Comparison guide
Which multivitamin should you take?
Most demographic multivitamins are the same basic formula under a different label, and the main real difference between them is iron. Pregnancy is the exception: there, specific nutrients such as folic acid, iodine and iron have strong evidence behind them.
The options, compared
| Option | Evidence | Best for | The honest note | |
|---|---|---|---|---|
| Multivitamin | Limited evidence | Adults with restricted or patchy diets | Trials show no reduction in heart disease or mortality in well-nourished adults; its defensible use is cheap insurance for restricted or monotonous diets. Choose about 100% of daily values, not a megadose formula. | View |
| Men's Multivitamin | Limited evidence | Men wanting an iron-free formula | Essentially a standard multivitamin without iron. The Physicians' Health Study II found an 8% lower total cancer incidence but no effect on cardiovascular events or cognition over more than a decade. | View |
| Women's Multivitamin | Moderate evidence | Women who could become pregnant | The value lies in the folic acid (400 micrograms daily for anyone who might conceive) and, for iron-deficient menstruating women, the iron. As a general habit for women who eat adequately it has little behind it, and iron should not be taken long term without a ferritin check. | View |
| Senior Multivitamin (50+) | Moderate evidence | Adults over 50 | Usually iron-free with extra B12 and vitamin D, which covers common age-related gaps. The COSMOS trials found a small memory benefit, but routine use shows no cardiovascular protection. | View |
| Children's Multivitamin | Limited evidence | Picky or restricted eaters only | Most well-fed children already meet their nutrient needs, and gummies add sugar, often omit iron and iodine, and invite over-eating. For a typical child, vitamin D is the defensible supplement; talk to a paediatrician before anything more. | View |
| Prenatal Multivitamin | Strong evidence | Before conception through breastfeeding | Strong evidence: folic acid started before conception cuts neural tube defects by roughly 70%, and a full prenatal beats iron and folic acid alone for birthweight. Check the label for iodine and for vitamin A as beta carotene rather than retinol; most people need a separate choline source. | View |
| Postnatal Multivitamin | Limited evidence | Not tested as a product | No trial has tested a postnatal blend for recovery, energy or mood; what is shown is that some nutrients, such as B12, reach breast milk. The maternal vitamin D dose that covered the infant in a trial (6400 IU daily) is far above what any multivitamin supplies. | View |
Our verdict
If you are pregnant or could become pregnant, take a prenatal with folic acid, iodine and iron; it is the one version with strong evidence, and you can continue it through breastfeeding. Everyone else can buy a plain adult multivitamin at about 100% of daily values, iron-free for men and postmenopausal women, because men's, women's and senior labels otherwise differ mostly in marketing. Skip children's gummies for children who eat a varied diet.