There is no single answer to this question and so I look at this from several perspectives.
1) My position on ALL supplements is that I do not recommend:
- the general and/or random use of any supplement
- supplements without informed consent. (All supplements have some risk)
- supplementation without a clearly established need that has been established in the context of a professional evaluation from a competent healthcare professional
- supplementation that does not include the appropriate and continuing professional monitoring with a competent healthcare professional
- any supplement that is sold through an MLM company or from the healthcare professional recommending them.
2) In regard to general nutrition, I recommend the following:
- Undergo a complete nutritional evaluation of your diet to see if there are any nutrients that may be considered low.
- If there are any nutrients considered low, identify the healthiest foods that are highest in nutrient density for those nutrients and then adjust your diet to include more of these foods in your diet.
- Once done, re-evaluate your diet to make sure it is nutritionally adequate.
- You can do this with the help of a nutrition professional or you can do this yourself with one of the nutrition program available. My personal recommendation for this is the CRON-O-Meter, which is a free program and the nutrient search tool available at www.nutritiondata.com.
- For those who have chosen to follow a diet completely free of all animal products, they have created a “need” for Vitamin B12 and so in this situation, a reliable source of Vitamin B12 is required and a supplement might be the way to fill that need.
- In regard to the current focus on Vitamin D, if you are concerned or in the “at risk” category:
- Get yourself tested
- If you are deficient, then you need to speak with your healthcare adviser about how to raise your levels. You have several choices including sunshine, artificial UV light, supplements, prescription or a combination.
- Choose the option or combination of options you are most comfortable with and in 3 months, retest.
- If your numbers are now normal, you have the same options to choose from on how you will maintain your levels.
- If your numbers are still low, continue for 3 more months and then once again, re-evaluate your levels.
- At risk” The following groups are considered, "
- Breastfed infants
- Older adults
- People with limited sun exposure
- People with dark skin
- People with fat malabsorption
- People who are obese or who have undergone gastric bypass surgery