Abstract
Carbon compounds that are needed in small amounts in the diet because they are not made in the body of vertebrates are defined as vitamins. Excluded from this definition are vitamins D, K, and niacin which can be synthesized by the organism or, as in the case of vitamin K, by the hosts intestinal bacteria. Lack of such vitamins can result in characteristic deficiency diseases. The therapeutic use of such compounds (megavitamin intake) is based on the spectacular effect of vitamins on deficiency diseases; however, evidence that the ingestion of large amounts of vitamins beyond the “Recommended Daily Allowances” (RDA) is beneficial is not within the basic concept of nutrition. Vitamins, like many substances, may be toxic when taken in large quantities, especially the fat-soluble vitamins, and the concept of “more is better” is a common misconception. Vitamin supplements can be suggested only in the unusual cases of patients having inadequate intake, disturbed absorption (genetic or otherwise), or increased tissue requirements. A well-balanced diet that includes a wide variety of foods from each of the four food groups is adequate for the supply of vitamins, as well as other nutrients, in healthy people. This paper will review some of the recent findings regarding vitamin toxicity and the mechanisms of toxicity.
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References
Aeling, J. L., Panagotacos, P. J., and Andreozzi, R. J., 1973, Allergic contact dermatitis to vitamin E aerosol deodorant, Arch. Dermatol, 108: 579–580.
Anderson, J., Dent, C. E., Harper, C., and Philpot, G. R., 1954, Effect of cortisone on calcium metabolism in sacroidosis with hypercalcaemia. Possibly antagonistic action of cortisone and vitamin D, Lancet, 267: 720–724.
Andrews, C. T. and Wilson, T. S., 1973, Vitamin C and thrombotic episodes, Lancet, 2: 39.
Arnrich, L., 1978, Toxic effects of megadoses of fat-soluble vitamins, in: “Nutrition and Drug Interrelations,” J. H. Hathcock and J. Coon, eds., Acadmic Press Inc., New York, pp. 751–771.
Baker, E. M., Canham, J. E., Nunes, W. T., Sauberlich, H. E., and McDowell, M. E., 1964, Vitamin B6 metabolism for adult man, Am. J. Clin. Nutr, 15: 59–66.
Baker, E. M., Hodges, R. E., Hood, J., Sauberlich, H. E., March, S. C., and Canham, J. E., 1971, Metabolism of 14C- and 3H-labeled L-ascorbic acid in human scurvy, Am. J. Clin. Nutr, 24: 444–454.
Ban, T. A., 1974, Negative findings with nicotinic acid in the treatment of schizophrenias, Int. Pharmacopsychiatry, 9: 172–187.
Barash, P. G., 1978, Nutrient toxicities of vitamin K, in: “Handbook in Nutrition and Food,” M. Rechcigl, Jr., ed., CRC Press, Boca Raton, pp. 97–100.
Bartolozzi, G., Bernini, G., Marianelli, L., and Corvaglia, E., 1967, Chronic vitamin A excess in infants and children, Riv. Clin Pediatr, 80: 231–290.
Basu, T. K., 1979, Vitamin A and cancer of epithelial origin, J. Hum. Nutr, 33: 24–31.
Beisel, W. R., Edelman, R., Nauss, K., and Suskind, R. M., 1981, Single-nutrient effects on immunologic function, J. Am. Med. Assoc, 245: 53–58.
Beisel, W. R., 1982, Single nutrient and immunity, Am. J. Clin. Nutr. (Supplement), 35: 417–468.
Belanger, L. F. and Clark, I., 1967, Alpharadiographic and histolo-gical observations on the skeletal effects of hypervitaminoses A and D in the rat, Anat. Rec, 158: 443–452.
Berge, K. G., 1961, Side effect of nicotinic acid in treatment of hypercholesteremia, Geriatrics, 6: 416–422.
Berge, K. G., Achor, R. W. P., Christensen, N. A., Mason, H. L., and Barker, N. W., 1961, Hypercholestermia and nicotinic acid, Am. J. Med, 31: 25–36.
Bieri, J. G., 1975, Vitamin E, Nutr. Rev, 33: 161–167.
Briggs, M. H., 1973, Fertility and high-dose vitamin C, Lancet, 2: 1083.
Briggs, M. H., 1973, Side effects of vitamin C, Lancet, 2: 1429.
Briggs, M. H., 1974, Vitamin E supplements and fatigue, N. Engl. J. Med, 290: 579–580.
Briggs, M. H., 1976, Vitamin C induced hyperoxaluria, Lancet, 1: 154.
Brodkin, R. H. and Bleiberg, J., 1965, Sensitivity to topically applied vitamin E, Arch. Dermatol, 92: 76–77.
Brumbaugh, P. F. and Haussler, M. R., 1973, la, 25-dihydroxy-vitamin D3 receptor: Competitive binding of vitamin D analogs, Life Sci, 13: 1737–1746.
Burns, J. J., 1970, Ascorbic acid (vitamin C), in: “The Pharmacological Basis of Therapeutics,” L. S. Goodman and A. Gilman, eds., The Macmillian Co., London, pp. 1665–1669.
Canales, E. S., Soria, J., Zarate, A., Mason, M., and Molina, M., 1976, The influence of pyridoxine on prolactin secretion and milk production in women, Br. J. Obstet. Gynaecol, 83: 387–388
Casarett, L. J. C. and Doll, J., 1980, “Toxicology, The Basic Science of Poisons,” Macmillan Publishing Co., Inc., New York.
Cawthorne, M. A., Bunyan, J., Diplock, A. T., Murrell, E. A., and Green, J., 1968, On the relationship between vitamin A and vitamin E in the rat, Br. J. Nutr, 22: 133–143.
Chiu, D. and Lubin, B., 1979, Abnormal vitamin E and glutathione peroxidase levels in sickle cell anemia, J. Lab. Clin. Med, 94: 542–548.
Chow, C. K., Reddy, K., and Tappel A. L., 1973, Effect of dietary vitamin E on the activities of the glutathione peroxidase system in rat tissues, J. Nutr, 103: 618–624.
Christensen, S., 1973, The biological fate of riboflavin in mammals Acta Pharmacol. Toxicol, 32 (supplement ll): 1–72.
Clark, I. and Smith, M. R., 1964, Effects of bypervitaminosis A and D on skeletal metabolism, J. Biol Chem, 239: 1266–1271.
Coben, H. M., 1973, Effects of vitamin E: good and bad, N. Engl. J. Med, 289: 980.
Cohlan, S. Q., 1953, Excessive intake of vitamin A as a cause of congenital anomalies in the rat, Science, 117: 535–536.
Cook, J. D. and Monsen, E. R., 1977, Vitamin C, tbe common cold, and iron absorption, Am. J. Clin. Nutr, 30: 235–241.
Cowan, D. H., Graham, R. C., Shook, P., and Griffith, R., 1975,
Influence of ascorbic acid on platelet structure and function, Thromb. Diath. Haemorrh., 34:50–62.
Cumming, F., Briggs, M., and Briggs, M., 1981, Clinical toxicology of vitamin supplements, in: “Vitamins in Human Biology and Medicine,” M. H. Briggs, ed., CRC Press, Inc., Boca Raton, pp. 187–243.
Davies, A. W. And Moore, T., 1941, Interaction of vitamin A and E, Nature (London), 147: 794–796.
Deb, C. and Mallick, N., 1974, Effect of chronic graded doses of ascorbic acid on thyroid activity, protein bound iodine of blood and deiodinase enzyme of periperhal tissues of guinea pigs, Endocrinol, 63: 231–238.
DeLuca, H. F., 1974, Vitamin D: the vitamin and the hormone, Fed. Proc, 33: 2211–2219.
Dingle, J. T., 1963, Action of vitamin A on the stability of lysosomes in vivo and in vitro, in: “Lysosomes,” A.V.S. DeReuck and M. P. Cameron, eds., Little, Brown and Company, Boston, pp. 384–404.
DiPalma, J. R. and Ritchie, D. M., 1977, Vitamin toxicity, Ann. Rev. Pharmacol. Toxicol, 17: 133–148.
Dubnick, B., Leeson, G. A., and Scott, C. C., 1960, Effect of
forms of vitamin B$ on acute toxicity of hydrazine, Toxicol. Appl. Pharmacol., 2:403–409.
Fell, H. B., 1970, The direct action of vitamin A on skeletal tissue in vitro, in: “The Fat Soluble Vitamins,” H. F. DeLuca and J. W. Suttie, eds., Univ. of Wisconsin Press, Madison, pp. 187–202.
Frieden, E. and Lipner, H., 1971, “Biochemical Endocrinology of the Vertebrates,” Prentice-Hall Inc., Englewood Cliffs.
Frimpter, G. W., Andelman, R. J., and George, W. F., 1969, Vitamin B6 dependency syndrome, Am J. Clin Nutr, 22: 794–805.
Fujiwara, M., 1954, Influence of thiamine on riboflavin metabolism, Vitamin, 7: 206–208.
Geelen, J. A. G., 1973, Skullbase malformations in rat fetuses with hypervitaminosis A-induced exencephaly, Teratology, 7: 49–56.
Goldner, M. G., 1971, Large dose of vitamin C harmful to diabetics?, Diabetes Outlook, 6: 4.
Gordonoff, T., 1960, Can water-soluble vitamins be overdosed? Research on vitamin C, Schweiz Med Wochenschr, 90: 726–729.
Gould, J., 1954, The use of vitamins in psychiatric practice, Proc. R. Soc. Med, 47: 215–220.
Gurian, H. and Aldersberg, D., 1959, The effect of large doses of nicotinic acid on evaluating lipids and carbohydrate tolerance, Am. J. Med. Sci, 237: 12–22.
Harrison, H. E., 1978, Effect of nutrient toxicities in animals and man: vitamin D, in: “Effect of Nutrient Excesses and Toxicities in Animals and Man,” M. Rechcigl, Jr., ed., CRC Press, Inc., Boca Raton, pp. 87–90.
Hathcock, J. N., 1976, Nutrition: toxicology and pharmacology, Nutr. Rev, 34: 65–70.
Haussler, M. R., 1978, Vitamin D: metabolism, drug interactions, and therapeutic application in humans, iii: “Nutrition and Drug Interrelations,” J. N. Hathcock and J. Coon, eds., Academic Press, Inc., New York, pp. 717–750.
Hayes, K. C. and Hegsted, D. M., 1973, Toxicity of the vitamins, in: “Toxicants Occurring Naturally in Foods,” National Academy of Science, Washington, pp. 235–253.
Herbert, V. and Jacob, E., 1974, Destruction of vitamin by ascorbic acid, J. Am. Med. Assoc, 230: 241–242.
Herbert, V., 1977, Megavitamin therapy, Contemporary Nutr., 2:#10, General Mills, Minneapolis.
Herbert, V., 1980, “Nutrition Cultism,” George F. Stickley Co., Philadelphia, pp. 141–150.
Hines, J. D., 1975, Ascorbic acid and vitamin deficiency, J. Am. Med. Assoc, 234: 24.
Hodges, R. E., 1980, Food fads and “megavitamins”, in: “Nutrition in Medical Practice,” R. E. Hodges, ed., W. B. Saunders Co., Philadelphia, pp. 288–327.
Hommes, 0. R., Obbens, E. A. M. T., and Wijffels, C. C. B., 1973, Epileptogonic activity of sodium folate and the blood-brain barrier in the rat, J. Neurol. Sci, 19: 63–71.
Hook, E. B., Healy, K. M., Niles, A. M. and Skalko, R. C., 1974, Vitamin E: teratogen or anti-teratogen?, Lancet, 1: 809.
Horwitt, M. K., 1980, Therapeutic uses of vitamin E in medicine, Nutr. Rev, 38: 105–127.
Hughes, M. R., Baylink, D. J., Jones, P. G., and Haussler, M. R., 1976, Radioligand receptor assay for 25-hydroxyvitamin D2/D3 and 1,25dihydroxyvitamin D2/D3: application of hypervitaminosis, D. J. Clin. Invest, 58: 61–70.
Hunter, R., Barnes, J., Oakeley, H. F., and Matthews, D. M., 1970, Toxicity of folic acid given in pharmacological doses to healthy volunteers, Lancet, 1: 61–63.
Inoue, K., Katsura, E., and Kariyone, S., 1956, Secondary riboflavin deficiency, Vitamin, 10: 69.
Jaffe, R. M., Kasten, B., Young, D. S., and MacLowry, J. D., 1975, False negative stool occult blood tests caused by ingestion of ascorbic acid (vitamin C), Ann. Intern. Med, 83: 824–826.
Jenkins, D. and Spector, R. G., 1973, The action of folate and phenytoin on the rat heart in vivo and in vitro, Biochem.
Jenkins, M. Y., 1978, Effect of nutrient toxicities (excess) in animals and man: vitamin A, in: “Effect of Nutrient Excesses and Toxicities in Animals and Man,” M. Rechcigl, Jr., ed., CRC Press, Inc., Boca Raton, pp. 73–85.
Jukes, T. H., 1979, Megavitamins and food fads, in: “Nutritional and Clinical Applications,” R. E. Hodges, ed., Plenum Pub. Corp., New York, pp. 257–292.
Kallner, A., 1977, Serum bile acids in man during vitamin C supplementation and restriction, Acta. Med. Scand, 202: 283–287.
Khera, K. S., 1975, Teratogenicity study in rats given high doses of pyridoxine (vitamin B6) during organogenesis, Experientia, 31: 469–470.
Klassen, C. D. and Doull, J., 1980, Evaluation of safety: toxicologic evaluation, in: “Casarett and Doull’s Toxicology: The Basic Science of Poisons,” J. Doull, C. D. Klausson, and M. O. Amdur, Macmillan Inc., New York, pp. 11–17.
Klopp, C. T., Abels, J. C., and Rhods, C. P., 1943, The relationship between riboflavin intake and thiamin excretion in man, Am. J. Med. S, 205: 852–857.
Knudson, A. G. and Rothman, P. E., 1953, Hypervitaminosis A: A review with a discussion of vitamin A, Am. J. Diseases Childdren, 85: 316–334.
Kochhar, D. M., 1973, Limb development in mouse embryos. I. Analysis of teratogenic effects of retinoic acid, Teratology, 7: 289–298.
Kohn, R. M. and Montes, M., 1969, Hepatic fibrosis following long acting nicotinic acid therapy: a case report, Am. J. Med. Sei, 250: 94–99.
Korner, W. F. and Vollm, J., 1975, New aspects of the tolerance of retinol in humans, Int. J. Vitam. Nutr. Res, 45: 363–372.
Lippi, U., Pulido, E., and Guidi, G., 1966, Lesioni lisosomiali da dosi elevate di acido ascorbico, Acta. Vitaminol, 5: 177–180.
Lipton, M. M. and Steigman, A. J., 1963, Tuberculin type of hypersensitization to crystalline vitamin B12 (cyanocobalamin) induced in guinea pig, J. Allergy, 34: 362–367.
Loomis, T. A., 1978, “Essential of Toxicology,” Lea and Febiger, Philadelphia. Loomis, W. F., 1970, Rickets, Sei. Amer, 223: 76–91.
Lucy, J. A. and Dingle, J. T., 1964, Fat-soluble vitamin and biological membranes, Nature (London), 204: 156–160.
Machlin, L. J., 1980, “Vitamin E: A Comprehensive Treatise,” Marcel Dekker, Inc., New York.
Mallick, N. and Deb, C., 1975, Effect of different doses of ascorbic acid on thyroid activity in rats at different levels of protein, Endocrinol, 65: 333–339.
March, B. E., Wong, E., Seier, L., Sim, J., and Biely, J., 1973, Hypervitaminosis in the chick, J. Nutr, 103: 371–377.
Marie, J. and See, G., 1954, Acute hypervitaminosis of the infant, Am. J. Diseases Children, 87: 731–736.
Marin-Padilla, M., 1960, Mesodermal alterations induced by hyper-vitaminosis A, J. Embryol. Exp. Morphol, 15: 261–269.
Marks, J., 1975, “A Guide to the Vitamins: Their Role in Health and Diseases,” University Park Press, Baltimore.
Marxs, W., Marks, L., Meserve, E. R., Shimoda, F., and Deuel, H. J., 1947, Effects of the administration of a vitamin E concentrate and of cholesterol and bile salts on the aorta of the rat, Arch. Pathol, 47: 440–445.
Mayfield, H. L. and Roehm, R. R., 1956, Influence of ascorbic acid and the source of B vitamins on the utilizations of carotene, J. Nutr, 58: 203–217.
Mayson, J. S., Schumaker, O., and Kakamura, R. M., 1973, False-negative tests for urine glucose, Lancet, 1: 780–781.
Melhorn, D. K. and Gross, S., 1969, Relationships between iron-dextran and vitamin E in iron-deficiency anemia in children, J. Lab. Clin. Med, 74: 789–802.
Mengel, C. H. and Green, H. L., Jr., 1976, Ascorbic acid effects on erythrocytes, Ann. Intern. Med, 84: 490–499.
Milne, D. D. and Omaye, S. T.,1981, Effect of vitamin C on copper and iron metabolism in the guinea pig. Int. J. Vit. Nutr. Res 50: 301–308.
Milne, D. B., Omaye, S. T. and Amos, W. H.,1981, Effects of ascorbic acid on copper and cholesterol in cynomoglus monkey fed a diet marginal in copper. Am. J. Clin. Nutr, 34: 2389–2393.
Minkin, W., Cohen, H. J., and Frank, S. B., 1973, Contact dermatitis from deodorants, Arch. Dermatol, 107: 774–775.
Mitchell, D. C., Vilter, R. W., and Vilter, C. F., 1949, Hyper-sensitivity to folic acid, Ann. Intern. Med, 31: 1102–1105.
Molnar, G. D., Berge, K. G., Rosevear, J. W., McGuckin, W. F., and Achor, R. P., 1964, The effect of nicotinic acid in diabetes mellitus, Metabolism, 13: 181–190.
Morgan, A. F., Kimmul, L., and Hawkins, N. C., 1937, A comparison of the hypervitaminosis induced by irradiated ergosterol and fish liver oil concentrates, J. Biol. Chem, 120: 85–102.
Morrison, A. B. and Sarett, H. P., 1959, Effect of excess thiamin and pyridoxine on growth and reproduction in rats, J. Nutr, 69: 111–116.
Morrison, A. B. and Sarett, H. P., 1959, Studies on B vitamin interrelationship in growing rats, J. Nutr, 68: 473–484.
Mount, M. E., Feldman, B. F., and Buffington, T., 1982, Vitamin K and its therapeutic importance, J. Am. Vet. Med. Assoc, 180: 1354–1356.
Muenter, M. D., Perry, H. 0., and Ludwig, J., 1971, Chronic vitamin A intoxication in adults, Am. J. Med, 50: 129–136.
Murata, A., and Kitagawa, K., 1973, Mechanism of inactivation of bacteriophage J1 by ascorbic acid, Agr. Biol. Chem., 37:1145– 1151.
Murata, A, Oyadomari, R., Ohashi, T., and Kitagawa, K., 1975, Mechanism of inactivation of bacteriophage 5 containing single-stranded DNA by ascorbic acid, J. Nutr. Sci. Vitaminol, 21: 261–269.
Nater, J. P. and Doeglas, H. M. G., 1970, Halibut liver poisoning in 11 fisherman, Acta. Derm, 50: 109–113.
“National Nutritional Consortium,” 1978.
Nayakama, Y., 1959, Studies on the relationship between thiamine propyl disulfide and riboflavin on riboflavin content in the urine of normal children and in urine as well as blood of healthy infants under artificial feeding, Vitamins, 16: 294–300.
Nayakama, Y., 1959, Studies on the relationship between thiamine propyl disulphide and riboflavin. II. Effect of parenteral administration of TPD and esters of riboflavin content and its form in healthy infants under artificial feeding, Vitamins, 16: 294–300.
Neuweiler, W., 1951, Hypervitaminosis and its relation to pregnancy, Int. Z. Vitamin Forsch, 22: 392–396.
Newmark, H. L. and Scheiner, J., 1976, Destruction of vitamin B-12 by vitamin C, Am. J. Clin. Nutr, 30: 299.
Nolen, G. A., 1969, Variations in teratogenic response in hyper-vitaminosis A in three strains of the albino rat, Food Cosmet. Toxicol, 7: 209–214.
Obbens, E. A. M. T. and Hommes, O. R., 1973, The epileptogenic effects of folate derivatives in the rat, J. Neurol. Sci, 20: 223–229.
Omaye, S. T., Reddy, K. A., and Cross, C. E., 1978, Enhanced lung toxicity of paraquat in selenium-deficient rats, Toxicol Appl. Pharmacol, 43: 237–247.
Omaye, S. T. and Tappel, A. L., 1974, Effect of dietary selenium on glutathione peroxidase in the chick, J. Nutr, 104: 747–753.
Omaye, S. T. and Turnbull, J. D. 1980, Effects of ascorbic acid on heme metabolism in hepatic microsomes. Life Science, 27: 441–449.
Omaye, S. T., Turnbull, J. D., and Sauberlich, H. E., 1979, Selected methods for the determination of ascorbic acid in animal cells, tissues, and fluids, In: “Methods in Enzymology,” D. B. McCormick and L. D. Wright, eds., Academic Press, New York, Vol. 62, Part D, pp. 3–11.
Pauling, L., 1974, On the orthomolecular environment of the mind: orthomolecular theory, Am. J. Psychiatry, 131: 1251–1267.
Pease, C. N., 1962, Focal retardation and arrestment of growth of bones due to vitamin A intoxication, J. Am. Med. Assoc, 182: 980–985.
Peter, L., Bollag, W., and Mayer, H., 1980, Arotinoids, a new class of highly active retinoids, Eur. J. Med. Chem-Chim Ther, 15: 9–15.
Pochi, P. E., 1982, Oral retinoids in dermatology, Arch. Dermatol, 118: 57–61.
Reddy, K. A., Omaye, S. T., Hasegawa, G. K., and Cross, C. E., 1978, Enhanced lung toxicity of Intratracheally Instilled cadmium chloride in selenium-deficient rats, Toxicol Appl. Pharmcol, 43: 249–257.
“Recommended Dietary Allowance (1980), ” National Academy of Sciences, Washington, DC,
Rhead, W. J. and Schrauzer, G. N., 1971, Risks of long term ascorbic acid overdosage, Nutr. Rev, 11: 262–263.
Richards, R. K. and Shapiro, S., 1945, Experimental and clinical studies on the action of high doses of hykinone and other menadione derivatives, J. Pharmacol. Exp. Ther, 84: 93–104.
Richter, H. E. and Loewen, P. C., 1982, Rapid inactivation of bacteriophage T7 by ascorbic acid is repairable, Biochem. Biophys. Acta, 697: 25–30.
Rivlin, R. S., 1978, Effect of nutrient toxicities (excess) in animals and man: riboflavin, In: “Handbook in Nutrition and Food,” M. Rechcigl, Jr., ed., CRC Press, Inc., Boca Raton, pp. 25–27.
Rivlin, R. S., 1982, Nutrition and cancer: state of the art relationship of several nutrients to the development of cancer, J. Am. College Nutr, 1: 75–88.
Roben, J. F., 1970, Teratogenic effects of hypervitaminosis A in the hamster and the guinea pig, Toxicol. Appl. Pharmacol, 16: 88–99.
Robinson A. B., Catchpool, J. F., and Pauling, L., 1975, Decreased white blood cell count in people who supplement their diet with L-ascorbic acid, (abstract), ICRS Med. Sci. Clin. Pharma. Therapeu. Hematol. Immunol. Allgy. Metab. Nutr, 3: 259.
Roels, 0. A. and Lui, N. S. T., 1973, The vitamins: vitamin A and carotene, in: “Modern Nutrition in Health and Disease,” R. S. Goodhart and M. E. Shils, eds., Lea and Febiger, Philadelphia, pp. 142–157.
Rosenberg, L. E., 1970, Vitamin-dependent genetic disease, Hospital Practice, 5: 59–66.
Rubin, E., Florman, A. L., Degnan, T., and Diaz, J., 1970, Hepatic injury in chronic hypervitaminosis A, Am. J. Pis. Child, 119: 132–138.
Samborskaya, E. P., 1964, The effect of high of ascorbic acid doses on the course of pregnancy in the guinea pig and on the progency, Bui. Exp. Biol. Med. (Moskva), 57: 483–489.
Scala, J., 1980, Are food supplements necessary?, Nutr. Today, 15: 25–26.
Schimke, R. T. and Doyle, D., 1970, Control of enzyme levels in animal tissues, Ann. Rev. Biochem, 39: 929–969.
Schrauzer, G. N. and Rhead, W. J., 1973, Ascorbic acid abuse: effects of long-term ingestion of excessive amounts on blood levels and urinary excretion, Int. J. Vit. Nutr. Res, 43: 201–211.
Schumacher, M. R., Williams, M., and Lyman, R. L., 1965, Effect of high intakes of thiamine, riboflavin, and pyridoxine on reproduction in rats and vitamin requirements of offspring, J. Nutr, 86: 343–349.
Seelig, M. S., 1969, Vitamin D and cardiovascular, renal, and brain damage in infancy and childhood. Ann. N. Y. Acad. Sei, 147: 539–582.
Seiivanova, V. M., 1960, Excretion of vitamin B-6 in the urine of a healthy individual, Bui. Exp. Biol. Med, 50: 37–39.
Shultz, T. D. and Leklem, J. E., 1982, Effect of high dose ascorbic acid on vitamin B6 metabolism, Am. J. Clin. Nutr, 35: 1400–1407.
Singh, H. P., Herbert, M. A., and Gault, M. H., 1972, Effect of some drugs on clinical laboratory values as determined by the Technicon SMA-12/60, Clin. Chem, 18: 137.
Soliman, M. K., 1972, Vitamin–A–Übedosierung. II. Zytologische and biochemische Veränderungen im Blut von mit hohen dosen vitamin abzw. tocopherol behardelten ratten, Int. J. Vitam. Nutr. Res, 42: 576–582.
Spector, R., 1979, Niacin and niacinamide transport in the central nervous system, J. Neurochem, 33: 1285.
Spector, R. and Kelley, P., 1979, Niacin and niacinamide accumulation by brain slicies and choroid plexus in vitro, J. Neurochem, 33: 291.
Spector, R., 1980, Megavitamin therapy and the central nervous system, in: “Vitamins in Human Biology and Medicine,” M. H. Briggs, ed., CRC Press, Inc., Boca Raton, pp. 137–156.
Sporn, M. B., Dunlop, N. M., Newton, D. L., and Smith, J. M., 1976, Prevention of chemical carcinogenesis by vitamin A and its synthetic analogs (retinoids), Fed. Proc, 35: 1332–1338.
Sporn, M. B. and Newton, D. L., 1979, Chemoprevention of cancer with retinoids, Fed. Proc, 38: 2528–2534.
Stich, H. F., Karim, J., Koropatnik, J., and Lo, L., 1976, Mutagenic action of ascorbic acid, Nature, 260: 722.
Stults, V. J., 1981, Nutritional hazards, in: “Food Safety,” H. R. Roberts, ed., Wiley-Interscience, New York, pp. 67–139.
Suttie, J. W., 1980, The metabolic role of vitamin K, Fed. Proc, 39: 2730–2735.
Tappel, A. L., 1972, Vitamin E and free radical peroxidation of lipids, Ann. N. Y. Acad. Sei, 203: 12–28.
Tappel, A. L., 1973, Vitamin E, Nutr. Today, 8: 4–12.
Tappel, A. L., 1974, Selenium-glutathione peroxidase and vitamin E, Am. J. Nutr, 27: 960–965.
Taylor, T. G., Morris, K. M. L., and Kirley, J., 1968, Effect of dietary excesses of vitamin A and D on some constituents of the blood of chicks, Br. J. Nutr, 22: 713–721.
Telford, I. R., 1949, The effects of hypo and hyper-vitaminosis E on lung tumor growth in mice, Ann. N.Y. Acad. Sei, 52: 132–134.
Threlfall, G., Taylor, D. M., and Buck, A. T., 1967, Studies of the changes in growth and DNA synthesis in the rat kidney during experimentally induced renal hypertrophy, Am. J. Pathol, 50: 1–14.
Threlfall, G., 1968, Cell proliferation in the rat kidney induced by folic acid, Cell Tissue Kinet, 1: 383–392.
Tilson, M. O., 1970, A dissimilar effect of folic acid upon growth of the rat kidney and small bowel, Proc. Soc. Exp. Biol. Med, 134: 95–97.
Unna, K. and Greslin, J. G., 1942, Studies on toxicity and pharmacology of riboflavin, J. Pharmacol. Exp. Ther, 76: 75–80.
Vorhees, C. V., 1974, Some behavioral effects of maternal hyper-vitaminosis A in rats, Teratology, 10: 269–274.
Weiss, W. P., 1970, Fat-soluble vitamins II vitamin D, in: “The Pharmacological Basis of Therapeutics,” L. S. Goodman and A. Gilman, eds., The Macmillan Co., London, pp. 1680–1689.
Wolf, G., 1980, Vitamin A, in: “Nutrition and the Adult: Micro-nutrients,” R. B. Alfin-Slater and D. Kritchevsky, eds., Vol. 3B, Plenum Press, New York, pp. 97–203.
Woodard, W. K., Miller, L. J., and Legart, O., 1961, Acute and chronic hypervitaminosis A in a 4-month old infant, J. Pediatr, 9: 260–264.
Youmans, J. B., 1960, Vitamin A nutrition and the skin, Am. J. Clin. Nutr, 8: 789–792.
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© 1984 Plenum Press, New York
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Omaye, S.T. (1984). Safety of Megavitamin Therapy. In: Friedman, M. (eds) Nutritional and Toxicological Aspects of Food Safety. Advances in Experimental Medicine and Biology, vol 177. Springer, Boston, MA. https://doi.org/10.1007/978-1-4684-4790-3_8
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