Vitamin C

FoundationalImmuneAntioxidant

The body's master water-soluble antioxidant. Essential for collagen synthesis, immune function, and the regeneration of other antioxidants like vitamin E and glutathione.

EvidenceStrong (cofactor / collagen / immune)

Rock solid as an enzyme cofactor — without enough vitamin C, collagen synthesis fails (scurvy). Strong for shortening the duration of a cold (~10%), immune-cell function, iron absorption. Mixed evidence for preventing colds in the general population (does prevent in athletes / cold-stressed populations).

Ascorbic acid is required for collagen production (skin, blood vessels, tendons, bone matrix), immune cell function (neutrophil and T-cell activity), neurotransmitter synthesis (dopamine → norepinephrine), and the regeneration of glutathione and vitamin E from their oxidised forms. Humans are one of the few mammals that can't make our own — we have to eat it. Easy to hit RDA from food, but therapeutic uses (acute infection, post-surgery healing, heavy exercise) call for higher doses than diet typically delivers.

Form
Ascorbic acid is the standard form and works fine. Liposomal vitamin C for higher doses with less GI upset (significantly better absorption). Sodium ascorbate is buffered and gentler on the stomach. Ester-C is calcium ascorbate, marginally gentler. IV vitamin C delivers blood levels you can't achieve orally (used in cancer-adjunct protocols).
Dose
500–1,000 mg/day for general support. 2–3 g/day during acute illness or for therapeutic effect. Up to 6–10 g/day in divided doses for heavy infection — bowel tolerance is the upper limit.
Timing
Anytime. Split doses for higher amounts (the body absorbs ~70–80% from a single 500mg dose, much less from larger boluses). With or without food.
Schedule
Daily for baseline. Pulse to high doses at first sign of illness.
Side effects
GI upset and loose stools above ~2 g in one dose. The kidney-stone concern is overstated for healthy adults but real for those with a history of oxalate stones.
Interactions
Improves non-heme iron absorption — useful normally, watch with iron-overload conditions (hemochromatosis). Can interfere with some lab tests (occult blood, glucose meters). May reduce the efficacy of some chemotherapy (debated).
Contraindications
Hemochromatosis (iron overload). G6PD deficiency at very high doses (hemolysis risk). History of oxalate kidney stones — keep dose moderate.
Lab markers
Plasma vitamin C (rarely tested — body keeps levels stable until severe deficiency). Symptoms of deficiency: bleeding gums, slow wound healing, easy bruising.
Food sources
Citrus (oranges, grapefruit, lemons), bell peppers (red especially — more than oranges), strawberries, kiwi, broccoli, brussels sprouts, kale, parsley, papaya, guava. Heat-sensitive — raw or lightly cooked preserves more.

Pairs with

Iron — vitamin C taken with iron-rich foods or iron supplements doubles absorption. Collagen peptides (vitamin C is the cofactor for collagen synthesis). Glutathione / NAC (network antioxidant synergy). Vitamin E (regenerates oxidised E).