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Vitamin smarts.


Do you need to take vitamins?

There is no simple answer.

According to most health authorities, you don't need vitamins if you eat a "balanced diet balanced diet
n.
A diet that furnishes in proper proportions all of the nutrients necessary for adequate nutrition.


balanced diet 
" or a "variety of foods." That's just another way of saying that you don't need vitamins in a pill if you get enough vitamins from your food.

But do you?

Only a painstaking analysis of what you eat in an average week or so could - perhaps - answer that question.

Our advice: take a multivitamin mul·ti·vi·ta·min
adj.
Containing many vitamins.

n.
A preparation containing many vitamins.


multivitamin 
 for insurance. We can't prove that most people need to, but as long as you don't overdose or overpay o·ver·pay  
v. o·ver·paid , o·ver·pay·ing, o·ver·pays

v.tr.
1. To pay (a party) too much.

2. To pay an amount in excess of (a sum due).

v.intr.
To pay too much.
 or use it as an excuse to eat a lousy diet, you've got a little to lose (we're talking a dime a day or so).

Of course, choosing a multivitamin can be as confusing as buying life insurance. But don't despair. We've come up with a guide to help you figure out what to look for...and what to ignore.

Okay. You've decided to take a multivitamin. Now what?

Most people figure that they should find one that has 100 percent of the U.S. Recommended Daily Allowances (USRDAs - sometimes also called Daily Values, or DVs) for everything they need - sort of a cover-all-bases "One-A-Day."

That's good thinking, but it's not so simple. Basic multivitamins seldom have 100 percent of the 12 vitamins and eight minerals for which there are USRDAs. Two of the five varieties of One-a-day, for example, have no minerals.

Others, like Centrum centrum /cen·trum/ (sen´trum) pl. cen´tra   [L.]
1. a center.

2. the body of a vertebra.


cen·trum
n. pl. cen·trums or cen·tra
1.
 or Myadec, do include most minerals. But they still have less-than-USRDA levels of nutrients like biotin biotin: see vitamin; coenzyme.
biotin

Organic compound, part of the vitamin B complex, essential for growth and well-being in animals and some microorganisms.
, calcium, magnesium, and phosphorus.

Some of those - phosphorus and biotin, for example - you don't need anyway (see pages 8 & 9). But others - like calcium and magnesium - might be worth taking.

So you have two choices:

* Pick a basic, inexpensive model and buy other nutrients separately. That's the most sensible approach for most people, because the missing - or almost missing - ingredients may not be worth the price you'd have to pay to get them in a single supplement.

* Pick a more expensive model that has everything. If you're the kind of person who takes out a $5 million life insurance policy when you probably only need $500,000, you'll no doubt want to go for a fancier model, even though it may require taking four or more pills a day.

AVOIDING IRON

As if it weren't hard enough to decide what you need, you've also got to think about what you don't need. The high doses of B-vitamins in many supplements, for example, are unnecessary, but they won't hurt you.

What might hurt you is iron. Too much can lead to hemochromatosis Hemochromatosis Definition

Hemochromatosis is an inherited blood disorder that causes the body to retain excessive amounts of iron. This iron overload can lead to serious health consequences, most notably cirrhosis of the liver.
 (iron overload Iron overload
A side effect of frequent blood transfusions in which the body accumulates abnormally high levels of iron. Iron deposits can form in organs, particularly the heart, and cause life-threatening damage.
) in the one out of every 250 Americans who inherited genes for this disease from both parents. Iron overload can lead to death from liver damage or heart failure.

Some researchers are also worried that too much iron can increase the risk of cancer@specially colon cancer colon cancer, cancer of any part of the colon (often called the large intestine). Colon cancer is the second most common cancer diagnosed in the United States.  - or heart disease. But so far, the evidence is shaky.

Nevertheless, there's little reason for men and postmenopausal post·men·o·paus·al
adj.
Of or occurring in the time following menopause.


postmenopausal Change of life Gynecology adjective Referring to the time in ♀ when menstrual periods stop for ≥ 1 yr
 women - both of whom have a low risk of iron deficiency iron deficiency A relative or absolute deficiency of iron which may be due to chelation in the GI tract, loss due to acute or chronic hemorrhage or dietary insufficiency Sources Meat, poultry, eggs, vegetables, cereals, especially if fortified with iron; per the  - to take any iron. They should already get plenty from foods like meat, fortified fortified (fôrt´fīd),
adj containing additives more potent than the principal ingredient.
 breakfast cereals, and breads and pasta that

It's reasonable for premenopausal pre·me·no·paus·al
adj.
Of or relating to the years or the stage of life immediately before the onset of menopause.


premenopausal adjective
 women to take a supplement with iron, though, because they lose a little each time they menstruate men·stru·ate
v.
To undergo menstruation.
. But even premenopausal women should know that iron can be constipating con·sti·pate  
tr.v. con·sti·pat·ed, con·sti·pat·ing, con·sti·pates
1. To cause constipation in.

2. To clog or make sluggish; obstruct.
, usually only at doses higher than the USRDA USRDA United States Recommended Daily Allowance .

THE CADILLAC OF

VITAMINS

Want a supplement that supplies 100 percent of just about everything you need? We found one (though there may be more). And it comes with or without iron. Natrol My Favorite Multiple even has a day's worth of calcium and magnesium, plus high doses of most vitamins, including E and C. The catch is: you have to take four tablets a day, at a cost of close to $20 a month.

For some people, it's worth the price. For others, that's too many tablets and too much to pay for "insurance." After all, you eat food, too. A multivitamin is supposed to supplement your diet, not replace it.

And what if you have high blood pressure and worry that a high dose of vitamin E (Natrol has 400 IU) may increase your risk of hemorrhagic stroke, as one large study suggests? Or, what if you just don't want high doses of vitamins on the off-chance that they may turn out to be harmful?

If that's not your idea of "insurance," read on.

BACK TO BASICS Back to Basics may refer to:
  • Back to Basics (campaign), an initiative that aimed to relaunch the UK government of John Major in 1993
  • Back to Basics (Christina Aguilera album), released in 2006
  • Back to Basics (Beenie Man album), released in 2004
 

It wasn't hard to find a basic, no-frills multi that had enough vitamins. Finding one with enough minerals was another story.

Only three low- or medium-iron supplements - Nature Made Mature Balance and two multis made by Your Life - met our criteria and cost less than $4 a month. Finding a good cheap higher-iron supplement was no problem. Centrum (and most Centrum-imitation store brands) and a half-dozen others qualified.

Spending less than $4 a month has appeal, but don't forget that these no-frills pills may require add-ons. The most important to consider (see "How to Read a Vitamin Label") are:

* calcium (especially for women),

* vitamin E (to possibly lower your risk of heart disease), and

* vitamin B- 12 (if you're 65 or over). (You'd need extra B- 12 even if you took a complete" multi like Natrol.)

With add-ons, you may end up having to swallow three or four pills a day after all, just as you would with Natrol My Favorite Multiple. But you should still be paying far less.

HOW TO READ THE CHART

We examined many of the leading brands of multivitamins, and divided them into low-iron, medium-iron, and high-iron categories. Here's what to do:

1. Find the group of multivitamins that has the level of iron you want.

2. Check the circles in the Vitamins column. Each is divided into four sections. If a section is shaded, it means that the supplement supplies at least a day's worth of vitamins E or D or folic acid, or at least 25 micrograms (mcg) of vitamin K (see "Key to Vitamins Column" below). K was so tough to find that we didn't require it for our "Best Bites." Almost all multis have at least a day's worth of all other vitamins except biotin (which you don't need to get in a supplement). We've marked multis that have high doses of vitamins C and E and most of the B-vitamins with an asterisk.

3. Check the Calcium column to see if you'll need to take that separately (see pages 8 & 9).

4. Check the circles in the Minerals column. Each is divided into four sections. If a section is shaded, it means that the supplement supplies at least a day's worth of zinc or copper, 100 mg of magnesium, or 25 mcg of chromium (see "Key to Minerals Column" below). We settled for less than a day's worth of magnesium and chromium, because so few one-a-day-type supplements had more.

Multi Madness

Our "Best Bites" have at least 400 mcg of folic acid, 400 IU of vitamin D, 30 IU of vitamin E, 100 mg of magnesium, 15 mg of zinc, 2 mg of copper, and 25 mcg of chromium. They also have no more than 500 mg of phosphorus, 18 mg of iron, 15,000 IU of beta-carotene, or 75 mg of vitamin B-6. The number of pills you have to take every day is in parentheses See parenthesis.

parentheses - See left parenthesis, right parenthesis.
 following each product's name.

[TABULAR DATA OMITTED]
COPYRIGHT 1995 Center for Science in the Public Interest
No portion of this article can be reproduced without the express written permission from the copyright holder.
Copyright 1995, Gale Group. All rights reserved. Gale Group is a Thomson Corporation Company.

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Article Details
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Title Annotation:includes related chart on the contents of multivitamins
Author:Schardt, David
Publication:Nutrition Action Healthletter
Article Type:Cover Story
Date:Nov 1, 1995
Words:1254
Previous Article:Just becouscous. (eating whole wheat couscous, includes recipes)
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