Vitamins for energy and heart health: omega-3 and B vitamins without the myths
Omega-3 and B vitamins are the best-selling supplements "for heart and energy". Both genuinely help certain people, and both come wrapped in marketing. This page sorts the real benefit from the overpaying.
Do you need a multivitamin?
Do you need a multivitamin? What COSMOS and other large trials found, who benefits, doses vs NRV, iron-free formulas, vitamin A, beta-carotene and gummies.
12 min readBest omega-3 supplement: how to choose
How to pick the best omega-3 supplement in the UK: how much omega-3 per day, EPA and DHA per capsule, NHS fish advice, triglyceride vs ethyl ester, krill and algae.
8 min readVitamin B complex
Vitamin B complex: who needs one, what B-50 and B-100 mean, the NHS 10 mg limit for vitamin B6, niacin flushing, biotin and blood tests, and when to take B12 alone.
9 min readVitamin B12 supplements
Do you need a B12 supplement? Who's at risk, methylcobalamin vs cyanocobalamin, how much B12 is absorbed, B12 deficiency symptoms, NICE blood tests and injections.
10 min readCoQ10 and ubiquinol
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10 min readSelenium and iodine supplements
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8 min readChromium picolinate: the evidence
Chromium picolinate and chromium supplements: what trials found for blood sugar and weight loss, doses used in studies, and risks with diabetes medicines.
8 min readBerberine: benefits and risks
Berberine benefits and side effects: what's known for blood sugar, cholesterol and weight, why it isn't "nature's Ozempic", drug interactions and who must avoid it.
9 min readResveratrol and trans-resveratrol
Resveratrol benefits in humans examined: trans-resveratrol supplements, the red wine myth, trial doses, EFSA's 150 mg safe intake and the interaction with warfarin.
9 min readSpirulina: benefits and risks
What spirulina actually gives you per serving, why its B12 is mostly inactive, tablets vs powder, the risk of microcystin contamination and who should avoid it.
10 min readTaurine: benefits and side effects
Taurine benefits and side effects: how much taurine is in energy drinks and what EFSA concluded, evidence on blood pressure, exercise and ageing, and 1–3 g doses.
10 min readAlpha lipoic acid and R-lipoic acid
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Why these supplements share a section
On the pharmacy shelf, both sit under the “energy and heart” sign. In reality, omega-3 matters most if you don’t eat oily fish, and B vitamins matter if you’re at risk of low B12 or folate. Everyone else gets little from them.
Find your option: heart and energy
Pick what applies to you to see whether a supplement makes sense
What applies to you?
What fits
Omega-3
EPA and DHA come mainly from oily fish. Without it, a supplement is a sensible substitute.
Dose: 250–500 mg EPA+DHA a day
What fits
B12 and algae omega-3
B12 is essential for vegans, and omega-3 can come from microalgae oil.
Dose: B12 daily; omega-3 250–500 mg
What fits
Vitamin B12
B12 from food is absorbed less well with age. Ask your GP about a test and dose.
What fits
Get tested first
Common causes of fatigue are low iron, low B12, thyroid problems and poor sleep. "Energy" vitamins don't help without a deficiency.
Where to start
- Omega-3: how to count EPA and DHA, how the forms differ, how to check freshness and what’s known about heart benefits.
- B vitamins: what a B complex is for and why it can contain too much B6. B12 has its own guide.
The NHS recommends at least two portions of fish a week, one of them oily. If you eat that, you probably don’t need omega-3 capsules.
If you’re tired all the time, a tub of B complex is a poor first move. Rule out iron deficiency, thyroid problems and lack of sleep first: they’re the most common causes. Our guides to low ferritin and iron tablets explain the tests and doses.
Always tired? What to do, in order
A supplement is the last step, not the first. Tap a step
Think through the usual causes
Tiredness most often comes down to low iron, low B12, a thyroid problem, lack of sleep or sleep apnoea, depression or long-term stress.
Ask your GP about blood tests
GPs usually order a full blood count, ferritin, B12, thyroid function (TSH) and glucose. The right set depends on your symptoms.
- Testing for everything isn't useful
Found a shortfall? Fix that one
Iron if your ferritin is low. B12 if it's low, and always on a vegan diet.
- Over 50 or on metformin: ask about a B12 check
"Energy" vitamins won't help
A B complex won't give you a lift if you already get enough. Some contain a lot of B6.
- B6 in a complex: no more than 10 mg
Omega-3 only if you eat little fish
250–500 mg EPA+DHA a day if you rarely eat oily fish. The NHS recommends two portions of fish a week, one of them oily.
- Don't expect it to prevent heart attacks in healthy people
Omega-3, B vitamins and other “energy” supplements at a glance
Who each supplement is for, and what it won’t do:
| Supplement | Who needs it | Dose | What not to expect |
|---|---|---|---|
| Omega-3 | if you rarely eat oily fish | 250–500 mg EPA+DHA | heart attack prevention in healthy people |
| Vitamin B12 | vegans, over-50s, metformin users | as advised, or daily for vegans | energy without a deficiency |
| B complex | a limited diet | B6 no more than 10 mg | a lift if you already get enough |
| Algae omega-3 | vegans | 250–500 mg | – |
| Multivitamins | a limited or very low-calorie diet | around 100% NRV, no mega-doses | heart protection in healthy people |
| Spirulina | no proven need | per label | a noticeable energy lift |
| Taurine | no proven need | per label | extra energy in healthy people |
| Resveratrol | not without a clear reason | per label | anti-ageing: little human data |
| Alpha-lipoic acid | studied in diabetic nerve pain, with a doctor | per label | energy or weight loss |
| CoQ10 and ubiquinol | people on statins, if a doctor agrees | per label | extra energy in healthy people |
| Selenium and iodine | only with a proven low intake | stay under the upper limit | better thyroid function without a deficiency |
| Chromium picolinate | not for everyday use | per label | weight loss |
| Berberine | only with your doctor | short-term | a safe swap for diabetes medicines |
| Weight loss supplements | only alongside diet and activity | – | burning fat |
Berberine interacts with many medicines and is not a substitute for diabetes treatment, so start with its safety section.
Common causes of constant tiredness
Check these with your GP before you buy “energy” supplements:
- iron deficiency (low ferritin shows it);
- low vitamin B12;
- thyroid problems;
- lack of sleep and sleep apnoea;
- depression and long-term stress.
Bottom line: what to choose
Buttons lead to selections of the right form on iHerb. These are affiliate links; your price doesn't change.
FAQ
Can I take omega-3 and B vitamins at the same time?
Yes, they don’t interact. Take omega-3 with a meal that contains fat. Many people take B vitamins in the morning or early afternoon, as some find them slightly stimulating.
Which tests should I get if I'm always tired?
GPs usually order a full blood count, ferritin, B12, thyroid function (TSH) and glucose. The right set depends on your symptoms, so discuss it with your GP rather than testing for everything.
Do CoQ10 or chromium give you more energy?
Not in healthy people with a normal diet. CoQ10 has been studied mainly in people with heart conditions or on statins, and chromium in people with blood sugar problems. Read our guides before you buy either.
What to choose
Goal and the best-supported option
- Rarely eat oily fish
- omega-3: 250–500 mg EPA+DHA a day
- Vegan
- B12 is essential; omega-3 from algae
- Over 50 or on metformin
- check B12, supplement if needed
- Always tired
- see your GP: iron, B12, thyroid