Works afterNo performance effect appeared over 90 days
Evidence10 papers read
Does it work?
The label shows how strong the evidence is, not how big the effect is. Tap a claim to see its papers.
Lab note
In plain words
For a well-fed lifter, expect no change in strength or endurance: active men on a high-potency multi for 90 days showed no change in VO2max (48.5 to 46.2 ml/kg/min) or treadmill time (19.96 to 19.99 min), and strength was unaffected.[5]
Little or no effect: no change in all-cause, vascular or cancer mortality across 21 trials, and an 8% lower total-cancer risk (HR 0.92) in one 11-year trial of older male doctors.[1][2][3][4]
The USPSTF finds the evidence insufficient to judge benefits and harms of multivitamins for heart disease or cancer prevention; a mortality meta-analysis was null and one large trial showed a modest cancer reduction. Mixed, mostly older-adult evidence is Grade C.
Each plate is one paper. Taller = stronger study design, wider = more studies pooled. Tap one.
USPSTF: evidence is insufficient to assess multivitamins for preventing heart disease or cancer; it recommends against beta-carotene and vitamin E supplements for that purpose.
Across 19 meta-analyses, trials linked multivitamins to better cognition in older adults and lower blood pressure in at-risk groups, but no benefit for mortality and faster macular degeneration progression.
In male physicians aged 50+, a daily multivitamin for a median 11.2 years modestly reduced total cancer but not prostate, colorectal or other site-specific cancers or cancer death.
No benefit: 90 days of a high-potency multivitamin-mineral did not change VO2max, endurance, strength or muscular endurance in well-nourished active men.[5][6][7]
A placebo-controlled RCT was null on every measure, and a systematic review of 128 mineral-supplement studies found little evidence of performance gains outside specific deficiencies. The IOC advises targeted supplementation after assessment rather than 'insurance' use. Grade D.
Each plate is one paper. Taller = stronger study design, wider = more studies pooled. Tap one.
Across 130 experiments, there was little evidence that mineral or trace-element supplements improve athletic performance, with possible exceptions for iron (in specific situations) and magnesium.
IOC: rather than ad hoc 'insurance' supplementation, athletes should have a nutritional assessment; iron, calcium and vitamin D are nutrients that often need supplementing. Multivitamins have rarely been contaminated with prohibited substances.
In well-nourished active men, 90 days of a high-potency multivitamin-mineral did not change aerobic capacity, endurance performance, strength or muscular endurance versus placebo.
US adults using a multi31%NHANES, cited by USPSTF[1]
Evidence timeline— how the evidence built up
Meta-analysis or systematic reviewPosition standTrial or narrative review
Every paper cited on this page, placed by publication year. Hover a mark to preview it; select it to jump to the reference.
How it works
A multivitamin-multimineral combines many vitamins and minerals, usually near recommended daily amounts, in one pill. About 31% of US adults report using one. A varied diet that meets energy needs normally supplies these nutrients; definitions of 'multivitamin' vary widely between products and studies.
Vitamins and minerals act as cofactors for energy production, red-blood-cell formation, bone and immune function. A real deficiency, such as iron deficiency anaemia, can impair performance or training. If intake is already adequate, adding more does not speed these processes up. High-dose antioxidants can even blunt the cell signals that drive training adaptation.[7][8][9]
References
Reviewed 03 Oct 2026 · every PubMed ID checked against PubMed
[1]Mangione CM, et al. Vitamin, Mineral, and Multivitamin Supplementation to Prevent Cardiovascular Disease and Cancer: US Preventive Services Task Force Recommendation Statement. JAMA. 2022;327(23):2326-2333. Position standPubMed · DOI
[2]Macpherson H, et al. Multivitamin-multimineral supplementation and mortality: a meta-analysis of randomized controlled trials. Am J Clin Nutr. 2013;97(2):437-44. Meta-analysisPubMed · DOI
[3]Gaziano JM, et al. Multivitamins in the prevention of cancer in men: the Physicians' Health Study II randomized controlled trial. JAMA. 2012;308(18):1871-80. Randomized trialPubMed · DOI
[4]Wang W, et al. Multivitamin and mineral use: A rapid review of meta-analyses on health outcomes. Ageing Res Rev. 2026;114:102965. ReviewPubMed · DOI
[5]Singh A, et al. Chronic multivitamin-mineral supplementation does not enhance physical performance. Med Sci Sports Exerc. 1992;24(6):726-32. Randomized trialPubMed
[6]Heffernan SM, et al. The Role of Mineral and Trace Element Supplementation in Exercise and Athletic Performance: A Systematic Review. Nutrients. 2019;11(3). Systematic review · industry tiesPubMed · DOI
[7]Maughan RJ, et al. IOC consensus statement: dietary supplements and the high-performance athlete. Br J Sports Med. 2018;52(7):439-455. Position standPubMed · DOI
[8]Gonzalez DE, et al. International Society of Sports Nutrition position stand: effects of dietary antioxidants on exercise and sports performance. J Int Soc Sports Nutr. 2026;23(1):2629828. Position stand · industry tiesPubMed · DOI
[9]Paulsen G, et al. Vitamin C and E supplementation hampers cellular adaptation to endurance training in humans: a double-blind, randomised, controlled trial. J Physiol. 2014;592(8):1887-901. Randomized trialPubMed · DOI
[10]Paulsen G, et al. Vitamin C and E supplementation alters protein signalling after a strength training session, but not muscle growth during 10 weeks of training. J Physiol. 2014;592(24):5391-408. Randomized trialPubMed · DOI
Dose
One standard once-daily multivitamin (as tested in the Physicians' Health Study II); trials did not use megadoses.
Standard once-daily multi
Modest total-cancer reduction in older men over 11 years; no performance effect in active men.[3][5]
1000 mg vitamin C + 235 mg vitamin E daily
Blunted endurance and strength-training adaptations in muscle.[9][10]
Lab note
Timing. No study has tested timing for a multivitamin. If you take high-dose antioxidants, the concern is chronic intake during training blocks, not the time of day.[8][10]
Which form?— hover or tap
Standard multivitamin-multimineralUnknown
Products and definitions vary widely; no form is shown to beat another.[4]
High-dose antioxidant formulas
Standard multivitamin-multimineralUnknown
Products and definitions vary widely; no form is shown to beat another.[4]
High-dose antioxidant formulasWorse
Megadoses of vitamins C and E can hinder training adaptations.[8][9]
Who benefits
Benefit more
People with a diagnosed deficiency or a low-energy or weight-loss diet, who need targeted assessment
Standard multivitamins showed no effect on mortality in 21 trials. Some single nutrients carry risks: the USPSTF found that beta-carotene's harms outweigh benefits for disease prevention, and a review of meta-analyses linked multivitamins to faster progression of age-related macular degeneration. Multivitamins have rarely been found to contain prohibited substances.
Possible side effects
High-dose vitamin C (1000 mg) plus vitamin E (235 mg) blunted mitochondrial and strength-signalling adaptations to training (Paulsen 2014)
Talk to a doctor first if
Your product is high in beta-carotene and you are trying to prevent disease: the USPSTF recommends against beta-carotene supplements (and against vitamin E) for preventing cardiovascular disease or cancer
You are drug-tested and the product is not third-party certified: multivitamins have rarely been found to contain prohibited substances (IOC)
Lab note
Buy products certified by Informed Sport, Informed Choice or NSF Certified for Sport. Supplements can contain things that aren’t on the label.
Myths vs research— scroll through
Myth
A multivitamin is cheap insurance that boosts performance.
What the research says
It did not change performance in well-nourished active men; the IOC favours nutritional assessment over ad hoc 'insurance' use.[5][7]
Myth
More antioxidants means faster recovery.
What the research says
High-dose vitamins C and E blunted adaptations to endurance and strength training.[9][10]
Myth
Multivitamins help you live longer.
What the research says
21 trials found no effect on all-cause mortality.[2]
FAQ
Not routinely. The IOC recommends assessing diet and status and supplementing specific nutrients (often iron, calcium or vitamin D) when needed.[7]
A standard multi is unlikely to; the documented problem is megadose vitamin C and E, which blunted training adaptations.[9][10]
The USPSTF says the evidence is insufficient to decide for heart disease or cancer prevention.[1]
Singh 1992 is a small trial (22 men) with no DOI in PubMed; it is cited by PMID.
Gaziano 2012 (PHS II) studied only male physicians aged 50+; the cancer reduction was modest and not seen for specific cancers or cancer death. Funding is not stated in the PubMed abstract (industry_funded null).
No RCTs of multivitamins on health outcomes in young athletes were found; health claims are extrapolated from older adults.
Heffernan 2019: one author received grant funding from Marigot Ltd (a mineral supplement producer); industry_funded set to true.
Wang 2026 is a rapid review of meta-analyses, typed 'review'; its cognitive and blood-pressure findings were in older or at-risk adults.
The USPSTF statement is typed 'position-stand' as a guideline body recommendation.
Multivitamins are not on the WADA 2026 Prohibited List (searched the list PDF); the IOC notes rare contamination of multivitamins with prohibited substances.
Records were retrieved through NCBI E-utilities; IOC statements came from the PMC full text of Maughan 2018.