Does your child actually need vitamins?
Let's start with what pediatricians actually say: most children who eat a reasonably varied diet get the nutrients they need from food.
The vitamin industry wants you worried. It's a $50+ billion market, and children's vitamins are among the highest-margin products. Marketing plays on parental anxiety—what if my picky eater is missing something?
What the research shows: True vitamin deficiencies in well-fed children are rare. Iron deficiency is the most common, particularly in toddlers. Vitamin D deficiency is increasingly recognized, especially in northern latitudes.
Who actually benefits from supplementation:
- Children with restricted diets (vegan, multiple food allergies)
- Extremely picky eaters with very limited variety
- Children with malabsorption conditions
- Kids in northern climates (vitamin D specifically)
- Any child whose pediatrician recommends it based on bloodwork
The vitamin D exception: The AAP recommends 400 IU of vitamin D daily for breastfed infants and many recommend continuing through childhood, especially in areas with limited sun exposure. This is the most evidence-backed supplementation recommendation.
“True vitamin deficiencies in well-fed children are rare. The vitamin industry benefits more from your anxiety than your child benefits from unnecessary supplements.”
Section Summary
- Most kids don't need multivitamins
- Vitamin D is the main exception
- Iron deficiency is most common true deficiency
The problem with most kids' vitamins
Walk through the vitamin aisle and you'll see a candy shop with health claims. Here's what's wrong:
Sugar content: Many gummy vitamins contain 3-4 grams of added sugar per serving. That's comparable to candy. Some kids end up consuming meaningful sugar just from their "healthy" vitamins.
Artificial colors: Look at the ingredient list—Yellow 5, Red 40, Blue 1. These synthetic dyes have been linked to behavioral issues in sensitive children. European versions of the same vitamins often use natural colorings; American versions don't bother.
Inflated ingredient lists: Many children's multivitamins include trace amounts of 30+ nutrients. This looks impressive but is often marketing theater. Small children don't need adult-level complexity.
Potency variability: Third-party testing by ConsumerLab and others routinely finds children's vitamins that contain significantly more or less than label claims. Without verification, you're trusting marketing over measurement.
The gummy problem: Gummy vitamins can't contain certain nutrients (iron, some B vitamins) because they degrade or taste terrible in gummy form. If you need a complete supplement, gummies literally can't deliver.
Section Summary
- 3-4g sugar per serving in many gummies
- Artificial colors linked to behavior issues
- Many products fail potency testing
- Gummies can't contain all nutrients
What to look for if your child does need vitamins
If your pediatrician recommends supplementation—or you've determined your child genuinely needs it—here's how to choose wisely:
Third-party testing is non-negotiable. Look for USP, NSF, or ConsumerLab verification. These organizations independently test products for potency (does it contain what it claims?) and purity (is it free from contaminants?). Brands that invest in testing advertise it.
Match dosing to age. Children's vitamin needs vary dramatically from toddlers to teens. A product appropriate for a 10-year-old may contain too much for a 3-year-old, especially for fat-soluble vitamins (A, D, E, K) that can accumulate.
Minimize sugar and artificial colors. Look for 1g or less of added sugar per serving. Avoid synthetic dyes. Some sugar or flavor is acceptable for palatability, but it shouldn't be a candy experience.
Consider form factor. Chewable tablets often outperform gummies on sugar content and can include nutrients that gummies can't. Liquid drops (especially for vitamin D) allow precise dosing for young children.
Start simple. If your child just needs vitamin D, buy vitamin D—not a 50-ingredient multivitamin. More targeted supplementation is usually better than broad multivitamins with everything at low doses.
“Third-party testing is the minimum bar. Without USP, NSF, or ConsumerLab verification, you're trusting marketing claims—not measurement.”
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