Vitamins, minerals & supplements Archive

The scope of the opioid crisis in the US has led some communities to revise their view of substance use disorders. One idea is creating supervised injection facilities that would provide a safe environment and make treatment resources available.

New phrases showing up on packaging don't always tell you if the food is better for your health.

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You're not alone if you don't know the meaning of certain terms on food labels lately. A new language has developed to describe healthy ways to produce meat, vegetables, fruit, and other products in the grocery store. "It's not just the terms that are confusing, but also various associated health claims," says Vasanti Malik, a nutrition researcher at the Harvard T.H. Chan School of Public Health.

Organic vs. natural

Some food is labeled "organic" or "natural." What's the difference? The FDA doesn't have a definition for "natural," although it doesn't object to the term if a food does not contain added color, artificial flavors, or synthetic substances.

Some aspects of diet may diminish or heighten the effect of prescription drugs or cause harmful side effects.

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You take your pills on time each day and get your prescriptions refilled before they run out. But all that hard work to stick to your medication plan can be scuttled if your diet is undermining the drugs' effects. "I see a lot of people who don't believe in the importance of following dietary recommendations for medications. That's a concern," says Dr. Randall Zusman, a cardiologist and Harvard Medical School associate professor.

Dietary risks

The following foods, drinks, or ingredients can interfere with specific drugs.

News briefs

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In March, we reported that long-term use of a class of prescription painkillers known as opioids, such as oxycodone (Oxycontin), comes with the risk of dependence, addiction, falls, and even death. Now, a study published March 14, 2017, in The BMJ finds that opioid users who also take a benzodiazepine — such as alprazolam (Xanax) — for sleep or anxiety are more likely to end up in an emergency room. Researchers made the connection after looking at a sample of more than 300,000 privately insured adults (ages 18 to 64) over a 12-year period. People who were prescribed both types of drugs had twice the risk of ending up in a hospital as did people who used opioids only.

The study is observational and does not prove that using both medications increases overdose risk. However, the authors say we already know that about 30% of deadly opioid overdoses involve benzodiazepines in some way. Researchers suggest that opioids should be prescribed cautiously — even if only for a short-term course — among people who are also using benzodiazepines.

Do a little research, follow a few rules, and make polite requests.

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Going out for dinner can be a nice way to unwind with family or friends. But if you're watching your salt intake, restaurants aren't always so relaxing. Much of their fare is loaded with sodium, a main component of salt. In fact, some entrees at popular chains contain far more than 2,300 milligrams (mg) of sodium — the recommended limit for an entire day's worth of food (see "Super-salty entree examples").

Limiting sodium is especially important for people with high blood pressure, because excess salt worsens this common condition, leaving you more prone to heart attack and stroke. If you eat out only once a month, you probably needn't worry too much. But Americans tend to eat out far more frequently — about five times a week, on average. So it's worth learning some strategies for staying within your salt budget when you eat away from home.

Research we're watching

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If you're craving a crunchy snack, a handful of cashews is a heart-healthy choice, a small study suggests.

Although they're a popular pick in nut mixes, cashews have a bit of a bad rap. Because cashews contain about 20% saturated fat, the FDA omitted them from the qualified health claim suggesting that nuts may lower heart disease risk when eaten as part of a diet low in saturated fats and cholesterol.

On call

Q. I have had acid reflux for many years, but it is well controlled with a proton-pump inhibitor. However, I am concerned about long-term damage from my reflux, even though I feel fine now. Should I have an upper endoscopy to look for possible damage?

A. Long-term acid reflux can damage the esophagus and may lead to a condition known as Barrett's esophagus, which is a precursor to esophageal cancer. Barrett's affects about 3% to 10% of older men, but within this group the risk of developing esophageal cancer is only about four in every 1,000 cases. Over all, men with Barrett's are more likely to die from another cause.

Protect yourself to ensure a speedy recovery and avoid infections and readmission.

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Whether you go in for surgery, testing, or an outpatient procedure, your hospital stay can pose further health risks if you are not careful.

"Your potential risks depend in part on why you have to go into the hospital and the facility itself, but there are steps you can take to minimize your risk, especially when it comes to developing hospital-acquired infections that can lead to a longer hospital stay or readmission," says Dr. Erica Shenoy, an infectious diseases specialist and associate chief of infection control at Harvard-affiliated Massachusetts General Hospital.

In the journals

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Omega-3 fish oil supplements can help prevent death from heart disease in patients who've had a heart attack, but a science advisory published March 28, 2017, in Circulation found there is no research to support their use to prevent heart disease in the general population.

Researchers reviewed all randomized clinical trials that evaluated the potential role for fish oil supplements to prevent cardiovascular disease, including two studies published before 2002 and 13 published since then. The studies assessed the clinical impact of fish oil treatment on cardiovascular outcomes, such as heart attacks, strokes, and atrial fibrillation (a heart rhythm disorder).