Is taking a multivitamin at the recommended dietary allowance (RDA) level likely to cause kidney stones or liver cirrhosis?
Due to working a rotating shift schedule for 10 years, I often feel fatigued, and I eat out for all three meals.
I take a multivitamin (Centrum) that meets the Recommended Dietary Allowance (RDA), one tablet daily.
Is this appropriate? After taking it for a year, my health check revealed kidney stones and signs of liver fibrosis.
Could this be related to taking the multivitamin?
mini, 30~39 year old female. Ask Date: 2004/08/08
Dr. Shi Guimei reply Nutrition
Hello! The causes of kidney stones can be divided into intrinsic and extrinsic factors.
Intrinsic factors include: genetics, age (most common in individuals aged 30 to 50), and gender (males are 2 to 3 times more likely than females); extrinsic factors include: geographical factors (Europe, America, and Taiwan are regions with a high prevalence of stones), seasonal factors (more common in summer, possibly due to increased sweating leading to lower urine output and supersaturation, along with higher intake of fruits and vegetables, many of which contain oxalates, thus increasing the risk of stones), and occupational and lifestyle factors (high stress, alcohol consumption, or lack of exercise).
The causes of liver cirrhosis include: alcoholism, fatty liver disease, liver cancer, long-term biliary obstruction, environmental toxins, or medication side effects (multivitamins are not medications; they are dietary supplements).
Based on the above analysis, I believe you can conclude that it is unlikely that the multivitamins are the culprit! Sincerely, Dietitian Shih Kuei-Mei, Director of the Nutrition Department, Taoyuan Hospital, Ministry of Health and Welfare.
Reply Date: 2004/08/08
More Info
The question of whether daily multivitamin use can lead to kidney stones or liver fibrosis is a complex one that requires a nuanced understanding of nutrition, metabolism, and individual health conditions. Based on the information provided, it seems that the individual has been taking a multivitamin (specifically, Centrum) while dealing with fatigue and a diet primarily consisting of takeout meals. After a year of multivitamin use, they were diagnosed with kidney stones and liver fibrosis.
First, let's address the potential link between multivitamin use and kidney stones. Kidney stones can form due to a variety of factors, including dietary habits, hydration levels, and genetic predispositions. Certain components in multivitamins, particularly calcium and vitamin C, have been implicated in stone formation. Calcium, when consumed in excess, can increase the amount of calcium in the urine, which is a risk factor for calcium oxalate stones, the most common type of kidney stones. Vitamin C can also be metabolized into oxalate, which can contribute to stone formation if consumed in high amounts. However, the amount of these vitamins in a standard multivitamin is typically within the recommended dietary allowances (RDA) and is unlikely to be the sole cause of kidney stones unless there are other contributing factors, such as inadequate hydration or a diet high in oxalate-rich foods.
Regarding liver fibrosis, this condition is often associated with chronic liver diseases, including hepatitis, alcohol abuse, and non-alcoholic fatty liver disease (NAFLD). The use of multivitamins is generally not linked to liver fibrosis. In fact, certain vitamins, such as vitamin E, may have protective effects on the liver. However, if the multivitamin contains excessive amounts of certain nutrients, particularly fat-soluble vitamins (A, D, E, and K), there could be a risk of toxicity, which might impact liver health. It's essential to consider the overall dietary intake and lifestyle factors, such as alcohol consumption and body weight, which are more significant contributors to liver fibrosis.
In the context of the individual's situation, it is crucial to evaluate their overall diet and lifestyle. Eating out frequently may lead to a diet high in unhealthy fats, sugars, and sodium, which can contribute to both kidney and liver issues. Additionally, the individual's work schedule and associated stress levels could also play a role in their health outcomes.
To summarize, while daily multivitamin use is generally safe and can be beneficial, it is unlikely to be the direct cause of kidney stones or liver fibrosis in the absence of other risk factors. It is essential for the individual to consult with a healthcare provider to assess their overall health, dietary habits, and any potential underlying conditions that may contribute to their symptoms. Regular monitoring and a balanced diet rich in fruits, vegetables, whole grains, and adequate hydration are crucial for maintaining kidney and liver health. If kidney stones or liver issues persist, further evaluation and tailored dietary recommendations may be necessary.
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