想防癌抗癌？三種你可能不該用的營養補充品｜Dietary Supplements You May Want To Avoid To Stay Cancer-Free

[@張適恆醫師]

I am currently looking for software that can accurately provide bilingual subtitles. In the meantime, I will post the English translation of the video transcript in the pinned comment to help friends outside the Chinese-speaking world understand the content of the video. Thank you again for your support and for watching. 給需要雙語字幕的朋友：很抱歉，目前正在尋找能夠更精確上雙語字幕的軟體，在那之前我會把影片字幕逐字稿的英文翻譯放在置頂留言，方便中文世界以外的朋友理解影片的內容。再次感謝大家的支持跟收看。 Decreased appetite and poor digestion are common issues that many cancer patients face while battling their illness. At such times, nutritional supplements, as a convenient alternative, indeed solve the problem of nutrient intake for many patients. Indeed, the lack of certain key nutrients can have long-term and adverse effects on patients. Conversely, in recent decades, substantial medical evidence has accumulated showing that some specific nutritional supplements may not only increase cancer risk in the general population but also have adverse effects on cancer patients. These effects can range from worsening symptoms and lowering quality of life to triggering disease relapse and even increasing mortality. If taken in excess unknowingly, it can truly be counterproductive. So today, I will discuss three nutritional supplements that should not be consumed in excess. I hope this helps you make better choices in selecting supplements that truly boost your immunity without harming your wallet or your health. First Nutritional Supplement to Avoid in Excess: Beta-Carotene Beta-carotene is a type of carotenoid, a pigment found in yellow and orange plants. If you remember, there is a substance called triterpene in reishi and antrodia mushrooms. Chemically, carotenoids are a type of tetraterpene. Beta-carotene helps plants with photosynthesis, forms protective pigments, and assists in synthesizing their own hormones. In humans, it acts as an antioxidant and is a precursor to vitamin A, so beta-carotene is also known as a vitamin A precursor. A large meta-analysis led by the Norwegian University of Science and Technology in 2018 combined data from 69 studies and found that those who consumed the most carotenoids from fruits and vegetables had a significantly lower risk of cardiovascular disease and cancer-related mortality. However, it’s important to note that this was from food sources, not supplements. Other smaller studies have shown that higher intake of carotenoids from food is associated with a reduced risk of cervical cancer and increased survival rates in breast cancer patients. So, what about taking nutritional supplements? Research results are mixed, but most lean towards negative outcomes. Not only are the results unfavorable, but the consequences can be quite severe. For example, a study published in 2022 in the American Journal of Internal Medicine found that regular supplementation of beta-carotene increases the risk of lung cancer by 20% in adults. More crucial evidence comes from the ATBC study in Finland, a double-blind controlled trial, which found that smokers who took beta-carotene supplements had a 22% to 31% increased risk of lung cancer. For cancer patients already undergoing treatment, a study on head and neck cancer patients found that those who continued smoking and took more than 30 mg of beta-carotene daily had more than double the risk of cancer recurrence and more than triple the risk of death. Radiation therapy is an effective treatment for head and neck cancer, but when combined with smoking and beta-carotene supplementation, its efficacy is significantly diminished. In conclusion, beta-carotene supplementation is very detrimental for cancer prevention or management, especially when combined with smoking, which amplifies its harmful effects. However, don’t assume that non-smokers can safely take beta-carotene supplements. More in-depth studies show that beta-carotene can stimulate new blood vessel formation around cancer cells and promote more vigorous division of pancreatic and lung cancer cells in laboratory settings. In other words, regardless of smoking status or cancer presence, I do not recommend beta-carotene supplementation, especially in doses exceeding 20 mg daily. On the other hand, consuming beta-carotene from fruits and vegetables is completely safe and beneficial. Second Nutritional Supplement to Avoid in Excess: Vitamin B12 Vitamin B12 is the last member of the B vitamin family but is crucial for health. Vitamin B12 is essential for DNA synthesis at the beginning of life. It plays a key role in producing blood cells in the bone marrow and is necessary for the proper functioning of the nervous system, mitochondria, and metabolic processes. Vitamin B12 sources primarily include meat, dairy, and eggs, with fewer plant-based sources, mostly in mushrooms and algae. Therefore, strict vegetarians and those who do not consume dairy or eggs are at risk of B12 deficiency. Vitamin B12 is unique in that its absorption process is complex. Most trace nutrients are absorbed directly through the intestinal lining after being transported to the small intestine, but B12 cannot pass through the stomach alone due to its vulnerability to stomach acid. Moreover, it cannot be directly absorbed by the intestinal lining; it requires specific proteins for absorption. The body has prepared four 'receptionists' to handle B12: haptocorrin, pepsin, gastric acid, and intrinsic factor. Initially, B12 binds with haptocorrin in saliva to protect it from stomach acid. In the stomach, pepsin and gastric acid separate B12 from haptocorrin, and B12 then binds with intrinsic factor, which facilitates its absorption in the small intestine. Conditions affecting these four 'receptionists,' such as stomach diseases, surgery, or acid-reducing medications, can impact B12 absorption. Given the complexity of its absorption and the significant health impacts of deficiency, B12 supplementation is widespread, available over-the-counter and by prescription. However, excessive B12 supplementation is not without risks. A 2024 study with over 90,000 participants found that for every 100 pmol/L increase in blood B12 concentration, adult mortality increased by 4%, and by 6% in the elderly. Additionally, a 2017 study published in the Journal of Clinical Oncology (JCO) found that long-term B12 supplementation in men increased the risk of lung cancer by 40%, with a higher risk of up to 100% for those taking more than 55 mcg daily. Breast cancer patients undergoing chemotherapy who took high doses of B12 supplements had an 83% increased risk of disease recurrence and more than a 100% increased risk of death. It is important to note that these negative findings pertain to supplements. Studies have shown that dietary B12 from food does not carry the same risks, reinforcing that natural sources are generally safer. For strict vegetarians, individuals with stomach issues, or those on acid-reducing medications, appropriate B12 supplementation is necessary to prevent deficiency and related health issues. In such cases, regular blood tests to monitor B12 levels are recommended. Third Nutritional Supplement to Avoid in Excess: Vitamin E Vitamin E is a fat-soluble antioxidant vitamin. Antioxidants not only perform necessary physiological functions but also have the ability to donate electrons to free radicals, stabilizing them and preventing damage to important molecules like proteins, fatty acids, and DNA. This protects against cellular damage and cancer development. Vitamin E, along with vitamin C, copper, zinc, selenium, carotenoids, and polyphenols, acts as an antioxidant. However, despite its antioxidant properties, vitamin E can be harmful. It can interfere with the DNA's ability to suppress cancer-related genes, such as the well-known P53 gene, which is crucial for preventing cancer cell development. A January 2004 Cochrane review found that regular vitamin E supplementation increased the risk of gastrointestinal cancers. Another analysis published in the American Journal of Respiratory and Critical Care Medicine in 2008 showed that daily intake of 100 mg of vitamin E increased the risk of lung cancer by 5%, with higher intake leading to greater risks. The SELECT randomized controlled trial revealed that men taking 400 IU of vitamin E daily had a 17% increased risk of prostate cancer after seven years. It is important to note that these findings are specific to supplements. Consuming vitamin E from natural sources such as nuts, seeds, and dark green vegetables does not carry the same risks. Studies have found that dietary vitamin E reduces the risk of various cancers, including lung and liver cancer. In summary, these three supplements-beta-carotene, vitamin B12, and vitamin E-should be avoided or used cautiously to prevent adverse effects. Natural sources of these nutrients are generally safer and more beneficial. I hope this information helps you make informed decisions when choosing supplements. Thank you for watching, and special thanks to our supporting members. Wishing everyone a happy Mid-Autumn Festival with a full moon and family reunions. See you next time. Bye!

[@lighthee]

太用心了，感謝您

[@ivylow1500]

This is very helpful. Thank you! 😊

[@yy660118]

沒有癌症治療，有貧血目前維持數值，主要是為更年期作準備，醫生有安排定期抽血檢查維他命B跟D,抽血數值都低於數值，除了補充營業劑跟天然食物增加吸收，請問這樣屬於正常醫療行為

[@ong88868]

1 胡萝卜素营养补充品 2 B12营养补充品不能太多 3 vitamin E营养补充品不能多

[@Johnsonwu90180]

我就喜歡這樣沒有廢話然後給一堆數據和科學用詞在說服我

[@pijessie5111]

張醫師太棒了！是天生的醫學人才～天選之人，世界的人都有福了！我很榮幸今晚在無意間看到您的視頻，感謝您的分享！您講解的很有條理又易懂～❤❤❤⋯

[@張適恆醫師]

謝謝您的支持～^_^

[@franfran6979]

這個影片內容不僅實用寶貴，張醫師的B12四位迎賓人員和維他命E雙面人的比喻非常生動又容易了解, 真是佩服。感謝造福大家🙏

[@FuzzyBuzzy-t2v]

張醫師謝謝你，你的口齒清晰讓人聽的一字不漏清清楚楚明明白白一點廢話都沒，字字珠璣，真好，再次謝謝

[@紫羅蘭-n6g]

感謝張醫師❤❤❤！無形中你救了很多人的命！

[@鐘鈴林]

張醫師幽默貼切的解說非常棒，感恩您的用心❤

[@lidachen7915]

张医生的解说很具体让我们增长了很多知识👍

[@銀枝李]

感謝何醫生用心教導講解，天然食物真的好棒喔，堅果一次不要吃太多，平均每天吃五顆，晚安

[@蘇打沈]

又上了一堂非常寶貴的營養課😊😊😊謝謝張醫師

[@月娥蔡-t8t]

感恩張醫師的解説，長知識了！謝謝您！祝福張醫師全家中秋佳節健康愉快😊😊😊

[@陳美妙-h2w]

醫生的比喻真是太妙了👍讓人很容易明白！ 增加了很多正確的營養知識

[@user-moutou6219]

謝謝❤張醫師，我摘錄重點(請修正)：β胡蘿蔔素每日20mg以下，B12(轉鈷胺蛋白,胃蛋白酶,胃酸，內因子蛋白)起先B12在唾液內的轉鈷胺蛋白結合+胃蛋白酶+胃酸保護後)又恢復單獨B12(肉類奶蛋) ，再由內因子蛋白保護進入小腸被吸收。所以說治療胃病過程的三合一療法的制酸劑，就不能長期吃的原因。2024年初的90000人研究研究(早期芬蘭也5∼8年29000人研究，超標致癌)，天然食品攝取沒有障礙，如果需要補充營養時，被忘記透過醫師抽血檢查，在醫師的指導下監控。而不是盲目。內人在抗癌期間也是遇到醫師開B12的案例，我後來提供芬蘭政府的研究,長期使用B12者後來致癌者，體內都超標，故超標是危險的。尤其抗癌者。後來經我要求檢查「真的超標很多」趕快停掉。 ❤❤❤ 忌諱自己盲目使用營養食品，我比較忌諱的是在製造過程的「不純致癌物」。到底是多少？所以西藥房內的營養補充品真的黑巴巴的。❤祝福大家！

[@張適恆醫師]

非常正確，您真的太專業了🥹

[@JoanaLee-z5p]

柏格醫生談到B12的成份，你推薦了一個英文我忘了，才是有益人體麻煩專家看一下他看一下他的說法。我常嘴破舌頭潰瘍醫生要我吃B12一千。之前不清楚這些我買了成份跟柏格醫生說的不一樣.我現在都不敢吃了。我想問有人對伯格的說法有其他的見解嗎，謝謝適醫生

[@JoanaLee-z5p]

對不起上文，柏格醫生推薦一個B12有益人體的來源組合成份，請醫生上KZbin打入伯格謝謝

[@seetrip]

我能請教一下，醫院之前開的成份是氫鈷胺嗎？目前一般保健食品內，都是氫鈷胺，人體難以吸收，會囤在體內，驗血就知道了。 柏格影片中的B12為鉀鈷胺，而且他說氫鈷胺的問題，跟您太太會遇到的情況是一樣的。 同樣化合會造成基因突變的還有化合的葉酸。而懷孕婦女補的一般成份，恐怕是，因為成本低。此成份，要補充活性的才對。

[@蔡俊茂-u4w]

感謝重點整理 太棒 了

[@ong88868]

感恩感谢❤ 願医师继续下去为世界而说明 利益众生。

[@hjsfhk]

感謝張醫師,獲益良多。

[@julianayen3708]

非常慶幸能在YT 上發現張醫師，惠我良多，不勝感激。

[@huanghelen-u1t]

我是乳癌患者7天服用化療的藥物7天休息我要停用B12謝謝醫生

[@郭育宏-k6i]

又學到新知識了, 感謝張醫師的分享.

[@玉華孫-m5k]

多谢张医生这么通透的讲解，受教了🎉

[@MP-eh6sc]

非常感谢张医师的分享，讲解清晰 简洁明了。希望每一位善良的人都被岁月温柔以待。

[@龔盟晴]

張醫師謝謝你的分享，很喜歡你的影片，祝福-中秋節快樂。

[@shiukuenwong4732]

謝謝張醫師 用心良苦 祝你中秋快樂 身體健康

[@xiangyueguseva]

非常棒的视频，受益匪浅。谢谢张医生。

[@maylee1526]

三種你可能不該用的"營養補充品"：類胡蘿蔔素(維生素A)、B12、E。還好，還好，從不吃任何營養品、保健品，只吃原形食物！謝謝張醫師堅定我不吃營養品、保健品的理念！！

[@loupenny4203]

感恩醫師的提醒

[@chanannapolis4088]

謝謝張醫師分享❤

[@oxhead4020]

感謝張醫師詳細的解說，謝謝您！！

[@nina39491]

收穫良多 感恩 感恩 把難懂的解釋成易懂的 太謝謝了

[@Alex-b4r6u]

各種營養補充的問題 很少影片說的如此詳細 非常感謝

[@陳麗嬋-v8p]

謝謝張醫師分享🙏🙏🙏

[@王淳怡]

簡單明白,謝謝張醫生在此祝中秋快樂

[@isislau7745]

第一次看到張醫師的影片,簡單易明,立馬訂閱了你的頻道,謝謝醫師

[@BillionaireCHING]

謝謝張醫師的無私分享。

[@李湘馨]

長知識了！ 謝謝醫師的說明

[@Lisa-r8p9g]

謝謝張醫生,另外,阿財好可愛

[@林月端]

謝謝醫師詳細分析解說 祝您中秋佳節愉快🎉🎉🎉

[@ricolajih]

張醫生謝謝您🥰👏💕👍👍🌟🌟🌟🌟🌟分享

[@張適恆醫師]

也祝您中秋快樂喔

[@tlc6039]

柴柴好可愛喔！💜💜 謝謝醫生分享非常實用！🙏🙏 我要趕緊跟家裡長輩們說B12 不要天天吃…..😅 要先去身體檢查看有沒有缺少，應先補充原型食物的營養而不是吃一堆不需要補充的維他命。

[@ritaHe-h1l]

謝謝張醫師

[@謝湘娟]

從食物中攝取類胡蘿蔔素對身體比較好。 B12在肉類、蛋類、蕈菇類、藻類中。

[@Changsmusic-nl8fh]

解釋很詳細，謝謝

[@chuanjuchaing7876]

佛心的醫生

[@蘇打沈]

哈哈哈😅😅😅張醫師和柴柴這個畫面好可愛

[@chinhockooi6148]

您的愛🐶很帥喔😘謝謝愛心分享❣️❣️

[@pcp6096]

縂結：就是營養補充品的來源是原形食物，才安全。 也應做血液的抽檢，會更好。 謝謝張醫師.珍貴的資訊！ ㊗️您中秋佳節快樂！❤❤❤🎉🎉🎉⋯⋯

[@張適恆醫師]

中秋節快樂😄

[@yjc5816]

謝謝張醫師分享與分析

[@NTUT98588031]

保健食品先沒吃，都吃天然食品的確真的好多了😄

[@gerrylcy]

很喜歡你的channel 中英對照，尤其是英文那部份，有 brief descriptions and hyperlinks to relevant medical reseach, and also your written translation at the above to your video 我看文字比較快，尤其是英文，先看然後聽醫師你講解，感覺很好。謝謝！🙏

[@陳淑娟-k1k]

感謝醫生的分享

[@SMIGA2009]

感謝分享。60歲了，得了癌症就不化療，化療是我這種每天感冒的人承受不起的。直接等生命末期就好。生活的每一天，快樂就好。想太多無益。

[@黃湘函]

如果有免費貼紙，你願意嘗試嗎？

[@SMIGA2009]

@@黃湘函 願意。當實驗嗎？可是我還沒得到癌症喔！如果你是業務的話。

[@陳泰周-h6l]

心情快樂 也是抗癌的方法之一

[@SMIGA2009]

@@陳泰周-h6l 那就必須有，明天會死今天怎麼過的打算。等死？還是要做以前快樂的事。也許是⋯美食（明天要死了）想跟誰見面，想打電話給誰，想去哪裏，想買什麼，完成心願。心滿足。人快樂。

[@神奇小藍]

陳俊旭博士說斷食是宇宙最強的藥，可以重啟身體的免疫系統。建議你去了解一下，我43歲乳癌，嘗試幾次斷食了效果真的很推薦！！

[@ysfang5928]

謝謝，柴柴很可❤

[@horhooikim2123]

感恩医师无私的分享😊❤❤……㊗️医师吉祥平安健康！

[@SyuAsyou]

回去看我吃的補充品含量，還好遠低於危險劑量。注意建議攝取量，小心使用中。感謝張醫師解說～

[@장기영-y3y]

B胡萝卜素VB12维E三种营养品要控制量

[@玫子-y2o]

謝謝醫生😊祝中秋節愉快！

[@張適恆醫師]

也祝您中秋快樂喔

[@dennistang7026]

長期食補充劑跟本就存在風險問題， 因為每間廠商生產和成份都不同， 有些是合成生素， 有些加入了人做色素或防腐劑， 可以引致患癌風險高了不是維生素補充劑本生， 而是添加的人做色素， 香料或防腐劑。 所以我食補充劑不會長期食用， 又或者盡量不好選有這些成份或GMO的產品， 食用會安心些。

[@gracewyp]

祝張醫師中秋節快樂！謝謝您的精彩視頻的指導。

[@AMTF-cn3jy]

✨感恩您真實分享✨ ✨㊗️福您中秋圓🈵快樂✨

[@NEWPLASTIC37]

12：35 處，可愛柴柴突然出現，超級可愛的！❤😊😂

[@吳秀霞-o5m]

多謝🙏！努力💪🏻！

[@marilouuy2498]

感謝醫師

[@張迪棻]

總歸一句話天然的最好😅謝謝張醫師的解說，祝張醫師一家中秋節快樂~

[@張適恆醫師]

中秋快樂！

[@ling-huichen6557]

收穫良多，謝謝

[@hsianfans]

天然攝取才是王道！真假柴柴ㄧ起來😂😂 醫師中秋快樂。

[@張適恆醫師]

也祝您中秋快樂❤️

[@superbug999]

在癌症治療期間使用維生素補充劑的風險與益處。 某些補充劑可能有助於健康，但許多補充劑可能會干擾化療或放療，降低治療效果或引發副作用。 建議患者應優先從均衡飲食中獲取營養。 如須使用任何補充劑前 先與醫生討論。

[@wumartha2009]

有一本書名［食物是最好的醫藥］，和醫師的衛教相符。 請問醫師，吃魚油和Gaba來穩定情緒，是否也要留意？！

[@張適恆醫師]

這兩種補充品都還好，適量攝取都很安全喔

[@wumartha2009]

@@張適恆醫師 感謝張醫師的說明。

[@慈蕙邱]

請問張醫師：吃葉黃素有風險嗎？我買的葉黃素也有B12 0.99微克，這樣還可以吃嗎？

[@邱菊英-l8x]

Thanks Doctor

[@마음이-p4x]

😱😱😱 謝謝醫生分享，還是多從食物中攝取好啊～

[@Chloe-hd2xi]

感謝分享❤

[@sammychan6536]

第一個問題是，你說維生素B12是很特別比較難補充要過5關斬6將才可到小腸補充那麼真的容易過量嗎？還有如果補充又是多少才過量？那麼每天可以補充多少？？還有維生素D的問題係你和另一個格柏醫生的論點完全相反？？最後，你所說的研究報告是否有製藥廠支持嗎？

[@張適恆醫師]

1 單一大劑量的話就容易過量，所以影片中才建議監測血中濃度 2 這部影片只講到維生素D血液中濃度不好掌握，跟Dr Berg的論點沒有關係 3 沒有藥廠支持

[@sammychan6536]

@@張適恆醫師 你沒有回應那麼每天補充多少B12才不會過量，如不知道每天的份量就算去了驗血都沒有用，驗血時正常也不知日後是否過量也不可能每天都去驗血

[@HSIANGYICHAN]

請問張醫師,我查過市面上的魚油都會添加維他命E製作,但癌友不是每日必須補充魚油EPA嗎？那這樣有添加維他命E還能吃嗎？ 謝謝

[@auroralee3604]

​@@sammychan6536你可以找（方識欽）醫師，他也提過，攝取B13過多的風險。每天不超過3微克。

[@deerhsu1413]

​@@sammychan6536 就按國健署每日規定量，當然最好來自天然食物，網上一查就有

[@globaledu2876]

感恩張醫師分享醫學和營養知識。最近才買了維他命A 較高的cod liver oil (濾過重金屬的天然魚肝油 as triglycerides, not ethle ester , 一顆約 375mcg 一次可服用3 顆) 給88歲的阿嬤服用，主因是她的視力和青光眼問題。劑量會太高嗎? 我們有點擔心。她的醫生說除了飲食(阿嬤很挑嘴)，需給她補充營養劑，但是醫生不願意說需補充那些vitamins and supplements. 請問張醫師，beta 胡蘿蔔素(beta-carotene) 就是維他命A嗎? 維他命 A 服用過量會有什麼症狀呢? 有時候我們真的無法信任美國 FDA (食品藥物管理局)所訂的每個標準。Thank you.

[@yoyoche6750]

要從食物中攝取。胡蘿蔔素 ，up主說了。食物中

[@krislin6618]

青光眼是需要開刀吧！該去看醫生才對！

[@yoyoche6750]

@@krislin6618 是的 聽眼科醫師建議

[@張適恆醫師]

beta胡蘿蔔素是類胡蘿蔔素中可以轉變成維他命A的那一種，建議不要用營養品。另外魚肝油含有維他命A，吃過量的話維他命A會引起肝毒性喔，要小心。

[@kellyc210]

請問張醫師 b12 1000mcg這樣算過量嗎 謝謝回覆❤❤❤

[@melzac5844]

請問魚油裡是不是也有維他命E? 吃魚油會有風險嗎？ 一天攝取800-1000mg的魚油...

[@張適恆醫師]

這種額外添加的維他命E通常只是用來避免產品本身氧化，是不會造成身體太大負擔的

[@李勤勉]

感謝醫師的說明，祝您中秋節快樂！

[@ricolajih]

祝福張醫師中秋佳節全家平安健康💕💕💕💕👏👏👏👏🥰🥰🥰🥰👍👍👍👍

[@user-yuki9527]

謝謝您。

[@PingWong-v7g]

我是一個乳房病人，我真心的感謝您的講解❤我想請教您教您一個問題？《是化學治療剛完成就生蛇應怎樣注意吃的食物等等

[@張適恆醫師]

首先，一定要吃抗病毒藥，這個時候免疫力很弱。多補充一些鋅、D3、omega3調整免疫力。另外可以考慮打皮蛇的疫苗。

[@janetyang5755]

👍👍👍中秋節快樂

[@林玲-g2s]

謝謝張醫師的分享❤。 請問張醫師 葉黃素（Lutein) 補充品 與B 胡蘿素補充品是否有關？

[@張適恆醫師]

不一樣，葉黃素是類胡蘿蔔素中的葉黃素類，另外一類是胡蘿蔔素類。葉黃素雖然也有抗氧化特性，但並不會會帶來負面影響。

[@燕芬蔡-i5k]

❤謝謝你的詳細的解說v 我是肺線癌病患~ 醫師有開克補充剂v~ 本來每天吃一粒~ 因為持續二年4個多的化療~ 疲憊不堪~改為早、晚各吃一粒。 不知道是不是這樣原因。 本來是5以下n 現在變成5.44 稍為偏高~

[@jenlin6058]

@@張適恆醫師感謝張醫師～❤

[@stephchou7773]

感恩醫師❤祝中秋佳節愉快😊

[@王自強-h2k]

感謝醫師，拯救無知民眾(我)

[@iak1024]

謝謝張醫師分享，現在才知道不能每天攝取B群，平時還常常跟周圍人宣導要多吃、精神好😢那想問問如果本身腸胃不太好，服用像是wakamoto 的保健品是會有害的嗎？

[@張適恆醫師]

益生菌經常吃是還好的

[@chenhuijean5912]

請問張醫生我的免疫力不平𧗽，免疫力攻擊皮膚可以補充那些保健品，感謝醫生說明

[@張適恆醫師]

之後會做影片聊聊自體免疫的營養補充喔，請稍後😀

[@chenhuijean5912]

@@張適恆醫師 感激不盡

[@shuchenlin4022]

@@張適恆醫師 非常期待張醫師可以介紹紅斑狼倉病人的補充品！曾經通說Ｄ或冬蟲夏草草可以調節免疫就買來吃但過幾天後覺得補了其實比不補好因為吃了就覺得腳指頭會痛或其他症狀更嚴重所以在營養品的補充我上都無所適從

[@kimmyalonso]

補充品有天然食物來源也有化學合成的。不能一概而論。

[@junec9775]

保健品都是工厂加工出来的

[@sophiagi1902]

請問小麥胚芽可以吃嗎？算天然食物嗎？謝謝您😊

[@張適恆醫師]

是的，是天然食物

[@yanzhu8741]

多谢分享🙏🌹🌹🌹

[@rayjenmo]

請問張醫師有聽過美國藥廠Metagenics生產的植物多種維生素PhytoMulti Capsules嗎？我因肺腺癌正在服用鏢靶藥第二代妥復克。朋友介紹，我每天也吃一顆上述植物性維生素膠囊，看了您的影片，擔心結果是反面的，會讓癌細胞活躍。另外想請問這與我的血液C E A檢查高數值87有關嗎？（先說明我對妥復克沒有抗藥性，正子篩檢也沒有其他癌變。）謝謝您耐心看完我的提問。

[@張適恆醫師]

您的狀況看起來還好，肺腺癌我們會用斷層掃描來追蹤，比較不會用CEA喔。

[@rayjenmo]

@@張適恆醫師 好的。謝謝您的回覆。

[@pig1435]

張醫師你好,很多護眼維生素含葉黃素20毫克和4毫克玉米黃素,蝦青素,這是否beta胡蘿蔔素嗎是vita A？有點不太清楚,是否癌症患者不可吃？那臉用的視黃醇可擦？謝謝

[@張適恆醫師]

葉黃素/玉米黃素跟貝塔胡蘿蔔素不一樣，雖然他們都屬於類胡蘿蔔素，但前者並沒有發現風險

[@nancywong9452]

張醫師真好，基本上有問必答。

[@秀珠林-m5g]

張醫師，我補充B1.6.12約3年，看了您影片解說驗血，剛通知b12超標兩倍多，今年也碰巧切單側乳癌第一期，沒接受放化療及荷爾蒙控制，想請問b12超標後續是 藥停，還有其它方法壓下來的嗎？謝謝張醫師盡心的服務，感恩！

[@張適恆醫師]

很抱歉，網路上無法詳細為您評估，您有需要可以官方Line跟我聯繫唷

[@秀珠林-m5g]

好的，謝謝張醫師！

[@olt1234]

張醫師，還想請教現在b12 過高， 除了把含有b12的營養酵母停下來外， 現在服用的 algacal鈣片， 和褐藻醣膠是否也含有b12呢？ 他們都需要 停止服用嗎？ 求張醫師指教， 衷心多謝

[@張適恆醫師]

很難說，需要看成份表才知道

[@olt1234]

謝謝張醫師

[@vivianshih1169]

請問為什麼同一種營養素（例如B12對身體就是B12），從原形食物取得跟保健品取得的效果差這麼大呢？

[@張適恆醫師]

身體需要多餘的步驟把化學合成營養素轉變成我們自己的，這有可能是問題所在

[@kukim3285]

謝謝❤

[@meimeilulu4354]

謝謝謝謝您！

[@weiyu5061]

不知道醫生有沒有推薦合適的綜合維他命 目前選的B12過高 two-per-day的

[@蔡俊茂-u4w]

謝謝您🎉😂❤

[@Minwoove]

⁠​⁠醫生請問如同上面網友分享的買到的綜合維他命一顆b12 含量偏高140微克，您建議不要持續超過一年，那會建議怎麼服用 ？改成兩三天吃一次嗎 或是吃完後儘快改用其他正常劑量的是嗎 謝謝指導說明🙏🙏🙏

[@張適恆醫師]

兩三天吃一次，或者是吃三個月停兩個禮拜，讓他間隔一下

[@Minwoove]

@@張適恆醫師感謝醫生回覆🙏

[@olt1234]

張醫師，你好，請問由天然食品菇菌類提煉的粉劑和液體劑， 例如香菇和姬松茸， 請問是否安全服用？他們是否都含有過量胡蘿蔔素？ 祝中秋節快樂，非常感謝!

[@張適恆醫師]

這個因產品而異耶，但原則是來自天然食物的胡蘿蔔素都比較安全

[@olt1234]

謝謝張醫師

[@newtonhung]

B12補充品有氰鈷胺和甲鈷胺，需要特別選用甲鈷胺？

[@張適恆醫師]

如果可以的話，建議選甲鈷胺

[@newtonhung]

@@張適恆醫師 以醫師說的B12的的補充和吸收，吃B12補充劑最重要的反而是沒有唾液和B12混合，吸收效率不佳，所以廠商就提高劑量，然後就吃入高劑量B12。風險就上昇。 可以和食物一起吃，改善沒有唾液的問題，只吃低劑量就好？ 另外吃過量B12產生問題，有沒有可能是因為補充的是氰鈷胺造成的？

[@irishuang4905]

想請問PQQ 可以增加營養補充維生素嗎？ 謝謝！

[@張適恆醫師]

可以的，有些研究發現對認知功能有幫助

[@月星徘徊]

不要補充太多：營養補充品的-beta胡蘿蔔,維生素B12, 維生素E。

[@jennychan8176]

May I know what’s the English word for 1st vitamin (beta…….) that you mentioned? Thank you

[@mikeanderson5343]

Beta carotene

[@KPbluecrystals]

有重點沒說： 補充品的品質， 如果是合成的補充品要很小心使用， 盡量使用天然的營養補充品。 例如醫生說到B12從食物裡的就沒有太多問題，但是市售的補充品就可能有問題了。

[@張適恆醫師]

謝謝補充。

[@sarahwong7780]

Thanks for sharing!👍