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Does everyone need to take vitamins — and which are most important? Here’s what to know

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Does everyone need to take vitamins — and which are most important? Here’s what to know

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Advertisements and social media often suggest that vitamin supplements are important for optimal health — but are they really essential for everyone?

“Vitamins have become a multi-billion-dollar industry, with shelves full of supplements promising better health, more energy and a longer life,” Andrea Soares, a registered dietitian from Top Nutrition Coaching in Miami, Florida, told Fox News Digital.

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Just over 57% of American adults took dietary supplements between 2017 and 2020, with multivitamins and minerals being the most popular, according to a recent report from the Centers for Disease Control and Prevention (CDC). 

DAILY MULTIVITAMINS MIGHT NOT HELP YOU LIVE LONGER, STUDY FINDS

But what does this mean for you? Fox News Digital spoke to the experts to find out.

What is a vitamin?

Vitamins are nutrients that are essential for the body to function normally, according to Jennifer Messer, president of the New Hampshire Academy of Nutrition and Dietetics and a registered dietitian in New Hampshire.

Just over 57% of American adults took dietary supplements between 2017 and 2020, with multivitamins and minerals being the most popular. (iStock)

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“We cannot make vitamins in our bodies, and so we must get them in our diets,” she told Fox News Digital.

(The one exception is vitamin D, which people can also get from the sun.)

Vitamins are either fat-soluble or water-soluble, according to the National Institutes of Health (NIH).

BE WELL: PREPARE A DINNER RICH IN VITAMIN D FOR GOOD HEALTH

Fat-soluble vitamins — A, D, E and K — are stored in the body’s fatty tissue, liver and muscles, so they are absorbed better when taken with fatty foods.

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Water-soluble vitamins are not stored in the body, so any excess amount is usually excreted in the urine.

Man hand vitamin

Fat-soluble vitamins are stored in the body’s fatty tissue, liver and muscles, so they are absorbed better when taken with fatty foods. Water-soluble vitamins are not stored in the body, so any excess amount is usually excreted in the urine. (iStock)

Thirteen vitamins are considered “essential.” 

These include vitamins A, C, D, E and K, as well as the B vitamins (thiamine, riboflavin, niacin, pantothenic acid, biotin, B6, B12 and folate), according to the NIH.

“For most people, a well-balanced diet is sufficient to meet daily vitamin needs,” Soares told Fox News Digital.

“For most people, a well-balanced diet is sufficient to meet daily vitamin needs.”

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Vitamin A is easily obtained from eating a balanced diet, vitamin E is abundant in common foods, and most people get enough vitamin C if they eat fruits and vegetables like oranges, strawberries and bell peppers, she said.

Some people don’t get enough vitamins from dietary sources, however.

When are vitamin supplements necessary?

Certain vitamin deficiencies can potentially cause health problems.

“In the U.S., the FDA updated nutrition labels to reflect nutrients of public health concern due to deficiencies or inadequacies in the general population,” Messer told Fox News Digital.

Woman taking pill

“An individual’s supplement requirements will vary based on medical conditions, dietary restrictions, malabsorption issues and nutrient deficiencies,” an expert said. (iStock)

Vitamin A helps maintain good eyesight, for example — and children who get an inadequate amount are at risk for blindness, according to the CDC. 

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As vitamin D supports bone health and immune function, people with limited sun exposure may be more prone to bone diseases like osteoporosis, research has shown.

“As of recent regulations, vitamin D is required on nutrition labels,” Messer noted.

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Vitamin B12 is essential for red blood cell production and nerve function, according to Soares.

Folate supports DNA synthesis and prevents neural tube defects (birth defects of the brain, spine or spinal cord), so it is important for women to get adequate amounts before and during early pregnancy, per the CDC.

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Senior woman vitamins

It’s a common misconception that vitamin supplements are beneficial for everyone, an expert pointed out. (iStock)

It’s a common misconception, however, that vitamin supplements are beneficial for everyone, according to Messer.

“Technically, all vitamins are necessary — however, it is unnecessary to supplement a vitamin unless you are found to be deficient,” she said.

“An individual’s supplement requirements will vary based on medical conditions, dietary restrictions, malabsorption issues and nutrient deficiencies.”

“It is unnecessary to supplement a vitamin unless you are found to be deficient.”

Certain groups may have a greater need for vitamin supplements than others.

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“While a vegan diet can fulfill many nutrient requirements, there are certain vitamins, such as vitamin B12 and vitamin D, that may need closer attention,” Messer said.

heart shaped bowl with fruits and vegetables

Vitamin A is easily obtained from eating a balanced diet, vitamin E is abundant in common foods, and most people get enough vitamin C if they eat fruits and vegetables like oranges, strawberries and bell peppers, an expert said. (iStock)

People who need to avoid certain foods due to allergies or intolerances may also require supplementation. 

People managing certain gastrointestinal conditions like Celiac disease, Crohn’s disease or ulcerative colitis can have impaired nutrient absorption, particularly with fat-soluble vitamins, Messer noted.

IMPROVING MEMORY MAY BE AS EASY AS POPPING A MULTIVITAMIN, STUDY FINDS

Liver disease can also impair the body’s ability to store some vitamins, particularly those that are fat-soluble.

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Chronic kidney disease can affect the balance of certain vitamins, especially vitamin D, Messer said.

Woman taking supplements

The quality and safety of dietary supplements can vary widely, as they are not FDA-regulated. (iStock)

Athletes with a high training load may also require additional vitamins to support energy metabolism and bone health, she added.

Experts recommend consulting with a doctor before taking a supplement. A simple blood test can reveal if any nutrients are at deficient levels.

Ensuring supplement safety

Fat-soluble vitamins — A, D, E and K — can accumulate in the body and lead to toxicity if taken in excess, according to Messer.

“Water-soluble vitamins (like B and C) are generally excreted if taken in excess, but mega-dosing can still have unwanted side effects,” she told Fox News Digital.

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Experts recommend talking to your doctor before starting any new supplements.

The quality and safety of dietary supplements can vary widely, as they are not FDA-regulated.

“It’s important to choose reputable brands and products due to possible variances in the amount of nutrients listed on the label, as well as potential contamination,” Messer advised.

 

She recommends searching for a third-party tested seal on the supplement’s label, such as “USP Verified,” which indicates that the product “contains the ingredients listed on the label in the declared potency and amounts.”

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Many people often inquire about vitamin D supplements, Messer said.

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“It’s important to supplement only with the required amount of vitamin D if a deficiency is confirmed through labs,” she cautioned.

(The Endocrine Society — a global organization focused on endocrinology and metabolism — now no longer recommends routine screening or vitamin D supplementation for healthy adults under the age of 75 years old.)

Morning sunlight

People can increase vitamin D levels through exposure to sunlight. (iStock)

“It can be dangerous if vitamin D levels remain high over a prolonged period, as excessive amounts may cause an array of issues, including kidney stones,” Messer added. 

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It’s also important to be aware of any potential interactions between vitamins and other medications, experts say.

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“Medication interactions occur when vitamins like K reduce the effectiveness of blood thinners, or calcium affects antibiotic absorption,” Soares warned.

Experts recommend talking to your doctor before starting any new supplements to discuss potential risks and safe dosage amounts.

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'Pendulum lifestyle' could be key to juggling daily challenges

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'Pendulum lifestyle' could be key to juggling daily challenges

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For those who are feeling “stuck” or overwhelmed while striving for work-life balance, some experts recommend adopting a “pendulum lifestyle.”

Coined by Dr. Jeffrey Karp, Ph.D, a professor of biomedical engineering at Brigham & Women’s Hospital Harvard Medical School in Boston, the pendulum lifestyle is defined as a “concept that acknowledges life’s natural ebb and flow, and empowers you to thrive amidst the swings.”

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“Rarely are we in balance … it’s just unrealistic and an anxiety-inducing expectation,” the doctor told Fox News Digital in an interview. 

WHY THERE’S NO SUCH THING AS A ‘WORK-LIFE BALANCE,’ SAYS CAREER COACH AND AUTHOR

Seeing the world as a pendulum fosters a more compassionate mindset and alleviates the pressure to be perfect, Karp said.

For those who are feeling “stuck” or overwhelmed while striving for work-life balance, some experts recommend adopting a “pendulum lifestyle.” (iStock)

With this approach, people can take small steps to “swing the pendulum,” enabling them to feel more emotionally, mentally and physically “balanced” during the day, according to the expert.

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This could also empower individuals who feel “stuck” when facing daily challenges, he said.

“Looking at nature, there are so many cycles, so many things that are kind of going back and forth, like night and day …. changes of seasons, and the waxing and waning of the moon,” noted Karp. 

MOST PRODUCTIVE THINGS YOU CAN GET DONE EARLY IN THE MORNING BEFORE WORK, ACCORDING TO CAREER COACHES

The pendulum lifestyle involves daily “self-check-ins” where the person gauges their physical, emotional and mental energy levels, Karp said. They can then take immediate steps to move their levels in a positive direction toward the ideal balance.

“If we can visualize everything on a pendulum, we can think, ‘What’s the one step I could take today to bring the pendulum a little closer to where I want it to be?’” he said.

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Pendulum

With this approach, people can take small steps to “swing the pendulum,” enabling them to feel more emotionally, mentally and physically “balanced” during the day. (iStock)

For example, a person who has low physical energy could visualize a pendulum with the lowest energy on one side and the highest energy on the other.

He would then do a “self-check” to identify where his energy level lies on the pendulum and what small steps could move it closer to the ideal balance point, Karp said.

“True well-being doesn’t lie in perfection or consistency, but in our ability to navigate the ebb and flow of life.”

That might mean taking a 10-minute walk, doing some jumping jacks or performing a few stretches to move the pendulum to a higher energy level position. 

“This empowers the person and reminds them they are not stuck,” Karp said.  

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Man power walk

Taking a 10-minute walk, doing some jumping jacks or performing a few stretches can move the pendulum to a higher energy level position, the expert said.  (iStock)

On the flip side, if it’s late at night and a person needs to wind down, she might engage in a calming exercise like meditation or listening to relaxing music as a way to swing the pendulum to a level more conducive to sleeping, the expert advised.

The pendulum lifestyle can also serve as a mood-booster, Kelp said. When someone is feeling down, watching a funny movie or practicing gratitude can help shift the pendulum.

WHAT IS ‘BRAIN ROT’? THE SCIENCE BEHIND WHAT TOO MUCH SCROLLING DOES TO OUR BRAINS

The approach could also help launch forward momentum if someone feels “stuck” in life, the expert said. 

“When you start to realize that you’re not limited to being at that spot on the pendulum, but can take a step forward and be intentional, it’s just so empowering,” he said.

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Stressed busy woman

The daily check-in process could help individuals identify when they are feeling in less than tip-top shape and find ways to swing in a better direction, one expert said. (iStock)

Dr. Molly Sherb, an assistant professor of psychiatry at the Icahn School of Medicine at Mount Sinai and a licensed psychologist at Mount Sinai in New York City, commented on Karp’s concept of a pendulum lifestyle.  

“When you start to realize that you’re not limited to being at that spot on the pendulum, but can take a step forward and be intentional, it’s just so empowering.”

She agreed that the daily check-in process could help individuals identify when they are feeling in less than tip-top shape and find ways to swing in a better direction.

“That might include getting better sleep or eating a healthier breakfast … to help you wake up with a better bandwidth tomorrow,” Sherb said.

Progress, not perfection

Dr. Christopher Fisher, a psychologist at Zucker Hillside Hospital Northwell Health in Queens, New York, said the pendulum lifestyle could help those who feel pressured to achieve a perfect work-life balance.

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“The pendulum of life’s experiences – whether emotional, cognitive or physical – is one of the truest expressions of what it means to be human,” he told Fox News Digital.

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“True well-being doesn’t lie in perfection or consistency, but in our ability to navigate the ebb and flow of life,” he told Fox News Digital.

Sherb agreed that the essence of the pendulum lifestyle is that it’s not always possible to strike that 50-50 equal balance.

Writing in journal

Adopt a constructive viewpoint and ask yourself what positive changes or routines can help you achieve a more optimal level on the pendulum path, one expert advised. (iStock)

“It’s about constantly tuning into yourself … and seeing which parts of your life might need you more at certain times,” she said.

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“It’s not a one-size-fits-all approach, but a more tailored approach based on what you need and what people in your life need from you.”

4 steps to implementing the pendulum lifestyle

Karp shared some specific strategies for adopting the pendulum approach.

1. Perform a head-to-toe check-in each morning

Ask yourself how you are feeling emotionally, physically and mentally. What parts do not feel at a 100% level?

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2. Make any necessary adjustments

Based on your self-check-in, consider changing your routine to accommodate your energy level or take simple steps to help move the pendulum in a positive direction, Karp suggested.

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3. Be compassionate and curious

If you feel off-balance, Karp said to recognize that as part of the natural pendulum swing and to embrace it with self-compassion rather than shame and criticism. 

“It’s about constantly tuning into yourself … and seeing which parts of your life might need you more at certain times.”

Adopt a constructive viewpoint and ask yourself what positive changes or routines can help you achieve a more optimal level on the pendulum path, he advised.

4. Understand your pendulum swings

It could be helpful to ask yourself specific questions, such as the following.

      

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“What factors helped contribute to a state of feeling balanced?”

“What factors contributed to feeling off-balance?”

“What small changes can I make today to foster a sense of better balance?”

“How did I respond to feeling imbalanced and was it effective?”

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Above all, Karp said, it’s important to remember that finding balance is a “lifelong journey.”

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How Naomi Feil Developed a Radical Approach to Caring for Dementia Patients

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How Naomi Feil Developed a Radical Approach to Caring for Dementia Patients

Before the answers to life’s questions fit in our pocket, you used to have to turn a dial. If you were lucky, Phil Donahue would be on, ready to guide you toward enlightenment. In a stroke of deluxe good fortune, Dr. Ruth Westheimer might have stopped by to be the enlightenment. He was the search engine. She was a trusted result.

Donahue hailed from Cleveland. The windshield glasses, increasingly snowy thatch of hair, marble eyes, occasional pair of suspenders and obvious geniality said “card catalog,” “manager of the ’79 Reds,” “Stage Manager in a Chevy Motors production of ‘Our Town.’” Dr. Ruth was Donahue’s antonym, a step stool to his straight ladder. She kept her hair in a butterscotch helmet, fancied a uniform of jacket-blouse-skirt and came to our aid, via Germany, with a voice of crinkled tissue paper. Not even eight years separated them, yet so boyish was he and so seasoned was she that he read as her grandson. (She maybe reached his armpit.) Together and apart, they were public servants, American utilities.

Donahue was a journalist. His forum was the talk show, but some new strain in which the main attraction bypassed celebrities. People — every kind of them — lined up to witness other people being human, to experience Donahue’s radical conduit of edification, identification, curiosity, shock, wonder, outrage, surprise and dispute, all visible in the show’s televisual jackpot: cutaways to us, reacting, taking it all in, nodding, gasping. When a celebrity made it to the “Donahue” stage — Bill Clinton, say, La Toya Jackson, the Judds — they were expected to be human, too, to be accountable for their own humanity. From 1967 to 1996, for more than 6,000 episodes, he permitted us to be accountable to ourselves. 

What Donahue knew was that we — women especially — were eager, desperate, to be understood, to learn and learn and learn. We call his job “host” when, really, the way he did it, running that microphone throughout the audience, racing up, down, around, sticking it here then here then over here, was closer to “switchboard operator.” It was “hot dog vendor at Madison Square Garden.” The man got his steps in. He let us do more of the questioning than he did — he would just edit, interpret, clarify. Egalitarianism ruled. Articulation, too. And anybody who needed the mic usually got it.

The show was about both what was on our mind and what had never once crossed it. Atheism. Naziism. Colorism. Childbirth. Prison. Rapists. AIDS. Chippendales, Chernobyl, Cher. Name a fetish, Phil Donahue tried to get to its bottom, sometimes by trying it himself. (Let us never forget the episode when he made his entrance in a long skirt, blouse and pussy bow for one of the show’s many cross-dressing studies.) Now’s the time to add that “Donahue” was a morning talk show. In Philadelphia, he arrived every weekday at 9 a.m., which meant that, in the summers, I could learn about compulsive shopping or shifting gender roles from the same kitchen TV set as my grandmother.

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Sex and sexuality were the show’s prime subjects. There was so much that needed confessing, correction, corroboration, an ear lent. For that, Donahue needed an expert. Many times, the expert was Dr. Ruth, a godsend who didn’t land in this country until she was in her late 20s and didn’t land on television until she was in her 50s. Ruth Westheimer arrived to us from Germany, where she started as Karola Ruth Siegel and strapped in as her life corkscrewed, as it mocked fiction. Her family most likely perished in the Auschwitz death camps after she was whisked to the safety of a Swiss children’s home, where she was expected to clean. The twists include sniper training for one of the military outfits that would become the Israel Defense Forces, maiming by cannonball on her 20th birthday, doing research at a Planned Parenthood in Harlem, single motherhood and three husbands. She earned her doctorate from Columbia University, in education, and spent her postdoc researching human sexuality. And because her timing was perfect, she emerged at the dawn of the 1980s, an affable vector of an era’s craze for gnomic sages (Zelda Rubinstein, Linda Hunt, Yoda), masterpiece branding and the nasty.

Hers was the age of Mapplethorpe and Madonna, of Prince, Skinemax and 2 Live Crew. On her radio and television shows, in a raft of books and a Playgirl column and through her promiscuous approach to talk-show appearances, she aimed to purge sex of shame, to promote sexual literacy. Her feline accent and jolly innuendo pitched, among other stuff, the Honda Prelude, Pepsi, Sling TV and Herbal Essences. (“Hey!” she offers to a young elevator passenger. “This is where we get off.”) The instructions for Dr. Ruth’s Game of Good Sex says it can be played by up to four couples; the board is vulval and includes stops at “Yeast Infection,” “Chauvinism” and “Goose Him.”

On “Donahue,” she is direct, explicit, dispelling, humorous, clear, common-sensical, serious, vivid. A professional therapist. It was Donahue who handled the comedy. On one visit in 1987, a caller needs advice about a husband who cheats because he wants to have sex more often than she does. Dr. Ruth tells Donahue that if the caller wants to keep the marriage, and her husband wants to do it all the time, “then what she should do is to masturbate him. And it’s all right for him to masturbate himself also a few times.” The audience is hear-a-pin-drop rapt or maybe just squirmy. So Donahue reaches into his parochial-school-student war chest and pulls out the joke about the teacher who tells third-grade boys, “Don’t play with yourself, or you’ll go blind.” And Donahue raises his hand like a kid at the back of the classroom and asks, “Can I do it till I need glasses?” Westheimer giggles, maybe noticing the large pair on Donahue’s face. This was that day’s cold open.

They were children of salesmen, these two; his father was in the furniture business, hers sold what people in the garment industry call notions. They inherited a salesman’s facility for people and packaging. When a “Donahue” audience member asks Westheimer whether her own husband believes she practices what she preaches, she says this is why she never brings him anywhere. “He would tell you and Phil: ‘Do not listen to her. It’s all talk,’” which cracks the audience up.

But consider what she talked about — and consider how she said it. My favorite Dr. Ruth word was “pleasure.” From a German mouth, the word conveys what it lacks with an American tongue: sensual unfurling. She vowed to speak about sex to mass audiences using the proper terminology. Damn the euphemisms. People waited as long as a year and a half for tickets to “Donahue” so they could damn them, too. But of everything Westheimer pitched, of all the terms she precisely used, pleasure was her most cogent product, a gift she believed we could give to others, a gift she swore we owed ourselves.

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I miss the talk show that Donahue reinvented. I miss the way Dr. Ruth talked about sex. It’s fitting somehow that this antidogmatic-yet-priestly Irish Catholic man would, on occasion, join forces with a carnal, lucky-to-be-alive Jew to urge the exploration of our bodies while demonstrating respect, civility, reciprocation. They believed in us, that we were all interesting, that we could be trustworthy panelists in the discourse of being alive. Trauma, triviality, tubal ligation: Let’s talk about it! Fear doesn’t seem to have occurred to them. Or if it did, it was never a deterrent. Boldly they went. — And with her encouragement, boldly we came.

Wesley Morris is a critic at large for The New York Times and a staff writer for the magazine.

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Eggs now qualify as ‘healthy’ food, FDA says: Here’s why

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Eggs now qualify as ‘healthy’ food, FDA says: Here’s why

While eggs haven’t historically been considered a “health food,” the U.S. Food and Drug Administration (FDA) now classifies them as a “healthy, nutrient-dense” food, according to a new proposed rule. 

The update is the result of changes in nutrition science and dietary recommendations, according to the agency.

The FDA’s “healthy” designation for food labeling purposes has been in use since the early 1990s.

‘I’M A HEART SURGEON, HERE’S WHAT YOU SHOULD KNOW ABOUT EGGS, YOUR HEART AND YOUR HEALTH’

“Healthy diets are made up of a variety of food groups and nutrients, and the ‘healthy’ claim can help consumers identify those foods that are the foundation of healthy dietary patterns,” the agency stated in its guidance.

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The U.S. Food and Drug Administration now classifies eggs as a “healthy, nutrient-dense” food, according to a new proposed rule.  (iStock)

“On behalf of America’s egg farmers, we are thrilled to see the U.S. Food and Drug Administration announce that eggs meet the updated definition of ‘healthy,’” said Emily Metz, president and CEO of the American Egg Board, in a statement sent to Fox News Digital.

“This is an important milestone for eggs, bringing current nutrition science and federal dietary guidance into alignment, and affirming eggs’ role in supporting the health of American families, with nutritional benefits for everyone.”

5 EGG MYTHS DISPELLED BY AN EXPERT, PLUS TIPS FOR EVERY EGG LOVER

Metz referred to eggs as a “nutritional powerhouse,” noting that they contain eight essential nutrients that support health at every age. 

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“Eggs are particularly known for being one of the highest quality proteins available, playing a vital role in muscle health and overall wellness,” she added.

“This is a significant milestone, as eggs are an affordable source of high-quality protein and a rich source of nutrients.”

Tanya Freirich, a registered dietitian nutritionist in Charlotte, North Carolina, who practices as The Lupus Dietitian, noted that eggs are a “fantastic source” of protein, choline, B vitamins and selenium, as well as a “fair source” of vitamin D, vitamin E, calcium and zinc. 

      

“While in the past, many people were told to avoid eggs due to their cholesterol content, in more recent years, research has shown that dietary cholesterol intake does not increase your blood levels of cholesterol as much as previously understood,” she told Fox News Digital.

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“Eggs, especially pasture-raised or omega 3-enriched, are particularly nutritious.”

Bacon eggs toast

The president and CEO of the American Egg Board referred to eggs as a “nutritional powerhouse,” noting that they contain eight essential nutrients that support health at every age.  (iStock)

While eggs are a “superior” replacement for sugary cereals or a doughnut, Freirich cautioned that, like other foods, they should be consumed in moderation.

“[The FDA’s announcement] doesn’t mean we should all consume multiple eggs every day,” she said. “Current studies and recommendations support consuming up to one egg a day.”

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New Jersey-based registered dietitian Erin Palinski-Wade also said she was “very happy” to hear the FDA’s recognition of eggs as a healthy food.

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Eggs on toast

While eggs are a “superior” replacement for sugary cereals or a doughnut, one dietitian cautioned that, like other foods, they should be consumed in moderation. (iStock)

“This is a significant milestone, as eggs are an affordable source of high-quality protein and a rich source of nutrients such as choline, vitamin D and essential fatty acids that many of us fall short on in our diets,” she told Fox News Digital.

The dietitian said she hopes that the designation will dispel the “outdated concerns” about eggs and dietary cholesterol. 

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“This will go a long way in helping consumers make informed choices about their dietary protein sources and support eggs as part of a nutritious diet.”

Fox News Digital reached out to the FDA for comment.

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