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Health and medicines

Supplements: what the evidence says

Supplements are heavily marketed but rarely needed by healthy adults who eat well. Learn when a clinician may advise one, and the risks of unregulated products.

Food first

For most healthy adults, a varied diet with grains, pulses, vegetables, fruits, dairy or other protein sources, nuts and seeds provides the nutrients you need.

Food also contains fibre and many beneficial compounds that tablets cannot copy.

When a supplement may be needed

A clinician may advise a supplement when a deficiency is found, for example low iron, vitamin B12 (more common in people who eat little or no animal food) or vitamin D.

Anyone planning a pregnancy is usually advised by a doctor to take folic acid before and during early pregnancy.

Some medical conditions, medicines or surgeries also change what your body needs. The right product and amount should come from your doctor.

Risks to know

In India, many supplements are regulated as foods rather than medicines, so they are not tested as strictly.

Some products, especially muscle-building, weight-loss and performance products, have been found to contain hidden steroids, stimulants or heavy metals. This applies to products of any kind, modern or traditional.

Too much of some vitamins and minerals, like vitamin A, vitamin D or iron, can be harmful. Supplements can also interact with medicines.

Being a smart consumer

Be wary of claims like detox, boosts immunity instantly, or burns fat. Real health improvements do not come from a single product.

If you choose a product, check it has a licence number and clear labelling, buy from trusted sources, and tell your doctor what you are taking.

Protein powders are not necessary for most people, including many who exercise, if their meals include enough protein.

Key points

  • A varied diet meets most healthy adults' needs.
  • Take supplements when a clinician finds a need.
  • Many supplements are less strictly regulated than medicines.
  • Some products contain hidden harmful ingredients.
  • More is not better: some vitamins are harmful in excess.

Myth or fact?

Myth

Multivitamins make up for an unhealthy diet.

Fact

Supplements cannot replace the fibre and many nutrients found in real food.

Myth

Herbal or natural supplements cannot cause harm.

Fact

Some natural products can damage the liver or kidneys, interact with medicines, or be contaminated.

Myth

Everyone who goes to the gym needs protein powder.

Fact

Most people can meet their protein needs through dal, eggs, dairy, soya, meat, fish and nuts.

When to get help

  • Ask a doctor before starting any supplement, especially if you take medicines, are pregnant or have a health condition.
  • Stop the product and see a doctor if you notice yellowing of the eyes or skin, dark urine, a racing heart or severe stomach pain.
  • If you are using supplements to change your body because of distress about how you look, Tele-MANAS on 14416 can help.
Get help now

Check what you know

Question 1

1.When is a supplement most likely to be useful?

Question 2

2.Why are some gym and weight-loss supplements risky?

Question 3

3.Is more of a vitamin always better?

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Based on guidance from WHO, Ministry of Health and Family Welfare (RKSK), NHS, ACOG. Awaiting review by Puberty Lab's clinical advisory board. General education, not medical advice for any one person.

Supplements: what the evidence says · Puberty Lab