What is the recommended daily dose of vitamin C (ascorbic acid) for a healthy 12-year-old male patient with no underlying medical conditions?

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Recommended Daily Vitamin C Dose for a 12-Year-Old Boy

A healthy 12-year-old boy should receive 45 mg of vitamin C daily, which can be obtained through diet alone by consuming citrus fruits, tomatoes, or potatoes. 1

Age-Specific Dosing Guidelines

The recommended daily allowance for vitamin C in a 12-year-old male falls within the 9-13 year age bracket, which requires 45 mg/day according to the Dietary Reference Intakes established by the Institute of Medicine. 1 This recommendation is based on maintaining adequate tissue saturation while preventing deficiency states. 1

For context, the German, Austrian, and Swiss nutrition societies extrapolate pediatric requirements from adult values in relation to body weight, resulting in progressively increasing recommendations from 20 mg/day in early childhood to 85 mg/day by age 15. 2 The 45 mg/day recommendation for ages 9-13 aligns with this graduated approach. 1

Dietary Sources to Meet Requirements

One medium-sized orange provides sufficient vitamin C to meet the daily requirement for this age group. 3 Other excellent sources include:

  • Citrus fruits (oranges, lemons, limes) 4
  • Tomatoes and potatoes 4
  • High-vitamin C fruit juices 5

Children who consume at least one daily serving of citrus fruit typically achieve desirable vitamin C intakes, while those consuming fewer than two servings of vegetables and fruits daily are at risk for inadequate intake. 5

Clinical Considerations

Supplementation is generally unnecessary for healthy children consuming a balanced diet. 1 However, approximately 12-14% of school-aged boys have vitamin C intakes below 30 mg/day, placing them at risk for marginal deficiency. 5 These children tend to have overall less healthy dietary patterns with higher fat intake and lower consumption of vegetables and fruits. 5

Special Circumstances Requiring Higher Doses

If the child has chronic kidney disease (CKD stages 2-5), supplementation should only be provided if dietary intake fails to meet 100% of the DRI or if clinical evidence of deficiency exists. 1 For children on dialysis, water-soluble vitamin supplementation is recommended, though caution must be exercised to avoid exceeding the tolerable upper limit when combining dietary and supplemental sources. 1

For children requiring parenteral nutrition, the dose is 80 mg/day for those over 12 months of age. 1, 6 This higher dose accounts for potential losses and altered metabolism in children unable to receive enteral nutrition. 1

Common Pitfalls to Avoid

  • Do not routinely supplement healthy children eating a varied diet, as this provides no additional benefit and may lead to unnecessary expense. 1
  • Ensure at least one daily serving of vitamin C-rich foods rather than relying on low-vitamin C vegetables alone. 5
  • Avoid exceeding 2 grams daily (the tolerable upper limit), which can cause gastrointestinal upset and is far above what any healthy child requires. 7

References

Guideline

Guideline Directed Topic Overview

Dr.Oracle Medical Advisory Board & Editors, 2025

Research

New Reference Values for Vitamin C Intake.

Annals of nutrition & metabolism, 2015

Guideline

Vitamin C Deficiency Diagnosis and Treatment

Praxis Medical Insights: Practical Summaries of Clinical Guidelines, 2026

Research

[Vitamin C].

Actas dermo-sifiliograficas, 2006

Research

Intakes of vitamin C, vegetables and fruits: which schoolchildren are at risk?

Journal of the American College of Nutrition, 1999

Guideline

Vitamin C Administration in Pediatric Patients

Praxis Medical Insights: Practical Summaries of Clinical Guidelines, 2026

Research

Vitamin C in health and disease.

The journal of contemporary dental practice, 2004

Professional Medical Disclaimer

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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