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For children who are receiving high dose vitamin A capsules twice yearly, is there any concern about vitamin A toxicity if they also receive Sprinkles, which also contain vitamin A?

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For children who are receiving high dose vitamin A capsules twice yearly, is there any concern about vitamin A toxicity if they also receive Sprinkles, which also contain vitamin A?

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There is no risk of toxicity. The dose of vitamin A in Sprinkles is formulated to help the child meet the daily vitamin A requirement (the Recommended Daily Allowance or RDA). As such, the use of Sprinkles as ‘home fortification’ is complementary to the high dose vitamin A capsules, not competitive. When the WHO initiated the high dose capsules, they did not stipulate that the child receiving the supplement should not eat food containing vitamin A. Indeed, they recommended an age-appropriate diet which would contain all micronutrients, including vitamin A. Sprinkles with vitamin A is formulated to help children meet their RDA for vitamin A and thus is safe to use with the high dose supplement.

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