DEEPA SHAKYA, Clinical Pharmacist, Norvic International Hospital
Vitamins and supplements are more popular than ever but doctors want everyone to know that such supplements are not always as harmless or helpful as they seem. Just because a product is sold over the counter or labelled “natural” doesn’t mean it is effective or risk-free. Many supplements on the market are backed more by hype than by clinical evidence, and in many cases, people are spending money on products they do not actually need.
Pharmacists can help by steering customers toward evidence-based choices and considering their individual health, diet and lifestyle. Pharmacists, with their clinical expertise, play a vital role in educating the public about benefits and risk associated with vitamin and supplements and help patients understand that mild deficiencies detected in lab tests often do not warrant treatments and sometimes over-supplementation, especially with fat-soluble vitamins like A, D, E, and K which can lead to toxicity. These supplements can also interact with medications you are already taking, sometimes dangerously, like vitamin K interfering with blood thinners.
And although popular in wellness circles, IV vitamin therapy comes with risks like infections, vein damage, electrolyte imbalance and allergic reactions. Hence, Pharmacists can discourage self-medication practise without medical need. Since many people turn to pharmacists first for supplement advice, doctors want pharmacists to be strong partners in educating patients. They want pharmacist to be a checkpoint against supplement stacking or interactions that patients may not tell them. That means emphasising evidence-based use, correcting myths, reminding people that supplements are not a substitute for a good diet, and help doctors on reporting any side effects associated with the use of vitamins and supplements. At the end of the day, science – not marketing – should guide our health choices.
DT. ANJALI GOEL, Dietitian
In recent years, Kathmandu has seen a rise in interest in supplements and IV vitamin therapy, with many people seeking quick fixes for fatigue, skin glow or immunity boosts. But here is what we, as experts, wish more people knew: supplements are not substitutes for a balanced diet. Many common deficiencies like Vitamin D, B12, iron, and calcium stem from poor diet or limited sun exposure, not a lack of supplements. For example, our traditional Nepali meals like dal bhat with saag and fermented foods already provide essential nutrients when eaten in balance.
Yes, supplements are helpful, especially in cases of pregnancy, PCOS, vegan diets or diagnosed deficiencies. But taking high doses without medical advice can do more harm than good.
IV therapy may be helpful in specific clinical situations (like severe dehydration or nutrient absorption issues) but it is not necessary for healthy individuals. Before chasing trendy vitamin drips, ask yourself: am I eating enough fresh, local food? Am I sleeping well, getting sunlight, and staying hydrated? That is where real health begins. Supplements support health. They do not create it. Start with food first.
DR ISHA POUDEL, Founder, Aesthetic Aura Skin and Hair Clinic
While vitamins and supplements can support overall wellness, many people do not realize that more is not always better and that not all supplements are necessary for everyone. From a medical perspective, it is important to understand that nutrients work best when tailored to individual needs, not trends. Randomly taking multiple supplements without proper evaluation can lead to imbalances or even toxicity over time.
When it comes to IV Vitamin therapy, it has become popular for its quick energy boost and hydration and glowing skin benefits. However, it is not a cure for all. For those with genuine deficiencies or certain medical conditions, IV therapy may be helpful but for the average healthy individual, the body absorbs most nutrients effectively through a balanced diet and oral supplements.
Ultimately, before investing in any supplement or IV therapy, I recommend getting a professional evaluation of your nutritional status. Working with a doctor ensures you are getting what your body actually needs safely, effectively and in the right form.
Dr Prem Raj Baidya, Senior Consultant, Cardio-Vascular Surgeon
Most people do not need vitamins or supplements if they eat a balanced diet rich in fruits, vegetables, whole grains, lean meats, fish and dairy which provides all essential nutrients.
While most supplements are safe at recommended doses, some can cause harmful effects. Over 23,000 emergency visits yearly are linked to toxic ingredients like heavy metals, steroids, stimulants or vitamin overdoses. Certain groups benefit from supplements. Pregnant women should take folic acid before and during pregnancy to prevent birth defects and support fetal development.
Prenatal vitamins with iron and calcium are also recommended, continuing through breastfeeding. Older adults may have trouble absorbing nutrients like B12, vitamin D, iron, and calcium, especially if taking acid-reducing medications. A multivitamin may help, and studies show they can improve memory and slow cognitive aging. People with medical conditions such as inflammatory bowel disease, osteoporosis, or post-weight-loss surgery often need targeted supplements. Natural compounds like turmeric (for arthritis) and cinnamon (for blood sugar) may offer benefits when used in food rather than concentrated supplements.
Despite popular claims, most advertised benefits of supplements are unproven. Nutrients from whole foods are better absorbed and more effective than those from pills. Supplements cannot replace a healthy diet
