The Healthspan Map · Nutrition (Ch9-10)

Supplement discipline

What this is linked to

Where Supplement discipline is linked — 13 sources.In the order the Map holds them: strongest evidence first. That is a statement about the evidence, not about what matters most.
Nutrient or leverDirectionStrengthEvidence typeWhat was foundSource
Supplement disciplineDo thisModerateReview / narrativeAppropriate iron/B12/folate supplementation corrects the common nutritional anemias.Correcting deficiencies via supplements (opens in a new tab)
Supplement disciplineDo thisEmergingRCT / meta-analysisSensible vitamin-D dosing (800-1000 IU/day, not intermittent megadoses) matters — high-dose boluses raise fall risk.Vitamin D & falls network meta-analysis (PMC11064304) (opens in a new tab)
Supplement disciplineDo thisEmergingReview / narrativeCorrecting a genuine micronutrient gap (iron, B12, D, magnesium) reduces fatigue; beyond repletion, supplements add little.Micronutrients for energy/fatigue review (Tardy 2020) (opens in a new tab)
Supplement disciplineDo thisEmergingEstablished clinicalExcess supplements (magnesium, vitamin C, iron, zinc) commonly cause diarrhoea/nausea; discipline limits this.NIH Office of Dietary Supplements — Magnesium (opens in a new tab)
Supplement disciplineDo thisEmergingSystematic reviewSensible supplementing matters here: too little B12 or too much B6 both damage nerves, so keep B6 supplements low and check B12.Vitamin B6 & neuropathy (opens in a new tab)
Supplement disciplineDo thisModerateReview / narrativeCorrecting deficiencies (folate, zinc, vitamin D, omega-3) supports fertility, but antioxidant megadosing can backfire via reductive stress — sensible, food-first dosing matters.Dietary antioxidants & male infertility – antioxidant paradox (PMC8003818) (opens in a new tab)
Supplement disciplineDo thisModerateSystematic reviewCorrecting vitamin D and zinc reduces respiratory-infection risk/duration — but sensible dosing matters, since megadosing vitamin A/E/beta-carotene/iron can backfire.Micronutrient supplements & respiratory infection meta-analysis (BMJ Glob Health 2021) (opens in a new tab)
Supplement disciplineDo thisEmergingReview / narrativeSupplements help hair/skin mainly when correcting a proven deficiency; megadosing (A, selenium, zinc) can worsen hair loss.Correcting deficiency vs megadosing (opens in a new tab)
Supplement disciplineDo thisEmergingReview / narrativeCorrecting vitamin-D deficiency (common in OSA) is the main evidence-based supplement consideration.Vitamin D & OSA review (PubMed 38414320) (opens in a new tab)
Supplement disciplineDo thisModerateReview / narrativeIodine and selenium both follow a U-shape: repletion within the optimal window helps, but over-supplementation (especially iodine) can precipitate dysfunction — disciplined dosing matters.Nutrition & thyroid myths/facts review (J Endocrinol Invest 2026) (opens in a new tab)
Supplement disciplineDo thisModerateRCT / meta-analysisThe AREDS/AREDS2 formula (C, E, zinc, copper, lutein/zeaxanthin) cuts progression to advanced AMD ~25% — but it is for people who already have intermediate AMD, not universal use.AREDS/AREDS2 review (PMC7015456) (opens in a new tab)
Supplement disciplineDo thisEmergingReview / narrativeCorrecting genuine micronutrient gaps restores immune function; indiscriminate megadosing does not boost a healthy system.Micronutrient repletion (opens in a new tab)
Supplement disciplineDo thisModerateEstablished clinicalMegadoses of vitamin A, niacin, iron, vitamin C and vitamin D can injure the liver or kidneys; food-first, sensible dosing protects both organs.Vitamin A hepatotoxicity (NIH LiverTox) (opens in a new tab)