Vitamin Bible

THE VITAMIN BIBLE


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THIS SECTION WILL BE UPDATED REGULARLY - KEEP CHECKING

Vitamin A, also known as retinol, has several important functions.


These include:


  • helping your body's natural defence against illness and infection (the immune system) work properly
  • helping vision in dim light
  • keeping skin and the lining of some parts of the body, such as the nose, healthy


Good sources of vitamin A


Good sources of vitamin A (retinol) include:


  • cheese
  • eggs
  • oily fish
  • fortified low-fat spreads
  • milk and yoghurt
  • liver and liver products such as liver pâté – this is a particularly rich source of vitamin A, so you may be at risk of having too much vitamin A if you have it more than once a week (if you're pregnant you should avoid eating liver or liver products)

You can also get vitamin A by including good sources of beta-carotene in your diet, as the body can convert this into retinol. 


The main food sources of beta-carotene are:


  • yellow, red and green (leafy) vegetables, such as spinach, carrots, sweet potatoes and red peppers
  • yellow fruit, such as mango, papaya and apricots


How much vitamin A do I need?


The total vitamin A content of a food is usually expressed as micrograms (µg) of retinol equivalents (RE).


The amount of vitamin A adults aged 19 to 64 need is:


  • 700 µg a day for men
  • 600 µg a day for women

You should be able to get all the vitamin A you need from your diet.


Any vitamin A your body does not need immediately is stored for future use. This means you do not need it every day.

What happens if I take too much vitamin A?

Some research suggests that having more than an average of 1.5 mg (1,500 µg) a day of vitamin A over many years may affect your bones, making them more likely to fracture when you're older.


This is particularly important for older people, especially women, who are already at increased risk of osteoporosis, a condition that weakens bones.


If you eat liver or liver pâté more than once a week, you may be getting too much vitamin A.


Many multivitamins contain vitamin A. Other supplements, such as fish liver oil, are also high in vitamin A.


If you take supplements containing vitamin A, make sure your daily intake from food and supplements does not exceed 1.5 mg (1,500 µg).


If you eat liver every week, do not take supplements that contain vitamin A.


If you're pregnant


Having large amounts of vitamin A can harm your unborn baby. So if you're pregnant or thinking about having a baby, do not eat liver or liver products, such as pâté, because these are very high in vitamin A.


Also avoid taking supplements that contain vitamin A. Speak to your GP or midwife if you would like more information.


What does the Department of Health and Social Care advise?


You should be able to get all the vitamin A you need by eating a varied and balanced diet.


If you take a supplement that contains vitamin A, do not take too much because this could be harmful.


Liver is a very rich source of vitamin A. Do not eat liver or liver products, such as pâté, more than once a week.


You should also be aware of how much vitamin A there is in any supplements you take.


If you're pregnant or thinking of having a baby:

  • avoid taking supplements containing vitamin A, including fish liver oil, unless advised to by your GP
  • avoid liver or liver products, such as pâté, as these are very high in vitamin A


Women who have been through the menopause and older men, who are more at risk of osteoporosis, should avoid having more than 1.5mg of vitamin A a day from food and supplements.


This means:

  • not eating liver or liver products, such as pâté, more than once a week, or having smaller portions of these
  • taking no more than 1.5mg of vitamin A a day in supplements (including fish liver oil) if you do not eat liver or liver products
  • not taking any supplements containing vitamin A (including fish liver oil) if you eat liver once a week


Having an average of 1.5mg a day or less of vitamin A from diet and supplements combined is unlikely to cause any harm.



There are many different types of vitamin B.




This section has information on:


  • thiamin (vitamin B1)
  • riboflavin (vitamin B2)
  • niacin (vitamin B3)
  • pantothenic acid
  • vitamin B6
  • biotin (vitamin B7)
  • folate and folic acid
  • vitamin B12


Thiamin (vitamin B1)


Thiamin, also known as vitamin B1, helps:


  • the body break down and release energy from food
  • keep the nervous system healthy


Good sources of thiamin


Thiamin is found in many types of food.


Good sources include:

  • peas
  • some fresh fruits (such as bananas and oranges)
  • nuts
  • wholegrain breads
  • some fortified breakfast cereals
  • liver


How much thiamin do I need?


The amount of thiamin adults (aged 19 to 64) need is:


  • 1mg a day for men
  • 0.8mg a day for women


You should be able to get all the thiamin you need from your daily diet.


Thiamin cannot be stored in the body, so you need it in your diet every day.


What happens if I take too much thiamin?


There's not enough evidence to know what the effects might be of taking high doses of thiamin supplements each day.


What does the Department of Health and Social Care advise?


You should be able to get all the thiamin you need by eating a varied and balanced diet.


If you take supplements, do not take too much as this might be harmful.


Taking 100mg or less a day of thiamin supplements is unlikely to cause any harm.


Riboflavin (vitamin B2)

Riboflavin, also known as vitamin B2, helps:

  • keep skin, eyes and the nervous system healthy
  • the body release energy from food


Good sources of riboflavin

Good sources of riboflavin include:

  • milk
  • eggs
  • fortified breakfast cereals
  • mushrooms
  • plain yoghurt


UV light can destroy riboflavin, so ideally these foods should be kept out of direct sunlight.


How much riboflavin do I need?

The amount of riboflavin adults (aged 19 to 64) need is about:


  • 1.3mg a day for men
  • 1.1mg a day for women


You should be able to get all the riboflavin you need from your daily diet.


Riboflavin cannot be stored in the body, so you need it in your diet every day.


What happens if I take too much riboflavin?

There's not enough evidence to know what the effects might be of taking high doses of riboflavin supplements each day.


What does the Department of Health and Social Care advise?


You should be able to get all the riboflavin you need by eating a varied and balanced diet.

If you take supplements, do not take too much as this might be harmful.


Taking 40mg or less a day of riboflavin supplements is unlikely to cause any harm.


Niacin (vitamin B3)


Niacin, also known as vitamin B3, helps:

  • the body release energy from food
  • keep the nervous system and skin healthy


Good sources of niacin


There are 2 forms of niacin: nicotinic acid and nicotinamide. Both are found in food.

Good sources of niacin include:


  • meat
  • fish
  • wheat flour
  • eggs

How much niacin do I need?


The amount of niacin you need is about:

  • 16.5mg a day for men
  • 13.2mg a day for women


You should be able to get all the niacin you need from your daily diet.


Niacin cannot be stored in the body, so you need it in your diet every day.


What happens if I take too much niacin?

Taking high doses of nicotinic acid supplements can cause skin flushes. Taking high doses for a long time could lead to liver damage.


There's not enough evidence to know what the effects might be of taking high daily doses of nicotinamide supplements.


What does the Department of Health and Social Care advise?


You should be able to get the amount of niacin you need by eating a varied and balanced diet.

If you take niacin supplements, do not take too much as this might be harmful.


Taking 17mg or less of nicotinic acid supplements a day, or 500mg or less of nicotinamide supplements a day, is unlikely to cause any harm.


Pantothenic acid


Pantothenic acid has several functions, such as helping the body to release energy from food.

Good sources of pantothenic acid


Pantothenic acid is found in varying amounts in almost all vegetables, wholegrain foods and meats, but good sources include:


  • chicken
  • beef
  • liver and kidneys
  • eggs
  • mushrooms
  • avocado


Breakfast cereals are also a good source if they have been fortified with pantothenic acid.


How much pantothenic acid do I need?

No amount has been set in the UK for how much pantothenic acid you need.


You should be able to get all the pantothenic acid you need from your daily diet, as it's found in many foods.


Pantothenic acid cannot be stored in the body, so you need it in your diet every day.


What happens if I take too much pantothenic acid?


There's not enough evidence to know what the effects might be of taking high daily doses of pantothenic acid supplements.


What does the Department of Health and Social Care advise?


You should be able to get all the pantothenic acid you need by eating a varied and balanced diet.


If you take supplements, do not take too much as this might be harmful.


Taking 200mg or less a day of pantothenic acid in supplements is unlikely to cause any harm.


Vitamin B6


Vitamin B6, also known as pyridoxine, helps:

  • the body to use and store energy from protein and carbohydrates in food
  • the body form haemoglobin, the substance in red blood cells that carries oxygen around the body


Good sources of vitamin B6


Vitamin B6 is found in a wide variety of foods, including:

  • pork
  • poultry, such as chicken or turkey
  • some fish
  • peanuts
  • soya beans
  • wheatgerm
  • oats
  • bananas
  • milk
  • some fortified breakfast cereals


How much vitamin B6 do I need?

The amount of vitamin B6 adults (aged 19 to 64) need is about:

  • 1.4mg a day for men
  • 1.2mg a day for women


You should be able to get all the vitamin B6 you need from your daily diet.


The bacteria that live naturally in your bowel are also able to make vitamin B6.


What happens if I take too much vitamin B6?

When taking a supplement, it's important not to take too much.


Taking 200mg or more a day of vitamin B6 [LK2] can lead to a loss of feeling in the arms and legs known as peripheral neuropathy.


This will usually improve once you stop taking the supplements.


But in a few cases when people have taken large amounts of vitamin B6, particularly for more than a few months, the effect can be permanent.


The effect of taking vitamin B6 at doses between 10 and 200 mg is unclear. So there's not enough evidence to say how long these doses could be taken for safely.


What does the Department of Health and Social Care advise?


You should be able to get the vitamin B6 you need by eating a varied and balanced diet.

If you take vitamin B6 supplements, do not take too much as this could be harmful.


Do not take more than 10mg of vitamin B6 a day in supplements unless advised to by a doctor.


Biotin (vitamin B7)


Biotin is needed in very small amounts to help the body make fatty acids.


The bacteria that live naturally in your bowel are able to make biotin, so it's not clear if you need any additional biotin from the diet.


Biotin is also found in a wide range of foods, but only at very low levels.


What happens if I take too much biotin?

There's not enough evidence to know what the effects might be of taking high daily doses of biotin supplements.


What does the Department of Health and Social Care advise?


You should be able to get all the biotin you need by eating a varied and balanced diet.

If you take biotin supplements, do not take too much as this might be harmful.


Taking 0.9mg or less a day of biotin in supplements is unlikely to cause any harm.


Folate and folic acid


Folate is a B vitamin found in many foods.


The manmade form of folate is called folic acid.


Folate is also known as folacin and vitamin B9.


Folate helps:

  • the body form healthy red blood cells
  • reduce the risk of birth defects called neural tube defects, such as spina bifida, in unborn babies


A lack of folate could lead to folate deficiency anaemia.

Good sources of folate


Folate is found in small amounts in many foods.


Good sources include:

  • broccoli
  • brussels sprouts
  • leafy green vegetables, such as cabbage, kale, spring greens and spinach
  • peas
  • chickpeas and kidney beans
  • liver (but avoid this during pregnancy)
  • breakfast cereals fortified with folic acid


How much folate do I need?


Adults need 200 micrograms of folate a day. A microgram is 1,000 times smaller than a milligram (mg). The word microgram is sometimes written with the Greek symbol μ followed by the letter g (μg).


There are no long-term stores in the body, so you need to eat folate-containing foods frequently.


Most people should be able to get the amount of folate they need by eating a varied and balanced diet.


If you're pregnant or could get pregnant


If you're pregnant, trying for a baby, or could get pregnant, it's recommended that you take a 400 microgram folic acid supplement daily until you're 12 weeks pregnant.


Folic acid supplements need to be taken before you get pregnant, so start taking them before you stop using contraception or if there's a chance you might get pregnant.


This is to help prevent neural tube defects, such as spina bifida, in your baby.

Some women have an increased risk of having a pregnancy affected by a neural tube defect and are advised to take a higher dose of 5mg of folic acid each day until they're 12 weeks pregnant.


This is important and unlikely to cause harm, as it's taken on a short-term basis, but speak to your doctor first.


Get more advice about vitamins and minerals during pregnancy, including who should take a higher dose of folic acid.


What happens if I take too much folic acid?

Taking doses of folic acid higher than 1mg can mask the symptoms of vitamin B12 deficiency, which can eventually damage the nervous system if it's not spotted and treated.


This is particularly a concern for older people because it becomes more difficult to absorb vitamin B12 as you get older.


What does the Department of Health and Social Care advise?


The Department of Health and Social Care recommends that folic acid supplements are taken by all women who are pregnant or could get pregnant.


Women who cannot get pregnant and men should be able to get all the folate they need by eating a varied and balanced diet.

If you're taking folic acid supplements, it's important not to take too much as this could be harmful.


Taking 1mg or less a day of folic acid supplements is unlikely to cause any harm.


Vitamin B12


Vitamin B12 is involved in helping the body:

  • make red blood cells and keeping the nervous system healthy
  • release energy from food
  • use folate

A lack of vitamin B12 could lead to vitamin B12 deficiency anaemia.

Good sources of vitamin B12

Good sources include:

  • meat
  • fish
  • milk
  • cheese
  • eggs
  • some fortified breakfast cereals


How much vitamin B12 do I need?

Adults (aged 19 to 64) need about 1.5 micrograms a day of vitamin B12.

If you eat meat, fish or dairy foods, you should be able to get enough vitamin B12 from your diet.


But as vitamin B12 is not found naturally in foods such as fruit, vegetables and grains, vegans may not get enough of it.


Read about the vegan diet for nutrition information and advice.


What happens if I take too much vitamin B12?

There's not enough evidence to show what the effects may be of taking high doses of vitamin B12 supplements each day.


What does the Department of Health and Social Care advise?


You should be able to get all the vitamin B12 you need by eating a varied and balanced diet.

If you take vitamin B12 supplements, do not take too much as this could be harmful.

Taking 2mg or less a day of vitamin B12 in supplements is unlikely to cause any harm.


 



Vitamin C, also known as ascorbic acid, has several important functions.


These include:



  • helping to protect cells and keeping them healthy
  • maintaining healthy skin, blood vessels, bones and cartilage
  • helping with wound healing


Lack of vitamin C can lead to scurvy.


Good sources of vitamin C


Vitamin C is found in a wide variety of fruit and vegetables.


Good sources include:


  • citrus fruit, such as oranges and orange juice
  • peppers
  • strawberries
  • blackcurrants
  • broccoli
  • brussels sprouts
  • potatoes


How much vitamin C do I need?


Adults aged 19 to 64 need 40mg of vitamin C a day.


You should be able to get all the vitamin C you need from your daily diet.


Vitamin C cannot be stored in the body, so you need it in your diet every day.


What happens if I take too much vitamin C?

Taking large amounts (more than 1,000mg per day) of vitamin C can cause:



These symptoms should disappear once you stop taking vitamin C supplements.


What does the Department of Health and Social Care advise?


You should be able to get all the vitamin C you need by eating a varied and balanced diet.


If you take vitamin C supplements, do not take too much as this could be harmful.

Taking less than 1,000mg of vitamin C supplements a day is unlikely to cause any harm.






Vitamin D helps regulate the amount of calcium and phosphate in the body.




These nutrients are needed to keep bones, teeth and muscles healthy.


  • A lack of vitamin D can lead to bone deformities such as rickets in children, and bone pain caused by a condition called osteomalacia in adults


Good sources of vitamin D



From about late March/early April to the end of September, most people should be able to get all the vitamin D they need from sunlight.


The body creates vitamin D from direct sunlight on the skin when outdoors.


But between October and early March we do not get enough vitamin D from sunlight.


Read more about vitamin D and sunlight.

Vitamin D is also found in a small number of foods.

Sources include:

  • oily fish – such as salmon, sardines, herring and mackerel
  • red meat
  • liver
  • egg yolks
  • fortified foods – such as some fat spreads and breakfast cereals


Another source of vitamin D is dietary supplements.

In the UK, cows' milk is generally not a good source of vitamin D because it is not fortified, as it is in some other countries.


How much vitamin D do I need?


Babies up to the age of 1 year need 8.5 to 10 micrograms of vitamin D a day.


Children from the age of 1 year and adults need 10 micrograms of vitamin D a day. This includes pregnant and breastfeeding women, and people at risk of vitamin D deficiency.

From about late March/early April to the end of September, the majority of people should be able to get all the vitamin D they need from sunlight on their skin.


A microgram is 1,000 times smaller than a milligram (mg). The word microgram is sometimes written with the Greek symbol μ followed by the letter g (μg).


Sometimes the amount of vitamin D is expressed as International Units (IU). 1 microgram of vitamin D is equal to 40 IU. So 10 micrograms of vitamin D is equal to 400 IU.


Should I take a vitamin D supplement?

Advice for infants and young children


The Department of Health and Social Care recommends that:


  • breastfed babies from birth to 1 year of age should be given a daily supplement containing 8.5 to 10 micrograms of vitamin D to make sure they get enough
  • formula-fed babies should not be given a vitamin D supplement until they're having less than 500ml (about a pint) of infant formula a day, as infant formula is fortified with vitamin D
  • children aged 1 to 4 years old should be given a daily supplement containing 10 micrograms of vitamin D


You can buy vitamin D supplements or vitamin drops containing vitamin D (for under 5s) at most pharmacies and supermarkets.


Women and children who qualify for the Healthy Start scheme can get free supplements containing vitamin D.


See the Healthy Start website for more information.


Advice for adults and children over 4 years old


During the autumn and winter, you need to get vitamin D from your diet because the sun is not strong enough for the body to make vitamin D.


But since it's difficult for people to get enough vitamin D from food alone, everyone (including pregnant and breastfeeding women) should consider taking a daily supplement containing 10 micrograms of vitamin D during the autumn and winter.

Between late March/early April to the end of September, most people can get all the vitamin D they need through sunlight on their skin and from a balanced diet.

You may choose not to take a vitamin D supplement during these months.


People at risk of vitamin D deficiency


Some people will not get enough vitamin D from sunlight because they have very little or no sunshine exposure.


The Department of Health and Social Care recommends that you take a daily supplement containing 10 micrograms of vitamin D throughout the year if you:


  • are not often outdoors – for example, if you're frail or housebound
  • are in an institution like a care home
  • usually wear clothes that cover up most of your skin when outdoors


If you have dark skin – for example you have an African, African-Caribbean or south Asian background – you may also not get enough vitamin D from sunlight.


You should consider taking a daily supplement containing 10 micrograms of vitamin D throughout the year.


What happens if I take too much vitamin D?


Taking too many vitamin D supplements over a long period of time can cause too much calcium to build up in the body (hypercalcaemia). This can weaken the bones and damage the kidneys and the heart.

If you choose to take vitamin D supplements, 10 micrograms a day will be enough for most people.


Do not take more than 100 micrograms (4,000 IU) of vitamin D a day as it could be harmful. This applies to adults, including pregnant and breastfeeding women and the elderly, and children aged 11 to 17 years.


Children aged 1 to 10 years should not have more than 50 micrograms (2,000 IU) a day. Infants under 12 months should not have more than 25 micrograms (1,000 IU) a day.


Some people have medical conditions that mean they may not be able to safely take as much. If in doubt, you should consult your doctor.


If your doctor has recommended you take a different amount of vitamin D, you should follow their advice.


You cannot overdose on vitamin D through exposure to sunlight. But always remember to cover up or protect your skin if you're out in the sun for long periods to reduce the risk of skin damage and skin cancer.


Vitamin E helps maintain healthy skin and eyes and strengthen the body's natural defence against illness and infection (the immune system).









Good sources of vitamin E


Vitamin E is a group of compounds found in a wide variety of foods.


Good sources include:


  • plant oils – such as rapeseed (vegetable oil), sunflower, soya, corn and olive oil
  • nuts and seeds
  • wheatgerm – found in cereals and cereal product


How much vitamin E do I need?


The amount of vitamin E you need is:

  • 4mg a day for men
  • 3mg a day for women


You should be able to get all the vitamin E you need from your diet.


Any vitamin E your body does not need immediately is stored for future use, so you do not need it in your diet every day.


What happens if I take too much vitamin E?


There is not enough evidence to know what the effects might be of taking high doses of vitamin E supplements each day.


What does the Department of Health and Social Care advise?


You should be able to get the amount of vitamin E you need by eating a varied and balanced diet.


If you take vitamin E supplements, do not take too much as this could be harmful.


Taking 540mg (800 IU) or less a day of vitamin E supplements is unlikely to cause any harm.

 


Calcium has several important functions.



These include:


  • helping build strong bones and teeth
  • regulating muscle contractions, including your heartbeat
  • making sure blood clots normally


A lack of calcium could lead to a condition called rickets in children, and osteomalacia or osteoporosis in later life.



Sources of calcium


Sources of calcium include:


  • milk, cheese and other dairy foods
  • green leafy vegetables – such as curly kale, okra and spinach
  • soya drinks with added calcium
  • bread and anything made with fortified flour
  • fish where you eat the bones – such as sardines and pilchards


How much calcium do I need?


Adults aged 19 to 64 need 700mg of calcium a day.


You should be able to get all the calcium you need from your daily diet.


What happens if I take too much calcium?

Taking high doses of calcium (more than 1,500mg a day) could lead to stomach pain and diarrhoea.


What does the Department of Health and Social Care advise?



You should be able to get all the calcium you need by eating a varied and balanced diet.

If you take calcium supplements, do not take too much as this could be harmful.

Taking 1,500mg or less a day is unlikely to cause any harm.

 



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