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He challenges what he says is a widely held belief that the older people get, the more vitamins and mineral supplements they need.The scientific backup for that doesn’t exist, he says.If you notice the same thing, switch to something really hot!This content has not been reviewed within the past year and may not represent Web MD's most up-to-date information.He says there is a decrease in the way the skin makes vitamin D.So for some older adults, supplemental vitamin D may be needed.''The adequate intake of vitamins in the elderly is a concern," Mac Kay of the Council for Responsible Nutrition says.In particular, he says, older adults may lack calcium, vitamin D, vitamin B12, potassium, and fiber.

Some older adults may need more vitamin B6, B12, and folate, research suggests.

Changing the diet can be difficult for older people, he says.

Living on fixed incomes may make fresh produce too costly. For others, ill-fitting dentures or a reduced appetite may make eating difficult.

Mc Cormick reviewed studies on dietary supplements in older adults published in the last 12 years.

He says that ''it is apparent that changes in requirements for the elderly do not suggest massive supplement use covering most micronutrients." He says minor diet changes can fill needs for nutrients, ''with supplements included only where there is evidence of serious limitation of intake." He disagrees with a study suggesting that older adults should take two multivitamins a day.

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