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.