Supplements are most likely to cause side effects or harm when people take them instead of prescribed medicines or when people take many supplements in combination. Some supplements can increase the risk of bleeding or, if a person takes them before or after surgery, they can affect the person's response to anesthesia. Dietary supplements can also interact with certain prescription drugs in ways that might cause problems. Here are just a few examples:
"A smoothie with only fruits and fruit juice is essentially dessert!" Rebecca Lewis, in-house R.D. at HelloFresh, tell SELF. Smoothies can definitely be a healthy meal option, provided you're using vegetables in addition to those fruits, and high-protein, high-fiber ingredients like almond milk and chia seeds. Unfortunately a lot of smoothies (especially store-bought varieties) tend to pack in sugar. In fact, a small size at common smoothie stores like Jamba Juice can often contain more than 50 grams of sugar. To be sure you don't end up with a total gut bomb, consider making smoothies yourself. Or double check the ingredient list at your favorite shops and supermarkets.

Oils. When cooking try to use oils from plants instead of solid fats like butter, margarine, or coconut oil. See this list of oils and fats to see how healthy each type of cooking oil and solid fat is. Most women eat too much solid fat through packaged foods like chips or salad dressing, and not enough healthy fats like olive oil or the type of fat in seafood.
"A smoothie with only fruits and fruit juice is essentially dessert!" Rebecca Lewis, in-house R.D. at HelloFresh, tell SELF. Smoothies can definitely be a healthy meal option, provided you're using vegetables in addition to those fruits, and high-protein, high-fiber ingredients like almond milk and chia seeds. Unfortunately a lot of smoothies (especially store-bought varieties) tend to pack in sugar. In fact, a small size at common smoothie stores like Jamba Juice can often contain more than 50 grams of sugar. To be sure you don't end up with a total gut bomb, consider making smoothies yourself. Or double check the ingredient list at your favorite shops and supermarkets.
In 2015, the Australian Government's Department of Health published the results of a review of herbal supplements to determine if any were suitable for coverage by health insurance.[108] Establishing guidelines to assess safety and efficacy of botanical supplement products, the European Medicines Agency provided criteria for evaluating and grading the quality of clinical research in preparing monographs about herbal supplements.[109] In the United States, the National Center for Complementary and Integrative Health of the National Institutes of Health provides fact sheets evaluating the safety, potential effectiveness and side effects of many botanical products.[110]
Carbohydrates are one of your body’s main sources of energy. But most should come from complex, unrefined carbs (vegetables, whole grains, fruit) rather than sugars and refined carbs. Cutting back on white bread, pastries, starches, and sugar can prevent rapid spikes in blood sugar, fluctuations in mood and energy, and a build-up of fat, especially around your waistline. Learn more »
Dairy isn’t a necessary component of a healthy diet. Some research warns against consuming too much dairy, while other studies show some benefits from regular dairy consumption. Still, for many men, it is an easy way to get the required calcium, vitamin D, and protein they need to keep their heart, muscles, and bones healthy and functioning properly. (Locked) More »
Dietary fiber is found in plant foods like whole-grain breads and cereals, beans and peas, and other vegetables and fruits. At least one study suggests that women who eat high amounts of fiber (especially in cereal) may have a lower risk for heart disease. High-fiber intake is also associated with lower cholesterol, reduced cancer risk and improved bowel function. And one long-term study found that middle-aged women with a high dietary fiber intake gained less weight over time than women who ate more refined carbohydrates, like white bread and pasta.
It is possible to ingest too much of certain vitamins and minerals (vitamin A, calcium, iron, copper, selenium) which may exacerbate an existing imbalance or lack of another mineral (magnesium, zinc). It is also important to balance intake of fatty acids in the omega-6 and omega-3 series, as most people get too much omega-6 and not enough omega-3. Small children can be overdosed with adult doses of for example vitamin A or iron, and pills may be dangerous for babies or young children because they can get stuck in the throat. Therefore, I recommend consulting a doctor or nutritionist educated in orthomolecular medicine. Most people are likely to benefit from taking a broad-spectrum multivitamin/mineral supplement as a basic insurance against deficiencies.

Brigitte Zeitlin, M.P.H., R.D., C.D.N., founder of the New York-based BZ Nutrition, tells SELF, "Eating regularly throughout the day keeps your metabolism running at full speed, prevents dips in your energy, keeps you alert and focused, and [can help keep] your weight steady by preventing overeating at later meals." She and other experts recommend eating every three to four hours. If you don't, there are a number of unpleasant symptoms you may encounter.
Without the energy you get from things like carbohydrates, your blood sugar levels will likely dip which may lead you to feel sluggish and fatigued. And if you let yourself get to hungry, Rachele Pojednic, Ph.D., assistant professor in the nutrition department at Simmons College and professor at the Harvard Extension School, tells SELF that appetite-inducing hormones like ghrelin may even cause you to become shaky or sweaty.
In addition, several independent organizations offer quality testing and allow products that pass these tests to display their seals of approval. These seals of approval provide assurance that the product was properly manufactured, contains the ingredients listed on the label, and does not contain harmful levels of contaminants. These seals of approval do not guarantee that a product is safe or effective. Organizations that offer this quality testing include:
^ Wilson, RD; Committee, Genetics; Wilson, RD; Audibert, F; Brock, JA; Carroll, J; Cartier, L; Gagnon, A; Johnson, J. A; Langlois, S; Murphy-Kaulbeck, L; Okun, N; Pastuck, M (2015). "Pre-conception Folic Acid and Multivitamin Supplementation for the Primary and Secondary Prevention of Neural Tube Defects and Other Folic Acid-Sensitive Congenital Anomalies" (PDF). Journal of Obstetrics and Gynaecology Canada. 37 (6): 534–552. PMID 26334606.

Once a dietary supplement is on the market, FDA has certain safety monitoring responsibilities. These include monitoring mandatory reporting of serious adverse events by dietary supplement firms and voluntary adverse event reporting by consumers and health care professionals. As its resources permit, FDA also reviews product labels and other product information, such as package inserts, accompanying literature, and Internet promotion.
Learn. Find out as much as you can about any dietary supplement you might take. Talk with your doctor, your pharmacist, or a registered dietitian. A supplement that seemed to help your neighbor might not work for you. If you are reading fact sheets or checking websites, be aware of the source of the information. Could the writer or group profit from the sale of a particular supplement? Read more about choosing reliable health information websites.

In addition to diet, exercise and other lifestyle factors can also play an important role in bone health. Smoking and drinking too much alcohol can increase your chances of developing osteoporosis, while weight-bearing exercise (such as walking, dancing, yoga, or lifting weights) can lower your risk. Strength or resistance training—using machines, free weights, elastic bands, or your own body weight—can be especially effective in helping to prevent loss of bone mass as you age.

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