A theme we emphasize on this blog a lot: Working closely with your doctor BEFORE and WHILE you're taking a supplement to ensure your health isn't being harmed by any unexpected interactions. It's one of the important tenets of our Nutritional Supplement Quality -- The Facts, and a really smart thing for you to do. If your doctor is eager and willing to help, consider yourself among the lucky ones…

Based on observational research conducted by the FDA and the University of Maryland School of Medicine, cardiologists and specialists in training play the "don't ask, don't tell" game very effectively with patients when it comes to their use of supplements and over-the-counter (OTC) drugs. How "well" did doctors play the game? Of the 78 patient interactions with 21 cardiologists that researchers observed, physicians failed to ask about OTC drugs and supplements 98 percent of the time.

This second revealing facet of the study may or may not surprise or upset you, however, as much as it did me. As doctors were consulting with their patients, a clinical pharmacist who remained silent during the encounter was observing both parties. After doctors left the room, the pharmacist asked patients about their supplement and OTC drug use. More than two-thirds of the patients monitored (54) took 45 OTC drugs and 86 supplements. By contrast, cardiologists asked patients about their use of both just seven times.

Should you be wary of any possible interaction with a supplement and your doctor hasn't discussed it with you, I urge you to do two things. First, use our extensive Health Information & Answer database to help you determine if there could be a problem with your treatment regimen.

Lastly, spend a little time "training" your doctor to be your trusted and attentive health advocate, if he or she isn't one already. Or, go look for one who will.

Annals of Internal Medicine, Vol. 153, No. 1, pp. 65-66, July 6, 2010

NutraIngredients-USA.com July 7, 2010