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Should I Choose This Multivitamin?

Multivitamins are packed as either a complete multivitamin or as a specific nutritional combination (B-complex, calcium with vitamin D, etc.). They come in a variety of forms (tablets, capsules, liquids, powders).

The market for supplements is worth billions of dollars, and there are several designer brands to select from. However, it is not necessary to use an expensive brand name because even common generic brands will produce results. Choose a product whose label features the Recommended Daily Allowance (RDA) quantities and the United States Pharmacopeia (USP) stamp of approval. The presence of the components and the quantities of those ingredients as specified on the label are guaranteed by this seal. The USP also conducts a number of tests to ensure that the pill has been produced in a hygienic and regulated environment and is free of pollutants like heavy metals and pesticides.

Having said that, you might want to take the following things into account before beginning a multivitamin or any other supplemental vitamin.

Why you should take a multivitamin

I have a restricted diet or a weak appetite, therefore I am eating less than normal.

I've been on a rigorous diet for more than a week. This could be a self-imposed diet like one for weight loss, or it could be prescribed, like a liquid diet following surgery.

I have a medical condition (celiac disease, ulcerative colitis) that makes it harder for my body to absorb nutrients, or I've had surgery (gastric bypass, Whipple procedure) that makes it harder for my body to do so.

Due to factors like being pregnant, my nutritional needs are temporarily boosted.

I just can't eat a healthy diet every day because I'm so busy.

Why you might not require a multivitamin:

I eat well, but I constantly feel exhausted (address this first with your doctor so they can rule out any other potential causes).

Even though I have a healthy diet, I still want to be as healthy as I can be, so taking a vitamin won't do any harm.

I have iron deficiency anemia and need more iron, or I have osteoporosis and need more calcium (in either case, you might simply need to take those specific minerals rather than a comprehensive multivitamin).

If you're not sure whether you should take a multivitamin, you might want to speak with a registered dietitian who can assess your current diet and identify any nutrients you might be lacking. At that point, recommendations to increase your dietary intake of those nutrients will be given, or if that is not possible, one or more additional vitamins may be prescribed. Always let your doctor know about any supplements you are taking in case there are any potential drug interactions.

Vitamin megadoses (more than the Recommended Daily Allowance) are not advised. If consumed in excess for an extended length of time, this may become poisonous or may even prevent the absorption of other nutrients or drugs.

Last but not least, be skeptical of vitamin supplement labels that tempt you with claims of "supporting brain health, energy production, or healthy skin and hair." These are generalizations about a vitamin that are simply presented for marketing reasons; they don't apply specifically to the dietary supplement. Be cautious of supplements that come with vitamins, such as plants and botanicals, as data on their long-term effects and potential negative effects is often inadequate.

Supplements and Health

Multivitamin tablets in grey on a pink backgroundThere is still much to learn about the ideal vitamin and mineral intakes to fend off chronic diseases. There is a need for more extensive research into this relationship.

There is no disputing the significance of multivitamins when dietary intake is insufficient to satisfy nutritional needs. [4] Since some study has shown no benefit or even adverse effects when taking extra vitamins and minerals, the question of whether vitamins are necessary when the diet is sufficient to prevent nutrient deficiencies is being debated.

The U.S. Preventive Services Task Force came to the conclusion that there was insufficient evidence to support any benefits of multivitamins or individual vitamins for the primary prevention of cardiovascular disease or cancer among healthy, nutrient-sufficient adults after reviewing 26 clinical and cohort studies. [5]

Only long-term trials are illuminating for a number of disorders, but particularly for cancer. The following studies, which examined the impact of multivitamins on certain diseases and initially included both healthy individuals and those with chronic illnesses:

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