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Welcome to our PhysicianTrends Blog.  We're here to talk about physicians and how they are changing in the midst of the most massive transformation in our healthcare system since Medicare.
Tuesday, 03 April 2012
DG Comfort

Natural vs. Artificial Supplements

Written by  DG Comfort

Once you realize that many of your patients will benefit from dietary supplementation, the next step is to make sure that your patients get supplements that actually benefit them.  It's not my intent to make this article a seminar on nutritional supplements, but there are several pertinent facts that should be emphasized so that you and your patients get the maximum results of any supplements that you recommend.  If your patient’s don’t see results from your recommendations then they will lose confidence in your abilities and you will lose confidence in dietary supplements, even though your patient’s would benefit from them.

The controversy over the advantages of natural supplements vs. synthetic supplements has been raging since chemists first discovered the chemical structure of organic compounds and began synthesizing them in the lab.  The chemists were able to synthesize vitamins, enzymes, and hormones with chemical formulas identical to those found in nature.  They were able to manufacture these substances at a significantly lower cost than it took to isolate them from natural sources. The assumption was, and is, that these synthetic supplements are just as effective as natural supplements, because they are chemically identical.

To understand the difference between natural and synthetic supplements we need to return to the organic chemistry classes we all took in college.  The key components we need to focus on are stereoisomers.  As we all remember, stereoisomers are chemically identical molecules, but with different spatial orientation.  Because of the structure of the carbon atom, chemically identical molecules can have mirror image structures that change the physical properties of the molecule.  This can be thought of as a pair of gloves.  They are materially identical, yet one is for the right hand and one is for the left hand, they are mirror images of each other.  Even though they are materially identical, structurally they are hardly interchangeable, as anyone who has tried to wear a glove on the wrong hand has discovered.

The same is true of most dietary supplements.  Whether you believe in evolution or creation, the results are the same.  Naturally occurring substances have developed so that the synthesizing and the breakdown of nutrients all have the same configuration at any isomeric point.  The process of creating nutrients and the process of metabolism each use enzymes to orient the atoms of each molecule to facilitate the chemical reaction.  That is the definition of an enzyme; that it acts as a catalyst enhancing chemical reactions.

Laboratory created nutrients, especially chemically complex ones, are created using heat or pressure as the catalyst, causing every steroisomeric possibility to be formed equally.  If there is only one stereoisomeric possibility, then the artificial supplement is only 50% as effective as a natural supplement, at best.  If there are several stereoisomers possible, then the effectiveness of the nutrient diminishes rapidly.

Even if the artificial supplement only has one isomeric pair possible, its effectiveness can be much less than 50% of a natural supplement.  This is due to the fact that enzymes usually have an active and inactive configuration.  After an enzyme attaches to a substrate, its physical configuration changes to bring about the chemical reaction.  Once the chemical reaction has occurred the physical configuration of the enzyme again changes releasing the newly formed molecule and freeing up the enzymatic sites for further chemical reactions.  If the opposite isomer binds with an enzyme, it may not be spatially oriented to react with other molecules and binds up the enzyme making it useless.as a catalyst.

This is the reason synthetic vitamins may not only not be effective; they can actually be harmful to patients by binding up enzymes, thus reducing the digestive effectiveness in general.  This will also explain why many studies demonstrate little or no benefit from dietary supplementation.  Anytime you see a study claiming that supplements make no difference, dig deeper and see if the researchers used natural or synthetic supplements.

 

 

DG Comfort

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3 comments

  • Comment Link Victor Bustard Wednesday, 04 April 2012 posted by Victor Bustard

    I would like to see some examples of supplements where these isomeric issues apply.Thank you.

  • Comment Link David Young, D.C. Wednesday, 04 April 2012 posted by David Young, D.C.

    Great article. I can use this to help show why the natural supplements I sell are better then the standard variety you find from supermarkets.

  • Comment Link CJ Sabatini Wednesday, 04 April 2012 posted by CJ Sabatini

    Some good interesting points.

 

 

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