| Vitamin C | Supports epithelial barriers, antioxidant defenses, and normal immune-cell function. | 75 mg for women; 90 mg for men. People who smoke need an additional 35 mg per day. | 2,000 mg per day for adults from food and supplements. | Regular supplementation does not usually prevent colds in the general population, but may slightly shorten cold duration or reduce symptom severity. Benefits are more consistent in people under substantial physical stress or with low intake. | High intakes may cause diarrhea, nausea, or stomach cramps. People with a history of kidney stones or iron-overload disorders should seek medical advice before using high doses. |
| Vitamin D | Helps regulate innate and adaptive immune responses and supports normal bone and muscle health. | 600 IU (15 mcg) for adults up to age 70; 800 IU (20 mcg) for adults over age 70. | 4,000 IU (100 mcg) per day for adults. | Low vitamin D status is associated with higher respiratory-infection risk, but supplementation provides inconsistent preventive benefits. Effects may be greater in people with deficiency, and it should not be treated as a stand-alone infection treatment. | Excessive intake can cause high blood calcium, kidney problems, nausea, and confusion. Testing and professional guidance may be appropriate for long-term high-dose use. |
| Vitamin A | Maintains skin and mucosal barriers and supports normal immune-cell development and activity. | 700 mcg RAE for women; 900 mcg RAE for men. | 3,000 mcg RAE per day for preformed vitamin A. | Deficiency can impair immunity, while supplementation generally provides little benefit to well-nourished adults. Vitamin A is important for correcting deficiency under medical supervision, not for routine high-dose prevention. | Excess preformed vitamin A may cause liver damage, reduced bone strength, and birth defects during pregnancy. Beta-carotene supplements may increase lung-cancer risk in people who smoke or previously smoked. |
| Vitamin E | Acts as a lipid-soluble antioxidant and supports several immune-cell functions. | 15 mg alpha-tocopherol per day. | 1,000 mg per day of supplemental alpha-tocopherol. | Deficiency is uncommon in healthy adults. Routine high-dose supplementation has not shown reliable protection against common respiratory infections. | Large supplemental doses may increase bleeding risk, particularly with anticoagulant or antiplatelet medicines. Food sources are generally preferred. |
| Zinc | Supports physical barriers, enzyme activity, and the development and function of immune cells. | 8 mg for women; 11 mg for men. | 40 mg per day for adults. | Zinc lozenges started soon after cold symptoms begin may modestly reduce cold duration in some studies, but results vary by dose, formulation, and timing. Routine long-term use does not reliably prevent infections. | Excess zinc can cause nausea and copper deficiency and may weaken immune function. Do not use intranasal zinc products because they have been linked to loss of smell. |
| Selenium | Supports antioxidant enzymes and the regulation of immune and thyroid functions. | 55 mcg per day for adults. | 400 mcg per day for adults. | Deficiency can affect immune responses, but supplementation has not consistently improved infection prevention in adequately nourished adults. | Chronic excess may cause hair or nail changes, a metallic taste, gastrointestinal symptoms, and nervous-system problems. |
| Vitamin B12 | Supports blood-cell formation, DNA synthesis, and normal neurological and immune function. | 2.4 mcg per day for adults. | No established upper limit because of its generally low toxicity. | Correcting deficiency is important for normal health, but supplementation does not provide a proven immune boost for people with adequate B12 status. | Deficiency risk is higher in some older adults, people following vegan diets, and people taking certain medicines. Medical testing can help confirm deficiency. |
| Folate | Supports DNA synthesis, cell division, and the production of blood cells involved in immune function. | 400 mcg DFE per day for adults. | 1,000 mcg per day of folic acid from supplements or fortified foods. | Adequate folate is necessary for health, but there is no strong evidence that extra supplementation improves immunity in people who are not deficient. | High folic acid intake can mask vitamin B12 deficiency and may delay diagnosis. Pregnancy needs are higher and should follow professional guidance. |