Appendix A — Nutrient Reference Tables

⚠️ A note before the tables, and it is not boilerplate.

⚠️ These are POPULATION REFERENCE VALUES. They are designed to cover the requirements of most healthy people in a group — they are not personal targets, they are not optimal amounts, and hitting one exactly means nothing.

⚠️ If you find yourself checking your intake against these daily, or feeling that falling short of one is a failure, Chapter 34 §34.7 describes that risk and §34.14 is the section that matters.

⚠️ Values differ between countries and are revised. Use your own national figures for anything that matters clinically.


⚠️ How to read a reference value

⚠️ The terminology is genuinely confusing and the confusion is exploited constantly.

⚠️ Term ⚠️ What it actually means
⚠️ EAR (Estimated Average Requirement) ⚠️ The amount that meets the needs of HALF the population. The scientifically central number, and the one nobody quotes
⚠️ RDA / RNI (Recommended Dietary Allowance / Reference Nutrient Intake) ⚠️ EAR plus a margin — covers ~97% of healthy people. ⚠️ Deliberately ABOVE what most people need
⚠️ AI (Adequate Intake) ⚠️ Used when the evidence is too weak to set an RDA. An informed estimate, and it should be read as one
⚠️ UL (Tolerable Upper Intake Level) ⚠️ The most you can take chronically without a documented risk of harm. ⚠️ Not a target
⚠️ NRV / DV (Nutrient Reference Value / Daily Value) ⚠️ The single figure used on food labels. A simplification for labelling, not a recommendation for you (Ch 30)

⚠️ The consequence most people miss: because the RDA is set to cover almost everybody, MOST PEOPLE NEED LESS THAN THE RDA. ⚠️ Intake below an RDA is not a deficiency, and supplement marketing depends on you not knowing that (Ch 13).

⚠️ And the distinction Chapter 13's threshold rests on:

⚠️ NUTRIENT STATUS IS NOT NUTRIENT INTAKE. ⚠️ A blood test measures status. A food diary estimates intake, badly. They are different things, and only one of them is worth treating.


Macronutrients

⚠️ Nutrient ⚠️ Typical adult reference ⚠️ Notes
⚠️ Protein ⚠️ ~0.8 g/kg body weight/day as a minimum ⚠️ A FLOOR, not an optimum. Ch 8: most people benefit from more. ~1.2–1.6 g/kg if training (Ch 23) or over ~65 (Ch 25)
⚠️ Carbohydrate ⚠️ No requirement in the RDA sense beyond brain glucose needs ⚠️ Ch 6/7: "essential" is contested and the practical question is intact vs refined
⚠️ Fat ⚠️ No single figure; essential fatty acids are required ⚠️ Linoleic and alpha-linolenic acid are genuinely essential (Ch 19)
⚠️ Fibre ⚠️ ~25–30 g/day, and most populations fall well short ⚠️ Ch 11: the book's largest evidence-to-attention gap
⚠️ Water ⚠️ No fixed figure. Thirst is the mechanism ⚠️ Ch 15: the eight-glasses rule was never evidence-based

⚠️ Energy is deliberately not tabulated here. ⚠️ Chapter 4 explains why an estimated requirement is an estimate with substantial error, and Chapter 34 §34.7 explains why a calorie number in a reference table functions differently from a calcium number.


Vitamins — fat-soluble

⚠️ Vitamin ⚠️ Adult reference (order of magnitude) ⚠️ UL exists? ⚠️ Chapter
⚠️ A (retinol) ⚠️ ~700–900 µg RAE ⚠️ Yes, and it matters — excess is teratogenic 13, 25
⚠️ D ⚠️ ~10–20 µg (400–800 IU), higher where sunlight is limited ⚠️ Yes 13, 14
⚠️ E ⚠️ ~15 mg alpha-tocopherol Yes ⚠️ 13 — supplementation trials disappointing
⚠️ K ⚠️ ~90–120 µg ⚠️ No UL set ⚠️ 16 — warfarin interaction is the clinical point

⚠️ Vitamin D is the one genuine widespread-supplementation case in this book, and it is conditional: latitude, season, skin tone, coverage and age (Ch 13). ⚠️ It is not a general tonic.

Vitamins — water-soluble

⚠️ Vitamin ⚠️ Adult reference ⚠️ Chapter
C ⚠️ ~75–90 mg ⚠️ 13 — and megadoses do not prevent colds
B1 thiamin ~1.1–1.2 mg ⚠️ 13, 29 — refeeding syndrome
B2 riboflavin ~1.1–1.3 mg 13
B3 niacin ~14–16 mg NE 13
B6 ~1.3–1.7 mg ⚠️ 13 — has a UL; excess causes neuropathy
⚠️ B9 folate ⚠️ ~400 µg DFE; 400 µg supplemental preconception ⚠️ 13, 25 — one of the clearest ✅s in the book
⚠️ B12 ⚠️ ~2.4 µg ⚠️ 13, 16 — vegans, older adults, long-term metformin
⚠️ Biotin ⚠️ ~30 µg ⚠️ 16 — high-dose biotin interferes with troponin and thyroid assays. Walt's ER visit
B5, choline Various 13

Minerals

⚠️ Mineral ⚠️ Adult reference ⚠️ Chapter
⚠️ Calcium ⚠️ ~700–1,300 mg depending on age and life stage ⚠️ 14, 25 — bone, across sixty years
⚠️ Iron ⚠️ ~8 mg men / ~18 mg menstruating women; higher in pregnancy ⚠️ 14, 15, 23 — Devi's ferritin
Zinc ~8–11 mg 14
⚠️ Iodine ⚠️ ~150 µg; higher in pregnancy ⚠️ 14, 25 — a genuine and under-recognized gap
⚠️ Magnesium ~310–420 mg ⚠️ 14, 33 — and cravings do not signal it
Selenium ⚠️ ~55 µg — narrow window between requirement and UL 14
⚠️ Sodium ⚠️ Reference intakes are UPPER limits, typically <2,000–2,300 mg ⚠️ 15, 36 — most is not from your salt cellar
Potassium ⚠️ ~2,500–3,500 mg, and most populations fall short 15

⚠️ Iodine and vitamin D are the two nutrients where a genuinely widespread shortfall exists in several high-income countries (Ch 14). ⚠️ Most of the rest of the supplement aisle addresses shortfalls that are not there.


⚠️ The short list of genuinely indicated supplements

Consolidated from Chapters 13 and 16. ⚠️ Appendix H grades these in detail.

⚠️ Supplement ⚠️ For whom ⚠️ Verdict
⚠️ Folic acid ⚠️ Preconception and early pregnancy ⚠️
⚠️ Vitamin D ⚠️ Limited sun exposure, darker skin at high latitude, older adults, winter ⚠️ ✅ where deficient
⚠️ B12 ⚠️ Vegans, older adults, long-term metformin, malabsorption ⚠️
⚠️ Iron ⚠️ Diagnosed deficiency only ⚠️ ✅ when indicated; ⚠️ harmful when not
⚠️ Iodine ⚠️ Pregnancy, and non-iodized-salt populations ⚠️
⚠️ Creatine ⚠️ Strength and power performance ⚠️
⚠️ Caffeine ⚠️ Endurance and performance ⚠️ 🟢
⚠️ Oral rehydration solution ⚠️ Actual dehydration ⚠️

⚠️ That is close to the whole list. ⚠️ Everything else in a typical supplement aisle is 🟡, 🟠 or ❌ in Appendix E — and Walt Prosser was taking nine.


⚠️ Where these numbers come from, and their limits

⚠️ Reference values are set by committees reading the same imperfect literature this book has been describing for thirty-eight chapters.

⚠️ They differ between countries — sometimes substantially — for the same nutrient and the same population, which tells you something about the precision available.

⚠️ They are revised. Several in this table have moved within living memory, and dietary cholesterol guidance was withdrawn entirely (Ch 9).

⚠️ They are set for HEALTHY people. Disease, medication, pregnancy, malabsorption and age all change requirements (Ch 25, 26, 29).

⚠️ Use them as orientation, not as a scorecard. ⚠️ Chapter 37 §37.3 gave the plate in ranges for exactly this reason, and Chapter 38 §38.1 admits that a table of numbers is the most rule-convertible object a book like this can print.

⚠️ For anything clinical, use your own country's current figures and a clinician, not an appendix.