Tag Archives: diet

Should You Take a Multivitamin?

Do you take a multivitamin every day? You’re not alone—about one in three Americans rely on them to meet their nutritional needs. But are they necessary?

Multivitamins may not be necessary for most healthy adults who eat a balanced diet. Instead, focusing on nutrient-rich whole foods can provide all the vitamins and minerals your body needs.

Let’s examine why a balanced diet might be better than a multivitamin for most people (and the situations when a supplement may still be helpful).

Why Whole Foods Are Better Than Multivitamins

For most adults, research shows that multivitamins don’t offer significant benefits if you’re already getting nutrients from food:

  • Limited Health Benefits: Studies from Johns Hopkins and Harvard suggest multivitamins don’t prevent chronic conditions like heart disease or cancer​​.
  • More Than Just Vitamins: Whole foods provide fiber, antioxidants, and other beneficial compounds that supplements can’t match.
  • Cost Savings: The average multivitamin costs between $10 and $30 monthly. Instead of spending that money on vitamins, investing in fresh, healthy foods that you enjoy eating can be better for your overall health​.

What a Balanced Diet Looks Like

A nutrient-rich, satisfying diet can provide all the vitamins and minerals you need. Here’s what to focus on:

  • Fruits and Vegetables: The CDC recommends filling half your plate with colorful fruits and vegetables at every meal. They contain vitamins like C and A, potassium, fiber, and antioxidants​.
  • Whole Grains: Brown rice, whole wheat bread, and oats are packed with B vitamins, iron, and fiber, which support digestion and energy.
  • Lean Proteins: Choose lean protein sources such as fish, poultry, beans, and nuts. These provide essential amino acids, zinc, iron, and B vitamins.
  • Dairy or Dairy Alternatives: Low-fat or fat-free dairy (or fortified alternatives like almond or soy milk) provides calcium and vitamin D, which are important for bone health.

When Might You Need a Multivitamin

There are situations where a multivitamin can be helpful, such as:

  • Pregnancy: Extra folic acid is vital to support a healthy pregnancy.
  • Health Conditions: Celiac disease or Crohn’s disease can impair nutrient absorption, making a supplement necessary.
  • Dietary Restrictions: A multivitamin may fill in the gaps if you have limited access to various foods or follow a restricted diet (such as vegan).

Always speak with your Primary Care Provider if you think you need a supplement. They can guide you based on your specific needs and refer you to MPCP’s Nutrition specialists to create a unique plan if necessary.

Nourish Your Body Right With a Balanced Diet

A balanced diet is the best way for most adults to get the nutrients your body needs. While multivitamins seem convenient, they don’t offer the same benefits as whole foods. Instead, focus on building meals that include a variety of fruits, vegetables, whole grains, and lean proteins. Not only will this save you money, but it will also improve your overall health in ways that supplements can’t.

If you have questions about your nutritional needs or whether a multivitamin is right for you, speak with your MPCP provider to discuss your diet and health goals.

 

Justin Moy, DNP

Justin Moy, DNP, joined Maryland Primary Care Physicians, LLC’s Columbia practice in 2024. He holds a Master of Science degree in Nursing and Doctor of Nursing Practice degree from University of Maryland, Baltimore.

5 Diets You Should Absolutely Avoid in 2020

By: Janice Rutkowski, M.D.

We’ve all seen the ads with the blaring headlines:

  • LOSE 20 POUNDS IN 7 DAYS!
  • BURN BELLY FAT NATURALLY!
  • BLAST OFF 30+ LBS OF FAT IN 2 WEEKS!

There are dozens of diets on the market that promise super-fast weight loss, but many of them take an unbalanced approach to diet and nutrition. Some tell you to avoid “bad” foods, such as carbohydrates or fats, others restrict you to just a few foods, and still others require you to buy expensive supplements or pills.

Any diet that cuts out certain foods or limits calories can lead to short-term weight loss. But fad diets rarely bring long-term results because people often return to their previous eating habits when the diet ends. Also, people who follow extreme diets may not be getting all the nutrients they need to stay healthy.

Let’s look at five popular diets you should avoid in 2020. Then we’ll give you tips for managing your weight in a smart, healthy way.

  1. Carnivore diet: The carnivore diet has you eat mostly meat (along with some eggs and fat, like cheese). This is not a healthy or sustainable diet — it is extremely high in saturated fat, which can put you at risk for increased cholesterol levels, and it also leaves out a lot of foods that contain important nutrients, including fruits and vegetables.
  2. Whole30: This 30-day diet has you eat a lot of fresh, organic vegetables, grass-fed chicken and beef, and healthy fats like avocado and nuts. That’s well and good, but it also eliminates many foods, such as grains, dairy, soy, legumes, sugars and alcohol. And if you slip one day, you have to start over. The big problem with Whole30 is that it’s difficult to maintain. You may crave the foods you can’t eat and feel guilty if you “cheat.” This can turn into an unhealthy cycle where you avoid certain foods for a while and then binge on them later.
  3. Keto diet: “Keto” is a low-carbohydrate diet with plenty of meats, eggs, processed meats, sausages, cheeses, fish, nuts, butter, oils, seeds and fibrous vegetables. But you can’t eat breads, pasta, potatoes, rice, oats flour, sugar, fruit and alcoholic drinks. The diet’s low-carbohydrate content causes your blood sugar levels to drop, and your body begins breaking down fat to use as energy, a process caused ketosis. The problem is keto isn’t sustainable in the long term. Once your body enters ketosis, you also begin to lose muscle, become fatigued, and eventually enter starvation mode. This is particularly dangerous for people with kidney or liver conditions.
  4. Atkins diet: Atkins is the granddaddy of low-carb diets. It requires you to eat a lot of meat, cheese and eggs but severely limits carbohydrates, including sugar, bread, pasta, milk, fruits and vegetables. Similar to the keto diet, it causes your body to enter ketosis and burn fat. Like many fad diets, you lose weight quickly on Atkins, but it’s difficult to stay on it for long. Also, there is medical concern about the negative effects of a high-protein diet on kidney function, cholesterol levels, and the risks of heart disease, osteoporosis and cancer.
  5. Pegan diet: The pegan diet combines the popular paleo diet with some vegan principles. You eat lots of fruits and vegetables, along with nuts and seeds, oils, no dairy or gluten, a small amount of meat, and few beans or grains. You get to eat healthy foods, but the pegan diet restricts some foods that provides important nutrients. Also, since it limits what you can eat, it is hard to maintain over the long run.

Now that we’ve looked at diets to avoid, here are some good tips to help you achieve your weight-loss goal:

  1. Eat smaller portions: It’s common sense, if you want to lose weight, eat less. For example, if you usually eat a cup of rice, reduce it to a half cup. If you normally eat a plate full of pasta, cut down it to half a plate.
  2. Focus on healthier foods: Make fruits, vegetables, whole grains and lean meats, such as fish and chicken, the major part of your diet. Avoid junk foods, fast food and other foods you know are loaded with fats and calories. For helpful eating guidelines, see Choose My Plate from the USDA.
  3. Get physical: Exercise is the safest way to get fit and lose weight. And you don’t have to go to the gym seven days a week. Start with just five minutes a day and increase your activity gradually. Create an exercise plan that works for you with these guidelines from the Department of Health and Human Services. Strive for between 150 and 200 minutes a week.
  4. Avoid extra sugar: Sugar occurs naturally in many foods, and your body uses it for energy. But what you should do is avoid extra sugar. Skip dessert and stay away from drinks and snacks from are loaded with the sweet stuff. See these tips for reducing extra sugar from the American Heart Association.
  5. Don’t get hungry: You should never, ever skip meals. By being hungry, you increase the chances that you will binge on unhealthy snacks and food. Avoid hunger by always having some healthy snacks handy. Have a granola bar or eat a variety of nuts in between meals.
  6. Talk to your doctor: Before starting any weight-loss program, it’s a good idea to discuss it with your doctor to make sure it is balanced and healthy. Your doctor can make recommendations for eating plans, exercise programs and more.

 

Dr. Rutkowski is a Maryland Primary Care Physicians, LLC partner and is certified by the American Board of Internal Medicine. She cares for patients at MPCP’s Arundel Mills office.

 

 

Are ‘Meatless Meats’ Better for You?

By: Christine Jones, M.D.

Plant-based meat substitutes are booming in popularity, with grocery stores and restaurants offering meatless “hamburger” and “sausage” that look and taste like the real thing. Some people eat these products because they fit their vegetarian or vegan diets, but many others are trying them because they think “meatless meat” is healthier and will even help them lose weight.

How plant-based burgers compare to beef

When it comes to your health, meat-substitute burgers do have an advantage over beef. They’re plant-based – for example, Beyond Meat uses pea protein and Impossible Foods uses soy and potato protein – so they provide healthy fiber and cut out the cholesterol found in animal products. But their health benefits are not across the board as shown in the chart below, which compares the nutrition of a beef burger to an Impossible Burger and a Beyond Burger.

4 Oz. PattyCaloriesFatCarbsProteinSodium
85% Lean Ground Beef192*12*0 grams20 grams55 milligrams
Impossible Burger24014 grams9 grams9 grams370 milligrams
Beyond Burger25018 grams3 grams20 grams390 milligrams

Nutrition data from the USDA, Impossible Foods and Beyond Meat. * Calories and fat after cooking. Pre-cooking calories were 283.

Beef and meatless burgers contain about the same amount of protein. However, beef patties can give you fewer calories and less fat since you can squeeze fat out of a beef burger by cooking it longer, as shown in the example above. (Cooking doesn’t affect the calories in meatless patties.) Plant-based burgers are also higher in carbs since they are made of vegetables, and they contain significantly more sodium since salt is one of their ingredients. (You have the option of not salting a beef patty.)

Also remember that adding a bun and condiments, such as cheese, ketchup and mayo, can greatly increase any burger’s fat and calories.

Nutritionists have noted two cautions about Impossible Burgers and Beyond Burgers. First, both are made with processed plant-based ingredients rather than whole foods, which are a more healthful option. Second, both products contain coconut oil, which is high in saturated fat and can raise LDL (“bad” cholesterol) just like beef fat. Coconut oil gives Beyond Burgers and Impossible burgers comparable saturated fat levels to beef.

Bottom line on burgers

You’re not automatically eating healthier by choosing plant-based meat, and if you think eating meatless will make you lose weight, think again. But if you choose a plant-based burger, you can do so knowing that you’re getting comparable taste and nutrition to beef.

Dr. Christine Jones earned her medical degree from Drexel University College of Medicine and is certified by the American Board of Family Medicine. She cares for patients at MPCP’s Annapolis office.

To ‘G’ or not to ‘G’: Should you go gluten-free?

The gluten-free diet is the latest nutrition craze. Books, articles and TV shows tout the benefits of axing gluten, and it’s hard to walk down the grocery store aisle without encountering a raft of gluten-free products. A survey by Consumer Reports shows over 60% of Americans think that going gluten-free can improve their physical and mental health.

Advocates claim avoiding gluten leads to better digestion and gastrointestinal function, weight loss, higher energy, lower cholesterol, and a stronger immune system. There are even products to help you “detox” your body from gluten, suggesting that it is harmful.

So what is gluten, and are there health benefits to going gluten-free?

Gluten refers to a protein found in wheat, barley and rye. Cutting gluten out of your diet means cutting out gluten-containing bread, soup, pasta, cereal, and virtually any food or drink containing wheat, barley, rye or triticale (a newer grain with a similar quality as wheat).

There are people who definitely need to avoid gluten. Those with celiac disease ─ around 1% of Americans ─ may experience severe inflammation and damage to the lining of their small intestine. Even a small amount of gluten can cause bloating, cramping or skin rashes. Other people, who have gluten intolerance or sensitivity, do not suffer intestinal damage but may experience headaches, bloating, fatigue or diarrhea after eating foods with gluten.

For this relatively small group of people, a gluten-free diet functions as a detox diet by relieving their system of an irritant, and it can make a significant improvement in their quality of life.

For everyone else, research does not support the idea that cutting out gluten promotes good health. In fact, there are some good reasons not to go gluten-free:

Because wheat is ubiquitous in the American diet, completely eliminating gluten requires adopting a whole new diet. You would have to give up most breads, crackers, breakfast cereals, conventional pastas, pastry goods, beer and a wide range of processed foods made with small amounts of gluten.

Whole grains, which contain gluten, are rich in an array of vitamins and minerals, such as B vitamins and iron, as well as fiber. Studies show that whole-grain foods may help lower the risk of heart disease, type-2 diabetes, and some forms of cancer. The government’s Dietary Guidelines for Americans recommends that at least half of all carbohydrates in your diet come from whole-grain products.

A report from the American Dietetic Association warned that gluten-free products tend to be low in a wide range of important nutrients, including B vitamins, calcium, iron, zinc, magnesium, and fiber, so eliminating them may contribute to a nutritional deficiency.

Gluten-free does not automatically equal weight loss. Some gluten-free products make up for gluten by adding sugar and fat. In fact, a review of studies published in the Journal of Medicinal Food revealed that a gluten-free diet seems to increase the risk of overweight or obesity.

Most gluten-free alternatives, such as pasta and bread, are significantly more expensive than their conventional counterparts. A 2007 survey found that gluten-free pastas and breads were twice the price of conventional products, for instance.

If there are no proven benefits to a gluten-free diet, why do some people swear by it? It’s possible that, in addition to cutting out gluten, these people also make other, healthy changes, such as eating more fruits, vegetables, and lean meats, and fewer desserts and junk foods. These changes would naturally lead to feeling better and losing weight.

So, if you suspect you may have celiac disease or are gluten intolerant, see you doctor for testing and a diagnosis. If not, enjoy your gluten.

 

Tracy Jansen, M.D.Dr. Tracy Jansen is an MPCP partner and sees patients in the Pasadena office. She received her medical degree from Virginia Commonwealth University School of Medicine and completed her residency program in Family Practice at the Medical College of Georgia. She is certified by the American Board of Family Medicine.