With more than five million copies sold, Prescription for Nutritional Healing is America's number - one - bestselling guide to holistic health. For ten years and more, people interested in alternative healing and preventive therapies have relied on this invaluable reference as a guide to improve health through nutrition and supplementation, avoiding traditional drug therapies. Now, completely updated and more than one - third revised, this latest edition of the book incorporates the most recent information on the benefits of vitamin and mineral supplements and herbal remedies, and their effects on hundreds of disorders and diseases. Whether you are looking for relief from a particular ailment or simply wish to maintain optimum health, Prescription for Nutritional Healing quickly and easily provides an abundance of information to design a complete nutritional program.

Phyllis A. Balch, CNC, has been a leading nutritional consultant for more than two decades. She continues to study nutrition-based therapies, procedures, and treatments in the United States and abroad James F. Balch, M.D., is a graduate of Indiana University School of Medicine. He is a member of the American Medical Association and a fellow of the American College of Surgeons

Chapter One

Nutrition, Diet, And Wellness

UNDERSTANDING THE BASICS OF NUTRITION

Good nutrition is the foundation of good health. Everyone needs the four basic nutrients--water, carbohydrates, proteins, and fats--as well as vitamins, minerals, and other micronutrients. To be able to choose the proper foods, and to better understand why those foods should be supported with supplements, you need to have a clear idea of the components of a healthy diet.

The Four Basic Nutrients

Water, carbohydrates, proteins, and fats are the basic building blocks of a good diet. By choosing the healthiest forms of each of these nutrients and eating them in the proper balance, you enable your body to function at its optimal level.

Water

The human body is two-thirds water. Water is an essential nutrient that is involved in every function of the body. It helps transport nutrients and waste products in and out of cells. It is necessary for all digestive, absorptive, circulatory, and excretory functions, as well as for the utilization of the water-soluble vitamins. It is also needed for the maintenance of proper body temperature. By drinking an adequate amount of water each day--at least eight 8-ounce glasses--you can ensure that your body has all it needs to maintain good health. (For details on choosing the best water, see WATER in Part One.)

Carbohydrates

Carbohydrates supply the body with the energy it needs to function. They are found almost exclusively in plant foods, such as fruits, vegetables, peas, and beans. Milk and milk products are the only foods derived from animals that contain a significant amount of carbohydrates.

    Carbohydrates are divided into two groups--simple carbohydrates and complex carbohydrates. Simple carbohydrates , sometimes called simple sugars, include fructose (fruit sugar), sucrose (table sugar), and lactose (milk sugar), as well as several other sugars. Fruits are one of the richest natural sources of simple carbohydrates. Complex carbohydrates are also made up of sugars, but the sugar molecules are strung together to form longer, more complex chains. Complex carbohydrates include fiber and starches. Foods rich in complex carbohydrates include vegetables, whole grains, peas, and beans.

    Carbohydrates are the main source of blood glucose, which is a major fuel for all of the body's cells and the only source of energy for the brain and red blood cells. Except for fiber, which cannot be digested, both simple and complex carbohydrates are converted into glucose. The glucose is then either used directly to provide energy for the body or stored in the liver for future use. If a person consumes more calories than his or her body is using, a portion of the carbohydrates consumed may be stored in the body as fat. Due to complex chemical reactions in the brain, eating carbohydrates has a mild tranquilizing effect, and can be beneficial for people who suffer from seasonal affective disorder and/or depression.

    When choosing carbohydrate-rich foods for your diet, always select unrefined foods such as fruits, vegetables, peas, beans, and whole-grain products, as opposed to refined, processed foods such as soft drinks, desserts, candy, and sugar. Refined foods offer few, if any, of the vitamins and minerals that are important to your health. In addition, if eaten in excess, especially over a period of many years, the large amounts of simple carbohydrates found in refined foods can lead to a number of disorders, including diabetes and hypoglycemia (low blood sugar). Yet another problem is that foods high in refined simple sugars often are also high in fats, which should be limited in a healthy diet. This is why such foods--which include most cookies and cakes, as well as many snack foods--are usually loaded with calories.

    A word is in order here regarding fiber, a very important form of carbohydrate. Referred to in the past as "roughage," dietary fiber is the part of a plant that is resistant to the body's digestive enzymes. As a result, only a relatively small amount of fiber is digested or metabolized in the stomach or intestines. Instead, most of it moves through the gastrointestinal tract and ends up in the stool.

    Although most fiber is not digested, it delivers several important health benefits. First, fiber retains water, resulting in softer and bulkier stools that prevent constipation and hemorrhoids. A high-fiber diet also reduces the risk of colon cancer, perhaps by speeding the rate at which stool passes through the intestine and by keeping the digestive tract clean. In addition, fiber binds with certain substances that would normally result in the production of cholesterol, and eliminates these substances from the body. In this way, a high-fiber diet helps lower blood cholesterol levels, reducing the risk of heart disease.

    It is recommended that about 60 percent of your total daily calories come from carbohydrates. If much of your diet consists of healthy complex carbohydrates, you should easily fulfill the recommended daily minimum of 25 grams of fiber.

Protein

Protein is essential for growth and development. It provides the body with energy, and is needed for the manufacture of hormones, antibodies, enzymes, and tissues. It also helps maintain the proper acid-alkali balance in the body.

    When protein is consumed, the body breaks it down into amino acids, the building blocks of all proteins. Some of the amino acids are designated nonessential . This does not mean that they are unnecessary, but rather that they do not have to come from the diet because they can be synthesized by the body from other amino acids. Other amino acids are considered essential , meaning that the body cannot synthesize them, and therefore must obtain them from the diet.

    Whenever the body makes a protein--when it builds muscle, for instance it needs a variety of amino acids for the protein-making process. These amino acids may come from dietary protein or from the body's own pool of amino acids. If a shortage of amino acids becomes chronic, which can occur if the diet is deficient in essential amino acids, the building of protein in the body stops, and the body suffers. (For more information about amino acids, see AMINO ACIDS in Part One.)

    Because of the importance of consuming proteins that provide all of the necessary amino acids, dietary proteins are considered to belong to two different groups, depending on the amino acids they provide. Complete proteins , which constitute the first group, contain ample amounts of all of the essential amino acids. These proteins are found in meat, fish, poultry, cheese, eggs, and milk. Incomplete proteins , which constitute the second group, contain only some of the essential amino acids. These proteins are found in a variety of foods, including grains, legumes, and leafy green vegetables.

    Although it is important to consume the full range of amino acids, both essential and nonessential, it is not necessary to get them from meat, fish, poultry, and other complete-protein foods. In fact, because of their high fat content--as well as the use of antibiotics and other chemicals in the raising of poultry and cattle most of those foods should be eaten in moderation only. Fortunately, the dietary strategy called mutual supplementation enables you to combine partial-protein foods to make complementary protein --proteins that supply adequate amounts of all the essential amino acids. For instance, although beans and brown rice are both quite rich in protein, each lacks one or more of the necessary amino acids. However, when you combine beans and brown rice with each other, or when you combine either one with any of a number of protein-rich foods, you form a complete protein that is a high-quality substitute for meat. To make a complete protein, combine beans with any one of the following:

· Brown rice

· Corn

· Nuts

· Seeds

· Wheat

    Or combine brown rice with any one of the following:

· Beans

· Nuts

· Seeds

· Wheat

    Most Americans eat too much protein, largely as the result of a diet high in meat and dairy products. However, if you have reduced the amount of meat and dairy foods in your diet, you should make sure to get about 50 grams of protein a day. To make sure that you are getting a great enough variety of amino acids in your diet, add protein-rich foods to meals and snacks as often as possible. Eat bread with nut butters, for instance, or add nuts and seeds to salads and vegetable casseroles. Be aware that a combination of any grains, any nuts and seeds, any legumes (such as beans, peanuts, and peas), and a variety of mixed vegetables will make a complete protein. In addition, cornmeal fortified with the amino acid L-lysine makes a complete protein.

    All soybean products, such as tofu and soymilk, are complete proteins. They contain the essential amino acids plus several other nutrients. Available in health food stores, tofu, soy oil, soy flour, soy-based meat substitutes, soy cheese, and many other soy products are healthful ways to complement the meatless diet.

    Yogurt is the only animal-derived complete-protein source recommended for frequent use in the diet. Made from milk that is curdled by bacteria, yogurt contains Lactobacillus acidophilus and other "friendly" bacteria needed for the digestion of foods and the prevention of many disorders, including candidiasis. Yogurt also contains vitamins A and D, and many of the B-complex vitamins.

    Do not buy the sweetened, flavored yogurts that are sold in supermarkets. These products contain added sugar and, often, preservatives. Instead, either purchase fresh unsweetened yogurt from a health food store or make the yogurt yourself, and sweeten it with fruit juices and other wholesome ingredients. Yogurt makers are relatively inexpensive and easy to use, and are available at most health food stores.

Fats

Although much attention has been focused on the need to reduce dietary fat, the body does need fat. During infancy and childhood, fat is necessary for normal brain development. Throughout life, it is essential to provide energy and support growth. Fat is, in fact, the most concentrated source of energy available to the body. However, after about two years of age, the body requires only small amounts of fat--much less than is provided by the average American diet. Excessive fat intake is a major causative factor in obesity, high blood pressure, coronary heart disease, and colon cancer, and has been linked to a number of other disorders as well. To understand how fat intake is related to these health problems, it is necessary to understand the different types of fats available and the ways in which these fats act within the body.

    Fats are composed of building blocks called fatty acids. There are three major categories of fatty acids--saturated, polyunsaturated, and monounsaturated. These classifications are based on the number of hydrogen atoms in the chemical structure of a given molecule of fatty acid.

    Saturated fatty acids are found primarily in animal products, including dairy items, such as whole milk, cream, and cheese, and fatty meats like beef, veal, lamb, pork, and ham. The fat marbling you can see in beef and pork is composed of saturated fat. Some vegetable products--including coconut oil, palm kernel oil, and vegetable shortening--are also high in saturates.

    The liver uses saturated fats to manufacture cholesterol. Therefore, excessive dietary intake of saturated fats can significantly raise the blood cholesterol level, especially the level of low-density lipoproteins (LDLs), or "bad cholesterol." (For more information about cholesterol, see HIGH CHOLESTEROL in Part Two.) Guidelines issued by the National Cholesterol Education Program (NCEP), and widely supported by most experts, recommend that the daily intake of saturated fats be kept below 10 percent of total caloric intake. However, for people who have severe problems with high blood cholesterol, even that level may be too high.

    Polyunsaturated fatty acids are found in greatest abundance in corn, soybean, safflower, and sunflower oils. Certain fish oils are also high in polyunsaturates. Unlike the saturated fats, polyunsaturates may actually lower your total blood cholesterol level. In doing so, however, large amounts of polyunsaturates also have a tendency to reduce your high-density lipoproteins (HDLs)--your "good cholesterol." For this reason--and because, like all fats, polyunsaturates are high in calories for their weight and volume--the NCEP guidelines state that an individual's intake of polyunsaturated fats should not exceed 10 percent of total caloric intake.

    Monounsaturated fatty acids are found mostly in vegetable and nut oils such as olive, peanut, and canola. These fats appear to reduce blood levels of LDLs without affecting HDLs in any way. However, this positive impact upon LDL cholesterol is relatively modest. The NCEP guidelines recommend that intake of monounsaturated fats be kept between 10 and 15 percent of total caloric intake.

    Although most foods--including some plant-derived foods--contain a combination of all three types of fatty acids, one of the types usually predominates. Thus, a fat or oil is considered "saturated" or "high in saturates" when it is composed primarily of saturated fatty acids. Such saturated fats are usually solid at room temperature. Similarly, a fat or oil composed mostly of polyunsaturated fatty acids is called "polyunsaturated," while a fat or oil composed mostly of monounsaturated fatty acids is called "monounsaturated."

    One other element, trans-fatty acids , may play a role in blood cholesterol levels. Also called trans fats, these substances occur when polyunsaturated oils are altered through hydrogenation, a process used to harden liquid vegetable oils into solid foods like margarine and shortening. One recent study found that trans-monounsaturated fatty acids raise LDL cholesterol levels, behaving much like saturated fats. Simultaneously, the trans-fatty acids reduced HDL cholesterol readings. Much more research on this subject is necessary, as studies have not reached consistent and conclusive findings. For now, however, it is clear that if your goal is to lower cholesterol, polyunsaturated and monounsaturted fats are more desirable than saturated fats or products with trans-fatty acids. Just as important, your total calories from fat should not constitute more than 20 to 25 percent of daily calories.

The Micronutrients: Vitamins and Minerals

Like water, carbohydrates, protein, and fats, and the enzymes required to digest them, vitamins and minerals are essential to life. They are therefore considered nutrients, and are often referred to as micronutrients simply because they are needed in relatively small amounts compared with the four basic nutrients.

    Because vitamins and minerals are so necessary for health, the U.S. Food and Drug Administration (FDA) has formulated recommended consumption levels for vitamins called recommended daily allowances (RDAs). But, as we will see in VITAMINS in Part One, these allowances do not account for the amount needed to maintain maximum health rather than borderline health, only the amount needed to prevent deficiency diseases. Therefore, the average adult who is not suffering from any specific disorder should obtain more than the RDAs of vitamins and minerals from food sources and/or from supplements. The table on page 6--which includes not just vitamin and mineral supplements, but other supplements as well--should be used as a guideline. Although the amounts listed are safe (they will not cause toxicity), they should be varied according to size and weight. People who are active and exercise; those who are under great stress, on restricted diets, or mentally or physically ill; women who take oral contraceptives; those on medication; those who are recovering from surgery; and smokers and those who consume alcoholic beverages all need higher than normal amounts of nutrients.

    In addition to a proper diet, exercise and a positive attitude are two important elements that are needed to prevent sickness and disease. If your lifestyle includes each of these, you will feel good and have more energy--something we all deserve. Nature has the answers we need to maintain our health, but you need to know what nutrients you are taking to make sure all the pieces of the puzzle fit together.

Nutrients and Dosages for Maintaining Good Health

The nutrients listed below are recommended for good health. Daily dosages are suggested; however, before using any supplements, you should consult with your health care provider. The dosages given here are for adults and children weighing 100 pounds and over. Appropriate dosages for children vary according to age and weight. A child weighing between 70 and 100 pounds should be given three-fourths the adult dose; a child weighing under 70 pounds (and over the age of six years) should be given half the adult dose. A child under the age of six years should be given nutritional formulas designed specifically for young children. Follow the dosage directions on the product label.

    Use only quality natural (not synthetic) supplements from a reputable source. Lower priced supplements can mean lower quality, with higher levels of fillers and other undesirable ingredients. Give your body the best--it deserves it. If you cannot locate one or more of the supplements recommended in this book, you can call or write to one of the sources listed in the Appendix.

Vitamin A (retinol)

5,000-10,000 IU

A carotenoid complex containing beta-carotene

5,000-25,000 IU

Vitamin B ₁ (thiamine)

50-100 mg

Vitamin B ₂ (riboflavin)

15-50 mg

Vitamin B ₃ (niacin)

15-50 mg

(niacinamide)

50-100 mg

Pantothenic acid (vitamin B ₅ )

50-100 mg

Vitamin B ₆ (pyridoxine)

50-100 mg

Vitamin B ₁₂

200-400 mcg

Biotin

400-800 mcg

Choline

50-200 mg

Folic acid

400-800 mcg

Inositol

50-200 mg

Para-aminobenzoic acid (PABA)

10-50 mg

Vitamin C with mineral ascorbates (Ester-C)

1,000-3,000 mg

Bioflavonoids (mixed)

200-500 mg

Hesperidin

50-100 mg

Rutin

25 mg

Vitamin D ₃ (cholecalciferol)

400 IU

Vitamin E (d-alpha-tocopherol)

400-600 IU

Vitamin K (use natural sources such as alfalfa, green leafy vegetables)

100-500 mcg

Essential fatty acids (EFAs) (primrose oil, flaxseed oil, salmon oil, and fish oil are good sources)

As directed on label.

Boron (picolinate or citrate)

3-6 mg

Calcium (citrate, ascorbate, or malate)

1,500-2,000 mg

Chromium (GTF, picolinate, or polynicotinate)

150-400 mcg

Copper

2-3 mg

Iodine (kelp is a good source)

100-225 mcg

Iron(**) (ferrous gluconate, fumarate, citrate, or amino acid chelate; avoid inorganic forms such as ferrous sulfate, which can oxidize vitamin E.)

18-30 mg

Magnesium

750-1,000 mg

Manganese

3-10 mg

Molybdenum (ascorbate, aspartate, or picolinate)

30-100 mcg

Potassium (citrate)

99-500 mg

Selenium

100-200 mcg

Vanadium (vanadyl sulfate)

200 mcg-1 mg

Zinc

30-50 mg

L-Carnitine

500 mg

Acetyl-L-Carnitine

100-500 mg

L-Cysteine

50-100 mg

AcetyI-L-Cysteine

100-500 mg

L-Lysine

50-100 mg

L-Methionine

50-100 mg

Taurine

100-500 mg

L-Tyrosine

500 mg

Chondroitin sulfate

As directed on label.

Coenzyme [Q.sub.10]

30-100 mg

Cryptoxanthin

110 mcg

Flavonoids (citrus fruits and berries)

As directed on label.

Garlic

As directed on label.

Ginkgo biloba (herb)

As directed on label.

Glucosamine sulfate

As directed on label.

Lecithin

200-500 mg

Lutein/lycopene

As directed on label.

Pectin

50-100 mg

Phosphatidyl choline

As directed on label.

Phosphatidyl serine

As directed on label.

Pycnogenol or grape seed extract (OPCs)

As directed on label.

Quercetin

70-140 mg

RNA-DNA

100 mg

Silicon

As directed on label.

Soy isoflavones (genistein)

As directed on label.

Superoxide dismutase (SOD)

As directed on label.

Zeaxanthin

90 mcg

(*) Be careful not to confuse milligrams (mg) with micrograms (mcg). A microgram is 1/1,000 of a milligram.

(**) Iron should be taken only if a deficiency exists. Always take iron supplements separately, rather than in a multivitamin and mineral formula.

(***) See AMINO ACIDS for more information. Individual amino acids should not be taken on a regular basis unless used for treatment of a certain disorder.

(****) See NATURAL FOOD SUPPLEMENTS for more information.

    Other supplements that you may wish to take for increased energy are:

· Bee pollen.

· Coenzyme A.

· Coenzyme 1 (nicofinamide adenine dinucleotide with high-energy hydrogen, or NADH; sold under the brand name Enada).

· Free-form amino acid complex.

· Kyo-Green from Wakunaga of America.

· N,N-Dimethylglycine (DMG).

· Octacosanol.

· Siberian ginseng.

· Spirulina.

· Wheat germ.

    In addition, there are many good formulas on the market specifically formulated to help meet the nutritional needs of infants and children, among them Mycel Baby Vites from Ethical Nutrients, a highly absorbable liquid multivitamin formula.

Synergy and Deficiency

Data compiled by the U.S. Department of Agriculture indicate that at least 40 percent of the people in this country routinely consume a diet containing only 60 percent of the RDA of each of ten selected nutrients. This means that close to half of the population (and very likely more) suffer from a deficiency of at least one important nutrient. A poll of 37,000 Americans conducted by Food Technology found that half of them were deficient in vitamin B ₆ (pyridoxine), 42 percent did not consume sufficient amounts of calcium, 39 percent had an insufficient iron intake, and 25 to 39 percent did not obtain enough vitamin C. Additional research has shown that a vitamin deficiency may not affect the whole body, but only specific cells. For example, those who smoke may suffer from a vitamin C deficiency, but only in the lung area.

    Whenever you seek to correct a vitamin or mineral deficiency, you must recognize that nutrients work synergistically. This means that there is a cooperative action between certain vitamins and minerals, which work as catalysts, promoting the absorption and assimilation of other vitamins and minerals. Correcting a deficiency in one vitamin or mineral requires the addition of others, not simply replacement of the one in which you are deficient. This is why taking a single vitamin or mineral may be ineffective, or even dangerous, and why a balanced vitamin and mineral preparation should always be taken in addition to any single supplements. The following table indicates which vitamins and minerals are necessary to correct certain deficiencies.

Vitamin A

Choline, essential fatty acids, zinc, vitamins C, D, and E.

Vitamin B complex

Calcium, vitamins C and E.

Vitamin B ₁ (thiamine)

Manganese, vitamin B complex, vitamins C and E.

Vitamin B ₂ (riboflavin)

Vitamin B complex, vitamin C.

Vitamin B ₃ (niacin)

Vitamin B complex, vitamin C.

Pantothenic acid (vitamin B ₅ )

Vitamin B complex, vitamins A, C, and E.

Vitamin B ₆ (pyricloxine)

Potassium, vitamin B complex, vitamin C.

Biotin

Folic acid, vitamin B complex, pantothenic acid (vitamin B ₅ ), vitamin B ₁₂ , vitamin C.

Choline

Vitamin B complex, vitamin B ₁₂ , folic acid, inositol.

Inositol

Vitamin B complex, vitamin C.

Para-aminobenzoic acid (PABA)

Vitamin B complex, folic acid, vitamin C.

Vitamin C

Bioflavonoids, calcium, magnesium.

Vitamin D

Calcium, choline, essential fatty acids, phosphorus, vitamins A and C.

Vitamin E

Essential fatty acids, manganese, selenium, vitamin A, vitamin B ₁ (thiamine), inositol, vitamin C.

Essential fatty acids

Vitamins A, C, D, and E.

Calcium

Boron, essential fatty acids, lysine, magnesium, manganese, phosphorus, vitamins A, C, D, and E.

Copper

Cobalt, folic acid, iron, zinc.

Iodine

Iron, manganese, phosphorus.

Magnesium

Calcium, phosphorus, potassium, vitamin B ₆ (pyridoxine), vitamins C and D.

Manganese

Calcium, iron, vitamin B complex, vitamin E.

Phosphorus

Calcium, iron, manganese, sodium, vitamin B ₆ (pyridoxine).

Silicon

Iron, phosphorus.

Sodium

Calcium, potassium, sulfur, vitamin D.

Sulfur

Potassium, vitamin B ₁ (thiamine), pantothenic acid (vitamin B ₅ ), biotin.

Zinc

Calcium, copper, phosphorus, vitamin B ₆ (pyridoxine).

    There are certain cautions that you should take into account when taking supplements. Antibiotics interfere with the natural balance of normal intestinal flora needed to produce vitamin K, which is necessary for normal blood clotting and maintaining the integrity of the bones. Too much coffee and/or caffeinated soft drinks can interfere with calcium metabolism. Aspirin can irritate the gastrointestinal tract, and may cause gastrointestinal bleeding. Aspirin can also interfere with the absorption of B vitamins and vitamin C. If you are taking aspirin daily for cardiovascular health, it is better to take baby aspirin--studies have shown that it is less irritating to the gastrointestinal tract, and it works just as well as ordinary aspirin.

(Continues...)

Vitamins	Daily Dosages(*)	Minerals	Daily Dosages	Amino Acids(***)	Daily Dosages	Optional Supplements(****)	Daily Dosages	Vitamin	Supplements Needed for Assimilation	Mineral	Supplements Needed for Assimilation

Copyright © 2000 Phyllis A. Balch. All rights reserved.