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Vitamins, minerals, and dietary supplements

Key sources
The following summarized guidelines for the management of vitamins, minerals, and dietary supplements are prepared by our editorial team based on guidelines from the U.S. Preventive Services Task Force (USPSTF 2023; 2022; 2018; 2015; 2014), the World Health Organization (WHO 2022), the American Association for the Study of Liver Diseases (AASLD 2022), the Society of Obstetricians and Gynaecologists of Canada (SOGC 2021; 2016), the American College of Obstetricians and Gynecologists (ACOG 2021), the American College of Gastroenterology (ACG 2021), the Canadian Neurological Sciences Federation (CNSF 2019), the European Association for the Study of the Liver (EASL 2019), the Spanish Society of Clinical Microbiology and Infectious Diseases (SEIMC 2017), the European Association for the Study of Obesity (EASO 2017), the American Society for Metabolic and Bariatric Surgery (ASMBS 2017), the American Academy of Family Physicians (AAFP 2017), the Eastern Association for the Surgery of Trauma (EAST 2016), the American Heart Association (AHA/ACC 2014), the American College of Endocrinology (ACE/OS/AACE 2013), the American Society for Parenteral and Enteral Nutrition (ASPEN 2013), the Obesity Society (OS/AACE 2013), the Canadian Headache Society (CHS 2012), the Australian and New Zealand Bone and Mineral Society (ANZBMS/OA/ESA 2012), the Endocrine Society (ES 2011), the Osteoporosis Canada (OC 2010), and the European Federation of Neurological Societies (EFNS 2009).
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Guidelines

1.Nonpharmacologic interventions

Vitamin B2: as per CHS 2012 guidelines, offer riboflavin (400 mg/day) in eligible patients for migraine prophylaxis.
B
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More topics in this section

  • Vitamin B9

  • Vitamin C

  • Vitamin D and calcium (daily requirements)

  • Vitamin D and calcium (prevention of falls)

  • Vitamin D and calcium (prevention of fractures)

  • Vitamin E

  • Multivitamins

  • Dietary supplements (cardiovascular/cancer prevention)

  • Dietary supplements (migraine attack prevention)

  • Dietary supplements (neuroprotection for PD)

  • Dietary supplements (caries prevention)

2.Specific circumstances

Neonatal and pediatric patients, vitamin D, ASPEN: consider offering vitamin D supplementation in healthy breastfed infants and in infants with malnutrition and/or rickets.
C

More topics in this section

  • Neonatal and pediatric patients (preterm infants)

  • Elderly patients (vitamin D)

  • Elderly patients (multivitamins)

  • Pregnant patients (prenatal vitamins)

  • Pregnant patients (vitamin A)

  • Pregnant patients (vitamin B6)

  • Pregnant patients (vitamin B9 and B12)

  • Pregnant patients (vitamin D)

  • Pregnant patients (iron)

  • Pregnant patients (iodine)

  • Patients after bariatric surgery (general principles)

  • Patients after bariatric surgery (vitamin B1)

  • Patients after bariatric surgery (vitamin B9)

  • Patients after bariatric surgery (vitamin B12)

  • Patients after bariatric surgery (pregnancy)

  • Patients with herbal and dietary supplement-induced liver injury