Vitamin efficacy is a term used to describe whether a vitamin actually produces a detectable and reliable effect in scientifically controlled settings. On this page, we explore what science says about vitamins that work, with a focus on how researchers establish proven benefits and how readers can navigate evidence-based supplement choices. Because claims about vitamins vary widely, the discussion centers on the quality of evidence, study design, and the robustness of conclusions rather than marketing messages. By framing the topic around vitamin efficacy, readers can compare findings across studies more objectively. Evaluating vitamin efficacy relies on a hierarchy of evidence: randomized controlled trials (RCTs) are designed to minimize bias and establish causality; systematic reviews and meta-analyses summarize results across many trials; observational studies can reveal associations in real-world settings but cannot prove causality; mechanistic or lab studies help explain how a vitamin might work. Researchers report effect sizes, confidence intervals, and p-values to communicate the magnitude and precision of effects, while also assessing heterogeneity between studies. Together, this evidence base forms the foundation for assessing whether a vitamin has proven effects under specific conditions. Interpreting evidence requires careful judgment about consistency, quality, and relevance. A single positive study is rarely enough to claim a vitamin has a proven effect; replication, study quality, population differences, dosing, duration, and endpoints matter. Publication bias and selective reporting can skew the apparent strength of vitamin efficacy, so researchers and readers rely on preregistration, risk-of-bias assessments, and transparent methodology. Additionally, regulatory and safety considerations influence how evidence translates into claims about supplement use; robust evidence must be weighed against study limitations and the context of total available research. To make evidence-based supplement choices, look for synthesized assessments rather than relying on individual studies. Seek systematic reviews and guidelines that evaluate the entire body of evidence for a given vitamin, note the quality and certainty of findings, and discuss applicability to different groups. Consider whether conclusions hinge on small or heterogeneous trials, and check for potential conflicts of interest. By focusing on vitamin efficacy as defined by high-quality evidence, readers can form a cautious, well-informed view of which claims about vitamins are supported and which remain uncertain.