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Thu, 12 Jun 2003 22:02:46 -0500

HSI - Jenny Thompson

C-ing Double

 

C-ing Double

 

Health Sciences Institute e-Alert

 

June 12, 2003

 

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

 

Dear Reader,

 

It seems like the subject of C just goes on and on. Vitamin C

that is. Every time I turn things over to HSI Panelist Allan

Spreen, M.D., to field a question about vitamin C, in come

the e-mails with more questions about C.

 

In today's C " seminar " Dr. Spreen will weigh in on the pros

and cons of the different types of vitamin C (along with a

comparison to the varieties of vitamin E), and then give us

his opinion about one doctor's recommendation to take vitamin

C intravenously.

 

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

Several C choices

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

 

You may have heard that the Recommended Daily Allowance (RDA)

for dietary supplements will soon be a thing of the past - to

be replaced with Dietary Reference Intakes (DRI). This

transition is currently getting the full bureaucratic

treatment, with the FDA reviewing changes proposed by the

National Academy of Sciences. So far it appears that some

supplements may get bumped up in the switch from RDA to DRI,

but I'll believe it when I see it.

 

Meanwhile, as you are already aware, Dr. Spreen advocates

much more than just a bump up from the current RDAs for most

supplements, especially vitamin C. When he addressed this in

a recent e-Alert ( " C Saw " 5/28/03), it brought this comment

and question from an HSI member named Nathan:

 

" You recommend taking large doses of vitamins, including

vitamin C, just to make sure that enough is absorbed. I

believe the vitamin C you use is ascorbic acid. I've read

that vitamin C is actually a complex of many things,

abscorbic acid being just one of them. It also said that

ascorbic acid when taken alone actually causes damage in the

body and so only the whole complex should be taken.

Something similar was said about vitamin E. What are you

thoughts on this? "

 

Here's Dr. Spreen's response to Nathan's e-mail:

 

" Vitamin C does exist in different forms - water soluble

ascorbic acid and a multitude of ascorbates (i.e., salt forms

in combination with elements like sodium, potassium, calcium,

magnesium), along with fat soluble forms like ascorbyl

palmitate, so vitamin C is not just one thing. There's no

question (in my mind, anyway) that vitamin C is far more

potent when ingested in its natural state, which would

complex it with phytonutrients called bioflavonoids (as in

citrus fruits for example). Like anything else, rarely is a

single compound by itself the best way to achieve optimal

nutrient status.

 

" However, I'm not aware of actual damage being caused by the

use of (for example) pure ascorbic acid. Robert Cathcart, MD,

Fred Klenner, MD, Linus Pauling, PhD, Archibald Kalakerinos,

MD, and many others have done amazing things using vitamin C

intravenously in huge doses (even up to 100 grams [100,000

milligrams] over a few hours' time). Such efforts have shown

benefit against SIDS, snake bite, typhoid, cancer and other

serious situations. (Note: One 'sort of' exception might be

the early efforts of Linus Pauling and Ewan Cameron, a

Scottish surgeon, using immense doses of vitamin C on some

highly advanced cancer patients. When some died even earlier

than expected, autopsies found that the vitamin C had killed

cancer cells so rapidly that the tumor masses tended to 'die'

and crumble in on themselves, causing blockages that killed

the patient.) "

 

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

That little " l "

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

 

Having warmed to the subject of vitamin C, Dr. Spreen shifted

gears and added these comments on vitamin E:

 

" Concerning vitamin E, however, things are a bit different.

Bear in mind that synthetic vitamin C (ascorbic acid) is the

identical molecule to what's naturally made in nature, only

differing in its lack of accompanying phytonutrients.

Synthetic vitamin E, on the other hand, is not the same as

its natural counterpart. Chemically it is dl-alpha tocopherol

(a mixture of 'd' forms and 'l' forms), the significant

difference being that little 'l' in the beginning. This is a

molecule shape that the body is not designed to handle,

whereas the 'd' form alone is the one the body is able to

use. It is important (again in my opinion) to use the 'dl'

form only topically, going with the natural stuff for oral

use.

 

" Unfortunately, for vitamin E it gets even a bit more

complicated. A 'natural' form of alpha tocopherol still

presents a problem because there are three other (known)

fractions of vitamin E- beta, delta and gamma. Use of the

alpha form alone (all that was available years ago) has been

shown to lower the body's levels of the other three.

Therefore, I only recommend the use of what's called 'mixed

tocopherols,' which contains all the fractions in their

natural state. To ice the cake I also like to add some

selenium, which is known to accompany vitamin E as a

synergist in many reactions (and adds positive effects in its

own right).

 

" Therefore, when you get down to it, natural state is always

better, assuming you can get adequate amounts to accomplish

the job you're dealing with. "

 

As you may recall from an e-Alert I sent you last winter

( " Over the Teeth, Past the Gums... " 2/5/03), Dr. Spreen

recommended a daily dose of 400 IU (international units) for

vitamin E, and 200 mcg of selenium for general antioxidant

protection. And while it is possible to get too much

selenium, a range of 220-400 mcg daily is quite safe.

 

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

The absorption issue

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

 

Back on the subject of C, a member named Gary wants to know

if taking the vitamin intravenously is a good idea.

 

" We saw a naturopathic doctor who promotes giving vitamin C

in high dose intravenously. He says that much more is

effectively absorbed since all the dosage is in the

bloodstream. Is this safe and does he have a point? "

 

And here's Dr. Spreen's take on delivering C by injection:

 

" Sometimes doses are needed that go beyond the intestinal

tract's ability to absorb. There is a point called 'bowel

tolerance' at which no further ingested doses of vitamin C

are useful (other than to flush out the intestinal tract,

since bowel tolerance levels cause diarrhea). Bypassing this

route by using intravenous access can permit far higher

absorption of vitamin C. Depending on the problem, such a

technique can be very useful.

 

" Your doc has a point, in my opinion. If you're concerned be

sure to ask him what he's specifically trying to treat and

what dose he feels is necessary. That way both sides know

what's going on and he can allay your fears by being able to

explain his method. "

 

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

More to come?

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

 

Will these Qs and As lead to more questions about C (and E

and selenium and other supplements)? No doubt they will. By

the time we're finished wringing every last detail out of Dr.

Spreen, we'll ALL be experts on vitamin C.

 

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

...and another thing

 

If you've tried using a glucosamine supplement to relieve

arthritis pain, don't give up the ship if the results are not

immediate.

 

That's the conclusion from what may be the longest study of

glucosamine to date.

 

For 12 weeks, researchers from the University of Western

Australia monitored 50 volunteers who all had knee pain from

cartilage damage or long-term wear and tear. Half the group

took 2,000 milligrams of glucosamine daily, and the other

half took a placebo. Almost 90 percent of the glucosamine

group reported at least some amount of improvement after 12

weeks, compared to 17 percent taking the placebo.

 

More importantly, most of the improvements for those taking

glucosamine appeared AFTER eight weeks. In other words, many

subjects who had noticed no relief at all in the first two

months, eventually began improving. And because the overall

trend was toward improvement, the authors of the study

surmised that continued use might provide steadily increasing

relief.

 

The message here (and I would say that it applies to just

about any type of supplement) is: don't be discouraged if

results are not immediate. Because even eight weeks may not

be long enough to determine if a supplement will be effective

for you.

 

So if you ever gave glucosamine a try and found it to be

lacking, it's possible that it didn't have time to work.

Many HSI members have reported great success in controlling

inflammation and restoring joint flexibility using a

NorthStar Nutritionals glucosamine formulation called

Flexanol. And, because they know that many supplements need a

little extra time to work, Over the years I've seen several studies reporting

the

failure of natural supplements in trials that lasted for as

little as 6 weeks. I hope the research community is finally

catching on to the fact that natural products can be very

effective over the long-term, even if they aren't designed to

offer immediate relief.

 

To Your Good Health,

 

Jenny Thompson

Health Sciences Institute

 

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

Sources:

" The Effect of Glucosamine Supplementation on People

Experiencing Regular Knee Pain " British Journal of Sports

Medicine 2003:37, pp. 45-49, bjsm.bmjjournals.com

" Gradual Supplement Change " Family Health Matters e-letter

 

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.html

 

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

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.

 

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

 

 

 

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Or, go to our group site: Gettingwell

 

 

 

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