WO2003082339A1 - Multivitamin and mineral nutritional supplement - Google Patents

Multivitamin and mineral nutritional supplement Download PDF

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Publication number
WO2003082339A1
WO2003082339A1 PCT/US2003/008701 US0308701W WO03082339A1 WO 2003082339 A1 WO2003082339 A1 WO 2003082339A1 US 0308701 W US0308701 W US 0308701W WO 03082339 A1 WO03082339 A1 WO 03082339A1
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WO
WIPO (PCT)
Prior art keywords
nutritional supplement
person
meg
vitamin
tocopherol
Prior art date
Application number
PCT/US2003/008701
Other languages
French (fr)
Inventor
Leiv Bjorndal
Bo Reidar Martinsen
Original Assignee
Doc's Guide, Inc.
Priority date (The priority date is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the date listed.)
Filing date
Publication date
Application filed by Doc's Guide, Inc. filed Critical Doc's Guide, Inc.
Priority to AU2003218319A priority Critical patent/AU2003218319A1/en
Publication of WO2003082339A1 publication Critical patent/WO2003082339A1/en

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    • AHUMAN NECESSITIES
    • A23FOODS OR FOODSTUFFS; TREATMENT THEREOF, NOT COVERED BY OTHER CLASSES
    • A23LFOODS, FOODSTUFFS, OR NON-ALCOHOLIC BEVERAGES, NOT COVERED BY SUBCLASSES A21D OR A23B-A23J; THEIR PREPARATION OR TREATMENT, e.g. COOKING, MODIFICATION OF NUTRITIVE QUALITIES, PHYSICAL TREATMENT; PRESERVATION OF FOODS OR FOODSTUFFS, IN GENERAL
    • A23L33/00Modifying nutritive qualities of foods; Dietetic products; Preparation or treatment thereof
    • A23L33/10Modifying nutritive qualities of foods; Dietetic products; Preparation or treatment thereof using additives
    • A23L33/16Inorganic salts, minerals or trace elements
    • AHUMAN NECESSITIES
    • A23FOODS OR FOODSTUFFS; TREATMENT THEREOF, NOT COVERED BY OTHER CLASSES
    • A23LFOODS, FOODSTUFFS, OR NON-ALCOHOLIC BEVERAGES, NOT COVERED BY SUBCLASSES A21D OR A23B-A23J; THEIR PREPARATION OR TREATMENT, e.g. COOKING, MODIFICATION OF NUTRITIVE QUALITIES, PHYSICAL TREATMENT; PRESERVATION OF FOODS OR FOODSTUFFS, IN GENERAL
    • A23L33/00Modifying nutritive qualities of foods; Dietetic products; Preparation or treatment thereof
    • A23L33/10Modifying nutritive qualities of foods; Dietetic products; Preparation or treatment thereof using additives
    • A23L33/115Fatty acids or derivatives thereof; Fats or oils
    • A23L33/12Fatty acids or derivatives thereof
    • AHUMAN NECESSITIES
    • A23FOODS OR FOODSTUFFS; TREATMENT THEREOF, NOT COVERED BY OTHER CLASSES
    • A23LFOODS, FOODSTUFFS, OR NON-ALCOHOLIC BEVERAGES, NOT COVERED BY SUBCLASSES A21D OR A23B-A23J; THEIR PREPARATION OR TREATMENT, e.g. COOKING, MODIFICATION OF NUTRITIVE QUALITIES, PHYSICAL TREATMENT; PRESERVATION OF FOODS OR FOODSTUFFS, IN GENERAL
    • A23L33/00Modifying nutritive qualities of foods; Dietetic products; Preparation or treatment thereof
    • A23L33/10Modifying nutritive qualities of foods; Dietetic products; Preparation or treatment thereof using additives
    • A23L33/15Vitamins
    • AHUMAN NECESSITIES
    • A23FOODS OR FOODSTUFFS; TREATMENT THEREOF, NOT COVERED BY OTHER CLASSES
    • A23LFOODS, FOODSTUFFS, OR NON-ALCOHOLIC BEVERAGES, NOT COVERED BY SUBCLASSES A21D OR A23B-A23J; THEIR PREPARATION OR TREATMENT, e.g. COOKING, MODIFICATION OF NUTRITIVE QUALITIES, PHYSICAL TREATMENT; PRESERVATION OF FOODS OR FOODSTUFFS, IN GENERAL
    • A23L33/00Modifying nutritive qualities of foods; Dietetic products; Preparation or treatment thereof
    • A23L33/30Dietetic or nutritional methods, e.g. for losing weight
    • AHUMAN NECESSITIES
    • A23FOODS OR FOODSTUFFS; TREATMENT THEREOF, NOT COVERED BY OTHER CLASSES
    • A23VINDEXING SCHEME RELATING TO FOODS, FOODSTUFFS OR NON-ALCOHOLIC BEVERAGES AND LACTIC OR PROPIONIC ACID BACTERIA USED IN FOODSTUFFS OR FOOD PREPARATION
    • A23V2002/00Food compositions, function of food ingredients or processes for food or foodstuffs

Definitions

  • This invention pertains to the field of nutritional supplementation, and in particular to a formulation of vitamin and mineral supplements with highly advantageous health benefits.
  • the supplement formulation comprises multiple dosage units, each providing different nutritional components of the supplement.
  • Micronutrients are elements or compounds which are present in foods in small or trace amounts and include vitamins, minerals or other elements. These micronutrients include compounds such as pantothenic acid, biotin and choline that are found in fQods but for which a Recommended Dietary Allowance (RDA) has not yet been determined.
  • RDA Recommended Dietary Allowance
  • Micronutrients consist of carbohydrates, fats (including essential fatty acids) and proteins (including essential amino acids) which supply both macronutrients and calories. Some elements such as calcium, sodium, potassium, chloride and phosphorus are consumed in relatively large amounts, while many such as iron, iodine, and zinc are consumed in small amounts (milligrams).
  • Vitamins such as vitamin B 12, and folic acid and the minerals copper, selenium and chromium are consumed in very small, or trace amounts (micrograms).
  • Vitamins such as vitamin B 12, and folic acid and the minerals copper, selenium and chromium are consumed in very small, or trace amounts (micrograms).
  • the primary source of all nutrients is food.
  • Ample evidence documents that a large number of persons of different ages, genders and socioeconomic status can not or do not obtain the Recommended Dietary Allowance of one or more essential macro- or micronutrients from their diet.
  • substantial segments of the population do not demonstrate desirable eating patterns, that is, an adequate intake of the quantity or variety of food to fulfill the Recommended Dietary Allowances.
  • large groups do not consume the recommended number of dietary servings of fruits and vegetables each day. Other factors such as smoking, physical inactivity, exposure to toxic environmental compounds and the avoidance of certain foods can also contribute to low or deficient intake or absorption of nutrients.
  • oxidized low density lipoprotein is the key initiating agent in atherogenesis. Since, contrary to normal LDL, oxidized LDL is rapidly attacked by scavenging receptor macrophages. This induces the production of lipidladen foam cells. The end effect is cytotoxic to endothelial cells. Large epdiemiological studies have shown a reduced incidence of cardiovascular disease in relation to dietary intake of micronutrients such as omega3-fatty acids, folic acid and vitamin E. The main beneficial effect of omega 3 fatty acids is to decrease triglyceride concentrations. Vitamins B6 and B 12 are known to influence homocysteine plasma concentrations.
  • Vitamin E an antioxidant, exerts its effects by blocking the effects of free radicals.
  • the original concept that nutrients could affect biological and physiological systems began with the study of the aging process, in which intracellular oxidative reactions in brain cells were found to play a major role. Animal and human studies gave further impetus to these findings when it was shown that specific micronutrients, notably vitamin E, substantially blocked the induction of free radicals. Later, it was documented that lipid peroxidation formed free radicals with release of free-spinning electrons, which injured delicate subcellular organelle structures such as mitochondrial membranes. This, in turn, caused release of enzymes and other toxic compounds into the cytosol which induces -further injury.
  • both oxidized LDL and peroxidation of fatty acids are i now considered to induce macrophages and other cells to transform into foam cells which comprise the fatty streak, the earliest histologically detectable origins of coronary atherosclerosis.
  • Nutritional formulations currently available which contain vitamin E* generally are contained in sof gel capsules which contain gelatin of animal origin.
  • the primary sources of gelatin have been from bovine and porcine animals, although fish and birds have been indicated in the literature as alternative sources of gelatin.
  • the source of gelatin is problematic since large groups around the world cannot ingest any pork or beef products (e.g., vegetarians and members of various religions).
  • BSE bovine spongiform encephalopathy
  • omega 3 -fatty acids eicosapentaenoic acid (EPA) and docosahexaenoic acid (DHA) are essential fatty acids in man. Besides their nutritional value, they are also known to possess beneficial pharmacological effects on the cardiovascular system and development of brain and retina functions, as well as on inflammatory and autoimmune diseases. These effects have led to attempts to find nutritional compositions containing a high amount of omega3 -fatty acids (particularly the omega3-fatty acids EPA and DHA) such as marine oils.
  • omega3 -fatty acids particularly the omega3-fatty acids EPA and DHA
  • a preferable level of homocysteine is below 10 micromoles per liter. For genetic or nutritional reasons, some people have higher than the preferred level of homocysteine. Vitamin formulations generally do not contain enough vitamin B6 to aid in lowering homocysteine levels and in particular, omit one or several of the B vitamins, especially for example B6, B9 and B12.
  • the invention provides a nutritional supplement comprising about
  • the invention also provides a nutritional supplement which comprises a first dosage form comprising about 400 IU alpha d-tocopherol, about 256 mg gamma d-tocopherol, about 89 mg delta d-tocopherol and about 20 mg beta d-tocopherol; a second dosage form comprising about 1 g 30% EPA/20%DHA; a third dosage form comprising about 50 mg Thiamin Bl, about 50 mg Riboflavin B2, about 50 mg Niacin, about 50 mg Pyridoxine B5, about 400 meg Folic Acid, about 50 meg Vitamin B12, about 50 meg Biotin, about 50 meg Pantothenic acid, about 50 mg Inositol, about 50 mg Choline Bitartate, and about 15 mg PABA; a fourth dosage form comprising about 500 mg vitamin C, about 50 mg Bioflavinoids, and about 25 mg Rose Hips; a fifth dosage form comprising about 500 mg Calcium Citrate, about 200 mg of Magnesium
  • the invention also provides a method of improving a physiological symptom in a human selected from the group consisting of plasma homocysteine levels, heart palpitations and astenia which comprises administering to the human the nutritional supplement as described above.
  • the invention also provides a method for providing nutritional supplementation to a person comprising providing said person with a nutritional supplement as described above. For each method, the supplement is administered once per day.
  • the invention also provides a blister pack for dosage forms which comprises a substrate comprised of a first, a second, and a third section; said first section further comprising a first flap hingably connected to a first surface of said first section; said second section further comprising a second flap hingably connected to a second surface of said second section; said first section connected foldably to said second section; said third section connected foldably to said second section; a first matrix of blisters disposed on said first flap; and a second matrix of blisters disposed on said second flap.
  • the invention also provides a method of contacting a person in need of a nutritional supplement regimen by a purveyor of nutritional supplement products, which comprises (a) informing a health care provider of the availability of nutritional supplement regimen products from said purveyor of nutritional supplement products; (b) providing contact information cards to said health care provider on which contact information for said persons can be provided, wherein said cards are provided with prepaid postage and a preprinted address of said purveyor of nutritional supplement products; (c) determining whether said person would benefit from a nutritional supplement regimen, wherein said determination is made by a health care provider; (d) recommending that said person begin a nutritional supplement regimen, wherein said recommendation is made by said health care provider; (e) providing said contact information card to said person by said health care provider; (f) filling out contact information on said information card by said person; (g) mailing said card to said purveyor of nutritional supplement products; and (h) contacting said person based on the contact information on said filled out information card.
  • the invention also provides a method of providing nutritional supplement products by a purveyor of nutritional supplement products to a person in need of a nutritional supplement regimen, which comprises (a) informing health care provider of the availability of nutritional supplement regimen products from said purveyor of nutritional supplement products; (b) providing contact information cards to said health care provider on which contact information for said persons can be provided, wherein said cards are provided with prepaid postage and a preprinted address of said purveyor of nutritional supplement products; (c) determining whether said person would benefit from a nutritional supplement regimen, wherein said determination is made by a health care provider; (d) recommending that said person begin a nutritional supplement regimen, wherein said recommendation is made by said health care provider; (e) providing said contact information card to said person by said health care provider; (f) filling out contact information on said information card by said person; (g) mailing said card to said purveyor of nutritional supplement products; (h) contacting said person based on the contact information on said filled out information card;
  • the invention also provides a softgel capsule of vegetable origin comprising: potato starch, one or more polyalcohol, glycerol monostearate and water.
  • a softgel capsule of vegetable origin comprising: potato starch, one or more polyalcohol, glycerol monostearate and water.
  • flavoring and/or a coating such as hydroxypropyl methylcellulose (HPMC) also is used.
  • HPMC hydroxypropyl methylcellulose
  • no synthetic materials are used in the capsules and all ingredients are obtained from natural sources.
  • the invention provides a multi- itamin and mineral nutritional supplement or supplement regimen in the form of a daily program.
  • This supplement and this program are designed to provide a synergistically effective combination of specific vitamins, minerals and other essential nutrients which can aid in reducing the risk of common debilitating conditions and diseases of adults and promote good health, in a cost effective and safe dosage for daily use, preferably as recommended by a physician.
  • the inventive nutritional supplement and regimen may be used to prevent or reduce the risk of future health problems or to correct ; " existing nutritional deficits.
  • the conditions targeted by the inventive nutritional supplement include, for example, heart disease, some cancers, vision problems, osteoporosis and mental impairment.
  • the formulations of the invention are suitable for most adults independent of age or medical condition and are aimed towards reducing the risk of the most chronic debilitating diseases: cardiovascular diseases, some types of cancer, vision problems, osteoporosis and mental impairment.
  • the inventors have found that a formulation has a synergistic effect when it includes omega3 -fatty acids, added to a vitamin B complex, a balanced vitamin E complex, a slowly absorbed vitamin C complex and a complete calcium- magnesium- vitamin D-mineral complex, all as described in more detail below.
  • the invention also provides a dosage form of nutritional supplement in a purely vegetal softgel capsule of pharmaceutical quality which contains no ingredients of animal origin.
  • the softgel capsule comprises potato starch and preferably is flavorless and odorless.
  • no synthetic materials are used in the manufacture of the capsules and all ingredients are obtained from natural sources.
  • the softgel capsule is a VegaGelsTM capsule.
  • the invention also provides a system for providing the nutritional supplement and the nutritional supplement regimen in a convenient package and package system. [00024] The invention also provides a method for providing such a nutritional supplement or nutritional supplement program or regimen to persons in need thereof, preferably as judged by a licensed physician.
  • the invention provides a nutritional supplement system comprising omega 3 fatty acids in a synergistically effective combination with Vitamin E which provides the benefit of antioxidant activity.
  • the nutritional supplement and regimen also optionally provide a synergistic combination with other vitamins and minerals in optimal formulations for either male or female persons.
  • Specific combinations of the components of the inventive formulations and systems provides a nutritional supplement which improves an individuals chances of achieving optimum health by ensuring adequate nutritional supplementation.
  • at least one of the formulations of the present invention is provided in a softgel capsule that is a gelatin free substitute gel cap containing no ingredients of animal origin.
  • the invention provides a method of improving or maintaining a beneficial physiological condition in a human by administering the formulations of the invention.
  • the invention provides a method of improving or stabilizing a physiological condition such as high serum homocysteine levels, heart palpitations and astenia in a human.
  • Synergistic health benefits are provided by the methods and formulations of the invention, generally and for prevention of particular ailments, including changes in blood levels of homocysteine.
  • the particular synergistic combination of vitamin E, omega3 -fatty acids and proper amounts of particular B vitamins is important in that positive and/or prophylactic changes in plasma homocysteine, palpitation and astenia are associated with consumption of the nutritional supplements of the invention.
  • the vitamin B6, B9 and B 12 of the inventive supplement work in synergy to lower the blood homocysteine levels. Therefore, persons having non-optimal homocysteine levels will particularly benefit from the inventive supplement.
  • contact includes, but is not limited to, communication via telephone, facsimile, telex, e-mail, regular postal service, courier and delivery services including those such as Federal Express or United Parcel Service, in person, and the like.
  • health care provider includes but is not limited to physicians, pharmacists, osteopaths, nurses, nurse practitioners, nurses aides, massage therapists, acupuncturists and the like and their assistants and can include licensed or unlicensed practitioners, so long as there is an established form of contact or relationship between the health care provider or his her offices and the purveyor of the nutritional supplement.
  • dosage form designates any means effective for administration of a dosage of part or all of the nutritional supplement, preferably for oral administration.
  • Dosage forms may include, but are not limited to tablets, hard capsules, caplets, softgel capsules and the like, or any oral dosage form known to the nutritio al and pharmaceutical arts.
  • the nutritional supplement of the invention can be provided in solid or liquid form but in preferred embodiments, at least one dosage unit comprises a vegetable soft gel capsule such as VegaGelsTM caplets.
  • a physiological symptom is "improved" in a person if it is changed from a level that is less associated with optimal health to a level that is more associated with optimal level of health. For example, improved serum homocysteine levels, palpitations and astenia will be reduced with the methods of the invention.
  • Optimal levels of these signs or symptoms are well known with in the art. See, e.g., Klor et al. Eur. J. Med. Res. 2(6):243-257 (1997), the disclosures of which are incorporated by reference.
  • the nutritional supplement is preferably provided as plural oral dosage forms such as soft or hard capsules, tablets, caplets, and the like.
  • the nutritional supplement and the supplements of the system do not contain any components of animal origin.
  • one or more of the dosage forms of the formulation are contained within a soft gelatin-like capsule of vegetable origin, such as a VegaGelsTM capsule.
  • Preferred dosage forms are free of genetically modified organisms, are of pharmaceutical grade and are tamper proof.
  • the nutritional supplements of the present invention are advantageously provided in any suitable dosage form known in the art, for example, tablets, powdeirs, granules, beads, chewable lozenges, capsules, liquids, liposomes, dragees, transdermal patches, implants or any conventional dosage forms, using conventional equipment and techniques known in the art.
  • Oral dosage forms are preferred, and cost efficient dosage forms such as tablets, capsules, caplets and softgel capsules are highly preferred.
  • at least one of the dosage forms which provide the nutritional supplement components of the invention are provided in softgel capsules of vegetable origin and most preferably in VegaGelsTM caplets.
  • the solid and liquid forms may contain, in addition to the active nutritional supplements any nutritionally or pharmaceutically acceptable excipients or fillers suitable to the active ingredient and the dosage form.
  • acceptable inactive or inert ingredients or fillers may include diluents, flavorants, colorants, stabilizers, buffers, artificial and natural sweeteners, dispersants, thickeners, solubilizing agents, and the like.
  • Non-limiting examples may include oils such as soybean oil, corn oil, sesame oil, fish oil or any edible oil.
  • the nutritional components are advantageously blended with lubricants such as hydrogenated vegetable oil, stearic acid and the like; diluents such as starch, lactose, mannose, and sucrose; disintegrants such as carboxymethyl cellulose and sodium starch glycolate and the like; suspending agents such as povidone, polyvinyl alcohol, and the like;..' absorbents such as silicon dioxide and the like; preservatives and antioxidants such as methylparaben, propylparaben, tocopherols and sodium benzoate; surfactants such as sodium lauryl sulfate, polysorbate 80, and the like; and colorants such as dyes and the like.
  • lubricants such as hydrogenated vegetable oil, stearic acid and the like
  • diluents such as starch, lactose, mannose, and sucrose
  • disintegrants such as carboxymethyl cellulose and sodium starch glycolate and the like
  • suspending agents such as povidone, polyvinyl alcohol
  • inert, pharmaceutically acceptable carriers may be used which are either solid or liquid form.
  • a solid carrier advantageously contains one or more substances which may also act as diluents, flavoring agents, solubilizers, lubricants, suspending agents, binders or tablet disintegrating agents.
  • the solid carrier material also may includes encapsulating material. Suitable solid carriers include, but are not limited, to magnesium carbonate, magnesium stearate, talc, sugar, lactose, pectin, dextrin, starch, gelatin, tragacanth, methylcellulose, sodium carboxymethylcellulose, a low melting wax, cocoa butter, and the like.
  • Liquid form preparations include solutions, oils, suspensions, and emulsions.
  • Aqueous solutions suitable for oral use are prepared by dissolving the active component in water or other suitable liquid and adding suitable colorants, flavors, stabilizing agents, and thickening agents as desired, such as natural or synthetic gums, resins, methylcellulose, sodium carboxymethylcellulose, and other suspending agents known in the art.
  • suitable colorants, flavors, stabilizing agents, and thickening agents such as natural or synthetic gums, resins, methylcellulose, sodium carboxymethylcellulose, and other suspending agents known in the art.
  • Other liquid formulations may comprise nutritionally or pharmaceutically acceptable edible oils such as com, soybean, sesame, fish and the like.
  • the nutritional supplement and supplement regimen is advantageously provided with plural separate dosage units, preferably 2-10 separate dosage units, most preferably 3-8 dosage units or 4-7 dosage units, and most preferably 6 separate dosage units.
  • the most preferred embodiment of the inventive nutritional supplement comprises
  • a dosage form comprising vitamin E complex (alpha, beta, delta and gamma d-tocopherols, preferably from natural sources),
  • vitamin C complex a slow release vitamin C combination including bioflavinoids (preferably from citrus extracts or another natural source) and rose hips extract
  • a dosage form comprising vitamin B complex (thiamin, riboflavin, niacin, pyridoxine, folic acid, vitamin B 12, biotin, pantothenic acid, inositol, choline “ bitartrate and para-aminobenzoic acid (PABA, a vitamin B complex factor)),
  • vitamin B complex thiamin, riboflavin, niacin, pyridoxine, folic acid, vitamin B 12, biotin, pantothenic acid, inositol, choline “ bitartrate and para-aminobenzoic acid (PABA, a vitamin B complex factor)
  • a dosage form comprising calcium, vitamin D and minerals (calcium citrate, magnesium, vitamin D and selenium), and
  • a dosage form comprising either a. additional calcium and minerals provided in a formulation designed for women (calcium citrate, magnesium and zinc), or b. additional calcium, selenium and other minerals provided in a formulation designed for men (calcium citrate, magnesium, selenium and zinc).
  • At least one of dosage form 1 and dosage form 2 is a softgel capsule such as VegaGelsTM.
  • the vitamin E complex of the invention advantageously includes about 100 to about 1000 IU alpha d-tocopherol or preferably about 200 to about 600 IU alpha d-tocopherol and most preferably about 400 IU alpha d-tocopherol and can comprise, for example, 250, 300, 450, 500, 600, 750 or 1,000 IU alpha d-tocopherol.
  • the vitamin E complex also advantageously contains about 100 to about 500 mg gamma d-tocopherol or preferably about 200 to about 300 mg gamma d-tocopherol or most preferably 256 mg gamma d-tocopherol.
  • the vitamin E complex also advantageously contains about 50 to about 120 mg delta d- tocopherol or preferably about 75 to about 100 mg delta d-tocopherol or most preferably about 89 mg delta d-tocopherol.
  • the vitamin E complex also advantageously contains about 5 to about 40 mg beta d-tocopherol or preferably about 10 to about 30 mg beta d-tocopherol or most preferably about 20 mg beta d-tocopherol.
  • the omega3 -fatty acid composition contained in the dosage form comprising omega3 -fatty acids advantageously includes at least about 10% to about 50% EPA and at least about 5% to about 40 % DHA or preferably about 20% to about 40% EPA and about 10% to about 30% DHA or most preferably about 30% EPA and about 20% DHA, and suitably may contain any amount of EPA and DHA within these ranges.
  • the total amount of the omega3 -fatty acid composition advantageously is at least about 0.5 g, and preferably is at least about 0.5 to about 3 g, or more preferably about lg to about 2 g and most preferably about lg, for example 0.75 g, 1.5 g or 2 g.
  • the omega3-fatty acid composition is EPAX5500TG (ProNova).
  • the vitamin C complex of the invention advantageously includes about 200 to about 800 mg vitamin C or more. More preferably the complex includes about 400 to about 600 mg vitamin C or most preferably 500 mg vitamin C, for example 500, 600, 800 or 1000 mg.
  • the vitamin C complex advantageously includes about 30 to about 75 mg bioflavinoids or preferably about 40 to about 60 mg bioflavinoids or most preferably about 50 mg bioflavinoids, for example 30, 50, 70 mg bioflavinoids and about 10 to about 35 mg rose hips or preferably about 20 to about 30 mg rose hips or most preferably about 25 mg rose hips, for example about 15, 20, 25 or 30 mg rose hips.
  • Bioflavinoids are made up of a group of hundreds or thousands of related chemicals found in many plant foods and herbs. These substances are powerful antioxidants and may play a role in fighting cancer and heart disease. Some bioflavinoids enhance the actions of vitamin C and other antioxidants.
  • the more common groups of bioflavinoids include, but are not limited to, flavones, flavonols, flavonones and isoflavones. Quercetin is a major flavonol in the Western diet. Rose hips are a very rich source of vitamin C and also contain pectin, a soluble fiber, and various acidic compounds which have laxative effects.
  • the vitamin B complex of the invention advantageously includes the ranges of compounds as shown in Table 1, below: Table 1.
  • the dosage unit comprising calcium, vitamin D and minerals advantageously includes about 100 to about 800 mg calcium citrate or preferably about 200 to about 700 mg calcium citrate or most preferably about 500 mg calcium citrate.
  • the dosage unit also advantageously includes about 100-300 mg magnesium or preferably about 150 to about 250 mg magnesium or most preferably about 200 mg magnesium.
  • the dosage unit also advantageously includes about 200 to about 600 IU vitamin D or preferably about 300 to about 500 IU vitamin D or most preferably about 400 IU vitamin D.
  • the dosage unit also advantageously includes about 50 to about 100 meg selenium or preferably about 60 to about 90 meg selenium or most preferably about 75 meg.
  • the dosage unit comprising additional calcium and minerals provided in a formulation designed for women advantageously includes about 100 to about 800 mg calcium citrate or preferably about 200 to about 700 mg calcium citrate or most preferably about 500 mg calcium citrate.
  • the dosage unit also advantageously includes about 100-300 mg magnesium or preferably about 150 to about 250 mg magnesium or most preferably about 200 mg magnesium.
  • the dosage unit also advantageously includes about 5 to about 25 mg zinc or preferably about 10 to about 20 mg zinc or most preferably about 15 mg zinc.
  • the dosage unit comprising additional calcium, selenium and other minerals provided in a formulation designed for men advantageously includes about 100 to about 800 mg calcium citrate or preferably about 200 to about 700 mg calcium citrate or most preferably about 500 mg calcium citrate.
  • the dosage unit also advantageously includes about 100-300 mg magnesium or preferably about 150 to about 250 mg magnesium or most preferably about 200 mg magnesium.
  • the dosage unit also advantageously includes about 5 to about 25 mg zinc or preferably about 10 to about 20 mg zinc or most preferably about 15-" mg zinc.
  • the dosage unit also advantageously includes about 30 to about 70 meg selenium or preferably about 40 to about 60 meg selenium or most preferably about 50 meg selenium.
  • the nutritional supplement is preferably formulated in separate dosage units as described above, the nutritional supplement may be formulated in less than or more than 6 separate dosage units, including 1 dosage unit, but contain the same nutritional supplements in the ranges described. The preferred formulation of the nutritional supplement product is also shown in Figure 1.
  • the present invention provides a method for contacting a consumer in need of a nutritional supplement regimen by a purveyor of nutritional supplement products through a health care provider or with the supervision of a health care provider.
  • the invention comprises a method of providing nutritional supplement products by a purveyor of nutritional supplement products to a person in need of a nutritional supplement regimen through a health care provider or with the supervision of a health care provider.
  • the invention further provides a dosage package for convenient and accurate dispensing of the nutritional supplement of the invention.
  • the dosage containers of the invention comprise a folding paper matchbook style card about 6.25 x 9 inches with a depth of .54 inches when folded. See Figure 2.
  • the dosage container comprises a match box style container having three sections of equal or approximately equal size, with the two outer sections easily folded over to meet and enclose the inner section, thus providing an inner and outer portion the container.
  • the individual blisters for holding the individual modules of the nutritional supplement can be attached to the inside of the folded over container.
  • a preferred dosage container of the invention comprises a matchbook style folding card about 6.25 x 9 inches with a depth of about .54 inches, when folded.
  • the package preferably contains 42 individual blisters.
  • the package may be color coded, with the male formulation package preferably being blue and the female formulation package preferably being pink.
  • the individual blisters can further be divided on more than one blister card attached to the interior of the folded package containing a week's supply of the nutritional supplement.
  • the 42 individual blisters of the dosage container are arranged in seven rows across the card, each row comprising 6 columns, wherein each row is separated by a perforation extending lengthwise down the card.
  • a blister pack for dosage forms may include a substrate with a first, second, and third sections.
  • the substrate may be composed of e ⁇ . card stock, fiber board or plastic.
  • the sections are connected to each other with, for example, fold lines or hinges, so that the blister pack can be folded like, for example, a match book.
  • the first section has a first flap hingably connected to a first surface of the first section that contains a first matrix of blisters.
  • the matrix may have, for example, six rows and seven columns of blisters, each blister holding one dosage form.
  • Blisters are well-known in the art of packaging and may compose a transparent plastic bubble attached to the first section that can be torn or perforated to release the dosage form contained therein.
  • Each row may be labeled with, for example, the name of the dosage forms contained in the blister packs of that row.
  • Each column may be labeled with, for example, the name of a weekday.
  • the dosage container can contain for example between 1 and 30 days supply of the nutritional supplement, and for example can contain 1, 7, 15, or 30 days supply of the nutritional supplement or any convenient amount of the dosage units of the supplement.
  • a person of ordinary skill in the art can readily contemplate variations on the number of modules contained within the dosage container and such variations are contemplated by the present invention.
  • a blister part of a blister package comprises one blister part, which consists of a set of interconnected foils covering each other.
  • One relatively rigid foil is in most cases referred to as the base and comprises cavities or "blisters", which accommodate a single tablet or capsule.
  • the other foil which is flat, is in most cases referred to as the lid and seals the opening of the blisters.
  • a group of such blisters can be provided as a "blister assembly” and in a preferred embodiment, are provided as a matchbox style assembly as described above.
  • each dosage form of the vitamin supplement may be provided on the left side of the matchbox and the day of the week printed across the top of the inside of the package as depicted in Figure 3.
  • the package preferably is perforated into sections, for :" example 7 sections in a preferred embodiment, with each section containing a daily supply of the supplement encased in six individual blisters, so that a supply of dosage units sufficient for one day may be conveniently detached.
  • vitamin E complex including 400 IU alpha tocopherol
  • vitamin C slow release with 50 mg bioflavinoids
  • vitamin B 50 complex as shown in Table 1 above, most preferred amounts
  • 500 mg calcium citrate and lg EPAX5500TG (ProNova)
  • Subjects 3, 22 and 23 were administered an additional lmg vitamin B12 once per week.
  • Table 2 provides serum homocysteine levels ( ⁇ M) in each individual before and after administration of the nutritional supplement regimen.

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Abstract

This invention pertains to the field of nutritional supplementation, and in particular to a formation of vitamin and mineral supplements with highly advantageous health benefits. In a preferred embodiment, the supplement formulation comprises multiple dosage units, each providing different nutritional components of the supplement.

Description

MULTIVITAMIN AND MINERAL NUTRITIONAL SUPPLEMENT
FIELD OF THE INVENTION
[0001] This invention pertains to the field of nutritional supplementation, and in particular to a formulation of vitamin and mineral supplements with highly advantageous health benefits. In a preferred embodiment, the supplement formulation comprises multiple dosage units, each providing different nutritional components of the supplement.
The publications and other materials used herein to illuminate the background of the invention or provide additional details respecting the practice are incorporated by reference.
BACKGROUND OF THE INVENTION
[0002] Micronutrients are elements or compounds which are present in foods in small or trace amounts and include vitamins, minerals or other elements. These micronutrients include compounds such as pantothenic acid, biotin and choline that are found in fQods but for which a Recommended Dietary Allowance (RDA) has not yet been determined. Macronutrients consist of carbohydrates, fats (including essential fatty acids) and proteins (including essential amino acids) which supply both macronutrients and calories. Some elements such as calcium, sodium, potassium, chloride and phosphorus are consumed in relatively large amounts, while many such as iron, iodine, and zinc are consumed in small amounts (milligrams). Vitamins such as vitamin B 12, and folic acid and the minerals copper, selenium and chromium are consumed in very small, or trace amounts (micrograms). [0003] Inasmuch as the human body, does not synthesize many "essential compounds," these specific vitamins and minerals must be obtained from exogenous sources. The primary source of all nutrients is food. Ample evidence documents that a large number of persons of different ages, genders and socioeconomic status can not or do not obtain the Recommended Dietary Allowance of one or more essential macro- or micronutrients from their diet. Furthermore, substantial segments of the population do not demonstrate desirable eating patterns, that is, an adequate intake of the quantity or variety of food to fulfill the Recommended Dietary Allowances. In particular, large groups do not consume the recommended number of dietary servings of fruits and vegetables each day. Other factors such as smoking, physical inactivity, exposure to toxic environmental compounds and the avoidance of certain foods can also contribute to low or deficient intake or absorption of nutrients.
[0004] In general, many women do not meet the RDA's for 6 out of 15 micronutrients
(B6, vitamin E, calcium, iron, magnesium and zinc). Men often fail to met the RDA's for 4 of 15 micronutrients (B6, vitamin E, magnesium and zinc). It also has been found that there is a significant prevalence and incidence in various population subgroups of deficiencies in specific vitamins and minerals, some of which are related to micronutrient deficiency diseases such as scurvy (vitamin C deficiency), pellagra (niacin deficiency), beri-beri (vitamin Bl deficiency), iron deficiency anemia and other vitamin and mineral deficiency states. Thus, vitamin and mineral supplementation has become a recognized method of meeting accepted medical and public health nutrition standards.
[0005] The effect of marginal nutrient deficiency states is only now being considered as a cause of suboptimal health status. Moreover, research conducted and published in the past three decades indicates that antioxidant micronutrients are involved in preventing :" molecular biological processes affecting health and disease at the subcellular and submolecular level. It is currently thought that free-radical effects on cells and tissues can be modified by antioxidant micronutrients, resulting in reduced cellular damage. Other specific micronutrients maintain immune system integrity, moderate the aging process and play a role in the prevention of atherogenesis and cancer.
[0006] In the last decade it has also been determined that "marginal" vitamin and mineral deficiency states occur, in which the blood or tissue levels are in the "low" range, without the presence of overt physical signs of deficiency disease, but which may cause symptoms of fatigue, lassitude, and a general sense of ill health. It is thus clear that nutrition science has progressed in defining the role of micro- and macronutrients in health and in disease prevention.
[0007] The effect of nutrients on coronary heart disease is thought mainly to' be related to their effects on serum levels of lipids and lipoproteins. An emerging concept in nutritional health is that oxidized low density lipoprotein (LDL) is the key initiating agent in atherogenesis. Since, contrary to normal LDL, oxidized LDL is rapidly attacked by scavenging receptor macrophages. This induces the production of lipidladen foam cells. The end effect is cytotoxic to endothelial cells. Large epdiemiological studies have shown a reduced incidence of cardiovascular disease in relation to dietary intake of micronutrients such as omega3-fatty acids, folic acid and vitamin E. The main beneficial effect of omega 3 fatty acids is to decrease triglyceride concentrations. Vitamins B6 and B 12 are known to influence homocysteine plasma concentrations.
[0008] Vitamin E, an antioxidant, exerts its effects by blocking the effects of free radicals. The original concept that nutrients could affect biological and physiological systems began with the study of the aging process, in which intracellular oxidative reactions in brain cells were found to play a major role. Animal and human studies gave further impetus to these findings when it was shown that specific micronutrients, notably vitamin E, substantially blocked the induction of free radicals. Later, it was documented that lipid peroxidation formed free radicals with release of free-spinning electrons, which injured delicate subcellular organelle structures such as mitochondrial membranes. This, in turn, caused release of enzymes and other toxic compounds into the cytosol which induces -further injury. As related to atherogenesis, both oxidized LDL and peroxidation of fatty acids are i now considered to induce macrophages and other cells to transform into foam cells which comprise the fatty streak, the earliest histologically detectable origins of coronary atherosclerosis.
[0009] Nutritional formulations currently available which contain vitamin E* generally are contained in sof gel capsules which contain gelatin of animal origin. Traditionally, the primary sources of gelatin have been from bovine and porcine animals, although fish and birds have been indicated in the literature as alternative sources of gelatin. The source of gelatin is problematic since large groups around the world cannot ingest any pork or beef products (e.g., vegetarians and members of various religions). Furthermore, since there recently have been alleged instances of cross-species contamination from cattle to humans of bovine spongiform encephalopathy (BSE; "mad cow disease"), the use of uncontrolled byproducts from animals has lost commercial acceptance.
[00010] The importance of the polyunsaturated omega 3 -fatty acids, containing 18-22 carbon atoms, to proper nutrition is known in the art. The omega 3 -fatty acids eicosapentaenoic acid (EPA) and docosahexaenoic acid (DHA) are essential fatty acids in man. Besides their nutritional value, they are also known to possess beneficial pharmacological effects on the cardiovascular system and development of brain and retina functions, as well as on inflammatory and autoimmune diseases. These effects have led to attempts to find nutritional compositions containing a high amount of omega3 -fatty acids (particularly the omega3-fatty acids EPA and DHA) such as marine oils. [00011 ] High levels of homocysteine confer a risk of vascular disease, increases the risk of atherosclerosis, and may be associated with Alzheimer's disease other forms of dementia and overall death risk. The physiological mechanism at this time is unclear. Risk ranges are provided below for cardiovascular diseases, as well as other homocysteine-related diseases:
Figure imgf000005_0001
It is generally well known that a preferable level of homocysteine is below 10 micromoles per liter. For genetic or nutritional reasons, some people have higher than the preferred level of homocysteine. Vitamin formulations generally do not contain enough vitamin B6 to aid in lowering homocysteine levels and in particular, omit one or several of the B vitamins, especially for example B6, B9 and B12.
[00012] Therefore, it would be of substantial benefit to provide a nutritional supplement formulation and system which overcomes these deficiencies and is able to provide correct nutritional support for both men and women.
SUMMARY OF THE INVENTION [00013] Accordingly, the invention provides a nutritional supplement comprising about
400 IU alpha d-tocopherol, about 256 mg gamma d-tocopherol, about 89 mg delta d- tocopherol, about 20 mg beta d-tocopherol, about 1 g 30% EPA/20%DHA, about 50 mg Thia in Bl, about 50 mg Riboflavin B2, about 50 mg iacin, about 50 mg Pyridoxine B5, about 400 meg Folic Acid, about 50 meg Vitamin B12, about 50 meg Biotin, about 50 meg Pantothenic acid, about 50 mg Inositol, about 50 mg Choline Bitartate, about 15 mg PABA, about 500 mg vitamin C, about 50 mg Bioflavinoids, about 25 mg Rose Hips, about 1 g Calcium Citrate, about 400 mg of Magnesium, about 400 IU Vitamin D, about 75 meg of Selenium, about 15 mg of Zinc, and optionally an additional 50 meg Selenium. [00014] In a further embodiment, the invention also provides a nutritional supplement which comprises a first dosage form comprising about 400 IU alpha d-tocopherol, about 256 mg gamma d-tocopherol, about 89 mg delta d-tocopherol and about 20 mg beta d-tocopherol; a second dosage form comprising about 1 g 30% EPA/20%DHA; a third dosage form comprising about 50 mg Thiamin Bl, about 50 mg Riboflavin B2, about 50 mg Niacin, about 50 mg Pyridoxine B5, about 400 meg Folic Acid, about 50 meg Vitamin B12, about 50 meg Biotin, about 50 meg Pantothenic acid, about 50 mg Inositol, about 50 mg Choline Bitartate, and about 15 mg PABA; a fourth dosage form comprising about 500 mg vitamin C, about 50 mg Bioflavinoids, and about 25 mg Rose Hips; a fifth dosage form comprising about 500 mg Calcium Citrate, about 200 mg of Magnesium, about 400 IU vitamin D, and about 50 meg of Selenium; and a sixth dosage form comprising about 500 mg Calcium Citrate, about 200 mg Magnesium, about 15 mg of zinc and optionally 50 meg selenium. [00015] In yet a further embodiment, the invention also provides a method of improving a physiological symptom in a human selected from the group consisting of plasma homocysteine levels, heart palpitations and astenia which comprises administering to the human the nutritional supplement as described above. The invention also provides a method for providing nutritional supplementation to a person comprising providing said person with a nutritional supplement as described above. For each method, the supplement is administered once per day.
[00016] In yet a further embodiment, the invention also provides a blister pack for dosage forms which comprises a substrate comprised of a first, a second, and a third section; said first section further comprising a first flap hingably connected to a first surface of said first section; said second section further comprising a second flap hingably connected to a second surface of said second section; said first section connected foldably to said second section; said third section connected foldably to said second section; a first matrix of blisters disposed on said first flap; and a second matrix of blisters disposed on said second flap. [00017] In yet a further embodiment, the invention also provides a method of contacting a person in need of a nutritional supplement regimen by a purveyor of nutritional supplement products, which comprises (a) informing a health care provider of the availability of nutritional supplement regimen products from said purveyor of nutritional supplement products; (b) providing contact information cards to said health care provider on which contact information for said persons can be provided, wherein said cards are provided with prepaid postage and a preprinted address of said purveyor of nutritional supplement products; (c) determining whether said person would benefit from a nutritional supplement regimen, wherein said determination is made by a health care provider; (d) recommending that said person begin a nutritional supplement regimen, wherein said recommendation is made by said health care provider; (e) providing said contact information card to said person by said health care provider; (f) filling out contact information on said information card by said person; (g) mailing said card to said purveyor of nutritional supplement products; and (h) contacting said person based on the contact information on said filled out information card. it [00018] In yet a further embodiment, the invention also provides a method of providing nutritional supplement products by a purveyor of nutritional supplement products to a person in need of a nutritional supplement regimen, which comprises (a) informing health care provider of the availability of nutritional supplement regimen products from said purveyor of nutritional supplement products; (b) providing contact information cards to said health care provider on which contact information for said persons can be provided, wherein said cards are provided with prepaid postage and a preprinted address of said purveyor of nutritional supplement products; (c) determining whether said person would benefit from a nutritional supplement regimen, wherein said determination is made by a health care provider; (d) recommending that said person begin a nutritional supplement regimen, wherein said recommendation is made by said health care provider; (e) providing said contact information card to said person by said health care provider; (f) filling out contact information on said information card by said person; (g) mailing said card to said purveyor of nutritional supplement products; (h) contacting said person based on the contact information on said filled out information card; (i) negotiating a sale of a nutritional supplement product to said person; and (j) providing said nutritional supplement product to said person. [00019] In yet a further embodiment, the invention also provides a softgel capsule of vegetable origin comprising: potato starch, one or more polyalcohol, glycerol monostearate and water. Optionally, flavoring and/or a coating, such as hydroxypropyl methylcellulose (HPMC) also is used. Preferably, no synthetic materials are used in the capsules and all ingredients are obtained from natural sources.
DETAILED DESCRIPTION OF THE INVENTION
[00020] The invention provides a multi- itamin and mineral nutritional supplement or supplement regimen in the form of a daily program. This supplement and this program are designed to provide a synergistically effective combination of specific vitamins, minerals and other essential nutrients which can aid in reducing the risk of common debilitating conditions and diseases of adults and promote good health, in a cost effective and safe dosage for daily use, preferably as recommended by a physician. The inventive nutritional supplement and regimen may be used to prevent or reduce the risk of future health problems or to correct ;" existing nutritional deficits. The conditions targeted by the inventive nutritional supplement include, for example, heart disease, some cancers, vision problems, osteoporosis and mental impairment.
[00021] The formulations of the invention are suitable for most adults independent of age or medical condition and are aimed towards reducing the risk of the most chronic debilitating diseases: cardiovascular diseases, some types of cancer, vision problems, osteoporosis and mental impairment. The inventors have found that a formulation has a synergistic effect when it includes omega3 -fatty acids, added to a vitamin B complex, a balanced vitamin E complex, a slowly absorbed vitamin C complex and a complete calcium- magnesium- vitamin D-mineral complex, all as described in more detail below. [00022] The invention also provides a dosage form of nutritional supplement in a purely vegetal softgel capsule of pharmaceutical quality which contains no ingredients of animal origin. The softgel capsule comprises potato starch and preferably is flavorless and odorless. Preferably, no synthetic materials are used in the manufacture of the capsules and all ingredients are obtained from natural sources. Most preferably, the softgel capsule is a VegaGels™ capsule.
[00023] The invention also provides a system for providing the nutritional supplement and the nutritional supplement regimen in a convenient package and package system. [00024] The invention also provides a method for providing such a nutritional supplement or nutritional supplement program or regimen to persons in need thereof, preferably as judged by a licensed physician.
[00025] More specifically, the invention provides a nutritional supplement system comprising omega 3 fatty acids in a synergistically effective combination with Vitamin E which provides the benefit of antioxidant activity. The nutritional supplement and regimen also optionally provide a synergistic combination with other vitamins and minerals in optimal formulations for either male or female persons. Specific combinations of the components of the inventive formulations and systems provides a nutritional supplement which improves an individuals chances of achieving optimum health by ensuring adequate nutritional supplementation. In a particularly preferred embodiment, at least one of the formulations of the present invention is provided in a softgel capsule that is a gelatin free substitute gel cap containing no ingredients of animal origin.
[00026] In one embodiment, the invention provides a method of improving or maintaining a beneficial physiological condition in a human by administering the formulations of the invention. In a further embodiment, the invention provides a method of improving or stabilizing a physiological condition such as high serum homocysteine levels, heart palpitations and astenia in a human. Synergistic health benefits are provided by the methods and formulations of the invention, generally and for prevention of particular ailments, including changes in blood levels of homocysteine. The particular synergistic combination of vitamin E, omega3 -fatty acids and proper amounts of particular B vitamins is important in that positive and/or prophylactic changes in plasma homocysteine, palpitation and astenia are associated with consumption of the nutritional supplements of the invention. Specifically, the vitamin B6, B9 and B 12 of the inventive supplement work in synergy to lower the blood homocysteine levels. Therefore, persons having non-optimal homocysteine levels will particularly benefit from the inventive supplement.
[00027] The term contact as used herein includes, but is not limited to, communication via telephone, facsimile, telex, e-mail, regular postal service, courier and delivery services including those such as Federal Express or United Parcel Service, in person, and the like. [00028] The term health care provider as used herein includes but is not limited to physicians, pharmacists, osteopaths, nurses, nurse practitioners, nurses aides, massage therapists, acupuncturists and the like and their assistants and can include licensed or unlicensed practitioners, so long as there is an established form of contact or relationship between the health care provider or his her offices and the purveyor of the nutritional supplement.
[00029] The term dosage form as used herein designates any means effective for administration of a dosage of part or all of the nutritional supplement, preferably for oral administration. Dosage forms may include, but are not limited to tablets, hard capsules, caplets, softgel capsules and the like, or any oral dosage form known to the nutritio al and pharmaceutical arts. The nutritional supplement of the invention can be provided in solid or liquid form but in preferred embodiments, at least one dosage unit comprises a vegetable soft gel capsule such as VegaGels™ caplets.
[00030] As used in the present invention, a physiological symptom is "improved" in a person if it is changed from a level that is less associated with optimal health to a level that is more associated with optimal level of health. For example, improved serum homocysteine levels, palpitations and astenia will be reduced with the methods of the invention. Optimal levels of these signs or symptoms are well known with in the art. See, e.g., Klor et al. Eur. J. Med. Res. 2(6):243-257 (1997), the disclosures of which are incorporated by reference. [00031] The nutritional supplement is preferably provided as plural oral dosage forms such as soft or hard capsules, tablets, caplets, and the like. In a preferred embodiment, the nutritional supplement and the supplements of the system do not contain any components of animal origin. Advantageously, one or more of the dosage forms of the formulation are contained within a soft gelatin-like capsule of vegetable origin, such as a VegaGels™ capsule. Preferred dosage forms are free of genetically modified organisms, are of pharmaceutical grade and are tamper proof.
[00032] The nutritional supplements of the present invention are advantageously provided in any suitable dosage form known in the art, for example, tablets, powdeirs, granules, beads, chewable lozenges, capsules, liquids, liposomes, dragees, transdermal patches, implants or any conventional dosage forms, using conventional equipment and techniques known in the art. Oral dosage forms are preferred, and cost efficient dosage forms such as tablets, capsules, caplets and softgel capsules are highly preferred. In a particularly preferred embodiment, at least one of the dosage forms which provide the nutritional supplement components of the invention are provided in softgel capsules of vegetable origin and most preferably in VegaGels™ caplets. The solid and liquid forms may contain, in addition to the active nutritional supplements any nutritionally or pharmaceutically acceptable excipients or fillers suitable to the active ingredient and the dosage form. Such acceptable inactive or inert ingredients or fillers may include diluents, flavorants, colorants, stabilizers, buffers, artificial and natural sweeteners, dispersants, thickeners, solubilizing agents, and the like. Non-limiting examples may include oils such as soybean oil, corn oil, sesame oil, fish oil or any edible oil.
[00033] When preparing dosages forms incorporating the compositions of the present invention, the nutritional components are advantageously blended with lubricants such as hydrogenated vegetable oil, stearic acid and the like; diluents such as starch, lactose, mannose, and sucrose; disintegrants such as carboxymethyl cellulose and sodium starch glycolate and the like; suspending agents such as povidone, polyvinyl alcohol, and the like;..' absorbents such as silicon dioxide and the like; preservatives and antioxidants such as methylparaben, propylparaben, tocopherols and sodium benzoate; surfactants such as sodium lauryl sulfate, polysorbate 80, and the like; and colorants such as dyes and the like. [00034] For preparing the composition from the compounds described by this invention, inert, pharmaceutically acceptable carriers may be used which are either solid or liquid form. A solid carrier advantageously contains one or more substances which may also act as diluents, flavoring agents, solubilizers, lubricants, suspending agents, binders or tablet disintegrating agents. The solid carrier material also may includes encapsulating material. Suitable solid carriers include, but are not limited, to magnesium carbonate, magnesium stearate, talc, sugar, lactose, pectin, dextrin, starch, gelatin, tragacanth, methylcellulose, sodium carboxymethylcellulose, a low melting wax, cocoa butter, and the like. [00035] Liquid form preparations include solutions, oils, suspensions, and emulsions.
Aqueous solutions suitable for oral use are prepared by dissolving the active component in water or other suitable liquid and adding suitable colorants, flavors, stabilizing agents, and thickening agents as desired, such as natural or synthetic gums, resins, methylcellulose, sodium carboxymethylcellulose, and other suspending agents known in the art. Other liquid formulations may comprise nutritionally or pharmaceutically acceptable edible oils such as com, soybean, sesame, fish and the like. [00036] The nutritional supplement and supplement regimen is advantageously provided with plural separate dosage units, preferably 2-10 separate dosage units, most preferably 3-8 dosage units or 4-7 dosage units, and most preferably 6 separate dosage units. The most preferred embodiment of the inventive nutritional supplement comprises
1. a dosage form comprising vitamin E complex (alpha, beta, delta and gamma d-tocopherols, preferably from natural sources),
2. a dosage form comprising omega3-fatty acids,
3. a dosage form comprising vitamin C complex (a slow release vitamin C combination including bioflavinoids (preferably from citrus extracts or another natural source) and rose hips extract),
4. a dosage form comprising vitamin B complex (thiamin, riboflavin, niacin, pyridoxine, folic acid, vitamin B 12, biotin, pantothenic acid, inositol, choline" bitartrate and para-aminobenzoic acid (PABA, a vitamin B complex factor)),
5. a dosage form comprising calcium, vitamin D and minerals (calcium citrate, magnesium, vitamin D and selenium), and
6. a dosage form comprising either a. additional calcium and minerals provided in a formulation designed for women (calcium citrate, magnesium and zinc), or b. additional calcium, selenium and other minerals provided in a formulation designed for men (calcium citrate, magnesium, selenium and zinc).
Preferably, at least one of dosage form 1 and dosage form 2 is a softgel capsule such as VegaGels™.
[00037] The vitamin E complex of the invention advantageously includes about 100 to about 1000 IU alpha d-tocopherol or preferably about 200 to about 600 IU alpha d-tocopherol and most preferably about 400 IU alpha d-tocopherol and can comprise, for example, 250, 300, 450, 500, 600, 750 or 1,000 IU alpha d-tocopherol. The vitamin E complex also advantageously contains about 100 to about 500 mg gamma d-tocopherol or preferably about 200 to about 300 mg gamma d-tocopherol or most preferably 256 mg gamma d-tocopherol. The vitamin E complex also advantageously contains about 50 to about 120 mg delta d- tocopherol or preferably about 75 to about 100 mg delta d-tocopherol or most preferably about 89 mg delta d-tocopherol. The vitamin E complex also advantageously contains about 5 to about 40 mg beta d-tocopherol or preferably about 10 to about 30 mg beta d-tocopherol or most preferably about 20 mg beta d-tocopherol.
[00038] The omega3 -fatty acid composition contained in the dosage form comprising omega3 -fatty acids advantageously includes at least about 10% to about 50% EPA and at least about 5% to about 40 % DHA or preferably about 20% to about 40% EPA and about 10% to about 30% DHA or most preferably about 30% EPA and about 20% DHA, and suitably may contain any amount of EPA and DHA within these ranges. The total amount of the omega3 -fatty acid composition advantageously is at least about 0.5 g, and preferably is at least about 0.5 to about 3 g, or more preferably about lg to about 2 g and most preferably about lg, for example 0.75 g, 1.5 g or 2 g. In a preferred embodiment, the omega3-fatty acid composition is EPAX5500TG (ProNova).
[00039] The vitamin C complex of the invention advantageously includes about 200 to about 800 mg vitamin C or more. More preferably the complex includes about 400 to about 600 mg vitamin C or most preferably 500 mg vitamin C, for example 500, 600, 800 or 1000 mg. In addition, the vitamin C complex advantageously includes about 30 to about 75 mg bioflavinoids or preferably about 40 to about 60 mg bioflavinoids or most preferably about 50 mg bioflavinoids, for example 30, 50, 70 mg bioflavinoids and about 10 to about 35 mg rose hips or preferably about 20 to about 30 mg rose hips or most preferably about 25 mg rose hips, for example about 15, 20, 25 or 30 mg rose hips. Bioflavinoids (also known as flavinoids) are made up of a group of hundreds or thousands of related chemicals found in many plant foods and herbs. These substances are powerful antioxidants and may play a role in fighting cancer and heart disease. Some bioflavinoids enhance the actions of vitamin C and other antioxidants. The more common groups of bioflavinoids include, but are not limited to, flavones, flavonols, flavonones and isoflavones. Quercetin is a major flavonol in the Western diet. Rose hips are a very rich source of vitamin C and also contain pectin, a soluble fiber, and various acidic compounds which have laxative effects. [00040] The vitamin B complex of the invention advantageously includes the ranges of compounds as shown in Table 1, below: Table 1. Vitamin B Complex
Figure imgf000014_0001
[00041] The dosage unit comprising calcium, vitamin D and minerals advantageously includes about 100 to about 800 mg calcium citrate or preferably about 200 to about 700 mg calcium citrate or most preferably about 500 mg calcium citrate. The dosage unit also advantageously includes about 100-300 mg magnesium or preferably about 150 to about 250 mg magnesium or most preferably about 200 mg magnesium. The dosage unit also advantageously includes about 200 to about 600 IU vitamin D or preferably about 300 to about 500 IU vitamin D or most preferably about 400 IU vitamin D. The dosage unit also advantageously includes about 50 to about 100 meg selenium or preferably about 60 to about 90 meg selenium or most preferably about 75 meg. [00042] The dosage unit comprising additional calcium and minerals provided in a formulation designed for women advantageously includes about 100 to about 800 mg calcium citrate or preferably about 200 to about 700 mg calcium citrate or most preferably about 500 mg calcium citrate. The dosage unit also advantageously includes about 100-300 mg magnesium or preferably about 150 to about 250 mg magnesium or most preferably about 200 mg magnesium. The dosage unit also advantageously includes about 5 to about 25 mg zinc or preferably about 10 to about 20 mg zinc or most preferably about 15 mg zinc. [00043] The dosage unit comprising additional calcium, selenium and other minerals provided in a formulation designed for men advantageously includes about 100 to about 800 mg calcium citrate or preferably about 200 to about 700 mg calcium citrate or most preferably about 500 mg calcium citrate. The dosage unit also advantageously includes about 100-300 mg magnesium or preferably about 150 to about 250 mg magnesium or most preferably about 200 mg magnesium. The dosage unit also advantageously includes about 5 to about 25 mg zinc or preferably about 10 to about 20 mg zinc or most preferably about 15-" mg zinc. The dosage unit also advantageously includes about 30 to about 70 meg selenium or preferably about 40 to about 60 meg selenium or most preferably about 50 meg selenium. [00044] Although the nutritional supplement is preferably formulated in separate dosage units as described above, the nutritional supplement may be formulated in less than or more than 6 separate dosage units, including 1 dosage unit, but contain the same nutritional supplements in the ranges described. The preferred formulation of the nutritional supplement product is also shown in Figure 1.
[00045] Most individualized nutritional supplement programs are conducted without either direct or indirect supervision by a physician or other health care provider. The present invention provides a method for contacting a consumer in need of a nutritional supplement regimen by a purveyor of nutritional supplement products through a health care provider or with the supervision of a health care provider. In another embodiment, the invention comprises a method of providing nutritional supplement products by a purveyor of nutritional supplement products to a person in need of a nutritional supplement regimen through a health care provider or with the supervision of a health care provider.
[00046] The invention further provides a dosage package for convenient and accurate dispensing of the nutritional supplement of the invention. In a preferred embodiment, the dosage containers of the invention comprise a folding paper matchbook style card about 6.25 x 9 inches with a depth of .54 inches when folded. See Figure 2. In a preferred embodiment, the dosage container comprises a match box style container having three sections of equal or approximately equal size, with the two outer sections easily folded over to meet and enclose the inner section, thus providing an inner and outer portion the container. The individual blisters for holding the individual modules of the nutritional supplement can be attached to the inside of the folded over container.
[00047] A preferred dosage container of the invention comprises a matchbook style folding card about 6.25 x 9 inches with a depth of about .54 inches, when folded. The package preferably contains 42 individual blisters. The package may be color coded, with the male formulation package preferably being blue and the female formulation package preferably being pink. The individual blisters can further be divided on more than one blister card attached to the interior of the folded package containing a week's supply of the nutritional supplement. In a particularly preferred embodiment, the 42 individual blisters of the dosage container are arranged in seven rows across the card, each row comprising 6 columns, wherein each row is separated by a perforation extending lengthwise down the card. [00048] A blister pack for dosage forms may include a substrate with a first, second, and third sections. The substrate may be composed of e^ . card stock, fiber board or plastic. The sections are connected to each other with, for example, fold lines or hinges, so that the blister pack can be folded like, for example, a match book. The first section has a first flap hingably connected to a first surface of the first section that contains a first matrix of blisters. The matrix may have, for example, six rows and seven columns of blisters, each blister holding one dosage form. Blisters are well-known in the art of packaging and may compose a transparent plastic bubble attached to the first section that can be torn or perforated to release the dosage form contained therein. Each row may be labeled with, for example, the name of the dosage forms contained in the blister packs of that row. Each column may be labeled with, for example, the name of a weekday.
[00049] The dosage container can contain for example between 1 and 30 days supply of the nutritional supplement, and for example can contain 1, 7, 15, or 30 days supply of the nutritional supplement or any convenient amount of the dosage units of the supplement. A person of ordinary skill in the art can readily contemplate variations on the number of modules contained within the dosage container and such variations are contemplated by the present invention.
[00050] Various methods are known in the art for retaining individual dosages in a card containing blister packs and non-limiting examples are provided in U.S. Patent No. 5,833,072 and 6,024,222. In general, a blister part of a blister package comprises one blister part, which consists of a set of interconnected foils covering each other. One relatively rigid foil is in most cases referred to as the base and comprises cavities or "blisters", which accommodate a single tablet or capsule. The other foil, which is flat, is in most cases referred to as the lid and seals the opening of the blisters. A group of such blisters can be provided as a "blister assembly" and in a preferred embodiment, are provided as a matchbox style assembly as described above.
[00051] The name of each dosage form of the vitamin supplement may be provided on the left side of the matchbox and the day of the week printed across the top of the inside of the package as depicted in Figure 3. The package preferably is perforated into sections, for:" example 7 sections in a preferred embodiment, with each section containing a daily supply of the supplement encased in six individual blisters, so that a supply of dosage units sufficient for one day may be conveniently detached.
[00052] The practice of the present invention employs, unless otherwise indicated, conventional techniques of chemistry and vitamin and pharmaceutical manufacture which are known to one of ordinary skill in the related art. The invention is further illustrated by the following example, which is not intended to be limiting.
Example
[00053] Twenty three individuals were maintained on a nutritional supplement according to the invention (vitamin E complex (including 400 IU alpha tocopherol), vitamin C (slow release with 50 mg bioflavinoids), vitamin B 50 complex (as shown in Table 1 above, most preferred amounts), 500 mg calcium citrate, and lg EPAX5500TG (ProNova) for 8 weeks. Subjects 3, 22 and 23 were administered an additional lmg vitamin B12 once per week. The results of the study are shown in Table 2, which provides serum homocysteine levels (μM) in each individual before and after administration of the nutritional supplement regimen. Before administration of the nutritional supplement according to the invention, average serum homocysteine in the subjects was 12.9 μM, while after 8 weeks administration of the inventive nutritional supplement this level had been reduced to 9.06 μM, a reduction of 29.8%. This confers a pO.OOl statistical significance. Every subject enjoyed a drop in homocysteine levels.
Table 2. Serum Homocysteine Level Changes After Nutritional Supplementation.
Figure imgf000019_0001

Claims

Claims
1. A nutritional supplement comprising: about 400 IU alpha d-tocopherol, about 256 mg gamma d-tocopherol, about 89 mg delta d-tocopherol, about 20 mg beta d-tocopherol, about 1 g 30% EPA/20%DHA, about 50 mg Thiamin Bl, about 50 mg Riboflavin B2, about 50 mg Niacin, about 50 mg Pyridoxine B5, about 400 meg Folic Acid, about 50 meg Vitamin B12, about 50 meg Biotin, about 50 meg Pantothenic acid, about 50 mg Inositol, about 50 mg Choline Bitartate, about 15 mg PABA, about 500 mg vitamin C, about 50 mg Bioflavinoids, about 25 mg Rose Hips, about 1 g Calcium Citrate, about 400 mg of Magnesium, about 400 IU Vitamin D, about 75 meg of Selenium, about 15 mg of Zinc, and optionally an additional 50 meg Selenium.
2. A nutritional supplement of claim 1, said supplement comprising a total of 1*25 meg Selenium.
3. A nutritional supplement which comprises :
(a) a first dosage form comprising about 400 IU alpha d-tocopherol, about 256 mg gamma d-tocopherol, about 89 mg delta d-tocopherol and about 20 mg beta d-tocopherol;
(b) a second dosage form comprising about 1 g 30% EPA/20%DHA;
(c) a third dosage form comprising about 50 mg Thiamin B 1 , about 50 mg Riboflavin B2, about 50 mg Niacin, about 50 mg Pyridoxine B5, about 400 meg Folic Acid, about 50 meg Vitamin B 12, about 50 meg Biotin, about 50 meg Pantothenic acid, about 50 mg Inositol, about 50 mg Choline Bitartate, and about 15 mg PABA;
(d) a fourth dosage form comprising about 500 mg vitamin C, about 50 mg Bioflavinoids, and about 25 mg Rose Hips;
(e) a fifth dosage form comprising about 500 mg Calcium Citrate, about 200 mg of Magnesium, about 400 IU vitamin D, and about 75 meg of Selenium; and
(f) a sixth dosage form comprising about 500 mg Calcium Citrate, about 200 mg1 Magnesium, about 15 mg of zinc and optionally 50 meg selenium.
4. A nutritional supplement of claim 3 wherein the sixth dosage form comprises 50 meg of selenium.
5. A method of improving a physiological symptom in a human selected from the group consisting of plasma homocysteine levels, heart palpitations and astenia which comprises administering to the human the nutritional supplement of claim 1 or claim 3.
6. A method for providing nutritional supplementation to a person comprising providing said person with a nutritional supplement of claim 1 or claim 3.
7. A blister pack for dosage forms which comprises: a substrate comprised of a first, a second, and a third section; said first section further comprising a first flap hingably connected to a second surface of said second section; said second section further comprising a second flap hingably connected to a second surface of said second section; said first section connected foldably to said second section; said third section connected foldably to said second section; a first matrix of blisters disposed on said first flap; and a second matrix of blisters disposed on said second flap.
8. A method of contacting a person in need of a nutritional supplement regimen by a purveyor of nutritional supplement products, which comprises:
(a) informing health care provider of the availability of nutritional supplement regimen products from said purveyor of nutritional supplement products;
(b) providing contact information cards to said health care provider on which contact information for said persons can be provided, wherein said cards are provided with prepaid postage and a preprinted address of said purveyor of nutritional supplement products;
(c) determining whether said person would benefit from a nutritional supplement regimen, wherein said determination is made by a health care provider;
(d) recommending that said person begin a nutritional supplement regimen, wherein said recommendation is made by said health care provider;
(e) providing said contact information card to said person by said licensed physician;
(f) filling out contact information on said information card by said person;
(g) mailing said card to said purveyor of nutritional supplement products; and (h) contacting said person based on the contact information on said filled out information card.
9. A method of providing nutritional supplement products by a purveyor of nutritional supplement products to a person in need of a nutritional supplement regimen, which comprises:
(a) informing health care provider of the availability of nutritional supplement regimen products from said purveyor of nutritional supplement products;
(b) providing contact information cards to said health care provider on which contact information for said persons can be provided, wherein said cards are provided with prepaid postage and a preprinted address of said purveyor of nutritional supplement products; (c) determining whether said person would benefit from a nutritional supplement regimen, wherein said determination is made by a health care provider;
(d) recommending that said person begin a nutritional supplement regimen, wherein said recommendation is made by said health care provider;
(e) providing said contact information card to said person by said health care provider;
(f) filling out contact information on said information card by said person;
(g) mailing said card to said purveyor of nutritional supplement products; (h) contacting said person based on the contact information on said filled out information card;
(i) negotiating a sale of a nutritional supplement product to said person; and (j) providing said nutritional supplement product to said person.
10. A softgel capsule of vegetable origin comprising: potato starch, one or more polyalcohol, glycol monostearate, and water.
11. A softgel capsule of claim 10 further comprising a flavoring and a hydroxypropyl methyl cellulose coating.
2820- 101. pro
PCT/US2003/008701 2002-03-22 2003-03-21 Multivitamin and mineral nutritional supplement WO2003082339A1 (en)

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EP2131679A1 (en) * 2007-02-22 2009-12-16 Children's Hospital & Research Center at Oakland Fatty acid formulations and methods of use thereof
WO2011061687A3 (en) * 2009-11-18 2011-07-14 University Of The Free State Multiple-phase dietary supplement product
US9050308B2 (en) 2012-01-06 2015-06-09 Omthera Pharmaceuticals, Inc. DPA-enriched compositions of omega-3 polyunsaturated fatty acids in free acid form
US9492545B2 (en) 2012-05-07 2016-11-15 Omthera Pharmaceuticals Inc. Compositions of statins and omega-3 fatty acids
WO2022090525A1 (en) * 2020-11-02 2022-05-05 Société des Produits Nestlé S.A. Nutritional compositions and methods for reducing inadequate nutritional intake of a paleo diet
US11351171B2 (en) * 2016-11-23 2022-06-07 Zensun (Shanghai) Science & Technology, Co., Ltd. Composite vitamin composition promoting gastrointestinal system motility
US11464797B2 (en) 2017-03-07 2022-10-11 Zensun (Shanghai) Science & Technology, Co., Ltd. Use of vitamin composition in preparing drug for preventing, treating, or delaying Alzheimer's disease

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EP1673987A1 (en) * 2004-12-23 2006-06-28 N.V. Nutricia Temporally meal menu for infants
WO2006068485A2 (en) * 2004-12-23 2006-06-29 N.V. Nutricia Temporally meal menu for infants
WO2006068485A3 (en) * 2004-12-23 2006-09-28 Nutricia Nv Temporally meal menu for infants
EP2014178A1 (en) * 2004-12-23 2009-01-14 Nutricia N.V. Temporally meal menu for infants
US10765653B2 (en) 2007-02-22 2020-09-08 Children's Hospital & Research Center Oakland Fatty acid formulations and methods of use thereof
EP2131679A1 (en) * 2007-02-22 2009-12-16 Children's Hospital & Research Center at Oakland Fatty acid formulations and methods of use thereof
EP2131679A4 (en) * 2007-02-22 2012-04-11 Childrens Hosp & Res Ct Oak Fatty acid formulations and methods of use thereof
US9687016B2 (en) 2007-02-22 2017-06-27 Children's Hospital & Research Center Oakland Fatty acid formulations and methods of use thereof
US10300034B2 (en) 2007-02-22 2019-05-28 Children's Hospital Of Oakland Research Institute Fatty acid formulations and methods of use thereof
US10398671B2 (en) 2007-02-22 2019-09-03 Children's Hospital & Research Center At Oakland Fatty acid formulations and methods of use thereof
EP3539560A1 (en) * 2007-02-22 2019-09-18 Children's Hospital & Research Center at Oakland Fatty acid formulations and methods of use thereof
WO2011061687A3 (en) * 2009-11-18 2011-07-14 University Of The Free State Multiple-phase dietary supplement product
US9050308B2 (en) 2012-01-06 2015-06-09 Omthera Pharmaceuticals, Inc. DPA-enriched compositions of omega-3 polyunsaturated fatty acids in free acid form
US9050309B2 (en) 2012-01-06 2015-06-09 Omthera Pharmaceuticals, Inc. DPA-enriched compositions of omega-3 polyunsaturated fatty acids in free acid form
US10117844B2 (en) 2012-01-06 2018-11-06 Omthera Pharmaceuticals, Inc. DPA-enriched compositions of omega-3 polyunsaturated fatty acids in free acid form
US9492545B2 (en) 2012-05-07 2016-11-15 Omthera Pharmaceuticals Inc. Compositions of statins and omega-3 fatty acids
US11351171B2 (en) * 2016-11-23 2022-06-07 Zensun (Shanghai) Science & Technology, Co., Ltd. Composite vitamin composition promoting gastrointestinal system motility
AU2017364583B2 (en) * 2016-11-23 2023-03-16 Zensun (Shanghai) Science & Technology, Co. Ltd. Composite vitamin composition promoting gastrointestinal system motility
US11759463B2 (en) 2016-11-23 2023-09-19 Zensun (Shanghai) Science & Technology, Co., Ltd. Composite vitamin composition promoting gastrointestinal system motility
US11464797B2 (en) 2017-03-07 2022-10-11 Zensun (Shanghai) Science & Technology, Co., Ltd. Use of vitamin composition in preparing drug for preventing, treating, or delaying Alzheimer's disease
WO2022090525A1 (en) * 2020-11-02 2022-05-05 Société des Produits Nestlé S.A. Nutritional compositions and methods for reducing inadequate nutritional intake of a paleo diet

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