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Herbal and Dietary Supplement Disclosure to Health Care Providers by Individuals with Chronic Conditions - Source: Journal of Alternative and Complementary Medicine, Nov 25, 2008

  [ 43 votes ]   [ 1 Comment ]
By Darshan H. Mehta, MD, MPH, et al. • www.ProHealth.com • December 1, 2008


Background: Very little is known about herbal and dietary supplement disclosure in adults with chronic medical conditions, especially on a national level.

Objective: To examine herbal and dietary supplement disclosure to conventional health care providers by adults with chronic medical conditions.

Design: Data on herbal and dietary supplement use (N = 5,456 users) in the previous year were used from the 2002 National Health Interview Survey. Bi-variable analyses compared characteristics between herbal and dietary supplement disclosers and nondisclosers. Multivariable logistic regression identified independent correlates of herbal and dietary supplement disclosure.

Results:
• Overall, only 33% of herbal and dietary supplement users reported disclosing use of herbal and dietary supplements to their conventional health care provider.
• Among herbal and dietary supplement users with chronic conditions, less than 51% disclosed use to their conventional health care provider.
• Hispanic (adjusted odds ratio and 95% confidence interval = 0.70 [0.52, 0.94]) and Asian American (adjusted odds ratio and 95% confidence interval = 0.54 [0.33, 0.89]) adults were much less likely than non-Hispanic white Americans to disclose herbal and dietary supplement use.
• Having less than a high school education (adjusted odds ratio and 95% confidence interval = 0.61 [0.45, 0.82]) and not having insurance (adjusted odds ratio and 95% confidence interval = 0.77 [0.59, 1.00]) were associated with being less likely to disclose herbal and dietary supplement use.

Conclusion: Herbal and dietary supplement disclosure rates are low, even among adults with chronic conditions. These findings raise concerns about the safety of herbal and dietary supplements in combination with allopathic care. Future studies should focus on educating physicians about crosscultural care as well as eliciting information about herbal and dietary supplement use.

Source: Journal of Alternative and Complementary Medicine, Nov 25, 2008. E-pub ahead of print. PMID: 19032071, by Benson-Henry Institute for Mind/Body Medicine, Harvard Medical School, Massachusetts General Hospital, Boston, Massachusetts, USA. [E-mail: dmehta@partners.org]





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Disclosure of Dietary Supplements to medical providers
Posted by: cshair
Dec 2, 2008
I have personally presented a typed list of my medications and supplements to both my internal medicine doctor and my rheumatologist for about 3 years, since I was diagnosed with fibromyalgia. Neither doctor seems interested in my supplements. Over a year ago, I started using Pro Health's Double Strength Ultra ATP+, in addition to my other suplements. I take 3 tablets every 6 hours. I experimented with different dosages after I researched toxidity. I have stayed at that level with outstanding results. I mentioned it to my Rheumatologist after 6 months of good results. She blew it off, saying my medicines where working. This is clearly not the case as most of my medicines stayed the same for well over a year before I started the ATP and have stayed the same since, with the exception that I rarely take sleep medicines anymore because I rarely need them. Prior to my fibromyalgia diagnosis, I was taking elaville, tizanadine, soma, acifex, advil and birth control pills. Also, as needed, fioricet, axert & pain pills. None of those have changed in years. I still take 4 - 6 rozerem per month. Prior to the ATP, I needed sleep medicines most nights. This problem is due to doctors not studying supplements and the feedback that they give to their patients. By the way, the ATP has helped me with pain, sleep disorder, restless legs, and fatigue. I still have pain and some fatigue. If I am extremely fatigued, I still have some leg twitching at night. I am able to exercise on average 3 - 5 days a week. Some weeks are better than others. If I feel very poor, I do not push myself unless it is very important.
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