Guide
Building a simple daily supplement routine
The best supplement routine is one you can keep. A shelf full of bottles you forget to take does nothing, and a routine that doubles up on the same nutrient can do more harm than good. This guide walks through a simple way to plan your day: what to take with food, what to keep apart, and how to check you are not overdoing it.
Start with why
Before planning when to take things, be clear about why you take each one. The NIH Office of Dietary Supplements puts it simply: in general, nutritional needs should be met primarily through the diet, and supplements may be useful when that is not possible through food alone.
Write down each product and the goal it is for, such as sleep, energy, a gap in your diet or advice from your doctor. If two products serve the same goal, you may not need both. Our quiz does a version of this for you, picking a small set of products that covers your goals within your budget.
Fat-soluble and water-soluble: why food matters
Vitamins come in two groups, and the group affects how you take them.
- Fat-soluble vitamins: A, D, E and K. MedlinePlus explains that these "are stored in the body's liver, fatty tissue, and muscles."
- Water-soluble vitamins: vitamin C and the B vitamins. These "are not stored in the body", and extra amounts leave the body in urine. The exception is vitamin B12, which can be stored in the liver for many years.
Two practical points follow:
- Take fat-soluble vitamins with a meal. A systematic review of studies on vitamin D found that it was better absorbed when taken with meals containing fat, although it was still absorbed without them. Taking vitamin D, or a multivitamin that contains it, with breakfast or dinner is an easy habit.
- Do not stack fat-soluble vitamins carelessly. Because the body stores them, amounts from several products add up over time. Check each label before combining a multivitamin with separate vitamin D, A or E products.
Morning, evening or with meals?
For most supplements, the right time is the time you will remember. Some sensible defaults:
- With breakfast: multivitamins, vitamin D, B vitamins and anything the label says to take with food.
- With the main meal: products that contain fat, such as fish oil, and digestive enzymes, which are designed to be taken alongside food.
- In the evening: products made for relaxation and sleep, such as many magnesium and calming blends. Our product cards show a time of day for each product, taken from the brand's directions.
- On an empty stomach: only if the label says so. Directions for probiotics, for example, vary by product, so follow the bottle.
Keep some things apart
Some combinations work better when separated by a few hours.
- Thyroid medicine. MedlinePlus advises taking levothyroxine on an empty stomach, 30 minutes to an hour before breakfast, and taking calcium carbonate or iron at least 4 hours before or after it. If you take thyroid medicine, a simple pattern is medicine first thing, then breakfast, and minerals with lunch or dinner.
- Minerals and some medicines. The NIH Office of Dietary Supplements notes that magnesium may interact with oral bisphosphonates and with tetracycline and quinolone antibiotics. Ask your pharmacist how far apart to take them.
- Anything with spacing directions. Some product labels, such as those for fiber supplements, ask you to take them apart from medicines. Follow the label.
Watch the totals
When you take several products, the same nutrient can appear in more than one. Magnesium is a good example. The upper limit for supplemental magnesium for adults is 350 mg a day, and the NIH Office of Dietary Supplements notes that high doses from supplements can cause diarrhea, nausea and abdominal cramping. A multivitamin, a sleep blend and a separate magnesium product can easily add up past that.
A quick way to check:
- Line up your bottles.
- For each nutrient, add up the amount per serving across all products, multiplied by the servings you actually take.
- Compare with the % Daily Value and any limits your pharmacist mentions.
A sample routine
Here is what a simple routine for sleep, immunity and general health might look like. It is an example, not a recommendation for you:
- Breakfast: multivitamin and vitamin D with food.
- Lunch: probiotic, if the label says to take it with a meal.
- Dinner: fish oil or another fat-containing product with the meal.
- One hour before bed: magnesium or a calming blend made for the evening.
If you take a thyroid medicine, add "medicine on waking, 30 to 60 minutes before breakfast" and keep calcium and iron for later in the day.
Make it stick
- Use a weekly pill organizer with morning and evening rows.
- Keep products where the habit already happens, such as next to the coffee maker or your toothbrush, and store them as the label directs.
- Set a refill reminder when a bottle is half empty. Our results show roughly how long each product lasts.
- Review every few months. If a product is not helping with the goal you bought it for, it may not be worth keeping.
Safety first
Keep a written list of everything you take, with doses and how often, and bring it to appointments, as the FDA recommends. Call your doctor or pharmacist before adding something new. NCCIH also advises that if you notice side effects, you should stop taking the supplement and contact your health care provider. If you are pregnant or breastfeeding, have a medical condition, or have surgery coming up, check with your doctor before starting or changing any supplement.
Sources
- MedlinePlus: Vitamins
- Silva MC, Furlanetto TW. Intestinal absorption of vitamin D: a systematic review. Nutr Rev 2018
- NIH Office of Dietary Supplements: Magnesium Fact Sheet for Health Professionals
- MedlinePlus: Levothyroxine
- FDA: Mixing Medications and Dietary Supplements Can Endanger Your Health
- NCCIH: Using Dietary Supplements Wisely
