GORILLA FUEL

Holistic Nutrition Guide

18 vitamins and minerals, 24 foods and 7 herbs. Every claim carries an evidence label, so you can tell a well-established nutrient role from a hopeful headline. Where research shows no benefit, or a higher risk in some groups, we say so.

Wording is associated with or supports — nothing here is a treatment or a cure. Evidence labels are our judgement from the cited pages, not an official grade. Looking for fruit and vegetable profiles? See the Produce Guide.

How to read the evidence labels ▾
  • Strong established nutrient role or consistent trial evidence
  • Moderate some trial evidence, limited or in specific groups
  • Mixed trials and cohorts disagree
  • Preliminary small, limited or observational only
  • Not supported trials do not show an effect
  • Higher risk in some groups trials found higher risk in some group

18 of 18

Vitamin A (retinol, carotenoids)

Fat-soluble vitamin

Higher risk in some groupsModerate▾

What it does. Immune function, cell growth and differentiation, vision (component of rhodopsin), reproduction.

Adult intake. RDA (mcg RAE/day): men 19+ 900; women 19+ 700; pregnancy 770; lactation 1,300

Upper limit. UL 3,000 mcg/day preformed vitamin A (retinol/retinyl esters) for adults; does not apply to beta-carotene

Where it comes from (food sources) ▾
  • ·Beef liver, pan fried · 6,582 mcg RAE per 3 oz
  • ·Sweet potato, baked in skin · 1,403 mcg RAE per 1 whole
  • ·Spinach, frozen, boiled · 573 mcg RAE per 1/2 cup
  • ·Carrots, raw · 459 mcg RAE per 1/2 cup
  • ·Cantaloupe, raw · 135 mcg RAE per 1/2 cup
  • ·Red sweet pepper, raw · 117 mcg RAE per 1/2 cup
  • ·Mango, raw · 112 mcg RAE per 1 whole
  • ·Egg, hard boiled · 75 mcg RAE per 1 large
  • ·Salmon, sockeye, cooked · 59 mcg RAE per 3 oz
What the research supports ▾
  • Lung cancer (supplements) Higher risk in some groupsIn smokers and asbestos-exposed men, beta-carotene plus retinyl palmitate raised lung cancer risk 28% (CARET) and beta-carotene alone 18% (ATBC). Among non-smokers, supplements do not appear to affect cancer risk.
  • Age-related macular degeneration ModerateA specific antioxidant supplement formulation (AREDS) was associated with 25% lower risk of advanced AMD in high-risk people; replacing beta-carotene with lutein/zeaxanthin (AREDS2) reduced progression a further 20% at 10 years.
  • Measles in at-risk children ModerateA 2022 Cochrane review found vitamin A supplementation reduced new measles cases by 50%, but did not reduce measles deaths.
  • Deficiency and infection ModerateChronic deficiency is associated with more severe infections; this is about correcting deficiency, not extra intake in well-nourished people.
Who is at risk of low intake ▾

Premature infants; infants, children and pregnant/lactating women in low- and middle-income countries; cystic fibrosis; GI disorders (Crohn's, ulcerative colitis, newly diagnosed celiac). Deficiency is rare in the U.S.

Medications & cautions ▾

Medication interactions. Orlistat may reduce absorption; retinoids (acitretin, bexarotene) plus vitamin A supplements raise the risk of too much vitamin A.

⚠ Preformed vitamin A above the UL can cause birth defects; pregnant or lactating women are advised not to exceed 3,000 mcg RAE/day.

⚠ One 3 oz serving of beef liver (6,582 mcg RAE) is above the 3,000 mcg preformed vitamin A UL.

Sources: NIH Office of Dietary Supplements

Vitamin D

Fat-soluble vitamin

ModerateMixedNot supported▾

What it does. Promotes calcium absorption and bone mineralization; prevents rickets and osteomalacia; contributes to muscle and immune function.

Adult intake. RDA: 15 mcg (600 IU)/day ages 19-70; 20 mcg (800 IU)/day over 70

Upper limit. UL 100 mcg (4,000 IU)/day ages 9+; toxicity unlikely below 250 mcg (10,000 IU)/day, but intakes under the UL may still have adverse effects over time

Where it comes from (food sources) ▾
  • ·Cod liver oil · 34.0 mcg (1,360 IU) per 1 tbsp
  • ·Trout, farmed, cooked · 16.2 mcg (645 IU) per 3 oz
  • ·Sockeye salmon, cooked · 14.2 mcg (570 IU) per 3 oz
  • ·White mushrooms, UV-exposed · 9.2 mcg (366 IU) per 1/2 cup
  • ·2% milk, fortified · 2.9 mcg (120 IU) per 1 cup
  • ·Fortified soy/almond/oat milk · 2.5-3.6 mcg (100-144 IU) per 1 cup
  • ·Egg · 1.1 mcg (44 IU) per 1 large (yolk)
What the research supports ▾
  • Bone health ModerateThe strongest evidence of the health topics. Calcium plus vitamin D may modestly increase bone density in some postmenopausal women and older men; fracture evidence is inconsistent, and USPSTF found insufficient evidence on fracture prevention and moderate certainty that supplements do not reduce falls.
  • Cancer MixedTrials generally show no reduction in incidence; some meta-analyses found 12-13% lower cancer mortality, but more research is needed.
  • Cardiovascular disease Not supportedObservational associations were not confirmed by clinical trials.
  • Depression, type 2 diabetes, weight loss, multiple sclerosis Not supportedTrials do not show benefit.
Who is at risk of low intake ▾

Breastfed infants; older adults; people with limited sun exposure; dark skin; fat-malabsorption conditions (cystic fibrosis, celiac, Crohn's); obesity or gastric bypass; milk allergy, lactose intolerance and vegan diets.

Medications & cautions ▾

Medication interactions. Orlistat can reduce absorption. The source page also lists statins, steroids and thiazide diuretics as medications that may interact (details not read).

⚠ A blood level above 125 nmol/L (50 ng/mL) is linked to potential adverse effects.

Sources: NIH Office of Dietary Supplements

Vitamin E (alpha-tocopherol)

Fat-soluble vitamin

Not supportedHigher risk in some groupsMixed▾

What it does. Fat-soluble antioxidant; roles in immune function and cell signalling (mainly shown in lab studies).

Adult intake. RDA: 15 mg/day (adults 14+); lactation 19 mg

Upper limit. UL 1,000 mg/day for adults; applies to all forms of supplemental alpha-tocopherol

Where it comes from (food sources) ▾
  • ·Wheat germ oil · 20.3 mg per 1 tbsp
  • ·Sunflower seeds, dry roasted · 7.4 mg per 1 oz
  • ·Almonds, dry roasted · 6.8 mg per 1 oz
  • ·Sunflower oil · 5.6 mg per 1 tbsp
  • ·Hazelnuts, dry roasted · 4.3 mg per 1 oz
  • ·Peanut butter · 2.9 mg per 2 tbsp
  • ·Spinach, boiled · 1.9 mg per 1/2 cup
What the research supports ▾
  • Heart disease Not supportedObservational studies link higher intake with lower rates, but randomized trials have not shown supplements prevent cardiovascular disease.
  • Cancer Higher risk in some groupsEvidence is insufficient to support taking vitamin E to prevent cancer; the SELECT trial found a 17% higher prostate cancer risk with supplements.
  • Eye disease MixedInconsistent for AMD or cataracts; the AREDS formulation holds promise for slowing AMD progression in high-risk people.
  • Cognitive decline Not supportedMost research does not support supplements.
Who is at risk of low intake ▾

Premature very-low-birth-weight infants; fat-malabsorption disorders (Crohn's, cystic fibrosis); abetalipoproteinemia/AVED. Frank deficiency is rare.

Medications & cautions ▾

Medication interactions. Large doses may increase bleeding risk with anticoagulants/antiplatelets (probably above 400 IU/day); may blunt the HDL rise with simvastatin plus niacin; oncologists generally advise against antioxidant supplements during chemotherapy or radiotherapy.

⚠ No adverse effects have been found from vitamin E in food; supplement-dose concerns are separate.

Sources: NIH Office of Dietary Supplements

Vitamin B12 (cobalamin)

Water-soluble vitamin

MixedNot supported▾

What it does. Nervous system development and function (myelination), red blood cell formation, DNA synthesis.

Adult intake. RDA: 2.4 mcg/day adults; pregnancy 2.6; lactation 2.8

Upper limit. No UL set (generally considered safe)

Where it comes from (food sources) ▾
  • ·Beef liver, cooked · 70.7 mcg per 3 oz
  • ·Clams, cooked · 17 mcg per 3 oz
  • ·Oysters, eastern, wild, cooked · 14.9 mcg per 3 oz
  • ·Fortified nutritional yeast · 8.3-24 mcg per about 1/4 cup
  • ·Atlantic salmon, cooked · 2.6 mcg per 3 oz
  • ·Light tuna in water · 2.5 mcg per 3 oz
  • ·2% milk · 1.3 mcg per 1 cup
  • ·Plain fat-free yogurt · 1.0 mcg per 6 oz
  • ·Egg, cooked · 0.5 mcg per 1 large
What the research supports ▾
  • Cancer MixedMixed; some studies link higher B12 to higher risk, others lower, some none.
  • Cardiovascular disease Not supportedNo association between supplementation and CVD risk.
  • Cognition and dementia Not supportedSupplements lower homocysteine but did not improve cognitive function in randomized trials.
  • Energy and endurance Not supportedDoes not appear to improve performance in people with sufficient B12 status.
Who is at risk of low intake ▾

Older adults (especially atrophic gastritis); pernicious anemia; celiac/Crohn's; GI or weight-loss surgery; vegans and vegetarians who eat no meat; exclusively breastfed infants of vegan mothers. Unfortified plant foods contain none.

Medications & cautions ▾

Medication interactions. Proton pump inhibitors and H2 blockers can reduce absorption of food-bound B12; metformin may significantly reduce serum B12.

⚠ Vegans need a fortified food or supplement source.

Sources: NIH Office of Dietary Supplements

Magnesium

Mineral

MixedPreliminaryModerate▾

What it does. Cofactor in over 300 enzyme systems; protein synthesis, muscle and nerve function, blood glucose and blood pressure regulation, bone structure.

Adult intake. RDA (mg/day): men 19-30 400, 31+ 420; women 19-30 310, 31+ 320

Upper limit. UL 350 mg/day from supplements only (not food)

Where it comes from (food sources) ▾
  • ·Pumpkin seeds, roasted · 156 mg per 1 oz
  • ·Chia seeds · 111 mg per 1 oz
  • ·Almonds, dry roasted · 80 mg per 1 oz
  • ·Spinach, boiled · 78 mg per 1/2 cup
  • ·Cashews, dry roasted · 74 mg per 1 oz
  • ·Black beans, cooked · 60 mg per 1/2 cup
  • ·Peanut butter · 49 mg per 2 tbsp
What the research supports ▾
  • Blood pressure MixedSupplements only marginally lower BP (about 2-4 mmHg ranges in meta-analyses); the FDA's 2022 qualified claim says evidence is inconsistent and inconclusive.
  • Type 2 diabetes risk MixedEach 100 mg/day higher intake was associated with 15% lower risk in cohort meta-analyses; small trials conflict.
  • Stroke PreliminaryEach 100 mg/day higher dietary intake was associated with 8% lower total stroke risk (observational).
  • Migraine prevention ModerateAAN/AHS concluded magnesium is 'probably effective', but typical doses exceed the UL, so it needs provider supervision.
Who is at risk of low intake ▾

GI disease (Crohn's, celiac, resection); type 2 diabetes or insulin resistance; alcohol dependence; older adults.

Medications & cautions ▾

Medication interactions. Bisphosphonates (separate by 2+ hours); tetracyclines and quinolones (separate); loop and thiazide diuretics increase losses; long-term PPI use can cause low magnesium.

⚠ Supplement doses commonly cause diarrhea, nausea and cramping; very high doses are riskier with kidney impairment.

Sources: NIH Office of Dietary Supplements

Iron

Mineral

StrongModerate▾

What it does. Oxygen transport (hemoglobin) and many enzyme functions. (The source page focuses on deficiency and supplement evidence.)

Adult intake. RDA (mg/day): men 19+ 8; women 19-50 18; women 51+ 8; pregnancy 27; lactation 9. Vegetarians need about 1.8x.

Upper limit. UL 45 mg/day adults

Where it comes from (food sources) ▾
  • ·Oysters, eastern, cooked (heme) · 8 mg per 3 oz
  • ·Beef liver, pan fried (heme) · 5 mg per 3 oz
  • ·Fortified breakfast cereal (nonheme) · 18 mg per 1 serving
  • ·White beans, canned (nonheme) · 8 mg per 1 cup
  • ·Lentils (nonheme) · 3 mg per 1/2 cup
  • ·Spinach, boiled (nonheme, low bioavailability) · 3 mg per 1/2 cup
  • ·Tofu, firm (nonheme) · 3 mg per 1/2 cup
  • ·Chickpeas (nonheme) · 2 mg per 1/2 cup
What the research supports ▾
  • Vitamin C and absorption StrongVitamin C increases nonheme iron absorption; meat, poultry and seafood also increase it. Phytate and some polyphenols reduce it.
  • Bioavailability StrongAbout 14-18% from mixed diets with meat and vitamin C versus 5-12% from vegetarian diets; a typical Western diet attenuates these effects.
  • Pregnancy anemia ModerateA Cochrane review found daily supplementation reduced anemia at term by 70%; USPSTF found evidence insufficient for routine supplementation in asymptomatic pregnant women.
Who is at risk of low intake ▾

Pregnant women; infants and young children; heavy menstrual bleeding; frequent blood donors; people with cancer, GI disorders or surgery, or heart failure; teen girls and premenopausal women. At risk of excess: hereditary hemochromatosis.

Medications & cautions ▾

Medication interactions. Levodopa and levothyroxine absorption is reduced (levothyroxine: separate by 4 hours); PPIs can reduce nonheme iron absorption.

⚠ Do not self-supplement if you have hemochromatosis. Supplements at or above the UL need medical direction.

Sources: NIH Office of Dietary Supplements, NIH Office of Dietary Supplements

Vitamin C (ascorbic acid)

Water-soluble vitamin

MixedNot supportedModerate▾

What it does. Collagen, L-carnitine and neurotransmitter synthesis; an antioxidant that regenerates vitamin E; immune function; improves nonheme iron absorption.

Adult intake. RDA: men 90 mg/day, women 75 mg/day; smokers need 35 mg more; pregnancy 85; lactation 120

Upper limit. UL 2,000 mg/day adults (food and supplements)

Where it comes from (food sources) ▾
  • ·Red pepper, sweet, raw · 95 mg per 1/2 cup
  • ·Orange juice · 93 mg per 3/4 cup
  • ·Orange · 70 mg per 1 medium
  • ·Grapefruit juice · 70 mg per 3/4 cup
  • ·Kiwifruit · 64 mg per 1 medium
  • ·Green pepper, raw · 60 mg per 1/2 cup
  • ·Broccoli, cooked · 51 mg per 1/2 cup
  • ·Strawberries, sliced · 49 mg per 1/2 cup
  • ·Brussels sprouts, cooked · 48 mg per 1/2 cup
What the research supports ▾
  • Common cold MixedIn the general population regular intake does not reduce colds; 200+ mg/day may reduce incidence in people under intense exercise or cold exposure; it may modestly shorten duration; taking it after symptoms start does not appear beneficial.
  • Cancer prevention Not supportedProspective cohorts are inconsistent; most randomized trials show no effect.
  • Cardiovascular disease Not supportedObservational results conflict; most trials show no clear benefit.
  • Age-related macular degeneration ModerateAlone it has not been shown to prevent AMD; the AREDS formulation was associated with 28% lower risk of progressing to advanced AMD in high-risk people.
  • Iron absorption StrongEnhances nonheme iron absorption.
Who is at risk of low intake ▾

Smokers and people exposed to secondhand smoke; infants fed evaporated or boiled cow's milk; very limited diets; malabsorption; some cancer patients; dialysis patients.

Medications & cautions ▾

Medication interactions. Antioxidants during chemotherapy or radiation: safety and efficacy are controversial, so consult your oncologist; may blunt the HDL rise with niacin and simvastatin.

⚠ High doses could worsen iron overload in hereditary hemochromatosis.

Sources: NIH Office of Dietary Supplements, Harvard T.H. Chan School of Public Health

Vitamin K

Fat-soluble vitamin

Preliminary▾

What it does. Coenzyme for proteins involved in blood clotting and bone metabolism.

Adult intake. AI: men 120 mcg/day; women 90 mcg/day

Upper limit. No UL (low potential for toxicity)

Where it comes from (food sources) ▾
  • ·Natto (MK-7) · 850 mcg per 3 oz
  • ·Spinach, raw · 145 mcg per 1 cup
  • ·Kale, raw · 113 mcg per 1 cup
  • ·Broccoli, boiled · 110 mcg per 1/2 cup
  • ·Soybean oil · 25 mcg per 1 tbsp
  • ·Iceberg lettuce, raw · 14 mcg per 1 cup
What the research supports ▾
  • Bone health PreliminaryIt is unclear whether any vitamin K supplementation reduces osteoporosis risk; EFSA recognizes a link with normal bone maintenance, and the FDA has not authorized a claim.
  • Cardiovascular health PreliminaryIts role in arterial calcification and heart disease risk 'is unclear'.
Who is at risk of low intake ▾

Newborns not given vitamin K at birth; malabsorption disorders (cystic fibrosis, celiac, ulcerative colitis, short bowel); after bariatric surgery.

Medications & cautions ▾

Medication interactions. Warfarin: a 'serious and potentially dangerous' interaction. Keep intake from food and supplements consistent from day to day and tell the prescriber.

⚠ The caution for warfarin users is consistency, not avoiding greens.

Sources: NIH Office of Dietary Supplements

Folate (vitamin B9; folic acid is the synthetic form)

Water-soluble vitamin

StrongModerateMixed▾

What it does. Coenzyme in nucleic acid synthesis and amino acid metabolism; converts homocysteine to methionine; needed for cell division.

Adult intake. RDA: 400 mcg DFE/day adults; pregnancy 600; lactation 500

Upper limit. UL 1,000 mcg/day for adults; applies to synthetic folic acid (supplements and fortified foods), not food folate

Where it comes from (food sources) ▾
  • ·Beef liver, braised · 215 mcg DFE per 3 oz
  • ·Spinach, boiled · 131 mcg DFE per 1/2 cup
  • ·Black-eyed peas, boiled · 105 mcg DFE per 1/2 cup
  • ·Asparagus, boiled · 89 mcg DFE per 4 spears
  • ·Brussels sprouts, frozen, boiled · 78 mcg DFE per 1/2 cup
  • ·Romaine lettuce, shredded · 64 mcg DFE per 1 cup
  • ·Avocado, raw · 59 mcg DFE per 1/2 cup
What the research supports ▾
  • Neural tube defects StrongClinical trial evidence shows adequate periconceptional folic acid intake prevents a substantial proportion of neural tube defects; NTD rates fell 28% after 1998 fortification; USPSTF recommends 400-800 mcg folic acid daily for people who are or may become pregnant.
  • Stroke ModerateFolic acid lowers homocysteine and reduces stroke risk, especially where folate status is low; no effect on other cardiovascular endpoints.
  • Cancer MixedMixed; supplements do not reduce cancer risk in people with adequate baseline folate.
  • Cognition and dementia Not supportedMost trials show no effect.
Who is at risk of low intake ▾

Alcohol use disorder; women of childbearing age and pregnant women; malabsorptive disorders (celiac, IBD); MTHFR 677C>T variant.

Medications & cautions ▾

Medication interactions. Methotrexate; antiepileptics (phenytoin, carbamazepine, valproate); sulfasalazine.

⚠ Anyone who may become pregnant should discuss folic acid with a clinician.

Sources: NIH Office of Dietary Supplements

Calcium

Mineral

MixedModerate▾

What it does. Bone and teeth structure; blood vessel and muscle function, clotting, nerve transmission, hormone secretion.

Adult intake. RDA (mg/day): 19-50 1,000; men 51-70 1,000; women 51-70 1,200; over 70 1,200

Upper limit. UL 2,500 mg/day (19-50); 2,000 mg/day (51+)

Where it comes from (food sources) ▾
  • ·Yogurt, plain, low fat · 415 mg per 8 oz
  • ·Orange juice, calcium fortified · 349 mg per 1 cup
  • ·Mozzarella, part skim · 333 mg per 1.5 oz
  • ·Sardines, canned in oil, with bones · 325 mg per 3 oz
  • ·Milk, nonfat · 299 mg per 1 cup
  • ·Soymilk, calcium fortified · 299 mg per 1 cup
  • ·Tofu, firm, calcium sulfate · 253 mg per 1/2 cup
  • ·Spinach, boiled · 123 mg (about 5% absorbed vs 27% from milk) per 1/2 cup
  • ·Kale, cooked · 94 mg per 1 cup
  • ·Bok choy, raw · 74 mg per 1 cup
What the research supports ▾
  • Bone health MixedMixed. The FDA approved a calcium-plus-vitamin-D osteoporosis claim but 'not all research supports' it; USPSTF found under 1,000 mg calcium plus under 400 IU vitamin D does not prevent fractures in postmenopausal women.
  • Cardiovascular disease MixedMixed; a 14-trial meta-analysis found 15% higher CVD risk with supplements, while other studies find no association.
  • Blood pressure ModerateCochrane (16 trials): systolic -1.43 mmHg and diastolic -0.98 mmHg with supplements.
Who is at risk of low intake ▾

Postmenopausal women; people who avoid dairy (lactose intolerance, milk allergy, vegan); some populations with lower intakes; people living in poverty.

Medications & cautions ▾

Medication interactions. Dolutegravir (take 2 hours before or 6 hours after); levothyroxine (avoid within 4 hours of calcium carbonate); lithium; quinolone antibiotics (2 hours apart).

⚠ Oxalate (spinach, rhubarb, beet greens) and phytate reduce calcium absorption; kale and bok choy are better plant sources.

Sources: NIH Office of Dietary Supplements

Zinc

Mineral

PreliminaryModerate▾

What it does. Catalytic role in hundreds of enzymes; immune function, protein and DNA synthesis, wound healing, taste.

Adult intake. RDA: men 11 mg/day; women 8 mg/day; pregnancy 11; lactation 12

Upper limit. UL 40 mg/day adults

Where it comes from (food sources) ▾
  • ·Oysters, eastern, farmed, raw · 32 mg per 3 oz
  • ·Beef, bottom sirloin · 3.8 mg per 3 oz
  • ·Pumpkin seeds, roasted · 2.2 mg per 1 oz
  • ·Cheddar cheese · 1.5 mg per 1.5 oz
  • ·Lentils, boiled · 1.3 mg per 1/2 cup
What the research supports ▾
  • Common cold lozenges Preliminary2024 Cochrane review: may shorten symptoms by about 2 days if already sick; little to no difference in preventing colds; low to very low certainty.
  • Age-related macular degeneration ModerateThe AREDS formulation (80 mg zinc plus other nutrients) was associated with 25% lower risk of advanced AMD in high-risk people.
  • Wound healing PreliminaryZinc deficiency in older adults can delay wound healing; insufficient evidence for diabetic foot ulcers.
Who is at risk of low intake ▾

IBD or GI resection; celiac; vegetarians and vegans (phytates reduce absorption); pregnant or lactating women; alcohol use disorder.

Medications & cautions ▾

Medication interactions. Quinolone and tetracycline antibiotics (separate by 2-6 hours); penicillamine; thiazide diuretics increase urinary zinc loss. Iron supplements of 25 mg or more can reduce zinc absorption.

⚠ 50 mg or more daily for weeks can interfere with copper absorption and lower HDL cholesterol.

Sources: NIH Office of Dietary Supplements

Potassium

Mineral

MixedModeratePreliminary▾

What it does. Maintains intracellular fluid and electrochemical gradients for nerve transmission, muscle contraction and kidney function.

Adult intake. AI: men 3,400 mg/day; women 2,600 mg/day

Upper limit. No UL set; the AI does not apply to people with impaired potassium excretion

Where it comes from (food sources) ▾
  • ·Dried apricots · 755 mg per 1/2 cup
  • ·Lentils, cooked · 731 mg per 1 cup
  • ·Acorn squash, mashed · 644 mg per 1 cup
  • ·Baked potato, flesh only · 610 mg per 1 medium
  • ·Kidney beans, canned · 607 mg per 1 cup
  • ·Orange juice · 496 mg per 1 cup
  • ·Banana · 422 mg per 1 medium
  • ·Milk, 1% · 366 mg per 1 cup
What the research supports ▾
  • Blood pressure MixedA 2017 meta-analysis of 25 trials found systolic -4.48 mmHg and diastolic -2.96 mmHg; a Cochrane review of six trials found nonsignificant reductions; more research is needed.
  • Stroke ModerateMeta-analysis of 11 cohorts: 21% lower stroke risk with 1,640 mg/day higher intake; an AHRQ review found inconsistent relationships.
  • Kidney stones and bone PreliminaryObservational associations; additional research is needed.
Who is at risk of low intake ▾

IBD; people using diuretics or laxatives; pica.

Medications & cautions ▾

Medication interactions. ACE inhibitors, ARBs and potassium-sparing diuretics can raise potassium (monitoring recommended); loop and thiazide diuretics can lower it.

⚠ People with kidney disease or on ACE inhibitors, ARBs or potassium-sparing diuretics should check with a clinician before high-potassium eating patterns or potassium supplements.

Sources: NIH Office of Dietary Supplements

Vitamin B6

Water-soluble vitamin

Not supportedPreliminaryModerate▾

What it does. Coenzyme in 100+ enzyme reactions, mainly protein metabolism; neurotransmitter and hemoglobin synthesis.

Adult intake. RDA (mg/day): 19-50 1.3; men 51+ 1.7; women 51+ 1.5; pregnancy 1.9; lactation 2.0

Upper limit. UL 100 mg/day adults (food and supplements)

Where it comes from (food sources) ▾
  • ·Chickpeas, canned · 1.1 mg per 1 cup
  • ·Beef liver · 0.9 mg per 3 oz
  • ·Yellowfin tuna, cooked · 0.9 mg per 3 oz
  • ·Sockeye salmon, cooked · 0.6 mg per 3 oz
  • ·Boiled potatoes · 0.4 mg per 1 cup
  • ·Banana · 0.4 mg per 1 medium
What the research supports ▾
  • Cardiovascular disease Not supported'Little evidence' that supplements reduce risk, alone or with folic acid and B12.
  • Cognition PreliminaryEvidence is insufficient.
  • Premenstrual syndrome PreliminarySome evidence of benefit, limited by poor study quality.
  • Nausea of pregnancy ModerateB6 plus doxylamine trials showed a 70% reduction in symptoms; ACOG recommends 10-25 mg 3-4 times daily; consult a physician.
Who is at risk of low intake ▾

Impaired kidney function and dialysis; autoimmune or malabsorptive disorders (RA, celiac, IBD); alcohol dependence.

Medications & cautions ▾

Medication interactions. Cycloserine; antiepileptics (valproic acid, carbamazepine, phenytoin) lower B6; theophylline.

⚠ 1-6 g/day for 12-40 months caused severe sensory neuropathy; high food intakes have not been reported to cause harm.

Sources: NIH Office of Dietary Supplements

Selenium

Mineral

Not supportedMixed▾

What it does. Constituent of 25 selenoproteins; thyroid hormone metabolism, DNA synthesis, antioxidant defence.

Adult intake. RDA: 55 mcg/day adults; pregnancy 60; lactation 70

Upper limit. UL 400 mcg/day adults

Where it comes from (food sources) ▾
  • ·Brazil nuts · 544 mcg per 1 oz (6-8 nuts)
  • ·Yellowfin tuna · 92 mcg per 3 oz
  • ·Sardines · 45 mcg per 3 oz
  • ·Shrimp · 42 mcg per 3 oz
  • ·Beef steak · 37 mcg per 3 oz
  • ·Spaghetti · 33 mcg per 1 cup
What the research supports ▾
  • Cancer Not supportedObservational studies suggest an inverse association; trials of 200-500 mcg/day found little to no effect (Cochrane 2018).
  • Cardiovascular disease Not supportedTrials do not support supplementation, particularly in people with sufficient intake.
  • Thyroid MixedLow status is associated with thyroid disease in women; supplementation trials in autoimmune thyroiditis are mixed.
Who is at risk of low intake ▾

People in selenium-deficient regions (including some largely vegetarian or vegan populations); hemodialysis; HIV.

Medications & cautions ▾

Medication interactions. Cisplatin can reduce selenium levels (significance unknown).

⚠ One ounce of Brazil nuts (544 mcg) is above the 400 mcg UL; signs of too much selenium include hair loss, brittle nails and garlic breath.

Sources: NIH Office of Dietary Supplements

Iodine

Mineral

StrongPreliminary▾

What it does. Component of thyroid hormones T4 and T3; needed for fetal and infant skeletal and brain development.

Adult intake. RDA: 150 mcg/day adults; pregnancy 220; lactation 290

Upper limit. UL 1,100 mcg/day adults

Where it comes from (food sources) ▾
  • ·Cod, baked · 146 mcg per 3 oz
  • ·Nori, dried · 116 mcg (varies widely, 16-2,984 mcg/g) per 2 tbsp (5 g)
  • ·Oysters, cooked · 93 mcg per 3 oz
  • ·Greek yogurt, plain nonfat · 87 mcg per 3/4 cup
  • ·Milk, nonfat · 84 mcg per 1 cup
  • ·Iodized table salt · 78 mcg per 1/4 tsp
  • ·Egg, hard boiled · 31 mcg per 1 large
What the research supports ▾
  • Deficiency in pregnancy StrongThe most common cause of preventable intellectual disability worldwide; irreversible effects are possible.
  • Supplements in pregnancy and child neurodevelopment PreliminaryRandomized trials have not shown improvement; evidence is inconclusive.
Who is at risk of low intake ▾

People who do not use iodized salt; pregnant women; vegans and those eating little dairy, seafood or eggs; iodine-poor soil regions; marginal status plus goitrogenic foods (soy, cassava, cruciferous vegetables).

Medications & cautions ▾

Medication interactions. High-dose iodine plus antithyroid drugs; potassium iodide with ACE inhibitors or potassium-sparing diuretics (hyperkalemia).

⚠ Excess can cause goiter, hypothyroidism or hyperthyroidism; people with autoimmune thyroid disease may react at normal intakes. Seaweed content is highly variable.

Sources: NIH Office of Dietary Supplements

Omega-3 fatty acids (ALA, EPA, DHA)

Fatty acid

MixedPreliminaryNot supported▾

What it does. Cell membrane components (DHA is high in the retina and brain); eicosanoid signalling; EPA and DHA shift the balance toward less inflammatory activity.

Adult intake. AI for ALA (g/day): men 1.6; women 1.1; pregnancy 1.4; lactation 1.3

Upper limit. No UL set (IOM); the FDA and EFSA regard up to about 5 g/day EPA+DHA supplements as safe

Where it comes from (food sources) ▾
  • ·Flaxseed oil · 7.26 g ALA per 1 tbsp
  • ·Chia seeds · 5.06 g ALA per 1 oz
  • ·English walnuts · 2.57 g ALA per 1 oz
  • ·Whole flaxseed · 2.35 g ALA per 1 tbsp
  • ·Atlantic salmon, farmed, cooked · 1.24 g DHA, 0.59 g EPA per 3 oz
  • ·Herring, Atlantic, cooked · 0.94 g DHA, 0.77 g EPA per 3 oz
  • ·Sardines in tomato sauce · 0.74 g DHA, 0.45 g EPA per 3 oz
  • ·Mackerel, Atlantic, cooked · 0.59 g DHA, 0.43 g EPA per 3 oz
What the research supports ▾
  • Cardiovascular disease MixedObservational studies link fish and omega-3 intake with lower risk; supplement trials are mixed (VITAL and ASCEND found no major-event reduction; REDUCE-IT found 25% reduction with 4 g/day icosapent ethyl; STRENGTH found no benefit). Cochrane 2020: about 15% lower triglycerides, a slight decrease in CV mortality, no effect on all-cause mortality or stroke.
  • Cognition and Alzheimer's PreliminaryNo effect in healthy older adults or in Alzheimer's; a possible modest benefit in mild cognitive impairment needs confirmation.
  • Macular degeneration Not supportedObservational links; AREDS2 and Cochrane found no benefit from supplements.
  • Depression PreliminaryInsufficient evidence from a Cochrane review; 17% lower risk with higher fish intake in a 2016 meta-analysis (observational).
  • Rheumatoid arthritis PreliminaryMay be helpful as an adjunct; more research is needed.
Who is at risk of low intake ▾

Classical essential fatty acid deficiency is virtually nonexistent in healthy people.

Medications & cautions ▾

Medication interactions. High-dose fish oil has antiplatelet effects; most research finds 3-6 g/day does not significantly affect warfarin anticoagulation, but package inserts advise INR monitoring.

⚠ Two large trials of 4 g/day found slightly higher atrial fibrillation risk in people with or at high risk of CVD. The AHA recommends 1-2 seafood servings per week.

Sources: NIH Office of Dietary Supplements

Choline

Essential nutrient

Preliminary▾

What it does. Methyl group source; phosphatidylcholine and sphingomyelin for cell membranes; acetylcholine for memory, mood and muscle control; lipid transport.

Adult intake. AI: men 550 mg/day; women 425 mg/day; pregnancy 450; lactation 550

Upper limit. UL 3,500 mg/day adults

Where it comes from (food sources) ▾
  • ·Beef liver, pan fried · 356 mg per 3 oz
  • ·Egg, hard boiled · 147 mg per 1 large
  • ·Beef top round, braised · 117 mg per 3 oz
  • ·Soybeans, roasted · 107 mg per 1/2 cup
  • ·Chicken breast, roasted · 72 mg per 3 oz
  • ·Cod, cooked · 71 mg per 3 oz
  • ·Red potato, baked · 57 mg per 1 large
What the research supports ▾
  • Cardiovascular disease PreliminaryLarge observational studies found no significant association; one analysis linked higher intake to higher mortality; more research is needed.
  • Cognition PreliminaryObservational links to better cognition; a 2015 systematic review found no clear improvement in healthy adults.
  • Fatty liver PreliminaryOne large observational study (normal-weight women only); treatment data are limited.
Who is at risk of low intake ▾

Pregnant women (about 90-95% consume less than the AI); people with certain genetic variants (for example PEMT); long-term total parenteral nutrition.

Medications & cautions ▾

Medication interactions. None listed on the source page.

⚠ Excess can cause fishy body odour, vomiting, low blood pressure and liver toxicity.

Sources: NIH Office of Dietary Supplements

Thiamin (vitamin B1)

Water-soluble vitamin

Preliminary▾

What it does. Cofactor for enzymes in glucose, amino acid and lipid metabolism; energy metabolism.

Adult intake. RDA: men 1.2 mg/day; women 1.1 mg/day; pregnancy and lactation 1.4

Upper limit. No UL set

Where it comes from (food sources) ▾
  • ·Fortified breakfast cereal (100% DV) · 1.2 mg per 1 serving
  • ·Egg noodles, enriched, cooked · 0.5 mg per 1 cup
  • ·Pork chop, broiled · 0.4 mg per 3 oz
  • ·Trout, cooked · 0.4 mg per 3 oz
  • ·Black beans, boiled · 0.4 mg per 1/2 cup
What the research supports ▾
  • Diabetes PreliminarySmall studies of 150-300 mg/day lowered glucose, clinical significance not assessed; benfotiamine trials are mixed.
  • Heart failure PreliminaryA meta-analysis of two small trials showed improved ejection fraction; more research is needed.
  • Alzheimer's PreliminarySupport comes mainly from animal and autopsy studies.
Who is at risk of low intake ▾

Alcohol dependence (up to 80% develop deficiency); older adults (20-30% with some lab indicators); HIV/AIDS; diabetes (relevance unknown); bariatric surgery.

Medications & cautions ▾

Medication interactions. Not known to interact; furosemide is linked to lower thiamin levels; fluorouracil case reports.

Sources: NIH Office of Dietary Supplements

General information, not medical advice. Supplement doses, pregnancy, kidney disease and medicines change what is safe for you — talk to your doctor or pharmacist before starting a supplement or changing your diet for a health condition.