Do Multivitamins actually do anything?

https://lemmy.world/post/4183871

Do Multivitamins actually do anything? - Lemmy.world

I’ve gone back and forth on taking a multivitamin since I know my diet isn’t all that great. Ideally I should be working to improve that diet but let’s say due to certain circumstances that’s a bit difficult at the moment. Would it be worth taking a 1 a day multivitamin to at least correct some possible deficiency or is it very unlikely that it would have any effect? Not asking for professional medical advice or anything, mostly looking to see if anyone else is taking a multivitamin and if so why?

The Vitamin Myth: Why We Think We Need Supplements

Nutrition experts contend that all we need is what’s typically found in a routine diet. Industry representatives, backed by a fascinating history, argue that foods don’t contain enough, and we need supplements. Fortunately, many excellent studies have now resolved the issue.

The Atlantic
Depends on how significant the deficiency is. If it’s pretty bad, you would probably be better off taking supplements of just that thing along with the daily multi. Or even changing your diet if it’s really extreme or caused by how you eat (like a vitamin d deficiency from not eating greens, going outside or drinking milk).

I have created a handy chart to follow

Did your doctor recommend you take supplements?

If yes

Take those specific supplements

If no

You do not need to take supplements

To add to this, you really need a blood test to show what you need.

Also, some vitamins are water soluble, others need to be taken with food. Your doc should know though

I did need some D though, since apparently hiding inside for 3 years during a pandemic can impact your body… who would’ve guessed??

D3 you smartass

I set myself up for that one though, huh?

which more than can be said about Giant Floppy there… he can’t get up. #bigdickproblems
¿Por qué no los dos?
Heavily relatable ngl
I’m always happy to share some D with those in need.
I’m a vegetarian, have gained weight but not to the point that it would explain why I feel like ass all the time recently. I should get blood work, I was thinking I had low testosterone or something but it could be anything really
Weight gain and low testosterone display similar symptoms but may not be related. (Fatigue and such) Check with a doc for sure.

Vitamin D deficiency is incredibly common. I think it's something like 1/3 or 1/4 depending on the season or where you live.

Of course, if you're a member of the red haired master race, your body produces it for you so it's less likely.

If you can’t make your own, store bought is fine.

Vitamin D deficiency was also shown to be a co-morbidity with COVID. So to answer the question “do multivitamins do anything?” I’d say they could potentially have saved your life and you might not have noticed.

Before COVID, my wife nagged me into establishing a primary care physician since I hadn’t gone in a while. So I did, they did a blood test, and showed that I was vitamin D deficient. I took some prescription vitamin D for like a week then my doctor told me to start taking a multivitamin. When they later announced it being a co-morbidity, I felt like I dodged a bullet.

A woman at work gave us all big bottles of vit D during the pandemic. I think it should last me until 2045.
And if I don’t own a doctor?
Best guide I’ve seen. saved!

One thing a doc told me is that your body can only absorb so much. Some people go so crazy on certain supplements that they end up blocking the body’s ability to absorb other essential nutrients.

If you want to supplement, a single multi each day isn’t going to be a massive game changer, unless you’re already missing something.

It’s like when you have a Berocca and your wee is a luminous yellow for your next few trips because your body can’t absorb all of the extra vitamins isn’t it?
Discover the Berocca® range!

View the Berocca® range! Packed full of vitamins and minerals including B1 & B2 to help support energy release and B12 to reduce tiredness and fatigue.

Berocca
That’s part of it, ig. But there was this one study where they gave people shit tons of one vitamin and they just started dying because they weren’t getting anything else they needed. Sounded intense.
I’m sceptical. That would be an extremely unethical test. And it would only prove that too much of something can kill you. Did you know that people can even die from drinking too much water?

This was a study of a specific disease that caused a specific deficit in one vitamin. They tried hyper-dosing people to treat it and had to stop the study because they died.

Can’t remember which disease it was

Is “moving money” = “doing a thing”? :-)
My neurologist has me take L-methylfolate because of one of my meds. Besides that, all I take is fish oil and D3. Everything I’ve seen has said they’re some of the only ones that actually do anything.
A multivitamin is not bad, but different vitamins need different other substances to be available for the body. Eg. some are soluble in water (like the B group) some, like vitamin D need fat to be solved in (and it’s good to acompany it with vitamin K to make D work as intended). Be careful with vitamin A - people in developed countries usually have too much and it can cause serious problems. It’s generally good to know what you’re taking and why. But if you just need a quick fix, a multivitamin is usually ok.

I think this is the best take. OP, multivitamins do work. Of course you need to fix your diet, of course it’s better to ingest the vitamin with the food so it can be absorbed better. Of course you should talk to a doctor. But if you have a deficiency of an important vitamin such as C or D, you will notice the difference.

Regarding overdoses, it is almost impossible to hurt yourself by taking a typical OTC multivitamin pill.

Consider some specific foods which give you a boost of the vitamin, such as canned tuna for Omega-3, Brazil nuts for selenium, etc.

But, at the end of the day, the general recommendation is that multivitamins are safe and pretty decent. I wouldn’t recommend any drug to a random person on the internet but multivitamins are fine.

Source: my wife is a nutritionist and we do talk about this a lot. I have a great diet but do take vitamins regularly as a complement or when I’m sick.

If you eat a truly balanced diet you’ll have little reason to take a multivitamin. However, many people do not eat well. In those cases a multivitamin can help fill in the gaps. Arguably it would be better to improve your diet but something is better than nothing.

I’ve been taking them since my accident. My hip, foot and ribs got broken last year. I also take a bone and joint collagen supplement as well. The doctor didn’t advise my to take these but my thinking was that my body could use the extra resources during my recovery.

Not sure how big of a role it played but my bones are all healed up and I’m walking, albeit with a cane these days.

Personally I have always taken a multivitamin/mineral and my labs have been good except for occasional low iron because periods. Now that I’m old (and yeeted the uterus) my iron was fine until I had bad hemorrhoid bleeding. So I got that taken care of, and my ass doc prescribed daily Metamucil to keep it from recurring.

I like the OneaDay Petites because it’s easier to swallow 2 of those (that’s the dose, because petites) than one of the regular horse pills. Gummy vitamins do not have iron or other minerals, btw.

I don’t think it’s necessary to take any super-supplement, just enough to keep me at the RDA once I add in my food. If your diet is bad, fiber might be missing as well, so consider Metamucil for both your ass and your heart.

Fibre is important. You can get many high fibre foods these days, but they aren’t necessarily what you’d think is high in dietary fibre. Pears are awesome.
I think multi-vitamins are more important as you get older. Your body simply doesn’t absorb as much of the vitamins in food as it does when you’re younger. So all that advice “Just eat a healthy diet” isn’t quite as true.
Currently I’m in the process of figuring out if I actually need extra vitamins. I’m using a food tracking app that also includes vitamins and minerals, not just fats and carbs like most apps do. It’s a lot of work, but I’m not planning to do this forever.
I made my own app, and tracked calories, carbs, fiber, and potassium. I used data from USDA. What I found was that it was almost impossible to get the recommended amount of potassium unless you ate nothing but green leafy vegetables, or massively over-eat.

Just took a look at my 7 day average, and it seems that potassium isn’t really a problem in my case. I’m getting plenty from mushrooms, barley, prunes and peanuts.

I also looked up what I would need to eat in order to get the missing vitamins. The answer is carrots for A and some margarine for D.

The ones I take make my pee yellow. So it’s definitely doing something.
Those are excess vitamins that your body is eliminating.
so, it is doing something
Making the pee more expensive, yes.
Or the food colouring they put in the pills to make it look like it’s doing something
Doesn’t even have to be artificial food coloring. Beta-carotene is a natural yellow-orange food coloring, as well as a vitamin A source.
For me it’s green.

Green/florescent green pee that looks like Mountain Dew can be a sign of diabetes, or consuming more sugar than your body can handle.

Check with your doctor.

I have diabetes but it’s definitely the vitamins, it only happens when I take them. I had a gastric bypass and the bariatric vitamins have high amounts of everything to make up for the malabsorption.
A previous doctor told me that a large longitudinal study showed no benefit from multivitamins. This was 10+ years ago so there may be more recent studies.
Studies done on people under 45, almost certainly.

Basically, it could prevent vitamin deficiency. But in developed countries, vitamin deficiency is pretty rare, and many forms take years of constant deficiency to really show up.

Basically, it probably won’t hurt. The research is very vague about it because we generally don’t wait until someone actually gets a vitamin deficiency disease before correcting it. Nor can we deliberately starve someone of a vitamin for years and watch the effects. Any subtle effect is often masked by larger issues like genetics, diet, exercise, etc.

But in developed countries, vitamin deficiency is pretty rare, and many forms take years of constant deficiency to really show up.

Depends. Some people (myself included) simply don’t absorb vitamin D as easily as others. I had my vit D tested and it was so low that they couldn’t accurately give a result. Had to take a supplement once a week for 8 weeks which contained about 300 times the amount which is in a normal daily supplement, which I now take daily.

Posted this above, but reposting here since it’s relevant to your comment:

Vitamin D deficiency was also shown to be a co-morbidity with COVID. So to answer the question “do multivitamins do anything?” I’d say they could potentially have saved your life and you might not have noticed.

Before COVID, my wife nagged me into establishing a primary care physician since I hadn’t gone in a while. So I did, they did a blood test, and showed that I was vitamin D deficient. I took some prescription vitamin D for like a week then my doctor told me to start taking a multivitamin. When they later announced it being a co-morbidity, I felt like I dodged a bullet.

I take it when i have some symptoms of vitamin deficiency like if you're sitting in one place and get up and you feel some weird sensation in the legs or hands. Like hundreds of ants running inside the veins. Or when I forget to drink water and get dehydrated and the body loses vitamins. I usually don't take such meds.

I’ve wondered the same.

I have a poor diet. There are times where I don’t eat enough, and when I do eat it’s often very… not varied.

I know people always say you don’t need vitamins if you just eat better, or that you can just ask your doctor - but my answer to those are “I don’t want to” and “I can’t afford to”, respectively.

Are vitamins a better-safe-than-sorry option if your diet is probably insufficiently varied to give you everything you need, and you have no strong desire to change that, but you have no way of actually figuring out what’s low or not? Or even then are they probably a waste of money?

It’s easy to find out if you take blood tests. You shouldn’t be taking vitamins just for fun.
They taste good, sometimes.

Some random thoughts:

  • For vegans it’s adviced to take certain extra vitamins, for instance B12

  • Also, when you are talking about health, i would not underestimate exercise, even a brisk daily walk. I don’t know for sure, but i suspect this will have more impact on our health, than taking multivitamins.

  • As someone else commented here, i think fibre is also very important. And drinking enough healthy fluids.

  • As a personal aside; i did notice a difference when i started supplementing vitamin D. I was surprised to notice that my energy level seemed to go slightly up.

  • Also, never mix iron (not a vitamin btw) with dairy or tea. And take it with some vitamin C

  • Finally, be careful and don’t randomly start to mix and match certain vitamins. For instance, magnesium and calcium have a certain balance, where too much of one will have a negative effect on the other.

Also, never mix iron (not a vitamin btw) with dairy or tea. And take it with some vitamin C

Aside from it not being kosher (milk and meat) what’s wrong with mixing the two?

Calcium and iron inhibit each others’ uptake. You won’t get the full dose of them if you take them together.
Unsure if this is OP’s angle, but I have pretty chronically bad anemia/ferritin levels. In my layman’s research, I found that both dairy (calcium) and tea (oxalates) inhibit the body’s ability to absorb iron when consumed alongside one-another. My list also included peas, coffee, eggs, and just about every other damn thing I like to eat, so that was a fun discovery. 😅 Link to kickstart research for anyone curious.
6 Common Foods That Inhibit Iron Absorption | Livestrong.com

Watch out for these common foods that inhibit iron absorption, like eggs and cheese. Try to avoid these foods 2 hours within eating an iron-rich meal.

LIVESTRONG.COM
Dairy and tea (though i don’t know if herbal teas count) inhibit iron absorption, so it has nothing to do with human values, so to speak :-) If you want to increase absorption, combine it with vitamin C.