Risks with Fortified Foods

Last night I was discussing with my first cousin (Doctor in USA) about how India is looking towards fortified foods. His net opinion was may be for malnutritioned population but not for people at risk. He sent me details below. Can experts and fssai folks comment on this and especially what approach they have to minimise risks.

Fortified foods have no direct association with obesity and overweight, but because they are typically less filling and higher in calories than whole foods, they may encourage you to eat more throughout the day and consequently gain weight over time. Dietary supplements can have more serious health risks as the companies that make them aren’t mandated to disclose ingredient side effects. According to “Consumer Reports,” more than 10,000 serious medical incidents or deaths related to dietary supplements were reported to the U.S. Food and Drug Administration between 2007 and 2012. The most common severe effects were allergic reactions, fatigue, nausea, and heart, kidney or liver problems.
Medication Complications
Fortified foods and supplements can present specific risks for people who are taking prescription medications that may have harmful interactions with food or supplement ingredients. The vitamins and minerals added to fortified foods can result in incidences including decreased absorption, treatment failure or even increased mortality risk. Supplements can have some of the same effects, and the FDA recommends never taking supplements in combination with prescription drugs without a doctor’s approval. more  

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Thanks everyone. Why is FSSAI quiet on the issue? more  
Ajay several research papers have been presented both by the Harvard University, Johns Hopkins University, University of Washington and more. Fortified food is more calorie and nutrient oriented food. With regards to its impact it has both its pros and cons. In view of the same it would be fair to arrive at a conclusion of its benefits or drawbacks. - but discounting it or saying it is good would not be an ideal . Saying that, I personally feel fortified food would be a part of the Indian food consumption (would further increase) taking into consideration the social changes in the urban sector -an average Indian today was not eating as balanced or nutritious a diet - however would need to consider several things. Indian government had already come out with "bio fortified crops". 1. the government had tried to introduce vitamin A-rich rice, or Golden Rice but had to withdraw the project due to protests from environmentalists. 2. However since the food would have a high nutrient content especially for India’s women and children—among the world’s most malnourished, according to several international reports—this would be the most cost-effective method to address India’s nutrition needs according to experts. Ajay the above is based on my limited knowledge and on research from various sources. I feel for a country which is having more the 1.3 billion we need both sufficient food or a good yield as well as food having good amount of nutrients. Would or should we look at various options besides traditional agriculture to deliver the output ....that Sir is something which we should just adopt (dual approach) and move ahead - we as a nation surely need both a higher yield as well as a good nutrient food - to have a balanced lifestyle. more  
Fortified foods have become necessary in the western world because they have moved away from simple cooked foods to Fast foods , because of the hectic pace of life, where has become something to be consumed as a need with least attention on content or quality.. Prior to about 50 years bak the life style afflictions were not commonly known or prevalent. In India our diet is more balanced than in the developed nations and Fortified foods are a fad imported from the west. more  
The trend in India seems to be - once you have your own share of commission/ earning/ tax - just forget about every problem being faced by the shopkeepers or customers or the other concerned parties. For decades we have seen that even the roads in the market are full of pits. Rainy season brings more problem with it. I think the shopkeepers have also resigned to the fate because they also get their share of earning even without all the facilities required. more  
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