No clue. Dammit this is precisely what your doctor needs to answer.
http://www.alphagalileo.org/ViewItem.aspx?ItemId=157269&CultureCode=en
Multivitamin/Mineral Supplement Contribution to Micronutrient Intakes
in the United States, 2007–2010 has been selected as the 2015 Ragus
Award Winner as Best Article from the Journal of the American College of
Nutrition, the official publication of the American College of
Nutrition.
Multivitamin/mineral (MVMM) supplements are the most common dietary
supplements consumed in the United States. This analysis assesses the
contributions of micronutrients to usual dietary intakes as derived from
MVMM supplements. Micronutrients are needed in minuscule amounts and
they enable the body to produce enzymes, hormones and other substances
essential for proper growth and development. While necessary in very
small amounts -- the consequences of their absence are severe. In this
research article, the contribution of micronutrients derived from MVMM
supplements is compared to the dietary reference intakes for US
residents aged ≥ 4 years according to the National Health and Nutrition
Examination Survey (NHANES) 2007–2010 (n = 16,444).
The analysis points out that in large proportions of the population,
micronutrient sufficiency is currently not being achieved through food
solutions for several essential vitamins and minerals. Results showed
that 51% of Americans consumed MVMM supplements containing 9 or fewer
micronutrients. Also, large portions of the population had total usual
intakes (food and MVMM supplement use) below the estimated average
requirement for vitamins A (35%), C (31%), D (74%), and E (67%) as well
as calcium (39%) and magnesium (46%).
Nevertheless, MVMM supplements contribute to a greater number of
individuals meeting their recommended intakes of almost all
micronutrients measured by NHANES. Use of age- and gender-specific MVMM
supplements may serve as a practical means to increase the micronutrient
status in subpopulations of Americans while not increasing intakes
above the tolerable upper level intake.
http://www.tandfonline.com/doi/full/10.1080/07315724.2013.846806
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