A UL of 2 g (2,000 mg) daily was recommended in order to prevent generally healthy adults from experiencing diarrhea and gastrointestinal disturbances (35). Levine M, Padayatty SJ, Espey MG. Vitamin C: a concentration-function approach yields pharmacology and therapeutic discoveries. (PubMed), 164. Efficacy and safety of vitamin C for atrial fibrillation after cardiac surgery: A meta-analysis with trial sequential analysis of randomized controlled trials. Ann Intern Med. Short-term supplementation with vitamin C was found to reduce endothelial dysfunction in subjects with heart failure, atherosclerosis, or diabetes mellitus, but it had no effect in those with hypertension. 1986;104(5):753-755. They demonstrated in guinea pigs, which do not internally produce vitamin C as most other mammals do, that lipoprotein-a take the place of ascorbate (vitamin C) in arterial walls, weakening them . After five years of follow-up, vitamin C supplement use was associated with a small decreased risk of total mortality, although no association was found with cardiovascular disease- or cancer-specific mortality. Oregon State University, Updated in January 2006 by: Int J Cancer. Am J Clin Nutr. (PubMed), 69. These, together with a general anti-oxidant recommendation which included vitamin A and E, were his specific recommendation for the prevention and treatment of cardiovascular disease. Clin Neuropsychol. 2013;97(4):800-807. Jane Higdon, Ph.D. Website https://www.paulingtherapy.comPauling Therapy for Heart Disease:-Vitamin C 12,000 mg-Lysine 6,000 mg-Proline 2,000 mg (PubMed), 207. Finally, vitamin C increases the bioavailability of iron from foods by enhancing intestinal absorption of non-heme iron (see the article on Iron) (21). Endothelial dysfunction is considered to be an early step in the development of atherosclerosis. (PubMed), 205. Without collagen to repair the inevitable damage from mechanical and oxidative stress, your blood vessels grow weaker and weaker, and you eventually die from scurvy. Wang L, Sesso HD, Glynn RJ, et al. The Collagen Connection | Nutrition Review One randomized, placebo-controlled trial has examined the effect of intravenous vitamin C administered to patients with stable angina undergoing elective coronary angioplasty (130). Massey LK, Liebman M, Kynast-Gales SA. Oregon State University, Reviewed in December 2018 by: Pediatrics. 1986;6:365-406. Lowell JA. 2000;70(5):226-237. 2018;22(1):70. Simvastatin and niacin, antioxidant vitamins, or the combination for the prevention of coronary disease. Vitamin C supplementation for pregnant smoking women and pulmonary function in their newborn infants: a randomized clinical trial. Monti DA, Mitchell E, Bazzan AJ, et al. Arch Ophthalmol. 98. Jane Higdon, Ph.D. (PubMed), 161. Among the five out of eight trials in asthmatic subjects that reported on FEV1 outcomes, none found a difference between vitamin C supplementation and placebo(180). Ohno S, Ohno Y, Suzuki N, Soma G, Inoue M. High-dose vitamin C (ascorbic acid) therapy in the treatment of patients with advanced cancer. Choi HK, Curhan G. Gout: epidemiology and lifestyle choices. Such symptoms are not generally serious, especially if they resolve with temporary discontinuation of vitamin C supplementation. The recommended intake for smokers is 35 mg/day higher than for nonsmokers, because smokers are under increased oxidative stress from the toxins in cigarette smoke and generally have lower blood concentrations of vitamin C (36). PDF Chapter 7 The Pauling Therapy - Practicing Medicine Without A License Potential mechanisms of action for vitamin C in cancer: reviewing the evidence. The information is made available with the understanding that the author and publisher are not providing medical, psychological, or nutritional counseling services on this site. Antioxidant vitamins and coronary heart disease risk: a pooled analysis of 9 cohorts. Ann Thorac Surg. However, in test tube experiments, vitamin C can interact with some free metal ions and lead to the generation of potentially damaging free radicals. Nutrition and gastric cancer risk: an update. Cardiovasc Diabetol. Auer BL, Auer D, Rodgers AL. Individuals on anticoagulants should limit their vitamin C intake to <1 g/day and have their prothrombin time monitored by the clinician following their anticoagulant therapy (200). Intravenous vitamin C and cancer: a systematic review. Integr Cancer Ther. When the results of the Womens Antioxidant Vitamin Estrogen (WAVE) trial were reanalyzed based on Hp genotype, antioxidant therapy (1,000 mg/day of vitamin C + 800 IU/day of vitamin E) was associated with improvement of coronary atherosclerosis in diabetic women with Hp1-1 genotype but worsening of coronary atherosclerosis in those carrying the Hp2-2 genotype (148). Bjog. ", Linus Pauling Institute | Oregon State University This highlights the fact that limitations associated with dietary assessment methods such as food frequency questionnaires may be overcome by using biomarkers of nutrient intake (50, 51). Reversal of ionoregulatory disruptions in occupational lead exposure by vitamin C. Environ Toxicol Pharmacol. Curhan GC, Willett WC, Rimm EB, Stampfer MJ. Higher doses (>500 mg) result in fractionally less vitamin C being absorbed as the dose increases. (PubMed), 125. Ames, Iowa: Wiley-Blackwell; 2012:248-260. Intake of antioxidant nutrients and risk of non-Hodgkin's Lymphoma in the Women's Health Initiative. ", Linus Pauling Institute | Oregon State University In a 1974 radio interview, he noted that "the first 250 mg is more important than any later 250 mg. Yokoyama T, Date C, Kokubo Y, Yoshiike N, Matsumura Y, Tanaka H. Serum vitamin C concentration was inversely associated with subsequent 20-year incidence of stroke in a Japanese rural community.
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