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Nutritional/dietary
Supplements
Chris Sauro
HW 499 Professor Davis
7/27/14
What is a nutritional/dietary
supplement?
A nutritional/dietary supplement is a certain product
taken by mouth that contains “dietary ingredients”
intended to supplement one’s current diet (FDA.Gov,
2014). The “dietary ingredients” in these various
products can include: vitamins, minerals, herbs or
other botanicals, amino acids, and substances such as
enzymes, organ tissues, glandulars, and metabolites
(FDA.Gov, 2014).
nutritional/dietary
supplements
regulated?The Dietary Supplement Health and Education Act
(DSHEA), approved by Congress in 1994, defines dietary
supplements as products that:
Are intended to supplement the diet
Contain one or more ingredients (like vitamins, herbs,
amino acids or their constituents)
Are intended to be taken by mouth
Are labeled as dietary supplements
nutritional/dietary
supplements
regulated? (Cont.)The Food and Drug Administration (FDA) once regulated
dietary supplements the same way it does foods, but that
changed as of Aug. 24, 2007. The FDA's new good
manufacturing practices ruling ensures that supplements:
Are produced in a quality manner
Do not contain contaminants or impurities
Are accurately labeled
What forms do
nutritional/dietary
supplements come in?
Nutritional/dietary supplements can be found in
many forms such as tablets, capsules, softgels,
gelcaps, liquids, or powders (FDA.Gov, 2014). In
addition, they can also be in other forms such as a
bar. If they are in bar form, the information must not
represent the product as a conventional food or a
sole item of a meal or diet (FDA.Gov, 2014)
Products, regardless of what form they come in are
placed in a special category under the general
umbrella of “foods,” not drugs, and requires the
every single supplement be labeled a
nutrtional/dietary supplement (FDA.Gov, 2014).
Are nutritional/dietary
supplements effective?
As you read, a supplement is just that. It supplements your diet alongside
wholesome nutrition. A supplement should not take over for your diet. If
you do not eat a variety of nutritional food, some supplements can help get
the nutrients one may be lacking.
Scientific data shows that some nutritional/dietary supplements are in fact
beneficial for overall health and managing some health conditions(NIH,
2014). For instance, calcium and vitamin D are important for keeping bones
strong and reducing bone loss; folic acid decreases the risk of certain birth
defects; and omega-3 fatty acids from fish oils might help some people with
heart disease (NIH, 2014).
Other supplements need/require more studies to determine their value or
effectiveness within the body.
The U.S. Food and Drug Administration (FDA) does not determine whether
dietary supplements are effective before they are marketed (NIH, 2014).
Safety & risks surrounding
nutritional/dietary supplements
Supplements contain many ingredients that have strong effects with the body.
Be aware of potential side effects as result.
Supplements are most likely to cause side effects or harm when people take them
instead of prescribed medicines or when people take many supplements in
combination. Some supplements can increase the risk of bleeding or, if a person takes
them before or after surgery, they can affect the person's response to anesthesia.
Dietary supplements can also interact with certain prescription drugs in ways that
might cause problems. Here are just a few examples (NIH, 2014):
Vitamin K can reduce the ability of the blood thinner Coumadin® to prevent blood
from clotting (NIH, 2014).
St. John's wort can speed the breakdown of many drugs (including antidepressants
and birth control pills) and thereby reduce these drugs' effectiveness (NIH, 2014).
Antioxidant supplements, like vitamins C and E, might reduce the effectiveness of
some types of cancer chemotherapy (NIH, 2014).
Safety & risks surrounding
nutritional/dietary supplements
(Cont.)
Some ingredients food in nutritional/dietary supplements
are beginning to become added to everyday food items
such as cereal and various beverages (NIH, 2014).
As result, individuals are ingesting more supplements than
their body actually needs. Taking in too many of one
supplement can increase the risk for negative side effects.
Example: Too much vitamin A within the diet cause
headaches and liver damage, reduce bone strength, and
cause birth defects (NIH, 2014). Excess iron can nausea and
vomiting and is harmful to the liver (NIH, 2014).
Keep in mind…..
Don't take supplements in place of, or in combination with, prescribed medications without
your health care provider's approval.
Check with your health care provider about the supplements you take if you are scheduled
to have any type of surgical procedure.
The term "natural" doesn't always mean safe. A supplement's safety depends on many
things, such as its chemical makeup, how it works in the body, how it is prepared, and the
dose used. Certain herbs (for example, comfrey and kava) can harm the liver.
Before taking a dietary supplement, ask yourself these questions:
What are the potential health benefits of this dietary supplement product?
What are its potential benefits for me?
Does this product have any safety risks?
What is the proper dose to take?
How, when, and for how long should I take it?
References:
Zelman, K. (n.d.). The Truth Behind the Top 10 Dietary
Supplements. WebMD. Retrieved July 27, 2014, from
http://www.webmd.com/diet/features/truth-behind-top-
10-dietary-supplements
Dietary Supplements: What You Need to Know. (n.d.).
Dietary Supplements: What You Need to Know. Retrieved
July 25, 2014, from
http://ods.od.nih.gov/HealthInformation/DS_WhatYouNee
dToKnow.aspx
U.S. Food and Drug Administration. (n.d.). Q&A on Dietary
Supplements. Retrieved July 27, 2014, from
http://www.fda.gov/Food/DietarySupplements/