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Micronutrients

Vitamins and minerals — small amounts, massive impact.


📖 The Story: The Modern Micronutrient Paradox

Meet Emma—she tracks her macros religiously, eats 2,000 calories a day of "clean" food, and still feels terrible.

She's tired despite sleeping eight hours. Her brain feels foggy by 2pm. She catches every cold that goes around. Her nails are brittle and her hair is thinning. Her doctor says her basic bloodwork is "normal."

What Emma doesn't realize: she's hitting her calorie and protein targets while starving her body of the micronutrients that make everything work.

Her vitamin D is 18 ng/mL (should be 40-60). Her magnesium is depleted from stress and coffee. Her B12 is borderline because she rarely eats meat. Her iron is low-normal but she's symptomatic. None of this shows up on a standard metabolic panel.

This is the modern micronutrient paradox: We have more food than ever, yet widespread subclinical deficiencies.

Why? Because calories aren't everything:

  • Processed foods provide energy but strip out vitamins and minerals
  • Industrial farming has depleted soil minerals by 30-76% since 1950
  • Indoor lifestyles mean 40%+ of adults are vitamin D insufficient
  • Chronic stress burns through magnesium and B vitamins faster than we replenish
  • Medications (PPIs, metformin, statins) deplete specific nutrients

In 1912, the discovery that scurvy was caused by vitamin C absence revolutionized medicine. Today's challenge is subtler: not dramatic deficiency diseases, but the quiet impairment of millions of biochemical reactions.

The result? You don't feel "sick." You feel "off"—tired, foggy, anxious, prone to illness, not recovering well, aging faster than you should. And because standard tests don't catch it, you're told nothing's wrong.

The solution isn't complicated, but it requires understanding what your body actually needs beyond protein, carbs, and fats.


🚶 The Journey: How Micronutrients Move Through Your Body

Understanding how vitamins and minerals travel from your plate to your cells helps explain why certain combinations work better together — and why deficiency symptoms can be so varied.

The Path of Fat-Soluble Vitamins (A, D, E, K)

Timeline: Takes 3-6 hours to absorb, but builds up reserves over weeks to months.

Why fat matters: Without dietary fat in the meal, absorption drops by 50-70%. This is why taking vitamin D with a fat-free breakfast is essentially wasted.

Storage capacity:

  • Vitamin A: Liver stores last 1-2 years
  • Vitamin D: Fat tissue; depletes over months
  • Vitamin E: Fat tissue and liver
  • Vitamin K: Limited storage (days to weeks)

The Path of Water-Soluble Vitamins (B-Complex, C)

Timeline: Absorbed within 1-3 hours; excess eliminated same day.

Exception — B12: Requires intrinsic factor from stomach for absorption, and liver stores 2-5 years' worth.

Why daily intake matters: With minimal storage, your body needs regular replenishment. Miss a few days of vitamin C, and tissue levels start dropping.

The Path of Minerals

Macrominerals (Calcium, Magnesium):

Calcium's journey:

  • Requires vitamin D for absorption
  • Requires vitamin K2 to reach bones (not arteries)
  • Competes with magnesium, iron, zinc
  • Only 20-40% absorbed; rest excreted

Magnesium's journey:

  • Absorbed throughout small intestine
  • 60% stored in bones; 40% in muscles and tissues
  • Serum levels tell you almost nothing (only 1% is in blood)
  • Depleted by stress, alcohol, processed foods

Trace Minerals (Iron, Zinc, Selenium):

Iron's path:

  • Heme iron (meat): 15-35% absorbed directly
  • Non-heme iron (plants): 2-20% absorbed (boosted 3x by vitamin C)
  • Stored in ferritin; no excretion mechanism
  • Takes 3-6 months to rebuild depleted stores

Zinc's path:

  • Competes with copper and iron
  • Phytates (grains, legumes) block absorption by 50%
  • Lost in sweat during exercise
  • Absorption: 20-40% of intake

What Happens When You're Deficient

Acute deficiency (weeks to months):

TimelineWhat DepletesSymptoms Begin
Days-weeksWater-soluble vitamins (C, B-complex except B12)Fatigue, mood changes
Weeks-monthsMagnesium, iron (from stores)Muscle cramps, weakness, fatigue
MonthsVitamin D (in winter), B12 (in vegans)Low mood, immune issues, numbness
YearsFat-soluble vitamins (if zero intake)Vision, bone, bleeding problems

The cascade effect:

One deficiency often leads to another because nutrients work together:

  • Low vitamin D → Poor calcium absorption → Weak bones
  • Low magnesium → Vitamin D can't activate → Both become deficient
  • Low vitamin C → Poor iron absorption → Anemia despite adequate iron intake
  • Low B12 → Elevated homocysteine → Folate can't work properly

👀 Signs & Signals: What Your Body Is Telling You

Your body sends remarkably specific signals when micronutrients are running low. While these symptoms overlap and aren't diagnostic on their own, patterns can point you toward what to test.

Body SignalPossible DeficiencyWhat's HappeningNext Step
Fatigue (despite adequate sleep)Iron, B12, Vitamin D, MagnesiumEnergy production impaired at cellular levelTest: Ferritin, B12, 25-OH-D
Muscle cramps or twitchesMagnesium, Potassium, CalciumElectrolyte imbalance affecting nerve-muscle signalingConsider: Magnesium 200-400 mg
Frequent infectionsVitamin D, Zinc, Vitamin C, Vitamin AImmune cells not functioning optimallyTest: Vitamin D; consider zinc
Poor wound healingZinc, Vitamin C, ProteinCollagen synthesis and tissue repair impairedIncrease protein + vitamin C + zinc
Numbness or tingling (hands/feet)B12, B6, MagnesiumNerve damage or dysfunctionTest: B12 + MMA; urgent if progressive
Hair loss or thinningIron, Zinc, Biotin, Vitamin DFollicle cells dividing slowly; inflammatory processesTest: Ferritin (should be 50-70 for hair)
Brittle nails or ridgesIron, Zinc, Biotin, ProteinKeratin production affectedTest: Ferritin; increase protein
Dry, scaly skinVitamin A, Omega-3s, ZincSkin cell turnover and barrier function impairedAdd omega-3s; check zinc
Night blindness or slow dark adaptationVitamin ARhodopsin (visual pigment) synthesis affectedIncrease vitamin A-rich foods
Easy bruisingVitamin C, Vitamin KCollagen fragility (C) or clotting factors (K)Increase vegetables; check vitamin K
Bleeding gumsVitamin CCollagen breakdown in gum tissueIncrease vitamin C intake
Bone pain or fracturesVitamin D, Calcium, K2, MagnesiumBone mineralization compromisedTest: Vitamin D + DEXA if concerning
Restless leg syndromeIron, MagnesiumDopamine dysfunction (iron) or nerve excitability (Mg)Test: Ferritin; try magnesium
Depression or low moodVitamin D, B vitamins, Omega-3, MagnesiumNeurotransmitter synthesis affectedTest: D, B12; add omega-3 + Mg
Mouth ulcers or cracked cornersB12, Iron, Folate, B2 (Riboflavin)Cell turnover in mucous membranes slowedConsider B-complex
Brain fog or poor concentrationB12, Iron, Vitamin D, MagnesiumOxygen delivery, neurotransmitters, or energy affectedTest: Ferritin, B12, D
Irregular heartbeatMagnesium, PotassiumElectrolyte imbalance affecting cardiac electrical activityMedical evaluation + test Mg

Pattern Recognition: When Multiple Symptoms Point to One Deficiency

Classic Iron Deficiency Pattern:

  • Fatigue (earliest sign)
  • Pale skin and pale inner eyelids
  • Cold hands and feet
  • Shortness of breath with exertion
  • Restless legs at night
  • Craving ice or other non-food items (pica)
  • Brittle nails or hair loss

Classic B12 Deficiency Pattern:

  • Fatigue and weakness
  • Numbness or tingling (starts in hands/feet)
  • Balance problems
  • Memory issues or "brain fog"
  • Smooth, swollen tongue
  • Mood changes or depression

Classic Vitamin D Deficiency Pattern:

  • Persistent low mood (especially winter)
  • Frequent colds or infections
  • Muscle weakness or aches
  • Bone pain
  • Slow wound healing
  • Fatigue

Classic Magnesium Deficiency Pattern:

  • Muscle cramps or spasms (especially at night)
  • Eyelid twitches
  • Trouble sleeping or staying asleep
  • Anxiety or feeling "wired"
  • Headaches or migraines
  • Irregular heartbeat or palpitations

The "Hidden" Deficiencies

Some deficiencies don't show obvious symptoms until they're severe:

NutrientWhy It HidesWhat Eventually Happens
Vitamin KAdequate clotting until severeBruising, bleeding; poor bone health long-term
SeleniumBody prioritizes vital organsThyroid dysfunction, immune weakness, fertility issues
CopperSymptoms are non-specificAnemia that doesn't respond to iron, neutropenia
CholineBody makes some from other nutrientsFatty liver, memory issues (takes years)

🧠 The Science: Understanding Micronutrients

What Are Micronutrients?

CategoryWhat They AreStorageKey Difference
VitaminsOrganic compounds (contain carbon)Varies by typeMade by living things
MineralsInorganic elementsBody tissuesCome from soil/water

Fat-Soluble vs. Water-Soluble Vitamins

Characteristics:

  • Dissolve in fat, not water
  • Stored in liver and fat tissue
  • Don't need daily intake (body has reserves)
  • Can accumulate to toxic levels if over-supplemented

Absorption:

  • Require dietary fat for absorption
  • Absorbed with fat in small intestine
  • Travel via lymphatic system

Deficiency timeline: Takes months to years to develop (except K)

Macrominerals vs. Trace Minerals

CategoryAmount NeededExamplesNotes
Macrominerals>100 mg/dayCalcium, Magnesium, Potassium, Sodium, Phosphorus, Chloride, SulfurMake up >0.01% of body weight
Trace MineralsUnder 100 mg/dayIron, Zinc, Copper, Selenium, Iodine, Manganese, Chromium, etc.Needed in tiny amounts but still essential

Why Deficiencies Are So Common

Prevalence of common deficiencies:

Nutrient% Deficient/LowAt-Risk Groups
Vitamin D40%+Indoor workers, dark skin, elderly, northern latitudes
Magnesium50%+Most adults; depleted by stress, alcohol, processed food
Potassium98% below AIAlmost everyone (processed food is low in K)
Vitamin B1210-15%Vegans, elderly (>50), gut issues, on PPIs
Iron10% (higher in women)Menstruating women, vegetarians, endurance athletes
Zinc10-15%Vegetarians, elderly, gut issues
Omega-370%+Those not eating fatty fish

🎯 Nutrient Interactions: Synergies & Antagonisms

Understanding how nutrients interact is crucial — taking one nutrient can enhance or block another.

Synergistic Interactions (Beneficial)

CombinationEffectPractical Tip
Vitamin D + CalciumD increases calcium absorptionTake together
Vitamin D + K2K2 directs calcium to bones, not arteriesSupplement together
Vitamin C + IronC converts iron to absorbable form, 2-3x increaseEat citrus with iron-rich foods
Vitamin B6 + MagnesiumB6 may improve Mg absorptionOften combined in supplements
Fat + Fat-soluble vitaminsFat required for A, D, E, K absorptionTake with meals containing fat
MFP factor + Non-heme ironMeat/fish/poultry increases plant iron absorption 2-3xCombine at meals

Antagonistic Interactions (Competing)

CombinationEffectHow to Manage
Calcium + IronHigh calcium inhibits iron absorptionSeparate by 2+ hours
Calcium + MagnesiumCompete at high doses (>2:1 ratio)Maintain ~2:1 Ca:Mg ratio
Zinc + CopperHigh zinc depletes copperSupplement at 8-15:1 Zn:Cu ratio
High-dose Vitamin A + Vitamin DA may decrease D absorption by 30%Don't mega-dose A
Iron + ZincCompete for absorptionSeparate if supplementing

Absorption Blockers (Anti-nutrients)

CompoundFound InBlocksHow to Reduce
PhytatesGrains, legumes, nutsIron, zinc, calciumSoak, sprout, or ferment
OxalatesSpinach, rhubarb, beetsCalcium, ironCook to reduce; vary greens
TanninsTea, coffee, wineIronDon't drink with iron-rich meals
CalciumDairy, supplementsIronSeparate from iron sources
info

Practical takeaway: Nutrient interactions explain why whole foods often work better than isolated supplements — nature packages nutrients together in balanced, synergistic combinations. When supplementing, timing and combinations matter.


🎯 Making It Work: Practical Micronutrient Strategy

The Food-First Strategy

Before reaching for supplements, optimize food intake with nutrient-dense whole foods:

FoodKey NutrientsWhy It's Powerful
LiverA, B12, iron, copper, folate, cholineNature's multivitamin
OystersZinc, B12, copper, seleniumHighest zinc food
Fatty fishD, B12, selenium, omega-3sMultiple benefits
EggsB vitamins, choline, D, seleniumComplete nutrition
Leafy greensK, folate, magnesium, potassiumMineral-rich
Nuts & seedsMagnesium, zinc, E, seleniumMineral powerhouses
Colorful vegetablesVarious vitamins, antioxidantsPhytonutrient diversity

When to Consider Supplementation

Almost everyone may benefit from:

  1. Vitamin D — If not getting regular sun exposure (most people)
  2. Omega-3s — If not eating fatty fish 2x/week
  3. Magnesium — If diet is low in nuts/seeds/greens or symptomatic

Specific populations:

GroupConsider Supplementing
VegansB12 (mandatory), D, omega-3 (algae), iron, zinc
Elderly (50+)B12, D, calcium
Pregnant womenFolate, iron, D, choline, iodine
AthletesMagnesium, iron (if deficient), D, zinc
Those on PPIsB12, magnesium, calcium

Testing: When and What

Key markers to consider testing:

TestTarget RangeWhen to Test
25-hydroxyvitamin D40-60 ng/mLAnnually, or if symptomatic
Serum B12>400 pg/mLIf vegan, elderly, or symptomatic
Ferritin30-100 ng/mL (varies)If fatigue, women, athletes
RBC Magnesium5.0-6.5 mg/dLIf symptomatic (serum is unreliable)
Zinc (plasma)70-120 mcg/dLIf deficiency suspected
tip

Test, don't guess — especially for vitamin D, B12, and iron. Symptoms of deficiency overlap significantly, and over-supplementing some nutrients (iron, A) can be harmful.


📸 What It Looks Like: A Micronutrient-Rich Day

Example Day: Covering All Bases

This day hits the key micronutrients most people miss, using whole foods:

Breakfast:

  • 2 eggs scrambled with spinach and bell peppers
  • 1/2 avocado on whole grain toast
  • Orange

What you're getting: Choline, B12, folate, vitamins A, C, E, K, magnesium, potassium, iron

Lunch:

  • Salmon salad with mixed greens, pumpkin seeds, chickpeas
  • Greek yogurt with berries

What you're getting: Vitamin D, B12, omega-3s, zinc, magnesium, calcium, selenium, vitamin C, antioxidants

Snack:

  • Handful of almonds
  • Dark chocolate square

What you're getting: Magnesium, vitamin E, zinc, antioxidants

Dinner:

  • Beef stir-fry with broccoli, sweet potato, and white beans
  • Side of sauerkraut

What you're getting: Iron, zinc, B vitamins, vitamin C, potassium, K2 from fermented food

Daily totals hit well: A, C, D (partial—supplement likely still needed), E, K, B vitamins, magnesium, potassium, iron, zinc, calcium (partial), selenium, omega-3s

What's likely still needed:

  • Vitamin D3: Unless you got significant sun, supplement 2,000-4,000 IU
  • Possibly magnesium: Food may not fully cover needs—consider 200 mg glycinate at bedtime

The "Micronutrient Superstar" Foods

If you could only add a few foods, these cover the most ground:

FoodFrequencyWhat You're Getting
EggsDaily (2)Choline, B12, D, A, selenium
Fatty fish2x/weekD, B12, omega-3s, selenium
Leafy greensDailyK, folate, magnesium, potassium
Pumpkin seedsDaily (1 oz)Magnesium, zinc
LiverMonthlyA, B12, iron, copper, folate—nature's multivitamin
OystersOccasionallyZinc (74 mg per serving!), B12, copper

🚀 Getting Started: 4-Week Micronutrient Optimization Plan

Week 1: Assessment & Foundation

Tasks:

  • Track your diet for 3 days using Cronometer (shows micronutrient intake)
  • Note any symptoms that might be micronutrient-related
  • Identify your risk factors (diet pattern, age, medications, lifestyle)
  • Order blood tests if warranted: Vitamin D, B12, ferritin (especially if at risk)

Daily additions:

  • Start with eggs most mornings (choline, B12, D)
  • Add leafy greens to one meal (K, folate, magnesium)

Week 2: The Big 3 (D, Mg, B12)

Focus on the most commonly deficient nutrients:

  • Vitamin D: Start 2,000-4,000 IU D3 daily with fat (unless test shows you're already optimal)
  • Magnesium: Add 200-300 mg glycinate before bed (most people are low)
  • B12: If vegan, vegetarian, or 50+, add 1,000 mcg methylcobalamin

What to notice: Better sleep (Mg)? More energy? Improved mood?

Week 3: Minerals & Synergies

Add supporting nutrients:

  • K2 MK-7: 100-200 mcg if taking D3 (directs calcium to bones)
  • Zinc + Copper: If indicated (15-30 mg zinc + 1-2 mg copper)
  • Iron: Only if ferritin test shows low (<30 ng/mL)

Food focus:

  • Add fatty fish 2x this week (D, B12, omega-3s, selenium)
  • Include pumpkin seeds or almonds daily (magnesium, zinc)

Week 4 & Beyond: Fine-Tuning

Review:

  • Get test results back and adjust
  • Notice which additions made the biggest difference
  • Establish sustainable habits

Maintenance stack for most people:

Daily:
├── Vitamin D3 (2,000-4,000 IU) — unless levels optimal
├── Vitamin K2 MK-7 (100-200 mcg) — with D3
├── Magnesium glycinate (200-400 mg) — evening
└── Omega-3s (if not eating fatty fish 2x/week)

Add if applicable:
├── B12 (if vegan, 50+, or on PPIs)
├── Iron (only if tested low)
└── Zinc + copper (if vegetarian or symptomatic)

🔧 Troubleshooting: Common Micronutrient Problems

Problem 1: "I take supplements but don't feel better"

Possible issues:

  1. Wrong form: Magnesium oxide (4% absorbed), folic acid vs. methylfolate, cyanocobalamin vs. methylcobalamin
  2. Poor timing: Fat-soluble vitamins without food, iron with coffee
  3. Not addressing the root cause: The supplement isn't what you actually need
  4. Interactions: Taking competing nutrients together (calcium + iron)

Solutions:

  • Switch to better-absorbed forms (glycinate, citrate, methyl-forms)
  • Take fat-soluble vitamins with meals containing fat
  • Get tested to know what you're actually deficient in
  • Space competing supplements

Problem 2: "My doctor says everything is normal"

The "normal" vs. "optimal" gap:

MarkerLab "Normal"Optimal
Vitamin D20-100 ng/mL40-60 ng/mL
B12200-900 pg/mL500+ pg/mL
Ferritin12-150 ng/mL30-100 ng/mL
Magnesium1.7-2.2 mg/dLSerum unreliable—use RBC Mg

What to do:

  • Ask for exact numbers, not just "normal"
  • Research optimal ranges (often narrower than lab ranges)
  • If symptomatic and low-normal, consider therapeutic trial

Problem 3: "I eat healthy but still seem deficient"

Reasons healthy eaters can be low:

  1. Soil depletion: Produce has 30-76% fewer minerals than 50 years ago
  2. Stress: Burns through magnesium and B vitamins
  3. Gut issues: Poor absorption despite good intake
  4. Limited sun: Vitamin D can't come from food alone for most people
  5. No fatty fish: Omega-3s and vitamin D gap
  6. Vegetarian: B12, iron, zinc need special attention

Solutions:

  • Accept that supplementation isn't "cheating"—modern life may require it
  • Focus on the most commonly deficient: D, magnesium, omega-3s
  • Address gut health if absorption is the issue

Problem 4: "I'm overwhelmed—what's the minimum I should take?"

The essential 3 for most people:

  1. Vitamin D3 (2,000-4,000 IU) — ~$5-10/year. Deficiency is epidemic.
  2. Magnesium glycinate (200-400 mg) — ~$15/year. 50%+ are low.
  3. Omega-3s (1-2g EPA+DHA) — ~$50-100/year. Only if not eating fatty fish.

Add if applicable:

  • B12 if vegan/50+/on PPIs
  • Iron only if tested low

Everything else: Work on food first.


❓ Common Questions

Should I take a multivitamin?

Multivitamins are "nutritional insurance," but often poorly formulated — low doses, poor forms, unnecessary ingredients. Targeted supplementation (vitamin D, magnesium, omega-3s) is generally more effective. If you do take a multi, choose one from a reputable brand with absorbable forms.

Can I get too much of a vitamin or mineral?

Yes, particularly fat-soluble vitamins (A, D, E, K) and certain minerals (iron, selenium, zinc). Water-soluble vitamins are safer (excess excreted), but megadoses can still cause issues. Stay within recommended upper limits unless supervised.

Do I need more micronutrients if I exercise?

Yes, especially with high training volume. Athletes may need more B vitamins, magnesium, iron, zinc, and antioxidants. Increased calorie intake from whole foods usually covers this, but some benefit from targeted supplementation.

Are synthetic vitamins as good as natural ones?

For most vitamins, synthetic forms work equally well. Exceptions: natural vitamin E is better absorbed; methylfolate may be preferable to folic acid for some people. Natural food sources provide additional beneficial compounds supplements don't.

What affects how well I absorb micronutrients?

Gut health (damaged gut = poor absorption), age (absorption decreases), medications (many deplete nutrients), food combinations (enhancers vs. inhibitors), and the form of the nutrient (e.g., heme vs. non-heme iron).


✅ Quick Reference (click to expand)

Priority Nutrients to Monitor

  1. Vitamin D — Test and supplement if low
  2. Magnesium — Supplement if diet is inadequate or symptomatic
  3. Omega-3s (EPA/DHA) — Eat fatty fish or supplement
  4. B12 — Mandatory for vegans; consider if 50+
  5. Iron — Monitor if menstruating, vegetarian, or fatigued

Signs You May Be Deficient

SymptomPossible Deficiencies
FatigueIron, B12, D, magnesium
Poor immunityD, zinc, C, A
Muscle crampsMagnesium, potassium, calcium
Skin issuesA, zinc, biotin, omega-3s
Mood issuesD, B vitamins, magnesium, omega-3s
Hair lossIron, zinc, biotin, D
Poor wound healingZinc, C, protein

Supplement Forms Matter

NutrientBetter FormsAvoid
Vitamin DD3 (cholecalciferol)D2 (less effective)
MagnesiumGlycinate, citrate, threonateOxide (poor absorption)
B12Methylcobalamin, adenosylcobalaminCyanocobalamin (less direct)
FolateMethylfolate (5-MTHF)Folic acid (for some people)
IronFerrous bisglycinateFerrous sulfate (GI issues)
ZincZinc picolinate, citrateZinc oxide

💡 Key Takeaways

Essential Insights
  • Micronutrients don't provide calories but are essential for every bodily function
  • Deficiencies are surprisingly common — especially D, magnesium, B12, and iron
  • Food first — Whole foods provide nutrients in balanced, bioavailable forms
  • Interactions matter — Some nutrients help each other; others compete
  • Fat-soluble vitamins can accumulate — Don't mega-dose A, D, E, K without testing
  • Water-soluble vitamins need regular intake — Body doesn't store them (except B12)
  • Test key markers — Especially vitamin D, B12, iron/ferritin before supplementing
  • Form matters for supplements — Methylated B vitamins, chelated minerals absorb better
  • Individual needs vary — Age, diet, lifestyle, stress, and medications all affect requirements

📚 Sources (click to expand)

General Micronutrients:

Nutrient Interactions:

  • Minich D. Vitamin-Mineral Interactions. Metagenics, 2020. — Tier C
  • PMC. Nutrient synergy: definition, evidence, and future directions. 2023. PMC10600480Tier A

Deficiency Prevalence:

See the Sources Library for complete references.


For Mo

Assessment Guidance:

  • When users report nonspecific symptoms (fatigue, brain fog, mood issues, poor immunity), always consider micronutrient status as a potential factor
  • Ask about diet patterns: Do they eat fatty fish? Leafy greens? Organ meats? Eggs? These reveal likely gaps.
  • Ask about lifestyle: Sun exposure? Stress levels? Medications? These affect needs and absorption.
  • Ask about restrictions: Vegan? Vegetarian? Food allergies? These create specific deficiency risks.

Priority by Population:

User TypeFirst-Line Recommendations
General adultD3, magnesium, omega-3s (if no fatty fish)
Vegan/VegetarianB12 (mandatory), D3, omega-3s (algae), iron, zinc
Women 18-50Iron (if menstruating), D3, folate, magnesium
Adults 50+B12, D3, calcium, magnesium
AthletesMagnesium, D3, zinc, iron (if tested low)
High stressMagnesium, B vitamins, D3, omega-3s
Gut issuesAddress absorption first; consider B12, iron, fat-soluble vitamins

Common Mistakes to Catch:

  1. Supplementing without testing — Especially iron (can be harmful if not deficient)
  2. Wrong forms — Magnesium oxide, folic acid in those who need methylfolate, cyanocobalamin
  3. Poor timing — Fat-soluble vitamins without fat; iron with coffee/tea; calcium with iron
  4. Ignoring interactions — High-dose single nutrients without cofactors (D without K2)
  5. Lab "normal" complacency — Low-normal vitamin D (25 ng/mL) or B12 (250 pg/mL) may still be suboptimal
  6. Over-supplementing — Mega-doses of fat-soluble vitamins or minerals without need

Example Coaching Scenarios:

Scenario 1: "I'm always tired and my doctor says everything's normal"

  • Response: "Fatigue with 'normal' labs is often a micronutrient issue. What were your exact vitamin D and B12 numbers? Lab 'normal' ranges are wide—you could be at 25 ng/mL D (low-normal but not optimal) or 250 pg/mL B12 (technically normal but many feel better at 500+). Also, serum magnesium is rarely tested and isn't reliable anyway—most people are low. Let's look at your numbers and symptoms together."

Scenario 2: "Should I take a multivitamin?"

  • Response: "Multivitamins are 'nutritional insurance' but often poorly formulated. Most use cheap forms (magnesium oxide, folic acid) in doses too low to correct real deficiencies. A better approach: target the specific nutrients most people are low in—vitamin D3, magnesium glycinate, and omega-3s if you don't eat fatty fish. These will make a bigger difference than a scattershot multivitamin."

Scenario 3: "I eat healthy but still feel deficient"

  • Response: "This is common! Even perfect diets face challenges: soil depletion has reduced mineral content in produce by 30-76% since 1950, vitamin D can't realistically come from food alone, stress burns through magnesium faster than most diets replenish, and modern life limits sun exposure. Targeted supplementation isn't 'cheating'—it's adapting to modern realities. D3, magnesium, and omega-3s are the foundation most people benefit from regardless of diet quality."

Scenario 4: "I'm vegan and worried about deficiencies"

  • Response: "Smart concern. B12 supplementation is non-negotiable—there's no reliable plant source, and deficiency causes irreversible nerve damage. Beyond that, focus on: vitamin D3 (or D2 if strict vegan), algae-based omega-3s (EPA/DHA, not just ALA from flax), iron (monitor ferritin—plant iron absorbs poorly), and zinc (also lower bioavailability from plants). Eating vitamin C with iron-rich foods helps absorption significantly."

Red Flags to Address:

  • Taking high-dose iron without testing → Risk of iron overload
  • Mega-dosing vitamin A → Risk of toxicity, bone loss
  • Taking calcium without D and K2 → May not reach bones; possible arterial calcification
  • B12 below 200 pg/mL → Needs immediate supplementation
  • Vitamin D below 20 ng/mL with symptoms → Needs therapeutic dosing

🔗 Dive Deeper

Detailed Guides:

  • Vitamins — Complete guide to all 13 vitamins + choline (fat-soluble A, D, E, K; water-soluble B vitamins and C; methylation and MTHFR)
  • Minerals — Complete guide to all essential minerals (7 macrominerals including magnesium and calcium; 9+ trace minerals including iron and zinc; emerging research on boron and silicon)

Related Topics: