However, while part of getting all the nutrients you
need sometimes means taking a vitamin and mineral
supplement, experts warn there can be too much of a good
thing.
"Unless you are suffering from a severe deficiency,
if you have a disease or disorder that is causing you to
be nutrient-deficient, the most you are going to need is
a high quality multivitamin supplement, to be taken as
insurance, and not used as your main source of
nutrients," says Laurie Tansman, a clinical nutritionist
at the Mount Sinai Medical Center in New York City.
Most people won't get into trouble taking a
high-potency multivitamin. But problems can occur,
experts say, when you dabble in individual mega-dosing
-- excess amounts of certain vitamins or minerals that
are recommended by some diet and fitness programs.
Among those causing the most concern are the
fat-soluble vitamins A, D and E. Because they can be
stored for long periods of time in the body -- mostly
the liver -- a cumulative buildup can occur, turning
your vitamin regimen from healthy to toxic.
"Vitamin D is one of the most toxic supplements there
is, and in extreme cases and in very large amounts can
lead to liver and kidney failure," says Jyni Holland, a
clinical nutritionist at New York University Medical
Center.
Take too much vitamin A, she says, and you could end
up with hair loss, nausea, vomiting and significant
joint pain.
Tansman says, "If you are pregnant, there is evidence
to show that too much vitamin A may also cause birth
defects. So you never want to take more than what your
prenatal formula contains."
Likewise, too much vitamin E can thin the blood so
much, says Holland, it could lead to internal
hemorrhaging, particularly if you are taking any
blood-thinning medication for a cardiac or hypertension
problem.
While vitamin K has the reverse effect -- causing
blood to clot -- it too can cause problems when used by
those taking blood-thinning drugs.
Water-soluble nutrients such as the B vitamins and
vitamin C are considered relatively safe, even in high
doses, because they don't build up in tissues and rarely
reach toxic levels on their own. But again, mega-dosing
can produce health problems, experts say.
In very high levels, vitamin B6 has been associated
with neurological symptoms such as nerve tingling, while
vitamin B3 -- also known as niacin -- could be a problem
if you suffer from heart disease.
"Even though B3 is often used as medication to treat
high blood pressure, if you have a preexisting
condition, particularly heart disease or hypertension,
you should not be using mega doses of this or any
vitamins unless directed to do so by your doctor,"
Holland says.
And while the body needs a steady supply of minerals,
particularly calcium, in supplement form even this
relatively safe mineral can have a toxic side.
"It has been linked to the formation of kidney
stones, particularly if you have had this problem in the
past," Holland says.
Tansman cautions that too often calcium supplements
can be packed with vitamin D, creating the potential for
a toxic overdose.
"Vitamin D helps the body absorb calcium, which is
why it's often included in mineral supplements. But if
you are mega-dosing on calcium, you may also be
mega-dosing on vitamin D and setting yourself up for
some toxic reactions without even realizing you are
doing so," Tansman says.
Equally worrisome is the potential toxicity of
overdosing on iron supplements, which are commonly used
not only by menstruating women, but sometimes by body
builders and athletes seeking to fight fatigue.
"What most people don't realize is iron is an
oxidant. And when it's exposed to oxygen inside the
body, it becomes a free radical, with much of the same
destructive properties of other free radicals we try so
hard to avoid," Holland says.
Free radicals are molecules that cause an oxidation
process that eventually damages cells and can increase
the risk of certain diseases, including cancer.
Holland believes that for those already at risk for
cancer -- either due to environmental factors or a
strong family history -- an iron overload just might set
the stage for the disease process to start. This, she
says, is particularly true for all men all the time and
for women after menopause, a time when the need for iron
drops dramatically and the risk of an overload is
higher.
In addition, Tansman warns that because vitamin C
enhances iron absorption, taking mega doses of this
vitamin while you are taking high doses of iron
supplements could increase your risk of a toxic
reaction.
Although overdosing on supplements can be easier than
you think, what won't harm you, experts say, is taking a
multivitamin and eating lots of vitamin-rich foods.
Both Holland and Tansman agree this is still the best
way to get all the nutrients you need.
More information
To learn more about vitamins, try this
Oregon State University site.
The Center for Food Safety and Applied Nutrition
offers an overview of dietary supplements. |