can you take a multivitamin and elderberry together

can you take a multivitamin and elderberry together

There is no defined, standard dose of elderberry, so the amounts given differ among studies. There are many reported benefits of elderberries. St. John's wort can also interfere with the absorption of, Milk thistle may affect how well you absorb, Do not use supplements to replace a balanced. However, the researchers noted that further research is still needed. The major elderberry (Sambucus nigra) fruit protein is a lectin derived from a truncated type 2 ribosome-inactivating protein. Speak with a, Smart Grocery Shopping When You Have Diabetes, Surprising Things You Didn't Know About Dogs and Cats, Multi-Country Hepatitis Outbreak in Children, Needle-Free Epinephrine Options Are On The Horizon, Longer Vaccine Interval May Boost Antibodies 9 Times, How Walmart Is Rethinking Health (Medscape video), Dr. Whyte's Book: Take Control of Your Diabetes Risk. You can use the study as a second opinion to make health care decisions. 500 22nd Street South, Birmingham, AL 35233. Suzanne Fisher, RD, LDN, is a board-certified registered dietitian and licensed nutritionist. If you use denture cream and experience neurological problems, you may have a copper deficiency. Looking to level-up your post-workout self-care? Elderberry is also promoted for treating high cholesterol, relieving pain, having anti-inflammatory properties, and more. Berberine is a compound extracted from several plants. Black elderberry extracts and flower infusions have been shown to help reduce the severity and length of influenza (9). Ask your doctor how much of a supplement to take if you're not sure. Some vitamins work best together because they are absorbed by the body more readily that way. Dont miss these signs youre not getting enough zinc. Supplement use should be individualized and vetted by a healthcare professional, such as a registered dietitian, pharmacist, or healthcare provider. Barak V, Halperin T, Kalickman I. Inhibition of several strains of influenza virus in vitro and reduction of symptoms by an elderberry extract (Sambucus nigra L.) during an outbreak of influenza B Panama. If you regularly take any prescription medications, always talk to your doctor before adding any new supplements to your routine. 1. However, there is not enough evidence to support these claims. Most people get enough of these nutrients through their diet. The phase IV clinical study analyzes what interactions people who take Elderberry and Multivitamin have. J Gen Intern Med. View abstract. You may have side effects when combining certain supplements with antidepressants and anti-anxiety medications. Cyanogenic glycoside analysis in American elderberry. This way, you can avoid a B-12 deficiency. Have a conversation with your doctor about the risks associated with taking these two supplements together, to ensure the benefits outweigh the risks. Read more: Confused About Multivitamins? Those diagnosed with this condition are typically advised to increase their dietary iron through foods, including beef and other meats, beans, lentils, dark green leafy vegetables and dried fruit. View abstract. Keep your supplements stored according to the instructions on the product label. Common interactions include haemorrhoids among females and dysuria among males. Will We Ever See an End to Alzheimers? Can You Take Supplements and Multivitamins With Biotin? While taking folate and vitamin B12 at the same time is not problematic in general, higher folate levels can mask a B12 deficiency. Dietary supplements vary widely when it comes to the nutrients they provide, as well as the dosage of those nutrients. While elderberry has shown promising results in the lab, research in humans and animals is still limited. 2021;26(5):1384. doi:10.3390/molecules26051384, Sidor A, Gramza-Michalowska A. 1996-2023 MedicineNet, Inc. An Internet Brands company. Taking large amounts of folate can correct the anemia, making you think that you are good to go. Inflammation is one of the leading drivers of many common diseases. Luckily, toxic substances found in the berries can be safely removed by cooking. Our experts continually monitor the health and wellness space, and we update our articles when new information becomes available. Some supplements can have powerful effects. If your doctor recommends a vitamin K supplement, avoid taking high dosages of vitamin E, which may counteract the effects of vitamin K, according to MedlinePlus. Depending on the season, I may add in extra zinc and vitamin D3, which I take with lunch. You might turn to the mineral for help in staving off or shortening the duration of common colds, but you should know that zinc interferes with copper absorption. They contain a chemical that produces cyanide. Verywell Health's content is for informational and educational purposes only. Cureus 2022;14(4):e24250. All information is observation-only. This is one of the six things you should know before you begin taking magnesium supplements. View abstract. If you use this eHealthMe study on publication, please acknowledge it with a citation: study title, URL, accessed date. Moreover, elderberry is a flavorful addition to a healthy diet and a good source of vitamin C, fiber, and antioxidants. J Am Dent.Assoc. Some vitamins can be dangerous if you take too many. Vitamin C and B12. Instead, they contained elderflower or were mixed with other ingredients, such as black rice extract or purple carrot extract. 2021 US open forum: elderberry standards development. So, experts recommend taking these supplements at least two hours apart. However, no large clinical studies have proven these benefits. Plus, they have many nutritional benefits. What Happens If I Take Too Much Elderberry? Even essential nutrients can interfere with many common medications. Vitamin B12 and folate are both commonly prescribed supplements, with the latter being especially important during pregnancy. J Nutr 2002;132:1865-71. 1996-2023 MedicineNet, Inc. An Internet Brands company. Cao G, Prior RL. Elderberry flavonoids bind to and prevent H1N1 infection in vitro. Reasonable evidence supports its use to help reduce the length and severity of flu symptoms. Int J Clin Pharmacol Ther 2004;42:293-300. 2004;32(2):132-140. doi:10.1177/147323000403200205, Appenteng MK, Krueger R, Johnson MC, et al. It is most often taken as a supplement to treat cold and flu symptoms. We are no longer supporting IE (Internet Explorer) as we strive to provide site experiences for browsers that support new web standards and security practices. You need iron to help distribute oxygen to cellsits vital for your energy. Some doctors prescribe a vitamin K supplement to help with blood clotting. Nutrients. The most common type is Sambucus nigra, also known as the European elderberry or black elder. Before you embark on any supplement regimen, I suggest you ask a holistic-minded practitioner what is right for you with consideration to your allergies, your liver, kidney function and even genetic mutations.. By learning all you can about vitamins and minerals you . Supplements (the high quality ones that really work) will act in your body exactly like a drug and the timing impacts efficacy. JAMA 1984;251:2075. Skip green tea on days when youre taking your iron supplement and decrease your weekly consumption. Kirichenko TV, Sobenin IA, Markina YV, et al. However, the raw berries, bark, and leaves are poisonous. Since the effects of grapefruit juice may last as long as 3 days, it should be avoided if you are taking atorvastatin (Lipitor), lovastatin (Mevacor, Altoprev) or simvastatin (Zocor). Elevated uric acid is linked to increased blood pressure and negative effects on heart health (4, 26). The uncooked berries, leaves, bark, and roots of the elderberry plant contain the chemicals lectin and cyanide, which can cause nausea, vomiting, and diarrhea. So, speak to your doctor to verify your vitamin levels before adding these supplements to your regimen. So here you are with your chosen vitamins (which should be properly prescribed and/or recommended by a medical professional) and you dont know whats the best strategy to take them. Electronic Code of Federal Regulations. However, no large studies have proven its effectiveness in humans when sick. Therapeutic Research Faculty 2018. Some of these medicine interactions can be risky. OTHER NAMES(S): Arbre de Judas, Baccae, Baises de Sureau, Black-Be, OTHER NAME(S): Arbre de Judas, Baccae, Baises de Sureau, Black-Be, Elderberry (Sambucus nigra) is the dark purple berry from the European elder tree. Moreover, its important to note that there is no standardized method for measuring the number of bioactive components like anthocyanins in these commercial products. 2023 UAB Health System. Which vitamins are best paired and recommended to be taken together? Folate helps your body absorb B12. Vitamin K, for example, can make blood thinners less effective. Zinc can help to boost the immune system but can interfere with your bodys absorption of copper. This is one of the more common food-drug reactions. Vitamin A supplement with vitamin A-rich foods. 2023 SheMedia, LLC. Did UAB Medicine have a positive impact on you or a loved one? Methods Find Exp Clin Pharmacol. It can also be harmful to unborn babies. In addition, a diet high in flavonoids like anthocyanins has been found to reduce the risk of heart disease (17, 22). Some research suggests it reduces the severity and duration of symptoms associated with the flu or common cold. Other drugs that have the same active ingredients (e.g. Last medically reviewed on March 9, 2021. Mynarczyk K, Walkowiak-Tomczak D, ysiak GP. Cooked elderberry fruit is safe, but raw elderberry may cause nausea, vomiting, or severe diarrhea. Taking too much of this vitamin can cause neurological symptoms. Phytochemistry 2009;70:1255-61. 2010 Jan;24(1):1-8. There isn't enough reliable information to know if it is safe to use for longer than 12 weeks. It has a potential interaction with several drugs that treat cardiovascular disease symptoms like high blood pressure or high cholesterol. High cholesterol. Also, be sure to remove any bark or leaves before use. The phase IV clinical study analyzes what interactions people who take Elderberry and Vitamin c have. No author. You need to be wary of over-the-counter or prescription drugs that can interact poorly with supplements, says Robert Glatter,MD, an assistant professor of emergency medicine at Northwell Health in New York City. All rights reserved. 2018;40:377-390. doi:10.1016/j.jff.2017.11.025, Porter RS, Bode RF. Eur Cytokine Netw 2001;12:290-6.. View abstract. All rights reserved. Localized reduction of gingival inflammation using site-specific therapy with a topical gingival patch. A 2004 study found symptom improvement four days sooner in those who were given 3 teaspoons of black elderberry four times daily. If you are pregnant or take a vitamin A supplement, avoid eating liver or liver pat. Unfortunately, taking iron supplements along with green tea isnt a great mix. In folk medicine, the dried berries or juice are used to treat influenza, infections, sciatica, headaches, dental pain, heart pain, and nerve pain, as well as a laxative and diuretic (2). However, some groups of people should avoid elderberry. Conclusion. Touted for Several Uses, Including Treating and Preventing the Cold and Flu. B vitamins can be taken together (and may be combined into a "B complex" supplement). However, the branches, bark, or leaves should not be used in cooking or juicing (2). High doses of zinc taken over the long term (50 mg or more per day for 10 weeks or longer) can also cause copper deficiency. Is elderberry recommended to prevent COVID-19? But taking too many fat-soluble vitamins means the excess is stored in your body's cells, making it harder to flush out and get rid of. Fresh foods and nutritional supplements are key. Learn more about fenugreek's benefits, safety, and side effects here. Believe it or not, vitamin K is one of the nutrients even nutritionists dont get enough of. Zinc is an important mineral for healing. Given that type 2 diabetes is a major risk factor for heart and vascular disease, blood sugar management is important in preventing these conditions (4, 9). Avula B, Katragunta K, Wang YH, et al. However, it does not prevent infections or illnesses. The stories you care about, delivered daily. One study evaluating elderberry products on the market found that many did not contain elderberry. Viapiana A, Wesolowski M. The phenolic contents and antioxidant activities of infusions of Sambucus nigra L. Plant Foods Hum Nutr. There are many other reported benefits of elderberry, though most of these have limited scientific evidence: While these results are interesting, further research is needed in humans to determine if the effects are truly significant. Taking a calcium supplement can affect how your body absorbs other minerals including zinc, magnesium, or iron. However, if you take niacin supplements and medications to help control your cholesterol specifically, simvastatin there are a few combinations that you should avoid. Various parts of the elderberry tree have been used throughout history for medicinal and culinary purposes (2). Ginkgo biloba, fish oil, ginger, feverfew, vitamin E, and white willow bark are also on the list. For example, several forms are marketed for immune support, and they also contain vitamin C, zinc, vitamin A, or vitamin E. This is especially important with elderberry products. WARNING: Please DO NOT STOP MEDICATIONS without first consulting a physician since doing so could be hazardous to your health. Complement Ther Med. 2020;35(11):3271-3277. doi:10.1007/s11606-020-06170-w, Hawkins J, Baker C, Cherry L, Dunne E. Black elderberry (Sambucus nigra) supplementation effectively treats upper respiratory symptoms: A meta-analysis of randomized, controlled clinical trials. Our analysis results are available to researchers, health care professionals, patients (testimonials), and software developers (open API). In essence, the minerals compete with one another and both lose out. View abstract. Hay fever. Elderberry is most commonly used orally as a syrup. A recent systematic review found that elderberry may be a safe option for reducing the severity and duration of respiratory infections like the common cold and flu. They can cause nausea and vomiting and, at high doses, more. Other parts of the plant should be avoided as they contain a naturally occurring chemical compound called cyanogenic glycoside, which releases the poison hydrogen cyanide. It is marketed for several other conditions as well, but research is lacking. Vitamin B-12 helps maintain your nervous system and form red blood cells. A review of the antiviral properties of black elder (Sambucus nigraL.) products. 2022;110. Elderberries are: The exact nutritional composition of elderberries depends on: Therefore, servings can vary in their nutrition (4, 8). While both of these B vitamins are important, taking too much folic acid or folate can actually hide the symptoms of a vitamin B12 deficiency. The flowers are often boiled with sugar to make a sweet syrup or infused into tea (1). Active ingredient(s): Multiple anthocyanins and polyphenols, Alternate name(s): Black elder, European elder, elder flower, sambucus, Suggested dose: No standard dose, however, 2 to 4 tablespoons daily given once or in 4 divided doses daily, depending on age, is the most common dosage used in research, Safety considerations: Avoid if you are pregnant, breastfeeding, have an autoimmune disease, are taking immunosuppressants, and in children under 5 years of age. Generally, consuming it in the diet has only a small effect on antioxidant status (19). One study comparing 15 different varieties of berries and another study comparing types of wine found that elderberry is one of the most effective antioxidants (18, 19). You may feel numbness or tingling in your extremities. Its still gathered and used in folk medicine across many parts of Europe. . Eating fat as part of your meal will help transport these vitamins where your body needs them most. They experienced nausea, vomiting, weakness, dizziness, numbness, and stupor (36). Type I allergy to elderberry (Sambucus nigra) is elicited by a 33.2 kDa allergen with significant homology to ribosomal inactivating proteins. Signs that you are still dealing with copper deficiency include fatigue, weakness, brittle bones, cold sensitivity and easy bruising. It is created by eHealthMe based on reports of 25 people who take Elderberry and Multivitamin from the FDA, and is updated regularly. This tree is native to Europe, though it is widely grown in many other parts of the world as well (1, 2). For example, one of the anthocyanins found in the berries has 3.5 times the antioxidant power of vitamin E (4, 15, 16, 17). During normal metabolism, reactive molecules may be released that can accumulate in the body. Thats the basic schedule. Here's How to Choose the Best One for You. Despite these promising results, a direct reduction in heart attacks or other symptoms of heart disease has not yet been demonstrated, and further studies in humans are needed. J Funct Foods. 2023 Dotdash Media, Inc. All rights reserved, Verywell Health uses only high-quality sources, including peer-reviewed studies, to support the facts within our articles. While omega-3 fish oil supplements are great for heart health and gingko biloba can be used to aid cognitive impairment, according to Dr. Tripathy, both have blood-thinning potentials and taking both together can increase risk for uncontrollable bleeding or inability to clot., If you are taking copper supplements because of copper deficiency, avoid taking zinc at the same time, says Dr. Airey. The three ingredients together provide superior immune support and health benefits. We study millions of patients and 5,000 more each day. Many people take them to help prevent or treat colds. View abstract. Just because something is natural doesnt mean it is risk-free. Garlic isnt the only supplement that can up your bleeding risk. BMC Complement Med Ther. Once you get into a routine, and know what to take when, it just becomes part of your daily habits. Third-party testing would double-check that the product's contents match what's on the label and indicate a more trustworthy product. The following are some of the findings from elderberry research: When evaluating the limited research available to date, it is important to keep in mind that: Elderberry may reduce the symptoms associated with the common cold or the flu if taken early, but there is no evidence to suggest that elderberry can prevent infection. Even ripe berries can contain trace amounts, so you must cook elderberries before consumption. Our website is not intended to be a substitute for professional medical advice, diagnosis, or treatment. Extremely high doses of vitamin D over a long period of time can lead to the build up of excess calcium in soft tissue in the body, including in the arteries and valves of the heart, as well as kidney stones that can block the urinary tract. Randomized study of the efficacy and safety of oral elderberry extract in the treatment of influenza A and B virus infections. There is one report of eight people falling ill after drinking the juice from freshly picked berries, including the leaves and branches, from the S. mexicana elder variety. If you have eaten an unknown berry and develop concerning symptoms, get immediate medical attention. You can give your kids a small daily dose of elderberry during cold and flu season to strengthen their immune system. Antioxidants are natural components of foods, including some vitamins, phenolic acids, and flavonoids, that are able to help remove these reactive molecules. MMWR 1984;33:173-4. You don't need to worry too much about interactions between vitamins if you're taking a multivitamin and eating a fairly healthy diet. The bark, unripe berries, and seeds contain small amounts of substances known as lectins, which can cause stomach problems if too much is eaten (2). Effect of an herbal mouth rinse in preventing periodontal inflammation in an experimental gingivitis model: a pilot study. Many supporters of elderberry use say the berries have antiviral qualities that fight certain viruses, including the common cold and flu. Copper helps with brain development, nervous system health, and in making important tissues in the body. And, while we should always turn to food for our vitamin and mineral intake, sometimes vitamin supplementation can help us fill the gaps in our diet. Related story Antidepressants and St Johns wort both increase levels of the feel-good brain chemical serotonin. However, if the underlying B12 deficiency is not addressed and corrected, permanent nerve damage can result, according to the National Institutes of Health (NIH). St. John's wort may cause drowsiness when combined with SSRIs. Ramachandran A, Antala D, Pudasainee P, Panginikkod S, Gupta H. A Plausible Association Between the Use of Elderberry and Autoimmune Hepatitis. Kunitz S, Melton RJ, Updyke T, et al. The Poison Plant Patch, Novia Scotia Museum, 2007. Denise Mann is a freelance health writer whose articles regularly appear in WebMD, HealthDay, and other consumer health portals. J Gen Intern Med. Elderberries may have anti-inflammatory, antioxidant, and. Exp Pathol Health Sci. Avoid any elderberry products with unsubstantiated claims of effectiveness for COVID-19. Here are six vitamin combinations you definitely shouldnt take together. Zakay-Rones Z, Thom E, Wollan T, Wadstein J. Randomized study of the efficacy and safety of oral elderberry extract in the treatment of influenza A and B virus infections. Cathy Wong is a nutritionist and wellness expert. These include melatonin, valerian, ashwagandha, kava, and St. Johnss Wort: When taken together, they can cause too much sleepiness, Dr. Cooperman says. Studies have shown elderberry juice may reduce the level of fat in the blood and decrease cholesterol. Calcium and vitamin D are commonly recommended as tandem supplements for their beneficial role in bone health. View abstract. Next, be sure to check out these vitamin mistakes you might not know youre making. Additionally, black cohosh, an herbal remedy for gynecological issues, can reduce how well statins work. Some herbal remedies can also interact with the blood thinner warfarin (Coumadin) including: High doses of vitamin D can interact poorly with drugs to lower cholesterol and blood pressure, as well as some other drugs used to treat heart disease. Clin Exp Allergy 2003;33:1703-10. On their own, both of these supplements offer a lot of benefits. View abstract. Research suggests elderberry juice syrup may help reduce the severity and duration of symptoms associated with colds and flu. It has deciduous leaves, white flowers (elderflowers) and berries that turn from green to red to black when ripe. Taking a multivitamin that includes niacin, or vitamin B3, is typically safe in combination with other nutrients. Iran J Pharm Res. However, their protective effects on humans appear to be insignificant. There is no data evaluating elderberry safety in people who are pregnant or breastfeeding. Bioactive properties ofSambucus nigraL. as a functional ingredient for food and pharmaceutical industry. So, if you take copper and zinc together, one usually has poor absorption. Answered by Dr. Molly Fleece, MD. You can easily overdo herbs or supplements with sedative properties. You can safely take elderberry daily as long as you follow the recommended dosage instructions. Its never safe to eat unknown berries in nature, as they may have dangerous effects. Iron and vitamin C are one of these combos. However, these claims have limited evidence, and further research is needed. Elderberry is native to Europe, Africa and parts of Asia, but it's become common in the U.S. Always tell your doctor about all supplements you take before any surgery or procedure. You can use the study as a second opinion to make health care decisions. That's because high doses of vitamin C can reduce the amount of vitamin B-12 that's absorbed and metabolized by the body, she says. So, you don't need to take vitamin A every single day. One must take these either through food or dietary supplements but keep in mind to not . Elderberry is safe to take all year round. Always follow your doctor's advice about any dietary supplements if you take blood thinning medication. View abstract. United States Pharmacopeia (USP). View abstract. 11 Popular Natural Remedies for the Common Cold, A review of the antiviral properties of black elder (, Elderberry for prevention and treatment of viral respiratory illnesses: a systematic review, Elderberry extract outpatient influenza treatment for emergency room patients ages 5 and above: a randomized, double-blind, placebo-controlled trial, Elderberry supplementation reduces cold duration and symptoms in air-travellers: a randomized, double-blind placebo-controlled clinical trial. Some vitamins that should not be taken together, or have dosage limitations, include vitamin C with vitamin B-12, vitamin A supplement with vitamin A-rich foods, folic acid (vitamin B9) and vitamin B12, and vitamin E with vitamin K. Vitamin D Deficiency: How Much Vitamin D Is Enough? Research has confirmed that routinely eating fatty fish, such as salmon, tuna and trout, can reduce the risk of heart disease and death. A 2016 study on airline passengers suggested using elderberry extract for 10 days before and five days after a flight led to milder symptoms and 50% fewer sick days from cold illnesses. Additionally, one study found that antioxidant status improved in people 1 hour after drinking 400 mL of elderberry juice. View abstract. However, no large studies have proven its effectiveness in humans when sick. Not only are they nutritious, but they may also help address cold and flu symptoms, support heart health, and fight inflammation and infections, among other benefits. Common interactions include haemorrhoids among females and dysuria among males. View abstract. Poisoning from elderberries is rarely life-threatening. All rights reserved. Deficiencies in either can cause extreme exhaustion. However, with or without vitamins, when you take a probiotic does matter. Witch hazel is widely known for easing inflammation and soothing sensitive skin, but this powerful remedy has more to offer. These should ideally be taken at breakfast. Inflammatory cytokines. Since homemade/artisan syrups might contain small amounts of cyanide, usethem cautiously. While these results are promising, further large-scale human studies are. But a July 2019 review published in the Annals of Internal Medicine indicates that there is a slight increase in the risk for stroke when these two supplements are taken together. How effective is Depakote Cp for Seizures? The takeaway? Traditionally, Indigenous people used it to treat fever and rheumatism, while the ancient Egyptians used it to improve their complexions and heal burns. But if you mix it with green tea, black tea, or curcumin supplements, your body wont absorb the mineral. And a 2017 article published in the Journal of the American Heart Association actually found that calcium supplements increase the risk of stroke, but combining them with vitamin D seemed to offset this result. The ripe berry is tart and typically sweetened, similar to cranberries. If you take a multivitamin dont worry, but if you are K deficient and need extra K, take it two hours apart from the other fat-soluble vitamins, he says. This article will review the potential uses of elderberry, how to safely use it, and possible concerns with using elderberry. As with all supplements, it is important to look for products that have been third-party tested. 2012;23:64-7. When it comes to the fat-soluble type of vitamin (vitamins A, D, E, and K), it's best to take these at mealtime. The time between vitamins depends on the type of vitamin you are taking. Only some supplements have been researched and proven effective. 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