Guest guest Posted August 22, 2002 Report Share Posted August 22, 2002 The maximum amount of Vitamin A to take depends on the form in which it is taken. The most common form, retinol palmitate, can cause problems in dosages above 10,000 IU per day (200% of the DV). Vitamin A in beta-carotene form does not appear to cause any problems at any dosage level because the body fails to convert it into retinoic acid at a toxic level. This is what Communicating Food for Health, March, 2003, page 1, has to say about vitamin A limits: " Vitamin A Toxicity " An excessive intake of vitamin A is known to cause liver damage, bone pain, increased pressure in the cranium often accompanied by headaches, dermatitis (dry scaly skin), fatigue and hair loss. These symptoms usually arise in adults after consuming 25,000 to 50,000 IU of vitamin A or more for many months. Now, however, growing evidence suggests that amounts much lower may also produce toxicity. It has long been know from studies in journals that an excessive intake of vitamin A stimulates bone breakdown and interferes with vitamins D's ability to maintain normal levels of calcium in the Blood. Research continues to mount that even a moderate excess of the animal form of vitamin A (a.k.a. retinol/retinoic acid) may contribute to osteoporosis and broken bones. Last year the Institute for Medicine lowered the daily recommended intake of vitamin A to 700 mcg (or 2330 IU) for women and 800 mcg (or 2667 IU) for men. In addition, they set a " safe upper limit " (UL) of 3000 mcg (or 10,000 IU) per day for adults. A UL was not set for the plant form of vitamin A (certain carotenoids like beta-carotene) because there is no evidence that the body converts the carotenoids to retinol in sufficient quantity to create toxicity. Retinol is the form of vitamin A found in animal products like liver, dairy products and fish. It is usually called vitamin A palmitate on the ingredient list of food labels. " A new study of over 70,000 American women, followed for 18 years, found a significantly increased risk of hip fractures with increased intake of retinol. Indeed, those women consuming more than 2000 mcg (or 6660 IU) of retinol had nearly double the risk of hop fracture as those consuming less than 500 mcg (or 1667 IU). This is consistent with an earlier study from Sweden, where an average intake of 1500 mcg (or 5000 IU) per day was associated with a 10% reduction in bone mineral density and a doubling of the risk of hip fractures compared to those who consumed less than 500 mcg (or 1667 IU) per day. The results of these two studies suggest that as little as 2-3 times the new lowered RDI for Vitamin A contributes to bone loss and fractured hips. This means that the new UL for vitamin A may need to lowered to 5000 IU (or 1500 mcg). " Toddlers and young children may also be at high risk of vitamin A toxicity. The UL for children younger than 4 is 2000 IU while for children 4 to 8 it is 3000 IU. Most children's multivitamins such as Flintstones® and Centrum Kids® contain 2500-5000 IU of Vitamin A with 75% from retinol. Add a few servings of skim milk, eggs, fatty fish and/or fortified cereal, and you would put a child at 2-3 times the UL of vitamin A intake. Consuming 2-3 times the UL of vitamin A may result in weaker bones that may increase the risk of osteoporosis later in life. * * * * " If you want to take a multivitamin or other supplement, look for one that does not contain vitamin A as retinol. Many multivitamins contain close to the toxic level of vitamin A which may interfere with bone formation. " Most supplements use either retinol palmitate or a combination of retinol palmitate and beta-carotene because the palmitate form is less expensive than the safer beta-carotene. Ray Hooks For WLS nutrition info, visit http://www.bariatricsupplementsystem.com Quote Link to comment Share on other sites More sharing options...
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