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Should we take vitamin supplements?

Should we take vitamins and supplements?

Disclaimer: This information is not a substitute for professional medical advice, diagnosis or treatment.

The use of vitamins and supplements has become increasingly popular, with data showing that 39% of Australians buy vitamins, minerals or supplements1. From multivitamins to specialised nutrients targeting specific health needs, there’s a huge range of products on the market. The allure of improving our health and preventing deficiencies is strong, but are vitamins truly effective, and if so, do we need to take them? In this article, we’ll explore the science behind vitamins and whether supplementation is necessary for optimal health.

Understanding vitamins: what are they?

Vitamins are essential nutrients that our bodies need to function properly. They play critical roles in processes like energy production, immune function, and tissue repair. There are 13 recognised vitamins, each of which serves a unique purpose in maintaining overall health. These include:

  • Vitamin A: Vital for vision, skin health, and immune function.2
  • Vitamin C: Important for immune defense, skin health, and antioxidant protection3.
  • Vitamin D: Helps with calcium absorption, bone health, and immune support4.
  • Vitamin E: Acts as an antioxidant, protecting cells from damage5.
  • Vitamin K: Crucial for blood clotting and bone health6.
  • B Vitamins (B1, B2, B3, B5, B6, B7, B9, B12): Key to energy production, brain function, and red blood cell formation7.

Some vitamins are water-soluble (like Vitamin C and the B vitamins), meaning they dissolve in water and are not stored in the body. Others, like Vitamins A, D, E, and K, are fat-soluble, which means they can be stored in the liver and fat tissues for future use.

The case for taking vitamins: when they can help

In an ideal world, we would get all of our necessary vitamins from a balanced diet. Foods like fruits, vegetables, whole grains, lean proteins, and dairy products can provide most of the nutrients we need. However, for some people, achieving a nutrient-rich diet every day can be challenging due to factors such as busy lifestyles, food preferences, or underlying health conditions.

In certain situations, vitamin supplementation can help bridge the gap. Here are a few examples where taking vitamins might be beneficial:

  • Vitamin D Deficiency: Many people, especially those who live in areas with limited sunlight, are deficient in Vitamin D8. This nutrient is crucial for bone health and immune function. Supplements may be recommended by a medical practitioner to correct a deficiency.
  • Pregnancy and Fertility: Pregnant women occasionally need additional folic acid (Vitamin B9) to prevent birth defects and ensure proper fetal development9.
  • Older Adults: As we age, our bodies become less efficient at absorbing certain vitamins, like Vitamin B12. Older adults may need supplements to support healthy nerve function and red blood cell production.10
  • Special Diets: Vegetarians and vegans may lack sufficient levels of Vitamin B12, which is found primarily in animal products. A supplement or vitamin B12 shot may be necessary to avoid deficiency.11

The argument against routine supplementation: a balanced diet is key

While supplementation can be beneficial in specific circumstances, there is a growing body of research that suggests routine vitamin supplementation may not be necessary for everyone. In fact, taking vitamins without a clear deficiency or health need may not provide significant benefits and, in some cases, could even be harmful.12

For example, high doses of fat-soluble vitamins like Vitamin A, D, E, and K can build up in the body, potentially leading to toxicity13. Excessive Vitamin D14, for instance, can cause calcium imbalances, while prolonged and excessive Vitamin A intake can result in organ damage including the liver, bones, central nervous system and skin15.

The Australian Therapeutic Goods Administration (TGA) have warned that Vitamin B6 can cause peripheral neuropathy16 (nerve damage that causes tingling, burning or numbness in the body’s extremities), and advised Australian consumers to check the total amount of Vitamin B6 they are consuming each day.

Additionally, numerous studies have shown that for healthy individuals who consume a well-balanced diet, multivitamins and other supplements don’t necessarily prevent chronic diseases, like heart disease or cancer17.

When should you consider taking vitamins?

If you’re considering adding vitamins to your routine, the first step is to assess your diet and lifestyle. Are you eating a wide variety of nutrient-dense foods? Do you have any dietary restrictions or health conditions that could affect nutrient absorption?

If you suspect you may have a deficiency, it’s always best to consult with a healthcare professional before starting any supplements. A blood test can help identify any deficiencies, and a doctor can assess your levels, determine any contraindications with medications you’re currently taking, and recommend the appropriate type and dosage of supplements if needed.

Conclusion: to take or not to take?

The decision to take vitamins depends on individual circumstances. While vitamins play crucial roles in our health, the best way to get them is through a balanced, nutrient-rich diet. Supplements can be useful in certain situations, such as addressing deficiencies or specific health needs, but they are not a one-size-fits-all solution. Before adding vitamins to your routine, it’s always wise to consult a healthcare provider to ensure that they are both necessary and safe for your unique health profile.

Remember, no supplement can replace the benefits of a well-rounded diet and healthy lifestyle. So, before splashing out on a plethora of vitamins, take a moment to evaluate your eating habits and consider if a few small changes in your diet might be all you need to feel your best.

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References

1 https://www.roymorgan.com/findings/women-dominate-australias-vitamins-minerals-supplements-market

2 https://ods.od.nih.gov/factsheets/VitaminA-HealthProfessional/

3 https://ods.od.nih.gov/factsheets/VitaminC-HealthProfessional/

4 https://ods.od.nih.gov/factsheets/VitaminD-HealthProfessional/

5 https://pmc.ncbi.nlm.nih.gov/articles/PMC3997530/

6 https://pmc.ncbi.nlm.nih.gov/articles/PMC4600246/#:~:text=Vitamin%20K%20has%20important%20functions,K%20deficiency%20is%20not%20uncommon.

7 https://pmc.ncbi.nlm.nih.gov/articles/PMC4772032/

8 https://www.ncbi.nlm.nih.gov/books/NBK532266/

9 https://pmc.ncbi.nlm.nih.gov/articles/PMC3218540/

10 https://pmc.ncbi.nlm.nih.gov/articles/PMC5130103/

11 https://www.mja.com.au/journal/2013/199/4/vitamin-b12-and-vegetarian-diets

12 https://ods.od.nih.gov/factsheets/WYNTK-Consumer/

13 https://extension.colostate.edu/topic-areas/nutrition-food-safety-health/fat-soluble-vitamins-a-d-e-and-k-9-315/

14 https://www.ncbi.nlm.nih.gov/books/NBK557876/

15 https://www.ncbi.nlm.nih.gov/books/NBK532916/

16 https://www.tga.gov.au/news/safety-alerts/health-supplements-containing-vitamin-b6-can-cause-peripheral-neuropathy

17 https://www.cancer.gov/news-events/press-releases/2024/multivitamins-do-not-lower-risk-of-death#:~:text=The%20analysis%20showed%20that%20people,heart%20disease%2C%20or%20cerebrovascular%20diseases.

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