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DONNA F. SMITH, C.C.N., C.N.
Licensed, Board Certified
H. BRELAND, P.T., S.C.S.
Board Certified Sports Specialist
ROBERT J. WOLFF, D.C.
T. ROGER HUMPHREY, M.D.
Wichita Falls, Tx
Office (940) 761-4045
Fax (940) 761-2881
The information and services provided
are for nutritional support, and not for the treatment of any medical
condition or disease. By using this web site, you understand and
abide by this disclaimer.
Donna F. Smith
PEP Step - Nutritional
by Donna F. Smith, C.C.N., C.N.
In the medical industry, physicians provide
medical testing, then based upon the test results, prescribe pharmaceutical
grade (potent) medications for their patients. Prescriptions are written
and given to the patient who purchases his or her medications from a local
pharmacy. Pharmacies also carry over-the-counter (OTC) drugs for minor
medical complaints and conditions that do not require medical testing
and a written prescription prior to purchase. Prescribed medications from
licensed healthcare professionals are more potent and formulated to target
the specific "clinical" medical symptom or condition. OTC drugs are less
potent and used for non-clinical medical symptoms or conditions. From
years of medical clinical practice and drug research, physicians and the
public know that OTC drugs are not potent enough to combat abnormal medical
test results, nor is it safe to take prescribed medications for minor
complaints without professional guidance.
Similarly, in the nutrition industry, clinical
nutritionists' provide nutritional testing, then based upon the test results,
recommend clinically-formulated nutritional supplements for their clientele.
Clinical formulations are potent and designed to target and then correct
the nutritional deficiencies of a specific organ, gland or body system.
The rate at which the nutrition industry has grown in the past 20 years,
for instance, has continued to increase and yet is not fully established
Unlike the medical industry, the nutrition
industry does not yet have a system for writing prescriptions so that
their clients may obtain their clinical supplements from a local pharmacy.
The current system is that nutritional supplements formulated for clinical
use are only sold to licensed and certified health care professionals,
who must then provide them to their patients and clients themselves, after
performing specific nutritional tests. They are not dispensed over-the-counter
in stores or through mail order companies without recommendation from
a health care professional.
In the medical industry, OTC drugs are available
for lay person use. In the nutrition industry, OTC supplements are available
for lay person use. OTC supplements are, like OTC drugs, less potent.
They are sold over-the-counter in health food stores, department stores,
pharmacies and through mail order (MO) and independent distributorship
companies. Like OTC drugs, OTC/MO supplements are not formulated for clinical
use. Thus, they are available to the public without first requiring nutrition
testing and guidance from nutritional healthcare professionals.
Using OTC drugs to treat a "clinical"
medical symptom or condition may initially provide some relief; however,
the effect is short-term because OTC drugs are not potent enough to effect
"clinical" conditions. It is the same with OTC/MO supplements
in respect to "clinical" nutrition deficiencies.
Clinically-formulated nutritional supplements
generally cost more than OTC/MO supplements just like prescribed medications
generally cost more than OTC drugs. However, this is not always the case.
The price for any supplement is based upon the direct cost of manufacturing
the supplement, i.e, the growing and formulation of the ingredients. Some
clinical supplements are not costly in their manufacturing, even though
they are potent and formulated for clinical use requiring testing and
guidance from a healthcare professional before they may be purchased.
There are many factors that determine the
quality and potency of nutritional supplements and their ability to effectively
improve your health. These factors include processing techniques, daily
dosage requirements, the quality and source of the ingredients, agricultural
conditions, and formulations. By formulations, I mean, the combined metabolic
effect of various vitamins and minerals and how they interact with each
other when combined in a capsule or tablet. Some companies may provide
quality supplements from whole food sources, but their formulations work
against, instead of with, the principles of nutritional biochemistry.
These factors, as well as guidelines on where
and how to obtain your supplements will be discussed in this article.
Processing Techniques - Three methods
Whole Foods - Foods, Spices, Herbs are dehydrated, and the individual
content of each vitamin, mineral or enzyme is measured. For example,
carrots are dehydrated and cold-press processed to maintain essential
oils and nutrients intact, then the amount of vitamin A in the dehydrated
carrots is measured. The labels on the supplement bottles reflect
the total amount of Vitamin A in the whole foods, whether the Vitamin
is A from carrots or other vitamins from other foods.
||Depending upon the potency, quality,
and formulation, some whole food supplements are designed for
clinical use in nutritional therapy, and others are designed
for non-clinical use for health maintenance.
||Whole food supplements are beneficial for short-
and long-term use.
|| Both clinical and non-clinical (OTC/Mail
Order) whole food formulations can be used daily, throughout
the lifetime, to utritionally support the body in its efforts
to maintain health and wellness.
|| Supplement bottle labels list sources
of whole foods, such as carrots, beets, etc.
||Pure single herbs and spices are also
whole food supplements. An example is the Golden Seal herb.
Herbal Combinations may consist of whole food herbs or extracted
|| Whole Food Extracts - Vitamins and minerals are extracted
from whole foods, and the amount of nutrients in the extracted form
||Depending upon the potency, quality,
and formulation, some whole food extracted supplements are designed
for clinical use in nutritional therapy, and others are designed
for health maintenance.
||Whole food extracts are beneficial for short-term
use. Professional guidance is a must
for long-term use of whole food extract supplements, whether
they are formulated for clinical use or over-the-counter/mail
|| Clinically-formulated whole food
extracted supplements are used to affect specific nutrient levels
for a specific time period, then discontinued as soon as the
desired nutrient level has been attained.
|| Over-the-counter(OTC) and Mail Order
(MO) whole food extracts are used for certain personal situations
for a short-period of time, such as occasionally supplementing
your diet occasionally when you skip a meal or you are going
through a time of personal or business stress. They
are not designed for unsupervised long-term use.
|| Some whole food extracted supplement
bottles list their food sources; others do not
||This processing technique of whole
food extracted supplements discussed here is not the same as
herbal or other food extracts or tinctures. Further PEP
Steps will coach you on the purpose, use and
how to prepare your own herbal extracts and tinctures.
|| Synthetic - Synthetic vitamins and minerals are produced
in chemical laboratories from substances with similar but incomplete
molecular structures as compared to whole foods. Some are produced
by using whole foods or extracts, and then adding synthetic substances
to them. Labels generally do not provide the sources from which vitamins
and minerals are derived. Synthetic supplements are generally of low
quality, low potency, may be poorly formulated and cost very little
compared to whole food or whole food extracted supplements.
Nutrition Industry and Research
Though the nutrition industry is one
of the most rapidly growing industries today and its clinical research
has progressed significantly since the early 1900s, our nutritional scientists
are still discovering new vitamins/minerals and principles of nutritional
biochemistry. Health is best produced when the body receives all the nutrients
it requires. Too much or too little of a specific nutrient leads to nutritional
deficiencies, then to biochemical imbalances, then to nutrition-related
When you choose whole food supplements, you
are assured that you are getting the "unknown" vitamins and minerals yet
to be discovered which may be vital to the metabolism of all the other
nutrients in that particular food. Therefore, your best results will be
achieved by choosing whole food supplements whenever they are available
to you. We know of only two supplement manufacturing companies in the
United States that provide whole food vitamin/minerals supplements: they
are Standard Process Laboratories and Mannatech, Inc. There are a variety
of OTC/MO whole food herb companies . We have recommended Nature's Sunshine
Product Herbs since 1980.
Standard Process Laboratories
provides whole food supplements for clinical use only to
licensed and certified clinical nutritionists and healthcare professionals.
90% of the clinically-formulated supplements recommended and provided
by Advanced Clinical Nutrition are from Standard Process
provides whole food supplements for over-the-counter and mail order
purchasing. If you are interested in learning more about Mannatech,
go to this Internet Web Site - www.mannapages.com/wsn.
|| Nature' Sunshine
Products provide OTC and MO whole food herbs in their single
herb and herbal combination product lines. Ask us how you can get
25-30% discounts on these products and order from your home. These
products will be used to coach you on "How To Convert Your Medicine
Chest To A Health Chest."
Advanced Clinical Nutrition
also provides whole food extract clinically-formulated supplements from
a variety of professional companies which are provided for short-term
use to raise nutrient levels, then discontinue them when test results
indicate. However, for long-term use, only whole food supplements are
When nutritional tests yield abnormal clinical
results, that is, results which lie outside the nutritional or medical reference
ranges, clinically-formulated supplements are required to correct deficiencies
and imbalances to improve health.
Once you have attained health maintenance or wellness
by adhering to your food chemistry dietary plan and taking clinically-formulated
supplements under the guidance of a nutritional health professional, clinically-formulated,
over-the-counter or mail order supplements may then be used to maintain
nutrient levels, i.e., health. However, should updated nutritional testing
performed for monitoring your ability to maintain your good health, similar
to the annual medical examination for early detection of disease, indicate
that over-the-counter/mail order supplements are not sufficient to maintain
your health, you will be advised to reconsider your supplements choices.
Some people with inherent or acquired organ/gland
weaknesses may require clinically-formulated supplements for the rest of
their lives to maintain health. An acquired weakness occurs when someone
has had organs and glands removed surgically. Nutritional supplements are
needed to support the areas of the body that were dependent upon the removed
organ or gland or to compensate for a incomplete body system. For example,
gall bladder removal requires a long-term, clinically-formulated supplement
to help with the metabolism of fats and oils. Otherwise many health problem
will arise from the body's inability to process fats and oils properly because
of the missing gall bladder.
An acquired weakness may also result from an injury
in which the body was unable to totally repair and recover. Examples may
include injuries from sports activities or car accidents.
As stated above, clinically-formulated supplements
are available only through licensed and certified health professionals after
performing nutritional tests. You may obtain your clinically-formulated
supplements from the professional who performed your tests or from other
Advanced Clinical Nutrition:
Advanced Clinical Nutrition (ACN) provides complete nutritional
service - testing, dietary plans, clinical and non-clinical supplements
and lifestyle education. Guidelines for purchasing clinically-formulated
supplements from ACN are as follows:
||Based upon your nutritional tests,
we will recommend the exact supplements your body requires to
assist in its healing.
||One month's supply of clinically-formulated supplements
are mailed within two weeks, generally 3-7 days, after receiving
|| A Patient/Client Schedule and
Program of Care will accompany your supplements. This lists
the names of the supplements you will be taking, the daily dosage,
their purpose, and any other special instructions.
|| Because nutritional discoveries are
being publicized every year, you can have confidence that the
clinical supplements we recommend and supply to our clients
have been researched and tested to be safe and effective. Our
supplement selections are based upon the clinical research presented
at bi-annual and annual scientific symposiums of the International
and American Associations of Clinical Nutritionists and the
Clinical Nutrition Certification Board, which provides continuing
education unit hours (CEU) for all clinical nutrition professionals.
Some supplements have been used clinically since the 1920s.
||In addition, we also have hundreds
of hours in the clinical use of the supplements we have been
recommending within our own nutritional practice since 1991.
||Clients who choose our full clinical
nutrition service - testing, dietary plan, supplements and personal
education program get the best results. Our success is over
90% in assisting our clients in improving their health. Your
success is insured when clients implement all four aspects of
Some of our clients are currently working with other healthcare professionals
for specific healthcare services, such as medicine, chiropractic,
acupuncture, etc. Some of these professionals also provide clinically-formulated
supplements for their patients, though they may not provide the extensive
clinical nutrition testing and analysis services that we do. Some
of our clients are healthcare professionals and can order clinical-formulations
for themselves. Therefore, in these cases, we provide the nutritional
testing, dietary plans and make supplement recommendations in the
form of a written "Supplement Guidelines;" however, we do not
provide clinically-formulated supplements for these clients. If you
have a healthcare professional from whom you would prefer to obtain
your clinical supplements or you are a healthcare professional who
would prefer to order your own supplements, please use the following
|| Provide Advanced Clinical Nutrition
with the name, address and phone number of the health care professional
providing your clinically-formulated supplements.
||Advanced Clinical Nutrition will
then provide "Supplement Guidelines," listing those organs
and glands, in order of priority, which need "clinical" nutrition
support. Your "Supplement Guidelines" will also list
individual vitamins or minerals required in addition to those
which will support specific organs, glands and body systems.
Provide this information regarding supplements chosen. (This
is not required for private session or self-designed program
||Brand Name and Ingredients list - in the
order as listed on container
||Milligrams, grams, etc. per capsule, tablet
||Serving - ex. 6 capsules represents (number)
||Form - capsule, tablet, powder, etc.
|| Recommended daily amount on the bottle
|| We recommend that you simply record
the information and provide it to us by e-mail or in writing
by regular before actually purchasing them. Some supplement
purchases are not returnable.
|| Your Patient/Client Schedule and
Program of Care (POC), which will list the supplements you
have selected, daily dosage and special instructions, if any,
will be mailed or e-mailed within three days from receipt of
the above information.
|| Then, for best results, take your
supplements daily as directed on your POC until your Re-Evaluation
Analysis for best results, unless your Clinical Nutritionist's
review of your Monthly Progress Reports indicate a need for
adjusting these supplements. If changes or adjustments in your
supplements occur in between your three-month clinical nutrition
analysis re-evaluations, an updated Supplement Guidelines
will be attached to your Monthly Progress Report.
||You will then repeat these procedures
regarding any new supplement.
Using OTC/MO Supplements to Raise Nutrient Levels
Because of the various discounted supplements
provided through mail order, over-the-counter and independent distributorships,
or other reasons, some clients may choose to use non-clinical supplements
initially to raise their nutrient levels and then switch to clinical-formulations
to complete the process of correcting "clinical" deficiencies.
How does this work? Here is an analogy that
may help you to understand. Think of a person who has just returned to
civilization after being in the desert without water. A glass or a gallon
of water relieves the devastating thirst and can assist in restoring health;
however, if the person's body does not become completely "hydrated"
again from water alone, he or she will die. Drinking water, at first,
begins the restoration, but depending upon the severity of dehydration,
either electrolyte replacement beverages or an IV injection is required
to completely restore electrolyte balance. Either of these latter methods
require professional assistance and clinical formulations, nutritionally
or medically or both.
Similarly, you may choose OTC/MO supplements,
if you desire. Updated nutritional test results will keep you informed
of their effectiveness. If updated test results show that your selections
of OTC/MO supplements are improving your nutrient levels, then you will
be advised to continue them until your test results plateau. At that time,
your improvement will continue only by switching to clinical formulations.
If updated nutritional tests show minimal
or no improvement, you will be informed so that you may re-evaluate your
Over-the-Counter (OTC) and Mail Order (MO) Supplements
If you have chosen to use non-clinical supplements
to initially raise your clinical deficiencies, please use the following
Notify us that you are choosing non-clinical supplements so that
you may receive your "Supplement Guidelines."
||Then after reviewing your personalized
supplement guidelines and selecting the supplements you would like
to use, provide our office with the following information. (Private
session and self-designed program clients are not required to provide
||Brand Name and Supplement Name
||Ingredients list - in order as listed on container
||Milligrams, grams, etc. per capsule, tablet or
||Form - capsule, tablet, powder, etc.
|| Recommended daily amount on the bottle
||We recommend that you simply record the
information and provide it to us by e-mail or in writing by regular
mail before actually purchasing them. Some supplements are not returnable
||Your Patient/Client Schedule and Program
of Care (POC), which lists the supplements you have selected,
daily dosage and special instructions, if any, will be mailed or e-mailed
within three days from receipt of the above information.
||Then for best results, take your supplements
daily as directed on your POC until your Re-Evaluation Analysis, unless
your Clinical Nutritionist's review of your Monthly Progress Reports
indicate a need for adjusting these supplements. If changes or adjustments
in your supplements occur in between your three-month clinical nutrition
analysis re-evaluations, an updated "Supplement Guidelines"
will be attached to your Monthly Progress Report.
||You will then repeat these procedures regarding
any new supplement.
Unethical Supplement Practices
Manufacturers and distributors of "clinically-formulated"
supplements screen the businesses to whom they sell their products. First,
by having the healthcare professional submit an application that includes
license or certification verification. Then, following up periodically
by visiting the healthcare business to assure that their products are
not sold over-the-counter, but stocked in a private room or behind the
counter where public access is not available, similar to the separation
of over-the-counter and prescribed drugs in a pharmacy.
Because the nutrition industry is a rapidly
growing industry, laws are changing and will be changing to assure the
public's protection in respect to unethical supplement practices. Though
at this time it is not unlawful to violate these two conditions required
by clinically-formulated companies to purchase their products for re-sale,
it is certainly unethical and unsafe for the consumer.
Occasionally, we learn of a health food
store, pharmacy or mail order company selling clinically-formulated supplements
over-the-counter to the public without first receiving recommendations
from a healthcare professional who has performed nutritional tests on
the individual. Sometimes, these businesses have misrepresented themselves
to the manufacturing or distributing company by continuing to sale the
products when the licensed or certified healthcare professional is no
longer with the business or by not being honest in their intentions for
reselling. There may be any number of reasons the business does not follow
the rules and conditions for purchasing and selling clinically-formulated
Occasionally, we learn of manufacturers
and distributors who sell the same products to both the public and healthcare
professionals. They simply change the labels and usually the price - one
label and price for the healthcare professional and another label and
price for over-the-counter/mail order buyers. Healthcare professionals
soon identify these unethical companies because their products are often
not potent enough to affect "clinical" nutritional levels as
Some healthcare professionals sell clinically-formulated
supplements to their patients and clients without performing any tests.
Conversely, we have experienced unethical
consumers who obtain the manufacturer's name from clinically-formulated
supplement bottles and then misrepresent themselves in order to obtain
clinical products at wholesale costs.
In time, the manufacturer or distributor
becomes aware of these unethical health care businesses and consumers
and then immediately discontinues future sales of their clinical products
As a consumer, you need to be aware of these
unethical practices, which one day may also be illegal, and protect yourself
from the unknowing solicitation of the services of unethical healthcare
practitioners or supplement companies.
Consumer Guidelines For Protection Against Unethical
When you engage the services of nutritional healthcare
professionals, you can be assured you are getting ethical and safe service
and products when you observe them following these rules:
||Clinically-formulated supplements are available
for purchase only after nutritional tests have been performed by a
licensed or certified nutritional healthcare professional or a written
nutritional prescription has been provided from the professional who
performed the tests.
||Clinically-formulated supplements are stocked
behind counters or in a private room - not visible or easily accessible
to the public.
||The healthcare professional, along with
the manufacturing/distributing companies, make efforts to educate
their clients/patients on differences between clinical and non-clinical.
Having this knowledge will allow you to protect yourself from the
unethical practices of others.
This PEP Step - Nutritional Supplements
article has been provided to help you understand the differences between
clinical and non-clinical supplements and the factors involved in manufacturing
and formulating safe, effective supplements. With this knowledge you can
make the right choices in where to purchase your supplements and which
type of supplements, clinical or non-clinical, will meet your nutritional
needs. Following the guidelines and procedures in this article will assist
you in making informed nutritional supplement decisions. We hope that
we have accomplished this goal. If any questions arise after reading this
PEP Step, please e-mail firstname.lastname@example.org.
Copyright 1999 Donna F. Smith
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