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Disorders of Nutrition
Vitamins
Overview of Vitamins
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Chapters in Disorders of Nutrition
  • Overview of Nutrition
  • Undernutrition
  • Vitamins
  • Minerals
  • Obesity and the Metabolic Syndrome
    Topics in Vitamins
    • Overview of Vitamins
    • Folate
    • Niacin
    • Riboflavin
    • Thiamin
    • Vitamin A
    • Vitamin B6
    • Vitamin B12
    • Vitamin C
    • Vitamin D
    • Vitamin E
    • Vitamin K
     
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    Overview of Vitamins

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    Vitamins are a vital part of a healthy diet. The recommended dietary allowance (RDA)—the amount most healthy people need each day to remain healthy—has been determined for most vitamins. A safe upper limit (tolerable upper intake level) has been determined for some vitamins. Intake above this limit increases the risk of a harmful effect (toxicity).

    Did You Know...
    • Consuming very large doses of vitamins can be harmful.

    Consuming too little of a vitamin can cause a nutritional disorder. However, people who eat a variety of foods are unlikely to develop most vitamin deficiencies. Deficiency of vitamin D is an exception. It is common among certain groups of people (such as older people) even if they eat a variety of foods. For other vitamins, a deficiency can develop if people follow a restrictive diet that does not contain enough of a particular vitamin. For example, vegans, who consume no animal products, may become deficient in vitamin B12, which is available in animal products. Deficiency of biotin or pantothenic acid almost never occurs.

    Consuming large amounts (megadoses) of certain vitamins (usually as supplements) without medical supervision may also have harmful effects.

    Vitamins are called essential micronutrients because the body requires them but only in small amounts.

    PrintOpen table in new window Open table in new window
    Vitamins

    Vitamin

    Good Sources

    Main Functions

    Recommended Dietary Allowance

    Safe Upper Limit

    Biotin

    Liver, kidneys, egg yolks, milk, fish, dried yeast, cauliflower, nuts, and legumes

    Required for the processing (metabolism) of carbohydrates and fatty acids

    30 micrograms (but no RDA has been established)

    —

    Folate (folic acid)

    Fresh green leafy vegetables, asparagus, broccoli, fruits (especially citrus), liver, other organ meats, dried yeast, and enriched breads, pastas, and cereals

    (Note: Extensive cooking destroys 50–95% of the folate in food.)

    Required for the formation of red blood cells, for DNA and RNA synthesis, and for normal development of the nervous system in a fetus

    400 micrograms

    600 micrograms for pregnant women

    500 micrograms for breastfeeding women

    1,000 micrograms

    NiacinSome Trade Names
    NIASPAN
    (nicotinic acidSome Trade Names
    See Niacin
    or nicotinamide )

    Dried yeast, liver, meat, fish, legumes, and whole-grain or enriched cereal products

    Required for the metabolism of carbohydrates, fats, and many other substances

    14 milligrams for women

    16 milligrams for men

    35 milligrams

    Pantothenic acid

    Liver, beef, egg yolks, yeast, potatoes, broccoli, and whole grains

    Required for the metabolism of carbohydrates and fats

    5 milligrams (but no RDA has been established)

    —

    Riboflavin (vitamin B2)

    Milk, cheese, liver, meat, fish, eggs, and enriched cereals

    Required for the metabolism of carbohydrates and amino acids and for healthy mucous membranes, such as those lining the mouth

    1.1 milligrams for women

    1.3 milligrams for men

    1.4 milligrams for pregnant women

    1.6 milligrams for breastfeeding women

    —

    Thiamin (vitamin B1)

    Dried yeast, whole grains, meat (especially pork and liver), enriched cereals, nuts, legumes, and potatoes

    Required for the metabolism of carbohydrates and for normal nerve and heart function

    1.1 milligrams for women

    1.2 milligrams for men

    1.4 milligrams for pregnant or breastfeeding women

    —

    Vitamin ASome Trade Names
    AQUASOL A
    (retinol)

    As vitamin ASome Trade Names
    AQUASOL A
    : Fish liver oils, liver, egg yolks, butter, cream, and fortified milk

    As carotenoids (converted to vitamin ASome Trade Names
    AQUASOL A
    in the body), such as beta-carotene: Dark green and yellow-orange vegetables and yellow-orange fruits

    Required to form light-sensitive nerve cells (photoreceptors) in the retina, helping maintain night vision

    Helps maintain the health of the skin, cornea, and lining of the lungs, intestine, and urinary tract

    Helps protect against infections

    700 micrograms for women

    900 micrograms for men

    770 micrograms for pregnant women

    1,300 micrograms for breastfeeding women

    3,000 micrograms

    Vitamin B6

    Dried yeast, liver, other organ meats, whole-grain cereals, fish, and legumes

    Required for the metabolism of amino acids and fatty acids, for normal nerve function, for the formation of red blood cells, and for healthy skin

    1.3 milligrams

    1.5 milligrams for women older than 70

    1.7 milligrams for men older than 70

    1.9 milligrams for pregnant women

    2.0 milligrams for breastfeeding women

    100 milligrams

    Vitamin B12 (cobalamins)

    Meats (especially beef, pork, liver, and other organ meats), eggs, fortified cereals, milk, clams, oysters, salmon, and tuna

    Required for the formation and maturation of red blood cells, for nerve function, and for DNA synthesis

    2.4 micrograms

    2.6 micrograms for pregnant women

    2.8 micrograms for breastfeeding women

    —

    Vitamin C (ascorbic acid)

    Citrus fruits, tomatoes, potatoes, broccoli, strawberries, and sweet peppers

    Required for the formation, growth, and repair of bone, skin, and connective tissue; for healing of wounds and burns; and for normal function of blood vessels

    Acts as an antioxidant, protecting cells against damage by free radicals

    Helps the body absorb iron

    75 milligrams for women

    90 milligrams for men

    85 milligrams for pregnant women

    120 milligrams for breastfeeding women

    35 milligrams more for smokers

    2,000 milligrams

    Vitamin DSome Trade Names
    See Ergocalciferol

    Formed in the skin when the skin is exposed to direct sunlight

    Fortified milk, fatty fish, fish liver oils, and egg yolks

    Promotes the absorption of calcium and phosphorus from the intestine

    Required for bone formation, growth, and repair

    Strengthens the immune system and reduces the risk of autoimmune disorders

    600 IU for people aged 1‒70

    800 IU for people older than 70

    4,000 IU

    Vitamin E

    Vegetable oil, margarine, nuts, and wheat germ

    Acts as an antioxidant, protecting cells against damage by free radicals

    15 milligrams (22 IU of natural or 33 IU of synthetic)

    19 milligrams for breastfeeding women

    1,000 milligrams

    Vitamin K

    Green leafy vegetables (such as collards, spinach, and kale) and soybean and canola oils

    Helps in the formation of blood clotting factors and thus is necessary for normal blood clotting

    Required for healthy bones and other tissues

    90 micrograms for women

    120 micrograms for men

    —

    DNA = deoxyribonucleic acid; IU = international unit; RNA = ribonucleic acid.

    Vitamins

    Vitamin

    Good Sources

    Main Functions

    Recommended Dietary Allowance

    Safe Upper Limit

    Biotin

    Liver, kidneys, egg yolks, milk, fish, dried yeast, cauliflower, nuts, and legumes

    Required for the processing (metabolism) of carbohydrates and fatty acids

    30 micrograms (but no RDA has been established)

    —

    Folate (folic acid)

    Fresh green leafy vegetables, asparagus, broccoli, fruits (especially citrus), liver, other organ meats, dried yeast, and enriched breads, pastas, and cereals

    (Note: Extensive cooking destroys 50–95% of the folate in food.)

    Required for the formation of red blood cells, for DNA and RNA synthesis, and for normal development of the nervous system in a fetus

    400 micrograms

    600 micrograms for pregnant women

    500 micrograms for breastfeeding women

    1,000 micrograms

    NiacinSome Trade Names
    NIASPAN
    (nicotinic acidSome Trade Names
    See Niacin
    or nicotinamide )

    Dried yeast, liver, meat, fish, legumes, and whole-grain or enriched cereal products

    Required for the metabolism of carbohydrates, fats, and many other substances

    14 milligrams for women

    16 milligrams for men

    35 milligrams

    Pantothenic acid

    Liver, beef, egg yolks, yeast, potatoes, broccoli, and whole grains

    Required for the metabolism of carbohydrates and fats

    5 milligrams (but no RDA has been established)

    —

    Riboflavin (vitamin B2)

    Milk, cheese, liver, meat, fish, eggs, and enriched cereals

    Required for the metabolism of carbohydrates and amino acids and for healthy mucous membranes, such as those lining the mouth

    1.1 milligrams for women

    1.3 milligrams for men

    1.4 milligrams for pregnant women

    1.6 milligrams for breastfeeding women

    —

    Thiamin (vitamin B1)

    Dried yeast, whole grains, meat (especially pork and liver), enriched cereals, nuts, legumes, and potatoes

    Required for the metabolism of carbohydrates and for normal nerve and heart function

    1.1 milligrams for women

    1.2 milligrams for men

    1.4 milligrams for pregnant or breastfeeding women

    —

    Vitamin ASome Trade Names
    AQUASOL A
    (retinol)

    As vitamin ASome Trade Names
    AQUASOL A
    : Fish liver oils, liver, egg yolks, butter, cream, and fortified milk

    As carotenoids (converted to vitamin ASome Trade Names
    AQUASOL A
    in the body), such as beta-carotene: Dark green and yellow-orange vegetables and yellow-orange fruits

    Required to form light-sensitive nerve cells (photoreceptors) in the retina, helping maintain night vision

    Helps maintain the health of the skin, cornea, and lining of the lungs, intestine, and urinary tract

    Helps protect against infections

    700 micrograms for women

    900 micrograms for men

    770 micrograms for pregnant women

    1,300 micrograms for breastfeeding women

    3,000 micrograms

    Vitamin B6

    Dried yeast, liver, other organ meats, whole-grain cereals, fish, and legumes

    Required for the metabolism of amino acids and fatty acids, for normal nerve function, for the formation of red blood cells, and for healthy skin

    1.3 milligrams

    1.5 milligrams for women older than 70

    1.7 milligrams for men older than 70

    1.9 milligrams for pregnant women

    2.0 milligrams for breastfeeding women

    100 milligrams

    Vitamin B12 (cobalamins)

    Meats (especially beef, pork, liver, and other organ meats), eggs, fortified cereals, milk, clams, oysters, salmon, and tuna

    Required for the formation and maturation of red blood cells, for nerve function, and for DNA synthesis

    2.4 micrograms

    2.6 micrograms for pregnant women

    2.8 micrograms for breastfeeding women

    —

    Vitamin C (ascorbic acid)

    Citrus fruits, tomatoes, potatoes, broccoli, strawberries, and sweet peppers

    Required for the formation, growth, and repair of bone, skin, and connective tissue; for healing of wounds and burns; and for normal function of blood vessels

    Acts as an antioxidant, protecting cells against damage by free radicals

    Helps the body absorb iron

    75 milligrams for women

    90 milligrams for men

    85 milligrams for pregnant women

    120 milligrams for breastfeeding women

    35 milligrams more for smokers

    2,000 milligrams

    Vitamin DSome Trade Names
    See Ergocalciferol

    Formed in the skin when the skin is exposed to direct sunlight

    Fortified milk, fatty fish, fish liver oils, and egg yolks

    Promotes the absorption of calcium and phosphorus from the intestine

    Required for bone formation, growth, and repair

    Strengthens the immune system and reduces the risk of autoimmune disorders

    600 IU for people aged 1‒70

    800 IU for people older than 70

    4,000 IU

    Vitamin E

    Vegetable oil, margarine, nuts, and wheat germ

    Acts as an antioxidant, protecting cells against damage by free radicals

    15 milligrams (22 IU of natural or 33 IU of synthetic)

    19 milligrams for breastfeeding women

    1,000 milligrams

    Vitamin K

    Green leafy vegetables (such as collards, spinach, and kale) and soybean and canola oils

    Helps in the formation of blood clotting factors and thus is necessary for normal blood clotting

    Required for healthy bones and other tissues

    90 micrograms for women

    120 micrograms for men

    —

    DNA = deoxyribonucleic acid; IU = international unit; RNA = ribonucleic acid.

    Some vitamins—A, D, E, and K—are fat soluble. Other vitamins—B vitamins and vitamin C—are water soluble. B vitamins include biotin, folate (folic acid), niacinSome Trade Names
    NIASPAN
    , pantothenic acid, riboflavin (vitamin B2), thiamin (vitamin B1), and vitamins B6 (pyridoxine) and B12 (cobalamins).

    Vitamins: Fat Versus Water Soluble

    Vitamins are classified as fat soluble:

    • Vitamin ASome Trade Names
      AQUASOL A
    • Vitamin DSome Trade Names
      See Ergocalciferol
    • Vitamin E
    • Vitamin K

    or water soluble:

    • B vitamins
    • Vitamin C

    This difference affects nutrition in several ways.

    Fat-soluble vitamins: These vitamins dissolve in fats (lipids). They are stored in the liver and in fatty tissues. If too much of the fat-soluble vitamins A or D are consumed, they can accumulate and may have harmful effects.

    Because fats in foods help the body absorb fat-soluble vitamins, a low-fat diet may result in a deficiency. Some disorders interfere with absorption of fats and thus of fat-soluble vitamins. Examples are chronic diarrhea, Crohn disease, cystic fibrosis, certain pancreatic disorders, and blockage of the bile ducts. Some drugs, such as mineral oil, have the same effect. Fat-soluble vitamins dissolve in mineral oil, which the body does not absorb. So when people take mineral oil, it carries these vitamins unabsorbed out of the body.

    Cooking does not destroy fat-soluble vitamins.

    Water-soluble vitamins: These vitamins dissolve in water. They are eliminated in urine and tend to be eliminated from the body more quickly than fat-soluble vitamins. Water-soluble vitamins are more likely to be destroyed when food is stored and prepared. Refrigerating fresh produce, storing milk and grains out of strong light, and using the cooking water from vegetables to prepare soups can help prevent the loss of the vitamins.

    The body does not store most vitamins. Therefore, people must consume them regularly. Vitamins A, B12, and D are stored in significant amounts, mainly in the liver.

    Disorders that impair the intestine's absorption of food (called malabsorption disorders) can cause vitamin deficiencies. Some disorders impair the absorption of fats. These disorders can reduce the absorption of fat-soluble vitamins—A, D, E, and K—and increase the risk of a deficiency. Such disorders include chronic diarrhea, Crohn disease, cystic fibrosis, certain pancreatic disorders, and blockage of the bile ducts.

    Some types of weight-loss (bariatric) surgery can also interfere with absorption of vitamins.

    Liver disorders and alcoholism can interfere with the processing (metabolism) or storage of vitamins. In a few people, hereditary disorders impair the way the body handles vitamins and thus cause a deficiency.

    Drugs can also contribute to deficiency of a vitamin. They may interfere with absorption, metabolism, or storage of a vitamin.

    Because many people eat irregularly or do not eat a variety of foods, they may not get enough of some vitamins from foods alone. If they do not get enough, the risk of certain cancers or other disorders may be increased. People may then take a multivitamin. However, for most people, taking multivitamins does not appear to reduce risk of developing cancer.

    PrintOpen table Open table in new window
    Some Drugs That Cause Vitamin Deficiency

    Drug

    Vitamin

    Alcohol

    Folate

    Thiamin

    Vitamin B6

    Antacids

    Vitamin B12

    Antibiotics, such as isoniazid, tetracyclineSome Trade Names
    SUMYCIN
    , and trimethoprim-sulfamethoxazoleSome Trade Names

    B vitamins

    Folate

    Vitamin K

    Anticoagulants, such as warfarinSome Trade Names
    COUMADIN

    Vitamin E

    Vitamin K

    Anticonvulsants, such as phenytoinSome Trade Names
    DILANTIN
    and phenobarbitalSome Trade Names
    LUMINAL

    Biotin

    Folate

    Vitamin B6

    Vitamin DSome Trade Names
    See Ergocalciferol

    Vitamin K

    Antipsychotic drugs

    Riboflavin

    Vitamin DSome Trade Names
    See Ergocalciferol

    Barbiturates such as phenobarbitalSome Trade Names
    LUMINAL

    Folate

    Riboflavin

    Vitamin DSome Trade Names
    See Ergocalciferol

    Chemotherapy drugs, such as methotrexateSome Trade Names
    TREXALL

    Folate

    CholestyramineSome Trade Names
    QUESTRAN

    Vitamin ASome Trade Names
    AQUASOL A

    Vitamin DSome Trade Names
    See Ergocalciferol

    Vitamin E

    Vitamin K

    Corticosteroids

    Vitamin C

    Vitamin DSome Trade Names
    See Ergocalciferol

    CycloserineSome Trade Names
    SEROMYCIN

    Vitamin B6

    Hydralazine

    Vitamin B6

    Levodopa

    Vitamin B6

    Mineral oil (long-term use)

    Vitamin ASome Trade Names
    AQUASOL A

    Vitamin DSome Trade Names
    See Ergocalciferol

    Vitamin E

    Vitamin K

    MetforminSome Trade Names
    GLUCOPHAGE

    Folate

    Vitamin B12

    Nitrous oxide (repeated exposure)

    Vitamin B12

    Oral contraceptives

    Folate

    Thiamin

    Vitamin B6

    PenicillamineSome Trade Names
    CUPRIMINE

    Vitamin B6

    Phenothiazines

    Riboflavin

    PrimidoneSome Trade Names
    MYSOLINE

    Folate

    Vitamin DSome Trade Names
    See Ergocalciferol

    RifampinSome Trade Names
    RIFADIN RIMACTANE

    Vitamin DSome Trade Names
    See Ergocalciferol

    Vitamin K

    SulfasalazineSome Trade Names
    AZULFIDINE

    Folate

    Thiazide diuretics

    Riboflavin

    TriamtereneSome Trade Names
    DYRENIUM

    Folate

    Tricyclic antidepressants, such as amitriptyline and imipramineSome Trade Names
    TOFRANIL

    Riboflavin

    Some Drugs That Cause Vitamin Deficiency

    Drug

    Vitamin

    Alcohol

    Folate

    Thiamin

    Vitamin B6

    Antacids

    Vitamin B12

    Antibiotics, such as isoniazid, tetracyclineSome Trade Names
    SUMYCIN
    , and trimethoprim-sulfamethoxazoleSome Trade Names

    B vitamins

    Folate

    Vitamin K

    Anticoagulants, such as warfarinSome Trade Names
    COUMADIN

    Vitamin E

    Vitamin K

    Anticonvulsants, such as phenytoinSome Trade Names
    DILANTIN
    and phenobarbitalSome Trade Names
    LUMINAL

    Biotin

    Folate

    Vitamin B6

    Vitamin DSome Trade Names
    See Ergocalciferol

    Vitamin K

    Antipsychotic drugs

    Riboflavin

    Vitamin DSome Trade Names
    See Ergocalciferol

    Barbiturates such as phenobarbitalSome Trade Names
    LUMINAL

    Folate

    Riboflavin

    Vitamin DSome Trade Names
    See Ergocalciferol

    Chemotherapy drugs, such as methotrexateSome Trade Names
    TREXALL

    Folate

    CholestyramineSome Trade Names
    QUESTRAN

    Vitamin ASome Trade Names
    AQUASOL A

    Vitamin DSome Trade Names
    See Ergocalciferol

    Vitamin E

    Vitamin K

    Corticosteroids

    Vitamin C

    Vitamin DSome Trade Names
    See Ergocalciferol

    CycloserineSome Trade Names
    SEROMYCIN

    Vitamin B6

    Hydralazine

    Vitamin B6

    Levodopa

    Vitamin B6

    Mineral oil (long-term use)

    Vitamin ASome Trade Names
    AQUASOL A

    Vitamin DSome Trade Names
    See Ergocalciferol

    Vitamin E

    Vitamin K

    MetforminSome Trade Names
    GLUCOPHAGE

    Folate

    Vitamin B12

    Nitrous oxide (repeated exposure)

    Vitamin B12

    Oral contraceptives

    Folate

    Thiamin

    Vitamin B6

    PenicillamineSome Trade Names
    CUPRIMINE

    Vitamin B6

    Phenothiazines

    Riboflavin

    PrimidoneSome Trade Names
    MYSOLINE

    Folate

    Vitamin DSome Trade Names
    See Ergocalciferol

    RifampinSome Trade Names
    RIFADIN RIMACTANE

    Vitamin DSome Trade Names
    See Ergocalciferol

    Vitamin K

    SulfasalazineSome Trade Names
    AZULFIDINE

    Folate

    Thiazide diuretics

    Riboflavin

    TriamtereneSome Trade Names
    DYRENIUM

    Folate

    Tricyclic antidepressants, such as amitriptyline and imipramineSome Trade Names
    TOFRANIL

    Riboflavin

    Last full review/revision February 2013 by Larry E. Johnson, MD, PhD

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    Pronunciations

    amitriptyline

    anticoagulants

    barbiturates

    cobalamin

    corticosteroid

    deoxyribonucleic acid

    fibrosis

    hydralazine

    imipramine

    isoniazid

    levodopa

    metformin

    methotrexate

    pantothenic acid

    penicillamine

    phenobarbital

    phenytoin

    primidone

    pyridoxine

    retina

    ribonucleic acid

    rifampin

    sulfasalazine

    warfarin

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