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Suggest Ways To Manage Anxiety About Health

Posted on Mon, 24 Apr 2017

Question: I am trying to conquer health anxiety, and I would like to approach it from all angles (that I can do myself). And, of course, I hope they help maintain health. I would like to ask about the supplements I have been taking for a while now. (I have taken vitamins and supplements in the past, and I have settled on these as being safest as I have learned more.) For example I like Folate (As metafolin®‚ L-5-MTHF) rather than folic acid that I took in the past.

Can you tell me if I am on the right track with these?

Is it a good idea to take probiotics regularly for general health? I was taking a fraction of the recommended amount (only one of the recommended 3 to 9 capsules), and they lasted a long time. When they ran out, I tried another brand which is one a day, so they don't last that long.

I take Multi t/d:
Ingredients:
Vitamin A (As beta carotene)     7500 iu     150%
Vitamin C (As ascorbic acid)     500 mg     833%
Vitamin D (As cholecalciferol) (D3)     800 iu     200%
Vitamin E (As d-alpha tocopherol succinate)     100 iu     333%
Thiamin (As thiamin HCI) (B1)     50 mg     3,333%
Riboflavin (Vitamin B2)     25 mg     1,471%
Niacin (As niacin and 67% niacinamide)     75 mg     375%
Vitamin B6 (As pyridoxine HCI)     12.5 mg     625%
Folate (As metafolin®‚ L-5-MTHF)     800 mcg     200%
Vitamin B12 (As methylcobalamin)     500 mcg     8,333%
Biotin     800 mcg     267%
Pantothenic Acid (As calcium pantothenate) (B5)      50 mg     500%
Iodine (As potassium iodide)     200 mcg     133%
Zinc (As zinc picolinate)     15 mg     100%
Selenium (As selenomethionine)     200 mcg     286%
Chromium (As chromium polynicotinate)     100 mcg     83%
Riboflavin 5' Phosphate (Activated B2)     12.5 mg     †
Pyridoxal 5' Phosphate (Activated B6)     12.5 mg     †
Ascorbyl Palmitate (Fat-soluble Vitamin C)     40 mg     †
Mixed Carotenoids     425 mcg     †
Lutein     6 mg     †
Zeaxanthin     1 mg     †
Other Ingredients: vegetarian capsule (cellulose‚ water).
I also take a separate Vital Choice Sockeye Salmon Oil 1000 mg Salmon Oil (6 capsules recommended, but I only take 2 a day, none when I eat salmon.)

I take a separate Vitamin C (but only half the recommended amount), so 250 mg.
Serving Size: 2 Capsule (I take one)

Vitamin C 300mg / 500%
Calcium (naturally occurring) 17mg / 2%
Phosphorus (naturally occurring) 8mg / <1%

RAW Probiotic & Enzyme Blend 100mg / +
Saccharomyces boulardii‚ Protease‚ beta-Glucanase‚ alpha-Galactosidase‚ Hemicellulase‚ Cellulase.

RAW Organic Fruit & Vegetable Blend 20mg / +
Organic Strawberry (fruit)‚ Organic Cherry (fruit)‚ Organic Blackberry (fruit)‚ Organic Blueberry (fruit)‚ Organic Raspberry (fruit)‚ Organic Beet Juice (root)‚ Organic Carrot Juice (root)‚ Organic Spinach Juice (leaf)‚ Organic
Broccoli Juice (flower & stem)‚ Organic Tomato Juice (fruit)‚ Organic XXXXXXX Juice (leaf)‚ Organic Red Cabbage Juice (leaf) ‚ Organic Parsley Juice (leaf)‚ Organic Brussels Sprout Juice (gourd)‚ Organic Celery Juice (stalk)‚ Organic
Garlic Juice (bulb)‚ Organic Ginger Juice (root)‚ Organic Green Onion (root)‚ Organic Cauliflower Juice (flower & stem)‚ Organic Asparagus Juice (flower & stem)

+Daily Value not established.

Other Ingredients:
Vegetable Cellulose‚ Brewer's yeast (Saccharomyces cerevisiae)‚ Lactobacillus bulgaricus.
(May contain Soy)

And finally....I take
MEGA FOOD Healthy Bone (4 tablets recommended. I take 2 a day)
Serving Size: 4 Tablets
Servings per Container: 45
Amount Per Serving     % Daily Value
Vitamin C (ascorbic acid in organic orange)     100 mg     167%
Vitamin D3 (cholecalciferol in S. cerevisiae)     1000 IU     250%
Vitamin K1 / K2 (phytonadione/menaquinone-7 in cabbage)     120 mcg     150%
Calcium (rice amino acid chelate)     500 mg     50%
Magnesium (rice amino acid chelate)     300 mg     75%
Boron (mineral bound S. cerevisiae)     3 mg     *
Potassium (mineral bound S. cerevisiae)     2 ng     <1%
*Daily value not established.

If you think it is good to take probiotics, can you recommend any specific one?

CORRECTION: For the Multi t/d I take half that amount since I take one a day, not two.

Answered by Dr. salah saad shoman (2 hours later)

Brief Answer:
Too much supplements

Detailed Answer:
Dear Ms, you are taking too much supplements .
1) you are taking 800 much of biotin , you only should take 30mcg daily
2) you are taking 800mcg of folate , you should only take 400 mcg daily
3) you are taking 7500 iu of vitamin A, you should take only 3000 iu
4) you are taking 25 mg of vit b12 , you should only take 1.3 mg daily
5) you are taking 12.5 mg of vitamin b6, you should only take 1.7 mg daily
6) you are taking 500 mcg of vitamin b12, you should take only 2.8 mcg daily
7) you are taking 500 mg of vitamin c , you should only take 90 mg
8) you are taking 75 mg of niacin , you should only take 16 mg daily
9) you are taking 800 iu of vitamin d , you should only take 600 iu daily
10) you are taking 3400 mg of chlorine, you should only take 550 mg daily
11) you are taking 120 ug of chromium, you should only take 30 ug daily
12) you are taking 100 iu of vitamin e , you should take only 33 iu daily
13) you are taking 50 mg of thiamin daily , you should take only 1.2 mg
14) you are taking 50 mg of pantothenic acid , you should take only 5 mg daily
15) you are taking 200 mcg of iodine , you should take only 150 mcg daily
16) you are taking 15 mg of zinc, you should take only 11 mg daily
17) you are taking 200 mcg of selenium , you should take only 35 mcg
I hope I answered your question

Above answer was peer-reviewed by : Dr. Kampana

Follow up: Dr. salah saad shoman (15 minutes later)

Hello, I don't think you saw my CORRECTION...I am only taking ONE of the Multivitamins, and what I pasted was for TWO. So I am taking half.

10) you are taking 3400 mg of chlorine, you should only take 550 mg daily
I am not taking any chlorine. Where did you see this?

Answered by Dr. salah saad shoman (26 minutes later)

Brief Answer:
Still this is exaggerated supplements for the following vitamins and minera

Detailed Answer:
Dear Ms, I want you to make sure that these values are written for the 2 tablets together and not only one ..
if the values are written for the 2 tablets together then :
you still take too much of the following: biotin, vitamin b 12 , b 6, vitamin c , niacin , chromium , vitamin e, pantothenic acid and selenium
I recommend that you do not take it daily, I recommend you take it 3 times per week.. I hope I answered your question

Above answer was peer-reviewed by : Dr. Remy Koshy

Follow up: Dr. salah saad shoman (18 minutes later)

The values are for TWO. On the bottle I have, the amount is half of what I posted from the Internet. So many multi-vitamins have much more than the RDA, and I don't think the ones I take (half of what they recommend on the bottle) exceed the upper limit. Do you think these have done me any harm? I have health anxiety to start with, and I was feeling better with the help of some experts here, and now I am starting to get anxious again thinking I have done harm to myself with these vitamins.

I also understood that the B vitamins on the list being water-soluble did not harm to take more than the RDA.

Answered by Dr. salah saad shoman (3 minutes later)

Brief Answer:
The values you take are not harmful at all

Detailed Answer:
Dear Ms, there is no need to get anxious
the values you are taking does not exceed the upper limit of permitted doses
the values you are taking will no do you any harm as they are within the range of permitted doses
I have posted for you the average recommended doses that the body needs per day
this means that for example as for vitamin c, your body needs 90 mg per day . if you take less there will be harm, if you take more there will be no harm and no good as well , provided you do not exceed the upper limit.
this means that you take more than your body needs , it won't do you harm but won't do you any extra good either.
that is why I recommended that you take it 3 times weekly
I hope you find this helpful, if you have any more clarifications please feel free to ask further

Above answer was peer-reviewed by : Dr. Kampana

Follow up: Dr. salah saad shoman (13 minutes later)

From the Bottle:
Serving size: 1 capsule
Vitamin A: 3,750
Vitamin C: 250 mg.
Vitamin D: 400 IU
Vitamin E: 50 IU
B1: 25Mg
Riboflavin: 17.35 mg
Niacin: 37.5 mg.
B6: 10.4 mg.
Folate: 400 mcg.
B12: 250 mcg.
Biotin: 400 mcg.
Pantothenic acid: 25 mg.
Iodine: 100 mcg.
Zinc: 7.5 mg.
Selenium: 100 mcg.
Chromium: 50 mcg.
Lutein: 3 mg.
Zeaxanthin: 500 mcg.
I was also taking an extra B12 (500 mcg.) in addition to the above. I read that there is no upper limit on it, and I thought it might help with anxiety. Was this OK??

Answered by Dr. salah saad shoman (2 hours later)

Brief Answer:
This values are great except calcium , vitamin d

Detailed Answer:
Dear Ms, all these values are sufficient and not exceeding the maximum levels except for
1) calcium and vitamin d , so it is good that you are taking extra calcium supplement . also you will need to be exposed to sunlight for half an hour 3 times per week ( sunlight before 11 o'clock )
2) the maximum limit of niacin is 35 mg, you are taking 37.5 mg .. this is a very little increase which is also accepted
3) b12 daily dose is 3 mcg but there is no maximum limit for it. so I agree with the extra supplement of 500 mcg as it helps the integrety of nerve cells, provide mental energy , increase ability to concentrate , booster memory and have a calming effect against anexity and also balance the mood.
I hope I answered your question .

Above answer was peer-reviewed by : Dr. Kampana

Follow up: Dr. salah saad shoman (6 hours later)

Thank you for your clarification. For niacin at 37.5, this is nothing to worry about because it is not very much over the limit?

Answered by Dr. salah saad shoman (12 minutes later)

Brief Answer:
No need to worry

Detailed Answer:
you are welcome, yes there is nothing to worry about as the increase in niacin value is very small. I hope I answered your question. if you don't have any other calcifications then please close the discussion.

Above answer was peer-reviewed by : Dr. Vaishalee Punj

Follow up: Dr. salah saad shoman (42 minutes later)

To make matters worse, I am remembering that many years ago, I took a separate B Complex along with a multi both containing niacin or niacinamide. Would the past use of this high amount put me at risk for liver problems years later?

Thank you for the clarification, Dr. Shoman. I was anxious about my last question, and since you weren't on line, I received reassurance about my fears from another doctor He told me that I had absolutely nothing to worry about regarding past higher use.

Answered by Dr. salah saad shoman (1 hour later)

Brief Answer:
No problem at all

Detailed Answer:
Dear Ms, I agree with my colleague that there is nothing to worry about. It shall cause no problem at all.

I hope I answered your question.

Take Care

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Above answer was peer-reviewed by : Dr. Arnab Banerjee