The immensely
profitable vitamin industry
depends on consumers believing that more is better. Although supplements are
beneficial for people with nutrient
deficiencies, there’s little utility in pills, injections and intravenous drips if
you already get enough vitamins
from your diet. The excess may simply be a waste of money, but it can become
downright dangerous. When should the
buyer beware?
It’s difficult to get too much of a single vitamin from food, according to Susan
Barr, a registered dietitian who
contributed to establishing the Dietary Reference Intakes, which are used across
North America to establish
nutrient needs, assess dietary status and create industry standards. (Those
numbers on nutrition facts tables?
They are based on Dietary Reference Intakes.)
“It’s always best to try to meet your needs for vitamins by eating a healthy
diet,” Barr says. “However, there
are some situations in which a vitamin supplement may be recommended, for
example, vitamin D and vitamin B12 for
adults over age 50, who may be deficient in these nutrients.”
And what about a daily multivitamin? Many people pop a pill as an “insurance
policy” when their dietary habits
are sub-par. Although sometimes unnecessary, a multivitamin is safe as long as
the dose isn’t excessive; don’t
take more than one a day.
“When choosing a supplement, a good general rule is to look for one that provides
no more than 100 percent of the
daily
value for any nutrient,” Barr says. “That can help minimize the
potential for harm.”
How much is too much?
Water-soluble vitamins, which include vitamin C and a range of B vitamins, are
not stored in the body once
ingested. Instead, they get excreted when you urinate. That’s why some vitamin
naysayers tell supplement
enthusiasts that they are “flushing money down the toilet.”
Even though water-soluble vitamins aren’t stored in the body, excessive amounts
can still have damaging
effects:
• High levels of vitamin B6 (more than 100 milligrams per day) can
cause severe
nerve damage, leading to loss of control over bodily movements.
• More than 2,000 milligrams of vitamin C daily can cause diarrhea and increase the risk of
kidney stones.
• More than 1,000 micrograms per day of B-vitamin folate
can increase the risk of vitamin B12 deficiency.
Fat-soluble vitamins A, D and E do get stored in the body once ingested. That
means they are more likely to cause
toxicity than water-soluble vitamins.
Excessive vitamin A can
cause birth defects, liver problems and skeletal
abnormalities, while excessive vitamin
E can lead to hemorrhages and has been associated with increased risk of
prostate cancer, Barr says.
And vitamin D? We need about 600 to 800 international units (IU) per day,
depending on age, but this vitamin du
jour is being taken in excess because it’s said to boost immunity and reduce
cancer risk. Barr says it’s best
not to exceed 4,000 IU per day. Higher intakes may have adverse health effects
over time, including increased
risk of cardiovascular disease and mortality.
False promises
Wouldn’t it be amazing if you could hook up to an intravenous (IV) vitamin
infusion that would prevent aging,
provide boundless energy and burn body fat? These are claims made by purveyors
of IV vitamins, which are, quite
literally, the flow of vitamins right into your veins.
“As far as I can tell, there is absolutely no evidence to support the IV therapy
trend,” says Timothy Caulfield,
professor and research director at the Health Law Institute of the University of
Alberta and author of the 2015
book “Is Gwyneth Paltrow Wrong About Everything?”
This therapy is often marketed as a way of allowing vitamins to bypass your gut,
Caulfield explains, and infuse
the vitamins directly into the cellular space. “There is a lot of
science-y-sounding hand waving, but very
little actual science,” says Caulfield, who adds that he’s tried IV therapy and
“felt no magical, energizing
buzz.”
Depending on what’s in the IV drip and how often it’s administered, this practice
has the potential to cause
harm. It’s not regulated, and practitioners don’t need to be licensed. Oh, and
the cost ranges from $100 to $300
per infusion.
Diet gurus peddle similar claims, promising that vitamin B12 shots will produce
rapid weight loss. Of course, the
injections are partnered with a low-calorie diet. Luckily, an excess of vitamin B12 won’t cause harm, except to your
wallet.
“The public seems to love vitamins,” Caulfield says. “We can’t forget that it is
a huge industry and there are
many voices in popular culture pushing the more-is-better message. But, in fact,
there is absolutely no evidence
to support the more-is-better approach. Our body needs the correct amount,
which, for most of us, can be
obtained by eating a healthy diet.”