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Reviewed by the Scan Dose Research Team and Clinical Advisory Board

Vitamin C

STRONG EVIDENCEVitaminLast updated April 5, 2026

SCAN DOSE SUMMARY

Vitamin C is the world's most popular supplement — and the most overhyped. Our research, from 102 RCTs, 15 meta-analyses, and 67,662 participants, reveals the truth: it does NOT prevent colds (Grade D), provides only a small reduction in cold duration (Grade C), and most of its other benefits require you to actually be deficient. That said, it's a potent antioxidant, supports immune function, and enhances iron absorption. It's essential — just not the miracle cure people think it is.

EVIDENCE GRADES

Plasma Vitamin C increaseStrong — obvious
A
Blood PressureStrong
A
Blood GlucoseModerate — small improvement
B
InsulinModerate — small decrease
B
Oxidative StressModerate
B
Cold PreventionNo effect — 40 studies, 21,620 participants
D
Cold SymptomsNo effect — 5 studies
D
Cold DurationSmall improvement — worth ~8% shorter colds
C

OPTIMAL DOSAGE

  • RDA (adult women): 75mg; Men: 90mg
  • EU recommendation: Women 95mg, Men 110mg
  • For immune support (athletes): Up to 2,000mg/day
  • For cold duration reduction: 200-2,000mg/day
  • UL: 2,000mg/day from supplements
  • Best forms: Ascorbic acid (cheapest, most studied), sodium ascorbate (buffered, easier on stomach)
  • Timing: Can be taken any time. Split doses if >1,000mg to reduce GI effects.
  • Key insight: Easily obtained through diet. 1 orange = ~70mg. Supplementation unnecessary for most people eating fruits/vegetables.
Scan a supplement containing Vitamin C

DRUG INTERACTIONS

DeferoxamineSevere

Enhances drug effects

Limit to 200mg/day with deferoxamine. Avoid in heart failure patients.

Amphetamines (Adderall, etc.)Moderate

Reduces drug absorption

Don't take vitamin C with ADHD stimulant medications.

WarfarinModerate

May reduce effectiveness

Monitor INR if taking >1g/day vitamin C.

LevothyroxineModerate

Increases drug absorption

Monitor thyroid levels.

IronMinor

Enhances iron absorption

Useful pairing for iron-deficient people. Avoid if hemochromatosis.

AcetaminophenMinor

Increases drug half-life

Not clinically significant at normal doses.

Chemotherapy drugs (doxorubicin, cisplatin, vincristine, methotrexate, imatinib)Unknown

May reduce drug effectiveness

Discuss with oncologist before supplementing during chemo.

SAFETY PROFILE

Side Effects

  • Common at >3g/day: Diarrhea (most common), nausea, abdominal pain, rash
  • At normal doses: Well tolerated

Drug Interactions

Precautions

  • Pregnancy: Safe. RDA 80-85mg/day.
  • Breastfeeding: Safe. RDA 115-120mg/day.
  • Kidney disease: Caution. High-dose (>2g) can cause oxalate nephropathy and acute renal failure.
  • Kidney stones: Supplementation may increase risk, particularly in men.
  • G6PD deficiency: Can cause acute hemolysis. Caution with supplementation.
  • Hemochromatosis: Not recommended — increases iron absorption and overload risk.
  • Continuous glucose monitor users: Can interfere with CGM readings (falsely high). Limit to 500mg/day.
  • Dental erosion: Chewable vitamin C tablets may cause dental erosion with long-term use.

Quality Concerns

Oral contraceptives may lower vitamin C levels, but evidence is mixed and outdated.

WADA Status

Not Prohibited.

WHO SHOULD BE CAREFUL

QUALITY CONCERNS

Oral contraceptives may lower vitamin C levels, but evidence is mixed and outdated.

HOW SCAN DOSE SCORES THIS

Present at 60-500mg:✅ Green flag — reasonable supplemental dose
Present at >2,000mg:⚠️ Yellow flag — exceeds UL, kidney stone risk increases
Marketed as "cold cure":⚠️ Yellow flag — misleading; evidence does NOT support cold prevention
In a product for ADHD/focus that also contains vitamin C:⚠️ Yellow flag — may reduce effectiveness of stimulant ADHD medications

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Reviewed by the Scan Dose Research Team and Clinical Advisory Board | Last updated: April 5, 2026

Not medical advice. Based on published clinical research and systematic reviews.

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