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reasoned examination of the evidence seems  percent of preformed vitamin A (retinol) is absorbed, even under ideal
         to say no. Also, what about the recent trend of  conditions only 3 percent or less of dietary carotenoids are assimilated.
         vitamin D supplementation during pregnancy,  Foods also vary widely in the amount of carotenoids they contain due
         sometimes as high as 5,000 IU/day; is supple-  to varietal differences, ripeness, climate during cultivation, storage,
         menting this fat-soluble vitamin in isolation not  processing and preparation methods. For example, carrots cooked in
         without harm?                             fat will have more absorbable carotenoids than raw carrots, and more if
                     25
            At the second Hohenheim Nutrition Con-  puréed. Beta-carotene from supplements is much more readily absorbed
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         ference in Germany in 2009, Dr. Georg Lietz  than beta-carotene from food sources.
         reported that a high percentage of women in     Dr. Lietz draws attention to a problem that is also common in the
         the UK are at risk for vitamin A deficiency;  U.S.: the low consumption of vitamin A-rich foods. “Worryingly, younger
         one of the chief causes is the fact that two  women are at particular risk. The older generation tend to eat more
         common genetic variations (one or both were  eggs, milk and liver, which are naturally rich in vitamin A, whereas the
         present in almost half of healthy women stud-  health-conscious youngsters on low-fat diets are relying heavily on the
         ied) greatly lessen the body’s ability to convert  beta-carotene form of the nutrient.”  Of course this is now a common
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         beta-carotene into vitamin A. If a women car-  practice among elders, too.
         ries both genes that reduce this conversion, she     Despite the likelihood that low intakes in women are much more
         can have a one-third to two-third reduction in  common than high intakes, strong warnings to avoid preformed vitamin
         the ratio of retinyl palmitate (active vitamin  A during pregnancy from authoritative sources continue. According to the
         A) to beta-carotene circulating in her blood.   Embryo Project: “[e]xcess intake of vitamin A and retinoids by pregnant
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         Studies conducted by scientists with the USDA  women often results [in] malformations to fetuses' skulls, faces, limbs,
         Agricultural Research Service confirm that 45  eyes, central nervous system.” The use of “often” is erroneous and highly
         percent of individuals cannot achieve adequate  misleading, unless they are specifically referring to synthetic retinoids
         vitamin A status from beta-carotene alone. 28,29  such as Accutane. 31,32  Many other organizations and “experts” advise
            In addition, the absorption of beta-carotene  against eating liver, and any other food naturally high in vitamin A,
         and other carotenoids can be quite unpredict-  such as cod liver oil.  Typically, couples planning to start a family fail
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         able—food factors and other individual differ-  to question this advice.
         ences can significantly affect bioavailability as     A young Chinese expectant mother once told me, “I actually like to
         well as the conversion to retinol. While 70-90  eat liver but not while I am pregnant because it is not good for the baby.”


                                              VITAMIN A IN LIVER AND GIBLETS 26

          FOOD DESCRIPTION                           WEIGHT (G)    PORTION        RETINOL:      VIT A (IU)
                                                                   SIZE           RAE (μG)

          Beef, New Zealand, liver, cooked, boiled     85          3.0 oz         17,862        59,500
          Lamb, New Zealand, liver, raw              113           4.0 oz         17,440        58,100
          Veal, liver, cooked, braised               80            1.0 slice      16,912        56,367
          Lamb, New Zealand, liver, cooked, soaked, fried   85      3.0 oz        16,891        56,300
          Veal, liver, cooked, pan-fried             67            1.0 slice      13,447        44,800
          Goose, liver, raw                          94            1.0 liver      8,750         29,200
          Lamb, liver, cooked, pan-fried             85            3.0 oz         6,610         22,000
          Beef, liver, cooked, braised               68            1.0 slice      6,411         21,400
          Turkey, liver, all classes, cooked, simmered    53       1.0 liver      5,698         19,000
          Chicken, broilers or fryers, giblets, cooked, fried   145      1.0 cup     5,194      17,300
          Pork, fresh, liver, cooked, braised        85            3.0 oz         4,594         15,300
          Turkey, whole, giblets, cooked, simmered     95          1.0 giblets    4,388         14,600
          OSCAR MAYER, Braunschweiger Liver Sausage    85          3.0 oz         4,015         13,400
          Chicken, roasting, giblets, cooked, simmered   145       1.0 cup        3,542         11,800
          Veal, variety meats and by-products, liver, raw   28      1.0 oz        3,318         11,100
          Chicken, giblets, cooked, simmered         145           1.0 cup        2,539         8,460
          Liverwurst spread                          55            0.25 cup       2,250         7,500
          Chicken, liver, all classes, cooked, pan-fried   44      1.0 liver      1889          6,300
         22                                         Wise Traditions                               SUMMER 2016                                                                 Wise Traditions
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