--------- Forwarded message ----------
From: "Royal-Health.Com" <[email protected]>
To: "[email protected]" <[email protected]>

Beware!   Antacids can Dilute Vitamins and Minerals!
BY RICHARD HARKNESS -KNIGHT RIDDER NEWSPAPERS - April 18, 2000

Antacids such as Mylanta and Maalox often are used to
neutralize stomach acid in conditions such as heartburn
and acid indigestion, as well as stomach ulcers. A potential
problem is that antacid use may affect the body's absorption
of folic acid and several key minerals.

Folic acid:  Folic acid deficiency is said to be the most
common vitamin deficiency worldwide. This is one reason
that folic acid supplementation may be recommended if you
take certain drugs or have medical conditions thought to
deplete the vitamin. It's especially important that women
of child-bearing age get enough folic acid to help prevent
neural tube birth defects.

Folic acid is known to be absorbed best under somewhat
acidic conditions, so it stands to reason that antacids,
which lower stomach acid -- might be a problem. Surprisingly
though, a test-tube experiment suggests that antacids interfere
with folic acid absorption primarily by physically binding to
it. The antacid studied contained aluminum and magnesium
hydroxide (the most common type), and the aluminum was found
to be the binding agent.

The decrease in folic acid absorption was small, so this may
be a problem only if you take an antacid regularly and your
diet is marginal in folic acid. A simple precaution that should
help when taking this and any supplement is to separate meals
and antacids by a couple of hours*.

Magnesium:
The recommendation to take more calcium to prevent
osteoporosis has raised concerns that higher calcium
intake might adversely affect magnesium in the body.
However, the calcium present in some antacids or
supplements may alter the absorption of magnesium,
this apparently has no significant effect on overall
magnesium status.

Phosphorus and calcium:
Aluminum-containing antacids can deplete phosphorus,
which further leads to calcium depletion, especially
with long-term antacid use. In this case, increasing
your intake of calcium and phosphorus would be beneficial.

Zinc and iron:
By reducing stomach acidity, antacids might interfere
with the absorption of zinc and iron and possibly other
  minerals that are absorbed best under acidic conditions.

The calcium itself present in some antacids may reduce
iron absorption. Though findings aren't clear-cut on
calcium supplements, most studies suggest that they
also may interfere with iron absorption.  Calcium
supplements or antacids containing calcium should be
taken apart from meals.

If you take calcium and iron supplements, calcium carbonate
may be the form least likely to affect iron absorption when
both supplements are taken on an empty stomach.

Manganese:
In some cases, calcium may reduce the absorption of manganese.

Chromium:
Calcium-containing antacids may reduce the absorption
of chromium, according to an animal study. Since the body's
absorption of chromium is low ordinarily -- reportedly
less than 2 percent of dietary chromium -- this interaction
could be important in humans. Take calcium-containing
antacids or calcium supplements (especially calcium
carbonate) 2 to 3 hours apart from chromium supplements
or meals.


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