Some of the issues Iâve seen around vitamin complaints really do stem from a lack of industry regulation, tooâ the FDA does not cover over the counter supplememts until or unless they begin poisoning people, contain controlled substances, or are caught making unsubstantiated health claims⊠but that only adds to the confusion.
For example: I take a specific dosage of Vitamin D in a specific format using specific ingredients for fibromyalgia. So not only do you have the whole phenomenon of âwhat this does for me it will not do for youâ due to disability, illness, other meds I may be on vs anyone else off the street, environmental & dietary factors, allergies, etcâ just the sheer fact that different people with different bodies will react to drugs⊠differentlyâ the same vitamin from a different brand, or in tablet vs gel cap vs liquid form vs injected, may not do a goddamn thing for me as Patient A, either, while working perfectly for Patient B, or it may not work for either of us, but serves an entirely different function for Patient C! Because how you metabolize a compound & how bioavailable it is/its general quality changes your bodyâs reactions!
So for an âideal patientâ with a nutritionally balanced diet tailor made for their health, exercise, and general dietary + fitness needs, yeah, you might not âneedâ an OTC multivitamin. A lot of people are not that patient, though! Or even if they had the potential to be in terms of baseline health, will still have bad diet days, days they didnât rest well, days theyâre sick, etc. Or they might not âneedâ it, but it makes them feel betterâŠ
And even the fact that people think supplementing vitamins isnât necessary is based heavily on the ways foods are fortified in America! I take a B vitamin supplement + a prenatal multivitamin with folate, because Iâm allergic to wheat, and thatâs what a lot of grains in America are fortified with. Iâm lactose intolerant, so I drink a lot of calcium fortified orange juice, when oranges naturally are not a good source of that mineral, so, like, thatâs not even interchangeable with EATING actual oranges, even though that SOUNDS absurd. I have anemia with low hemoglobin. I could drink or chew iron supplements all day long, though, and it wonât help, because I have a genetic heme deletionâ but those supplements are still helpful for other kinds of anemia!
The abled-bodies-as-default one size fits all approach/mentality, and the assumption that all vitamins are created equal & function identically, have really done a disservice to how people approach the subjects of medicine, healthcare, self-care, and diet altogether, when the truth is all those things are far more complex than they get credit for, and not all industries or products are âuselessâ just because they donât all cater to every single arbitrary person or disease.
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