Ask Dr. Klaper
By Michael Klaper, M.D.

This article was converted to html and extracted from the July/September issue of  The Island Vegetarian,  the newsletter of  The Vegetarian Society of Hawaii .    The original pdf version of the document can be found at  http://www.vsh.org/newsletter-2001-09.pdf

Dear Dr. Klaper;
    What are minerals, and why are they important
to our health?
R.C., Honolulu

Dear R.C.,

If I had to describe the status of minerals in the diets of many vegetarians and vegans, I would choose three terms: "under-appreciated," "under- consumed," and "under-absorbed."  This is a problem because shortchanging your cells of essential minerals can lead to dysfunction in vital tissues throughout the body. Fortunately, mineral deficiencies are preventable by wise food choices and if neces-sary by utilizing appropriate mineral-rich supplements.

Minerals are metallic atoms from the earth's crust, like iron, magnesium, boron, copper, and zinc – all found on the "periodic table" of elements. To use an automotive analogy, if the enzymes in your cells are like the moving parts of your car's engine, the role of the minerals is similar to that of the oil, grease, and other lubricants. That is, the minerals act as "cofactors" that permit your cells' enzymes to perform their essential functions of protein synthesis, detoxification, and more.

Minerals are absorbed from the soils of the earth by the roots of plants and are then incorporated into the fruits and vegetables that we consume. If we do not consume mineral-rich foods in sufficient amounts, or if we are unable to absorb the minerals, the level of essential minerals in the tissues can fall to critically low levels, and disturbances of normal tissue function can follow. Mineral imbalance can manifest clinically as white-spotted nails (zinc deficiency), slow fracture healing (manganese deficiency), muscle cramping and diminished strength (calcium and magnesium deficiencies), and generalized fatigue due to multiple mineral deficiencies. 

Signs of mineral deficiencies can occasionally appear in vegetarians, even those who make an effort to "eat healthy." Ironically, the very qualities that make vegetarian diets so friendly to colons and cholesterol levels - the high fiber content of whole grains, legumes, greens, and other plant-based foods - can also create  two effects that conspire against effective mineral absorption and utilization.  

Specifically, whole, unfermented grains contain significant amounts of phytic acid, a constituent of plant fiber that can bind minerals and then carry them out of the intestine before they can be absorbed. Fortunately, phytic acid can be significantly reduced through fermentation. Thus, consuming sour dough breads as well as grains that have been soaked and fermented overnight, will promote better mineral absorption. Likewise, grains that are low in gluten and phytic acid such as rice, buckwheat, millet, and quinoa are less likely to inhibit mineral absorption than are high gluten grains such as wheat, oats, and barley.

Furthermore, beyond the phytic acid content of whole grains, the sheer bulk of the bowel movements that commonly result from high-fiber diets
promotes a rapid passage of the fecal mass through the intestine. This de-creased "intestinal transit" reduces the contact between the minerals and the intestinal lining, where the absorption takes place. Thus, essential minerals can be trapped in the high fiber food mass and hurried through the intestinal tract and out of the body before they can be taken up by the bloodstream.

This effect is exaggerated when we do not take the time to chew our fresh foods well enough to break down the plant fibers and expose the minerals
and other nutrients to our intestinal enzymes and absorptive membranes. In these ways a high fiber diet, although beneficial to colon health, may inhibit mineral absorption.

In addition to the "high fiber, high phytic acid double whammy" we must consider the issue of insufficient intake of mineral-rich foods. Most everyone
agrees that eating "5-a-day" of fresh fruits and vegetables is a good idea.  Yet how many of us really meet that goal? Studies consistently show that
even "health-conscious vegetarians" seldom consume the recommended quantities of fresh produce.

What to do? The solution begins with awareness of the problem. Do not overlook the importance of sufficient mineral intake. Mineral deficiencies
can be significant causes of fatigue as well as diminished healing responses and immune functions. Do all that you can do to maximize your consumption and absorption of these essential elements in the following ways:

  1. Emphasize the consumption of fresh fruits and vegetables at most every meal.
  2. Take the time to "chew your food to a cream" before swallowing.
  3. Fresh vegetable juices are especially rich sources of minerals - enjoy them as often as possible.
  4.  "Green super foods," containing mixtures of plant products like  spirulina, chlorella, and sprouted barley are also convenient, mineral rich resources - try to include them often.
  5. Minimize whole grains and other foods rich in mineral-inhibiting gluten and phytic acid. Consider changing to sourdough breads and low-gluten grains.
  6. Sea vegetables -nori, arame, wakame, and the like are rich in minerals. Try to develop a taste for them and use them in salads, soups, main dishes,
    and snacks as often as possible.
  7. If you consume a daily multivitamin, be sure it contains a full array of trace minerals, especially amounts equal to or exceeding the full Recommended
    Daily Intake of zinc, copper, manganese, boron, iodine, selenium, molybdenum, and chromium. Take this vitamin/ mineral combination with breakfast and/or dinner. Consider taking a separate, full spectrum multimin-eral supplement.
  8. Calcium and magnesium (approximately 800-1000 mg. of each daily) are best taken in the evening, as absorption of these minerals is maxi-mized
    while we sleep.

In conclusion, emphasizing mineral rich foods in the diet while minimizing factors that conspire against mineral absorption and utilization are
the keys to maintaining your body's "mineral rights."