1 Product identity
Ingredient risk
Contains a high-risk ingredient
Essentials Perfomance Formula MultiVitamin And Mineral
BrandMartin Avenue Pharmacy→Other Combinations Tablet or Pill 51 ingredients 1 high-risk 7 caution DSLD #19557Net contents: 90 Tablet(s)
Target: Adults and Children 4 years and above
DSLD entry: 2013-03-25
2 Ingredients (51)
IngredientGroupSafety
RNARNA—
DNADNA—
PABAPABA—
RutinRutin—
HesperidinHesperidin—
ChlorophyllChlorophyll—
Carotenoidscarotenoids—
Klamath Lake AlgaeBlue-Green Algae—
Wheat sprout concentrateWheat—
Wheat Grass juice powderCouch Grass—
Sprouted Barley Juice PowderBarley—
Siberian GinsengGinseng, Siberian—
GarlicGarlic—
AmylaseAmylase—
LipaseLipase—
Bacillus coagulansBacillus Coagulans—
Oat BranOat Fiber—
Herbal BlendBlend (Herb/Botanical)—
Ingredient amounts require the full DSLD label. View full label at NIH DSLD →
⛔ High-risk ingredient — documented serious harm
Inositol — GDM prevention — 4 g/day from first trimester in high-risk women [2]
⚠️ 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].
Iron — Iron supplementation in iron-replete patients may increase cardiovascular and cancer risk — always document deficiency before prescribing [1].
3 Safety cross-reference
Vitamin A — Limited Evidence
⚠ Teratogenic at high doses
⚠ Hepatotoxic with chronic excess
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
Vitamin C — Generally Safe
⚠ GI distress at high doses
⚠ Kidney stones risk >1g/day
Thiamin — Use with Caution
Riboflavin — Generally Safe
⚠ Harmless yellow urine
Vitamin B6 — Use with Caution
Vitamin B12 — Use with Caution
Niacin — Conditionally Safe
⚠ Flushing at >50 mg
⚠ Hepatotoxicity at high doses
Pantothenic Acid — Limited Evidence
⚠ Diarrhea at very high doses
Biotin — Generally Safe
⚠ Interferes with troponin and thyroid lab assays
Folate — Conditionally Safe
⚠ May mask B12 deficiency
⚠ Colorectal cancer risk debated
Calcium — Conditionally Safe
⚠ Cardiovascular risk debated >1,000 mg/day
⚠ Kidney stones
Magnesium — Use with Caution
⚠ Diarrhea (especially oxide)
⚠ Accumulates in renal impairment
Potassium — Conditionally Safe
⚠ Hyperkalemia risk
⚠ Dangerous with ACE inhibitors
Zinc — Use with Caution
⚠ Copper deficiency at >40 mg/day
⚠ Nausea, metallic taste
Iron — Use with Caution
⚠ GI upset, constipation
⚠ Fatal toxicity in children
Manganese — Conditionally Safe
⚠ Neurotoxicity with chronic excess
Chromium — Conditionally Safe
⚠ Hypoglycemia with diabetes meds
⚠ Rare renal/hepatic toxicity
Molybdenum — Generally Safe
⚠ Very low toxicity
Copper — Conditionally Safe
⚠ Hepatotoxicity at high doses
Iodine — Conditionally Safe
⚠ Thyroid dysfunction at excess
⚠ Kelp: variable content
Choline — Generally Safe
⚠ Fishy odor at high doses
Inositol — High risk
⚠ GI disturbance at high doses (>12 g)
⚠ May lower blood glucose
Quercetin — Conditionally Safe
⚠ Inhibits CYP3A4
⚠ Affects cyclosporine levels
Glutathione — Generally Safe
⚠ Limited oral bioavailability data
⚠ May affect zinc levels
Spirulina — Limited Evidence
⚠ Contamination risk: microcystins, heavy metals
⚠ Autoimmune stimulation
Chlorella — Generally Safe
⚠ Contamination risk
⚠ May affect warfarin (vitamin K content)
Bee Pollen — Conditionally Safe
⚠ ALLERGIC REACTIONS — potentially severe/anaphylaxis
⚠ Cross-reacts with pollen allergies
Bromelain — Conditionally Safe
⚠ Increased bleeding risk
⚠ GI upset
Betaine HCl — Limited Evidence
⚠ Heartburn, GI burning if used without protein meals
⚠ Not for those on H. pylori treatment
Papain — Conditionally Safe
⚠ Allergic reactions
⚠ Increased bleeding risk
Apple Pectin — Limited Evidence
⚠ Gas, bloating
⚠ May reduce medication absorption
4 Label claims
• All Other
5 Data source
DSLD ID19557
Full labelView at NIH DSLD →
SourceOffice of Dietary Supplements, NIH
Market statusOn market
Entry date2013-03-25
6 More from Martin Avenue Pharmacy
View Martin Avenue Pharmacy Safety Scorecard → 163 products
5-HTP Standardized Griffonia Extract 100 mg7-Keto DHEA 25 mgAcetyl L-Carnitine 500 mgAdrenal Health Support With Adrenal Gland ConcentrateAlfalfa 550 mgAlpha Lipoic Acid 100 mg7 Cite this page
Vancouver
Pkhakadze G. Essentials Perfomance Formula MultiVitamin And Mineral — product analysis [Internet]. Tbilisi: Public Health Institute of Georgia; 2026 [cited 2026 Aug 28]. Available from: https://supplement.ge/products/essentials-perfomance-formula-multivitamin-and-mineral-19557/
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