Tag Archives: minerals

Do We Need Supplements Because Our Soils are Depleted?

In my recent review of The Blood Sugar Solution, I noted the numerous supplements recommended by Dr. Mark Hyman: between 11 and 16 supplements.  And one of those supplements is a multivitamin/multimineral supplement that has 20 or so different components.

One reason we need the supplements, according to Dr. Hyman, is because the soils in which we grow food over the years has been depleted of minerals and other basic plant building blocks.

I know one doctor who told his patients the same thing while selling them over-priced supplements straight from his office.  According to the reviews of Dr. Hyman’s book at Amazon.com, Dr. Hyman sells supplements at his website.  The guy’s got an impressive marketing machine!

So is there any truth to the “soil depletion” argument for supplements?

Not much, if any, according to Monica Reinagel.  She reviewed the topic in 2010 at her Nutrition Diva blog: http://nutritiondiva.quickanddirtytips.com/are-fruits-and-vegetables-getting-less-nutritious.aspx.  I trust Monica.  In the same article, you’ll find links to her opinion on whether organic vegetables are healthier and worth the cost.

I’ve not done a comprehensive review of the soil depletion issue myself.   It’s quite a difficult area to research; try it and you’ll see.  The Soil Science Society of America, founded in 1936, sounds like a great place to find the answer.  No such luck.

The U.S. is a huge country with lots of different soil types and usage histories.   Soils in one field may be depleted in certain components whereas the field across the road may be quite rich.  Soils are not static.  Farmers are always making amendments to the soil, either with fertilizers or other additives, or by rotating crops.

Wouldn’t you think farmers, whether small family units or huge corporate enterprises, would do what’s necessary to keep their soils productive?

Another way to look at soil depletion would be to look at the nutrient content of the plants and animals that depend on soil for life.  The U.S. Department of Agriculture did that in its 2004 publication, “Nutrient Content of the U.S. Food Suppy, 1909-2000.”  This paper includes 10 vitamins and nine minerals.  For the boring details, see   http://www.cnpp.usda.gov/publications/foodsupply/foodsupply1909-2000.pdf.   Some excerpts:

Levels for most vitamins and minerals were higher in 2000 than in 1909.

Levels for vitamin B12 and potassium were lower in 2000 than in 1909, but over the series, met or exceeded current recommendations for a healthy diet….

The authors attibute lower potassium availability to lower consumption of plant foods, especially fresh potatoes.  I’m increasingly interested in the possibilty that low potassium consumption may contribute to heart disease and premature death.  But that’s a topic for another day.

I’m skeptical about claims of widespread soil depletion in the U.S. as a cause of food supply degradation.  Supplement sellers are sure to disagree.  To be sure you’re getting the nutrients you need, eat a wide variety of foods.

Steve Parker, M.D.

PS: The American Council on Science and Health has a brief article on whether everybody needs a multivitamin/multimineral supplement.

New research is questioning the benefits of taking supplemental vitamins and minerals, suggesting that, for the general population, such supplements may actually pose more risks than benefits.

Click for the full article: http://www.acsh.org/factsfears/newsid.3067/news_detail.asp

PPS:  Oregon State University’s Linus Pauling Institute published a long article on the multivitamin/multimineral supplement issue.  It seems fairly balanced to me.  The Institute notes the 2006 National Institutes of Health assessment that we have insufficient evidence to recommend either for  or against such supplementation (Annals of Internal Medicine, 145(5), 2006: 364-371).  Nevertheless, the Linus Pauling Institute recommends supplementation as “insurance.”  You know, just in case.

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My Ketogenic Mediterranean Diet: Day 15 and Week 2 Recap

Just a few supplements

Just a few supplements

Weight: 162 lb (73.6 kg)

Waist circumference: 35 inches (89 cm)

Transgressions: none

Exercise: none

Comments

Down 3 lb (1.36 kg) for the second week of the diet, for a total of 8 (3.64 kg) since the start two weeks ago.  Waist size down 1.5 inches in two weeks.  I still doubt the majority of  that loss weight is fat.  More likely to be water, glycogen, and intestinal contents.  But some of it’s fat.  Rate of weight loss likely to slow soon, which is fine with me.

My daily caloric intake for the last week has averaged 1,850 calories.  Total daily digestible carbohydrate is about 25 g.

Nutrient analysis at NutritionData suggests that my food consumption is deficient in vitamins D, E, thiamine, B6, folate, pantothenic acid.  Less commonly are suggested deficiencies in vitamins A, C, K, niacin, and B12.  It also suggests inadequate intake of minerals: calcium, iron, magnesium, potassium, sodium (!), copper, manganese, and occasionally zinc.

In any case, I’ve been taking a Centrum multivitamin and multimineral supplement and extra vitamin D (400 IU) daily.  A single  Centrum tablet has the following “percent daily values” for vitamins and minerals: 100% for C, D, E, thiamine,B6, folate, niacin, pantothenic acid, B12, and iron.  It also has the following percent daily values: vitamin A 70%, vitamin K 31%, calcium 20%, magnesium 13%, potassium 2%, copper 25%, zinc 73%, and manganese 115%.  [Note that the manufacturer could change the composition at any time.]

Summary of Vitamin and Mineral Content

This very low-carbohydrate ketogenic diet may be deficient in multiple vitamins and minerals, unless supplemented.  A single Centrum ensures good levels, for most adults, except for possibly calcium, magnesium, potassium, sodium, copper, zinc, and vitamin K. 

Supplementing with elemental calcium (e.g., calcium carbonate) 500-1,000 mg daily might be a good idea.  Magnesium and potassium supplements might be a good idea.  Adding some salt (NaCl) to food should supply enough sodium.  [The standard American diet has far more salt than necessary.]     

 I’m just not convinced yet that this diet could actually be deficient in potassium.

Clinically significant deficiencies of copper and magnesium based on diet are probably rare.  I’ll have to do more research.  Nearly all the low blood levels of magnesium I see are in heavy alcohol drinkers or people using diuretics.

If you try a very low-carb ketogenic diet, you might ask your physician to draw blood levels of magesium and potassium two weeks after you start.

After two weeks on the Ketogenic Mediterranean Diet I feel as fine as usual.  I don’t see or feel any signs of vitamin or mineral deficiency.  But an experiment of one isn’t worth much.

Easy bruising is a relatively common occurrence in people on very low-carb ketogenic diets.  I wonder if it’s related to vitamin K deficiency.  Such bruising is seen also in children on the seizure-control ketogenic diet (not for weight loss); the diet seems to unmask a preexisting genetic predisposition to bleeding.

Vitamin K intake is a serious concern for people taking certain blood thinners (anticoagulants): coumadin, warfarin, coumarin.  Too much vitamin K counteracts the blood thinner; too little enhances the blood thinning.  Both situations are dangerous.  [I’m not talking about aspirin and Plavix.]  

I’m doing my nutritional analysis at NutritionData.  You can analyze your own diet via My Tracking.  They have a footnote accompanying the nutrient analysis for all of my vitamins and minerals: “missing or incomplete value.”  I assume that means the reported micronutrient amounts could be higher than reported. 

Potential Supplement Recommendation for the Ketogenic Mediterranean Diet

[This is a work in progress.  Stay tuned.]

Taking two Centrums daily could neatly solve the potential deficits of vitamins A and K, and minerals magnesium, copper, and zinc.  On the other hand, it could be overkill.  Add calcium as above, and maybe extra vitamin D 400 IU.  [There’s good evidence that the current U.S. Daily Value for vitamin D is too low.]  To summarize this daily supplementation regimen:

  • Two Centrums 
  • Additional calcium (elemental) 500-1,000 mg
  • Additional vitamin D 400 IU   

-Steve

Disclaimer:  Information herein is meant to complement, not replace, any advice or information from your personal health professional.  All matters regarding your health require supervision by a personal physician or other appropriate health professional familiar with your current health status.  Always consult your personal physician before making any dietary changes, such as vitamin and mineral supplementation.

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Filed under My KMD Experience