1 year ago

Many people think a multivitamin, or any dietary supplement for that matter fills the nutritional gaps in their diet, close to $50 billion on vitamins and dietary supplements.
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JAMA Editorial: https://jamanetwork.com/journals/jama/fullarticle/2793472?guestAccessKey=3e2941d2-f807-4706-9ae3-fa75b82b9d56&utm_source=For_The_Media&utm_medium=referral&utm_campaign=ftm_links&utm_content=tfl&utm_term=062122

Dr. Jeffrey Linder MD, Chief of General Internal Medicine at the Northwestern University Feinberg School of Medicine said "Patients ask all the time, What supplements should I be taking?' They're wasting money and focus thinking there has to be a magic set of pills that will keep them healthy when we should all be following the evidence-based practices of eating healthy and exercising."
Linder and fellow Northwestern Medicine scientists wrote an editorial that was published in JAMA. The editorial supports new recommendations from the United States Preventive Services Task Force (USPSTF)
The Task Force are an independent panel of national experts that frequently makes evidence-based recommendations about clinical preventive services. Their study was based on a systematic review of 84 other studies. The USPSTF's new guidelines state there was "insufficient evidence" that taking multivitamins, paired supplements or single supplements can help prevent cardiovascular disease and/or cancer in otherwise healthy, non-pregnant adults. The task force is specifically recommending against taking beta-carotene supplements because of a possible increased risk of lung cancer, and is recommending against taking vitamin E supplements because it has no net benefit in reducing mortality, cardiovascular disease or cancer. Dr. Jeffrey Linder said "The task force is not saying 'don't take multivitamins,' but there's this idea that if these were really good for you, we'd know by now. The harm is that talking with patients about supplements during the very limited time we get to see them; we're missing out on counseling about how to really reduce cardiovascular risks, like through exercise or smoking cessation."
Micronutrients in isolation may act differently in the body than when naturally packaged with a host of other dietary components in whole food.
However Dr. Linder noted that individuals who have a specific vitamin deficiency can still benefit from taking dietary supplements, such as calcium and vitamin D, which have been shown to prevent fractures and maybe falls in older adults. My comment here is that the only way you will know if you are either insufficient or deficient is to have a blood test to see, and then supplement with only what you need.
Caveat
Dr. Natalie Cameron, the JAMA editorial co-author and an instructor of general internal medicine at Feinberg said:

“The new USPSTF guidelines do not apply to women who are pregnant or trying to get pregnant.
‘Pregnant individuals should keep in mind that these guidelines don't apply to them. Certain vitamins, such as folic acid, are essential for pregnant women to support healthy fetal development. The most common way to meet these needs is to take a prenatal vitamin.
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