Sunday, March 29, 2026

Supplements (again)

Over half of American adults take supplements. Some take prodigious amounts. This can be a bad idea. One paper in The New England Journal of Medicine estimated that supplements are responsible for 23,000 emergency room visits a year, often because of liver damage.

A few supplements have their place. Women who are trying to have a baby benefit from folic acid. People who have been shown to be deficient in vitamin D, vitamin B12, and omega-3s may also benefit from these supplements. This may be particularly true for old people who are not getting enough sunlight and/or their diets are lacking in such foods as fatty fish, plant oils, or certain seeds and nuts.

As to boosting longevity, no large clinical trials have shown that supplements extend human life span.

The supplements market has been described as having a “wild west” nature. Unlike medicines, supplements do not require FDA approval before they can be sold. Also, what’s on the bottle’s label might not match what’s inside the pill. One study of supplements found that, for the majority, the amount of the ingredient shown on the label differed from the actual amount—in some instances by as much as 100 percent.

Some supplements have been found to include lead, arsenic and mercury. Researchers at the University of Michigan estimated that 15 million American adults take a supplement, such as turmeric or red yeast rice, that could potentially cause liver toxicity.

 I’ve taken supplements in the past. I don’t anymore.

For an introduction to this blog, see I Just Say No; for a list of blog topics, click the Topics tab.

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