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Wed, 28 May 2003 13:07:19 -0500

HSI - Jenny Thompson

C Saw

 

C Saw

 

Health Sciences Institute e-Alert

 

May 28, 2003

 

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Dear Reader,

 

Absorption of vitamins...vitamin C and stress...the key

element in the " medicine of the future " ...the effect of

vitamin C on your body's enzyme systems...the vitamin you

should reduce before surgery and increase immediately after...

 

While that might sound like enough topics for a full week of

e-Alerts, it's actually a list of the highlights that are jam

packed into today's e-Alert when HSI Panelist Allan Spreen,

M.D., fields vitamin questions sent in by HSI members.

 

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Not exactly like a sponge

-----------------------------

 

The amount of vitamins you take is not necessarily the amount

of vitamins your body ends up absorbing and ultimately

putting to use. That's the idea behind this question from a

member named Frederick:

 

" One very important thing you have yet to address is the

issue of vitamin dosage vs. vitamin absorption. For example,

are we being dosed with 3000 mg of C in order to get 30 mg

absorbed into our cells. The C or any vitamin that is not

a 'FOOD' is not easily recognized nor is it easily absorbed

by the body. Any thoughts? "

 

Absolutely, Frederick. You can be sure that when the subject

is vitamins - and vitamin C in particular - Dr. Spreen will

have something insightful to offer:

 

" Some of the big vitamin C advocates actually consider

vitamin C a 'food' and not exactly a vitamin, but that's

obviously controversial. It's certainly established that

needs for it go way up during times of stress, so just how

much is needed is not a set number even for the same person.

It gets complicated in a hurry.

 

" Absorption is the key to everything. How much you swallow

means very (VERY) little. Dr. Jonathan Wright was informed by

a patient who was a septic tank cleaner that many septic

tanks of 'pill-poppers' have layers of pills at the bottom, a

clear example of taking something that went on through and

was never absorbed.

 

" In my opinion the medicine of the future will be highly

tailored around enzymes, utilized purely for optimizing the

absorption of the nutrients we're eating, whether as foods or

supplements. "

 

Dr. Spreen offered a postscript to his answer for Frederick,

noting that the issue of vitamin absorption becomes even more

complicated when (in Dr. Spreen's words), " you consider that

there are, for example, both water-soluble and fat-soluble

forms of vitamin C - where ascorbic acid (water-soluble) may

not reach a desirable site in the body when ascorbyl

palmitate (fat-soluble) might get in easily. "

 

To overcome these potential absorption problems, Dr. Spreen

tries to give the body what he calls " luxuriant amounts " of

nutrients (which he believes it can handle in high doses, as

opposed to drugs), and hopes the body gets what it needs.

 

-----------------------------

Enzymes up!

-----------------------------

 

A member named Melody has another very different concern

about vitamins, wondering what the consequences are of

discontinuing:

 

" I am taking dietary supplements of vitamins, minerals and

herbs and am just a bit concerned about what happens if for

some reason I cannot take them. (Cost could be an issue.) If

your body is used to having 400iu of Vit E for instance,

which is not available in such quantity in our food, would I

be at a disadvantage to someone not taking supplements? Would

I have to gradually reduce them? "

 

Noting that it's impossible to supply a " black-and-white "

answer to Melody's question, Dr. Spreen responds:

 

" It can be an issue depending upon what vitamins are being

taken. In the case of vitamin E (and most others)

everything's on the up side: you take it and it provides a

health 'insurance policy' - you don't, then it doesn't. You

just miss any possible benefits.

 

" In the case of vitamin C something neat happens. Assuming

you take enough (RDA amounts won't do it), high doses of

vitamin C 'awaken' dormant enzyme systems that can utilize

the additional doses of the nutrient. Over a period of time

they get used to having the higher dose and 'jack up' to

accommodate. (This counters the argument from anti-vitamin

types that avoiding scurvy is the only value to vitamin C.) "

 

-----------------------------

The C...and the knife

-----------------------------

 

According to Dr. Spreen, the problem that Melody and others

may face by discontinuing gram-type doses of vitamin C is

that the body uses up what's left very quickly, creating a

potential deficit. Therefore, he recommends a gradual

tapering off if they wish to quit, and then offers this

example of a good reason to discontinue high dosages of

vitamin C:

 

" Before surgery I deliberately suggest this to people, as

high-dose C is very detoxifying and many times I've had

patients tell me that their anesthesiologist was surprised at

how much medication was required to knock them out. This

happened to a friend of mine and my sister-in-law, both of

whom tapered before a subsequent surgical procedure. RIGHT

after surgery, of course, I'd strongly suggest getting back

on the C...it is a major component of collagen, the number

one repair protein in the body, just what you'd need after

being 'knifed.'

 

" The water is also muddied by the fact that many people have

differing needs for each of the B-complex vitamins. The RDA

amount may be fine for B-1, say, while their personal enzyme

systems need 100 times that amount of B-3 for the two to even

out in the body. Finding just what these amounts are in each

of us is really tough, which is why I usually overdo all of

them as my 'insurance policy.'

 

" Herbs are a whole different bag of worms. Some are

nutritional while some have pharmacologic (drug-like)

effects. Heck, where do you think drug companies got their

ideas? It wasn't from sheer brilliance - it was from

observing the effects of age-old herbal remedies and playing

patented copy-cat. These items need to addressed on an

individual basis.

 

" So, usually you can cut down nutrients without difficulty.

When in doubt taper down before stopping, or better yet, talk

with an experienced nutritional doctor. "

 

Discussing vitamin absorption with a nutritional doctor would

be good advice for Frederick and others as well. The

questions he has could probably be more specifically answered

by a qualified medical expert who would (ideally) be aware of

his medical history, current health issues, dietary concerns,

etc., which might all come into play in determining how

efficiently his vitamins are absorbed.

 

**************************************************************

...and another thing

 

The other day I received a newsletter from my health

insurance company with a featured article about risk factors

for heart disease. So I gave it a look, and as you might

suspect it ran along pretty conventional lines: stop smoking,

lower your cholesterol, etc. Then, in a sidebar about blood

pressure, they listed a web site to access a " Risk Assessment

Tool for Estimating 10-year Risk of Developing Hard CHD

(Myocardial Infarction and Coronary Death). "

 

Now if you were going to create this web site, what address

would you give it? Something like " riskassess.com " ?

Or " chdrisk.com " ? You'd make the address short and catchy,

right?

 

Here's the web address they sent me to:

http://hin.nhlbi.nih.gov./atpiii/calculator.asp?usertype=prof

 

Keep in mind, this is in a print publication. I can't just

, or even copy and paste it - I have to type

the whole thing out. Maybe they think I'll get my heart rate

up enough doing all that typing that it'll get me started on

an exercise program.

 

So I logged onto my Internet server and settled in behind the

keyboard. I'm a good typist, but on my first try I missed one

of the slashes - Doh! - so had to go back and correct. But

then, after a second try, it turned out I'd also left out the

dot after gov. Doh! Meanwhile I can feel my blood pressure

climbing.

 

Finally - success! - the web site comes up, and in addition

to my age, gender and smoking habits, they ask for my total

cholesterol, my HDL cholesterol, and my systolic blood

pressure. Doh! Right about then my blood pressure goes

through the roof!

 

If I had just come home from getting the results of a

complete physical I might know my cholesterol and BP

readings. But come on, I don't have that kind of information

at my fingertips. Who do they think I am? The Surgeon

General?

 

So if you DO happen to know your cholesterol and BP info, or

if you happen to be the Surgeon General, please check that

web site and let me know if the risk assessment is worth the

trouble.

 

But I'll tell you right now - if you're not a good typist you

might have to call 911 before you're finished.

 

To Your Good Health,

 

Jenny Thompson

Health Sciences Institute

 

**************************************************************

Copyright ©1997-2003 by www.hsibaltimore.com, L.L.C.

The e-Alert may not be posted on commercial sites without

written permission.

 

**************************************************************

Before you hit reply to send us a question or request, please

click here http://www.hsibaltimore.com/ealert/questions.shtml

 

**************************************************************

 

**************************************************************

If you'd like to participate in the HSI Forum, search past

e-Alerts and products or you're an HSI member and would like

to search past articles, visit http://www.hsibaltimore.com

 

**************************************************************

To learn more about HSI, call (203) 699-4416 or visit

http://www.agora-inc.com/reports/HSI/WHSIC313/home.cfm.

 

**************************************************************

 

 

 

Gettingwell- / Vitamins, Herbs, Aminos, etc.

 

To , e-mail to: Gettingwell-

Or, go to our group site: Gettingwell

 

 

 

Free online calendar with sync to Outlook.

 

 

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