The Nutrition Clinic - October 2007

Couple

Too much selenium?

Selenium has been in the news a lot lately, with concern over the safe levels of intake. I take your 200mcg selenium supplement daily but am worried that this is too much and may cause more harm than good if I am already getting a lot from my diet. Can you clear this up please?
Mr C. Webb, Lemington

The Safe Upper Level for long-term use from supplements is set by the UK Government at 350 mcg per day for adults. Hence your intake of 200 mcg per day is well within this. Although adult requirements for selenium are set at about 75 mcg per day, the average intake in the UK from diet is only about 30 mcg per day since we stopped using high-selenium flour imported from America for bread making, in favour of home-grown wheat. There is evidence that higher than requirement levels of selenium may help the immune system to be more effective in combating viruses.

Skin Deep

 As winter approaches and the weather gets colder, I find that my skin can often get red, dry and cracked. It doesn′t look very nice and can be quite sore, especially around my elbows. Is there anything I can do besides piling on greasy moisturisers?
Ms O. James, London

The health of skin, hair and nails reflects the state of nutrition of the entire body. Your skin symptoms indicate a lack of omega-3 essential fatty acids. These are found in oily fish, but requirements can be raised by a high intake of omega-6 fatty acids. Modern diet is very high in sunflower and other seed oils which provide an over-abundance of omega-6. Use olive oil for cooking and to take omega-3 as a supplement - at least 1 g of the active EPA+DHA will be needed per day. You’ll need to allow 3 months to get these changes fully working in your system.

Enlarged prostate

This last month, I have found some difficulty in urinating and have had to get up frequently in the middle of the night to go. My doctor tells me that my prostate is enlarged. I don′t want to have to take medication but do not want this problem to get worse, is there another option?
Mr T. Riley, Cardiff

You have done the right thing in getting this problem looked at by your doctor. Now that you know for sure that the problem is BPH (benign prostatic hyperplasia) and not cancer, there is a lot you can do for yourself. Saw palmetto is the fruit of a short-growing palm which grows in the Eastern United States, right down into Florida. Extracts of the berries of this plant have been found to be helpful in reducing symptoms of BPH if taken as 320 mg of the extract daily over a 3-month period in clinical trials.

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Dr Ann Walker

Dr Ann Walker 

Dr Ann Walker is Senior Lecturer in Human Nutrition at The University of Reading. She is a member of the national Institute of Medical Herblists and of the College of Practitioners of Phytotherapy. She is the author of several books on human nutrition. 

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