Thursday, February 20, 2020

Supplements for Older Adults

The human body is a complex network of different systems, all intricate in their design and function. What each system has in common is its need for nourishment, mostly in the form of nutrients, to operate properly.  Antioxidants, vitamins and minerals work synergistically to help the body reach optimal health. Deficiencies in these nutrients can have serious consequences. The immune system, bones, vision, mental clarity, blood pressure, metabolic function and energy are just a few of the health areas influenced by a deficiency in one or more vitamins and minerals. There is no substitute for a healthy, well-balanced diet; however, in today’s fast-paced lifestyles it is important to ensure the body is getting the fuel it needs.

Ideally, consuming foods such as fruits and vegetables can provide antioxidant protection to cells from the damaging free radicals as well as offer other essential vitamins and minerals that help the body perform optimally.  Unfortunately, many foods today are grown in mass quantities in soil that has been nutritionally depleted over many years of use. In a landmark study published in 2004, nutritional data of various vegetables and fruits over a 50-year period were found to have ‘reliable declines’ in protein, calcium, phosphorus, iron, Vitamin B2, and Vitamin C. It was felt this was due to the modern agricultural practices designed to breed new crops that provide larger yields, pest resistance, and climate adaptability.[i]

Combine the nutrient-deficient soil with over-processing and refinement of our foods, then add chemical preservatives and artificial color and flavor enhancers, and there is now a great need to supplement the missing vitamins, minerals, and antioxidants on a daily basis to help combat the inflammation and free radical production that our modern lifestyle generates. [ii]

Because dietary supplements are not FDA regulated as prescription and non-prescription drugs are for standards, safety, and effectiveness, there can be a wide variety of products on the market to choose from.  These can range from poor quality supplements with high amounts of fillers and nonessential ingredients to high quality, isotonic forms that have FDA marketing approval as high quality and easily absorbable. 

Vitamins are divided into two types: fat-soluble and water-soluble. Fat-soluble vitamins (vitamin A, D, E and K) are stored in the fat tissues and liver. They can remain in the body up to six months. When the body requires these, they are transported to the area of requirement within the body with help of special carriers. Water-soluble vitamins (B-vitamins and vitamin C) are not produced nor stored in the body like the fat soluble ones and need to be replenished everyday, whether consumed in our foods or supplementation.

Choosing the right multivitamin supplement is more than just looking at the ingredients. The form in which the supplement is in can make all the difference in the quality of the supplement you are receiving.  A good multivitamin should be easily absorbed and have all of the required daily levels that are essential to maintain good health. 

One multivitamin supplement recommended is ‘isotonic’ which comes as a powdered form to which you add 2 ounces of water to drink.  Isotonic, which means “same pressure,” bears the same chemical resemblance of the body’s blood, plasma and tears. All fluids in the body have a certain concentration, referred to as osmotic pressure (which is isotonic) and allow a consistent maintenance of body tissues. This means that the body has less work to do to in obtaining maximum absorption. The isotonic state of the suspension allows nutrients to pass directly into the small intestine and be rapidly absorbed into the bloodstream. With Isotonix (Nutrametrix) products, little nutritive value is lost, making the absorption of nutrients highly efficient while delivering maximum results.

The Nutrametrix Daily Multivitamin contains all the basic daily dietary needs, and can be with or without iron as recommended by your healthcare professional.  You can then add other Nutrametrix isotonic dietary supplements according to your own personal needs, for instance, for arthritis, allergies and joint pains (antioxidants like OPC-3 and vitamin C), elevated cholesterol (Essential Omega 3 oil with Vitamin E) or nerve conduction/ nerve pain and stress levels (Activated B-complex).  These items can be found online at www.nutrametrix.com/karendoll.  There is a free “Nutri-physical” you can complete online that will help individualize your supplement needs according to your personal needs.  (www.nutrametrix.com/karendoll/nutri-physical).  Before considering any supplemental regimen, be sure to consult your healthcare provider. 

Omega 3 fatty acids have been shown to be effective in fighting inflammation
 in your body as well as in reducing overall cholesterol levels and triglycerides, improving blood flow and blood pressure, and may also help to reduce the occurrence of the more severe outcomes of heart disease. Fatty fish such as salmon, sardines, anchovies and mackerel provide essential omega 3 fatty acids, especially eicosapentaenoic acid (EPA) and docosahexanenoic acid (DHA).   The American Heart Association recommends 1000 mg per day of Omega-3 EPA/DHA for patients with coronary heart disease and 2000 to 4000 mg per day for patients with high triglycerides. For vegetarians or those who have fish allergies, flax seeds or flax seed oil provides an acceptable alternative. 

To achieve this level of supplementation, a high quality Omega-3 oil is recommended daily as you want to know it is tested to be free of fillers and non-essential ingredients, like the Nutrametrix Heart Health Essential Omega-3 with Vitamin E.  NutraMetrix Heart Health Essential Omega III comes from small anchovies and sardines that have a short lifecycle making them an ideal source of fish oil because they are less prone to accumulating environmental toxins that can be found in larger, longer-lived fish.  A good quick way to test any fish oil supplement is to place a capsule in the freezer overnight.  Pure oil will not freeze solid, but those with mostly added fillers will.  If it is firm and inflexible when frozen, it is likely to be more filler ingredients than omega-3 oil.

Another source of inflammation-fighting healthy fats is nuts—particularly almonds, which are rich in fiber, calcium, and vitamin E, and walnuts, which have high amounts of alpha-linolenic acid, a type of omega-3 fat. All nuts, though, are packed with antioxidants, which can help your body fight off and repair the damage caused by inflammation.

Antioxidants are another key supplement necessary for health, especially as we age that will reduce ‘free radical’ formation.  Free radicals are unstable molecules or compounds that react negatively with other molecules creating stress on the body.  This free radical formation is a natural process that occurs daily when the body breaks down certain substances in our environment or food, or comes in contact with pollutants.  Specifically, antioxidants provide the body with a defense against the negative effects of the free radicals, then stabilize and prevent other molecules from turning into unstable free radicals, thereby promoting good health.

Inflammation is part of the body’s immune response; without it, we can't heal. But when it's out of control it can damage the body. Chronic inflammation has been linked to many cardiovascular diseases. Cholesterol gets deposited in the lining of blood vessels and acts as an insult.  Cytokines respond to these insults in the bloodstream, which leads to systemic inflammation. Inflamed blood vessels and growing fatty plaque can cause blockages and blood clots, which then can cause heart attacks.  Foods high in sugar, saturated and trans fats, excess weight, smoking, pollution, chemical preservatives, poor oral health and unhealthy diets in general cause chronic inflammation.   In addition to cardiovascular disease, inflammation is also associated with diseases such as arthritis, autoimmune diseases, allergies, asthma, cancer, and inflammatory bowel diseases.

Three important antioxidants, OPC-3, Vitamin C, and CoQ10, have been found to be beneficial for heart health by reducing inflammation as well as the number of free radicals causing inflammatory damage in our bodies.   Oligomeric proanthocyanidins (OPCs) are bioflavonoids (complex organic plant compounds) found in fruits, vegetables and certain tree barks that provide exceptional nutritional benefits to the human body. Studies have shown OPCs to be up to 20 times more powerful than vitamin C and 50 times more powerful than vitamin E in neutralizing free radicals.  Supplementing with a high quality isotonic OPC, like the Nutrametrix (Isotonix) formulation OPC-3 taken with your daily multivitamin will help fight the free radicals and offer an effective anti-inflammatory.

Vitamin C is an essential water-soluble nutrient that must be replenished on a daily basis. It is important to know that cooking destroys vitamin C activity.  Aside from it’s well known antioxidant properties, vitamin C supports cardiovascular health in a few different ways, i.e. normalizing blood pressure and cholesterol levels, in addition to supporting our immune system and pulmonary health. A lack of vitamin C can cause general fatigue, as it helps moderate healthy iron absorption, transport and storage.  In the typical diet, most vitamin C comes from fresh fruits and vegetables. Peppers, like sweet green and red peppers, hot red and green chili peppers, are especially rich in vitamin C. Other good sources include citrus fruits and juices, brussel sprouts, cauliflower, cabbage, kale, collards, mustard greens, broccoli, spinach and strawberries.

Another powerful antioxidant and vital nutrient to promote energy production within our cells is CoenzymeQ10 (CoQ10).  CoQ10 levels in our body naturally diminish with age, and even faster with poor eating habits, stress or infections.  It is reported that the use of statins (cholesterol-lowering medications) will also reduce the body’s ability to make CoQ10 even further.  It is generally a combination of choosing the right foods containing CoQ10 with additional supplementation daily that will provide the body with the best possible amount of CoQ10 for optimal health.  CoQ10 is naturally found in high levels in organ meats such as liver, kidney, and heart, as well as in beef, sardines, and mackerel. Vegetable sources of CoQ10 include spinach, broccoli, and cauliflower with peanuts and soybeans the best non-animal sources. 



[i] University of Texas (UT) at Austin’s Department of Chemistry and Biochemistry was published in December 2004 in the Journal of the American College of Nutrition
[ii] See also antioxidants for a definition of free radicals.

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