Vitamins, minerals & supplements Archive

Q: I've heard that people shouldn't drink grapefruit juice if they're taking a statin. Why?

A: Certain classes of drugs — most notably statins — are metabolized (broken down) in your intestines by an enzyme called CYP3A, which normally reduces the amount of drug that enters your bloodstream. Grapefruit juice contains compounds called furanocoumarins that stop CYP3A from doing its job. As a result, more of the drug is absorbed, making it more powerful than it's meant to be — even toxic in some cases.

Given the economic stresses stemming from the current pandemic situation, many of us are trying to maintain healthy eating habits while also spending less. Adjusting your food purchases to include more plant-based choices can help your health and your budget.

Want to improve heart health? New research based on blood samples from the original DASH diet shows the DASH diet and another diet high in fruits and veggies can lower measures of heart strain and heart muscle damage within eight weeks.

Take this list to the grocery store when stocking up on supplies.

Social distancing, severe weather, a lack of transportation — each one can keep you from getting to a grocery store, leaving you with precious little to eat. When you're looking at a near-empty pantry with an oddball collection of remaining goods — like a lonely box of penne pasta or a random can of beans — it's a sign to prepare differently next time. Fortunately, it's not hard to create an emergency supply kit to hold you over until you can get to the store or have someone shop for you.

Important supplies

Lean on nonperishable items if you're worried about losing power, and add frozen foods if the bigger concern is not getting to a grocery store. Avoid convenience foods like frozen dinners and canned soups, which typically contain excessive amounts of salt, fat, calories, preservatives, and added sugars.

New information may affect your approach to treatment.

Millions of people turn to prescription and over-the-counter medications to cope with heartburn from gastroesophageal reflux disease or other stomach conditions. But navigating the risks of heartburn remedies can leave a sour taste in your mouth, since some have been tied to health concerns. Here's what you need to know about two mainstays of treatment, and how the latest developments may affect you.

H2 blockers

Histamine₂-receptor antagonists, better known as H2 blockers — such as famotidine (Pepcid) and cimetidine (Tagamet) — are available over the counter or by prescription. They block a chemical that signals the stomach to produce acid, and are the go-to drugs when an antacid like calcium carbonate (Tums) or aluminum hydroxide (Maalox) isn't strong enough.

News briefs

Struggling with high blood sugar or diabetes? A study published online March 6, 2020, by PLOS Medicine suggests that increasing your daily fiber intake may help. British researchers combed through dozens of studies with about 10,000 participants who had prediabetes, gestational diabetes, type 1 diabetes, or type 2 diabetes. Compared with people who ate low-fiber diets (19 grams of fiber per day), people who ate another 16 grams of fiber per day (a total of 35 grams per day) weighed less and had lower levels of blood sugar, cholesterol, and inflammation. There were also 14 fewer deaths per 1,000 people among those who ate high-fiber diets. If you'd like to increase your fiber intake, try to eat more fiber-rich foods at each meal. Good sources include whole-grain cereals, legumes, and nuts. For example, a cup of bran cereal has up to 47 grams of fiber, depending on the brand; half a cup of white beans has about 10 grams of fiber; and an ounce of almonds has about 13 grams of fiber. Increase fiber intake slowly, to give your digestive tract time to adjust, and remember to increase your water intake as well.

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In the journals

Cholesterol-lowering statins and blood pressure drugs can improve heart health, but you still need to follow heart-healthy habits. That's the conclusion of a study published online Feb. 5, 2020, by the Journal of the American Heart Association, which found many people forgo healthy habits after they begin taking these medications.

Researchers in Finland identified 41,225 people who were free of cardiovascular disease. They collected such health data as body mass index, physical activity, alcohol intake, smoking status, and whether the people took statins or blood pressure drugs. Updated information was gathered from surveys every four years over a 14-year period.

Although quinoa (pronounced KEEN-wah) is officially classified as a seed, most people think of it as a whole grain. Quinoa is usually boiled and eaten as a side dish or added to salads or soups. The small seeds come in a variety of colors, including white, yellow, red, and black.

Native to South America, quinoa became popular in this country over the past decade and is widely available in grocery stores, either packaged or in bulk bins. Quinoa's impressive nutrient profile has earned it a reputation as a "superfood." Unlike most plant proteins, quinoa is a complete protein, which means it contains all nine essential amino acids — the protein components that our bodies are unable to make on their own.

Research we're watching

Eating a vegetarian diet may lower your risk of stroke, according to a study in the March 17 issue of Neurology.

The study included two groups of people from Buddhist communities in Taiwan, where vegetarian diets are encouraged. About 30% of the more than 130,000 participants were vegetarian, meaning they didn't eat any meat or fish. Their average age was 50, and none had a prior stroke.