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  Frequently Asked Questions:

Herbs and Supplements

Q. My husband and I have decided to have another baby. We have a girl of 7yrs and a boy of 5 1/2. I had a blood test done and the doctor told me that my iron level was very low. I'm taking 'elevit' (almost 2 wks now), and have been told to take iron tablets - 300mg a day (have taken for 1 wk so far).

What if any, are the problems of taking so much iron, (even though I need it,) if I do become pregnant in the next month and can I continue with the iron supplementation during pregnancy?

Would you think it's better to wait a couple of weeks to try to increase my body's level of iron, before becoming pregnant? If I were to become pregnant quite soon, do you think there would be any harm to the baby if my iron level were rather low? Perhaps it might be an idea to have my iron levels checked again at some point in the near future.

A. It is quite fortunate that you have found out now that your iron levels are low as your body will absorb and utilise the iron more readily before you have become pregnant. The Elevit has 60mg of iron so you would need to take this into consideration. If you are able to get your iron level up to an adequate level before you become pregnant then you should be able to maintain it through your diet when you are pregnant. The form of iron supplement that I recommend is called F.A.B. tablets. You would need to take 2 tablets three times. Taking iron in divided doses increases the amount that is absorbed by the body. Your body is only able to absorb a certain amount of iron at a time so taking a higher dose tablet once a day would not give you more iron. Taking Vitamin C with your iron supplement is believed to increase the absorption. (I have to admit I have not seen any research to confirm this but it certainly would not be harmful.)

The problems associated with iron supplements are usually caused when the supplement is an inorganic form of iron. These include digestive upsets and constipation. These problems are not associated with F.A.B., which is an organic form of iron and can be taken throughout your pregnancy.

My recommendation would be to work on increasing your iron level for 3 months and then have the level checked again before you become pregnant. To get a true reading you should stop taking any iron supplements for 3 days before the blood test. If you were to become pregnant before this time, it would not harm the developing baby as it would take all the nutrients that it needed to develop from you. This is why you need to build yourself up first. You could also use this time to improve your diet and get into some form of regular exercise such as swimming, yoga, walking or cycling. I sense that you are
ready to start your family but this time will pass quickly and it will benefit you both.

   
Q. Thank you for the opportunity to write to you with a question. After 5 years of trying, at age 42, I am newly pregnant after my second try at IVF. I am ecstatically happy about this but hope I'm not being overly cautious. I usually drink dandelion coffee in the mornings and herbal teas throughout the day - green, peppermint, Relaxing, Sleepytime. One book says dandelion leaf-tea is okay but not dandelion coffee; another book says don't drink any herbal teas when pregnant. I notice on your website you mention dandelion coffee being okay. I'm confused! Why would they be harmful when pregnant?
A.

Congratulations on your pregnancy. You have had quite a wait for it to happen so I can understand your apprehension and desire not to put it in jeopardy. The information that we rely on when giving advice on which herbs are safe to use in pregnancy in mainly traditional or empirical. That is to say, it is information that has been passed down through the ages and is accepted as true rather than as the result of scientific research. Or the information may come about by observing the effects of a herb in various situations, also not very scientific. There are several herbs that are not appropriate for early pregnancy but useful in later pregnancy.

While it is true that herbal teas are from herbs they are not as strong as a tincture or an extract and it would therefore be difficult to cause any harm by drinking them. The herbs you have mentioned do not have any detrimental effects on pregnancy. Green tea does contain caffeine and tannin so I would suggest that you drink it only occasionally. I have not read any information that has indicated that dandelion should not be used while pregnant. The difference between using the root to the leaves is that the root is more beneficial as it contains the therapeutic properties of the plant. Its main benefit in pregnancy is that it tones the kidneys, eliminates excess fluid and benefits the liver. "Dandelion increases the activity of the liver, pancreas and spleen and aids in digestion of fats". (Nutrition Almanac. 4th edition. page 346). Even so, you would have to drink a lot of dandelion coffee to achieve the above effects. Enjoy your herbal teas and dandelion coffee and know that your baby is much better off than if you were drinking regular tea and coffee.

   
Q. I am 30 weeks pregnant and have just come across on the internet information on herbs to avoid during pregnancy. There are things on the list such as thyme, rosemary, parsley etc…. which I use regularly in cooking. Are these warnings in relation to these herbs being taken in supplement form such as tablets etc…. or does it also relate to use in food preparation.

 

A. There are quite a number of herbal extracts and tinctures that should be avoided at different times of a pregnancy. Extracts and tinctures by their nature are quite concentrated and intended to effect a change. Culinary herbs are not in the same category and you have no need to worry. I recommend that women use parsley extensively as a way to get extra iron in their diets. When I research these types of warnings there never seems to be any research or science behind them so I do not know where they come from. It may be that herbalists are being overcautious in their advice.
   
Q. I am seeing a naturopath while I am pregnant. I am 6 weeks. She has prescribed a multi vitamin that contains vitamin A. The daily dose is 1248 mcg. She has also got me taking a herbalife powder, which I add to fresh juice. This also contains vitamin A with a daily dose of 375 mg.

The juice which I add it to is that of 2 carrots, 3 celery sticks, half a beetroot, half a capsicum, ginger, half a lemon and one red apple, all of which are organic.

I also each fresh and raw vegies during the day such as spinach, asparagus, lentils, chickpeas. Plus an orange.

I am really worried I may be taking too much vitamin A.

A. The recommended daily allowance for Vitamin A is 700 micrograms for women with an upper limit of 2,400 micrograms per day during pregnancy. The RDA of most vitamins is very conservative as you can
see from the upper limit recommendation. Beta-carotene, found in fruits and vegetables, is a vitamin A precursor, which means that it is converted to vitamin A in the body. Beta-carotene is a safe and
has no known level of toxicity. If the vitamin A in your supplements is from beta-carotene then the amounts you are taking are fine. 187 mcg of the 375 mcg of vitamin A in the Herbalife powder is from
beta-carotene. The juice sounds like a very healthy combination. All up, it sounds fine to me and I think you will grow a very healthy little sprout.

I have added the following from another web site as it may clarify the difference between Vitamin A and beta-carotene.

"Several recommendations have been made for vitamin A intake by pregnant women. The FDA has recommended that pregnant women obtain vitamin A in the form of beta-carotene whenever possible (FDA Talk Paper; October 6, 1995). According to the FDA, "beta-carotene is a substance found naturally in plants, and it can be converted to vitamin A in the body. It is considerably less toxic than the pre-formed vitamin A. Therefore, women of child-bearing age are advised to choose fortified foods that contain vitamin A in the form of beta-carotene rather than pre-formed vitamin A, whenever possible. The vitamin A in fruits and vegetables is naturally in the form of beta-carotene and high intakes of vitamin A from these sources are generally not of concern. Taking too little vitamin A can result in adverse effects just as can taking in too much. The key is in finding the 'right amount' through carefully reading product nutrition labelling."

The full article can be found on
http://cerhr.niehs.nih.gov/genpub/topics/vitamin_a-ccae.html

Hope you have a wonderful pregnancy and a great "birth" day.
   
 
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