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Mar⁄ Apr 2011 singapore he alth 19 Wellness Enough or too much? When it comes to vitamins and minerals, moderation is key. By Thava Rani vitamin A can lead to serious health risks, including damage to the liver. This is because the body absorbs some vitamins – such as A and E – and minerals only slowly. Taking more than the daily recommended levels can lead to a steady buildup of these substances in the liver and fatty tissues which increase the risk of amounts reaching toxic levels. Water-soluble vitamin C is flushed out of the body when too much is consumed. “Even so,” said Mr Johnathan Diong, Pharmacist, Department of Pharmacy, Singapore General Hospital, “they can be harmful in a normal healthy individual when taken at very high doses over a long period.” Vitamins and minerals play different roles in the proper growth and functioning of the body. Vitamin C, present in fruits and vegetables, is a basic ingredient for beauty and is an agent for promoting wound healing, Mr Diong said. Someone who doesn’t get enough vitamin C may suffer from bleeding gums and frequent bruising. Vitamins C and E – found in nuts and oils, green leafy and root vegetables – boost the body’s natural antioxidants to help mop up excess free radicals which can hasten ageing and cause cancer. Calcium and phosphate are crucial for bone formation, while iron is essential for the production of red blood cells. Vitamins and minerals are present naturally in the foods we eat. Thus, eating a balanced meal with a wide variety of fresh meat, grains and vegetables ought to supply the body with all the vitamins and minerals it needs. But long hours at work and the convenience of takeout meals mean more people are not get- Iron Essential for boosting the body’s immune system and an important component of many enzymes. Also functions as an antioxidant US RDA: 8mg (men), 18mg (women) Food sources: Red meat such as beef, oysters, shrimp, tuna, lentils, kidney beans and cashew nuts Excessive intake: Slight excess causes constipation. Higher excesses may result in gastric mucosal ulceration, and increase the likelihood of multi-organ damage Overdose symptoms: Vomiting and diarrhoea Zinc Essential for boosting the body’s immune system and an important component of many enzymes. Also functions as an antioxidant US RDA: 11mg (men), 8mg (women) Food sources: Red meat such as beef, oysters, milk, baked beans and chickpeas Excessive intake: May result in copper deficiency Overdose symptoms: Nausea and vomiting Vitamin A Essential for healthy skin, retinas and mucous membranes US RDA: 700mcg (men), 900mcg (women) Food sources: Yellow and orange vegetables like carrots and pumpkins, spinach, sweet potatoes and cod liver oil Excessive intake: May be harmful to skin and bones, causing weakness and brittleness Overdose symptoms: Tiredness, decreased appetite, vomiting, joint soreness, drying and cracking of lips and skin, hair loss and yellowing of the skin Mr Johnathan Diong, Pharmacist, Department of Pharmacy, Singapore General Hospital, advocates a balanced meal to meet daily vitamin requirements. Calcium Crucial for maintaining a normal heartbeat and for normal functioning of nerves and muscles. Acts as a building block for bones US RDA: 1,000mg Food sources: Dairy products such as milk, cheese and yoghurt, vegetables like broccoli and Chinese cabbage Excessive intake: May impair kidney function and decrease absorption of other minerals Overdose symptoms: Nausea, vomiting, loss of appetite and increased urination PHOTO: Photolibrary Vitamins A, C and E are known as antioxidants that can help prevent cancer. But taking excessive amounts of vitamin C can cause diarrhoea, or worse, kidney stones. Similarly, too much ting their full recommended daily dose of vitamins and minerals. “With our busy work schedules, I wonder how many of us are able to meet Health Sciences Authority’s recommendation to consume two portions each of fresh fruits and vegetables a day,” said Mr Diong. In such cases, taking a daily multivitamin can help ensure nutritional requirements are met. The multivitamin tablet contains sufficient vitamins to prevent and correct nutrient deficiency, but does not provide the full daily requirement. For instance, it does not contain sufficient calcium to meet the US recommended daily allowance of 1,000mg of elemental cal- Vitamin C Helps form strong collagen fibres which are essential for the strength and integrity of connective tissue beneath the skin in the blood vessels, bones, tendons and ligaments. Also acts as an antioxidant US RDA: 90mg (men), 75mg (women) Food sources: Fruits such as oranges, grapefruits and strawberries, vegetables like broccoli and tomatoes Excessive intake: Increases the likelihood of calcium oxalate kidney stones and can deplete the body of copper, another essential nutrient Overdose symptoms: Diarrhoea, stomach cramps and nausea cium for an average adult. But it has become popular for many people to take a variety of vitamins and minerals in the belief that large amounts of supplements can help delay ageing, prevent disease as well as enhance mental or physical abilities. Although what is consumed may fall below the upper limit of tolerance for that particular mineral or vitamin, problems arise when vitamins and minerals are taken in excess over a long period. As with all good things, moderation is the key to maintaining a strong and healthy body.