Vitamin and mineral deficiencies commonly associated with the conditions this remedy may support.
Low vitamin D status is one of the most widespread deficiencies globally and has been linked to autoimmune disease activity (Hashimoto's, MS), mood disorders, recurrent infections, and poor skin barrier function.
Common symptoms
- Fatigue
- Low mood
- Frequent infections
- Bone or muscle aches
- Hair thinning
Food sources
- Fatty fish (salmon, sardines)
- Egg yolks
- Cod liver oil
- UV-exposed mushrooms
- Fortified dairy
Lab markers to discuss
- 25-hydroxyvitamin D (target 40–60 ng/mL per most functional ranges)
Reference intake: Adults 600–800 IU/day RDA; functional medicine often targets 2,000–5,000 IU/day with monitoring.
Supplementation notes: Take with a fat-containing meal. Pair with vitamin K2 (MK-7) when supplementing higher doses long-term.
Why it matters here
Autism Spectrum: Lower 25(OH)D levels associated with autism; supplementation trials show modest behavioral improvements.
Viral Infections: Modulates innate and adaptive immunity; deficiency increases viral susceptibility.
Joint Pain: Deficiency is associated with chronic widespread pain and osteoarthritis progression.
Hyperthyroidism: Low vitamin D is associated with Graves' disease activity.
Insomnia: Low vitamin D status is associated with poor sleep quality and shorter sleep duration.
Hypothyroidism: Frequently low in hypothyroid patients; influences immune tolerance.
Anxiety: Low vitamin D correlates with higher anxiety and depression scores.
Selenium reduces TPO antibodies in Hashimoto's and supports T4→T3 conversion. Deficiency is implicated in thyroid autoimmunity and viral susceptibility.
Common symptoms
- Thyroid dysfunction
- Frequent infections
- Brain fog
- Hair loss
- Muscle weakness
Food sources
- Brazil nuts (1–2/day)
- Sardines, tuna
- Eggs
- Sunflower seeds
- Grass-fed beef
Lab markers to discuss
- Serum or plasma selenium
- Erythrocyte glutathione peroxidase
Reference intake: 55 mcg/day RDA; therapeutic 200 mcg/day studied for Hashimoto's.
Supplementation notes: Do not exceed 400 mcg/day long-term — selenium toxicity causes hair/nail loss.
Why it matters here
Hyperthyroidism: Selenium supplementation has shown benefit in mild Graves' ophthalmopathy.
Hypothyroidism: Selenoenzymes convert T4 to active T3.
Viral Infections: Low selenium is linked to more virulent viral mutations and weaker immunity.
Low EPA/DHA status correlates with depression, anxiety, dry skin, joint pain, and autoimmune flare risk.
Common symptoms
- Dry skin or eczema
- Joint stiffness
- Low mood
- Dry eyes
- Poor concentration
Food sources
- Wild salmon
- Sardines, anchovies, mackerel
- Cod liver oil
- Algae oil (vegan)
- Walnuts and flax (ALA only)
Lab markers to discuss
- Omega-3 Index (target 8–12% of RBC membrane fatty acids)
Reference intake: 250–500 mg combined EPA+DHA/day baseline; 1–3 g/day therapeutic.
Supplementation notes: Choose IFOS-certified or molecularly distilled fish oils to minimize heavy-metal exposure.
Why it matters here
Joint Pain: EPA/DHA reduce inflammatory cytokines and joint stiffness in RA and OA.
Autism Spectrum: Some benefit on hyperactivity and stereotypy in ASD studies.
Anxiety: EPA-dominant omega-3s show benefit in anxiety in meta-analyses.
An estimated 50% of adults consume below the EAR. Low magnesium is linked to insomnia, anxiety, migraines, muscle tension, and poor blood sugar regulation.
Common symptoms
- Muscle cramps or twitches
- Poor sleep
- Anxiety, irritability
- Headaches/migraines
- Constipation
Food sources
- Pumpkin seeds
- Dark leafy greens
- Almonds and cashews
- Dark chocolate (85%+)
- Black beans
- Avocado
Lab markers to discuss
- RBC magnesium (more sensitive than serum)
- Serum magnesium
Reference intake: 310–420 mg/day RDA depending on age and sex.
Supplementation notes: Glycinate for sleep/anxiety, citrate for constipation, threonate for cognitive/brain effects. Avoid magnesium oxide (poorly absorbed).
Why it matters here
Insomnia: Improves sleep latency and quality, particularly in older adults.
Anxiety: Magnesium modulates the HPA axis and NMDA receptor activity; deficiency is linked to anxiety symptoms.
Headache: Magnesium prophylaxis reduces migraine frequency; AAN/AHS gives it Level B.
Joint Pain: Supports muscle relaxation and reduces secondary pain.
Autism Spectrum: Often combined with B6 in ASD support protocols.
Both deficiency and excess affect the thyroid. In Hashimoto's, supplementation should be cautious; in hypothyroidism from low intake it is essential.
Common symptoms
- Goiter
- Fatigue
- Cold intolerance
- Weight gain
- Dry skin
- Brain fog
Food sources
- Seaweed (kelp, nori, wakame)
- Iodized salt
- Cod and haddock
- Dairy
- Eggs
Lab markers to discuss
- Urinary iodine concentration (UIC, spot test)
- TSH
Reference intake: 150 mcg/day adults; 220 mcg pregnancy.
Supplementation notes: In autoimmune thyroid disease, work with a clinician — high doses can worsen Hashimoto's.
Why it matters here
Hypothyroidism: Iodine is the substrate for thyroid hormone — deficiency causes goiter and hypothyroidism.
Deficiency contributes to anxiety, low mood, PMS, and sleep disturbance.
Common symptoms
- Anxiety, irritability
- Poor sleep
- PMS symptoms
- Tingling in extremities
- Cracks at corners of mouth
Food sources
- Salmon, tuna
- Chicken
- Chickpeas
- Bananas
- Potatoes
- Sunflower seeds
Lab markers to discuss
- Plasma pyridoxal 5'-phosphate (PLP)
Reference intake: 1.3–1.7 mg/day; avoid >100 mg/day long-term (peripheral neuropathy risk).
Supplementation notes: P-5-P (active form) is preferred for those with poor conversion.
Why it matters here
Anxiety: Required for GABA and serotonin synthesis.
Headache: Often combined with B2 and B9 in migraine prevention protocols.
Low folate (or impaired conversion in MTHFR variants) is implicated in depression, anxiety, autism spectrum biology, and pregnancy complications.
Common symptoms
- Fatigue
- Low mood
- Brain fog
- Mouth ulcers
- Megaloblastic anemia
Food sources
- Leafy greens (spinach, romaine)
- Lentils and beans
- Asparagus
- Avocado
- Beef liver
Lab markers to discuss
- Serum folate
- RBC folate (better marker)
- Homocysteine
Reference intake: 400 mcg DFE/day; 600 mcg pregnancy.
Supplementation notes: Methylfolate (5-MTHF) is preferred over folic acid, especially with MTHFR C677T/A1298C variants.
Why it matters here
Autism Spectrum: Folate metabolism abnormalities (cerebral folate deficiency) found in subsets of ASD.
Deficiency is linked to frequent infections, poor wound healing, easy bruising, and accelerated skin aging.
Common symptoms
- Frequent colds
- Bleeding gums
- Easy bruising
- Slow wound healing
- Dry, rough skin
Food sources
- Bell peppers
- Citrus fruits
- Strawberries
- Kiwi
- Broccoli
- Camu camu (concentrated)
Lab markers to discuss
- Plasma vitamin C
- Leukocyte ascorbate (research only)
Reference intake: 75–90 mg/day RDA; 500–2,000 mg/day commonly used for immune support.
Supplementation notes: Split high doses through the day. Liposomal forms improve absorption at higher intakes.
Why it matters here
Viral Infections: Supports neutrophil function and reduces severity of viral illnesses.
Low ferritin (iron stores) is a frequent driver of fatigue, hair loss, restless legs, and impaired T4→T3 conversion in hypothyroidism and Hashimoto's.
Common symptoms
- Fatigue, exhaustion
- Hair shedding
- Pale skin
- Restless legs
- Cold hands/feet
- Brittle nails
Food sources
- Red meat and liver
- Oysters and clams
- Lentils and beans
- Pumpkin seeds
- Spinach (with vitamin C)
Lab markers to discuss
- Ferritin (functional target 70–100 ng/mL for women, 100+ for hair/thyroid)
- Serum iron
- TIBC
- Transferrin saturation
Reference intake: 8 mg/day men, 18 mg/day premenopausal women.
Supplementation notes: Take iron with vitamin C; avoid with coffee, tea, or calcium. Bisglycinate is gentler on the gut than ferrous sulfate.
Why it matters here
Insomnia: Low ferritin is a known driver of restless legs syndrome, which fragments sleep.
Hypothyroidism: Low ferritin impairs T4→T3 conversion and worsens fatigue.
Deficiency is common in vegetarians/vegans, older adults, and those on PPIs or metformin. Strongly implicated in neurological symptoms (MS-like presentations), fatigue, anxiety, and cognitive decline.
Common symptoms
- Fatigue
- Tingling/numbness in hands or feet
- Brain fog
- Mood changes
- Glossitis (sore tongue)
Food sources
- Beef and lamb liver
- Clams and oysters
- Sardines
- Eggs
- Nutritional yeast (fortified)
Lab markers to discuss
- Serum B12 (>500 pg/mL functional)
- Methylmalonic acid (MMA)
- Homocysteine
Reference intake: 2.4 mcg/day RDA; therapeutic 1,000 mcg/day sublingual methylcobalamin is common.
Supplementation notes: Prefer methylcobalamin or hydroxocobalamin over cyanocobalamin, especially with MTHFR variants.
Why it matters here
Anxiety: Low B12 contributes to mood and anxiety symptoms.
Autism Spectrum: Methyl-B12 trials show improvement in some children with ASD.
Low zinc is linked to recurrent infections, acne, slow wound healing, leaky gut, and impaired taste/smell. Often deficient in vegetarians and those with gut malabsorption.
Common symptoms
- Frequent colds/infections
- Acne or slow-healing skin
- Loss of taste or smell
- Hair loss
- White spots on nails
Food sources
- Oysters
- Beef and lamb
- Pumpkin seeds
- Cashews
- Lentils and chickpeas
Lab markers to discuss
- Plasma or serum zinc
- Zinc/copper ratio
Reference intake: 8–11 mg/day RDA.
Supplementation notes: Take away from iron and calcium. Long-term high-dose zinc depletes copper — pair with ~1 mg copper if dosing >30 mg/day.
Why it matters here
Viral Infections: Inhibits viral replication and supports immune cell function.
Hypothyroidism: Zinc supports TSH and thyroid hormone production.