Who Says You Don’t Need Supplements?

A recent article on supplements in the New York Times said what we’ve all heard a hundred times before: “Doctors and nutritionists say that people who eat a normal diet generally don’t need nutritional supplements, even if they exercise vigorously.”

The problem is such statements have absolutely no foundation.

First, what exactly is a normal diet? The definition varies among cultural and ethnic groups. Is it normal to eat the typical American (Western) diet, rich in sugars, starches, and unhealthy oils? Is it normal to eat on the run, out of boxes and microwave ovens?

Second, even if you assume that a normal diet is one consisting of fish, chicken, veggies, and other whole foods, are you really absorbing adequate amounts of the nutrients in foods? Eating healthy foods is certainly important, but poor absorption means you may not be getting those nutrients.

Third, drugs almost always interfere with nutrient absorption and utilization – and half of Americans take at least one prescription drug. Acid blockers (where prescription or over the counter products) reduce absorption of vitamins B12 and C and probably others. Antibiotics, oral contraceptives, and other common medications interfere with many of the B vitamins.
If you want to take the guesswork out of what you need and don’t need, find a nutritionally oriented doc who can measure your blood levels of nutrients. Such measurements aren’t perfect, but they do provide an idea of what you’re absorbing.

The idea that eating right means you don’t need supplements belongs in the wastebasket, along with another stupid idea: taking supplements and you’ll just make expensive urine. The truth is that everything that goes into the body eventually exits in one form or another. So if someone tells you that vitamins only make expensive urine, remind them that the $30 steak and $50 bottle of wine they had in a restaurant made even more expensive 
urine.