Timing Your Vitamins Right Could Change How They Work

What Time of Day Should You Take a Multivitamin — and These 4 Other Supplements?

What Time of Day Should You Take a Multivitamin — and These 4 Other Supplements?
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Note: The U.S. Food and Drug Administration (FDA) does not approve supplements for safety or effectiveness. Talk to a healthcare professional about whether a supplement is the right fit for your individual health, and about any potential drug interactions or safety concerns.

If you take dietary supplements, it can matter when you take them — and whether or not you consume them with food or other supplements.

“Some nutrients can actually prevent or improve the absorption of others,” says Jeremy O’Neal, RDN, of the University of Illinois Health Bariatric Surgery Program in Chicago.

Consistency can also be important. For example, what time of day you pop a multivitamin really doesn’t matter — but taking it around the same time every day can be beneficial, and having it with a little food and water can help you maximize absorption and avoid digestive issues.

Here’s when to take several common dietary supplements — and when not to, according to nutrition experts.

Daily Multivitamin

While a daily multivitamin can be consumed at any time of day, consistency is key, and having it with a little food or water can help, says Doug Cook, RD, a coauthor of Nutrition for Canadians for Dummies and host of the Pursuit of Health podcast, based in Toronto.

“What matters is taking supplements consistently, in a way that works for you,” Cook explains.

Taking a multivitamin around the same time each day helps ensure a stable level of nutrients. While the body does store some nutrients, many, like vitamin C, are short-lived and water-soluble (meaning they are not stored in the body and excess is excreted in your urine), O’Neal says.

Keep the 80/20 rule in mind: “Eighty percent of the time, be consistent with taking a daily multivitamin,” says O’Neal. “But if you forget to take it, say, 20 percent of the time, it’s not the end of the world.”

Popping a multivitamin with food may also help you sidestep the tummy upset and nausea that vitamins can cause on an empty stomach.

Also, eating dietary fat may help your body absorb the fat-soluble vitamins (stored in the body) that your multi contains, such as vitamin A, D, E, and K.

Finally, washing down a multi with a glass of water not only makes it easier to swallow, but also aids the breakdown of water-soluble vitamins like vitamin C and B12.

A daily multivitamin may provide nutrient insurance — especially if you have certain conditions that put you at risk of deficiencies. “For an otherwise healthy person, food is the best source for these vitamins and minerals,” says O’Neal. “The exception to this includes anyone who is post–bariatric surgery or has other malabsorption concerns,” he adds.

For instance, those with Crohn’s disease may experience malabsorption of nutrients like iron, calcium, vitamin D3 and B12, copper, zinc, and selenium.

Multivitamins may also be helpful for people taking a GLP-1 medication for obesity and weight loss. “GLP-1 medications often decrease food intake, and if [you’re] experiencing vomiting, may lead to thiamine and other B vitamin deficiencies in the long term,” says O’Neal.

Multivitamins that provide nutrients in recommended amounts don’t usually interact with medications, with the exception of blood thinners like warfarin. Talk to your doctor before starting a multivitamin, especially if you’re taking blood thinners.

Vitamin C

O’Neal suggests splitting your vitamin C supplement into two smaller doses and taking it twice daily, instead of one large dose, because your body doesn’t store this water-soluble vitamin for long. “With vitamin C, what comes in always goes out,” he explains. “Any excess that isn't utilized by the body's metabolism is then passed through the urine.”

For the standard dose of over-the-counter vitamin C — about 1,000 milligrams (mg) per serving — O’Neal recommends dividing the serving size in two: 500 mg in the morning and 500 mg in the p.m. hours.

Vitamin C is important for energy, brain function, immunity, and more.

 “All organs and body systems use vitamin C in some way,” says O’Neal, who recommends getting your daily vitamin C through a healthy diet first, because it’s nearly impossible to consume too much this way.

Fruits and veggies are the best sources of vitamin C — think citrus fruits, tomatoes and tomato juice, potatoes, red and green peppers, kiwi, broccoli, strawberries, Brussels sprouts, and cantaloupe.

In some cases, your doctor may recommend you take a vitamin C supplement. “There’s not a great blood test that accurately shows vitamin C levels in the body, since the body can’t store it,” says O’Neal. “But [taking] vitamin C supplements are like an insurance policy for health. It may not prevent disease, but it may lessen the overall inflammation if it’s present.”

Vitamin C may interact with certain chemotherapy treatments and radiation therapy, so be sure to consult your healthcare provider, especially if you’re undergoing these treatments.

Fat-Soluble Vitamins: Vitamins A, D, E, and K

Fat-soluble vitamins like A, D, E, and K are best absorbed when consumed with fat.

“Fat helps with the body’s secretion of bile, which you need for maximal absorption [of these nutrients],” Cook says. He recommends snacking on almonds or toast with peanut or nut butter.

Fat-soluble vitamins have benefits such as promoting healthy vision and immune support (vitamin A); blood clotting and regulating blood pressure (vitamin K); fighting cell damage (vitamin E); and fostering bone and muscle health (vitamin D). Vitamin D in particular has been linked to a variety of health perks, says O’Neal. “Most of us are vitamin D deficient, and there’s research highlighting its benefits for immune health and potentially weight loss,” he explains.



Your doctor can order a blood test to check your vitamin D levels.

Usually, healthy people do not need to take most fat-soluble vitamins as supplements (with the possible exception of vitamin D if you have a deficiency), says O’Neal. Indeed, doing so may put you at risk of toxicity: because fat-soluble vitamins are stored in your body for longer periods of time, it’s easier to reach excess levels with these supplements, he explains.

O’Neal only recommends vitamins A, E, and K as supplements for those who have been diagnosed with a deficiency or who have malabsorption concerns. “There are reputable blood tests to validate stores of fat-soluble vitamins,” he says.

As for vitamin D, don’t exceed 4,000 international units (IU) per day unless your doctor directs you to — most adults need only 600 to 800 IU daily.

Vitamin D toxicity may cause hypercalcemia, the buildup of calcium in your blood, which can lead to symptoms like upset stomach and vomiting, weakness, the frequent need to urinate, bone pain, and kidney stones.

Certain medications like cholestyramine (for cholesterol), aspirin, and phenytoin (anti-seizure medication) can interact with or reduce the absorption of fat-soluble vitamins.

 Always check with your doctor before taking fat-soluble vitamins.

Calcium

It’s typically best to take calcium supplements with a meal rather than on an empty stomach, so digestive acids break them down for better absorption.

The exception is calcium citrate supplements, which are more bioavailable to the body for absorption and don’t need to be taken with food, O’Neal explains.

But if you’re having your calcium supplements with a meal, keep in mind that your body absorbs calcium most efficiently in 500 mg doses or less, including calcium in food and drinks.

If your breakfast tends to feature dairy products, or calcium-fortified cereal or juice, you may want to take your calcium supplements with lunch or dinner. For example, 8 ounces (oz) of plain low-fat yogurt contains 415 mg of calcium.

 Meanwhile, 8 oz of low-fat milk or fortified orange juice each deliver 300 mg.

Your body needs calcium to carry out essential functions like muscle movement, nerve messaging, blood transportation, and hormone release.

If you’re concerned about your calcium levels, ask your doctor for a blood test.

 Your doctor may suggest you take calcium if you don’t get enough in your diet (for example if you are vegan or lactose intolerant), or you’re unable to absorb it well (if you have vitamin D deficiency, which impairs calcium absorption), says O’Neal.

“For those diagnosed with osteoporosis or osteopenia (reduced bone mass), calcium and vitamin D [may help prevent] disease progression,” says O’Neal, noting that it may also help with osteoporosis fracture prevention.

But calcium supplements may interfere with the absorption of a variety of medications, including antibiotics, osteoporosis drugs, and anti-seizure medications, so speak to your doctor before you start supplementation.

Iron

On an empty stomach, iron supplements can cause stomach cramps or nausea, so take them with a small amount of food.

Some experts suggest taking a vitamin C supplement with your iron supplement, because it can help with absorption.

You can also pair an iron supplement with fruits or vegetables that contain vitamin C, says O’Neal.
Milk, calcium, and antacids should not be consumed at the same time as iron supplements, because they can interfere with absorption, O’Neal says. Wait at least two hours after having these foods before taking your iron supplements.

Avoid caffeinated beverages or high-fiber foods, such as whole grains, raw vegetables, and bran, when you take iron, because these foods and drinks can also limit iron absorption.

Iron is vital for hemoglobin production, a protein in red blood cells that carries oxygen from the lungs to all parts of the body.

“I would recommend iron for those diagnosed with a deficiency or malabsorption concern, or eating an iron-deficient diet, such as with a vegan diet or someone who had bariatric surgery,” says O’Neal.

Iron can interfere with medications, including levodopa for Parkinson’s disease and levothyroxine for hypothyroidism, and proton pump inhibitors for stomach ulcers and acid reflux may reduce iron absorption. Speak to your doctor before taking iron.

The Takeaway

  • If you take supplements, the timing of when you do so may impact their absorption or how you feel after. For instance, you can pop a multivitamin any time of day, but taking it consistently with food and water can prevent tummy trouble and boost absorption.
  • Consider taking vitamin C in two smaller doses — once in the morning and once in the afternoon — rather than in one larger dose, to avoid losing excess through excretion.
  • Pair fat-soluble vitamins like A, D, E, and K with dietary fat, which help your body secrete bile that’s necessary for efficient absorption. Calcium and iron are also best taken with some food.
  • Many dietary supplements interact with medications, so always speak to your doctor before taking them.
EDITORIAL SOURCES
Everyday Health follows strict sourcing guidelines to ensure the accuracy of its content, outlined in our editorial policy. We use only trustworthy sources, including peer-reviewed studies, board-certified medical experts, patients with lived experience, and information from top institutions.
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Kara-Andrew-bio

Kara Andrew, RDN, LDN

Medical Reviewer

Kara Andrew, RDN, LDN, is the director of health promotion for Memorial Hospital in Carthage, Illinois. She is also licensed as an exercise physiologist and certified in lifestyle medicine by the American College of Lifestyle Medicine. Her experience includes corporate wellness, teaching for the American College of Sports Medicine, sports nutrition, weight management, integrative medicine, oncology support, and dialysis.

She earned her master's in exercise and nutrition science at Lipscomb University.

Andrew has served as a president and board member of the Nashville Academy of Nutrition and Dietetics. She was recently elected a co-chair of the fitness and medicine group in the American College of Lifestyle Medicine.

Sari Harrar

Author

Sari Harrar is an award-winning freelance journalist specializing in health, medicine, and science. She writes regularly for Consumer Reports on Health, AARP The Magazine, AARP Bulletin, Reader’s Digest, and her work has also appeared in EatingWell, Dr. Oz The Good Life, Good Housekeeping, Prevention, O,—The Oprah Magazine, Shape, Fitness, Marie Claire, Today’s Dietitian, Better Homes and Gardens, and Organic Gardening. She was a National Magazine Awards finalist in 2017 and the recipient of a CASE/Harvard Medical School Journalism Fellowship. Harrar started and ran the Kids’ Health Blog for the Philadelphia Inquirer in 2013 and was health news editor for Prevention magazine from 1998 to 2004. She’s also written more than a dozen health books for Rodale, Reader’s Digest, and Hearst including, Lower Your Blood Pressure Naturally (Rodale;2014).

Kelsey Kloss

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Kelsey Kloss is a health and wellness journalist with over a decade of experience. She started her career as an in-house editor for brands including Reader’s Digest, Elle Decor, Good Housekeeping, Prevention, Woman's Day, and Redbook, and her work has been featured in over 50 publications.