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Nutrition Crash Course

Supplements · UK guidance

Do You Need Supplements? Who Should Take Them (and Where Juicing Fits)

Most people don’t need a cupboard of pills. A few groups do need specific ones.

Who should take what (UK guidance)

UK Department of Health and Social Care advice as summarised by the NHS. Other countries’ advice can differ; follow your own health service or a professional.
WhoSupplementWhen
Adults and children over 4Consider 10 micrograms of vitamin D a dayAutumn and winter (about October to March) (NHS)
Adults and children over 4 who are rarely outdoors, live in a care home or usually cover most of their skin10 micrograms of vitamin D a dayAll year (NHS)
People with dark skin (for example African, African-Caribbean or South Asian background)Consider 10 micrograms of vitamin D a dayAll year (NHS)
Trying for a baby or pregnant400 micrograms of folic acid a day, plus 10 micrograms of vitamin DFolic acid from before conception (ideally 3 months) until 12 weeks of pregnancy (NHS)
Children aged 6 months to 5 yearsA supplement with vitamins A, C and DEvery day, unless having more than 500ml of infant formula a day (NHS)
Breastfed babies8.5 to 10 micrograms of vitamin DFrom birth (NHS)

Eligible families can get free vitamins through Healthy Start. Your GP, midwife, health visitor or pharmacist can advise if you are unsure which applies to you.

Vegan and plant-based diets

Vitamin B12 is not found naturally in plant foods such as fruit, vegetables and grains, so vegans may not get enough (NHS). The NHS suggests vegans use fortified foods or consider supplements for nutrients that are harder to get, including vitamin D, vitamin B12, iodine, selenium and calcium (NHS).

Taking supplements safely

  • More isn’t better. The NHS says 10 micrograms of vitamin D a day is enough for most people, and adults shouldn’t take more than 100 micrograms (4,000 IU) a day, as it could be harmful (NHS).
  • In pregnancy, avoid vitamin A (retinol) supplements and multivitamins containing it, and liver products, as too much can harm the baby’s development (NHS).
  • Check with a pharmacist or GP if you take medicines or have a health condition, before starting a new supplement.
  • Supplements add to food, they don’t replace it. They don’t provide the fibre and range of nutrients in a balanced diet.

Be wary of big promises

Claims that a supplement will “boost immunity”, “detox” or cause weight loss deserve scepticism. The NHS, for example, says there is not enough evidence to support taking vitamin D solely to prevent or treat COVID-19 (NHS).

Where juicing fits

Juice isn’t a supplement. A 150ml glass of fruit or vegetable juice or smoothie can count as one of your 5 A Day, but the NHS advises no more than 150ml a day in total because these drinks are sugary and can damage teeth (NHS). Juicing removes much of the fibre found in whole fruit and vegetables. For the benefits, limits and juicing vs blending, read juicing benefits: what juice can and can’t do.

Common questions

Do I need to take a multivitamin?

Most people don’t if they eat a varied, balanced diet. Specific supplements are recommended for some groups, listed in the table above.

Should everyone take vitamin D?

In the UK, everyone is advised to consider a 10 microgram daily supplement in autumn and winter. Some groups are advised to take it all year.

Can I get all my nutrients from food?

Most people can. Exceptions include vitamin D in winter, folic acid around pregnancy, young children, and some people on vegan or restricted diets.

Is juicing a replacement for supplements?

No. Juice can provide some vitamins, but fruit and vegetables are not a natural source of vitamin D or B12, and the NHS advises keeping juice and smoothies to 150ml a day.

Keep learning

Lesson 6: Fibre, Vitamins & Minerals

Sources & further reading