II. Definitions
- Vitamin- Nutrients that are needed in trace amounts to support normal body functions
- Although some Vitamins may be synthesized in humans, most Vitamins must be ingested
 
III. Types
- Water Soluble Vitamins- General- Most water soluble Vitamins easily wash out of foods and are poorly retained in the body (except B12)
- Water soluble Vitamins are highly prevalent in foods
 
- Vitamin B1 (Thiamine)
- Vitamin B2 (Riboflavin)
- Vitamin B3 (Niacin)
- Vitamin B5 (Pantothenic Acid)
- Vitamin B6 (Pyridoxine, Pyridoxal, Pyridoxamine)
- Vitamin B7 (Biotin)- Partly synthesized by intestinal Bacteria
 
- Vitamin B9 (Folate, Folacin, Folic Acid)
- Vitamin B12 (Cyanocobalamin)
- Vitamin C (Ascorbate, Ascorbic Acid)
 
- General
- Fat Soluble Vitamins- General- Easily stored in the human body, but risk of toxicity from excessive concentrations
- Deficiency may occur in fat malabsorption and intestinal wall malabsorption conditions
 
- Vitamin A (Retinol)
- Vitamin D (Cholecalciferol)
- Vitamin E (alpha-tocopherol)
- Vitamin K (Phylloquinone)- Partly synthesized by intestinal Bacteria
 
 
- General
IV. Precautions
- Healthy adults with varied diets are unlikely to benefit from Multivitamins- Insufficient evidence for use of Multivitamins in prevention of cancer or cardiovascular disease (USPTF)
- Multivitamins do not reduce risk of overall premature mortality
 
- Excessive Vitamin intake can result in toxicity or other adverse effects- Vitamin D Toxicity
- Iron Overload (Hemochromatosis)
- Excessive Beta Carotene- Increased Lung Cancer risk in smokers
 
- Excessive Vitamin E- Increased risk of Hemorrhagic Stroke or Prostate Cancer
 
 
V. Indications
- See Vitamin Deficiency for specific Vitamin indications
- See Bariatric Surgery for associated Vitamin Deficiencies
- Examples of specific Vitamins to consider for prevention in specific cohorts- Vitamin D Supplementation (e.g. children, adults in northern climates)
- Calcium Supplementation (children, older adults)
- Folic Acid supplementation (women of child-bearing age)
 
- Examples of specific Vitamins to consider in underlying conditions or risks- Vitamin B12 Supplementation (Metformin, Proton Pump Inhibitor, vegans and Vegetarians)
 
VI. References
- (2014) Presc Lett 21(5): 30
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Related Studies
| vitamin (on 12/21/2022 at Medicaid.Gov Survey of pharmacy drug pricing) | ||
| VITAMIN A AND D OINTMENT | Generic OTC | $0.01 per gram | 
| VITAMIN D2 1.25 MG(50,000 UNIT) | Generic | $0.13 each | 
