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In the Spotlight

July 13, 2000

Are You Getting Enough Vitamin C?

By Lee Phillips, M.D.
Personal MD.com Advisory Board

Two hundred milligrams of Vitamin C may be an appropriate daily amount according to a new study by the National Institutes of Health. For 20 to 30 percent of U.S. adults, diet alone provides less than the current recommended dietary allowances (RDA) of 60 mg. Half of all American men consume less than 84 mg of Vitamin C daily in their food and half of U.S. women consume 73 mg a day from their diet. Eating five fruits and vegetables a day will easily provide 200 mg of vitamin C. Citrus fruits, strawberries and green vegetables such as broccoli are great sources of Vitamin C.

A Lack of Vitamin C can lead to muscle weakness, bleeding gums, loss of teeth, as well as fatigue and depression. Vitamin C may also have the potential benefit of preventing diseases, especially certain cancers. Current studies, for example, are exploring the possibility that Vitamin C can reduce heart disease by blocking oxidation of cholesterol-carrying proteins, a key factor in hardening of the arteries. Scientists don't know if the protection comes from Vitamin C alone or from an interaction with other substances in foods. Food contains a complex array of nutrients and other substances, such as proteins, minerals, carbohydrates and fats that provide energy and promote health. The use of supplements alone cannot substitute for proper food choices. Most healthy people are better off eating fruits and vegetables rather than relying on supplements because absorption of Vitamin C from supplements varies widely, depending on manufacturing methods and the dose taken.

The current RDA for Vitamin C is 60 mg. RDAs represent the amounts of nutrients that are adequate for the needs of most healthy people. The RDAs amount is obtained from diets consumed over several days and not from a single meal or food. This RDA is based on the amount of Vitamin C needed to prevent a person from getting scurvy, a potentially fatal disease marked by fatigue and bleeding. RDAs also provide body stores for about 30 days of Vitamin C.

Doctors are now beginning to think beyond the required amount of vitamins needed to prevent its deficiency, which has been the starting point for recommended daily allowances. Now a variety of other factors are being considered in determining the optimal dose of vitamins. When people from a National Institute of Health (NIH) study received only 30 mg of Vitamin C a day, most reported feeling tired and irritable. These symptoms are commonly seen with bad eating habits. If your diet includes food from fast food restaurants, you may be prone to Vitamin C deficiency. In such cases, a healthy intervention would be to include fruits and vegetables to your diet. If excess Vitamin C is consumed then it can cause diarrhea and may even cause urinary tract problems. At levels of 1,000 mg, high levels of oxalate and uric acid in a patient's urine could lead to kidney stones. In other words, as important as getting enough Vitamin C is, like most things, too much of it is definitely a potential health risk. If you're still confused about how much Vitamin C to take, consult your physician or pharmacist.


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