1 Product identity
Ingredient risk
Contains a high-risk ingredient
Adult Multivitamin
BrandNature Made→Multi-Vitamin and Mineral (MVM) Tablet or Pill 55 ingredients 1 high-risk 7 caution DSLD #9232Net contents: 14 Chewable Tablet(s)
Target: Adults and Children 4 years and above
DSLD entry: 2012-06-01
2 Ingredients (55)
IngredientGroupSafety
Total CarbohydratesCarbohydrate—
SorbitolSorbitol—
FructoseFructose—
Stearic AcidStearic Acid—
MaltodextrinMaltodextrin—
Mono and DiglyceridesTBD—
CarrageenanCarrageenan—
Corn StarchStarch—
Yellow 6 LakeColor—
Citric AcidCitric Acid—
modified Food Starchmodified Starch—
Natural and Artificial flavorsFlavor—
Aluminum OxideAluminum Oxide—
Red 40 LakeColor—
Ingredient amounts require the full DSLD label. View full label at NIH DSLD →
⛔ High-risk ingredient — documented serious harm
Xylitol — Dog owner not warned about xylitol toxicity — potentially fatal to dogs [1]
⚠️ Use with caution — restricted in some markets
Vitamin D — Granulomatous diseases (sarcoidosis, TB) — unregulated extra-renal CYP27B1 can cause life-threatening hypercalcemia even at standard doses [2][21]
Thiamin — Wernicke encephalopathy: classic triad (confusion, ophthalmoplegia, ataxia) is present in only 16% of cases — any ONE element in an at-risk patie…
Vitamin B6 — Sensory neuropathy from chronic high-dose B6 (>200 mg/day) — presents as numbness, ataxia. Can be irreversible. Often self-prescribed by patients…
Vitamin B12 — Nitrous oxide anesthesia in subclinically B12-deficient patients can precipitate acute combined degeneration — always check B12 before elective p…
Magnesium — Severe deficiency (<0.50 mmol/L) causes secondary hypocalcemia and hypokalemia that will not correct until magnesium is repleted first [1].
Zinc — Chronic zinc >40 mg/day without copper causes copper deficiency: anemia, neutropenia, myeloneuropathy [1].
Aspartame 🇪🇺 — e (1981). ADI: 50 mg/kg/day (higher than EU). PKU warning label mandatory [1]. || European Union (EFSA) :: Approved as E
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
Vitamin D — Use with Caution
⚠ Hypercalcemia at >10,000 IU/day
⚠ Vascular calcification risk
Vitamin E — Conditionally Safe
⚠ Increased bleeding risk
⚠ All-cause mortality at >400 IU/day
Thiamin — Use with Caution
⚠ Very low toxicity
Riboflavin — Generally Safe
⚠ Harmless yellow urine
Niacin — Conditionally Safe
⚠ Flushing at >50 mg
⚠ Hepatotoxicity at high doses
Vitamin B6 — Use with Caution
Folate — Conditionally Safe
⚠ May mask B12 deficiency
⚠ Colorectal cancer risk debated
Vitamin B12 — Use with Caution
Biotin — Generally Safe
⚠ Interferes with troponin and thyroid lab assays
Pantothenic Acid — Limited Evidence
⚠ Diarrhea at very high doses
Calcium — Conditionally Safe
⚠ Cardiovascular risk debated >1,000 mg/day
⚠ Kidney stones
Phosphorus — Generally Safe
⚠ Excess impairs calcium absorption
Iodine — Conditionally Safe
⚠ Thyroid dysfunction at excess
⚠ Kelp: variable content
Magnesium — Use with Caution
⚠ Diarrhea (especially oxide)
⚠ Accumulates in renal impairment
Zinc — Use with Caution
⚠ Copper deficiency at >40 mg/day
⚠ Nausea, metallic taste
Copper — Conditionally Safe
⚠ Hepatotoxicity at high doses
Sodium — Conditionally Safe
⚠ Hypertension
⚠ Fluid retention
Xylitol — High risk
⚠ GI distress (gas, bloating, diarrhea) dose-dependent
⚠ Cardiovascular risk: 2023 Cleveland Clinic study linked xylitol to increased thrombotic events
Aspartame — Use with Caution
⚠ WHO/IARC 2023: Group 2B (possibly carcinogenic)
⚠ Headache/migraine trigger in sensitive individuals
Silicon — Generally Safe
⚠ Very low toxicity
4 Label claims
• All Other
5 Data source
DSLD ID9232
Full labelView at NIH DSLD →
SourceOffice of Dietary Supplements, NIH
Market statusOn market
Entry date2012-06-01
6 More from Nature Made
View Nature Made Safety Scorecard → 380 products
Acidophilus ProbioticsAdult Chewable D3 1000 IU Delicious Grape FlavorAntioxidant FormulaAstaxanthin 4 mgB Complex Adult Gummies CherryB-100 Complex7 Cite this page
Vancouver
Pkhakadze G. Adult Multivitamin — product analysis [Internet]. Tbilisi: Public Health Institute of Georgia; 2026 [cited 2026 Jun 27]. Available from: https://supplement.ge/products/dsld-9232/
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