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Why Vitamin D isn't just about bones, it decides whether calories should be fat or muscle

Why Vitamin D isn't just about bones, it decides whether calories should be fat or muscle

Indian Express10-07-2025
Written by Dr Shovana Vaishnavi
Many of us usually associate Vitamin D with bone health. But that's just half the truth. In fact, its deficiency can affect how you store fat because this key vitamin decides whether the calories you eat turn into fat or muscle.
You may have been harbouring the greatest myth if you thought that calories are just numbers and that your body treats all of them the same. Truth is your body's response to calories depends heavily on your levels of Vitamin D. It works behind the scenes, regulating insulin sensitivity, inflammation and muscle metabolism.
So how does this happen? Sufficient Vitamin D levels stimulate protein synthesis and activate muscle repair processes, especially after physical activity. Let's look at how Vitamin D acts on proteins. For example, myostatin limits muscle growth. Vitamin D can help decrease myostatin production, allowing muscles to grow larger and potentially burn more calories.
The satiety hormone leptin signals to the brain about the body's fat reserves. When leptin levels are too high, your brain becomes resistant to its signals, leading to constant hunger and more fat storage. Leptin resistance keeps us in a vicious cycle of overeating and lethargy. Vitamin D improves leptin sensitivity, helping your brain regulate your hunger better and potentially reducing overeating. By influencing these hormones, Vitamin D may help your body prioritise muscle growth when excess calories are available, instead of storing them as fat.
This micronutrient also supports hormones like testosterone and growth hormones which are essential for building lean mass. Without it, even with proper training and nutrition, muscle gain is limited.
Low Vitamin D levels increase the body's tendency to store fat. It not only controls how many fat cells should be created but how many should be broken down. Deficiency can tilt the balance towards fat retention —even if you're not overeating.
For older adults, maintaining muscle mass is crucial for preventing falls and injuries. Vitamin D can support muscle strength and function in older adults, helping them stay active and independent.
To optimise body composition, get your levels tested—and corrected if needed. If you're taking a vitamin D supplement, you won't need more than 600 to 800 IU per day. Some people may need a higher dose, however, including those with a bone health disorder and those with a condition that interferes with the absorption of vitamin D or calcium. Consult a doctor then. Avoid taking more than 4,000 IU per day, which is considered the safe upper limit.
Sometimes, sunshine is more powerful than a protein shake.
(The author is principal consultant, internal medicine, Max Super Speciality Hospital, Noida)
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Fuel For Focus: How Parents Can Nourish Children's Minds With The Right Fats And Oils
Fuel For Focus: How Parents Can Nourish Children's Minds With The Right Fats And Oils

News18

time9 hours ago

  • News18

Fuel For Focus: How Parents Can Nourish Children's Minds With The Right Fats And Oils

Last Updated: Children need healthy fats as they support brain health and cognitive development. Here's how parents can make smarter food choices. A new school year signals a fresh start for children across India. The transition from a joyful summer vacation to a disciplined school routine can be challenging for both kids as well as their parents. When adjusting to the new routine, regaining focus and energy levels becomes a shared priority as a family. While practising an early bedtime routine or previewing academic material a week prior are helpful, it's also equally essential to consider nutrition intake. More specifically, it's important to reconsider ingredient choices, starting with choosing the right cooking oils and fats, which form the basis of any cooking. As we approach a new academic year, Dr. Shilpa Vora, Chief R&D Officer at Marico, shares how simple, nutrition-led choices, starting with the right cooking oils, can lay the foundation for a healthier, more productive school year. Which Healthy Fats Are Essential For A Growing Mind? Not all fats are bad; in fact, some fats are essential for a child's learning and development. Dr Vora says, 'Healthy fats like monounsaturated (MUFA) and polyunsaturated fatty acids (PUFA) are essential for a child's growth and development, as they are vital sources of energy that contribute to overall growth and development." Dr Vora advises, 'While healthy fats are essential, they should be consumed in moderation as part of a balanced diet to avoid excess calorie intake. Pairing a nutritious diet with an active lifestyle, including playing sports, daily playtime or outdoor activities further enhances both physical health and cognitive development in children." Choose The Right Cooking Oils For Your Child's Health It is essential to develop the habit of reading labels when purchasing products. Dr Vora says, 'While curating the grocery list, one should keep in mind that edible oils with excess saturated and trans fats can raise LDL (bad) cholesterol, which may increase the risk of developing childhood obesity and can contribute to other metabolic disorders as they age." 'Instead choose multi-sourced edible oils for daily use, as they provide a good balance of fatty acids like MUFA and PUFA. These blended oils are rich in natural antioxidants and fortified with nutrients like Vitamin A and D, making them a smart choice for heart health," suggests Dr Vora. Another healthy addition to the list of cooking oils is cold-pressed oils. These oils are unrefined and retain the natural flavour and aroma of the seed due to their low-temperature extraction process, making them a wholesome choice for everyday meals. Saffola's cold-pressed oil range, available in single-seed and dual-seed variants, offers a healthy balance of MUFA and PUFA, along with essential fatty acids like Omega 3 and Omega 6. Healthy eating habits – Include a handful of nuts and seeds rich in heart-healthy fats and protein as part of your kid's breakfast. Healthy meal habits – Additionally, make their meals enjoyable by incorporating seasonal and colourful vegetables, fruits, whole grains and legumes to provide essential nutrients that support long-term health. Healthy cooking habits – Incorporate modern cooking practices such as air frying, sauteing, baking or pan frying using moderate amounts of oils for everyday cooking. A Back-To-School Kitchen Checklist For Smarter, Balanced Nutrition Stock up on Omega-3-rich 'Brain Foods' like chia seeds, flax seeds, avocados, walnuts, and salmon. Include healthy cooking oils with balanced fatty acid ratios for different meal preparations. Keep hydration and energy levels in check by encouraging regular water intake and including fresh fruit juices in moderation. Add fibre-rich foods like oats, wholegrains, apples, bananas, spinach, carrots, and quinoa to your diet to support gut and overall health. By making educated and responsible choices, from choosing the right cooking oils and ingredients, to encouraging regular physical activity, parents can help kids develop better focus, health and stronger well-being for the new academic year. view comments Disclaimer: Comments reflect users' views, not News18's. Please keep discussions respectful and constructive. Abusive, defamatory, or illegal comments will be removed. News18 may disable any comment at its discretion. By posting, you agree to our Terms of Use and Privacy Policy.

8 best vitamin C serums in India: Top picks for glowing, even-toned and youthful skin
8 best vitamin C serums in India: Top picks for glowing, even-toned and youthful skin

Hindustan Times

time12 hours ago

  • Hindustan Times

8 best vitamin C serums in India: Top picks for glowing, even-toned and youthful skin

When we think of vitamin C, the first picture that comes to our mind is orange juice, an immunity booster, and more. But what if we told you vitamin C can be a game-changer for your skin too? This antioxidant plays an important role in skincare ingredients, primarily in the form of face serums, to contribute to clear, glowing, and youthful skin. Well, our body needs the correct nutrition to stay healthy. Similarly, our skin needs the right care for a natural and radiant glow. Vitamin C face serums help to brighten your complexion, fade dark spots, reduce fine lines, and boost collagen. If your face looks dull, tired, or uneven, a vitamin C face serum may help to bring back the glow. But with so many options available, searching for the perfect one can be challenging. We have listed the best vitamin C face serums in India to help you make the best choice. Say hello to glowing skin with these vitamin C face serums. Image courtesy: Freepik 8 best vitamin C face serums in India According to the Asian Journal of Pharmaceutics, face serum is a revitalising and invigorating treatment that may leave your skin feeling and looking its best. Check the top-picks: Loading Suggestions... This vitamin C face serum helps to fade dark spots and reduce pigmentation by blocking melanin production, resulting in a more even, glowing complexion. It may lighten discoloration and brighten your skin tone. This serum increases the collagen production, helping to firm and plump the skin for a youthful appearance. It also contributes to smoothing fine lines, along with wrinkles. Ideal for dark spots, pigmentation, and dull skin, this serum is for all skin types. Reasons to buy Enhance overall complexion Reduce dark spots Boost collagen for youthful skin Reasons to avoid Mixed reviews on value for money May oxidise easily Click Here to Buy The Derma Co 10% Vitamin C Face Serum with 5% Niacinamide, Powered by Deep Penetration Formula™ | Fades Dark Spots | Reduces Pigmentation | Boosts Collagen | Brightens Skin | Suitable for All Skin Types | 30 ml Loading Suggestions... The brand claims you can get glowing and brighter skin in just 5 days with this powerful serum. It is made with 10% vitamin C and 5% niacinamide to boost your natural glow and improve skin texture. If you're dealing with dark spots or hyperpigmentation, you can start seeing a visible difference in just 3 days. This beginner-friendly serum also helps even out your skin tone by gently fading discoloration, leaving your skin clear, smooth, and healthy-looking. Reasons to buy Reduces dark spots Even skin tone Improve skin texture Reasons to avoid Mixed reviews on value for money Click Here to Buy Pilgrim 10% Vitamin C Serum 30ml for Glowing Skin|With 5% Niacinamide, Hyaluronic & Glycolic Acid|Fades Dark Spots, Pigmentation|For All, Oily, Combination, Normal Skin |Beginner Friendly - Men, Women Loading Suggestions... This powerful combination of 10% vitamin C and 0.5% ferulic acid works well together to limit the enzymes responsible for pigmentation, leading to a visible glow, improved brightness, and reduced dullness or tanning. This lightweight, water-based serum spreads effortlessly and absorbs quickly, leaving no sticky feeling or greasy residue. Ideal for oily skin and suits all other skin types. Ferulic acid acts like an antioxidant, offering protection from sun damage. Reasons to buy Water-based vitamin C serum Sun protection Rich in antioxidant and anti-inflammatory properties Reasons to avoid It may take time to show results Click Here to Buy Deconstruct 10% Vitamin C Serum | Non-Irritating & Non-Sticky | Tested for Oily, Sensitive Skin | Beginner-Friendly| Brightens Dull Skin, Evens Tone | No Purging | With 0.5% Ferulic Acid| 20ml Loading Suggestions... This Vitamin C Face Serum is made with 15% L-Ascorbic Acid, which is the purest and most powerful form of Vitamin C. The brand claims that it brightens your skin in just 5 days. The serum works to fade dark spots and pigmentation while evening out your skin tone, making your face look fresh and glowing. It also supports collagen production and protects your skin from damage caused by free radicals, helping to slow down signs of aging. The formula is moisturizing and suitable for all skin types, including dry, oily, combination, and even sensitive skin. This serum is dermatologically tested, vegan, cruelty-free, and free from sulfates and parabens. Reasons to buy Reduce pigmentation and even-tone skin Boosts collagen production Suitable for all skin types Reasons to avoid Receives mixed feedback on smell Click Here to Buy Foxtale 15% Vitamin C Face Serum for Glowing Skin | Pure L-Ascorbic Acid and Vitamin E | Brightening Serum for Dark Spots,Dull Skin,Uneven Skin Tone | All Skin Types | 10 ml Loading Suggestions... This anti-ageing serum is made with powerful and skin-loving ingredients. Glycerin keeps your skin soft and hydrated without making it greasy by locking in moisture. Rosehip oil helps brighten your skin tone and works against acne, pigmentation, and blemishes while also slowing down signs of ageing. Hyaluronic acid deeply hydrates the skin, keeps it plump and radiant, and helps reduce the appearance of fine lines and wrinkles. 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This lightweight and fast-absorbing serum provides instant hydration without feeling greasy. With regular use, it improves skin texture and firmness, leaving your skin smoother, softer, and more supple. Reasons to buy Even skin tone Non-irritating formula Lightweight and fast-absorbing Reasons to avoid Mixed reviews on quality and value for money Click Here to Buy Dr. Alies - Professional 15% Vitamin C Face Serum with 1% Alpha Arbutin, Vita-E, Ferulic Acid | Advanced Skin Brightening Formula for Glowing Face | Reduces Uneven Skin Tone | Non-Irritating | 30 ml Loading Suggestions... WhiteGlow Vitamin-C+Gold Radiance Serum is a powerful serum that helps reduce dark spots and dullness. It contains a strong form of vitamin C that quickly absorbs into the skin and works effectively to brighten your complexion. This serum has yuzu lemon and kakadu plum, an ingredient that has 100 times more vitamin C than oranges, to fade dark spots, pigmentation, and acne marks. It also has pure gold leaves that give your skin a radiant glow while improving elasticity and skin tone. Suitable for all skin types, this serum hydrates and moisturizes your skin, making it look naturally bright and healthy. Reasons to buy Reduce dark spots and dullness Suitable for all skin types Skin brightening properties Reasons to avoid Mixed reviews on effectiveness Click Here to Buy Lotus Herbals WhiteGlow Vitamin C and Gold Radiance Face Serum Loading Suggestions... CITTA Vitamin C Brightening Face Serum is made with a powerful triple-blend of vitamin C—3-O-ethyl ascorbic acid, sodium ascorbyl phosphate, and kakadu plum, to give your skin a bright, healthy glow. It helps reduce dark spots, evens out skin tone, and fades pigmentation. It is enriched with moringa extract, hyaluronic acid, and vitamin E it also hydrates your skin deeply and boosts collagen, making your skin look youthful and fresh. The serum has a lightweight, non-greasy texture that absorbs quickly and suits all skin types, including sensitive, dry, oily, and combination skin. It's safe to use every day, as it's free from parabens, mineral oils, toxins, and harsh chemicals. Plus, it's cruelty-free and gentle on the skin. Reasons to buy Triple brightening formula Lightweight and suitable for all skin types Cruelty-free Reasons to avoid Can interact with other actives Click Here to Buy CITTA 12% Vitamin C Brightening Face Serum – For Oily, Combination & Acne-Prone Skin – With Hyaluronic Acid, Promotes Glowing Skin – Fights Dark Spots, Pigmentation & Uneven Tone – Non-Comedogenic, Dermatologically Tested – 30ml What are the benefits of using a vitamin C serum for glowing and even-toned skin? 1. Brightens dull skin: Serums with ingredients like vitamin C, niacinamide, and alpha arbutin help reduce dullness and give your skin a radiant, healthy glow. 2. Fades dark spots and pigmentation: Regular use of serums may target dark spots, acne marks, and uneven pigmentation, helping you achieve a more even skin tone over time. 3. Hydrates and plumps skin: Most serums are enriched with hydrating agents like hyaluronic acid, which deeply moisturize your skin, making it soft, plump, and fresh-looking. 4. Lightweight yet powerful: Unlike heavy creams, serums absorb deeper into the skin, delivering active ingredients directly where they're needed most without feeling greasy. 5. Improves skin texture: With regular use, serums help refine your skin's texture, making it smoother, softer, and more supple. How to choose the best vitamin C serum for glowing skin in India? 1. Choose the right type of vitamin C: Look for stable and effective forms like L-ascorbic acid, ethyl ascorbic acid. These are known to brighten the skin and reduce dark spots. 2. Pick the correct concentration: Beginners can start with 5–10% vitamin C, while experienced users can go for 15–20% for faster results. Higher percentages may irritate sensitive skin. 3. Check additional ingredients: Ingredients like hyaluronic acid (hydration), vitamin E and ferulic acid (antioxidant boost), niacinamide (brightening), and aloe vera or glycerin (soothing) improve the serum's effectiveness. 4. Avoid harsh chemicals: Go for formulas that are free from parabens, sulfates, alcohol, and synthetic fragrance, especially if you have sensitive skin. 5. Check brand reputation and reviews: Choose products from brands that are dermatologically tested, have clear ingredient lists, and are well-reviewed by users. Similar articles for you: 10 top-rated sunscreens for dry skin that protect without causing dryness 7 multivitamin supplements with biotin for strong hair, glowing skin and healthy nails Top 10 fiber supplements to support better digestion in July 2025 FAQs for face serum for glowing and even-toned skin What does a face serum do for glowing skin? A face serum delivers concentrated active ingredients like vitamin C, niacinamide, or hyaluronic acid deep into the skin. These ingredients help brighten dull skin, reduce dark spots, and improve overall skin texture, giving a radiant and even-toned look. Can I use a face serum every day? Yes, most serums are safe for daily use. For best results, you can apply the serum twice a day, once in the morning and once at night, after cleansing and before moisturizing. Which ingredients should I look for in a serum for glowing skin? You can look for ingredients like vitamin C (for brightening), niacinamide (for even tone), hyaluronic acid (for hydration), alpha arbutin (for dark spots), and vitamin E (for antioxidant protection). Is serum suitable for all skin types? Yes, most serums are lightweight and designed to suit all skin types. Just make sure to choose a formula that matches your specific needs: hydrating for dry skin, oil-free for oily skin, and soothing for sensitive skin. Disclaimer: At Hindustan Times, we help you stay up-to-date with the latest trends and products. Hindustan Times has an affiliate partnership, so we may get a part of the revenue when you make a purchase. We shall not be liable for any claim under applicable laws, including but not limited to the Consumer Protection Act, 2019, with respect to the products. The products listed in this article are in no particular order of priority.

Is your Vitamin, magnesium supplement really the magic pill you think it is? Experts reveal truths behind India's new health obsession
Is your Vitamin, magnesium supplement really the magic pill you think it is? Experts reveal truths behind India's new health obsession

Indian Express

timea day ago

  • Indian Express

Is your Vitamin, magnesium supplement really the magic pill you think it is? Experts reveal truths behind India's new health obsession

The Arora family in a plush condominium of Noida believes an apple is simply not enough to keep the doctor away. Ever since COVID-19 instilled the idea of immunity, they have built their safety dome to disperse every bug coming their way, with a wellness store in the premises addressing all their fears and concerns. Naveen Arora, 52, has been on shilajit supplement for reverse-ageing and energy. His mother Ashalata, 75, still swears by ashwagandha capsules post her Covid near-death scare, hoping her lungs can breathe better. Wife Prerna Sharma has been on Vitamin D supplements for bones and magnesium oil massage for insomnia. Teen daughter Aradhana takes biotin gummies for her thinning hair and collagen powder for shapely nails. And they all pop multivitamins. The catch? None of them has ever consulted a doctor on whether they need these health boosters at all, relying instead on pharmacists, peer groups and social media-driven advisories. None of the benefits these supplements claim is supported by clinical trials. Most aren't even regulated. Worse, the Aroras still fall sick every season as before. Last week, Naveen was shocked to discover elevated liver enzymes despite not drinking alcohol or having fatty liver. 'That was the side effect of shilajit,' he says. Prerna ended up with more muscle cramps than ever. 'I kept taking the daily Vitamin D pills, thinking my pain was symptomatic of a deficiency. I didn't get tested or know I was supposed to stop in between,' she says. 'It's not that you won't need vitamins ever. But you need to get tested first and go to a doctor who is best placed to guide you on their usage,' says Dr Rommel Tickoo, Director, Internal Medicine, Max Healthcare, Delhi. Preventive healthcare is being misinterpreted by Indians across age groups. It is seen as a magic pill that can eliminate the need for doctors and gives them agency over their bodies. That's the promise that beckons everyone as they walk into a pharmacy that has aisles glistening with Omega 3 globule jars, collagen creams and capsules, fat-burner and protein powders, the sugar-lowering lauki and jamun juice, magnesium gummies and vitamins, the many colours and letters of which you didn't know. Like you have uncorked the boring B complex syrup bottle to release hidden powers. In attractive packages and with reassuring claims, health supplements are redrawing the contours of new age consumerism, preying on your fear and anxiety of disease and fluffing up an illusion of security. On the pretext of developing health awareness, the supplement industry is building a culture of dependence instead of encouraging you to make actual changes in your lifestyle and diet. It bleeds you insidiously while letting you think that you are saving up on the doctor's fee and medical bills. That's tempting. And that's why the global supplement industry is projected to be a $200 billion juggernaut by 2025. The Indian health supplements market is projected to reach $16.42 billion by 2032, according to Market Research Future. The dietary supplement market is projected to reach $10,198.57 million by 2026, according to estimates by the Food Processing Industry in India. 'The push for promoting and marketing supplements comes from the industry which seeks a shortcut from science to commerce, ignoring the fact that individual nutrients packed in a pill or pouch cannot replicate the goodness of multiple nutrients present in a food item. These balance, modify and modulate each other's actions. We need agriculture and food policies which provide wholesome foods rather than a hardsell of illusory quick fixes,' says public health expert and cardiologist Dr K Srinath Reddy, professor at the Public Health Foundation of India (PHFI). Dr Reddy finds that dietary supplements, being marketed as nutraceuticals, are irrational or unnecessary with some being even harmful to health. 'A diverse, balanced diet will provide most of the nutrients we need while a healthy gut microbiome, which is nurtured by dietary fibre, manufactures some essential vitamins. A beneficial interaction between phytonutrients, present in natural fruit and vegetables, is usually absent in supplements,' he says. He even cites clinical trials of antioxidant supplements which showed no benefit for heart disease prevention (Vitamin E, Vitamin C) or even harm (beta carotene) while cohort studies with natural foods showed benefits. 'Protein supplements overload the kidneys if injudiciously consumed by body builders,' he says. Dr Tickoo has seen too many cases of supplement overdose. He recounts how a 25-year-old patient was admitted with kidney failure after a Vitamin D overdose. 'Calcium levels spiked dangerously in his blood, which constricted the blood vessels of the kidneys. Excess calcium led to irregular heartbeats or arrhythmia. He needed dialysis, steroids and days at the ICU.' Another case involved a 68-year-old woman self-dosing on Vitamin D for joint pain, unaware she needed a blood test to assess levels. 'Sunlight suffices for most. Supplementation is advised only under certain health conditions or for the elderly with malabsorption issues, that too for a certain period. A serum level of more than 100 ng/ml (nanograms per millilitre) is toxic. A daily vitamin D intake of more than 100 micrograms (4,000 IU) is dangerous,' says Dr Tickoo. Fertility specialist Dr Mannan Gupta of Elantis Healthcare, Delhi, recently had a 34-year-old man, who had self-medicated himself with shilajit as he had been trying to conceive with his partner for over two years. 'For nearly a year, he consumed unregulated doses. Not only did that fail to resolve his underlying condition, it affected his liver. What he needed was a minor surgery, lifestyle changes, hormonal support and antioxidants. Over the next six months, his semen parameters showed significant improvement. Within a year of guided treatment, the couple conceived naturally,' he says. Protein supplements continue to be misused the most. Dr Deepak Kumar Chithralli, nephrologist at Manipal Hospital, Bengaluru, hospitalised a 30-year-old man who had consumed 250 grams of protein daily to build muscle on the advice of his trainer. 'A healthy adult needs only 55-60 grams unless they are athletes. He had body ache, so he took OTC painkillers. This cocktail caused kidney damage. He required dialysis and IV hydration.' He sees many gym enthusiasts, who take steroids on the advice of their trainers and end up in the emergency. 'Get this: you can get your required protein in two portions of either animal and plant proteins. That portion has to be a palmful or a quarter of your plate,' he says. Turmeric capsules — concentrated with 95 per cent curcumin compared to three per cent in natural turmeric — have also triggered liver problems. If stores in Delhi are a microcosm of popular choice, then the top-selling supplements are immunity boosters, vitamins, protein powders, creatine (for muscle building), ashwagandha, shilajit and biotin. But magnesium is the new king as supplements fly off the shelves rapidly. 'Yet magnesium is not needed at all because you can get it from a balanced diet. Only those with diabetes, Irritable Bowel Disease (IBS), heart arrhythmia, osteoarthritis, absorption issues and the elderly may need it. When taken in very large amounts (greater than 350 mg daily), magnesium is unsafe, triggering irregular heartbeats, low blood pressure, confusion and slowed breathing. Most important, extra magnesium interferes with the absorption of certain drugs like antibiotics and those recommended for diabetes,' warns Dr Tickoo. People often end up having a cocktail of supplements without realising that they could be working at cross purposes with each other. 'Calcium blocks the absorption of iron, zinc blocks copper. So taking high doses of one nutrient can actually cause a deficiency in another if you don't ask a doctor,' says Dr Tickoo. Such is the hype around magnesium for sleep that most people, as Dr Rakesh Gupta, internal medicine specialist at Indraprastha Apollo Hospitals, Delhi, found out, take the wrong compound. 'Magnesium oxide is one of the most commonly available forms. Unfortunately, it's poorly absorbed and acts like a laxative. So people land up in the OPD with diarrhoea,' he says. He even lists the compounds and their uses. Magnesium glycinate relaxes the nervous system and improves sleep quality. Magnesium threonate eases brain fog, magnesium malate is for chronic fatigue, citrate supports digestion and helps with constipation. Meanwhile, magnesium taurate supports normal blood pressure. 'Many people make the mistake of focusing only on magnesium, forgetting that certain nutrients help it work better. You need Vitamin B6 and Vitamin D3 for better absorption. Taking zinc or calcium supplements along with magnesium at the same time can interfere with its absorption. It's best to stagger them by a few hours,' adds Dr Gupta. Dr Tickoo crosses out biotin and detox teas altogether as he does vitamin C and multi-vitamin infusions. 'IV drips are the worst aberration of supplement use as high levels damage organs, trigger infections and blood clots at the injection site,' he warns. Extra vitamin C and E, particularly through supplementation, can lead to gastrointestinal issues like diarrhoea and nausea. While both are antioxidants, taking very high doses do not offer additional benefits and could interfere with the body's natural antioxidants. Chennai-based Krishna Ganpathy, 38, says she relied on peer chatter to try out magnesium. 'Everyone around me swore by it, especially in office and walking groups. I even checked advice online, including AI tools. But my doctor later clarified most studies were small, unverified and inconclusive,' she says. Dr Tickoo blames misinformation on social media and gym culture. 'Online testimonials may have been the result of paid partnerships. Inexperienced trainers recommend muscle-building creatine without blood work or fitness tests. It leads to bloating,' he says. The surge in supplement use is directly linked to a post-COVID health consciousness and rising lifestyle diseases like diabetes, high cholesterol, fatty liver and cancer. 'Supplements feel like a quick fix, a shield. Online platforms make them easily accessible and you get them delivered at your doorstep. That ease matters, ' says Dr Sanjeev Sharma, clinical pharmacologist and medical advisor at Apollo Research and Innovations. The elderly fuel the demand for bone, heart and cognitive health products. 'The emphasis on plant-based diets is driving demand for plant-derived proteins, vitamins, minerals and herbal products,' he explains. That's why even organised players like Apollo, Sun Pharma, Zydus and Dr Reddy's now command 30–40 per cent of the nutraceutical market, with smaller brands and international entrants following suit. Major brands claim scientific backing for their products. But regulation is thin. In India, dietary supplements fall under the Food Safety and Standards Authority of India (FSSAI), with guidance from the Indian Council of Medical Research (ICMR). 'There are recommended permissible limits of ingredients to be used. The manufacturing units must have a GMP (Good Manufacturing Practices) certificate and adhere to licensing and labelling norms. The FSSAI even monitors standards and ad campaigns of the products, ensuring they do not make dramatic claims like a cure. Even the smallest of claims should be backed by big data sets. You can't say we saw results in five or 10 per cent of subjects,' says Dr Sharma. Yet, reports of contamination with heavy metals and poor ingredient control — especially in herbal products — persist. That's why Dr Sharma suggests a risk categorisation for supplements at the policy level. 'High-risk items should be prescription-only. This will curb misuse,' he says. India may be mimicking the supplement boom in the West but that happened because of expensive healthcare and limited accessibility to doctors at the primary level. 'In India, doctors are more available, even at the primary care level. That's why we must base choices on medical advice,' reasons Dr Sharma. Supplements can never lessen the disease burden. Clinical researchers are working around the world on thousands of molecules and compounds that can have therapeutic uses. Only a few make it to clinical trials and fewer to an acceptable, viable medicine. Supplements are even lower on the pecking order. 'Is it worth waiting for such a miracle?', asks Dr Tickoo.

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