InteractionsStrong Evidence
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59,000+ interactions
Not FDA evaluated

What Supplements Should Not Be Taken Together?

Quick Answer

Main conflicts: calcium blocks iron, zinc, and magnesium absorption. Iron blocks zinc. High-dose vitamin E interferes with vitamin K. Fiber blocks mineral absorption. Space these 2-4 hours apart. Most other combinations are fine.

Key Points

  • Calcium is the biggest blocker. Take it separately.
  • Iron and zinc compete. Take at different meals.
  • Fiber binds minerals. Take minerals 2+ hours from fiber supplements.
  • Coffee/tea with iron is a bad combo.
  • Most supplements are fine together.

Detailed Answer

REAL CONFLICTS (Space 2-4 hours apart):

• Calcium + Iron: Calcium reduces iron absorption by 50%+ • Calcium + Zinc: Compete for same absorption pathways • Calcium + Magnesium: High doses compete (normal doses okay) • Iron + Zinc: Compete for absorption at high doses • Fiber + Minerals: Fiber can bind minerals, reducing absorption

MINOR CONCERNS (Usually fine, but optimal to separate):

• Coffee/Tea + Iron: Tannins reduce iron absorption 60%+ • Vitamin E + Vitamin K: High-dose E may interfere with K • Zinc + Copper: High zinc depletes copper over time

COMMON MYTHS (Actually fine together):

• Calcium + Vitamin D: Take together. D helps calcium absorption • Magnesium + Vitamin D: Take together. Magnesium helps D activation • Fish oil + Most things: Generally compatible • B vitamins + Most things: Water-soluble, few interactions

PRACTICAL APPROACH: Take calcium separately from everything else. Take iron separately from minerals. Most other combinations are fine.

Evidence Quality

Strong Evidence

Multiple high-quality studies support this

Key Sources:

  • reviewMineral-Mineral Interactions in Human Nutrition
  • studyCalcium and Iron Absorption: Timing Strategies

Related Questions

Multivitamins have low enough doses that interactions are minimal. The real issues are with high-dose individual supplements.

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About this information: Our recommendations draw from peer-reviewed clinical trials, systematic reviews, and the same medical databases your doctor uses. These statements have not been evaluated by the FDA. Supplements are not intended to diagnose, treat, cure, or prevent any disease.

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