Nutrition Supplements Archives - The Nutrition Supplement Dietitian https://mysupplementrd.com/category/nutritional-supplements/ Janet Zarowitz, MS, RD, CDN, Registered Dietitian Nutritionist Tue, 23 Jan 2024 05:07:06 +0000 en-US hourly 1 https://mysupplementrd.com/wp-content/uploads/2021/08/msrd-favicon-jpg-webp-100x100.webp Nutrition Supplements Archives - The Nutrition Supplement Dietitian https://mysupplementrd.com/category/nutritional-supplements/ 32 32 What’s All the Buzz About Berberine? https://mysupplementrd.com/berberine-supplement-metabolic-syndrome-weight-blood-sugar/ Thu, 06 Jul 2023 14:01:36 +0000 https://mysupplementrd.com/?p=13044 The post What’s All the Buzz About Berberine? appeared first on The Nutrition Supplement Dietitian.

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Unlocking the Health Benefits of Berberine:
Natural Support for Blood Sugar, Heart Health, Weight Management, and More!

Berberine, a compound extracted from Goldenseal and Barberry plants, supports metabolic and microbiome health. Berberine is not new — it has been used in traditional medicine for thousands of years for GI health and other conditions. 

Today berberine is a hot topic because scientists are studying it for its support in many chronic conditions like overweight, uncontrolled blood sugar, high cholesterol and triglycerides, and blood pressure management.

Berberine supports healthy blood sugar levels which can reduce sugar cravings, making it easier to stay away from sugary, empty calorie foods.

Berberine also benefits the gut microbiome by enhancing populations of beneficial species. This too can affect blood sugar control, potentially influencing weight and fat accumulation. 

Some doctors use berberine as an alternative to Metformin to achieve a healthy HbA1c.

Berberine’s beneficial effects are reflected in health biomarkers like BMI, blood pressure and cholesterol levels.


Most Individuals Today Are Using Berberine As a Support for Metabolic Syndrome

What is Metabolic Syndrome? Metabolic syndrome is a condition of having at least three of these health risk factors:

  • Extra Belly Fat Around the Waistline
  • High Blood Pressure
  • High Blood Sugar
  • High Triglycerides
  • Low HDL (“good”) cholesterol

Having metabolic syndrome makes it more likely to develop serious health issues like heart disease, diabetes, or have a stroke.

Metabolic syndrome often occurs because of unhealthy lifestyle habits like poor diet, being inactive and being overweight.

The good news is that you can manage metabolic syndrome with a healthy lifestyle, by eating healthy foods, being physically active and losing extra pounds.


How Berberine Helps at a Celluar Level

Berberine helps your body by working with a special enzyme in each cell called AMPK (adenosine monophosphate-activated protein kinase).

AMPK is activated in response to things like low blood sugar, heavy exertion, extreme hot or cold temperatures.

Berberine activates AMPK which then switches “on” cellular metabolism, regulating metabolism and energy expenditure. It’s the body’s way of responding to low energy levels. The effects are systemic throughout the body. 

(The AMPK pathway also explains how intermittent fasting may help with weight loss.)

When AMPK is switched “on” it in turn influences healthy levels of HDL cholesterol vs LDL cholesterol, and reduces triglycerides, blood pressure, blood sugar, insulin resistance and visceral obesity (“belly fat”).

But in order for AMPK to be activated, berberine needs to be absorbed! The challenge is that standard berberine can be difficult for the body to absorb.


Berberine Ultra Absorption

It is estimated that only about five percent of any given dosage of standard berberine actually makes it into the bloodstream, so finding a way to enhance absorption is key to getting the full advantage of its benefits.High Absorption Berberine

Euromedica’s Berberine Ultra Absorb meets that challenge — it is enhanced with a proven, special dual-action absorption delivery method that is both water and fat-soluble, making it a highly absorbable form of berberine, enabling much higher levels to reach the bloodstream.

Enhanced absorption berberine also means optimal results at lower dosages.


Berberine in the News

There’s a lot of media hype about using berberine specifically for weight loss, calling it “nature’s Ozempic.” 

My view is that berberine is a wonderful time-tested science-backed herbal supplement for overall metabolic support, including supporting healthy blood sugar levels and lipid metabolism.

Often there is a modest weight loss as a result (which my clients are very happy about), but berberine is not a “miracle” weight loss supplement.

As for many supplements, berberine is not recommended for pregnant or breastfeeding women or for children. Since berberine can lower blood sugar levels, patients taking Metformin (or other blood sugar lowering medications) should consult with their doctor before adding berberine.

Interested in learning more about berberine? Book a consultation.


In Summary — See My Instagram Reel about the Berberine Buzz!

 

 
 
 
 
 
View this post on Instagram
 
 
 
 
 
 
 
 
 
 
 

 

A post shared by Janet Zarowitz, Westchester,NY (@janet_zarowitz_rd)

 


 

 

 

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How I Vet Supplement Companies https://mysupplementrd.com/good-manufacturing-practices/ Wed, 09 Feb 2022 14:07:31 +0000 http://mysupplementrd.com/?p=4262 The post How I Vet Supplement Companies appeared first on The Nutrition Supplement Dietitian.

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Knowing Which Supplements are High Quality Can Be Confusing

“An important part of my role as an Integrative and Functional Registered Dietitian Nutritionist, is to keep up to date on supplements that can help my clients, their quality control, research and clinical outcomes.” — Janet Zarowitz, MS, RD, CDN

Professional grade nutrition supplement manufacturers that I work with (and whose supplements I take myself) have excellent track records. They follow rigorous quality assurance standards and certifications, are tested regularly, and even go above and beyond what is required.

They follow FDA’s Good Manufacturing Practices (GMP’s) for Dietary Supplements and are inspected by the FDA.

The manufacturers establish quality control procedures and standard operating procedures that include purity and safety of raw materials and final product, toxicology reports of contaminants or residues, stability testing, ingredient identity testing, potency testing, serious adverse event reporting and accurate labeling.

According to GMP regulations, companies must prove that the composition of their products matches the ingredients on the label.


Many Professional Grade Supplement Companies Go Above and Beyond

I work with professional supplement companies that also voluntarily exceed FDA requirements and become certified by a third-party quality assurance and compliance organization – NSF International.

NSF International is an independent organization that carries out regular audits, verifying that quality control procedures are in place. Companies in this program become GMP Registered through NSF International. (USP Verified is another independent quality assurance program that many professional supplement companies participate in; it tests for purity, quality and potency standards set by United States Pharmacopeia.)

These more robust testing protocols and quality control programs conducted by professional-grade supplement companies are costly but undeniably well worth it.


Clinical Studies, Scientific Research, Education

In addition to guaranteeing product integrity, many professional grade supplement companies also conduct or clinical studies with their products, at leading universities and medical research centers and hospitals.

Most also have scientific advisory boards and in-house research staff – comprised of experienced medical practitioners – MD’s, RN’s, RD’s, ND’s, DC’s, OD’s, and PhD’s as well as chemists and biologists.

They also provide educational programs to healthcare practitioners about latest research or protocols for different health conditions.


For more information on Using of Dietary Supplements Wisely, visit:

National Center for Complementary and Alternative Medicine, part of the NIH (National Institutes of Health).


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Vitamin B12 — Which Form is Best for You? https://mysupplementrd.com/vitamin-b12-adenosyl-hydroxy-methyl/ Tue, 05 Apr 2016 17:51:02 +0000 http://mysupplementrd.com/?p=5078 Adenosylcobalamin, Hydroxycobalamin, Methylcobalamin, Cyanocobalamin! Ever had your vitamin B12 level checked and been instructed by your doctor to take a vitamin B12 supplement? If you’re like most people (and physicians), you probably think...

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Adenosylcobalamin, Hydroxycobalamin, Methylcobalamin, Cyanocobalamin!

Ever had your vitamin B12 level checked and been instructed by your doctor to take a vitamin B12 supplement?

If you’re like most people (and physicians), you probably think that all vitamin B12 is the same. This is not true! There are many forms…if you need to increase your Vitamin B12 intake, do you know which form is best for you?


Synthetic or Natural

Most nutrition supplements (as well as B12 shots and fortified foods) contain the synthetic form of Vitamin B12 – cyanocobalamin. Yep, you guessed it, it contains cyanide, which is a toxic substance. On top of ridding itself of cyanide, your body has to be able to convert the molecule to a biologically active form of vitamin B12 (first to methylcobalamin and then to hydroxycobalamin or adenosylcobalamin) in order to be able to use it.

Just as our individual genetics differ (and the efficiency of our biochemical pathways), so do our individual requirements for vitamin B12.

  • A person with a MTR genetic SNP (single nucleotide polymorphisms) has an increased potential for needing more vitamin B12.
  • A person with a MTRR genetic SNP has an increased potential for having less efficiency in regenerating vitamin B12 in the methylation pathway (and thus may have a higher vitamin B12 requirement).
  • A person with a COMT genetic SNP may do best with the hydroxycobalamin or adenosylcobalamin forms of cobalamin.

Common Medications Increase B12 Requirements

Other things factor into our individual vitamin B12 needs — like certain medications. You’d be amazed at how many commonly prescribed medications deplete vitamin B12 or reduce our ability to absorb it!

These are just some medications that increase intake requirements of vitamin B12.

  • metformin (type 2 diabetes)
  • antacids, H2 blockers, proton pump inhibitors (GERD and GI reflux)
  • cholesterol-binding bile acid sequestrants (high cholesterol)
  • anti-seizure drugs (anti-convulsants)
  • colchicine (gout)
  • several oral antibiotics (examples: cephalosporins, sulfa drugs, penicillin family, quinolones, tetracycline derivatives)
  • oral contraceptives, menopause meds (estrogens)
  • methotrexate (chemotherapy)
  • corticosteroids (inhalers for asthma)

Assessing vitamin B12 Deficiency/Insufficiency

A holistic approach to assessing nutritional status of vitamin B12 begins with signs, symptoms, and diet.

Blood tests are key to determining whether or not someone might benefit from vitamin B12 supplementation; this reveals how much vitamin B12 is in the blood, though not how much is getting into the body’s cells. Measuring methylmalonic acid and homocysteine provides information about whether the body’s cells have access to enough vitamin B12.

There are a few ways to help understand why Vitamin B12 levels are low — the presence of anti-parietal/anti-intrinsic factor antibodies in the blood, B12 related genetic SNPs, and medications that increase Vitamin B12 requirements.


 

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Homeopathy + Herbal Medicine – Opposite Alternatives https://mysupplementrd.com/homeopathy-herbal-medicine-opposite-alternatives/ Wed, 18 Sep 2013 18:46:58 +0000 http://mysupplementrd.com/?p=3206 The post Homeopathy + Herbal Medicine – Opposite Alternatives appeared first on The Nutrition Supplement Dietitian.

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Homeopathy and Herbal Medicine are alternative healing treatments. Both use natural plant substances, but follow opposite healing theories.

As you can see by the products on my website, my experience is with specific botanicals and herbs. While my understanding of homeopathy is mostly conceptual, there are many who subscribe to this therapy.


Herbalism
For thousands of years (dating back to prehistoric times) and continuing to this day, naturally occurring medicinal herbs and botanicals have been used by most cultures around the world as remedies to treat diseases and symptoms.

Every plant species has its own composition of active chemical compounds, some of which are healing and others that may be toxic.

Herbal medicine subscribes to dose-response pharmacology: that the biological response to the herb varies in direct proportion to the dose or concentration of the remedy.

Homeopathy (see below) subscribes to the complete opposite: that the more dilute (less concentrated) the natural remedy is, the more effective it is.

Modern scientists have studied the active ingredients or healing compounds in many botanicals and extracted them (or created synthetic “equivalents”) to develop modern pharmacological medicines.

Herbs have varying strengths of properties — some have side effects and/or interactions with conventional pharmaceutical drugs.

Herbal medicine is an integral part of Chinese and Ayurvedic Medicine and widely followed and accepted in many European countries today.


Homeopathy
Homeopathy, a relatively “modern” medicine first created about 200 years ago by Dr. Samuel Hahnemann, also uses naturally occurring compounds including botanicals.

The belief in homeopathy is that a significant dose of a substance (plant and other natural substances) that causes disease symptoms in a healthy person will cure similar symptoms in a sick person, when given in tiny amounts.

In other words, homeopathy believes that the remedy becomes more potent the more dilute it is. (That there is an inverse relationship between the concentration and the effectiveness of the remedy.)

Homeopathy subscribes that when given the least amount of medicine, the body can trigger a healing response.

Dr. Hahnemann’s research included taking high doses of plant medicines and noting the symptoms that they produced. He then took extremely diluted versions of the same plant to treat diseases that produced similar symptoms.

He coined homeopathic principle of “similars,” and “like cures like.”

Homeopathy maintains that it’s ineffective to treat diseases by directly opposing their symptoms, (as is sometimes done in conventional medicine), because all “disease can generally be traced to some latent, deep-seated, underlying chronic, or inherited tendency.”

Homeopathy is not known to cause any side effects or interactions, because they are such a diluted form.


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