Beta-carotene, selenium and folic acid – taken up to three times
their recommended daily allowance, these supplements are probably
harmless. But taken at much higher levels as some supplement
manufacturers suggest, these three supplements have now been proven to
increase the risk of developing a host of cancers.
"It's not that these nutrients are toxic – they're essential and we
need them, but we need them in a certain balance," says Tim Byers, MD,
MPH, professor of epidemiology at the Colorado School of Public Health
and associate director for prevention and control at the University of
Colorado Cancer Center.
Byers is senior author of a commentary recently published in the Journal of the National Cancer Institute that discusses the clinical and policy implications of the increased cancer risk from high dose dietary supplements.
"We have a window into less than half of the biology of what these
nutrients are doing," Byers says. "We say generalized things about them,
calling them an antioxidant or an essential mineral, but true biology
turns out to be more complex than that. The effects of these supplements
are certainly not limited to the label we give them. And, as we've
seen, sometimes the unintended effects include increased cancer risk."
Currently the FDA regulates dietary supplements as food, but, as
Byers and colleagues suggest, supplements, especially at high doses, are
more accurately described as inhabiting a mid-ground between food and
drugs. Like drugs, supplement ingredients are biologically active –
sometimes for better and sometimes for worse
"We need to do a better job as a society in ensuring that the
messages people get about value versus risk is accurate for nutritional
supplements," Byers says. "My conclusion is that taking high doses of
any particular nutrient is more likely to be a bad thing than a good
thing."
Source: University of Colorado, Denver
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