1 Product identity
Ingredient risk
7 ingredients to use with caution
Vital Fuerte Vitamins And Minerals Syrup
BrandMidway Importing→Other Combinations Liquid 42 ingredients 7 caution DSLD #13691Net contents: 9.29 fl. Oz.
Target: Adults and Children 4 years and above
DSLD entry: 2013-02-25
2 Ingredients (42)
IngredientGroupSafety
CobaltCobalt—
Ferric Ammonium CitrateFerric Ammonium Citrate—
Cobalt SulfateCobalt—
SugarSugar—
MethylparabenMethylparaben—
FlavoringFlavor—
Xanthan GumXanthan Gum—
PropylparabenPropyl paraben—
WaterWater—
Ingredient amounts require the full DSLD label. View full label at NIH DSLD →
⚠️ Use with caution — restricted in some markets
Iron — Iron supplementation in iron-replete patients may increase cardiovascular and cancer risk — always document deficiency before prescribing [1].
Magnesium — Severe deficiency (<0.50 mmol/L) causes secondary hypocalcemia and hypokalemia that will not correct until magnesium is repleted first [1].
Vitamin B12 — Nitrous oxide anesthesia in subclinically B12-deficient patients can precipitate acute combined degeneration — always check B12 before elective p…
Vitamin B6 — Sensory neuropathy from chronic high-dose B6 (>200 mg/day) — presents as numbness, ataxia. Can be irreversible. Often self-prescribed by patients…
Zinc — Chronic zinc >40 mg/day without copper causes copper deficiency: anemia, neutropenia, myeloneuropathy [1].
Thiamin — Wernicke encephalopathy: classic triad (confusion, ophthalmoplegia, ataxia) is present in only 16% of cases — any ONE element in an at-risk patie…
Vitamin D — Granulomatous diseases (sarcoidosis, TB) — unregulated extra-renal CYP27B1 can cause life-threatening hypercalcemia even at standard doses [2][21]
3 Safety cross-reference
Vitamin A — Conditionally Safe
⚠ Teratogenic at high doses
⚠ Hepatotoxic with chronic excess
Vitamin C — Generally Safe
⚠ GI distress at high doses
⚠ Kidney stones risk >1g/day
Iron — Use with Caution
⚠ GI upset, constipation
⚠ Fatal toxicity in children
Vitamin E — Conditionally Safe
⚠ Increased bleeding risk
⚠ All-cause mortality at >400 IU/day
Copper — Conditionally Safe
⚠ Hepatotoxicity at high doses
Folate — Conditionally Safe
⚠ May mask B12 deficiency
⚠ Colorectal cancer risk debated
Magnesium — Use with Caution
⚠ Diarrhea (especially oxide)
⚠ Accumulates in renal impairment
Manganese — Conditionally Safe
⚠ Neurotoxicity with chronic excess
Pantothenic Acid — Limited Evidence
⚠ Diarrhea at very high doses
Vitamin B12 — Use with Caution
Vitamin B6 — Use with Caution
Zinc — Use with Caution
⚠ Copper deficiency at >40 mg/day
⚠ Nausea, metallic taste
Riboflavin — Generally Safe
⚠ Harmless yellow urine
Thiamin — Use with Caution
⚠ Very low toxicity
Niacin — Conditionally Safe
⚠ Flushing at >50 mg
⚠ Hepatotoxicity at high doses
Vitamin D — Use with Caution
⚠ Hypercalcemia at >10,000 IU/day
⚠ Vascular calcification risk
Sodium — Limited Evidence
⚠ Hypertension
⚠ Fluid retention
Calcium — Conditionally Safe
⚠ Cardiovascular risk debated >1,000 mg/day
⚠ Kidney stones
4 Label claims
• All Other
5 Data source
DSLD ID13691
Full labelView at NIH DSLD →
SourceOffice of Dietary Supplements, NIH
Market statusOn market
Entry date2013-02-25
6 More from Midway Importing
View Midway Importing Safety Scorecard → 1 products
7 Cite this page
Vancouver
Pkhakadze G. Vital Fuerte Vitamins And Minerals Syrup — product analysis [Internet]. Tbilisi: Public Health Institute of Georgia; 2026 [cited 2026 Aug 28]. Available from: https://supplement.ge/products/dsld-13691/
CC BY 4.0. Product data from NIH DSLD; safety analysis by SupplementIndex.
GP
Analyzed by SupplementIndex
PHIG · Editor-in-Chief: Prof. Giorgi Pkhakadze, MD, MPH, PhD
Product data sourced from the NIH Dietary Supplement Label Database (DSLD). Safety cross-referencing by SupplementIndex. This analysis is for informational purposes only. For corrections: info@accreditation.ge.
Publisher: PHIG
Publisher: PHIG