The Multivitamin Stack-Up Quiz Step 1 of 5 20% Step 1: A stands for Absorbency No. 1) Look at your multivitamin. What form does your multivitamin come in?* Tablet or capsule Soft gel Liquid Loose powder (multiple servings per container) Powder in pre-packaged individual single servings I'm here to learn No. 2) Does you multivitamin contain sugar under any name such as sugar, sucrose, maltodextrin, fructose, corn syrup solids, high fructose corn syrup, cane sugar, tapioca syrup, or corn syrup?* Yes No I'm Here to Learn No. 3) Does you multivitamin contain sodium benzoate, BHA or BHT as preservatives?* Yes No I'm Here to Learn No. 4) Does your multivitamin contain any unwanted, and potentially dangerous artificial colors such as blue 1, blue 2, yellow 5, yellow 6 or red 40?* Yes No I'm Here to Learn No. 5) Are there binders, fillers or flow agents listed on the ingredients list such as cellulose, disodium hydrogen phosphate, hydrogenated oils, talc, polyethylene glycol, polyvinyl alcohol, soy lecithin, corn starch, sodium starch glycosylate, microcrystalline cellulose, crospovidone, croscarmellose sodium, gelatin or gellan gum?* Yes No I'm Here to Learn No. 6) Are they coated? Do you see ingredients such as shellac, wax, hydroxypropyl—methylcellulose, magnesium or calcium stearate, hypromellose, silica, talc, or stearic acid used on your multivitamin?* Yes No I'm Here to Learn Step 2: B stands for Beneficial quantitiesNo. 7) Look at the supplement facts on the back of your multivitamin. Does your multivitamin have at least 100% of the Daily Value (DV) for all of the following 20 essential micronutrients?* Yes No I'm Here to Learn Note: Many supplement companies don’t list the specific forms for each vitamin and mineral on the supplement facts. You may have to look below in the ingredients to identify the forms that they are using. vitamin A vitamin C vitamin D vitamin E vitamin K B1 (Thiamin) B2 (Riboflavin) B3 (Niacin) B5 (Pantothenic Acid) B6 B7 (Biotin) B9 (Folate/5-MTHF) B12 Magnesium Zinc Selenium Manganese Iodine Molybedenum Chromium No. 8) When examining the supplement facts does your multivitamin contain between 500 and 600 mg of calcium?* Yes No I'm Here to Learn No. 9) When examining the supplement facts does your multivitamin contain at least 2000 IU of vitamin D?* Yes No I'm Here to Learn No. 10) Is your multivitamin designed to be taken at least two times a day? (Be careful, directions must state to take at least twice a day.)* Yes No I'm Here to Learn No. 11) How many of the following accessory micronutrients does your multivitamin contain?* Yes, my multivitamin contains all 12 of these My multivitamin contains between 6 and 11 of these My multivitamin contains between 1 and 5 of these My multivitamin does not contain any of these 12 I'm Here to Learn Boron Silicon/Silica Vanadium CoQ10 Alpha Lipoic Acid L-Carnitine Choline Quercetin Lutein Grapeseed Extract Zeaxanthin Astaxanthin No. 12) Which of the following forms is listed on your supplement facts next to vitamin B9 (folate)?* 5-MTHF, folinic acid, quatrefolic,metafolin, or 5-Methyl-tetrahydrofolate Folic acid Other I'm Here to Learn No. 13) Which of the following forms is listed on your supplement facts next to vitamin B3 (niacin)?* Niacinamide Niacin Both Niacinamide and Niacin I'm Here to Learn No. 14) Which of the following forms is listed on your supplement facts next to vitamin B12?* Methylcobalamin Cyanocobalamin Other I'm Here to Learn No. 15) What form of vitamin K is included in your multivitamin?* Vitamin K or Vitamin K1 Vitamin K1 and vitamin K2 Vitamin K1, Vitamin K2 as MK-4 and MK-7 None I'm Here to Learn No. 16) For vitamin E, how is it listed?* Just as "vitamin E" (didn’t specify a type) Vitamin E- mixed tocopherols Vitamin E – dl-alpha tocopherol Vitamin E – d-alpha tocopherol Vitamin E –full spectrum mixed tocopherols and tocotrienols. I'm Here to Learn No. 17) Does your multivitamin contain copper?* Yes No I'm Here to Learn No. 18) Does your multivitamin contain 6mg of lutein?* Yes No, not the full 6mg, or I don’t see it at all I'm Here to Learn No. 19) Does your multivitamin contain 400mg of magnesium?* Yes No I'm Here to Learn No. 20) Does your multivitamin list riboflavin (vitamin B2) as riboflavin 5 phosphate?* Yes No I'm Here to Learn No. 21) Does your multivitamin list vitamin B6 as pyridoxal 5 phosphate?* Yes No I'm Here to Learn No. 22) Does your multivitamin list selenium as selenomethionine?* Yes No I'm Here to Learn Step 3: C stands for Micronutrient Competition and S stands for Micronutrient SynergyNo. 23) When examining the supplement facts does your multivitamin contain zinc and copper within the same formulation (for example, within the same pill or capsule)?* Yes No I'm Here to Learn No. 24) When examining the supplement facts does your multivitamin contain B5 (pantothenic acid) and B7 (biotin) within the same formulation (for example, within the same pill or capsule)?* Yes No I'm Here to Learn No. 25) When examining the supplement facts does your multivitamin contain iron?* Yes No I'm Here to Learn No. 26) When examining the supplement facts does your multivitamin contain both lutein and beta-carotene within the same formulation?* Yes No I'm Here to Learn No. 27) When examining the supplement facts does your multivitamin contain both vitamin B9 (ex. folic acid, folate or 5-MTHF) & zinc within the same formulation?* Yes No I'm Here to Learn No. 28) When examining the packaging of your multivitamin, does it state that it has Anti-Competition™ Technology?* Yes No I'm Here to Learn No. 29) Does your multivitamin contain more than 500% DV for any listed vitamin or mineral?* Yes No I'm Here to Learn No. 30) Does your multivitamin contain bioflavanoids, (such as: grapeseed extract, quercetin, catechins, hesperidin, or rutin) and vitamin C in the same formulation (for example, within the same pill or capsule)?* Yes No I'm Here to Learn Email* I wish to receive occasional newsletter emails from Mira and Jayson Your privacy is assured. 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