Vitamin C, also known as ascorbic acid, is a water-soluble vitamin that is essential for various bodily functions. It acts as an antioxidant, helps in the synthesis of collagen, aids in immune function, enhances iron absorption, and helps repair tissues. Vitamin C cannot be synthesized by the human body, so it must be obtained from dietary sources like fruits and vegetables or supplements.

Manufacturing Process of Vitamin C

  1. Starting Material: Vitamin C is most commonly synthesized from glucose (corn or wheat starch).
  2. Fermentation: The starting glucose undergoes a fermentation process where specific microorganisms convert it into sorbitol.
  3. Hydrogenation: Sorbitol is then hydrogenated to produce sorbose.
  4. Oxidation: Sorbose is oxidized to form 2-keto-L-gulonic acid (KGA).
  5. Cyclization and Synthesis: KGA is converted into ascorbic acid through chemical cyclization and acidification.
  6. Purification: The resultant ascorbic acid is purified, crystallized, and dried for use in supplements.

Benefits of Vitamin C

  1. Boosts Immune System: Enhances the function of white blood cells to fight infections.
  2. Improves Collagen Production: Vital for skin, tendons, ligaments, and blood vessels.
  3. Reduces Risk of Chronic Disease: Powerful antioxidant that reduces oxidative stress.
  4. Protects Against Cardiovascular Disease: Lowers blood pressure and reduces LDL cholesterol.
  5. Improves Skin Health: Prevents skin damage and helps reduce wrinkles by promoting collagen.
  6. Aids in Wound Healing: Speeds up the repair of damaged tissues and wounds.
  7. Supports Healthy Eyes: Reduces the risk of cataracts and macular degeneration.
  8. Promotes Iron Absorption: Increases non-heme iron absorption, preventing anemia.
  9. Fights Free Radicals: Protects cells from oxidative damage.
  10. Prevents Scurvy: Deficiency prevention in sailors and individuals with poor dietary intake.
  11. Improves Brain Function: Enhances neurotransmitter function, improving mood and cognition.
  12. Reduces Inflammation: Acts as an anti-inflammatory agent, beneficial in diseases like arthritis.
  13. Supports Healthy Gums: Prevents gingivitis and periodontal disease.
  14. Reduces Risk of Stroke: Improves overall vascular health.
  15. Improves Lung Function: Beneficial for individuals with asthma and lung infections.
  16. Reduces Uric Acid Levels: Helps prevent gout by reducing uric acid buildup.
  17. Promotes Healthy Bones: Increases calcium absorption, promoting bone density.
  18. Aids in Detoxification: Supports liver function and detoxification processes.
  19. Helps Manage Stress: Reduces the impact of physical and emotional stress.
  20. Improves Hair Health: Encourages hair growth and reduces hair loss by boosting collagen.
  21. Supports Weight Loss: Improves metabolic health and fat oxidation.
  22. Enhances Physical Performance: Reduces muscle soreness and fatigue in athletes.
  23. Fights Infections: Acts as an antiviral agent, especially for common colds.
  24. Lowers Blood Pressure: Acts as a vasodilator, improving circulation.
  25. Reduces the Risk of Cancer: Its antioxidant properties help protect against cellular mutations.
  26. Improves Sleep Quality: Regulates sleep cycles through its effect on neurotransmitters.
  27. Supports Prenatal Health: Critical for fetal development, especially in the formation of tissues.
  28. Improves Joint Health: Reduces inflammation and promotes cartilage health.
  29. Enhances Mood: Supports the production of serotonin and other neurotransmitters.
  30. Promotes Longevity: Slows down cellular aging through its role in reducing oxidative damage.

Medical Applications of Vitamin C

  1. Treating Scurvy: The definitive treatment for scurvy.
  2. Adjunct Therapy for Cancer: High-dose Vitamin C can be used as supportive therapy in cancer.
  3. Wound Healing Post-Surgery: Given to patients to speed up recovery.
  4. Preventing and Treating Colds: Reduces the severity and duration of colds.
  5. Improving Iron Deficiency Anemia: Used to increase iron absorption in anemic patients.
  6. Supporting Chemotherapy: Acts as an antioxidant to protect healthy cells during cancer treatment.
  7. Managing Hypertension: Prescribed to help lower blood pressure.
  8. Preventing Cardiovascular Disease: Used in preventive medicine for heart health.
  9. Preventing Preeclampsia: Reduces oxidative stress in pregnant women.
  10. Reducing Lung Damage in Smokers: Prevents oxidative damage in lung tissue.
  11. Supporting HIV Treatment: Used to reduce oxidative stress in HIV patients.
  12. Treating Gout: Reduces uric acid levels in patients with gout.
  13. Adjunct Therapy in Sepsis: Helps reduce oxidative stress in sepsis patients.
  14. Boosting Immune Function in the Elderly: Given to older adults to strengthen immune response.
  15. Post-Stroke Recovery: Helps reduce oxidative damage in the brain post-stroke.
  16. Managing Asthma: Reduces inflammation in patients with respiratory conditions.
  17. Improving Skin Healing for Burns: Helps in collagen formation and skin regeneration.
  18. Preventing Cataracts: Used in prevention strategies for eye health.
  19. Enhancing Antiviral Therapy: Used as supportive therapy in viral infections.
  20. Reducing Allergic Reactions: Given for allergic reactions to reduce histamine levels.
  21. Managing Osteoarthritis: Reduces joint inflammation.
  22. Supporting Treatment of Autism: Used to help reduce oxidative stress in autism therapy.
  23. Improving Digestive Health: Used to promote gut health and reduce inflammation.
  24. Enhancing Cognitive Function in Alzheimer’s: Helps prevent cognitive decline.
  25. Reducing the Risk of Stomach Ulcers: Helps repair damaged mucosal lining in the stomach.
  26. Supporting Liver Detoxification in Alcoholics: Aids in the liver detox process.
  27. Improving Recovery from Surgery: Reduces inflammation and enhances wound healing post-surgery.
  28. Promoting Bone Density in Osteoporosis: Helps calcium absorption for stronger bones.
  29. Managing Chronic Fatigue Syndrome: Reduces fatigue in affected individuals.
  30. Supporting Fertility Treatments: Used to improve reproductive health in both men and women.

Side Effects of Vitamin C Deficiency

  1. Scurvy: Bleeding gums, weakness, and fatigue.
  2. Impaired Wound Healing: Slow recovery from cuts and injuries.
  3. Anemia: Iron absorption is compromised, leading to low hemoglobin levels.
  4. Frequent Infections: Immune system weakness makes one more susceptible to infections.
  5. Dry Skin: Loss of collagen results in dry and flaky skin.
  6. Bleeding Gums: Gums become swollen and bleed easily.
  7. Fatigue: Generalized feeling of weakness and tiredness.
  8. Joint Pain: Inflammation and joint pain due to collagen deficiency.
  9. Dry Hair: Hair loses its natural shine and strength.
  10. Mood Changes: Irritability and mood swings are common.
  11. Frequent Nosebleeds: Capillaries become fragile, leading to nosebleeds.
  12. Bruising Easily: Skin becomes prone to bruising due to weakened blood vessels.
  13. Weight Gain: Reduced fat metabolism may lead to weight gain.
  14. Tooth Loss: Severe gum disease can lead to tooth loss.
  15. Depression: Increased risk of mood disorders.
  16. Increased Risk of Stroke: Due to weakened blood vessels.
  17. Heart Palpitations: Deficiency affects cardiovascular function.
  18. Dizziness: Poor blood flow and anemia can lead to dizziness.
  19. Poor Eye Health: Increased risk of cataracts and eye infections.
  20. Swollen Joints: Joints can become swollen due to inflammation.
  21. Night Blindness: Deficiency can impact vision in low light conditions.
  22. Bone Pain: Weak bones and reduced calcium absorption.
  23. Increased Risk of Chronic Diseases: Heightened risk of cardiovascular diseases.
  24. Slow Recovery from Illness: Weakened immune system delays recovery.
  25. Sunken Eyes: Skin loses elasticity, leading to sunken eyes.
  26. Shortness of Breath: Anemia from Vitamin C deficiency can cause difficulty breathing.
  27. Cold Hands and Feet: Poor circulation due to weakened blood vessels.
  28. High Blood Pressure: Cardiovascular health is impaired, leading to hypertension.
  29. Muscle Weakness: Collagen loss affects muscle tissue.
  30. Weakened Immune System: Constant illness due to reduced immune function.

Best Time to Take Vitamin C

Vitamin C is best taken in divided doses throughout the day, particularly with meals, as it helps improve absorption. The morning is a popular choice for many due to its immune-boosting properties. For those who need extra support, post-exercise may be another optimal time due to its role in muscle recovery.

Safety and Interactions with Medications

Vitamin C is generally considered safe for most individuals when taken in recommended amounts. However, high doses can cause certain side effects and interact with medications.

Interactions with Medications:

  1. Chemotherapy Drugs: High doses of Vitamin C might reduce the efficacy of certain chemotherapy treatments by acting as an antioxidant and protecting cancer cells.
  2. Statins: Vitamin C can affect the absorption and efficacy of cholesterol-lowering drugs.
  3. Aspirin: Chronic use of aspirin can lower Vitamin C levels in the body.
  4. Estrogen-containing Contraceptives: These can increase blood levels of Vitamin C, leading to potential toxicity if too much is supplemented.
  5. Antacids: Some antacids may reduce the absorption of Vitamin C.
  6. Warfarin (Blood Thinners): High doses of Vitamin C can decrease the efficacy of blood thinners, leading to clotting risks.
  7. Proton Pump Inhibitors: These medications can lower Vitamin C levels by reducing stomach acid, which is necessary for its absorption.

Vitamin C Dosages for Children and Adults

The recommended daily intake of Vitamin C varies based on age, sex, and physiological conditions (such as pregnancy or breastfeeding).

  • Infants (0-6 months): 40 mg/day
  • Infants (7-12 months): 50 mg/day
  • Children (1-3 years): 15 mg/day
  • Children (4-8 years): 25 mg/day
  • Children (9-13 years): 45 mg/day
  • Adolescents (14-18 years, males): 75 mg/day
  • Adolescents (14-18 years, females): 65 mg/day
  • Adults (males): 90 mg/day
  • Adults (females): 75 mg/day
  • Pregnant women: 85 mg/day
  • Breastfeeding women: 120 mg/day

For individuals who smoke, it is recommended to increase Vitamin C intake by an additional 35 mg per day, as smoking depletes Vitamin C levels.

Side Effects of Vitamin C

While Vitamin C is safe in moderate doses, large doses (typically above 2,000 mg per day) can lead to side effects:

  1. Gastrointestinal Upset: High doses can cause nausea, diarrhea, and abdominal cramps. To offset these symptoms, it is recommended to lower the dose or divide it throughout the day.
  2. Kidney Stones: Excess Vitamin C can be converted into oxalates, which may form kidney stones in susceptible individuals. Staying hydrated and avoiding excessive doses can prevent this.
  3. Iron Overload: Vitamin C enhances iron absorption, so people with conditions like hemochromatosis (excess iron) should be cautious. Monitoring iron levels and reducing Vitamin C intake can help manage this risk.
  4. Acid Reflux: Large doses of ascorbic acid can exacerbate acid reflux in sensitive individuals. Taking buffered or non-acidic forms of Vitamin C (like sodium ascorbate) can help reduce this effect.

Vitamins and Minerals That Work Synergistically with Vitamin C

  1. Vitamin E: Vitamin C regenerates oxidized Vitamin E, enhancing its antioxidant effects.
  2. Zinc: Together, Vitamin C and zinc can boost immune function more effectively.
  3. Iron: Vitamin C improves the absorption of non-heme iron, preventing anemia.
  4. Glutathione: Vitamin C helps regenerate glutathione, an important antioxidant for cellular protection.
  5. Vitamin B6: Vitamin C and B6 work together to maintain healthy immune function.
  6. Vitamin A: The combination of Vitamins A and C supports skin health and wound healing.
  7. Magnesium: Vitamin C enhances magnesium’s role in muscle function and reduces the likelihood of cramping.
  8. Folate (Vitamin B9): Vitamin C works with folate in DNA synthesis and repair.

Overdosing on Vitamin C

Vitamin C is water-soluble, so excessive amounts are typically excreted in urine. However, consistently taking extremely high doses (over 2,000 mg/day) can cause the following:

  1. Kidney Stones: As mentioned, high doses increase the risk of kidney stones in susceptible individuals.
  2. Gastrointestinal Disturbances: Diarrhea, nausea, and stomach cramps can occur with excessive doses.
  3. Iron Overload: Vitamin C enhances iron absorption, so excessive intake can lead to iron toxicity, particularly in individuals with iron overload disorders.
  4. Oxalate Build-Up: Large amounts of Vitamin C can lead to increased oxalate in the urine, which can cause kidney stones.

How to Offset Overdosing:

  • Reduce Intake: Decrease the dose to below 2,000 mg/day or follow recommended guidelines.
  • Increase Hydration: Drinking plenty of water helps flush excess Vitamin C and reduce the risk of kidney stones.
  • Switch to Buffered Forms: Using a buffered form of Vitamin C can help minimize gastrointestinal side effects.
  • Monitor Iron Levels: If you are at risk of iron overload, regular blood tests can help manage your iron status when supplementing with Vitamin C.

This comprehensive overview of Vitamin C covers its production, health benefits, medical applications, potential deficiencies, interactions, and side effects. For optimal results, always follow recommended dosages and consider speaking with a healthcare provider, especially if taking Vitamin C in higher amounts or alongside medications.

Always consult your healthcare provider before starting any supplements, especially if you have underlying health conditions or are taking medications. Individual needs can vary, and your doctor can help ensure safety and effectiveness.

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