of the mouth, esophagus, stomach, colon, and lung. It is
not clear that the benefit of this diet is due to vitamin C.
Study results using dietary supplements of vitamin C are
mixed. The American Cancer Society recommends
increasing healthy foods in the diet to reduce cancer risk
rather than taking a dietary supplement.
CARDIOVASCULAR HEALTH.Because vitamin C is
involved in the production of collagen in blood vessels,
researchers have examined the relationship between
vitamin C intake and cardiovascular health. Some
studies found no benefit to vitamin C supplementa-
tion, while others reported that a relatively low dose of
vitamin C reduced the risk of death from strokes.
Vitamin C does not reduce blood levels of cholesterol.
The American Heart Association recommends that to
improve cardiovascular health individuals should
increase their intake of vitamin C (and other vitamins
and mineral) by increasing the amount of fresh vege-
tables in their diet. Research continues in this area.
CATARACTS.Cataracts are the leading cause of
vision impairment worldwide. They develop, usually
in older individuals, because of changes in the proteins
in the lens of the eye. Initial studies suggested that
vitamin C could prevent these changes because of its
antioxidant properties. A recent a 7-year follow-up
study found vitamin C supplements to be of no benefit
in preventing cataracts.
OTHER HEALTH CLAIMS.Claims have been made
that vitamin C can treat or prevent lead poisoning,
high blood pressure (hypertension), asthma, Alz-
heimer’s disease, attention deficithyperactivitydisor-
der (ADHD), infertility, macular degeneration,
premature birth, stomachulcers, autism, and many
other diseases and disorders. None of these health
claims have been proved to the satisfaction of practi-
tioners of conventional medicine.
Precautions
People who smoke cigarettes need more vitamin C
than those who do not. People with cancer also seem
to need more vitamin C.
Large doses of vitamin C as a dietary supplement
may cause indigestion or diarrhea that stops when the
dose is reduced.
Interactions
Vitamin C has few interactions with drugs or
other vitamins. Large doses of vitamin C increase the
amount ofironabsorbed from food in the small intes-
tine. In healthy people, this does not cause any prob-
lems and may be beneficial.
Large daily doses of vitamin C may interfere with
the absorption ofvitamin B 12.
Complications
Vitamin C can be taken in enormous doses without
any serious side effects. At very high doses, it causes
diarrhea. Some researchers who believe that large doses
of vitamin C prevent disease think that the appropriate
daily dose is an amount just slightly less than the
amount that causes diarrhea. This amount varies con-
siderably form person to person.
Parental concerns
Generally, parents should have few concerns
about children getting either too much or too little
Vitamin C. Vitamin C is safe for women to take during
pregnancy and while breastfeeding. It passes into
breast milk. Children under age one should not be
given a dietary supplement containing vitamin C;
their needs should be met through the foods the eat.
Resources
BOOKS
Berkson, Burt and Arthur J. Berkson.Basic Health Publi-
cations User’s Guide to the B-complex Vitamins.Laguna
Beach, CA: Basic Health Publications, 2006.
Gaby, Alan R., ed.A-Z Guide to Drug-Herb-Vitamin Inter-
actions Revised and Expanded 2nd Edition: Improve
Your Health and Avoid Side Effects When Using Com-
mon Medications and Natural Supplements Together.-
New York: Three Rivers Press, 2006.
Lieberman, Shari and Nancy Bruning.The Real Vitamin and
Mineral Book: The Definitive Guide to Designing Your
Personal Supplement Program,4th ed. New York:
Avery, 2007.
Peel, Thomas, ed.Vitamin C: New Research.New York:
Nova Science Publishers, 2006.
Pressman, Alan H. and Sheila Buff.The Complete Idiot’s
Guide to Vitamins and Minerals,3rd ed. Indianapolis,
IN: Alpha Books, 2007.
Rucker, Robert B., ed.Handbook of Vitamins.Boca Raton,
FL: Taylor & Francis, 2007.
PERIODICALS
Kushi, Lawrence H., Tim Byers, Colleen Doyle, et al.
‘‘American Cancer Society Guidelines on Nutrition and
Physical Activity for Cancer Prevention.’’CA: Cancer
Journal for Clinicians, 56 (2006):254-281.<http://
caonline.amcancersoc.org/cgi/content/full/56/5/254>
ORGANIZATIONS
American Cancer Society. 1599 Clifton Road NE, Atlanta
GA 30329-4251. Telephone: 800 ACS-2345. Website:
<http://www.cancer.org>
Vitamin C