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    Multivitamins more essential for certain groups

    Consumer Reports News: August 18, 2008 12:41 PM

    The National Institutes of Health says there's no reason to recommend multivitamins in general but notes a few combinations that might help some people, such as beta-carotene, vitamins C and E, and zinc for those with age-related macular degeneration.

    But multis can make sense for certain groups:

    • Dieters or picky eaters, to prevent major nutritional deficiencies.
    • Strict vegetarians, mainly for the vitamin B12.
    • People older than 50, mainly for the B12 and vitamins.
    • Women who are pregnant, likely to become pregnant, or breast-feeding.
    • People who have a chronic gastrointestinal disorder, such as colitis or pancreatitis, that impairs absorption or digestion.
    • People with a chronic illness. Diabetes, cancer, and other conditions can deplete nutrients.

    So-called women's multis often pack extra calcium, which can be fine for both genders, but if you need more than 200 mg you'll have to take a separate calcium supplement. Stick with the basic nutrients: the herbs and phytochemicals sometimes included have dubious value and are often present in such small quantities that they have little effect. Finally, avoid supplements that contain more than 9 mg of iron unless advised by your doctor, since excess iron can lead to organ damage in people with hemochromatosis, a common genetic disorder.

    This article first appeared in the September 2008 issue of Consumer Reports On Health.

    Read more on special precautions (free) you should follow when taking a multivitamin, find out which vitamins fill your nutritional gaps and which you should avoid (free), and if you're taking a multivitamin or supplement, visit our Natural Medicine Ratings (subscribers only) section to check the effectiveness and interactions.


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