Recently my prescription vitamins went from a "tier
1" to a "tier 2", which for those of you that don't understand
the insurance lingo (who does?) that means my vitamins went from $20/month to
$120/month!!! Most doctors agree that over the counter (OTC) vitamins are fine
to take as long as you are getting your essentials...
"Here, get the 411 on everything you need to know about prenatal vitamins.
A prenatal vitamin is vital for a healthy pregnancy and a
healthy baby, but knowing when to start taking them, which brand to buy and how
much of each vitamin and mineral to look for can be daunting.
Why prenatal vitamins?
It can be hard to eat healthy when you’re dealing with morning sickness and
pregnancy cravings, but prenatal vitamins aren’t meant to make up for unhealthy
food choices.
“This should complement a healthy diet,” Dr. Mary Rosser, an
assistant professor in the department of obstetrics and gynecology and women's
health at Montefiore Medical Center in New York City said. “It’s really not a
substitute for anything.”
Plus, because we tend to lack a lot of vitamins and minerals
due to depleted soils, getting those in a prenatal vitamin is even more
important, according to Michele McRae, Senior Director of Research,
When should you start taking prenatal vitamins?
If you’re hoping to get pregnant, you should ideally start taking prenatal
vitamins at least three months before you plan to get conceive. Prenatal
vitamins have folic acid, which prevents neural tube defects like spina bifida,
which develops within 28 days after conception.
Plus, folic acid may reduce the risk of autism, according to
a report in the Journal of the American Medical Association.
“The defects can occur very early in pregnancy, many times
before women know that they’re pregnant,” Rosser said.
For this reason and because 50 percent of pregnancies are
unplanned, experts recommend all women of reproductive age take a multivitamin
with 400 micrograms of folic acid, whether they’re trying to get pregnant or
not.
What to look for in a prenatal vitamin.
Prenatal vitamins are available by both over-the-counter and by prescription.
Although formulations can vary from brand to brand, these are the most
important vitamins and minerals to look for:
Folic acid
Anywhere between 400 mcg and 800 mcg of folic acid is ideal. If you previously
had a baby with a neural tube defect or if you have other risk factors, your
doctor may prescribe 4 mg (4,000 mcg) of folic acid.
Iron
Iron is essential for a baby’s growth and development and it prevents you from
having anemia. Getting more iron is especially important because your blood
volume almost doubles to deliver oxygen and nutrients to the baby.
30 mg is best but your doctor may prescribe more if you’re
iron deficient, which most moms are, McRae said.
Calcium
Your developing baby needs calcium for growth and bone development and strength
and she’ll draw that nutrient from you. Because of this, it’s important for
moms to get enough calcium— aim for 250 mg a day.
Magnesium
Look for a prenatal vitamin with at least 400 mg of magnesium, which is crucial
for baby’s bone development. It will help you relieve muscle aches, improve
energy, and aid relaxation.
Vitamin D
Vitamin D not only helps mom absorb calcium and supports healthy blood
pressure, but research shows its linked to better birth outcomes, too.
Plus, a recent study in the Journal of Clinical
Endocrinology and Metabolism found that moms with higher vitamin D levels were
more likely to have children with stronger muscles.
Aim for 400 IU to 800 IU of vitamin D. If you’re at risk for
bone issues or are a vegetarian, your doctor may prescribe up to 2,000 IU a
day.
DHA and EPA
Studies show that DHA and EPA are important for baby’s brain and eye function
and may even prevent pre-term birth and depression during pregnancy and
postpartum.
Most over-the-counter prenatal vitamins don’t include DHA
and EPA, but you can take a supplement or ask your doctor for a prescription.
Take at least 250 mg per day.
Vitamin B
Vitamin B6 is important for a baby’s brain development and nervous system, and
can maintain your energy and keep your mood balanced. Look for 2 mg of B6, but
a prenatal vitamin with a vitamin B complex is even better.
Vitamin C
Vitamin C but is essential for immunity, especially because we don’t produce
it. 50 mg a day is best.
Choline
Studies show that choline may help with cognitive abilities and IQ later in
life. At least 30 mg a day is ideal".
Of course always speak to your MD as to what vitamin s/he
believes will be best for you and your baby ;)
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