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Do You Really Need Vitamins and Supplements? A Physician’s Take

Dr. Thomas Karoff, Internal Medicine

April 7, 2026

Do You Really Need Vitamins and Supplements? A Physician’s Take

As a physician, one of the most common questions I hear is: “Should I be taking a daily multivitamin?” With nearly 75% of Americans using dietary supplements, it’s clear this is top of mind for many people.

The Truth About Multivitamins

Despite their popularity, research shows that multivitamins do not significantly reduce the risk of major diseases like cancer or heart disease. In other words, for most healthy adults, taking a daily multivitamin isn’t the shortcut to better health that many hope it is. However, while most young adults do not require multivitamins, new research does demonstrate the benefits of multivitamins for health and longevity in adults over 50.

Why “More” Isn’t Always Better

Many people assume over-the-counter supplements are completely harmless, but that is not always true. Supplements can interact with medications, cause side effects, or even lead to excessive intake of certain nutrients.

Where Your Nutrients Should Come From

In my clinical experience, the best way to get essential vitamins and minerals is through a well-balanced diet. Focus on:

  • Fruits and vegetables
  • Whole grains
  • Nuts and seeds
  • Lean proteins
  • Dairy or dairy alternatives

These foods provide a combination of nutrients, fiber, and antioxidants that supplements simply can’t replicate. Pair this with regular exercise and maintaining a healthy weight, and you have the true foundation of long-term health.

When Supplements Do Make Sense

There are situations when supplement can be beneficial:

  • Cold and flu season: Vitamin C and zinc may help reduce symptom duration
  • Pregnancy: Folic acid is essential for fetal development
  • Dietary restrictions: Vegans and vegetarians may need B12, iron, or other nutrients that may be lacking or harder to absorb from plant-based foods
  • Medical conditions: People with malabsorption issues or those who’ve had bariatric surgery may require targeted supplementation

The Bottom Line

If you’re generally healthy, you likely don’t need a daily multivitamin. Instead, focus on what truly matters:

  • Eating a nutrient-rich diet
  • Staying physically active
  • Maintaining a healthy weight

Think of supplements as a targeted tool, not a daily necessity. When used correctly, they can support your health, but they should never replace the basics.

That’s why I always recommend talking with your doctor before starting any new supplement. A simple blood test can often determine whether you actually need one—and which type is best.

Dr. Thomas Karoff is an internal medicine physician at Scarsdale Medical Group/White Plains Hospital Physician Associates. To make an appointment, call 914.723.8100.