Scottish Daily Mail

The surprising supplement­s doctors take themselves

The medical profession’s often quick to pour scorn on vitamin pills...but from evening primrose oil for painful periods to collagen for foot pain, here’s what they DO swallow

- By ANGELA EPSTEIN

NEARLy half of all adults in Britain take vitamin and mineral supplement­s — yet 90 per cent of these products are ‘invalidate­d’ and many ‘have no measurable benefits’, a former adviser to the Government’s Committee on Safety of Medicines, Dr Paul Clayton, claimed recently.

In fact, the convention­al view is that it’s better to get your nutrients from food, by eating healthily. But which supplement­s are worth taking? We asked specialist­s from different fields of medicine to reveal the ones they take — and why.

UROLOGIST: VITAMIN C TO PREVENT URINE INFECTIONS

PROFESSOR Christophe­r Eden, 57, is a consultant urological surgeon at the Royal Surrey County Hospital in guildford. I SEE a lot of patients — both men and women — with urinary tract infections, which can be debilitati­ng and painful, and can only be treated with antibiotic­s.

One of the key triggers for these infections is alkaline urine, as this environmen­t is ideal for the bacteria to thrive.

To avoid getting such infections, and regardless of what I’m eating that day, I take a 1g supplement of vitamin C daily. (The recommende­d daily amount, or RDA, is 40mg, which is equivalent to a large orange.)

This amount of vitamin C makes the urine mildly acidic and increases the levels of an antimicrob­ial protein called siderocali­n, found naturally in urine, which makes the environmen­t less favourable to bad bacteria and reduces the risk of infection.

MENOPAUSE GP: PROBIOTICS FOR HORMONE IMBALANCE

LOUiSE NEWSON, 48, is a gP and menopause specialist based in Stratford-upon-Avon. MOST people don’t realise that there’s a strong link between a healthy gut and hormone health, as hormone receptors in the gut help with the function of the bowel.

Women going through the menopause or perimenopa­use may get bowel symptoms such as bloating which are due to hormone imbalances affecting the balance of gut bacteria. Probiotic (good bacteria) supplement­s correct this imbalance and are also linked to levels of the brain chemical serotonin, which can improve mood. This is important during the menopause.

I make sure I take a probiotic daily, specifical­ly one with a high bacteria count including Lactobacil­lus acidophilu­s. I look for one that has to be kept in the fridge, as this is a sign of a quality product.

ORTHOPAEDI­C SURGEON: COLLAGEN FOR PAIN

PROFESSOR Tony Kochhar, 45, is a consultant orthopaedi­c surgeon at London Bridge Hospital. HAVING taken statins for a couple of years, I developed tendonitis, inflammati­on in the foot, which caused pain around the outside of it.

My GP told me to stop taking the statins, which helped, and I now control my condition with diet. I also take a supplement of collagen (a natural protein found in the tendons) to build up tendon structure and reduce pain. I take two 1,200mg collagen supplement­s daily and it has really helped. Within two weeks of starting them, my pain had gone.

ONCOLOGIST: VITAMIN D TO WARD OFF CANCER

Dr ANNE Rigg, 51, is a consultant oncologist at London Bridge Hospital. VITAMIN D is required for the general functionin­g of a healthy body — but the reason I take a supplement is because low levels have been linked to an increased risk of breast cancer, though it’s not clear why.

One theory is that vitamin D may help control normal breast cell growth and may even stop breast cancer cells from growing.

The body creates vitamin D from sunlight on the skin when we are outdoors, but because of the British weather and the rightful use of sunscreen, it’s easy to become deficient.

I take the recommende­d daily dose of 10mcg. [Fatty fish such as salmon and mackerel are good sources, too, but you’d have to eat them in large amounts to get the recommende­d daily dosage.]

It’s vital not to overdose, as it can increase the risk of kidney stones: the vitamin helps absorb calcium from the diet, which can build up into stones.

OPTOMETRIS­T: VISION BOOSTING ANTIOXIDAN­TS

Dr ROB HOgAN, 62, is an optometris­t at iCare Consulting. AN optometris­t with poor vision isn’t much use to anyone. But as I get older, and through patients I see, I’m aware, too, of the increased risk of age-related macular degenerati­on (AMD), a leading cause of sight loss in people over 60.

This is where the small central portion of the retina (the macula) at the back of the eye deteriorat­es. So I take MacuShield, a supplement which, studies have found, can help improve vision and keep the back of the eye healthy.

It contains a mixture of natural compounds — lutein, zeaxanthin and meso-zeaxanthin — which are antioxidan­ts that have been found in studies to improve vision and eye health. I take one a day, usually with a meal.

DENTIST: CALCIUM TO PREVENT TOOTH DECAY

Dr MiLAD SHADROOH, 37, is a dentist in Basingstok­e, Hampshire. I TAKE a varied supplement daily to maintain good health and, specifical­ly, healthy teeth. It contains calcium (an adult’s RDA is 700mg, which is equivalent to three 200ml cups of milk) as most people, including me, don’t get enough in their diet.

Tooth enamel, the protective covering on teeth, is made up of calcium, so it is therefore an important mineral to supplement to protect against decay. I also take iron, as a deficiency can cause mouth ulcers [as a symptom of anaemia — where the blood contains too few red blood cells].

DERMATOLOG­IST: ZINC FOR STRONG NAILS

Dr JOANNA gACH, 49, is a consultant dermatolog­ist at University Hospitals Coventry and Warwickshi­re NHS Trust. EVERy so often, I take a multivitam­in capsule containing zinc,

selenium and biotin. These are all helpful for sorting out my brittle nails and maintainin­g healthy hair.

You can’t just take the odd one — you need to take a course for several weeks at a time to see a difference — so I might take a daily supplement for two months at a time, or until I see an improvemen­t.

A 2013 study in the journal Annals Of Dermatolog­y on 312 people with hair loss found that all had lower zinc concentrat­ions in their blood than those with healthy hair.

ORAL SURGEON: VITAMIN B FOR ULCERS

LUKE CASCARINI, 47, is a consultant maxillofac­ial surgeon at Guy’s and St Thomas’ Hospital in London. LOOkIng inside people’s mouths on a daily basis, I am very aware of the need for good oral health.

I take a daily vitamin drink containing a high-dose vitamin B complex, which is necessary for good oral health.

Low levels of vitamin B12, in particular, can cause mouth ulcers and a swollen tongue.

This is because the vitamin is needed to keep the mucosa — the membrane lining the inside of the mouth — healthy. As B vitamins are water soluble, they are absorbed best on an empty stomach — so I take them first thing, before breakfast. I hardly ever get ulcers.

GYNAECOLOG­IST: PRIMROSE OIL

Dr JENNI ByRom, 44, is a consultant gynaecolog­ist at Birmingham’s Women’s and Children’s Hospital. I TAkE evening primrose oil for premenstru­al symptoms such as breast pain. I take 1g of evening primrose oil daily and have found it really makes a difference.

Some women with breast pain might not have high enough levels of certain ‘fatty acids’ found in evening primrose oil.

One theory is that high levels of the hormone prolactin (secreted by the pituitary gland) may lead to breast pain.

Evening primrose oil contains a fatty acid, gamma-linoleic acid, that can be converted into a compound called prostaglan­din, which is believed to control the effects of excess prolactin.

GP: VITAMIN C TO PREVENT COLDS

Dr SARAH myHILL, 60, is a GP based in Wales. AS A gP, I’m on the front line in terms of coming into contact with people who are harbouring colds, flu and other infections, so I take 10g of vitamin C dissolved in a glass of water every day before I start my shift — and I never get colds.

I believe that high doses of vitamin C can kill bad microbes on contact — or, at least, help reduce the severity of infections such as colds and sore throats. JoNATHAN DEARING, 49, is a consultant orthopaedi­c surgeon specialisi­ng in sports injuries at BmI Carrick Glen Hospital in Ayrshire. I CARRY a vitamin D oral spray and use it after exercise, as it helps improve muscle recovery by regulating various processes that help them repair and grow.

When I was younger, I used to play rugby, but these days I train for triathlons.

I exercise every day if I can — everything from road running for 10km, swimming a mile or going out on a bike for one or two hours.

Afterwards, I always use a vitamin spray to help soothe sore muscles.

SPORTS SURGEON: SORE MUSCLES SPRAY

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