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Deficiency, excess & life stages

Know when general nutrition guidance needs an individual assessment.

The same product or intake target can be unsuitable for another person. Nutrition assessment considers food intake, symptoms, health, medicines and, when useful, tests.

Adult nutrition basics · Sources checked 25 October 2026
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Three things to remember

  1. Symptoms alone do not reliably identify a nutrient deficiency.
  2. Inadequate intake, a diagnosed deficiency and a treatment dose are different things.
  3. Children, pregnancy, older age and medical conditions need tailored guidance.

Low intake is not a diagnosis

Fatigue, weakness, poor appetite or unintentional weight loss can accompany poor nutrition, but they can have other causes. Seek assessment if symptoms persist. Do not infer an iron, B12 or magnesium deficiency from one symptom or a product advert.

A diet review helps identify possible gaps. A clinician chooses tests according to the question; a supplement trial is not a substitute for finding the cause.

Sources: NHS · Malnutrition ↗ · NIH ODS · Vitamin B12 ↗ · NHS · Iron ↗

More is not always better

Keep a single list of your supplements, fortified drinks and medicines. Overlap can make the total dose much higher than the amount on any one bottle.

For example, excessive supplemental B6 can damage nerves, high vitamin A intakes can be harmful, and too much iron can cause harm. Check the relevant nutrient’s upper-limit notes and medicine interactions.

Sources: NHS · B vitamins and folic acid ↗ · NHS · Vitamin A ↗ · NHS · Iron ↗

Situations that change the question

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SituationWhat needs attentionPractical next step
Pregnancy or planning pregnancy ↗Folate, iron, iodine, choline and other needs; excess retinol can be harmful.Discuss a prenatal plan and existing products with maternity care.
Infants, children and adolescents ↗Growth and age-specific needs.Use paediatric guidance rather than scaling an adult supplement.
Older adults ↗Appetite, absorption, medicines and food access.Review diet and relevant nutrients such as B12.
Vegan or very restricted diets ↗Reliable B12 intake and overall nutrient coverage.Plan food, fortification and any supplements deliberately.
Kidney, heart, liver or absorption conditions ↗Fluid, electrolyte and nutrient handling can change.Get a condition-specific plan.

Sources: NIH ODS · Nutrition and supplements in pregnancy ↗ · NIH ODS · Dietary reference intakes and official tables ↗

Make an assessment useful

  • Bring the names and full serving instructions of everything you take.
  • Note your usual meals, exclusions, appetite changes and symptoms.
  • Ask which findings support the recommendation, how long treatment is intended, and when it should be reviewed.
  • Do not stop prescribed treatment because a general nutrition guide suggests a different food pattern.

Common questions

Can someone with a larger body size still have poor nutrition?

Yes. Body size alone does not show whether a person is getting the nutrients they need.

Can this site diagnose a deficiency?

No. These guides explain nutrition concepts and help prepare questions; they do not perform a medical assessment.

Sources & scope

This is an editorial summary of the sources below. Published reference values apply to their stated populations. No individual diagnosis, deficiency test or medical assessment is performed here.

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