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The Bioavailability of Different Forms of Vitamin C - James - 08-10-2012 07:34 AM

The Bioavailability of Different Forms of Vitamin C

It is possible to find vitamin C (ascorbic acid) in many different forms with any number of claims regarding its efficacy or bioavailability. Bioavailability refers to the degree to which a nutrient becomes available to the target tissue after it has been administered. Our conclusions about the various forms of vitamin C based on the available scientific evidence follow. More information and references are posted on the LPI Micronutrient Information Center.

• Natural vs. synthetic ascorbic acid: Natural and synthetic ascorbic acid are chemically identical. As assessed by at least two studies, there appears to be no clinically significant difference in the bioavailability and bioactivity of natural ascorbic acid and synthetic ascorbic acid.

• Different forms of ascorbic acid (powders, tablets, etc.): The gastrointestinal absorption of ascorbic acid occurs through an active transport process, as well as through passive diffusion.
At low gastrointestinal concentrations of ascorbic acid active transport predominates, while at high gastrointestinal concentrations active transport becomes saturated, leaving only passive diffusion. In theory, slowing down the rate of gastric emptying (e.g., by taking ascorbic acid with food or taking a slow-release form of ascorbic acid) should increase its absorption. The bioavailability of ascorbic acid appears equivalent whether it is in the form of powder, chewable tablets, or non-chewable tablets. Moreover, bioavailability of ascorbic acid from slow-release preparations has not been found to be greater than that of plain ascorbic acid.

• Mineral ascorbates: Mineral salts of ascorbic acid (mineral ascorbates) are buffered and therefore less acidic. Thus, mineral ascorbates are often recommended to people who experience gastrointestinal problems (abdominal pain or diarrhea) with plain ascorbic acid. There appears to be little scientific research to support or refute the claim that mineral ascorbates are less irritating to the gastrointestinal tract. When mineral salts of ascorbic acid are taken, both the ascorbic acid and the mineral appear to be well-absorbed, so it is important to take into consideration the dose of the mineral accompanying the ascorbic acid when taking large doses of mineral ascorbates. For the following discussion, it should be noted that 1 gram = 1,000 milligrams (mg) and 1 milligram (mg) = 1,000 micrograms (mcg). Mineral ascorbates are available in the following forms:

Sodium ascorbate: 1,000 mg of sodium ascorbate contains 889 mg of ascorbic acid and 111 mg of sodium (there are 125 mg of sodium per 1,000 mg of ascorbic acid in sodium ascorbate). Individuals following low-sodium diets (e.g., for high blood pressure) are generally advised to keep their total dietary sodium intake to less than 2,500 mg/day. Megadoses of sodium ascorbate could significantly increase sodium intake.

Calcium ascorbate: Pure calcium ascorbate provides 114 mg of calcium per 1,000 mg of ascorbic acid. Calcium in this form appears to be reasonably well absorbed. The recommended dietary calcium intake for adults is 1,000 to 1,200 mg/day. Total calcium intake should not exceed the tolerable upper intake level of 2,500 mg/day.

The following mineral ascorbates are more likely to be found in combination with other mineral ascorbates, as well as other minerals. It’s a good idea to check the labels of dietary supplements for the ascorbic acid dose as well as the dose of each mineral. Recommended dietary intakes and maximum upper levels of intake (when available) are listed after the individual mineral ascorbates below:

Potassium ascorbate: The minimal requirement for potassium is thought to be between 1.6 and 2.0 grams/day. Fruits and vegetables are rich sources of potassium, so a diet rich in fruits and vegetables may provide as much as 8 to 11 grams/day. Acute and potentially fatal potassium toxicity (hyperkalemia) is thought to occur at a daily intake of about 18 grams of potassium/day in adults. Individuals on potassium-sparing diuretics and those with renal insufficiency (kidney failure) should avoid significant intake of potassium ascorbate. The purest form of commercially available potassium ascorbate contains 0.175 grams (175 mg) of potassium per gram of ascorbic acid.

Magnesium ascorbate: The recommended dietary allowance (RDA) for magnesium is 400-420 mg/day for adult men and 310-320 mg/day for adult women. The maximum upper level of intake for magnesium from supplements is 350 mg/day.

Zinc ascorbate: The RDA for zinc is 11 mg/day for adult men and 8 mg/day for adult women. The upper intake level of zinc for adults is 40 mg/day.

Molybdenum ascorbate: The RDA for molybdenum is 45 micrograms (mcg)/day for adult men and women. The upper intake level of molybdenum for adults is 2,000 mcg (2 mg)/day.

Chromium ascorbate: The recommended dietary intake for chromium is 30-35 mcg/day for adult men and 20-25 mcg/day for adult women. An upper level of intake has not been determined by the U.S. Food and Nutrition Board.

Manganese ascorbate: The recommended dietary intake for manganese is 2.3 mg/day for adult men and 1.8 mg/day for adult women. The upper level of intakefor manganese is 11 mg/day. Manganese ascorbate is found in some preparations of glucosamine and chondroitin sulfate. Following the recommended dose on the label could result in a daily intake exceeding the upper intake level for manganese.

• Ester-C®: Ester-C® contains mainly calcium ascorbate, but also contains small amounts of the vitamin C metabolites dehydroascorbic acid (oxidized ascorbic acid), calcium threonate, and trace levels of xylonate and lyxonate. In their literature, the manufacturers state that the metabolites, especially threonate, increase the bio-availability of the vitamin C in this product and that they have performed a study in humans demonstrating the increased bioavailability of vitamin C in Ester-C®. This study has not been published in a peer-reviewed journal. A small published study of vitamin C bioavailability in 8 women and 1 man found no difference between Ester-C® and commercially available ascorbic acid tablets with respect to the absorption and excretion of vitamin C.

• Vitamin C with bioflavonoids: Bioflavonoids are a class of water-soluble plant pigments. Vitamin C-rich fruits and vegetables, especially citrus fruits, are often rich sources of bioflavonoids as well. The effect of bioflavonoids on the bioavailability of ascorbic acid has been examined in two small published studies. In one study synthetic ascorbic acid given in a natural citrus extract containing bioflavonoids (in the ratio of bioflavonoids to ascorbic acid of 4:1), proteins, and carbohydrates, was more slowly absorbed and 35% more bioavailable than synthetic ascorbic acid alone, based on plasma levels of ascorbate over time and 24-hour urinary excretion of ascorbate. In the other study, there was no difference in the bio-availability of 500 mg of synthetic ascorbic acid and that of a commercially available vitamin C preparation with added bioflavonoids, where the ratio of bioflavonoids to ascorbic acid was 0.05:1.

• Ascorbyl palmitate: Ascorbyl palmitate is a fat-soluble antioxidant sometimes used to increase the shelf life of vegetable oils and potato chips. It is an amphipathic molecule, meaning one end is water-soluble and the other end is fat-soluble. This dual solubility allows it to be incorporated into cell membranes. When incorporated into the cell membranes of human red blood cells, ascorbyl palmitate has been found to protect them from oxidative damage and to protect vitamin E (a fat-soluble antioxidant) from oxidation by free radicals. However, the protective effects of ascorbyl palmitate on cell membranes have only been demonstrated in the test tube. Taking ascorbyl palmitate orally probably doesn’t result in any significant incorporation into cell membranes because most of it appears to be hydrolyzed (broken apart into palmitate and ascorbic acid) in the human digestive tract before it is absorbed. The ascorbic acid released by the hydrolysis of ascorbyl palmitate appears to be as bioavailable as ascorbic acid alone. The presence of ascorbyl palmitate in oral supplements contributes to the ascorbic acid content of the supplement and probably helps protect lipid-soluble antioxidants during storage. The role of vitamin C in promoting collagen synthesis and its antioxidant properties have generated interest in its use on the skin. Ascorbyl palmitate is frequently used in topical preparations because it is more stable than some aqueous (water-soluble) forms of vitamin C.

Last updated May, 2001