Doctor’s Q&A: Are there any vitamins that should not be taken together?

Your health is not static: it is constantly changing and therefore requires daily maintenance.

This topic runs through the questions sent to NHS celebrity Dr Rene Hoenderkamp this week. They all point to the importance of routine, from the supplements you take in the morning to the meals you eat and the steps you take to take care of your sexual health.


Don’t forget to send your questions to health@gbnews.uk every week or click the comment button above and we’ll post Dr Hoenderkamp’s answers to your queries on GBNews.com/health every Friday.

You can also contact Doctor Hoenderkamp directly on Instagram and Twitter/X to continue the conversation.

And remember, the advice given is general and not individual and you should always seek individualized health care from a doctor.

With those caveats aside, see Dr. Hoenderkamp’s answers to this week’s burning questions below.

Are there vitamins that should not be taken together?

This is an interesting question as the answers vary from source to source and the benefits or otherwise of taking vitamin supplements is hotly debated.

That said, I’m a firm believer in the power of certain vitamins and take several myself, so I’m interested in the best way to take them, with what, and when.

Obviously, I can’t cover every supplement that can be taken, but we can take a look at the most common and potentially most useful ones.

As a general rule, water-soluble vitamins (B and C) can be taken together without food, and fat-soluble vitamins (A, D, K, E) can be combined, but always with foods that contain healthy fats but some need them. to be away from others!

Here are some of my favorites:

  • Vitamin D – A critical vitamin that everyone in the Northern Hemisphere should take should always be taken with K2 to aid absorption and if possible as an aerosol absorbed directly through the oral mucosa.
  • Vitamin C – It is important to avoid taking vitamin C with B12 as it can make it harder for B12 to be absorbed. However, adding an iron supplement to vitamin C can help iron absorption and prevent some side effects. Take it at any time of the day, with water, (soluble preparations They are great).
  • magnesium – Ideal for bowel function and sleep, so take this at night and no Taking too much calcium with it can affect magnesium absorption.
  • B vitamins (B12, folate) –Take in the morning, with water, as they can affect sleep. And don’t forget that there are some medications that are negatively affected by vitamins.
  • Iron and calcium – They should not be taken with Thyroxine, as it reduces its effectiveness.
  • Vitamin K – Do not take with an anticoagulant such as warfarin, as it counteracts its effect, but vitamin E increases the effect of anticoagulants.
  • Vitamin B12 – This should not be taken with Levadopa because it diminishes the effect.
  • Licorice root – This it should not be enjoyed alongside diuretics or blood pressure medicines. This can cause serious electrolyte balance problems.
  • Saint John’s wort – supplements may interact with many medications, including antidepressants, birth control pills, and blood thinners, cut downEng the effectiveness of these medications, i potentially causeEng harmful effects

So always ask your doctor if you are taking prescription drugs and want to add vitamins. Be aware of the above interactions and plan your supplementation windows to enhance, not impair, the desired effect. Good luck!

What is the number one anti-cancer food?

This is not an easy question and there is no simple answer. In reality, the answer is a diet generally based on healthy, unprocessed foods, as raw as possible, across the range of nutritional groups, so vegetables, protein and fruit with some support from complex carbohydrates.

You’ll see many references to phytonutrients when looking at cancer-fighting foods.

Common phytonutrients include:

  • Polyphenols
  • phytosterols
  • saponins
  • carotenoids

All of the above have has been shown to play an anti-carcinogenic paper. Since phytonutrients are easily digestible from the diet, it follows that the best answer is to make sure you minimize your cancer risk with a healthy diet before you even get to the point where you regretfully think about fighting it.

The best way to think about it is “how can I maintain a healthy weight” and then plan meals accordingly.

A major lifestyle contributor to cancer is obesity, so a healthy, balanced diet reduces the risk of 13 cancers, says Cancer Reseach UK.

Indeed, emerging The data shows that there is a direct link between ultra-processed foods and the development of cancer.

So going through life eating healthy, unprocessed foods is the best chance you can give your body to avoid cancer, but then, if it happens, also give your body the best chance to fight it from the inside .

There has been some work to suggest that polyphenols can modulate some processes that can lead to the development of cancer.

A 2018 study even suggested that apple phloretin (a polyphenol) inhibits the growth of breast cancer cells while ignoring healthy cells. This polyphenol inhibits a protein called glucose transporter 2 (GLUT2), which plays a role in advanced cell growth in certain types of cancer.4

So, let’s break down what these phytonutrient-packed foods are. Essentially we are talking about berries of all colors, broccoli, cauliflower, carrots, tomatoes, walnuts, grapes and other vegetables, fruits and nuts.

Then add in good farm-raised meat (preferably grass-fed), line-caught fish (skip the raised), eggs, whole dairy (anything else is processed), garlic, and ginger. Focus on a good mix throughout the day/week, cook from scratch and graze on different food colors. If you need to buy packaged food, flip it over and check the ingredients; if it has more than five ingredients it is likely to be processed. And batch cooking and freezing don’t hurt if that helps.

So, in short, the foods you eat and the weight you carry can determine your risk of cancer, and if it comes to eating, it can help you fight to beat it! But to make you smile while planning your store; there is always room for chocolate. Dark chocolate contains polyphenols, flavonoids and antioxidants.

I am taking Viagra for my erectile dysfunction but it is not working. should i worry

Erectile dysfunction (ED), which affects almost 50 per cent of men in the UK, tin it can sometimes be an indicator of underlying health problems, so it should always be investigated by a doctor.

For example, ED can be caused by nerve damage often seen in diabetes, it can be a sign of advanced atherosclerotic disease (clogged arteries in heart disease), leaky valves in the vessels that carry blood to the area, or Peyronie’s disease, which causes the penis to curve when erect.

In such cases, Viagra or any other similar drug may not address the underlying problem and therefore may not work.

Therefore, it is important to investigate them and treat any underlying causes that may in turn resolve the ED problem.

That said, whatever the cause, ED is a depressing and stigmatizing condition that is often easily treated with Viagra.

Viagra (sildenafil) is a drug, also known as a PDE5 inhibitor, that causes blood vessels to dilate, allowing more blood flow to an area, including the penis. This helps to achieve and maintain an erection. If a patient has no other underlying condition and is using Viagra that stops working or doesn’t work when first tried, there are options.

The first and easiest thing to try is a higher dose. (Always do this in consultation with your prescribing doctor). But if a higher dose doesn’t reduce it, you can try another PDE5 inhibitor, but switching is not always a guaranteed solution, so discuss with your doctor who can help you decide if it might work for you and the choice would include Cialis (tadalafil) or Stendra. (avanafil). Tadalafil is often preferred because it has a longer window of activity, meaning it can be taken in a daily dose. This can eliminate some of the psychological aspects of having to take a pill before sex.

Men may also find help with the following lifestyle changes:

  • Cut back on alcohol
  • Lose weight if you are overweight
  • Stop smoking
  • Eat a healthy diet
  • Exercise daily
  • Try to reduce stress and anxiety

It is important to remember that much of ED is psychological and the input of a therapist and techniques such as CBT can play an important role in overcoming this stigmatizing condition.


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