Comments on: Prenatal Vitamins. Necessary? Sufficient? Safe? https://theexaminingroom.com/2010/10/prenatal-vitamins-necessary-sufficient-safe/ A physician's commentary on current issues in medicine, clinical research, health and wellness. Tue, 27 Dec 2011 17:08:34 +0000 hourly 1 https://wordpress.org/?v=6.4.3 By: PalMD https://theexaminingroom.com/2010/10/prenatal-vitamins-necessary-sufficient-safe/comment-page-1/#comment-1353 Tue, 26 Oct 2010 01:04:37 +0000 https://theexaminingroom.com/?p=969#comment-1353 The dose makes the poison. This piece is alarmist. I’m not sure this information is at all useful.

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By: medical blog https://theexaminingroom.com/2010/10/prenatal-vitamins-necessary-sufficient-safe/comment-page-1/#comment-1351 Sun, 24 Oct 2010 20:45:56 +0000 https://theexaminingroom.com/?p=969#comment-1351 Wow. I’m impressed with your research and energy. Maybe we should just prescribe folic acid, ferrous sulfate and calcium separately, and just forget prenatal vitamins.

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By: Celeste https://theexaminingroom.com/2010/10/prenatal-vitamins-necessary-sufficient-safe/comment-page-1/#comment-1338 Wed, 20 Oct 2010 16:26:41 +0000 https://theexaminingroom.com/?p=969#comment-1338 I think the folate recommendation is a good one. I even recall reading some little tidbit online in the last several weeks about the possibility of a birth control pill being manufactured to include folate. That way somebody who wants to stop the pill and become pregnant is already covered, as well as somebody who missed a couple of pills or negated them with antibiotic use and becomes pregnant accidentally.

I’ve also noticed that a few more foods are being enhanced with folate. However the supplements themselves are so cheap that I just think it would be great for them to be recommended to all women of childbearing age.

I will say that my experience of taking prenatal vitamins was that they could induce nausea where the pregnancy alone could not. I actually gave up on them quickly. In my third trimester I had an iron test and was told my levels were too low; I asked how this could be considering that I thought my diet was balanced. The doctor smiled and said that “everyone” gets a low reading at that point and it was no big deal. The supplements I was told to take were just so nauseating that I stopped them, too. When my child was born her iron levels were tested and found to be normal. So, I began to question this low-iron issue and found some pieces online (again, no sources) to say that perhaps the consistent findings of low iron in late pregnancy meant that there is a problem with what the reading is “supposed” to be. The main conclusion I read about was that it may be that we haven’t accounted for the mother’s more dilute blood supply with a viable fetus. I really would like to see more research done on this topic to see if we can move forward with better recommendations.

The main reason that I am anti-multivitamin is the “expensive urine” chestnut. It really is possible to smell vitamins in urine. I’ve witnessed my own and my child’s. Her formula had over 100% of the daily requirements of vitamins in it, and her wet diapers reeked of it. I’m sure that they put in extra as a precaution against times when a child may vomit a feeding, have uncorrected reflux, or become ill and not feed well for a period of time….but there is overkill especially once they begin solids while they are still on formula.

Nutritional supplementation is an industry, and the hard sell has worked on many people for sure.

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By: hat_eater https://theexaminingroom.com/2010/10/prenatal-vitamins-necessary-sufficient-safe/comment-page-1/#comment-1337 Wed, 20 Oct 2010 10:27:28 +0000 https://theexaminingroom.com/?p=969#comment-1337 Here in Europe there are formulations that fulfill the requirements outlined in your last paragraph – I don’t know about the US though. And while I agree that “broad spectrum” vitamin supplementation in pregnancy has a limited evidence base to say the least, a future mum would have to inhale pulverized pills to have any, however remote, chance of getting cancer from titaniom dioxide. 🙂 I checked this one because you scared me – titanium white is ubiquitous.

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By: Lisa https://theexaminingroom.com/2010/10/prenatal-vitamins-necessary-sufficient-safe/comment-page-1/#comment-1334 Tue, 19 Oct 2010 21:30:47 +0000 https://theexaminingroom.com/?p=969#comment-1334 Freeda vitamins have a pretty minimal set of additions beyond the vitamin sources.

http://www.freedavitamins.com/index.php?p=product&id=174&parent=2

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By: emmy https://theexaminingroom.com/2010/10/prenatal-vitamins-necessary-sufficient-safe/comment-page-1/#comment-1332 Tue, 19 Oct 2010 15:47:43 +0000 https://theexaminingroom.com/?p=969#comment-1332 Thank you. I intend to print out this post and take it with me to my next physical. They seem to think I’m making excuses when I tell them I don’t take a multivitamin because they all have too much crap in them.

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