Supplements

Few things in life can impact health more profoundly than nutrition. What we consume is converted into the very cells of our body... You’ve heard it 1000 times, but we literally "are what we eat!”

Dietitians and doctors agree that it is best to get the nutrition we need from whole foods, by consuming 3 to 6 sensible meals per day containing the correct range and amount of nutrients to optimally fuel our bodies.  Unfortunately, that can sometimes be really challenging.

Consistently getting the recommended 5 to 9 daily servings of fruits & vegetables, omega 3 fatty acids, or other key food groups and nutrients takes work, knowledge, money and time.  Adding to the challenge, mass market food sources and factory farms pump out ever more processed, low quality ingredients; and the pace of daily life keeps getting faster.   Food fortification has helped, but been controversial and difficult to make work.  As a result of it all, we often don’t get enough of certain essential micro nutrients from the foods we eat.

Even here in the Roaring Fork Valley – one of the most health-conscious and informed communities on earth – many of us are challenged to optimally fuel our bodies for the high levels of performance and health we want.

Enter dietary supplements.  For many, they play a role by filling that gap, ensuring optimal, steady intake of these necessary nutrients and providing a sort of "nutritional insurance” against unwanted deficiencies.  In certain cases, targeted supplementation can also support specific areas of human health including physical and mental performance, vision, and joint flexibility, to name a few.

But, we need to be mindful of what supplements are, their role, and how to use them appropriately.  Supplementation isn’t a cure-all, or substitute for proper diet… and can even cause problems when done improperly!  This brief page is to help provide a high level introduction to key aspects of sound supplementation practices, and to help you make healthy and informed choices as it relates to using nutritional supplements.

From a balanced diet perspective, there are many schools of thought, often times competing.  The NIH and USDA update a national perspective on healthy eating guidelines every 5 years.  For the sake of providing perhaps the most mainstream/common perspective as a starting point, here are the most recent daily intake suggestions from the NIH/USDA - the organization responsible for developing national nutritional guidelines for public health:

 

When to Supplement:

  • When you aren’t getting the vitamins and minerals you need from your daily diet. For example, we are supposed to eat 2 to 5 servings of fatty fish/week to maintain the right balance of fatty acids.  Do you?- Not enough omega-3 fatty acids from fish can lead to excessive inflammation and decreased heart and brain health.

    - American Heart Association, for example, recommends people consume at least 500 to 1000 mg of omega-3 fats per day, whether from fish or fish oil supplements

    • Many of us constantly wear sunscreen to protect against risks of skin cancer in our high altitude environment. Unfortunately, that can cause suboptimal levels of Vitamin D in the body, so many people supplement with a multi-vitamin containing high levels of D3
    • We are constantly exposed to oxidative stress in the Roaring Fork Valley due to intense solar radiation, constant high-impact physical activity, stress and other natural factors.  Many people supplement with anti-oxidants to ensure the body’s natural defenses against these forces are at their best
  • When you are performance-focused and looking to replace specific nutrients spent from training, or reinforce your body’s nutrient levels for a specific need
    • For example, many eye doctors now refer patients to eye supplements to ward against the effects of intense sunlight and prevent age-related macular degeneration
    • High doses of vitamin B3 (niacin) under the care of a doctor can play a role in the reduction and maintenance of normal blood cholesterol levels

How to do it safely:

·   Follow label instructions – just because a little is good doesn’t
mean a lot is better!

·  Be aware of duplicate ingredients across multiple supplements
if  you are taking more than one product

·  Choose a brand that uses pharmaceutical standards of quality

  • Dietary supplements are regulated as foods by the Food and Drug Administration.  This is important because food regulations focus solely on ensuring edibility and safety.  They do not ensure efficacy, consistency, performance, or bioavailability
  • There is a huge difference between the cheapest thing on the shelf and a professional grade product – less expensive feels like a value at the register, but cheaper products often contain less bio-available forms of nutrients, may not dissolve in the small intestine where nutrients are absorbed, may contain contaminants or may not deliver sufficient potency
  • Many products are not evidence-based, and the ingredients or forms of ingredients they use haven’t been shown or studied to be effective

·   Don’t believe the hype or buy into fad ingredients!

Supplements are not a panacea, cure-all or replacement for a healthy balanced diet, managing your stress and getting exercise.  Most of us live here because we enjoy an active, more natural and outdoor oriented lifestyle –supplements can play a role, but only a supportive role, in maintaining optimal health for you and your family.
How to Choose a Quality Product, If You Choose to Supplement:
When selecting a supplement, here are some important tips to  consider:

  • Pharmaceutical quality – don’t automatically assume that a product is made to pharmaceutical standards just because the label says "pharmaceutical grade.” This term is not regulated by the government, and thus can be used in any label.  Instead, look for a product that is manufactured at FDA-registered pharmaceutical facilities, or by a company that follows pharmaceutical standards of quality.
  • Chelated minerals – this means the ingredients are put into a special, bio-available form so your body can absorb the nutrients… and your body gets what you paid for it to have!
  • Dissolution and bioavailability – make sure the manufacturer discusses dissolution or bioavailability in its product information, as this separates the good marketers from the quality products
  • Ask a healthcare provider who works with nutrition and is knowledgeable
  • Beware inexpensive, off the shelf products from mass retail – shopping/researching online or working with a niche nutrition/health & wellness shop increases the chance of getting a good product from a well-informed source

Sport Specific Nutritional Supplementation:

If you are a high intensity athlete, spending lots of time on the slopes for work or recreation, there are specific considerations for your peak health

  • Consider a supplement that supports normal levels of inflammation, healthy joints and cartilage
  • While there are many ingredients marketed for this purpose, ones that have been studied and shown effective for this purpose are:
    • Omega-3 Fatty Acids / Fish Oil
    • Avocado & Soy Unsaponifiables
    • Hydrochloride form Glucosamine
    • MSM, especially in conjunction with Glucosamine
  • Ginseng has been studied to support balanced energy levels, and may provide a healthy "lift” if you are feeling slow in the afternoons
  • Sufficient protein, anti-oxidant and liquid intake support the body to rebuild muscle fibers, process lactic acid and repair tissues during and after intense workouts

Learn More:

If you would like to learn more about nutrition and supplementation, the following links are good sources of objective information.

The Linus Pauling Institute at Oregon State University:  http://lpi.oregonstate.edu/infocenter/

National Institutes Health - Office of Dietary Supplements:  http://ods.od.nih.gov/

National Institutes of Health - National Center for Complementary and Alternative Medicine: http://nccam.nih.gov/health/supplements/wiseuse.htm

WebMD: http://www.webmd.com/vitamins-supplements/

The Council for Responsible Nutrition:  http://www.crnusa.org/

Nutrition.gov:  http://www.nutrition.gov/dietary-supplementshttp://www.nutrition.gov/dietary-supplements