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Enzymatic Therapy

Doctors Choice Women
by Enzymatic Therapy
90 Tablets

Specifically Formulated For Women*

Our Price: $15.57
Retail Price: $23.95
You Save: $8.38 each, a 35% Savings!

Doctor's Choice Women provides targeted vitamins and minerals for daily energy and nutrition. Many Americans have nutritional gaps in their diets - even when they try to eat a healthy diet. Multivitamins can help fill those gaps. Recommended for over 10 years by naturopathic and medical experts, Doctor's Choice Women contains more than 40 vitamins, minerals and herbs specifically targeted to deliver daily energy and balanced nutrition for women.*

Based on milligram to milligram comparisons with the leading competitor, Doctor's Choice Women provides more support for healthy aging, digestion, blood sugar, energy, bones, and the immune system. The all natural glide-coat, made with organic spirulina, makes swallowing your vitamins effortless. Better health has never been easier to swallow!*

Benefits
• Targeted to your age and gender*
• Easy to swallow with OrganiGlide technology*

Key Features
• Contains vitamins and minerals to specifically support bone health*

How Does It Work?

Why Take Multivitamins
Research shows that most Americans don't get the recommended daily allowances of vitamins and minerals from their diets. Plus, busy lifestyles take a toll on nutrient stores of vitamins and minerals needed for optimal energy production and healthy stress management. Requirements for nutritional support of the body can be altered due to changes in nutritional availability, time commitments, stress levels and energy requirements that individuals may experience on a daily basis.*

Water soluble nutrients such as the B-vitamins, vitamin C and certain minerals are not stored in the body, and so require constant replenishing. They're required to support daily energy levels, to form neurotransmitters, hormones, and immune system substances, and to protect from the effects of stress, aging, occasional sleeplessness and oxidative stress.*

Natural phytonutrients such as lutein, zeaxanthin, hesperidin and fruit extracts can round out the nutritional profile of a high-quality multiple.

Multivitamin and mineral supplements have been clinically shown to enhance many aspects of health. In order to provide optimal health benefits, the supplement must provide a full range of essential vitamins and minerals, at clinically effective levels, along with other nutrients that provide targeted support to the body's organs and systems.*

Most once-daily multivitamins are formulated to provide only the recommended daily allowances (RDA), which is defined as the minimum amount of a vitamin or mineral that is required to prevent a deficiency disease (i.e., scurvy, rickets). The RDAs are not necessarily the amount required for optimum health.*

Doctor's Choice multivitamins are formulated to provide essential nutrients for energy, bone support, digestion, vision, healthy aging, blood sugar metabolism, and immune health.*

Making Multivitamins Easier to Swallow
An online survey of 679 adults found that 40 percent of them had difficulty swallowing pills. Factors that affected the perceived difficulty in swallowing the pill included the size of the pill and the shape. Comprehensive multivitamins, by their very nature, can be large tablets.*

To make Doctor's Choice Daily Multiples easier to swallow, they are coated using OrganiGlide Technology. This unique, OrganiGlide coating is composed of organic spirulina and natural acacia gum that protects the nutrients from light and moisture while helping the tablet slide down the esophagus.*

Key Multivitamin Ingredients
Vitamin A and Beta-Carotene help support healthy skin and mucous membrane integrity; supports healthy immune system responses; supports healthy bone growth and healthy reproductive processes. Beta-carotene, a precursor of vitamin A, is an antioxidant and free radical fighter. Vitamin A also supports the function of heart mitochondria (energy-producing cells) and maintains the general health and vigor of epithelial cells.

Vitamin C is necessary for the proper functioning of the immune system; antioxidant and free radical fighter; assists with hormone synthesis; supports healthy skin integrity; supports healthy iron absorption. It also promotes many metabolic reactions, particularly protein metabolism, including formation of connective tissue. Vitamin C also provides protection for the inner lining of the arteries.*

Vitamin D supports healthy metabolism of calcium and phosphorus; supports the absorption of vitamin A; supports bone mineralization. Recent research has shown that Vitamin D is important to the maintenance of electrolyte balance, volume balance and helps support the retention of healthy blood pressure levels that are already within normal limits. Also boosts immune function.*

Vitamin E helps oxygen circulation; supports healthy nerve transmissions; supports healthy leg nerves and muscles; helps boost energy levels. Vitamin E also inhibits the oxidation of low density lipids by inactivating free radicals. It supports fatty acids and healthy development of cell structures. Supports healthy platelet activity.*

Potassium supports healthy nervous system; supports regular heart rhythm; supports proper muscle contraction, especially cardiac muscle contraction.*

Bilberry is rich in flavonoids and supports eye health.*

Lutein scavenges free reactive oxidative species, supports eye health, and may support healthy cholesterol levels already within normal limits.*

Vegetables are important sources of antioxidants. Cruciferous vegetables contain glucosinolates, which are important for cellular health. Cruciferous vegetables, such as broccoli, cauliflower, and cabbage, contain several phytochemicals including indole-3-carbinol (I3C), phenethyl isothiocyanate (PEITC), sulforaphane, and diindolylmethane (DIM). These cruficerous vegetables are important for healthy hormone metabolism.*

Ingredients for Digestion
Ginger supports the body's anti-inflammatory response; supports healthy stomach function.*

Ingredients for Blood Sugar Metabolism
Chromium supports healthy carbohydrate metabolism; helps maintain healthy blood glucose concentration already within normal range; mayincrease insulin binding and the number of insulin receptors. Helps support the retention of healthy cholesterol levels that are already within normal limits.*

Vanadium, an essential trace element, supports glucose and lipid metabolism. Vanadium adds support to sodium and potassium transport in red blood cells.*

Cinnamon Bark supports a healthy immune system; helps maintain healthy blood glucose metabolism already within normal limits; supports healthy digestion; supports healthy bacterial balance in the intestines.*

Ingredients for Healthy Aging and Immunity
Iodine is required by thyroid gland to synthesize thyroid hormones, which regulate the basal metabolic rate; the thyroid gland is critically linked to effective cardiac functioning. It contributes to the efficiency of the pumping strength of the heart muscle; supports healthy metabolic rate; supports healthy growth regulation.*

Zinc supports a healthy immune system; supports healthy enzyme processes; supports healthy immune response. Involved in protein digestion, zinc has been shown in clinical trials to support healthy aortic valves and overall cardiovascular health.*

Selenium is an essential trace element and along with vitamin E it supports healthy cell membranes and healthy thyroid functioning. Research also shows that selenium supports cardiovascular function.*

Copper supports healthy energy metabolism, healthy skin integrity; helps iron utilization; required with iron for synthesis of hemoglobin. Provides significant support for healthy heart muscles. Component of coenzymes in electron transport chain and enzyme necessary for melanin pigment formation.*

Manganese supports healthy metabolic reactions; activates several enzymes and has antioxidant properties; needed for hemoglobin synthesis, urea formation, growth, reproduction, lactation, bone formation, possibly the production and release of insulin and inhibiting cell damage.*

Chromium supports healthy carbohydrate metabolism; helps maintain healthy blood glucose concentration already within normal range; may increase insulin binding and the number of insulin receptors. Helps support the retention of healthy cholesterol levels that are already within normal limits.*

Molybdenum supports healthy iron metabolism; supports healthy uric acid production. Functions as a cofactor for three enzymes which contribute to the antioxidant capacity of the blood and also plays a role in the metabolism of prescription medications.*

Boron supports healthy bone and joint function; supports healthy muscle health; supports healthy muscle synthesis.*

Green tea contains polyphenols, which act as potent antioxidants; supports cellular health.*

Sweet Cherry Fruit Extract is rich in antioxidants and supports the immune system.*

Inositol supports healthy nerve cell transmission.*

Pomegranate (40% ellagic acid) is a polyphenol antioxidant; fights free radicals; promotes breast cell health.*

Polygonum cuspidatum, 50% Resveratrol, a potent antioxidant that supports healthy aging and cardiovascular health.*

Cranberry (Vaccinium macrocarpon) supports urinary tract function.*

Ingredients for Bone Health
Calcium is necessary for bone and joint health; allows proper interaction of myosin and actin, proteins in the muscles, to support proper contraction.*

Magnesium regulates nerve muscle firing; required for normal functioning of muscle and nervous tissue; participates in bone formation; constituent of many coenzymes.*

Selenium is a trace element that offers support for bone health.*

Manganese supports healthy metabolic reactions; activates several enzymes and has antioxidant properties; needed for hemoglobin synthesis, urea formation, growth, reproduction, lactation, bone formation, possibly the production and release of insulin and inhibiting cell damage.*

Boron supports healthy bone and joint function; supports healthy muscle health; supports healthy muscle synthesis.*

Ingredients for Energy
Thiamin (Vitamin B1) is essential for carbohydrate metabolism; important for immune system functioning; affects mood and cognitive function. It is also essential for synthesis of acetycholine.*

Riboflavin (Vitamin B2) is crucial in the production of body energy. It supports healthy glutathione reductase activity, which helps maintain glutathione, a major protector against free radical damage. Vitamin B2 itself also has antioxidant qualities.*

Niacin supports healthy cholesterol production and assists in triglyceride breakdown to retain healthy cholesterol levels that are already within normal limits. It increases good cholesterol levels, particularly HDL-2 (the best cholesterol). It also supports the retention of healthy blood pressure that is already within normal limits.*

Vitamin B6 is a homocysteine lowering agent that also supports healthy circulation. It is an essential coenzyme for normal amino acid metabolism; assists in production of circulating antibodies.*

Folic acid's main function is support of healthy energy production. It supports healthy immune system and healthy nervous system function. Recent research shows that folic acid can reduce the amount of the amino acid homocysteine in the blood.*

Vitamin B12 is an essential nutrient that supports healthy human energy production. Vitamin B12 helps support metabolism of carbohydrates and fats. It supports healthy cell formation and cellular longevity.*

Biotin is an essential coenzyme required by the mitochondria for cellular production of energy. It is also required for the conversion of pyruvic acid to oxaloacetic acid and the synthesis of fatty acids and purines; supports healthy hair and skin.*

Pantothenic acid, when combined with other heart healthy nutrients in clinical studies, supported the muscle strength of the heart. It is essential for transfer of pyruvic acid into Krebs cycle, conversion of lipids and amino acids into glucose, and synthesis of cholesterol and steroid hormones.*

Choline Bitartrate contains methyl group, and methyl groups from choline convert homocysteine into a useful amino acid. Choline is important for the structural integrity of cell membranes and lipid and cholesterol transport and metabolism.*

Supplement Facts Serving Size: Three (3) Tablets Servings Per Container: 30

	Amount Per Serving	Daily Value
Calories	10
Total Carbohydrate	2g	<1%
Dietary Fiber	<1g	3%

Vitamin A (75 Percent As Beta Carotene And As Retinyl Acetate)	5,000 IU	100%
Vitamin C (Ascorbic Acid)	300 mg	500%
Vitamin D (As Cholecalciferol)	800 IU	200%
Vitamin E (As Natural Mixed Tocopherols)	60 IU	200%
Vitamin K (As Phytonadione)	80 mcg	100%
Thiamin (as thiamin HCl) (vitamin B1)	60 mg	4,000%
Riboflavin (Vitamin B-2)	60 mg	3,529%
Niacin (As Niacinamide And Niacin)	90 mg	450%
Vitamin B6 (As Pyridoxine HCl)	95 mg	4,750%
Folic Acid	800 mcg	200%
Vitamin B12 (As Cyanocobalamin)	800 mcg	13,333%
Biotin	600 mcg	200%
Pantothenic Acid (As Calcium D-pantothenate)	30 mg	300%
Calcium (From Tricalcium Phosphate And Calcium Citrate)	500 mg	50%
Iron (As Ferrous Succinate)	18 mg	100%
Phosphorus (From Tricalcium Phosphate)	235 mg	23%
Iodine (As Potassium Iodide)	300 mcg	200%
Magnesium (As Magnesium Aspartate And Magnesium Oxide)	300 mg	75%
Zinc (As Zinc Gluconate)	15 mg	100%
Selenium (As L-selenomethionine)	200 mcg	286%
Copper (As Copper Gluconate)	2 mg	100%
Manganese (As Manganese Citrate)	2 mg	100%
Chromium (As Chromium Picolinate)	200 mcg	167%
Molybdenum (As Sodium Molybdate)	75 mcg	100%
Sodium	15 mg	<1%
Potassium (As Potassium Aspartate)	100 mg	3%
Choline (Bitartrate)	215 mg	**
Cinnamon Bark Extract (Cinnamomum Cassia)	150 mg	**
A Proprietary Blend (Antioxidant Blend) sweet cherry fruit extract, green tea leaf extract, grape seed extract, pomegranate fruit extract, and giant knotweed root and rhizome extract containing 50 percent resveratrol	109 mg	**
A Proprietary Blend (Vegetable Blend) broccoli flower, cabbage leaf, tomato fruit, carrot root, collard greens, mustard greens, kale leaf, and spinach leaf	50 mg	**
Ginger Rhizome Extract (Zingiber Officinale)	45 mg	**
Inositol	30 mg	**
Cranberry Fruit Extract (Vaccinium Macrocarpon) standardized to contain 30 percent organic acids (quinic, malic, and citric acid)	25 mg	**
Chaste Tree Berry Extract (Vitex Agnus-castus) standardized to contain 0.5 percent agnusides	20 mg	**
Bilberry Fruit Extract (Vaccinium Myrtillus) 4:1	10 mg	**
Boron (As Sodium Borate)	3 mg	**
Lutein	1.5 mg	**
Silicon (As Magnesium Trisilicate)	1 mg	**
Vanadium (As Vanadyl Sulfate)	100 mcg	**
Zeaxanthin	75 mcg	**

** Daily Value Not Established. Percent Daily Values are based on a 2,000 calorie diet.

Other Ingredients

Acacia Gum, Cellulose, Magnesium Stearate, Modified Cellulose, Modified Cellulose Gum, Soy Lecithin, Soybean Oil, Spirulina

Suggested Use

As a dietary supplement, three (3) tablets daily, or more as directed by your healthcare practitioner. Take with water to activate OrganiGlide. Best with food.

Warnings

If pregnant, nursing, or taking prescription drugs, consult your healthcare practitioner prior to use. ... Keep bottle tightly closed.

Allergen Info

This product contains NO sugar, yeast, wheat, gluten, corn, dairy products, artificial flavoring or preservatives. All colors used are from natural sources.

Applicable Functions

Aging, Bowel Movement normalization, Free Radicals, Immune System Support, Low Energy, Premenstrual Syndrome Support, Urinary, Vitamin Deficiency

Related Structure Groups

Bladder, Fallopian Tube, Ovary

About Enzymatic Therapy

Nature Makes it Pure. Science Makes it Work.

Our People
Enzymatic Therapy sparks with an enthusiasm that comes from knowing we're helping create the best supplement products in the nation.

Our team is made of people who are natural explorers; passionate about the healthful ingredients found in nature but committed to finding the most pure and effective combinations backed by rigorous research.

This buzz doesn't just end at the lab door. Everyone here, from our staff of scientists to our crews running the pharmaceutical-grade machinery to our customer service professionals, shares the exuberance of helping improve the health of America one customer at a time.

Our Reputation
Enzymatic Therapy, Inc. is known as the highest quality provider of therapeutic-dosage natural healthcare products and nutritional supplements in the nation. We strive to be the best for your health.

Our Difference
One thing that sets us apart from the others is the way we make our products. Everything, including raw material evaluation, supplier selection, laboratory analysis and manufacturing standards, is set to conform to the FDA's verified Good Manufacturing Practices, known in the industry as "GMPs."

Our Brands

Quick Tips

Good health doesn't have to be complicated. There are plenty of common-sense steps we can all follow to live better, more active, and fuller lives.

Eat right
We hear this so often it almost loses meaning. Eating right should mean adding things to your diet--more veggies, more fruits, more rich-tasting high-fiber breads and grains. However, it doesn't necessarily mean you have to give up chocolate. After all, there's plenty of beneficial flavonoids in those dark chocolate bars, right? You may just not want to eat chocolate at every meal. Instead of swearing off your favorite (but not healthy) meal forever, try just cutting it down to once or twice a month--make it a treat. As you incorporate more healthy, whole foods into your diet, you'll probably find yourself craving them instead of the bad stuff.

Exercise daily
You don't have to run a marathon or lift your neighbor's house. But, you can start parking a little further away at work each day. Begin taking break time walks, especially if the weather is nice. Dust off that bicycle and see if your friends would like to go for a spin. Almost every town has a dedicated group of folks who do some form of fun exercise. Whatever you do, don't overdo it right off the bat, and choose something you really enjoy. After a couple of weeks, your new exercise regimen will become part of your daily routine, as though it had always been that way.

Strength train your brain
Challenge yourself mentally, and not just by trying to keep up at work. Find a class in your off-hours that teaches something you've always been curious about, but has nothing to do with work. Read a book for fun. Start a board game night with your family. Check out those crossword puzzles. Research in recent years shows that learning new skills and interacting with the world keeps our minds younger much longer. You owe it to yourself to turn off the television and fire up some neurons!

Do something for others
Whether you volunteer for a local environmental group, a food pantry, or your church's annual picnic, people generally feel healthier when their focus is outside of themselves.

Drug Nutrient Interactions

Prescription drug listings are not all-inclusive; the drugs listed below are common examples.

Top Drug Categories Interactions
Anti-anxiety
[Buspar^® (buspirone), Ativan^®(lorezepam) - see Benzodiazepines]
Kava - For reasons similar to benzodiazepines, it is recommended to avoid taking kava with buspirone unless otherwise directed by a licensed health care professional.
St. John's Wort, Ginkgo Biloba - Concurrent use of St. John's Wort and buspirone and St. John's Wort and Ginkgo Biloba with buspirone has resulted in mild serotonin syndrome and should be avoided unless directed by a licensed health care professional.
Grapefruit Juice - Concomitant administration of buspirone and grapefruit juice should be avoided as it increased the concentration of buspirone in the blood.
Antibiotics
(General) Vitamin K - The use of cefmetazole sodium has been associated with hypoprothrombinrmia and treated with Vitamin K supplementation.
Antibiotics

(Aminoglycosides, Cephalosporins, Macrolides, Penicillins, Quinolones, Sulfonamides, Tetracyclines) Calcium, Iron, Magnesium, and Zinc - May prevent the absorption of tetracycline, ciproflaxin, and other antibiotics.
Antibiotics

Gentamycin and Penicillians Potassium Chloride - Concomitant administration of gentamycin with potassium chloride may lower the absorption of potassium chloride.
Antibiotics

Extended spectrum Macrolides [Biaxin^®(clarithromycin), Zithromax^®(azithromycin), Erythromycin, and Tetracyclines] Antacids - Antacids containing magnesium and aluminum have been shown to interfere with azithromycin absorption. People can avoid this by taking azithromycin two hours before or after any aluminum or magnesium containing products. Studies show the magnesium typically found in supplements affects absorption of azythromycin.
Anti-Diabetic
[Glucophage^®(metaformin), Actos^®, Avandia^®(pioglitazone)] DHEA(Dehydroepiandrosterone) - Metaformin has been shown to increase levels of DHEA in blood.
Antihistamines

[Claratin^®(loratadine), Allegra^®(fexofenadine)]
St. John's Wort - Concomitant use of St. John's Wort can have an effect on plasma levels of fexofenadine.
Fruit Juices - Co-administration of grapefruit, orange, and apple juices decreases the absorption of fexofenadine.
Anti-Psychotics
[Zyprexa^®(olanzapine), Risperdal^®(risperidone)]
Vitamin B₆ and E - Reported to effectively treat risperidone -related neuroleptic malignant syndrome.
Glycine - Glycine in combination with antiphychotic treatment has shown significant effects on the effectiveness of these drugs. While adjunctive glycine treatment has been shown to improve negative symptoms in combination with clozapine, olanzapine, and risperidone. Additional studies have shown it to be ineffective in combination with clozapine.
Supplementation with glycine in combination with an antipsychotic should only be done under the supervision of a health care professional.
Anti-Seizure

[Tegretol^®(carbamazepine), Dilantin^®(phenytoin), phenobarbital and Mysoline^®(primidone). Depakene^®(valproic acid) and Depakote^®(divalproex) are also anticonvulsant drugs.] Magnesium, Black Pepper, and Caffeine - Concomitant administration of phenytoin (Dilantin^®) or phenobarbital with magnesium oxide may lower magnesium oxide's absorption. Concomitant administration of Dilantin^® and black pepper and/or long pepper may cause the phenytoin to be absorbed more rapidly and eliminated more slowly. Phenytoin also increases the metabolism and loss of caffeine from the body.
Benzodiazepines
Kava - Due to the similarity of effects, it is usually recommended to avoid taking Kava with Benzodiazepines unless otherwise directed by a licensed health care professional.
St. John's Wort - Concomitant administration of St. John's Wort with alprazolam and should be avoided unless otherwise directed by a licensed health care professional.
Beta-Blockers Potassium - Concomitant use of certain Beta-Blockers may increase potassium levels.
Pepper (Piper Nigrum, Piper Longum) - In single dose human study, piperine, a chemical found in black pepper and long pepper, was reported to increase blood levels of propranolol, which could increase the activity and risks of the drug's side effects.
Antacids - One study showed a reduction in absorption of Sotalol(Betapace^®) when taken concomitantly with an aluminum oxide or magnesium hydroxide antacid. This interaction can be avoided by taking the medication two hours apart.
Magnesium - Magnesium has been effectively used to treat heart arrythmias that have resulted from administration of Sotalol(Betapace^®).
Calcium Channel Blockers Calcium - High level calcium supplementation may reverse the blood pressure-lowering actions of some calcium channel blocker drugs.
Vitamin D - Vitamin D may interfere with the effectiveness of verapamil.
St. John's Wort - A recent study showed that St. John's Wort decreased the bioavailability of R- and S-verapamil.
Fruit Juices - Ingestion of grapefruit, grapefruit juice, and grapefruit products has been shown to increase the adverse effects of calcium channel blockers or similar drugs.
Diuretics, Potassium-Sparing

[Amiloride, Aldactone^®(spironolactone), Dytac^®(triamterene)] Magnesium - Magnesium tends to be preserved.
HIV Antivirals St. John's Wort - St. John's Wort has been shown to speed up the elimination of indinavir which may result in resistance to the drug. St. John's Wort should not be taken concomitantly with HIV Antivirals.
Sho-Saiko-To - This herbal medicine has been shown to enhance the antiviral activity of lamivudine.
Carnitine- Depletion of Carnitine levels may be responsible for muscle and nerve damage in patients on Antiviral therapies. Canitine supplementation is recommended.
Antioxidants- A small study showed a positive effect of antioxidant supplementation on hyperlactatemia (elevated levels of lactate in the systemic circulation) in patients on long-term Antiviral therapy.
N-Aceylt Cysteine- Studies have shown supplementation a NAC during Antiviral therapy may reduce AZT toxicity.
Vitamins E and C- Supplementation with Vitamin E has shown to improve the efficacy of AZT and supplementation with Vitamins E and C may reduce AZT-related cellular damage.
NSAIDs (non-steroidal anti-inflammatory drugs) Copper - Copper may enhance the anti-inflammatory effects of NSAIDs. Indomethacin may cause sodium and water retention.
Non-Narcotic Pain Relievers
[Imitrex^®(sumitriptan), Ultram^®(tramadol)] St. John's Wort - Potential interactions may occur. Concomitant administration is not advised unless prescribed by a health care professional.
Oral Contraceptives St. John's Wort - Concomitant use of St. John's Wort and oral contraceptives may reduce the effectiveness of the contraceptives and cause breakthrough bleeding.
Serum Iron and Copper - Oral contraceptive use has been associated with an increase in iron and copper levels.
Respiratory Corticosteroids Calcium - Calcium absorption was reduced following administration of oral beclomethasone (inhaler), a respiratory steroid similar to Flonase.
Synthetic Thyroid Iron and Soy - Iron supplements and soy products taken at the same time as thyroid hormone replacement may interfere with absorption. Thyroid hormone absorption is increased when taken on an empty stomach. Thyroid hormones should be taken an hour before eating, at the same time every day.

For support of overall health in any individual, the appropriate comprehensive age- and gender-specific multiple formula, flax oil, and multiple antioxidant formula are recommended. However, for a specific potential deficiency, individuals may add single ingredient supplements to assure repletion. It is important to consider the quality and bioavailability of vitamin and mineral supplements used for these purposes.

Doctor's Choice Women FAQ

How much caffeine does Doctor's Choice Women contain?
Doctor's Choice Women contains a minute amount of caffeine, derived from the green tea extract. The total daily amount of caffeine is only 1 milligram. For comparison, the average amount of caffeine in one cup of coffee ranges between 80 to 115 milligrams, depending on the method of brewing and type of coffee bean used.

Doctor's Choice Multivitamin FAQ

I have trouble swallowing big vitamin tablets. Why are your tablets so large?
This is the most frequent question our customers ask. While the tablets are large this is necessary in order to include the optimal amounts of nutrients for good health. They have a coating which gets slippery when in contact with water or saliva to help make them easier to swallow.

A suggestion to help swallow tablets is to first take a sip of water to moisten your throat. Then place the pill on the tip of your tongue and take a small sip of water, but instead of tilting your head backwards (as many of us are tempted to do), tilt your chin down toward your chest. This will cause the tablet to float towards the back of your mouth, making gravity do most of the work. And if you tend to gag when taking your pills, take a deep breath before putting the tablet in your mouth. This helps suppress your gag reflex and makes swallowing much less uncomfortable.

Why do I have to take so many tablets of the Doctor’s Choice multivitamins each day? Can’t I get all the vitamins and minerals I need from one tablet?
In order to obtain the optimal amount of vitamins, minerals, and herbs to be effective, they need to be in amounts that could not possibly fit into a single tablet or capsule in a size small enough to be swallowed. Many nutrients are only active in the body for a short period of time and need to be replenished every 6 to 8 hours. Our Doctor’s Choice multivitamins are designed to be taken at intervals during the day (3 times a day, just like meals).

You can take fewer tablets than we recommend on the label; however, it if is difficult to take them throughout the day. Even at half the recommended dosage there is still significant nutritional support, especially when compared to many popular "just one tablet a day" formulas.

Why do I get an upset stomach when I take my Doctor’s Choice multivitamins? It seems to happen most often when I take them on an empty stomach.
While nutritional supplements are most often well tolerated, a few herbs and vitamins may make some individuals feel queasy or nauseated. Iron, in particular, has been linked to this problem. Taking supplements with meals will generally eliminate vitamin-associated nausea. If your nausea persists, the following strategies might be helpful:

• Reduce the number of tablets from the recommended four or six each day to just two or three daily
• Take your multivitamins later in the day; take two with your evening meal and two at bedtime with a small snack
• Take your vitamins with a clear carbonated beverage, such as ginger ale or lemon/lime soda

If none of these help, stop taking the Doctor’s Choice Multivitamins for a few days to rule out underlying problems. Your nausea may have coincidentally occurred when you started taking the vitamins but may actually be unrelated. Contact your doctor or other healthcare practitioner if your nausea is still present.

Are all the ingredients in the Doctor’s Choice multivitamins "natural"?
We strive to use natural, raw materials whenever possible. However, due to the limited availability of some of these nutrients, additional processing is sometimes needed to provide adequate raw materials for manufacturing and production. It would also be cost prohibitive for consumers to buy products containing only raw materials derived from a natural source. For example, the manufacturing of vitamin B begins with natural fermentation. Because B vitamins are only available in small quantities in nature, additional processing is needed to provide adequate amounts for manufacturing and production. Therefore, our Doctor’s Choice Multivitamins along with the rest of our nutritional supplements reflect the balance between providing high quality vitamins and keeping the price affordable.*

Drug Nutrient Interaction Chart References

Anti-anxiety

Miller LG. Herbal medicinals: Selected clinical considerations focusing on known or potential drug-herb interactions. Arch Intern Med. 1998;158:2200-2211. Abstract.
Spinella M, Eaton LA. Hypomania induced by herbal and pha,aceutical psychotropic medicines following mild traumatic brain injury. Brain Inj. 2002 Apr; 16(4):359-67. (see reference SSRIs)
Dannawi M. Possible serotonin syndrom after combination of buspirone and St. John's Wort J Psychopharmacol. 2002 Dec; 16(4):401. No abstract available.
Lilja JJ, Kivisto KT, Backman JT, et al. Grapefruit juice substantially increases plasma concentrations of buspirone. Clin Pharmacol Ther. 1998 Dec; 64(6):655-60.

Antibiotics

Breen GA. Hypoprothrombinemia associated with cefmetazole Ann Pharmacother. 1997 Feb 31 (2) :180-4.
Pelton R. LaValle JB. Drugs and Their Effects on Nutrition. In: The Nutritional Cost of Perscription Drugs. 2nd Edition Englewood, CO: Morton Publishing Company; 2004, 34-35.
Horowitz S. Combining supplements and perscription drugs. Altern Complete Ther. 2000.pp.306.
Brinker F. Vitamin/mineral/drug interactions. In:Herb Contraindications and Drug Interactions. 3rd ed. Dandy, Ore: Eclectic Medical Publications; 2001.pp.306
Foulds G, Hilligoss DM, Henery EB, Gerber N. The effects of an antacid or cimetidine on the serum concentrations of azithromycin. J Clin Pharmacol. 1991; 31:164-167. Abstract.
Flockhart DA, Desta Z, Mahal SK. Selection of drugs to treat gastro-oesophageal reflux diease: the role of drug interactions. Clin Pharmakinet. 2000 Oct;39 (4):295-309.

Anti-Diabetic

Nestler JE, Beer NA, Jakubowicz DJ, et al. Effects of a reduction in circulating insulin by metformin on serum dehdtorpiandrosterone sulfate in nondiabetic men J Clin Endocrinol Metab. 1994 Mar;78(3):549-54.
Crave JC, Fimbel S, Lejeune H, et al. Effects of diet and metformin administration on sex hormone-binding globulin, androgens, and insulin in hirsute and obese women. J Clin Endocrinol Metab. 1995 Jul; 80(7):2057-62.

AntiHistamines

Izzo AA. Drug interactions with St. John's Wort (Hypericum perforatum): a review of the clinical evidence. Int J Clin Pharmacol Ther. 2004 Mar; 42(3):139-48.
Wang Z, Hamman MA, Huang SM, et al. Effect of St. John's Wort on the pharmacokinetics of fexofenadine. Clin Pharmacol Ther. 20002 Jun; 71(6):414-20.
Dresser GK, Bailey DG. The effects of fruit juices on drug disposition: a new model for drug interactions. Eur J Clin Invest. 2003 Nov; 33 Suppl 2:10-6.

Anti-Psychotics

Dursun SM, Oluboka OJ, Devarajan S, Kutcher SP. High-dose vitamin E plus Vitamin B6 treatment of risperidone-related neuroleptic malignant malignant syndrome. J Psychopharmacol. 1998; 12(2):220-1.
Javitt DC, Silipo G, Cienfuegos A, Shelley AM, et al. Adjunctive high-dose glycine in the treatment of schizophrenia. Int J Neuropsychopharmacol. 2001 Dec; 4(4):385-91.
Heresco-Levy U, Ermilov M, Lichtenberg P, Bar G, Javitt DC. High-dose glycine added to olanzapine and risperidone for the treatment of schizophrenia. Biol Psychiatry. 2004 Jan 15;55(2):165-71.
Potkin SG, Jin Y, Bunney BG, Costa J, Gulasekaram B. Effect of clozapine and adjunctive high-dose glycine in treatment-resistant schizophrenia. Am J Psychiatry. 1999 Jan; 156(1):145-7.

Anti-Seizure

Brinker F, Vitamin/mineral/drug interactions In: Herb Contraindications and Drug Interactions. 3rd ed. Dandy, Ore: Eclectic Medical Publications; 2001.pp. 305.
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Benzodiazepines

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Beta-blockers

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Calcium Channel Blockers

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Diuretics, Potassium-Sparing

Devane J, Ryan MP. The effects of amiloride and triameterene on urinary magnesium excretion in conscious saline-loaded rats. Br J Pharmacol 1981;72:285-89

HIV Antivirals

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NSAIDs (non-steroidal anti-inflammatory drugs)

Sorenson JRJ. Copper chelates as possible active forms of the antiartritic agents. J Medicinal Chem 1976;19:135-48.
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Non-Narcotic Pain Relievers

Brinker F, Vitamin/mineral/drug interactions In: Herb Contraindications and Drug Interactions. 3rd ed. Dandy, Ore: Eclectic Medical Publications; 2001.pp. 183

Oral Contraceptives

Newhouse IJ, Clement DB, Lai C. Effects of iron supplementation and discontinuation on serum copper, zinc, calcium, and magnesium levels in women. Med Sci Sports Exerc. 1993 May; 25(5):562-71.
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Respiratory Corticosteroids

Smith BJ, Phillips PJ, Pannall PR, et al. Effect of orally administered beclomethasone dipropionate on calcium absorption from the gut in normal subjects. Thorax. 1993 Sep; 48(9):890-3.

Synthetic Thyroid

Beard JL, Borel M, Peterson FJ. Changes in iron status during weight loss with very low-energy diets. Am J Clin Nutr. 1997;66:104-110. Abstract.
Beard JL, Borel MJ, Derr J. Impaired thermoregulation and thyroid function in iron deficiency anemia. Am J Clin Nutr 1990;52:813-819. Abstract.
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