DEAR DR. BLONZ: I focus on eating nutritious foods, but also take some supplements. Some are hard tablets, some are capsules and some are softgels. I sort them all into a days-of-the-week pills container so I don't have to mess with the individual bottles. The container snaps closed, but it is not an airtight seal. I keep it in the refrigerator. Is there any problem keeping them together like this, or storing them in the refrigerator? -- S.N., Phoenix
DEAR S.N.: Keep your focus on foods and lifestyle, as these should be the key; supplements are not replacements for a healthful diet. It is best to store supplements in a cool, dry place, avoiding extreme temperatures. Having the various forms together will not necessarily cause problems as long as they are stored properly. However, unless the product recommends it, refrigerated storage is unnecessary and could expose the supplements to condensation moisture. Moisture and heat can decrease the shelf life of supplements, which is why many of them come packaged with a moisture-absorbing packet. The bottom line is that the concerns are minimal if you are dealing with short-term storage in a well-sealed container.
As a general rule, if you are going to store supplements apart from their original containers, I advise keeping a current list of everything you are taking, along with pictures, on your mobile device. You can keep this with your list of medications -- another bit of information you should keep current. Let your emergency contact know where this information is located. In any unexpected health situation -- especially one where you cannot speak for yourself -- this is vital information for a health care team.
DEAR DR. BLONZ: I realize that vitamin E is one of the fat-soluble vitamins, so I assume that it, like vitamin D, should be taken with meals to help absorption. When at a supplement store, I noticed a label for a vitamin E product that was "water solubilized." Please explain what this means. -- L.G., Anderson, South Carolina
DEAR L.G.: Vitamin E does not normally dissolve in water, but there are ways in which it can be combined with other substances to make it water-soluble. One way is to blend vitamin E with succinic acid. The resulting compound, tocopheryl succinate, is a dry form of vitamin E that is used in tablets. Another way is to combine vitamin E with an emulsifier that allows fat-soluble substances to mix with water. Vitamin E, in a water-soluble form, is recommended for any with impaired fat digestion and absorption.
Send questions to: "On Nutrition," Ed Blonz, c/o Andrews McMeel Syndication, 1130 Walnut St., Kansas City, MO, 64106. Send email inquiries to questions@blonz.com. Due to the volume of mail, personal replies cannot be provided.