Effect of high-dose multivitamin supplements on alanine aminotransferase elevations among adults living with HIV on antiretroviral therapy in Tanzania

High-dose RDA multivitamin supplementation increased the incidence of any mild to moderate ALT elevations among adults starting ART in Tanzania and the magnitude of the risk does not appear to differ by patient characteristics. However, immunocompromised PLWHA with CD4 T-cell counts < 100 cells/µL may experience greater risk of severe ALT elevations associated with the use of high-dose multivitamins. Although the study findings offer significant insights, it is essential to take into account limitations imposed by newer cART regimes.

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Publication Details

Journal
BMC Nutrition
Published
2024-09-30
DOI
https://doi.org/10.1186/s40795-024-00937-8
Citations
1
Primary Topic
HIV-related health complications and treatments
Type
article
Field-Weighted Citation Impact
0.69

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article

Effect of high-dose multivitamin supplements on alanine aminotransferase elevations among adults living with HIV on antiretroviral therapy in Tanzania

Wafaie Fawzi, David Sando, Claudia Hawkins, Sabina Mugusi et al.
1 citations
BMC Nutrition
HIV-related health complications and treatments
0.69
article

Effect of high-dose multivitamin supplements on alanine aminotransferase elevations among adults living with HIV on antiretroviral therapy in Tanzania

Wafaie Fawzi, David Sando, Claudia Hawkins, Sabina Mugusi, Christopher R. Sudfeld, Ferdinand Mugusi, Said Aboud
article en
1 citations

Abstract

High-dose RDA multivitamin supplementation increased the incidence of any mild to moderate ALT elevations among adults starting ART in Tanzania and the magnitude of the risk does not appear to differ by patient characteristics. However, immunocompromised PLWHA with CD4 T-cell counts < 100 cells/µL may experience greater risk of severe ALT elevations associated with the use of high-dose multivitamins. Although the study findings offer significant insights, it is essential to take into account limitations imposed by newer cART regimes.

BMC NutritionVol. 10(1)
Northwestern University (US), Muhimbili University of Health and Allied Sciences (TZ), Harvard Global Health Institute (US)
National Institute of Child Health and Human Development
Good health and well-being, Zero hunger
Openalex Percentile: Top 26%
HIV-related health complications and treatments
0.69
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Effect of high-dose multivitamin supplements on alanine aminotransferase elevations among adults living with HIV on antiretroviral therapy in Tanzania — Wafaie Fawzi, David Sando, et al. · BMC Nutrition (2024) | TGRS Research Map | TGRS