What are the effects of excessive ascorbic acid (Vitamin C) intake?

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From the Guidelines

Taking too much vitamin C can lead to an increased risk of kidney stone formation, particularly in individuals with hyperoxaluria, as it can be metabolized to oxalate, increasing urinary oxalate excretion by 22% with doses of 1000 mg twice daily 1.

Key Points to Consider

  • The recommended dietary allowance for vitamin C is 75-90 mg per day for healthy adults, and excessive intake beyond 2000 mg per day can cause mild digestive issues like diarrhea, nausea, stomach cramps, and heartburn 1.
  • High doses of vitamin C, over 3000 mg daily, may increase the risk of kidney stones in some individuals, especially those with a history of kidney problems.
  • People with conditions like hemochromatosis should be cautious with high vitamin C intake as it can increase iron absorption.
  • The body absorbs vitamin C more efficiently at lower doses, making high doses unnecessary and potentially harmful.

Recommendations

  • Healthy adults should aim to get their daily vitamin C from fruits and vegetables rather than supplements to avoid excessive intake.
  • Individuals with a history of kidney stones or hyperoxaluria should limit their vitamin C intake and avoid supplements, as suggested by a metabolic trial that demonstrated increased urinary oxalate excretion with high vitamin C doses 1.
  • If experiencing digestive discomfort from vitamin C supplements, reduce the dosage or take it with food to minimize side effects.

References

Guideline

Guideline Directed Topic Overview

Dr.Oracle Medical Advisory Board & Editors, 2025

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This information is intended for healthcare professionals. Any medical decision-making should rely on clinical judgment and independently verified information. The content provided herein does not replace professional discretion and should be considered supplementary to established clinical guidelines. Healthcare providers should verify all information against primary literature and current practice standards before application in patient care. Dr.Oracle assumes no liability for clinical decisions based on this content.

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