According to the Food and Drug Administration, Congress defined the term “dietary supplement” in the Dietary Supplement Health and Education Act (DSHEA) of 1994.

A dietary supplement is a product taken by mouth that contains a “dietary ingredient” intended to SUPPLEMENT the diet. The ingredients of these products may include: vitamins, minerals, herbs or other botanicals, amino acids, and substances such as enzymes, organ tissues, glandulars, and metabolites. DSHEA places dietary supplements in a special category under the general umbrella of “foods,” not drugs.

Under DSHEA, the company that produces the dietary supplement is responsible for determining the supplement’s safety and that any representations or claims made about them are substantiated by adequate evidence to show that they are not false or misleading. This means that dietary supplements do not need approval from FDA before they are marketed.

Unlike drug products that must be proven safe and effective for their intended use before marketing, there are no provisions in the law for FDA to “approve” dietary supplements for safety or effectiveness before they reach the consumer. Once the product is marketed, FDA has the responsibility for showing that a dietary supplement is “unsafe,” before it can take action to restrict the product’s use or removal from the marketplace.

FDA disclaimer



Most people who have true vitamin deficiencies have underlying medical problems that either prevent absorption of a nutrient from the diet or its metabolism. For example, patients who have undergone a gastric bypass surgery, have been afflicted with malabsorption disorders, or suffer from chronic alcoholism are unable to obtain the right nutrients in their diet. It is best for most people to obtain vitamins and minerals from eating a well-rounded healthy diet.

However, some people benefit from certain vitamin supplementation. Pregnant women and women who might be pregnant are recommended folic acid supplementation, especially in the first trimester, to prevent neural tube defects in their babies. Pregnant women may also be recommended iron supplementation by their health care provider.

Patients that have vitamin D deficiency and/or suffer from osteoporosis or osteopenia are recommended Calcium and Vitamin D supplementation to help increase bone mineral density and decrease fractures in post-menopausal women.

People over age 50 tend not to absorb Vitamin B12 as well as vegans and they should obtain recommended intakes of vitamin B12 mainly from fortified foods or dietary supplements.

Individuals with poor nutrient intakes from diet alone, who consume low-calorie diets, or who avoid certain foods (such as strict vegetarians and vegans) might also benefit from taking multivitamins.



When you are supplementing your diet with pill-form of multivitamins, how do you know if you are taking too much or too little?

Your doctor is the best person to ask about a supplement you are planning to take. In addition, the back of the vitamin bottle contains percentage of daily allowance of recommended supplement intake.

Supplement Facts

Special Considerations for Certain Population Groups

Most basic multivitamins usually contain both vitamins and minerals, mostly at levels that do not exceed the daily recommended values for these nutrients. However, people who take multivitamins and other supplements and who eat fortified foods and beverages might consume some nutrients at levels that exceeding the upper level of recommended intake, which increases the possibility of adverse effects.

Smokers and, possibly, former smokers should avoid multivitamins that contain a large amount of beta-carotene or vitamin A due to an increased risk of lung cancer, as it has been suggested in several studies.

Taking excess vitamin A (as preformed retinol but not beta-carotene) during pregnancy can increase the risk of birth defects in infants. In general population, over-consumption of vitamin A can cause staining of skin a yellow-orange color, loss of hair, developing dry and scaly skin, mouth sores, anorexia, vomiting, nausea, abdominal pain, and headaches.

Over-consumption of Vitamin D can cause high blood calcium levels, kidney stones from high blood and urine calcium levels, anemia, and kidney failure.

Information about different dietary supplements can be obtained online by reviewing dietary supplement fact sheets at National Institute of Health website:

Hyperhidrosis is a condition that is characterized by excessive sweating and usually occurs mostly on the hands, feet, armpits, and face of the affected patient.

In normal cases, the body produces sweat episodically meaning that sweat is usually produced as a response to something whether it be stress, anxiety, when you are exercising, or when you are running a temperature after which it dissipates. 

In a small percentage of patients with hyperhidrosis, this exocrine function doesn’t stop and they sweat in conditions that don’t warrant it for e.g. in an air-conditioned space or while simply just relaxing. Hyperhidrosis can in some instances be linked to an underlying cause, however, in many cases, there is no known medical cause.

Hyperhidrosis can be classified into two groups – primary and secondary hyperhidrosis.

Primary hyperhidrosis

Primary hyperhidrosis can cause undue sweating in large quantities usually evident on the face, feet, hands, and underarms of the patient.

Secondary Hyperhidrosis

Secondary hyperhidrosis usually presents itself in larger areas that are dispersed all over the body and is caused by heat, underlying medical conditions, or even from some types of medication.

Many cases of primary hyperhidrosis are usually hereditary in nature. Patients with hyperhidrosis sweat from the eccrine gland which are found in large quantities on the hands, feet, face, and underarms. Overstimulation of the eccrine gland is what causes hyperhidrosis and sometimes all that is necessary to trigger excessive sweating is a mere thought of potentially feeling a certain way.

How is it treated?

Over the counter medicine can be used to treat hyperhidrosis. 

  • Anticholinergics affect the nerve glands to secrete less sweat. This medication comes in pill form, or in the form of a cream that is applied to the skin.
  • Botox injections
  • Anxiety medication
  • Low intensity electrical current treatments 

Surgery is usually the last resort. Doctors perform a thoracic sympathectomy where the doctor removes the nerves and sweat glands in the affected area. This can cause other side effects which include sweating elsewhere such as on the back, chest, and legs for example.

Secondary hyperhidrosis is usually caused by an underlying medical condition and causes sweat to be produced whilst sleeping. Secondary hyperhidrosis usually occurs all over the body and can be caused by the following factors such as pregnancy, hyperthyroidism, gout, shingles, menopause, and many others as well as certain medications used to treat conditions such as diabetes or depression. 

If you are suffering from this medical anomaly and want to find out more information about this condition, contact us at Concierge Medicine of Jupiter today for personalized medical care assistance with a difference.

Concierge medicine is an enhanced doctor-patient relationship where the patient pays a retainer fee to a doctor who takes care of their primary medical needs. Concierge medicine is a term used to describe the primary care received by a practitioner that is not impacted by other patients and the time taken to see these patients.

There are many benefits of concierge medicine that includes the following:

Increase in availability

There is additional accessibility with concierge medical care as doctors are able to offer their services after hours and are readily available to communicate with patients via telephone calls, text, email, and even virtually. They can guarantee you an appointment for the very same day or for the day after which means you don’t have to wait long at all to see a medical practitioner.

Concierge doctors have a proactive approach

With concierge medicine, patients are monitored on a more regular basis without being inhibited by time constraints. Doctors are therefore able to provide more thorough care, and through regular visits can detect conditions before they develop as opposed to treating conditions as they occur. 

Concierge doctors provide all-round care

Concierge doctors have more time at their disposal to go through each patient’s medical history and formulate accurate diagnoses based on this information. They are better equipped to recommend referrals if need be, and they can better manage illnesses (especially chronic) as they are very familiar with the patient’s medical history and have regular contact with the patient.

Concierge medicine saves on costs

The time pressures placed on ordinary care practitioners can sometimes lead to additional medical testings that need to be done over and above the doctor’s visit. These tests can add up cost-wise and place a bigger financial burden on the patient than if there were seeing a concierge doctor. Concierge doctors have that extra time at their disposal to be able to investigate and do more research into a medical diagnosis without incurring additional costs.

You have a more familiar relationship with your doctor

Because concierge doctors can see patients more regularly, they become more familiar with their medical history;  this allows them to provide patients with better service and it also allows patients to feel more comfortable and at ease around their doctor.

Concierge medicine offers the best and most up to date medical care

Concierge doctors are concerned with providing the best possible medical care and service to patients. This goes hand in hand with staying on top of the latest medical news, trends, and latest medical technological developments to ensure that patients receive the most up to date treatment.

Concierge medicine is a recent trend that is growing and proving more and more popular when it comes to medical care.

If you are looking for more information about concierge medicine and what it entails contact us today.