Vitamin C Notes
Vitamin C Notes
Vitamin C Notes
Recommended Amounts
● RDA: The Recommended Dietary Allowance for adults 19 years and
older is 90 mg daily for men and 75 mg for women. For pregnancy
and lactation, the amount increases to 85 mg and 120 mg daily,
respectively. Smoking can deplete vitamin C levels in the body, so
an additional 35 mg beyond the RDA is suggested for smokers.
● UL: The Tolerable Upper Intake Level is the maximum daily intake
unlikely to cause harmful effects on health. The UL for vitamin C is
2000 mg daily; taking beyond this amount may promote
gastrointestinal distress and diarrhea. Only in specific scenarios,
such as under medical supervision or in controlled clinical trials,
amounts higher than the UL are sometimes used. [2]
Vitamin C absorption and megadosing
The intestines have a limited ability to absorb vitamin C. Studies have shown that
absorption of vitamin C decreases to less than 50% when taking amounts greater than
1000 mg. In generally healthy adults, megadoses of vitamin C are not toxic because
once the body’s tissues become saturated with vitamin C, absorption decreases and any
excess amount will be excreted in urine. However, adverse effects are possible with
intakes greater than 3000 mg daily, including reports of diarrhea, increased formation of
kidney stones in those with existing kidney disease or history of stones, increased levels
of uric acid (a risk factor for gout), and increased iron absorption and overload in
individuals with hemochromatosis, a hereditary condition causing excessive iron in the
blood. [2]
Absorption does not differ if obtaining the vitamin from food or supplements. Vitamin C is
sometimes given as an injection into a vein (intravenous) so higher amounts can directly
enter the bloodstream. This is usually only seen in medically monitored settings, such as
to improve the quality of life in those with advanced stage cancers or in controlled clinical
studies. Though clinical trials have not shown high-dose intravenous vitamin C to
produce negative side effects, it should be administered only with close monitoring and
avoided in those with kidney disease and hereditary conditions like hemochromatosis
and glucose 6-phosphate dehydrogenase deficiency.
Vitamin C is involved with numerous metabolic reactions in the body, and obtaining the
RDA or slightly higher may be protective against certain disease states. However, a
health benefit of taking larger amounts has not been found in people who are generally
healthy and well-nourished. Cell studies have shown that at very high concentrations,
vitamin C can switch roles and act as a tissue-damaging pro-oxidant instead of an
antioxidant. [2,3] Its effects in humans at very high doses well beyond the RDA are
unclear, and can lead to increased risk of kidney stones and digestive upset.