1 Product identity
Ingredient risk
Contains restricted ingredients
More Than A Multiple Multivitamin Formula
BrandAmerican Health→Other Combinations Tablet or Pill 67 ingredients 1 banned 1 high-risk 8 caution DSLD #4323Net contents: 60 Tablet(s)
Target: Adults and Children 4 years and above
DSLD entry: 2012-01-25
2 Ingredients (67)
IngredientGroupSafety
MethionineMETHIONINE—
PABAPABA—
RutinRutin—
Citrus BioflavonoidsFlavonoid (mixture)—
HesperidinHesperidin—
ElutheroEleuthero—
N-Acetyl-CysteineN-Acetyl Cysteine—
Probiotic ComplexBlend (non-nutrient/non-botanical)—
Coenzyme Q-10Coenzyme Q-10—
Fish Oil and Borage OilBlend (Fatty Acid or Fat/Oil Supplement)—
Licorice extractLicorice —
PycnogenolPycnogenol—
GarlicGarlic—
Polyphenol ComplexBlend (Combination)—
Vegetable ComplexBlend (Herb/Botanical)—
Citrus ComplexBlend (Herb/Botanical)—
Mushroom ComplexBlend (non-nutrient/non-botanical)—
LycopeneLycopene—
Alpha Lipoic AcidAlpha Lipoic Acid—
TocotrienolsTBD—
Vegetable CelluloseCellulose—
Stearic AcidStearic Acid—
Red CabbageCabbage—
SaffronSaffron—
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]
⛔ Contains an ingredient banned in ≥1 country
Titanium Dioxide 🇫🇷 🇪🇺 — France banned TiO₂ in food from January 2020, first EU country.
⚠️ 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…
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].
Zinc — Chronic zinc >40 mg/day without copper causes copper deficiency: anemia, neutropenia, myeloneuropathy [1].
Royal Jelly 🇺🇸 🇪🇺 — Union :: Available as food supplement. Subject to novel food regulation in some contexts [1]. || United States (FDA) ::
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
Iron — Use with Caution
⚠ GI upset, constipation
⚠ Fatal toxicity in children
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
Selenium — Conditionally Safe
⚠ Selenosis >400 mcg
⚠ Diabetes risk at high doses
Copper — Conditionally Safe
⚠ Hepatotoxicity at high doses
Manganese — Conditionally Safe
⚠ Neurotoxicity with chronic excess
Chromium — Conditionally Safe
⚠ Hypoglycemia with diabetes meds
⚠ Rare renal/hepatic toxicity
Potassium — Conditionally Safe
⚠ Hyperkalemia risk
⚠ Dangerous with ACE inhibitors
Boron — Conditionally Safe
⚠ Reproductive toxicity in animals
Inositol — High risk
⚠ GI disturbance at high doses (>12 g)
⚠ May lower blood glucose
Choline — Generally Safe
⚠ Fishy odor at high doses
Chloride — Limited Evidence
⚠ Co-ingested with sodium
Bromelain — Conditionally Safe
⚠ Increased bleeding risk
⚠ GI upset
Papain — Conditionally Safe
⚠ Allergic reactions
⚠ Increased bleeding risk
L-Glutamine — Conditionally Safe
⚠ Hepatic encephalopathy risk
⚠ May elevate ammonia
Taurine — Generally Safe
⚠ May lower blood pressure
Bee Pollen — Conditionally Safe
⚠ ALLERGIC REACTIONS — potentially severe/anaphylaxis
⚠ Cross-reacts with pollen allergies
Spirulina — Limited Evidence
⚠ Contamination risk: microcystins, heavy metals
⚠ Autoimmune stimulation
Propolis — Conditionally Safe
⚠ Allergic reactions (bee product)
⚠ Contact dermatitis
Glutathione — Limited Evidence
⚠ Limited oral bioavailability data
⚠ May affect zinc levels
Barley Grass — Limited Evidence
⚠ Celiac: grass should be gluten-free but contamination possible
⚠ GI discomfort
Royal Jelly — Use with Caution
⚠ ANAPHYLAXIS risk — especially in atopic individuals
⚠ Asthma exacerbation
bilberry — Generally Safe
⚠ May increase bleeding risk at high doses
⚠ May lower blood glucose
NAC — Limited Evidence
⚠ GI upset
⚠ Rare bronchospasm
Lutein — Generally Safe
⚠ Harmless skin yellowing at very high doses
Titanium Dioxide — Banned in ≥1 country
⚠ EFSA: can no longer be considered safe as food additive (2021)
⚠ Genotoxicity concern (nanoparticles)
4 Label claims
• All Other
• Structure/Function
5 Data source
DSLD ID4323
Full labelView at NIH DSLD →
SourceOffice of Dietary Supplements, NIH
Market statusOn market
Entry date2012-01-25
6 More from American Health
View American Health Safety Scorecard → 33 products
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Vancouver
Pkhakadze G. More Than A Multiple Multivitamin Formula — product analysis [Internet]. Tbilisi: Public Health Institute of Georgia; 2026 [cited 2026 Jun 24]. Available from: https://supplement.ge/products/more-than-a-multiple-multivitamin-formula-4323/
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