Multivitamin and multimineral supplements have long been a topic of both scientific inquiry and public debate. While they are often marketed as convenient solutions for achieving nutritional adequacy, their true value remains contentious.

Are these supplements essential insurance policies against nutrient deficiencies, or are they merely expensive placebos?

Importantly, how should we weigh their potential benefits against the lack of robust evidence for long-term health outcomes such as reduced mortality or chronic disease risk? These questions demand a nuanced exploration, grounded in the context of specific populations and individual needs.

Ultimately, the role of multivitamin supplements cannot be assessed in isolation but must be viewed through the lens of context and specificity. How do we balance the biological plausibility of benefits against the variability of individual diets, the presence of fortification policies, and the challenges of achieving dietary adequacy in certain life stages?

These considerations invite a more thoughtful and less binary discussion about whether, when, and for whom multivitamins are a worthwhile addition to the diet.

• [00:22] The debate on multivitamins: worthless or beneficial?
• [00:53] Rationale behind multivitamin use
• [04:04] Modern nutritional adequacy and multivitamins
• [07:10] Evidence supporting multivitamin use
• [23:39] Long-term health outcomes and multivitamins
• [41:43] Cognitive outcomes
• [50:18] Pregnancy and multivitamin use

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• Shaun Ward Article: Multivitamin Madness: There’s More to Life than Death
• Studies mentioned:
  • MacPherson et al., 2013 meta-analysis of randomized controlled trials
  • Jenkins et al., 2021 meta-analysis
  • COSMOS trial – Vyas et al., 2024 analysis of three substudies
  • Loftfield et al., 2024 – Multivitamin Use and Mortality in 3 Cohorts
  • Blumberg et al., 2017 nutritional adequacy paper