WHAT IS IMPORTANT TO REMEMBER WHEN USING OR CHOOSING TO USE DIETARY SUPPLEMENTSAriel Clark

Kaplan University

INTRODUCTION

What is a dietary supplement?

A dietary supplement can include herbs, minerals, vitamins, and many other things. (National Institutes of Health: Office of Dietary Supplements, n.d.).

What we will be discussing:

Facts about supplements

Choosing a supplement

Sharing information with your doctor

Drug/supplement Interactions

Herb usage

https://www.google.com/url?sa=i&rct=j&q=&esrc=s&source=images&cd=&cad=rja&uact=8&ved=0CAYQjB0&url=http%3A%2F%2Fods.od.nih.gov%2FHealth_Information%2FODS_Frequently_Asked_Questions.aspx&ei=AtIQVaXkOcLvgwT5vYPICQ&bvm=bv.89184060,d.eXY&psig=AFQjCNGno_fGZAWuyHRrDA6FLLVkSBciMQ&ust=1427252086299865

DIETARY SUPPLEMENT FACTS Not all supplements are created

equal

There are different forms that supplements come in Powders

Capsules

Tablets,

Drinks (teas, energy drinks, etc.)

(National Institutes of Health: Office of Dietary Supplements, n.d.)

No dietary supplement can replace the benefits of a complete and nutritious diet. (National Institutes of Health: Office of Dietary Supplements, n.d.).

http://sportsandfitness2.blogspot.com/2014/12/different-types-of-herbal-teas-and.html

FACTS CONTINUED… Dietary Supplements are not managed by the FDA, which is a common

misconception, since the DSHEA was signed. (National Institutes of Health: Office of Dietary Supplements, n.d.).

The FDA has set a standard of Good Manufacturing Practices, which means that quality standards and safety is more likely for a supplement that is produced following these standards. (National Institutes of Health: Office of Dietary Supplements, n.d.).

A USP stamp on a label means that it was manufactured with good manufacturing practices, does not contain contaminants, and contains exactly what is listed on the label. (National Institutes of Health: Office of Dietary Supplements, n.d.).

A consumer needs to do research on a supplement before deciding to take it. Look for any recalls, interactions, or reports of adverse events after someone taking a particular product.

WHEN IS IT RIGHT TO USE A SUPPLEMENT

Supplementing your diet with a dietary supplement can be a big decision. Here is how you know when a supplement is appropriate.

Your doctor has recommended you begin taking a supplement

If you are over 50, a supplement of B12 would be recommended.

Women of childbearing age who may become pregnant would need to ensure they get enough folate

Those who do not get enough exposure to sunlight

A CAM practitioner can also suggest you begin with a dietary supplement (USDA, 2015).

http://www.naturopathicbynature.com/common-sense-approach-to-taking-health-supplements/

HOW TO CHOOSE A SUPPLEMENT

Ensure the supplement was creating using GMP’s

Look for a USP stamp (National Institutes of Health: Office of Dietary

Supplements, n.d.).

A simple test is to try dissolving your supplement in water and see how long it takes to break down (I personally use this method).

If you are using herbs, ask for assistance from a professional

Only take a supplement that you need, otherwise you are simply wasting your money or putting yourself at risk

Try to avoid supplements that contain mega-doses

http://www.popsugar.com/fitness/Label-Able-USP-Verified-Supplement-Mark-638682

SHARING INFORMATION ABOUT SUPPLEMENTS WITH YOUR HEALTHCARE PROVIDER

It is important to share any information about supplements that you are taking with your doctor or healthcare provider because..

Many people are unaware that supplement usage can pose serious side effects and are unaware of what the supplements are actually doing. (Sekhri, Kaur, 2014).

some supplements are not safe for pregnant or nursing women

Some supplements are not safe to use with certain medical conditions

Supplements can interact with medications

Supplements can have negative effects during surgery. (FDA, 2002).

http://www.1stclassmed.com/blog/key-topics-to-cover-with-your-doctor-as-a-copd-patient

COMMON DRUG/SUPPLEMENT INTERACTIONS

Using a Prescription blood thinner like Warfarin or Coumadin at the same time as Vitamin E, or ginkgo Biloba, which both thin blood can have disastrous effects. (FDA, 2002).

St. Johns Wort can interact with prescription medications such as oral contraceptives, medications for seizures, and medications for the heart, making them less effective. (FDA, 2002).

These are just two well-known examples that show how much of an impact an herb or supplement can have on a prescription medication. This leads back to the point of discussing dietary supplements with your doctor.

INFORMATION ON HERBS

When deciding to use herbs there are several things that need to be considered.

Does science support the use of the herb for your purpose

How the herb is used

What are potential side effects

What are some precautions/contraindications

Pregnancy

breastfeeding

interactions with medicines.

(National Center for Complementary and Integrative Health, 2015)

http://www.drrhondafine.com/blog/herbal-and-natural-supplements-to-enhance-sexual-passion/

WHERE YOU CAN FIND MORE INFORMATION

FDA

http://www.fda.gov/Food/DietarySupplements/default.htm

National Institutes of Health: Office of Dietary Supplements

http://ods.od.nih.gov/Health_Information/ODS_Frequently_Asked_Questions.aspx#Need

National Center for Complementary and Integrative Health

https://nccih.nih.gov/health/herbsataglance.htm

I recommend these websites to further your knowledge on dietary and supplement use as they are reliable and are personal favorites of mine.

REFERENCES

FDA. (2002). Tips for Dietary Supplement Users. Retrieved fromhttp://www.fda.gov/Food/DietarySupplements/UsingDietarySupplements/ucm110567.htm

National Center for Complementary and Integrative Health. (2015). Herbs at a Glance. Retrieved from https://nccih.nih.gov/health/herbsataglance.htm

National Institutes of Health: Office of Dietary Supplements. (n.d.) Dietary Supplements: What You Need to Know. Retrieved from http://ods.od.nih.gov/

Sekhri, K., & Kaur, K. (2014). Public knowledge, use and attitude toward multivitamin supplementation: A cross-sectional study among general public. International Journal Of Applied & Basic Medical Research, 4(2), 77-80. doi:10.4103/2229-516X.136780

USDA. (2015). Questions to ask before taking Vitamin and Mineral Supplements. Retrieved from http://www.nutrition.gov/dietary-supplements/questions-ask-taking-vitamin-and-mineral-supplements