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Posts Tagged Forms of supplements & absorption


Show 27 June 2010

Posted by hunter on June 30, 2010 in Radio Show

What You Will Learn In This Section:

  1. The Foundation Program for Intermediate/Advanced Nutrition Programs
  2. Learn About Coenzyme Q10
  3. Learn About Our Choice Bone Mineral Formula
  4. Learn About REAL Vitamin C

So you already know that you should be on a multi-vitamin, an omega-3 fatty acid and a digestive enzyme. So, what’s next? First, let me list the specific products that we suggest for the intermediate/advanced program:

Foundation Program for Intermediate/advanced:

  1. Pure Encapsulations Nutrient 950 3 Capsules Twice Daily
  2. Wholemega by New Chapter
  3. Tyler Similase Digestive Enzyme

Now let me discuss some of the supplements that many people can benefit from. These products are generally considered optional add-ons to the above mentioned foundation program. I will provide a thorough description of each supplement.

  1. CoQ10 - Coenzyme Q10 is called ubiquinone by scientists because it is so ubiquitous in the body being found in significant quantities in every living cell. The cells concentrate the coenzyme Q10 within the mitochondria in order to catalyze the production of energy through the burning of oxygen. CoQ10 is such an important cofactor that when levels are not optimal the cells begin to lose their function and disease settles in. At a 75% deficiency your body can no longer sustain life and you die. The organs that are most vital to our survival are usually the ones that are the first to suffer. This occurs because these organs such as the heart, liver, kidneys and immune system all require the most energy to function. Incidentally, you will find very high concentrations of CoQ10 in a gelcap for best absorption. Certain medications such as statin drugs and certain blood pressure medications decrease the body’s ability to produce CoQ10. If you are on these medications, you may require much higher doses in order to prevent a deficiency. Of these meds, the statins are the greatest culprit. You may require 300-400 mg to prevent disease. In recent months a new, advanced form of CoQ10 hit the market called ubiquinol . This form of CoQ10 absorbs better and may get into the mitochondria more readily where it can do its most good.
  2. Progena Osteo Plus - This formula contains all of the minerals necessary to feed the bone building cells. By providing the right forms and doses of calcium, magnesium, boron, silica, and other trace minerals this formula will support healthy bones and joints. The sophisticated nutrition enthusiast understands that the bones require more than just calcium alone. In fact, the bones are equally dependant on minerals and proteins such as those minerals listed above. Progena has formulated a product that combines calcium and magnesium at nearly 1:1 which is optimal for our diet which is highly biased towards calcium.
  3. Food Souced Vitamin C - Vitamin C is a very important nutrient in our body. At some point in our evolution, we had lost the ability to produce this vital nutrient as we became dependant on vitamin C in our diet. Vitamin C probably plays thousands of important roles in our bodies and thus tops the list of important nutrients. The vitamin C that works best in the body is not the ascorbic acid found in most health food supplements. In fact, the ascorbic acid is not vitamin C, rather it is the protective shell of the vitamin C molecule which is comprised of bioflavonoids, minerals and enzymes. To get the full benefit of true vitamin C, you will want to get your vitamin C from food sourced products such as a supplement called Pure Radiance C by the Synergy company.  This is a concentrateof various fruits and herbs that contain high levels of true whole food C.
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Start getting A+ Supplements

How do you really know what you are getting when you go into the local health food store or chain? Most people have a “pay and pray” philosophy of purchasing their supplements. They pay the sixteen-year-old clerk and pray that what is on the label is in the bottle. As pharmacists, we wanted to be able to provide nutritional supplements that certify, using pharmaceutical standards, that what is on the label is in fact in the bottle. We hunted down supplements that were so pure, so potent that they are only available through the offices of health care practitioners. Let me describe what we look for in an A+ product.

1. Produced in FDA Approved manufacturing facilities
Now we are not huge fans of the FDA when it comes to their process of drug analysis and approval, however, we do acknowledge and accept their process of certifying manufacturing plants as being up-to-spec in relation to pharmaceutical and nutritional production.

2. Follow GMP Standards
In recent years there has been a lot of press around good manufacturing procedures (GMP), specifically with nutritional supplements. These products proudly sport the GMP insignia as though that is all that is necessary to prove the product is of high quality. GMPs are the pharmaceutical guidelines that dictate the procedures for producing medications. The press jumped right on the bandwagon, making statements like “look on your bottle for the GMP insignia for good quality products.” Although it is a step in the right direction, there is still a lot more to consider when looking for product quality. It is technically possible to encapsulate dirt while following GMP standards. You could then honestly put the GMP symbol on the bottle.

3. Independent Certificates of Analysis
The FDA comes through again by keeping tabs on independent laboratories. By having the end product tested by an independent lab, you get another certification that what is on the label is in the bottle. This is the extra step that most companies do not go through due to the extra expense.

4. Raw Materials and Standardization
When we look for the best brands, we look for products that use the raw materials and standardization used in the actual studies. If those brands are not available we then look for a product that standardizes to the same level as the product in the research. This requires a lot of time hunting down and studying research articles.

5. Proof is in the Pudding
Only when a product has passed the previous four steps do we use it in our practice. We then monitor results and if it works consistently, then we use it. If it doesn’t work, then we scrap it.

Next let’s talk about some of the more important supplements for you to learn about. The role of the multi-vitamin is to provide a security blanket of nutrition to cover deficiencies of the Standard American Diet (S.A.D) Today’s foods, including the fruits and vegetables, do not contain sufficient amounts of nutrition to allow our bodies to function at optimal levels. Likewise, a multiple vitamin that contains the minimal levels of vitamins and minerals set by the RDA does nothing to assist you in the achievement of “Optimal Health”. The One-A-Day formulas of the world fall into this category. The multiple vitamins found in the local pharmacies are typically of very poor quality because of both the dosage and forms of the nutrients provided. A lot goes into finding a good quality multi-vitamin. In all of our research we have found only a few multi-vitamins worth carrying. The Multi T/D is our most basic multi and a great orientation to natural products. It contains sufficient levels to rev up the cells without overwhelming your system. The one capsule twice a day dosing assures compliance and ease of use.

The use of a digestive enzyme is a simple step to improving your digestion.
The enzyme that we have used in our practice is the Similase digestive enzyme. This is a vegetarian enzyme that will help you digest your entire meal from meat to veggies. We suggest 1-2 capsules per meal depending on your response and the size of the meal.

Omega-3 fatty acids are the most important nutritional supplement on the market today because they are so deplete in our diet and they play such an important role in our body. If you are on a strict budget, this is the supplement to start with. Research has shown that supplementing your body with omega-3 fatty acids can help:

  1. Lower triglycerides (Ann NY Acad Sci.1993;683:337-340)
  2. Improve psoriasis (Clin Exp Dermatol.1992;17(3):159-162)
  3. Prevent blockage of arteries after angioplasty (Arch Intern Med.1993;153(13):1595-1601)
  4. Helps control blood sugar (Diabetes Care.1998;21:494-500)
  5. Prevents angina (Atherosclerosis.1987;64(1):13-19
  6. Decreases risk of sudden death (JAMA. 1998;279:23-28)

These are just a small sampling of the studies on omega-3 fatty acids. We will be posting a lot more research on omega-3 fatty acids in the very near future.

Essential Fatty Acids are a critical part of any general health program. During the course of the war on heart disease fat became a key focus of the healthcare establishment. Before long fat and cholesterol were being stricken from our kitchens, replaced with liquid plastics we call margarines and spreads. Eggs were soon being tossed from the refrigerator replaced by a milk carton shaped fat-free egg substitute. The result was an upward surge in the incidence of heart disease as well as a downward surge in the quality of life of the American public. They were still dying of heart disease, the only difference was that their last meal now consisted of a bland egg substitute fried in a liquid plastic and washed down with a glass of milk byproduct. Fat is critical to optimal health, as a matter of fact you cannot achieve “optimal health” without the right kinds of fats in the diet!

I will simplify the discussion of fats by pointing out the two main types of fat, omega-6 and omega-3 fatty acids. Although the omega-6 fats are villainized as the “bad fats” they are only bad because we eat them in excess while neglecting the omega-3 fatty acids.

Omega-6 fats come from vegetable oils, conventional beef and chicken, farm grown fish and certain nuts (peanuts, cashews, etc.) Omega-3 fatty acids are found in range-grown or grass-fed beef and chicken, flax oil, perilla oil, wild caught cold water fish and nuts such as walnuts. Because of the deficiency in the omega-3 fatty acids in the foods we eat, it has become necessary for the typical American to supplement with the healthy omega-3 fats.

The omega-3 fatty acids are important for the normal functioning of nearly every system in the body. For a more detailed description of essential fatty acids see the article Healthy Fats. If you need to cook with oil, the best cooking oil available is MacNut Australian macadamia nut oil. This oil protects the food from oxidation during the cooking process and enhances the food with powerful antioxidants and heart healthy monounsaturated fatty acids.

If you have any questions about which product to use, please contact our pharmacists. Below are described our most popular omega-3 supplements:

Popular Omega-3 Supplements

Product Highlights When do we use this product?
Flax Oil Flax Seed Flax oil is a vegetarian source of an essential fatty acid called alpha linolenic acid (ALA). This fatty acid is utilized by the body to form other important essential fatty acids (EPA/DHA). This is a great supplement for those who want to avoid animal sources of EFAs. The minimum dose for benefits to be realized is usually one tablespoonful daily or about 9 capsules. If you have a higher fat intake or a history of heart disease or diabetes should consider adding fish oil to ensure that your body gets all the essential fats it needs. Because of the volatile nature of flax oil, we use only Barleans brand flax oil. This company specializes in the proper extraction and storage of flax oil. They also offer a special flax oil called “High Lignan Flax Oil” which may offer additional benefits to women.
EPA/DHA
(Fish Oil)
Cold Water Atlantic Fish Fish oil is a great source of two omega-3 fatty acids, EPA and DHA. These two essential fatty acids seem to play a role in protection of the blood vessels, heart, brain, immune system, etc. This product is used with people who have a significant risk of heart disease. Current research has shown fish oil to be a powerful protector of the blood vessels and heart through various mechanisms. Fish oil is an accepted treatment for high triglyceride levels. Because people suffering from heart disease have a need for higher levels of EPA and DHA, fish oil is the product of choice. Suggested dosage can range from 4-9 caps daily.
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Below you will find the three products that we most commonly suggest for people starting with natural products.
 Multi T/D – High potency Two-A-Day Multi-Vitamin
Now that you are in the Your Prescription for Health community, it is time for you to go into your medicine cabinet and throw out the Centrum(R) or any pharmacy-bought one-a-day multi. You are going to learn why as you read on. For now, just trust us. This multi is a great starter multi. It contains all the right natural forms of the nutrients and in much healthier doses than one-a-day formulas.
 Similase Digestive Enzyme
This is a plant sourced digestive enzyme that will help you draw more nutrition out of your food and supplements. The enzymes in this formula will help you break down you carbohydrates, fats and proteins so that body can absorb the vitamins, minerals and phytonutrients. People generally feel healthier and more energetic as their bodies get nourished. 1 Capsule with each meal.
 Your Prescription for Health Super Omega-3 Fish Oil Enteric Coated
We specially pick this formula because it is a potent and pure fish oil that is enteric coated so that there is never any fishy taste, even in people with less than optimal digestive systems. We suggest that you take 2 capsules twice daily, this sounds like a lot but fish oil is the most important supplement of all.

Start your Supplement Program, now.

Most people who reach this page are ready to get started right away with a nutritional supplement program. If your goal is just to learn more about health, then click the “Next Step” at the bottom of the page. It is our experience that supplements speed the achievement of a healthy lifestyle and dramatically magnify the results of any health program. To encourage you to jump in and get started we are making this OFFER at a huge discount on our most popular starter program! This will be the only time that this discount will be offered on a starter program. If you choose to move on, you will be able to get the same products at our usual 20% discount later. This is a ONE TIME discountavailable only to new subscribers to our newsletter. Once you leave this page it is gone for good. If you want to move on without taking advantage of this offer click the “Next Step” link at the bottom of the page. If you order right now, you will have 60 days to try the program. If you are not completely satisfied, you can return the empty bottles for a full refund. So, don’t miss out on this one time opportunity, choose the button below.

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Two Forms of Coenzyme Q10. What is the Difference?

Posted by Dr Ray Hinish on June 7, 2010 in Supplements

In the body, CoQ10 exists in two main forms “ubiquinone” and “ubiquinol”. The “ubiquinol” is the activated form of “ubiquinone” and thus is more easily absorbed into the blood and cell. Recent research has shown that “ubiquinol” supplementation is superior to the older supplement “ubiquinone”, which is the standard CoQ10 supplements found in vitamin stores. “Ubiquinol” has only been available as a supplement since 2007 while ubiquinone has been used for over 30 years.

Many people are asking is the new form worth the extra expense?

In order for ubiquinone to be used by the body it must first be converted into ubiquinol. This process takes place naturally in the body which is why the standard CoQ10 has worked so well in conditions such as heart failure, immune dysfunction and diseases of the brain. Research indicates that CoQ10 levels begin to drop in the twenties and by the age of 40 may have dropped by a whopping 25%! In addition, certain prescriptions such as statin medications have been shown to dramatically decrease the production of this vital nutrient.

When should you use ubiquinol instead of the standard ubiquinone?

Because we are in the beginning stages of research with ubiquinol, we do not have all of the answers as of yet. Judging from the information that we currently have it appears that ubiquinol may be best in people who:

1. Are over the age of 40, especially senior citizens
2. Are on prescription medication that lowers CoQ10 production
3. Have not responded to standard CoQ10 supplementation
4. People who suffer with heart failure

Because ubiquinol is better absorbed and utilized, you may be able to take less than with standard CoQ10. We recommend starting with 200-300 mg per day for a period of 2-3 weeks, followed by 100 – 200 mg daily thereafter. This dose can be optimized according to your own results and needs.

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Daily Potassium Requirements for Optimal Health

Posted by Dr Ray Hinish on December 30, 2011 in Supplements

Some health experts claim that nutrient deficiencies are a thing of the past and supplementation is unnecessary in today’s day and age…they are dangerously mistaken!

In fact nutrient deficiencies are quite common, and such deficiencies are the direct cause of many health problems that result in hospitalization and even death.

One such nutritional deficiency is potassium and in today’s article, we will talk about the benefits of potassium supplementation as well as the daily potassium requirements for optimal health. Published research shows that potassium deficiency can be a direct or indirect cause of many health problems, including:

  • Cardiac arrhythmias (irregular heart beat)
  • High blood pressure
  • Fatigue and muscle weakness
  • Constipation

Benefits of Potassium

Potassium can be an important part of any supplement program. Studies have shown that potassium supplementation can result in significant decreases in blood pressure, improvements in constipation, decreases in cardiac arrhythmias, and improvement in fatigue and muscle weakness.

Daily Potassium Requirements

The majority of your potassium should come from your diet; supplementation should be used as a means of optimizing your dietary potassium intake. I recommend reading the article on the Benefits of Potassium for a discussion of dietary potassium from the perspective of our evolutionary history. Although the Recommended Daily Allowance (RDA) of potassium is 4.7 grams (4700 mg), our Paleolithic ancestors consumed between 10-15 grams per day from fruits and vegetables!

For most healthy people, taking up to 1,000-2,000 mg of potassium daily in supplement form should be very safe (depending on diet). If you are on medications, such as loop diuretics or ACE Inhibitors, or suffer with heart or kidney disease, check with a health care provider prior to supplementing with potassium.

The Potassium Supplement That I Recommend

K+2 Potassium is a high potency potassium formula that provides 300 mg of potassium per capsule. In addition to providing 300 mg of potassium per capsule, this formula provides two impressive forms of potassium…

Potassium glycinate is a chelated form of potassium that mimics food sourced potassium in absorption and utilization.

Potassium bicarbonate provides a source of bicarbonate, which helps to alkalinize the body. This advanced combination makes this one of the most potent and powerful potassium supplements on the market. This form would be especially good for people who have bone loss and/or those who eat a high meat diet.

As an alternative, Potassium Amino Acid Complex by Your Prescription for Health is an inexpensive and high-quality form of chelated potassium. Each tablet provides 99 mg of potassium in a form that mimics potassium found in food. Potassium chelate by Your Prescription for Health is considered the most cost-effective form of potassium. The only negative to this potassium supplement is it is limited to 99 mg per tablet.

Summary:

As I mentioned in the article, Benefits of Potassium, we are designed to consume far more than the ridiculously low amounts suggested by the RDA. So if you are a healthy person, with normal kidney function and currently not taking any medications for blood pressure or heart problems, eat as much potassium as you can from fruit and vegetable sources. If you have difficulty getting large quantities of fruits and vegetables, try 4-6 capsules of K+2 Potassium by Designs for Health.

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Are Vitamins Killing Us?

Posted by Dr Ray Hinish on June 7, 2010 in Supplements

Of these 68 studies, only 47 trials of the “best conducted” studies were included in the final analysis. This is beginning to sound a lot like the vitamin E study that came out last year wrongfully claiming that vitamin E increases risk of death. So let’s talk about this new study out of Copenhagen University. After removing all of the studies that the researchers deemed “lower quality”, they found the following:

1. 4% increased risk of death with vitamin E
2. 16% increased risk of death with vitamin A
3. 7% increased risk of death with beta carotene
4. No benefit or harm from vitamin C

Keep in mind that these findings were not statistically significance until certain studies deemed of poor quality were eliminated. These studies were generally performed on sick people and were not necessarily designed to evaluate mortality. Also, remember that the definition of the “poor quality” of the unused studies was determined by the researchers, not by some proven system. These types of studies commonly lend themselves to the personal bias of the researchers.

So what is my take on the study and its findings? First, let us talk about the press. The press learned from the start that “the glass is half empty” article will sells more papers than “the glass is half full” article. This is no secret to researchers and I believe that they commonly use this principle to their advantage. Researchers, who spend their lives tucked away in a laboratory for years hidden from the sun, dream of the day when their great discovery will get them their well-deserved fame and fortune. The problem is, that day doesn’t come. Their research flops and they are under great pressure from the university to make something happen or pack up their lab rats and go. These universities also want the fame and fortune and if they don’t get it, they will find someone else who will deliver. I feel that these researchers end up consciously or unconsciously designing their research to support a specific predetermined finding. And the finding is usually a negative one (because the press eats that up), especially when it involves natural products. In this study, that is likely what happened.

I don’t believe for a minute that these supplements actually result in an increase in mortality. A ton of research to date has supported the safety of these supplements in both animals and humans. However, I will concede the probability that these products offered little or no benefit. You see, mortality data are hard to come by unless you are studying a population who is very sick and are expected to have a high death rate within a year or two. And people with extremely severe illnesses are not going to magically get better with 200 units of a synthetic vitamin E over 6 months. Smokers are not going to benefit by taking a capsule full of something resembling beta carotene for a couple of years. It wouldn’t take a rocket scientist to see this, it was a waste of money to even do the studies. You will rarely hear us suggest vitamin E alone or beta carotene alone. It just doesn’t make sense to believe that in the complex biochemical soup of our body, made up of trillions of biochemical reactions, we will be able to fix a dysfunctional system by adding one vitamin to the mix. It is a known fact that vitamins and nutrients work together and we need to satisfy all of these nutrient needs to benefit the body.

What do we suggest?

Balanced multi-vitamins such as Purity’s Perfect Multi and Nutrient 950 are much better means to providing full spectrum nutrition to the body. Instead of trying to correct a single nutrient deficiency these multi formulas respect the complexity of our biochemical makeup and provide all of the main foundation nutrients in the right forms and doses to positively impact the body. If you are looking for extra antioxidant support in your multi, I would suggest the Polyphenol Nutrients by Pure Encapsulations . This is an upgrade to the Nutrient 950 product; it adds some very potent whole food antioxidants. We also suggest that you get some sort of whole food concentrate that supplies the phytochemcials and nutrients that are only found in food. Our favorite products are Greens First powder and the Daily 5 fruit powder . Both these products are easily tolerated and certified organic.

Take home messages:

1. You will not die from vitamin C, E, beta carotene or vitamin A unless you choke on them.
2. Don’t expect miracles from one nutrient. Get your vitamins and minerals together.
3. Get some sort of whole food concentrate to complete your supplement program.
4. Eat good food first and then make up the difference with nutritional supplements.

Be sure to tune in to our radio program on Sunday, March 2; we will be discussing this topic in detail. The Your Prescription for Health radio show airs every Sunday from 10am-12pm on WCBM 680 AM. You can listen anywhere in the world through the internet at www.wcbm.com/

This newsletter can be forwarded, reprinted and distributed freely as long as it is sent unchanged and full credit is given to the author and organization. ©2006 Your Prescription for Health www.illnessisoptional.com

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Have you ever stopped to wonder who taught a monkey what to eat? I realize that you are here to learn about the benefits of potassium, bare with me a moment, I promise I will give you the answer. for now,, back to the monkey question, it will all make sense in a second…

I am willing to bet that you’ve never given it much thought because, admittedly, the question is quite ridiculous. Monkeys just seem to know what to eat. Through this mysterious force we call “instinct”, most animals exit the womb and just know exactly what to put in their mouths.

Although humans are more than animals, we do have instincts, like our monkey ancestors.

In recent years scientists have been trying to understand what man consumed when we didn’t have government agencies to tell us what to eat. During this time, approximately 50,000 to 100,000 years ago, Paleolithic man was comprised of hunters and gatherers who consumed a diet motivated by instinct. Then approximately 10,000 years ago began the Neolithic Revolution.

The Grand Mistake

During this new age of human development; we adopted more of an agriculture and animal husbandry practice. I imagine this is about the time when those nasty little creatures called “food scientists” came into existence. A “food scientist” is someone who thinks they can make food better, tastier, and more nutritious than nature.

Although the study of the Paleolithic lifestyle is quite complex, it doesn’t take a rocket scientist to figure out what kinds of foods our ancestors consumed. It’s no surprise to see that most experts in the area of Paleolithic eating suspect that these people consumed primarily fruits, vegetables, nuts, seeds, and some wild game. If you’re reading this list and feel that this is common sense, that “knowing” that you are experiencing is the remnant of your Paleolithic instinct.

Our abandonment of the Paleolithic way has resulted in a number of harmful and even life-threatening nutrient deficiencies…

Potassium Deficiency and the Benefits of Potassium

One nutrient that many scientists believe was much more abundant in our diet during Paleolithic times was potassium.

The Stone Age humans likely consume approximately 15 grams of potassium on a daily basis. Compare that to the recommended daily allowance of 4.7 grams per day. A ridiculously low level, I may add, that most of us never achieve.

In addition to a deficiency of potassium, the average American consumes a large excess of sodium. The sodium to potassium ratio is important for proper function of the body; when this ratio gets imbalanced the body suffers. Our Stone Age ancestors only consumed less than a gram of sodium (0.6 g) and it is estimated that the average American now consumes approximately 3.5 g of sodium and an embarrassing 2.8 g of potassium.

Why Should We Be Concerned With Our Sodium/Potassium Balance?

The balance of sodium and potassium is crucial for the function many cellular systems; some signs of potassium deficiency include:

  1. Fatigue
  2. Heart arrhythmias
  3. Heart failure
  4. Muscle weakness
  5. Constipation
  6. Delayed emptying of the stomach

Isn’t Potassium Dangerous?

Contrary to popular belief, potassium is a safe nutrient when taken properly. In healthy adults without heart or kidney problems, daily potassium intake should not exceed 8 grams.

If you suffer with kidney and/or heart disease, or you are on certain medications for blood pressure, potassium toxicity can occur at lower dose. For this latter group, ask your doctor before taking potassium supplements.

When supplementing with potassium, you must take into account how much potassium you are taking in through diet. Fruits, vegetables, nuts, fish, legumes are all good sources of potassium. It is possible to get sufficient potassium levels from your diet, however, it requires discipline and a hefty appetite for fruits and vegetables.

For the rest of us, supplementation may be required in order to achieve healthy potassium levels.

Who’s At Risk of Potassium Deficiency?

Before we get into the benefits of potassium, let’s talk about the risks of potassium deficiency.

It is important to realize that certain lifestyle habits, medications, and conditions can lead to an increased risk of potassium deficiency, these include:

  1. The use of diuretics
  2. Diarrhea or vomiting
  3. Chronic dieting
  4. Chronic kidney failure
  5. Magnesium deficiency
  6. Strenuous exercise

Keep these variables in mind when considering supplementation. See our Daily Potassium Requirements for Optimal Health for more information on supplementing with potassium.

What Are the Benefits of Potassium?

Potassium is essential for regulating fluid balance, acidity within the body, blood pressure, and muscle function. There are numerous outward benefits of supplementing with potassium, including:

  1. Lowering blood pressure – An analysis of 33 published studies have demonstrated potassium supplementation to be of benefit in people who suffer with hypertension. The effective dose used in the research was 2,400 mg daily. (JAMA 1997;277:1624–32
  2. Protection from Cardiac Arrhythmias – Studies show that people with low potassium levels are at a heightened risk of arrhythmia. Supplementation with 1,000 mg of potassium was shown to decrease the risk of arrhythmias in people who were prescribed a potassium-depleting blood pressure medication called hydrochlorothiazide (HCTZ). (Int J Cardiol 1989;25:93–8)
  3. Prolonged life and Improved Quality of life – One study demonstrated that men who consumed high levels of potassium had a longer life. More importantly, those with higher potassium intake enjoyed an improved quality of life. See the article: Potassium for a Longer and Healthier Life – Benefits of Potassium for Seniors
  4. Improved energy – Electrolytes, such as potassium, can allow the body to manufacture needed energy. Potassium deficiency can cause physical and mental exhaustion.
  5. End to muscle cramps and charlie horses – Potassium deficiency can promote muscle cramps, as can calcium or magnesium deficiency.
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Natural Treatments for Heartburn & GERD

Posted by Dr Ray Hinish on August 24, 2010 in Articles Digestive Health

Gastroesophageal Reflux Disease, also known as GERD, is one of our society’s most common health complaints with one in ten Americans having daily episodes of heartburn.  Researchers estimate that GERD is experienced by 25%-35% of the population, which makes Proton Pump Inhibitors, a popular medication used to treat GERD, the third best-selling class of drug in the United States.

There is mounting evidence that drug treatment for GERD does not come without potentially serious risk. Such studies suggest that these drugs increase the risk of osteoporosis, depression, serious digestive tract infection, flu, irritable bowel disease and nutrient deficiencies such as vitamin B12 as well as important minerals. Although research has demonstrated these potential consequences, it does not take a multi-million dollar study to be able to reason that medications that interfere with acid secretion in the stomach will also interrupt nutrient absorption while making it easier for harmful organisms such as C. difficile to grow and cause havoc in our digestive tracts.

GERD occurs when the digestive juices back up into the esophagus, which results in an irritation to the fragile lining of the esophagus. The chronic irritation to the esophagus potentially results in a pre-cancerous condition called Barrett’s esophagus and then, left unchecked, to esophageal cancer. This process of progression sounds horrible and, drug companies would have you believe, imminent if left untreated.  Research, however, does not support this seemingly rational and unquestionable connection. In fact, a recent review of the data suggests that the connection between GERD and Barrett’s esophagus is so weak that the reviewing scientists felt that the widespread practice of screening patients with GERD, using endoscopy, was not warranted. Other researchers found that patients who were suffering with nighttime symptoms, as well as obese patients, were at a higher likelihood of having GERD progress to Barrett’s and ultimately to cancer. These patients may be the ones who require endoscopy as a screening tool.

What causes GERD?

A common characteristic of GERD is what is known as a relaxed lower esophageal sphincter (LES Valve). This sphincter acts as a door between the esophagus and the stomach. In a healthy person, the door slams tightly shut after food enters the stomach; however, in someone with GERD, this door may not shut snuggly, which can lead to reflux of stomach contents and ultimately irritation of the esophagus. The better question is, “what causes this doorway to remain slightly ajar?”  There are number of reasons for this:

  1. Portion size – People who eat large quantities of food can cause the stomach to expand well beyond the normal stretched size. Regular exposure to this degree of stretch can cause a deformity in the doorframe so that a gap remains, even when the door is shut. Portion size of food can have an immediate and a more long-term effect. If you eat a large meal right now, the stretching of the stomach can immediately cause symptoms; long-term exposure to such large portion sizes can result in a deformity in the doorframe even when the stomach is empty. Both of these situations can be remedied by eating smaller quantities.
  2. Mint – Mint has a relaxing effect on the esophageal sphincter, you may want to avoid using mint candies and gum if you suffer with GERD.
  3. Deep fried food – These foods slow the movement of food from the stomach to the intestines, this increases the likelihood of contents moving into the esophagus.
  4. Late night eating – This increases the likelihood that food will be in the stomach while your body is in a horizontal position.
  5. Medications – There are many medications that can cause problems with GERD: Calcium channel blockers, beta blockers (metoprolol, Toprol XL, etc.), NSAIDs (Ibuprophen, Naproxen, Advil, Aleve) , aspirin, nitrates, anti-depressant medications, bisphophonates (Fosamax, Actonel, Boniva, etc.) and progesterone.
  6. Excess weight, especially central obesity.
  7. Food allergies and sensitivities. Although this is an underappreciated cause of reflux disease, it is important to note and it may be worthwhile to look for offending foods and precede with eliminating these foods from the diet.  These food sensitivities can be worsened by acid suppression through the use of medications like Nexium, Prevacid, Tums, etc.
  8. Stress is a major cause of GERD. When you are stressed, the digestive tract does not function properly. This can result in a poorly functioning LES valve and more reflux.
  9. Other factors – There are other factors that have been linked to GERD such as: Smoking, spicy food, citrus, tomato products, caffeine, alcohol and chocolate.

Isn’t GERD Caused by Too Much Acid in the Stomach?

Although there is a condition, called Zollinger-Ellison Syndrome, where the stomach produces excess acid, this condition is quite rare. In fact, many doctors have discovered that 9 out of 10 people, who suffer with reflux, actually do not produce enough acid to trigger the closure of the LES valve. In addition, when stomach juices do not reach a particular acid level, the food contents sit stagnant and the food begins to putrefy and rot. As the food sits, it ferments and causes excess gas to form. This bubbling action can further worsen reflux by pushing the contents of the stomach into the esophagus.

So what do we do about it?

  1. Have a careful assessment of medications and request your doctor remove or alter any medication listed above that may be linked to reflux. Please note, most doctors and pharmacists do not know about the link between these medications and reflux.
  2. Learn about and implement a food elimination diet to try and pinpoint certain food triggers. Wheat, gluten and dairy are common culprits.
  3. Replace acid in the stomach. It is a little known fact that a lack of acid in the stomach may be responsible for the reflux. This goes contrary to the conventional belief about what causes GERD; excess acid and poor sphincter tone. See our article about Betaine HCl Therapy for GERD. Taking an enzyme along with the Betaine HCl could result in further improvements.
  4. Take an Enzyme – Plant enzymes work throughout the entire digestive tract to break down the food that we consume. Through the use of enzymes, we can decrease the time it takes to move the contents of the stomach from the stomach to the intestines. A potent enzyme that we commonly recommend is OrthoDigestzyme V. What makes these enzymes so powerful is the fact that they work through a broad range of acid levels. If the pH within your digestive tract is off, these enzymes will still work. This will often improve transit times and decrease gas and bloating.
  5. DGL Ultra – This is a chewable form of licorice that helps to coat, soothe and stimulate healing in the esophagus and stomach. Chew 1 tablet before each meal and at bedtime.
  6. Acid Assist – For symptomatic relief and/or in serious cases of GERD, Acid Assist is a chewable tablet that forms buffered foam on top of the stomach acid. This allows normal digestion to occur beneath the foam while preventing acid from jumping into the esophagus. This is to be used as needed to control symptoms while you are working to rebalance the body.
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Vitamin K 101 – Understanding this Vital Vitamin

Posted by Dr Ray Hinish on June 7, 2010 in Supplements

In this article, I hope to prove to you the importance of vitamin K in your diet and supplements.
First, it is important to note that vitamin K exists as two main forms; vitamin K1 and K2. Vitamin K1, called phylloquinone, comes from vegetables and is converted into vitamin K2 by intestinal bacteria. Vitamin K2 is the activated form of vitamin K and is found in organ meats, egg yolks and some fermented foods such as natto. We get much more vitamin K1 in the diet then we do vitamin K2.
In the body, vitamin K activates two enzymes: osteocalcin and matrix GLA-protein. I realize that those two words may be Greek to you but they are important to know because they have two different impacts on the body. When vitamin K activates osteocalcin, the result is more calcium and minerals get deposited into the bones resulting in stronger bones. When vitamin K activates matrix GLA-protein the result is less calcium is deposited into the arteries. Some research suggests that matrix GLA-protein may even decrease the calcifications of the arteries that are already present . Now that you know how important these two enzymes are to the body you can see how devastating a vitamin K deficiency can be. In addition, it should be noted that vitamin K2 is much more active in the body and is the only form that can activated these two critical enzymes.

Why are we deficient in vitamin K?

This deficiency likely occurs for three main reasons.

1. We don’t eat enough vegetables. Most vitamin K in the diet comes for plant sources in the form of vitamin K1. The vitamin K1 is then activated by intestinal flora and absorbed as K2.

2. Our intestinal bacteria are out of balance. Many of us are deficient in healthy bacteria that play important roles in the conversion of vitamin K1 into the active K2. Many things can decrease the number of healthy bacteria in the gut such as: antibiotics, chlorine, stress, etc.

3. We do not eat organ meats, fermented foods or egg yolks. These foods are the primary sources of vitamin K2.

Knowing that both factors are important in the maintaining healthy vitamin K levels, you can see that it is important to get more vitamin K in the diet and to make sure that your intestinal bacteria are in good balance.

How do we do this?

In our society, I believe that it is necessary to supplement with vitamin K in order to optimize the vitamin K levels in the body. You can find vitamin K supplements in both the K1 and K2 form. It is generally recommended that you opt for the vitamin K2 as the research confirms that it is far superior for the prevention of bone loss and the protection from artery calcification. If you are generally healthy, I recommend a low-dose vitamin K2 from Jarrow formulas called MK-7 which provides 90 mcg of vitamin K2 from natto. This is a small dose that meets your daily vitamin K needs which may suffice to maintain healthy bones and arteries. If you suffer with bone loss or calcification of the arteries I recommend a therapeutic dose of 15 mg (15,000 mcg) three times daily. This dose has been studied and proven to be safe and effective for improving bone loss while normalizing carboxylation to activate the osteocalcin and matrix GLA-protein. You do not need to worry that vitamin K will cause excessive clotting unless you are on a medication called Coumadin (warfarin) which works by blocking vitamin K in the body. If you are on Coumadin, research has shown that a small dose of vitamin K2 such as the dose found in the Jarrow MK-7 can actually help you to achieve more consistent INR levels while possibly preventing complication of long term Coumadin use which includes bone loss and artery calcification. Always discuss vitamin K supplementation with your health care practitioner prior to starting as you will likely need to increase the dose of the Coumadin to account for the effect of the K.

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A Guide to Supplementing with Coenzyme Q10

Posted by Dr Ray Hinish on June 7, 2010 in Supplements

There are two forms of Coenzyme Q10 on the market:

Standard Coenzyme Q10 (ubiquinone)—Ubiquinone was the first form of coenzyme Q10 to enter the market as a nutritional supplement. Once ubiquinone enters the blood it needs to be activated through an enzymatic process that turns the ubiquinone into the reduced form called ubiquinol. The ubiquinone form of coenzyme Q10 has a long history of use.

Activated Coenzyme Q10 (ubiquinol)—Ubiquinol is the activated form of CoQ10. The majority of the coenzyme Q10 within the body is found in this form. The ubiquinol supplement hit the market only 2-3 years ago and has quickly become the preferred form of coenzyme Q10 due to its enhanced absorption and utilization.

Which form should you use?

The activated coenzyme Q10 (ubiquinol) is the preferred form for people who are over the age of 40 and/or who have diseases that may impact the absorption or utilization of standard coenzyme Q10. Such diseases include: bowel conditions, celiac disease, diabetes, heart failure, heart disease or obesity. If you are younger than 40 and otherwise healthy, standard coenzyme Q10 should be fine.

Recommended Products:

Ubiquinol 100 mg by Pure Encapsulations – This activated coenzyme Q10 is one of the most cost-effective and high quality products available.

Ubiquinol 100 mg 60 Softgels

Super Ubiquinol CoQ10 50 mg by Life Extension – This is a lower dose for people who are younger and/or have no serious health problems. This formula is available in a 100 Softgel size.

Standard Coenzyme Q10 comes in many doses and sizes:

Coenzyme Q10 100 mg 60 Softgels

Coenzyme Q10 100 mg 150 Softgels

Coenzyme Q10 200 mg 30 Softgels

Coenzyme Q10 200 mg 60 Sofgels

Coenzyme Q10 200 mg 150 Softgels

Coenzyme Q10 300 mg 30 Softgels

Coenzyme Q10 300 mg 60 Sofgels

Coenzyme Q10 300 mg 150 Softgels

Coenzyme Q10 400 mg 30 Softgels

Coenzyme Q10 400 mg 60 Sofgels

Coenzyme Q10 400 mg 150 Softgels

Recommended dosage:

Generally speaking, if you are healthy and want to supplement with coenzyme Q10 then 100 mg of standard coenzyme Q10 (ubiquinone) should be just fine. If you have health challenges for which coenzyme Q10 would be helpful then I almost always recommend the enhanced, ubiquinol form of coenzyme Q10. The dose can vary from 100 mg daily to 300 mg daily—depending on the severity of your situation. If you have questions regarding the dose, please feel free to contact one of our pharmacists.

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