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Wed, 30 Jul 2003 10:16:18 -0500

HSI - Jenny Thompson

Icing The Pizza

 

Icing The Pizza

 

Health Sciences Institute e-Alert

 

July 30, 2003

 

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

 

Dear Reader,

 

Among dietary supplements, vitamin E is a superstar. Even the

mainstream medical establishment recognizes its usefulness.

According to the U.S. National Institutes of Health, the

alpha-tocopherol form of vitamin E is a " powerful biological

antioxidant " that protects cells against " damage that may

contribute to the development of cardiovascular disease and

cancer. "

 

But because there are eight different forms of vitamin E, the

question of which vitamin E to supplement with can be

confusing.

 

So to answer a question from an HSI member about a specific

type of vitamin E, I called on HSI Panelist Allan Spreen,

M.D., to help clear up some of the confusion about which

forms of vitamin E are the most effective.

 

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

Minding your Es and Ts

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

 

The question comes from a member named Derek in Melbourne,

Australia, who came across a Vitamin E study that he found to

be in conflict with some HSI information. Here's Derek's e-

mail:

 

" Some time ago an E-alert and other information from HSI

indicated the enormous benefits from using tocotrienols over

the usual d-alpha tocopherol form of Vitamin E. Having very

high triglycerides and slightly elevated cholesterol, I was

extremely interested in obtaining a supply. However, a paper,

produced by the American Journal of Clinical Nutrition

(AJCN), stated that the tocotrienols were 'less effective

than the d-alpha tocopherol, had less anti-oxidant activity,

and were also 8-9 times more expensive.' This leaves me in

rather a quandary. "

 

Looking over the details of the AJCN report (Derek kindly

provided a link to the study in his e-mail), I'm not

surprised that Derek is confused. For instance, the study

lasted only 6 weeks. As we've seen with other trials, the

positive effects of many supplements often don't reveal

themselves within the first three months. In other words:

it's impossible to draw hard and fast conclusions from such a

brief test.

 

Derek is right about the cost of tocotrienols; they tend to

be far more expensive than other forms of vitamin E. So are

they worth the cost? They just might be. As Dr. Speen points

out, " There has been considerable peer-review research

concerning the benefit of tocotrienols in even more than just

cardiovascular disease, to include aging, Alzheimer's

disease, breast disease and others. "

 

And yet, we can't simply conclude that the tocotrienol forms

of vitamin E are " expensive, but effective. " Dr. Spreen makes

it clear that they should not be used in place of the

tocopherols, which he calls the " true forms " of the vitamin.

 

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

Stay in the boat

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

 

Dr. Spreen begins his response to Derek with a look at two

forms of tocopherols:

 

" Any publication (and I don't care what its credentials), or

any individual (and I don't care what his reputation) who

recommends d-alpha tocopherol in any capacity other than

topically (for skin problems, etc.) has missed the boat.

Well, actually they haven't missed it completely, but they're

hanging on to the transom by their fingernails. To miss the

boat completely you'd have to recommend dl-alpha tocopherol

(or -tocopheryl), which is the synthetic form. It's very

inexpensive, and okay topically, but in no way should it be

taken internally.

 

" Now, at least d-alpha vitamin E is natural in form. However,

the answer is more complicated than that: there are other

fractions of vitamin E (not counting the tocotrienols),

specifically beta- and gamma-tocopherols (there are probably

others, too, but we haven't found them yet). In this case,

even going 'natural' is not the answer. Originally it was

thought that only the alpha form had any activity in the

body. Then the vitamin E 'gurus' discovered that high doses

of alpha-tocopherol lowered the body's amounts of the other

two. Since the real effects of vitamin E come with higher

doses, that's not something you want to alter over long

periods of time. "

 

And what happens when a single fraction is taken alone? Dr.

Spreen pointed out a 1997 study in the American Journal of

Clinical Nutrition that showed that high doses of alpha-

fraction vitamin E, taken without the rest of the 'family,'

actually became PRO-oxidant, rather than antioxidant!

 

" So, the answer to this problem, assuming you wish to

evaluate the effects of vitamin E on yourself, is to

take 'mixed tocopherols' so that you get all the fractions. "

 

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

Tocotrienol icing

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

 

Where, then, do the tocotrienols that Derek asked about fit

in with the mixed tocopherols? Dr. Spreen says he considers

them " icing on the cake, " and adds:

 

" Tocotrienols even further expand upon the spectrum of

vitamin E-like agents, and I would always start with the

natural vitamin E and add the new kids on the block if I were

wealthy enough or wanted to cover all the bases. Of

course 'covering all the bases,' to me, would also mean

adding selenium to the mix, which enhances the effect of

vitamin E (along with powers in its own right). "

 

My thanks to Dr. Spreen for his vitamin E insights, which I

hope will help lift Derek from his quandary.

 

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

 

... and another thing

 

Can pizza help prevent cancer?

 

It can, according to an article in Italy's La Repubblica

newspaper last week. But before you pick up the phone to call

Dominos, a closer look at the details might lead to a

healthier choice.

 

In a dietary study of 8,000 Italians, those who reported

eating pizza regularly were almost 60 percent less likely to

develop esophageal cancer than those who somehow make it

through their days without a slice. Pizza eaters were also 26

percent less likely to develop colon cancer.

 

I wasn't able to come up with an English version of the

7/20/03 issue of La Repubblica that carried this story, but

you don't need an Italian Nutrition Physician to tell you

that the cancer fighting benefits enjoyed by those 8,000

subjects came from the tomato sauce. In other words: It's not

the pizza, it's the tomato. But the cheese may help.

 

Tomatoes contain a phytochemical called lycopene, a potent

antioxidant that has already been shown to offer cancer

fighting benefits, as well as protection from heart disease.

One of the interesting characteristics of lycopene is that it

appears to be better absorbed when it's heated, and eating it

with fats further helps the absorption.

 

So tomato and cheese cooked together may very well add to " la

dolce vita. " But a steady diet of pizza (that is to say, a

steady diet that includes carbohydrates from white flour)

could easily lead to " la obesity " - a condition that

certainly offers no protection from either cancer or heart

disease.

 

How about a regular intake of homemade tomato soup with

freshly grated parmesan? Mama mia - now you're talking.

 

To Your Good Health,

 

Jenny Thompson

Health Sciences Institute

 

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

 

Sources:

" A vitamin E Concentrate Rich in Tocotrienols had No Effect

on Serum Lipids, Lipoproteins, or Platelet Function in Men

with Mildly Elevated Serum Lipid Concentrations " American

Journal of Clinical Nutrition, Vol. 69, No. 2, 213-219,

February 1999, ajcn.org

" Pizza, the Latest Functional Food " NutraIngredients.com,

7/21/03, nutraingredients.com

 

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/WHSID618/home.cfm.

 

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

 

 

 

@

 

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Or, go to our group site at:

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