms flapping and flailing to get our attention.

Frankly, I'm tired of getting thwacked, but it's hard to break out of the machine. We live in a digital world, where entities rack up bonus points for viral responses. We live in a world where no one wants to be left behind, to be left out, to be left uninformed so we, too willingly, jump on the viral bandwagon. Bandwagon is a term that refers to the propensity of one person to believe something just because whole bunches of other people do. Today, I think the bandwagon effect should be changed to the bandwidth effect.

Bandwidth not only means faster information, it also means more information. A Newsweek article this year commented on the sheer volume of information now available and noted that in 2009 the Oxford English Dictionary added the term "information fatigue." The author concluded, "...trying to drink from a fire hose of information has harmful cognitive effects." When you're flooded with information, you have less time and energy to investigate, to question, to reason things out. You're more apt to accept the headline and skim over the story. Acceptance and skimming is tailor-made for viral outbreaks. Acceptance and skimming is decidedly pinball behavior.

I don't know what's going to come out of this latest study but, for me, I'm going to take a time out, refuse to panic, learn some more, and, in the meantime, take my multivitamin.

 
 
 

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02:08 PM on 10/26/2011
This author excluded, there has been an egregious misunderstanding of the research on vitamins and supplements that the media has fallen in love with lately. The study in older women was an observational study, which means you can only draw flawed conclusions from it...which the researchers and the media have done: http://ow.ly/79Oww. If you took hormone replacement for menopause and in the process raised your risk of breast cancer and heart disease, you were relying on flawed conclusions from observational studies - conclusions reached unscientifically by "Medicine' and the media. If you stopped taking them based on evidence of the harm they created, you were relying on the results of a Randomized Controlled Trial. Neither the older women and vitamins study, nor the Vit E and Prostate Cancer study, were Randomized Controlled Trials: http://ow.ly/79OLA. It is understandable that journalists don't understand statistical methodology. It's inexcusable that the medical establishment treats these studies as proof that vitamins are deadly.
Dr. Daniel Heller
www.pmscomfort.com
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ladyvee1969
"Ghetto Surburbanite"
04:25 PM on 10/25/2011
I stopped taking multivitamins years ago because they made me nauseous. I thought it was because of the brand of vitamins so a couple of months ago I decided to take a different brand because they were saying it was so healthy for you, same thing, not only did I get nauseous from the vitamins they actually made me throw up. My body knew something just wasn't right.
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Reno Fickler
Head Lifeguard/Dead Sea Marina
09:40 PM on 10/24/2011
I carefully analyzed the food I normally eat (kinda boring since probably 90% of what I eat comes from five different foods) and determined due to added vitamins and minerals in that food, vitamins were a waste of time and money. So I only do a multi twice a week.
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AngelaQuattrano
I just like to write comments
03:43 PM on 10/24/2011
I have not heard that story. But I have read many stories over the years that show that unless you have a very unusual disorder that causes a specific deficiency, vitamins are at best useless and expensive. Certain vitamins in large doses over a period of time really do increase the rates of certain diseases.

Vitamins are commonly assumed to be "insurance" against bad diet or nutrient-low foods produced by modern agriculture, but there is no scientific evidence to support that. I grew up in a household where we took dozens of vitamin and mineral supplements 3 times a day. I no longer take any, and I'm still the healthiest person I know.

If there is something wrong with your diet, fix your diet. Don't count on magic pills that come out of chemical factories to do it for you.
03:21 PM on 10/24/2011
This study is flawed. This is an excellent example of selection bias. Many people who take vitamins do so to to try to treat some issue or condition, while many people who do not take vitamins are extremely healthy. Therefore, looking at death rates of vitamin takers versus non-vitamin takers is almost like looking at death rates of extremely healthy people versus everyone else. Of course their death rates are lower!
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ladyvee1969
"Ghetto Surburbanite"
04:21 PM on 10/25/2011
Not so, I know plenty of healthy people who take vitamins.
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charleyvldm9
He thinks outside the box.
02:14 PM on 10/24/2011
Me too, I'll continue with my daily doses of 12 or more Vitamins,plus a Multi. I have'nt seen a doctor since 1981.