Published today: Vegan multinutrient supplementation significantly increases omega-3 index and 25-OH-vitamin D status: a randomized, double-blind, placebo-controlled trial in healthy young vegans (MultiVeg)

 

This article is not open access. But I think you should be able to get the PDF here.


The trial nicely showed that German vegans who supplemented with a multinutrient supplement for four months increased their blood levels of vitamin D and long-chain omega-3 fatty acids.

I made these simplified tables for a quick overview:

Vegan vitamin D3 dose per day

Mean serum 25-OH D (ng/mL)

Baseline

4 months

26 µg

1040 IU

~32

~20

62 µg

2480 IU

~27

~33

98 µg

3920 IU

~29

~39

See Table 4 in the paper

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EPA dose per day (mg)

DHA dose per day (mg)

Theoretical median omega-3 index

(based on serum fatty acid levels)

Baseline

4 months

0

0

5.2

4.0

99

171

4.8

6.0

197

342

5.0

7.4

See Table 4 in the paper

 

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Article published 22 July 2026

Journal pre-proof published online: 11 July 2026


Original research article

Vegan Multinutrient Supplementation Significantly Increases Omega-3 Index and 25-OH-Vitamin D Status: A Randomized, Double-Blind, Placebo-Controlled Trial in Healthy Young Vegans

Tim Zerback ∙ Christian Koeder ∙ Stine Weder ∙ Andreas Sputtek ∙ Gunter P Eckert ∙ Markus Keller


Highlights

Vegan supplement improved omega-3-index and vitamin D in healthy vegans.
Control group showed decline in omega-3-index and vitamin D status.
Benefits achieved with modest daily EPA and DHA doses from algae oil.
Novel use of estimated omega-3 index from serum validated against erythrocytes.
4-month RCT demonstrates efficacy of vegan omega-3 supplementation.

Abstract

In this randomized, double-blind, placebo-controlled trial, 72 healthy vegan adults (aged 19–57 years) received a multinutrient supplement consisting of a vitamin and mineral supplement (providing 26 µg vitamin D) and an omega-3 supplement administered in either a single dose (EPA 98.7 mg, DHA 171.0 mg, additional vitamin D 36 µg, vitamin E 3.7 mg) or a double dose (EPA 197.4 mg, DHA 342.0 mg, additional vitamin D 72 µg, vitamin E 7.4 mg) or placebo capsules for 4 months. Nutrient biomarkers were assessed at baseline and at the end of the intervention after 4 months. An analysis of covariance was employed to test for between-group differences (p < 0.05) and adjusted for multiple testing using the Bonferroni-Holm method. Compared to the control group, which showed on average a significant decline in both the omega-3-index and 25-hydroxyvitamin D, participants in both intervention groups demonstrated significant increase in these parameters (p < 0.001). Although the double dose group exhibited numerically greater increases in omega-3 index and vitamin D compared to the simple dose group, the differences between these dosing regimens were not statistically significant. As expected, vitamin E levels remained unchanged, reflecting its inclusion solely for antioxidative protection in the omega-3 supplement rather than as a critical nutrient in vegan diets. In conclusion, supplementation significantly improved omega-3 and vitamin D status in healthy vegans, with no significant benefit from doubling the dose. Although clinical endpoints were not evaluated, improved nutrient status may have potential implications for health.






https://doi.org/10.1016/j.plefa.2026.102759