This Journal feature begins with a case vignette highlightinga common clinical problem. Evidence supporting various strategiesis then presented, followed by a review of formal guidelines,when they exist. The article ends with the authors' clinicalrecommendations.
A healthy 54-year-old, nonsmoking, omnivorous woman presentingfor a routine examination asks about vitamin supplements. Sheexpresses confusion about conflicting reports and recommendations.She currently uses no supplements.
The Clinical Problem
Medical teaching has been that, in generally healthy persons,nutritional needs can be readily met by diet alone. However,recent evidence shows that the use of folic acid supplementsin early pregnancy can dramatically . . . [Full Text of this Article]
Strategies and Evidence
Folic Acid
Vitamin B6
Vitamin B12
Vitamin D
Vitamin A
Multivitamin Preparations
Vitamin E Supplements
Vitamin C Supplements
Areas of Uncertainty
Guidelines
Conclusions and Recommendations
Source Information
From the Departments of Nutrition and Epidemiology, Harvard School of Public Health, and the Channing Laboratory, Department of Medicine, Harvard Medical School and Brigham and Women's Hospital all in Boston.
Address reprint requests to Dr. Willett at the Department of Nutrition, Harvard School of Public Health, 655 Huntington Ave., Boston, MA 02115.
References
Related Letters:
What Vitamins Should I Be Taking?
Blackman B. T., Opie L. H., Tulchinsky T.H., Nizan-Kaluski D., Willett W. C., Stampfer M. J.
Extract |
Full Text |
PDF
N Engl J Med 2002;
346:1914-1916, Jun 13, 2002.
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