Dovremmo prendere un multivitaminico?

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DESCRIZIONE: Cosa dice la migliore scienza disponibile sul ruolo che i multivitaminici possono svolgere nelle malattie cardiache, cancro e longevità? Numerosi studi dimostrano che l'uso di multivitaminici può essere superfluo.

Ho già affrontato i multivitaminici nei miei video I multivitaminici fanno bene? (http://nutritionfacts.org/video/are-multivitamins-good-for-you/) e integratori multivitaminici e cancro al seno (http://nutritionfacts.org/video/multivitamin-supplements-and-breast-cancer/) (con un follow-up nel mio Q&A L'uso di multivitaminici è davvero associato a un aumento del rischio di cancro al seno?, http://nutritionfacts.org/questions/is-multivitamin-use-associated-to-a-risk -del-cancro-al-seno/). Ho anche toccato i potenziali rischi in Dietary Theory of Alzheimer's (http://nutritionfacts.org/video/dietary-theory-of-alzheimers/).<br/> Ad eccezione delle vitamine D e B12 (Integratori vitaminici da prendere, http://nutritionfacts.org/video/vitamin-supplements-worth- prendendo/), dovremmo sforzarci di ottenere i nostri nutrienti dai prodotti, non dalle pillole.

Man mano che escono nuovi studi e meta-analisi sui multivitaminici, il mio messaggio da portare via rimane lo stesso: ottenere i nostri nutrienti da frutta e verdura, non pillole: sembra servirci meglio. Puoi saperne di più dal mio video sulle ricerche passate sui multivitaminici qui: I multivitaminici fanno bene? (http://nutritionfacts.org/video/are-multivitamins-good-for-you/).
I multivitaminici sembrano aumentare il rischio di cancro al seno nelle donne: supplementi multivitaminici e cancro al seno ( http://nutritionfacts.org/video /integratori-multivitaminici-e-tumore-al-seno/). Discuto maggiormente questa ricerca mentre rispondo alla domanda di un lettore in un post sul blog associato: l'uso di multivitaminici è davvero associato a un aumento del rischio di cancro al seno? (http://nutritionfacts.org/questions/is-multivitamin-use-associated-to-a-risk-of-breast-cancer/).
Altri integratori alimentari potrebbero non essere molto migliori. Ho creato una serie in tre parti su di esso:

• Integratore alimentare Olio di serpente (http://nutritionfacts.org/video/dietary-supplement-snake-oil) • Metalli pesanti negli integratori di proteine ​​in polvere (http://nutritionfacts.org/video/heavy-metals-in-protein-powder-supplements/)
• Alcuni integratori alimentari possono essere più di uno spreco di denaro (http://nutritionfacts.org/video/some-dietary- gli integratori-possono-essere-più-di-uno-spreco-di-soldi/)
Avere un domanda per il dottor Greger su questo video? Lascialo nella sezione dei commenti su http://nutritionfacts.org/video/should-we-take-a-multivitamin/ e proverà a rispondere!

Crediti immagine: stevendepolo, Clean Wal-Mart, theseanster 93, e Carsten Schertzer via Flickr.

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100 Risposte a “Dovremmo prendere un multivitaminico?”

  1. What does this video on diseases and mortality have to do with people taking vitamins? People take vitamins to make up for the reality that most people have a limited range diet.  Most people don't have the time or money to eat a proper diet.  We should do a lot of things to be healthy but the vicissitudes of modern life means this will not happen so you must make up for the shortfall where you can.

  2. How do you feel about taking COQ10, if you take statin drugs?  From what I learned, statins deplete the melavonite pathway in the liver, where cholesterol is made, and also deplete COQ10, putting people's health at risk.  Many Cardiologists say to supplement with COQ10 if you are taking statins.

  3. Great Information Show. I liked it. I don't take any vitamins. My believe is,.. it's good when you do and it's good when you don't…considering so many people die from so many freak accidents and other misfortunes. My conclusion is, damn it if you do and damn it if you don't. There are just too many bad things from factories in our atmosphere that it does not matter anymore, it's not the cigarette smoking too, although it is blamed on it.

  4. Partially agree. Taking the chemically made, hard shelled, once aday vitamins will usually no effect on longevity. Prescription drugs I feel is even more harmful…as ALL have side effects and/or restrictions on diets and none are designed to CURE.
    However, our soil is almost completely devoid of minerals according to a 1930's era Senate report. The amount you'd need to take in to achieve total nutrition is not practical. So, supplementation is vital. Now, the problem comes from choosing an affordable and effective source that is; bioavailable, contains ALL the nutrients needed taken multiple times a day is the problem. The next problem is people will not continuously do something that is not prescribed and their health insurance approves it.

  5. What we should be looking at is the effect of multivitamins on people with nutrient poor diets. Sure, if you already eat a healthy, balanced diet, then you're wasting your money and potentially harming yourself by taking multivitamins, but if your diet is poor in nutrients and minerals to start with, then logically, multivitamins must be of some benefit to you.

    Not everybody has the money, time, or simply the desire to eat fruit and veg, regardless of how good it may be for them. For these people, it makes sense to pop a little pill once a day to make up for their otherwise nutrient poor diet.

    I'd like to see studies of the effects of multivitamins on people with nutrient poor diets and I'd wager those people do benefit from multivitamins.

  6. 2 things here…1 ) synthetic supplements are excitably the result when we go on a limited all veggie diet where the protein enzymes and B vitamins are insufficient and 2) when Big Pharma does the research and wants to squash their competition in the business of supplements…after all, why would you need man made Pharmaceuticals  if you can be healthy from a rival supplement

  7. For any doctor to claim that talking vitamins is a waste of time is very irresponsible considering the amount of trusted and valid data out there. Secondly, while I am not a fan of many of these crazy fad supplements where a "new discovery" has found the essence of life in a deep sea algae, for example… I do think that we humans do not consistently eat the variety of food needed (especially considering our changing and differing environments) …a vitamin supplement are an insurance policy…I am also not a fan of antidotial surveys, no matter how long they are…

  8. DUH! I used to spend no less than $150 /month on every vitamin and mineral on the shelf. IRON, even. Then finally I became a vegan who takes none. Guess what. I have never felt better, and as Dr. G. pints out I can spend that stupid vitamin money on better food. Halle-luyah!.  

  9. Most of the vitamins made from real food are probably highly processed so I would avoid them. The only compromise I have made is vitamin b12 which unfortunately is also highly refined. For vitamin d, I prefer brands of mushrooms with vitamin d.

  10. Once again science verifies what I have been telling people for years. You get more bio-accessible nutrients by eating whole foods than you get from multivitamins.

  11. Our food quality is so poor with chemical fertilizers and insecticides we need som supplements…Maybe not a Multivitamin like One -A-Day or Centrum..These are two a waste of money !  But their are good supplements, you need to do your home work !!  B-Complex including B-12 and Magnesium are two that almost all of us need a supplement for !!  Do Your Home work !!!

  12. The type of multi would be of the utmost importance. Those taking a synthetic as opposed to a high quality, real food raw multi. Those who cram down a Wal Mart vitamin right before their tater chips is a highly likely large group in this "study."

    Great channel. One of my absolute favorites!!!

  13. Since I've been working towards a vegan diet I take a little B12 just to be safe and I don't get much sunshine, so I take vitamin D.  Also a low dose aspirin every day. Cost wise, those are pretty cheap. My next blood test will check B12 and D just fo the heck of it. I haven't found anything yet that says a whole plant food based diet is lacking in anything really.  I just take those things for my own peace of mind.

  14. I wonder if it affects feelings of well being as I believe that I have noticed this affect. I generally eat a nutritious diet and supplement as an insurance as it is likely that even a very good diet is lacking in certain vitamins and minerals. Having said that I do understand the argument that these supplements vary greatly in quality and bioavailability to the body, also that excessive megadosing of synthetic vitamins in the wrong proportions may well be counterproductive. I think there is a temptation to use them like drugs to target the body with a single supplement to "get" a specific effect, I think this is not always appropriate, as this may encourage people to think they can go on living unhealthily eg and neglect food and sleep.

  15. Thank very much you for sharing your information with the rest of us Dr. Greger.

    I have a question regarding B vitamin supplementation (especially b12) and would be grateful if you'd make a video on that (if you haven't already). Should one take a b vitamin supplement and if so in which form? What are the benefits/dangers of consuming it/not consuming it.

    I do understand you probably get a lot of these messages but I think this subject would benefit a large group of people, especially meat-eaters and vegetarians who want to take the step towards being vegan but are afraid of missing their B12.

  16. There are two basic schools of thought on supplementing and they are as follows:

    1. Get your vitamin supplements from pills made sunthetically from chemicals and toxins in a laboratory, and get your mineral supplements from pills that are made from dirt and rocks.

    or

    2. Supplement your diet with vitamins and minerals from real food.

    So for instance, why would I want to get my calcium from calcium carbonate if I knew that calcium carbonate is limestone? Limestone is a substance found in rocks and is added to sand to make it harden and turn into cement. That sounds like a pretty good substance to promote cardiac arrest, kidney stones, hardening of the arteries, and arthritis.

    There are too many studies out there showing that vitamin pills are causing cancer. It's no wonder since they are made in the lab with chemicals and toxins.

    Thus, I would prefer to supplement my diet with real food to get extra vitamins and minerals i.e. beet powder, turmeric powder, white pepper powder, cayenne, kelp granules, herb powders, etc.

  17. Vitamins are very important and we don't get enough of them through our diets and if we take medication it can interfere with our vitamin absorption.  I used to suffer from depression and joint pain until I found out that I had a vitamin D deficiency caused by my anti-seizure medication. When I started supplementing with vitamin D, the depression disappeared along with my joint pain.  Maybe it doesn't affect cardiovascular health or longevity but it can improve our well being in while we are living.

    Also I must point out that most vitamins get passed through our systems with no benefits because most companies do not know who to properly manufacture a vitamin pill that can be easily absorbed by our bodies.  Always go with a reputable company, like Shaklee.  It may be more expensive, but at least you know you are getting vitamins that are going to work.

  18. A few words I got on this.

    1.People don't like and don't have the time to eat a bunch of fruits and vegetables on a daily basis. I agree they are way better, but then again some people smoke so they don't really give a shit.
    What matters the most to a healthy life, is your genetics. A weird anomaly is that the oldest people are 70%+ smokers (I'm talking about those 110 year olds) and women. Some people gen cancer at an early age even if they don't smoke, some never get cancer even if they puffed glue their whole lifes.

    2.Multivitamins are not completely useless. You know how they help? No more vitamin and mineral deficiencies, and this is a big one. If we wouldn't be taking vitamins or eating a large diversity of fruits and vegetables, we would encounter serious health issues. I myself had some problems when I was a child, didn't eat enough fruits and I had a vitamin C deficiency, which translated to horrible lucid nightmares and night horrors, which persisted a few minutes even after waking up. I was given a BASIC vitamin c supplement, and that fixed the problem.

  19. Problems with taking your minerals and vitamins from vegetables and fruits are:
    1. No way you can eat enough of them to cover everything
    2. they are expensive especially if you want to mix it up and eat different kinds
    3. they take a lot more effort to get and eat than just popping a few pills.

  20. Really good video! Especially because you mention the questionableness of some studies. I mean if you just observe people who take multivitamins, are probably those, who don't eat clean or avoid sport.
    But I would like to know if these multivitamins help people who do sport on a professional level and already eat a lot of fruits and vegetable and cover there vitamins from there but because of the sport there requirement is just higher. What then? Are multivitmains a good thing then?

  21. Once again, as I keep trying to get the info from credible doctors (without luck), nobody is explaining whether these studies were done with SYNTHETIC vitamins, or whole food vitamin supplements. If the "vitamins" in the studies we're chemical man-made vitamins (which some people call vitamins), then it's no wonder the results were what they were. Somebody actually failed to study actual FOOD-BASED vitamins, with all the co-factors in these studies. So what these studies amount to is a study to see if man-made chemicals can help chronic diseases and extend life. I want a REAL vitamin study, not a study of man-made chemicals.

  22. If you're a vegan and don't always have the time to eat veggies and fruits with some fruit on it, how do we get our b12 intake? Could you please start replying dr. ? You're input would be much appreciated.

  23. There is the problem of sourcing fresh quality fruit and vegetables; many people live in food deserts. What do we do if fresh fruit and veg is not available?

  24. I eat fruits and vegetables before I go gym and lunchtime I eat lunch and pop a multi vitamins tablet is that good or should I stop taking the pill.

  25. Well, Harvard School of Public says different. They recommend taking a daily multi-vitamin. Generally I'm inclined to trust institutions like Harvard more on making competent decisions on scientific research than a YouTuber.

  26. But you also now have to worry about bioavailability of the vitamins and minerals in the foods you eat. And that's not very good. Even for RAW veggies. In many cases you'd have to eat a very large amount of food per day just to get the RDA from a vegetable. Cooking can help, but doesn't always work as well in all cases for all vitamins.

  27. I am not against fruits and vegetables, but are the supplements used in the trials tested to actually being absorb? Like a bioavailability test for the supplement used. Because most of the supplements are just produced for profit but not all. Definitely, if you use LOW BIOAVAILABLE SUPPLEMENT just made in the backyard, of course it will not work! its just like eating an OVERCOOKED Veges right? For me I think supplementation is still crucial but you just have to find the BEST out there that has been TESTED by SCIENCE, for example tested bioavailability etc. cause I know we can't eat it all to get the daily amounts of nutrients and vitamins we need everyday, veges and fruits plus supplements is really better than all the burgers, fries and other science project foods.^^,

  28. My question is if multivitamin is ineffective, why does my OB/gyn doctor asked me to take prenatal vitamins while I was pregnant? The doctor asked me if I took them every time I did the visits.🤔🤔🤔🤔

  29. A cross-section of the population who ONLY take a multi compared to those who don't, does not mean much. !) Who sponsored those studies? (Medical and gov't organizations will slant the studies to show what they want to show.)2) In any case, merely taking a multi is not likely to make much difference against the various diseases and health problems that people tend to go up against as they become older.

    I'm 74 and have cured arthritis and coronary heart disease using A LOT of various nutritional supplements and ZERO pharmaceuticals. I developed those diseases despite the fact that I always ate healthy foods and did not use tobacco or alcohol at all. So it is clear that I would not have been cured with diet alone — thank goodness for supplements!!!!Dr. Greger is pretty narrow-minded.

  30. Can you make a video on whether vegans should take a multivitamin? I'm in college so it's not always easy to control my food and make sure I get a wide variety of fruits and vegetables every day. I take a multivitamin because I'm worried that I might miss things such as vitamin d (I of course will always supplement b12 but I worry about some common vegan deficiencies). Thank you!

  31. im sure you know a lot bout nutrition but you know shit bout marketing, persuasion, decision making and negotiation. Trying to guilt or mother people into doing something does not work. you cant just say "eat yr vegetables" and think yr gonna have an effect. we have evolved to dislike these things and enjoy bad food. gotta take the task seriously if you wanna have an effect

  32. It would be nice to see the study incorporate a standard of living. Some people can smoke all day and die at 90 while someone who trains every day may die at 85, I bet the guy who died at 85 loved life and had a much better time than the guy who died at 90 but didn't leave his bed for the last 10 years as he had an oxygen bottle.

    I guess I would like to see if the multi improves life or general feeling of being healthy. Sure it won't cure cancer or save you from a stroke but you might enjoy yourself alot more until this happens.

  33. Wouldn't the quality and bioavailability of the multi-vitamin play a significant role in the efficacy and absorbency, just as real food would depend on the state it is in? (steam/raw, crushed/whole).

  34. The blind spot in all of this video's talk… is that:
    A) soil mineral depletion from modern agriculture techniques has stripped significant nutrient value out of our foods. Cooking vegetables also significantly depletes nutritional value.
    B) pesticide use, which can be very toxic to the body, is pretty high among fruits and vegetables.
    So, while the video is technically correct on the basis of these studies, its still not the capital-T Truth. The TRUTH is, the modern world has stripped foods of their historical nutritive values, and THAT is why supplementation is more important than ever. Especially when the gov't RDA values are a downright joke.

  35. Multivitamin pills obviously aren't better than vitamins from fruits and vegetables, however, they're not really much worse. Also, most fruits and vegetables today are deficient in selenium, B12 and D3 (some fungi contain D2 though), as well as vitamin A (beta-carotene isn't vitamin A), so either way you have to supplement if you're on a vegan diet. I myself, I eat vegan and I take multivitamin pills (I also high dose A, D3 and K2).

  36. let's tell the truth instead of Gregor's agenda. The doc is completely uneducated on the subject of food supplements in pill form, and merely seeks to drive his vegan agenda. Truth be known you can get the same substances, mixed, in pill form without having to eat two gallons of vegetable matter per day, and, a lot of other benefits as well–which the doc would know and understand, were he to bother to look at the extensive research on this subject.

  37. Multivitamins are for the deficient people. If they aren't getting enough from the food, or can't get enough from the food, they're not only useful they're lifesaving. Not to mention that they've been used to factually treat what were otherwise recognized as idiopathic disorders of CNS for example.
    The point being, no truly rational person expects that taking supplements constantly can really prevent anything… if nothing else this is unsustainable.
    But it's equally silly to think you can get it all from the food. Because that'd require a small fortune (each month!) a lot of conscious food preparation (hours and hours probably up to 8 hours per day spent on cooking and eating), and a meticulous track keeping of nutrient profiles, and adding and subtracting to make sure one has had the bare minimum. Even in this case, certain diets, like vegans will be deficient in certain nutrients as it's more likely for one to build a plane from scratch without having any engineering skills, than to eat their way to a recommended daily dose of EPA, DHA, Vit B12 or Vit K2 from plants.
    The video kind of pulls a strawman, no one's really saying suplements are protective, least in conditions caused by deficiencies, but they are excellent at what they do: "supplement" what's missing.

  38. When using cronometer to log in my food and see how I fair out in vitamins and minerals, especially on a plant based diet, um — not much is lacking AT ALL. Like, what comes from the ground truly does provide more than enough to get us going.

  39. So are the new"vitamin s" that people buy now are the green powders. Are these tested like the vitamins have? Are we wasting money on these too?

  40. So I am wondering if most of these studies were of people that had a typical American diet, and the participants thought that supplementation would offset bad eating habits, I would not be surprised that there was no reduction in disease risk, nor longevity benefits. But, for example, being vegan and not supplementing with B-12 seems foolhardy. I am biased,. I take a lot of supplements, and in some cases (EPA/DHA, multi-vitamin, prostate formulas, for instance) I am almost certain they have been beneficial. Anecdotal, yes, but having observed my body over the past 25 years, I think the observations are valid,

  41. It think the issue could just be that people who take multivitamins don't necessarily feel further need need to moderate their diet, counteracting the real benefit of reliable nutrition the multi provides. So, they get all their vitamins from the pill, then proceed to eat food that is actively unhealthy or destructive (processed meats, candy, soda).

    Hence, the vitamins/minerals from multis are beneficial to health, and one needn't necessarily get all their nutrients from natural sources. However, you still have to eat non-destructive foods after you take the supplement. You just don't have to fret as much about meeting all your nutrition guidelines by selecting just the right mix of foods (many of which might cause cost/palatability/digestion issues for many people). It gives you the freedom to choose which healthy foods you want to eat, rather than have the nutrition facts label determine what has to go into your mouth

    in sum:
    Supplement+2000kcal of potatoes > Supplement + 2000kcal of hotdogs.

  42. If you're so poor that you literally eat out of soup kitchens–and so silly that you spend all of your SNAP allowance on chips, soda, and candy–then yes, MVMM supplements might help you.

    If you're restricting calories, but not following a CRON or WFPB plan, then yes, you might benefit from MVMM supplements.

    Otherwise, it's just really oddly specific situations where vitamin pills might help you. And even then, it's individual nutrient supplements, not multivtiamins.

  43. I think it depends on the vitamin supplement taken. I have absolutely received great benefits from the supplements that I take. You also should change the supplements as needed. Many multi vitamins are synthetic and useless… you have to do your research on all supplements.

  44. Supplements certainly work especially when consumed at the right dose for an individual….supplements can never out trump food but they can 'supplement' a good diet providing a stronger overall constitution for the human system. Of this there is also no doubt.

  45. These studies and their analyses only investigated cancer and heart disease. "Mortality", too, but it was mortality that was influenced by cancer and heart disease, if I'm not mistaken. What about other diseases? Also, it didn't distinguish between different kinds of multivitamins. Some of them, like Supradyn, have to pass the same strict standards that drugs have to. Of course passing these tests is no 100% guarantee, we know about drugs after all which are positively harmful or have no effect at all but are marketed in a sly, sleezy way, but that, again, is only proof of a small subset of things being ineffective. Please note that I'm not advocating or attacking the use of multivitamins, I'm only pointing out that we can't draw any conclusive evidence based on this video. Please correct me if I failed to take something into account, though. My goal is for me and my family to be healthier. Thank you!

  46. So if we should avoid zinc and folate then we should probably start eating mac-donalds, because that is superior in that matter to the wholefood plantbased diet you have been propagating…

  47. Brand new to the channel. Is there a video where the doctor gives a list of vitamins to take?

    Never mind…he seemed to answer it at the end.

  48. You’re a real hero for what you do! Love all your videos I watch them all day. Could you do a video going over research and studies on fillers in supplements. Like magnesium stearate and titanium dioxide. There’s a ton of controversy and and lack of information regarding sourcing and health effects. I would trust it coming from you! Thank you doc you’re awesome!

  49. Objective, to the point, all information derived from sources. All videos relating to health should follow your blueprint. excellent video

  50. I've heard from several very good doctors that suggest taking multivitamins 3 times a day.
    Maybe the over-all low dosage in these studies is the real problem.

  51. Problem is, vegans constitute such a minute fraction of the population that any benefit specific to them wouldn't be statistically significant in the overall results. And due to the limitations of their diet, vegans are especially vulnerable to nutritional deficiencies. It's certainly possible to plan around these with careful food choices, specific supplements, and fortified foods, but a multivitamin could help fill in any gaps. Seems like a wise precaution.

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