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Linda Larrowe Bergersen

Linda Larrowe Bergersen

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Multivitamins: What to Look for When Choosing One

Posted: 01/17/11 12:42 PM ET

Our choices for vitamins can be found readily in such places as the local drugstore, doctors' offices, the internet, and premier health food outlets; a sea of choices that the average person can get lost in, just wondering and deciding what's best. Some consumers just don't give it a thought, and dive right in. But are there any differences, especially between the low cost supplement choices and the expensive?

One large difference in some supplements is the fact that the pricey ones are derived from whole food sources, while cheaper pills can be from lab created chemicals. Those manufactured from whole foods will definitely let you know right up front on the label because they are proud to be of high quality, and the list of ingredients will indicate the names of foods they are derived from. The unsuspecting consumer who does not know how to do his homework, does not realize that the multivitamin they are purchasing may be an inferior product.

NOTE: Any clear benefit from multivitamins remains uncertain. They should be taken as supplements, not substitutes for healthful eating.

If you do choose to take a supplement, here are the major things to look for and avoid. These can easily be discovered by looking at the typical labeling of ingredients on the bottle:

1. Oxide. If you find the word "oxide" anywhere within the ingredients, avoid this product. The oxide form of any nutritional supplement is the cheapest source of that mineral, usually as magnesium, zinc and/or copper. Most inexpensive supplements will include oxides to save on expense, unfortunate for we consumers; it's not doing our body good. There are several other forms of minerals used, such as citrate and glycinate, that are much better utilized in the body.

Oxide salts break apart in metabolism and the oxide requires an antioxidant to neutralize it. Why spend the body's precious antioxidants neutralizing a low quality mineral supplement? Dr. Mark Hyman, Chairman of the Institute for Functional Medicine, reports they are poorly absorbed. Inorganic minerals such as oxides tested were found to consume more than four times the amount of oxygen than in the natural or organic forms.

2. Cyanocobalamin (B12). Another cheaper form of a vitamin, and most commonly used, is cyanocobalamin used for vitamin B12. It is synthetically produced, and does not normally occur in plants or animal tissues. The prefix "cyan" refers to its relationship to the cyanide molecule. Its small amount is of course not much to worry about, however the body still sees it as a threat and takes measures to eliminate it. The detoxification removal process used for this expends useful antioxidants that could be working elsewhere. Also, there is the process of converting cyanocobalamin to methylcobalamin that the body undertakes, thus using up more energy and enzymes. Methylcobalamin form of B12 is better absorbed. Cyanocobalamin is less expensive.

3. Vitamin E ingredient of dl-alpha tocopherol. Two common forms of vitamin E in supplements are "d-alpha tocopherol" and "dl-alpha tocopherol". The "d" form of the chemical structure is what is found in foods and is what the body knows how to absorb. The "dl" indicates it is synthetically manufactured, a petroleum by-product not easily utilized by our bodies. And again, less expensive. According to his website, Dr. Andrew Weil advocates avoiding the synthetic dl-alpha supplements and opting for the whole food Vitamin E. The chemical-based ingredients are more difficult to absorb, create more work by the body to synthesize, and benefit the body much less than the natural forms.

4. B Vitamins, Less than 10 mg. The B Complex vitamins are an important part of the synergy of the multi-vitamin, and each B vitamin is important to the synergy of the B Complex grouping. It's a red flag if the B vitamins are at such low levels that they are insignificant and unhelpful to the human system in creating a strong basis for protection.

It's true that the bare minimum amounts, the minimum daily requirements (MDR) established by the U.S. Food and Drug Administration, will keep you from getting certain diseases that were prevalent in the past centuries when there were no multivitamins available, such as beriberi caused by B1 deficiency, and birth defects caused by folic acid deficiency; however, now more than ever in a time of processed foods and deficient soils used for growing grains, fruits and vegetables, and the acceleration of arterial disease, the needs for a higher dose of the B complex vitamins are warranted. Refined grains of today have been stripped of the bran and germ that possess a high value of the B vitamins.

A supplement that contains less than 10 mg. each of some of the B vitamins (30 mcg. accordingly of others, and especially 400 mcg. of folic acid), is insufficient for the optimum health of the consumers in times of diets lacking in whole grains and other nutrient-filled foods. Some supplements do not even include all of the B Complex vitamins, which are thiamine (B1), riboflavin (B2), niacin (B3), pantothenic acid (B5), pyridoxine (B6), biotin, folic acid, and cobalamins (B12).

Among the many functions to which B vitamins are essential, they are meant to clear the homocysteine levels in the body, and high homocysteine has been indicated as a precurser for heart disease. It's thought that the lack of B vitamins in our diet today may be one reason why there is so much heart disease in our country.

These are simple things to look for in buying a beneficial multivitamin. At the sight of one of these red flags, put it back on the shelf. Simply speaking, why put these synthetic nutrients and deficient quantities in our fine-tuned systems? The price may be less, but the benefit is lacking, if not jeopardized.

Once again, you get what you pay for.

 
Our choices for vitamins can be found readily in such places as the local drugstore, doctors' offices, the internet, and premier health food outlets; a sea of choices that the average person can get l...
Our choices for vitamins can be found readily in such places as the local drugstore, doctors' offices, the internet, and premier health food outlets; a sea of choices that the average person can get l...
 
 
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02:22 PM on 02/04/2011
Allergens can be hidden in vitamins as well, especially gluten and soy. Twinlabs Allergy Multi Caps have been a good option for me (I don't work for them, I just buy from them).
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WaterCharity
Non-profit with water projects worldwide.
05:52 AM on 02/04/2011
People who think that taking vitamin and mineral supplements are not useful simply do not know what they are talking about.

There are lobbies that don't want you taking supplements, but that is purely for their economic gain. The fact that this article needed a disclaimer is proof of how strong those lobbies are.

However, the facts are out there. There are reams and reams of studies showing incontrovertable evidence of the benefits of certain supplements. Vitamin D is the latest to get attention, but certainly not the only one with proven benefits.

What people need to know is that the RDA (recommended daily allowance) of the various vitamins and minerals is only the amount you need to NOT get the disease most commonly associated with that vitamin or mineral's deficiency. However, preventing beriberi, rickets, and scurvy are not the only things these vitamins do.

Sure, a basic level of Vitamin D (a proto-hormone - not a vitamin at all as it is produced in the human body) will keep your bones from getting brittle... but when you have enough D, the body will use it in as many as 1000 different biochemical processes.

If you really want to learn about nutrition, you need to study each vitamin, mineral, herb, amino acid etc. individually. Some are stored in the body, some are eliminated rapidly in the urine. Do yourself a favor, and don't believe anyone or any short article you read. Research... and then research some more.
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organicconnect
06:06 PM on 02/03/2011
One other thing to consider is the absorption factor. I use a liquid multi, like the Natural Vitality Organic Life Vitamins: http://www.petergillham.com/wp/2009/10/organic-life-vitamins/
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BcemXAHA
Yerushalaim shel zahav
05:42 PM on 02/03/2011
I am a nationally certified personal trainer. I am not a nutritionist, and try to dispense little to no nutritional advise. However, my clients ALWAYS ask me about supplements and vitamins.

My answer is always the same. Eat five to six small well balanced meals a day. Drink an 1/2 ounce of water per pound of body weight. If you exercise, increase the water intake to one ounce per pound of body weight.

In the five/six meals, have at least 3 fruits, 4 different veggies, long grain brown rice or if you absolutely must whole wheat pasta, lean proteins such as turkey, chicken, lots of fish with high omega 3 content and you wont need to pop any pills!
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05:40 PM on 02/03/2011
A long time ago, a pharmacist told me that when shopping for vitamins, make sure that for vitamin B1, the label says thiamine hydrochloride (HCL), not thiamine mononitrate. He said mononitrate lasts a long, long time so the vitamins can sit on the shelf for a longer time. He said the FDA usually just checks B1 for purity and ignores the other vitamins. HCL has a shorter shelf life so usually those vitamins are more fresh.
I don't know how true all of this is.
06:00 PM on 02/02/2011
Few things I just remembered:
1. Standard Process is a fabulous brand, but only available from nutritionist, chiropractors, etc. To me, they're like the Rolls Royce of all supplements.
2. Most of us are not deficient in vitamins, but much more so in minerals. Magnesium is one that most are deficient in, for example.
3. I try to avoid anything from places like Target, Costco, etc.
4. I also avoid things like Centrum.
5. Brands I like/trust:
Carlson’s
Nature’s Way
New Chapter Organics
NOW
Enzymatic Therapy
Solgar
Source Naturals
Twin Labs
Anything with a short ingredient list - no soybean oil, no sugar, starches, colorings, etc. – the less things in it, the better
There are others, of course, but I have not tried them yet. With the above, I notice a difference.
6. I once read that the 3 Most Important Supplements are (and of course, this varies for each person and their health risks, etc.):
3 Most Important Supplements
Fish oil. Helps to keep inflammation in body in check, which helps prevent degenerative diseases and cancers. Do not get a cheap fish oil!
Vitamin D3 helps everything — bones, emotional well-being, your mind; it even helps prevent cancer.
Mushroom Extract. Immune-boosting and anticancer properties. I like Fungi Perfecti.
04:04 PM on 02/03/2011
I also have tried many vitamins and had the best results with Megafood. They are also whole food organic vitamins made in the USA. I really felt the difference right away. So did my husband. I buy them from www.vitacost.com for the best pricing.
05:32 PM on 02/02/2011
So many people have vitamin deficiency and don't know it. And so many were told by their doctors that your body doesn't know the difference what brand of vitamin yuou use. But it does make a difference: the quality, absorption, inactive ingredients will all have an effect on your body. That's why as a pharmacist and holistic practitioner I always try to explain the importance of a great brand: http://www.journey-with-crohns-disease.com/healing-center.html
10:43 AM on 02/02/2011
Aren't most of the ingredients in many vitamins made in China?
08:44 AM on 02/02/2011
The best multi's I use are from Mountain Naturals of Vermont. Their parent company FoodScience has been in business and a leader in the best vitamins and suppplement. I buy no other brand. They are high potency and a good price. Its the old addage, you get what you pay for. I do think multi's make a different.
06:38 AM on 02/02/2011
Having re-read the article - just want to say that the advice is fabulous - about avoiding dl-alpha in vitamin E; oxides in minerals, etc. Great advice.
I love vitacost.com for all my supplements - great reviews and prices. When buying supplements, I always believe that the shorter the ingredient list, the better. Not sure if that's the right advice or not. But that's just what I believe. Makes sense to me.
I try to avoid soybean oil, colors, sugars, starches, etc. - in all supplements. Lots of them have soybean oil in them. Not good at all - could raise breast estrogen levels in women.
EvolveorPerish
R E anna what have you done?
12:47 PM on 02/02/2011
Vitacost is the best, you can save a fortune on CLO alone. If you wait until you need everything, you save free shipping by ordering $100 or more.
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Nelson Montana
Artist, Author, Composer
12:30 AM on 02/02/2011
Actually the VItamin Shoppe multi is very good at a good price.

Something called DX7 is the most complete formula I've ever seen.
OverseasVet
Stationed not deployed
10:35 PM on 02/01/2011
Only vegans need B12 suppliments. Vitamin E possibly increases mortality and incidences of heart failure with long-term use (400 IU or more) in patients with chronic diseases. Modern diets supply all the vitamins that are required. Suppliments are only valuable to the seller. All that money poured into suppliments is generally flushed down the toilet.
EvolveorPerish
R E anna what have you done?
12:54 AM on 02/02/2011
Actually those who suffer from any bowel issues (constipation, diarrhea, Chron's, Celiac, IBS) may need it because of damage done to the intestine where B vits are metabolized. Also children who suffer from behavioral issues (add/adhd, autism, depression) may present as not absorbing those vitamins. (the B's and folate) as well as others like Magnesium. The only way to know is to get a lab test.
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seehowtheyrun
I have a dog and I vote.
03:02 AM on 02/02/2011
Not true. There are many conditions of nutritional malabsorption which can be helped with B-12. I have Celiac D and B-12 has made a huge difference in my health.
09:00 PM on 02/01/2011
So what do you do if you can't afford the quality ones? Are you better off not taking any? Also what if in combination with not being able to afford quality vitamins you can't afford much quality food? I'm not talking about buying junk food instead. I'm talking about buying quality food but not a whole lot and being willing to sacrifice having enough to be full to instead buy as much quality food as you can and if that runs out after two weeks and you spend two weeks out of the month without much to eat that's the choice you make.

Even if you buy mostly produce these days how much nutrition are you actually getting if it's conventionally (non organically) grown. Between pesticides, genetic engineering and soil agribusiness has left devoid of most nutrients is it even worth buying? If you spend 3 dollars to buy one head of lettuce or broccoli and it has the nutrition of a 25 cent bag of chips and possibly things in there that not only don't supply nutrients but might be harmful is there a point, especially since a head of lettuce or broccoli even if eaten with some beans and brown rice might fill you up for a day or two but an antibiotic filled chicken or some hormone and antibiotic filled meat might fill you up for a week?

So what do you do? How do you suggest the poor really stay healthy in this country?
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babybecks
"because I am involved in Mankind;"
10:37 PM on 02/01/2011
"So what do you do if you can't afford the quality ones? Are you better off not taking any?"

I would like to know this as well. Anyone?
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Vivian Alicia Evans
11:43 PM on 02/01/2011
Also waiting for the answer.
08:46 PM on 02/01/2011
I use BLUEBONNET Multi. I take one every other day. Everything is great except for the B-12 (Cyanocobalamin) Now I'm going to have to find another organic Multi.

Anyone know how bad SILICA is to digest?
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DakkonA
www.DisentangledReality.com
11:01 PM on 02/01/2011
See my comment below about cyanocobalamin. Silica is essentially sand. It's harmless.
07:31 PM on 02/01/2011
Nonsense, unless you have a specific condition, take one multi and eat balanced meals and your fine. More than that and your wasting your cash.
EvolveorPerish
R E anna what have you done?
12:58 PM on 02/02/2011
Vitamin D is one not ignore. Most people are deficient as we don't work outside.

Its a vitamin that has garnered a lot of attention for it health benefits, synthesis of hormones(especially melatonin which helps you sleep at night). It is also touted at boosting the immune system and help with fighting the flu.

When my son was tested his level was at 6 ng/ml, mine was 22. The old "normal" level used to be around 35-50, but now they are thinking we should be aiming for around 100ng/ml.

I've been taking 4,000 iu for a year and my levels only went up to 47 ng/ml, so that tells you how much it takes to get back to any kind of normal.