Do you take multivitamins or other dietary supplements? The majority of us do take some type supplements either every day or occasionally. While most people consider that as a good thing, there are downsides. Vitamin/mineral supplements replace deficiencies when foods we select lack certain nutrients, but they aren’t a substitute for a healthy diet. Individuals with compromised immune systems or health issues, the elderly, pregnant women, and sometimes young children benefit from appropriate supplements. However, most who take supplements do not need them. Problems occur from our warped thinking that if a little works, a lot is better. Not so. Increased levels of certain vitamins and minerals can cause harm, and in extreme cases, may lead to health problems that result in death.
Some two decades ago, researchers observed that those who ate diets with plenty of fruits and vegetables were less prone to cancer. Because of that, they hypothesized that nutrients found in those foods could prevent this disease. In controlled rat studies, they set out to prove beneficial effects of large doses of certain nutrients. Results weren’t what they expected. Instead of improved health, some caused an increase in cancer.
Standards
If you do take a vitamin or mineral supplement, how do you know if you are taking safe amounts? The Institute of Medicine (IOM) established the Recommended Dietary Allowances (RDA) and Adequate Intake of vitamins/minerals to help consumers determine safe amounts. The Tolerable Upper Limit Levels give a safety net to prevent overdoses and/or adverse effects. These standards aren’t listed on product labels. However, labels do list the Food and Drug Administration’s (FDA) nutritional measurements of Daily Values. In most cases, this measure is comparable to the RDA.
All dietary supplements must have a Supplement Facts panel listing the contents, active ingredients per serving, and added ingredients such as fillers, color, etc. Several independent labs assure that product labels give the name of the manufacturer, ingredients, and are free of harmful levels of contaminants. Three reliable companies who offer seals for those standards include U. S. Pharmacopeia, ConsumerLab.com, and NSF International.
Warnings
Some vitamin/mineral products are more risky than others. While most of us are unlikely to have adverse effects from a multiple vitamin/mineral supplement when taken as directed, excess amounts of single nutrients may cause problems. Too high a dose of certain nutrients is dangerous. Those most likely to cause side effects from higher doses are fat-soluble vitamins, A, D, E, K and the minerals iron and selenium. The IOM established upper limits for twenty-four nutrients. Below are select ones from their list.
NUTRIENT | UPPER LIMIT |
Calcium | 2,500 milligrams |
Zinc | 40 milligrams |
Iron | 45 milligrams |
Selenium | 400 micrograms |
Folic acid | 1,000 micrograms |
Niacin | 35 milligrams |
Vitamin B6 | 100 milligrams |
Vitamin C (ascorbic acid) | 2,000 milligrams |
Vitamin A | 10,000 International Units |
Vitamin D | 4,000 International Units |
Vitamin E | 1,500 International Units |
Vitamin/mineral supplements may help when taken appropriately and under the supervision of a health professional. Be wary of advertisements that touts beneficial results without scientific prove to substantiate claims. Unless medically prescribed or recommended, invest your money on healthful foods. They are tasty and more likely to help you stay well.