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Does my child need a multivitamin?

When does a child need a multivitamin? Learn more here.

Gummies, chewable, liquid, pill…

Every parent wants his or her child to be healthy, and whether or not to give a multivitamin is a common question we receive from parents. Based on the advertising and extensive row of children's multivitamins available, one would assume that every child would benefit from a daily multivitamin. Right?

Maybe. The truth is, children who eat a varied diet including fruits, vegetables, dairy, lean meats, and whole grains may not receive a benefit from a daily multivitamin. Today, many of our cereals, breads, and dairy are fortified, so your child may be receiving more vitamins and minerals than you realize. Since vitamins are best absorbed in our bodies from whole food sources, parents should continue to offer a variety of whole, healthy foods at each meal. Multivitamin supplements are best thought of as a way to fill in some of the holes in a child's diet, but not as a replacement to a well-balanced diet.

So who needs a multivitamin? In addition to children with certain chronic health conditions, multivitamins can help to meet the needs of children who are very picky eaters, those on a restricted diet due to intolerances or allergies, and those following a vegan diet.

The one vitamin exception? Vitamin D. The American Academy of Pediatrics recommends 400 IU of vitamin D daily for all breastfed infants, and for formula fed infants drinking less than 32 ounces of formula per day.  Children and adolescents who are not drinking 32 ounces of vitamin D fortified milk should also receive the daily dose of 400 IU.

Things to remember about vitamins for children:

  1. More is not always better.  Megadosing of vitamins and minerals in children can cause dangerous toxicities.  Always give children a vitamin formulated for their age.

  2. Brush their teeth after the vitamin.  Since gummy vitamins contain sugar and can stick to teeth, make sure to have children brush their teeth after taking the vitamin.

  3. Be careful of allergens.  If your child has food allergies or intolerances, ask a pediatric dietitian for help picking a brand that will be safe for your child.

If your child is taking any medications, always check with their healthcare provided before starting a vitamin.

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