Can Prenatal Vitamins Cause Issues? Common Worries Answered

Mar 16, 2025 | 2 min read

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Prenatal vitamins are designed to support a healthy pregnancy by providing essential nutrients like folic acid, iron, and DHA.

However, some people experience unwanted side effects when taking them. This article answers common questions about possible side effects of prenatal vitamins.

Can Prenatal Vitamins Cause Weight Gain?

No, prenatal vitamins do not cause weight gain.

They do not contain calories and do not affect fat storage or metabolism.

Some people may feel bloated or retain water after taking them, especially due to iron and other minerals. This can make it seem like weight gain, but it's usually temporary.

If you notice weight changes during pregnancy, they are more likely due to hormones, increased appetite, or lifestyle changes.

Can Prenatal Vitamins Cause Acne?

Prenatal vitamins do not directly cause acne, but some ingredients may trigger breakouts in some people.

Iodine and biotin support thyroid function and hair growth. But they can also increase oil production, leading to clogged pores. 

Some prenatal vitamins contain high amounts of zinc or vitamin A, which may irritate the skin in large doses.

If you notice breakouts, switching to a formula with lower iodine or biotin may help. Drink plenty of water and follow a simple skincare routine. That can also improve skin balance.

If acne persists, talk to your doctor about other options.

Can Prenatal Vitamins Cause Nausea?

Yes, some people feel nauseous after taking prenatal vitamins. This happens for a few reasons.

Iron is one of the main causes. Many prenatal vitamins contain high iron levels to prevent anemia, but iron can upset the stomach.

The size of the pill can also be an issue. Some prenatal vitamins are large and hard to swallow.

Taking them on an empty stomach may make nausea worse, especially if you already have morning sickness.

If your prenatal vitamin makes you feel sick, try taking it with food, splitting the dose, or switching to a gummy or liquid version. If nausea continues, talk to your doctor about other options.

Can Prenatal Vitamins Cause Headaches?

Yes, prenatal vitamins can sometimes cause headaches, but not for everyone.

One reason is the high dose of certain vitamins, like vitamin A, D, or E. Too much of these can sometimes trigger headaches. 

Iron can also cause stomach discomfort, which may lead to headaches in some people. Nausea or digestion problems from prenatal vitamins can make headaches worse. 

Dehydration is another possible cause, especially if you're not drinking enough water while taking iron supplements.

If your prenatal vitamins give you headaches, try drinking more water, taking them with food, or switching to a different formula. If the headaches don’t go away, talk to your doctor about other options.

Do Prenatal Vitamins Cause Constipation?

Yes, prenatal vitamins can cause constipation, mainly due to iron.

Iron is essential for pregnancy, but it can slow digestion.

Other factors, like low fiber intake, dehydration, and reduced physical activity, can make constipation worse. This can lead to bloating and discomfort.

To relieve constipation, eat more fiber-rich foods like fruits, vegetables, and whole grains. Drink plenty of water and stay active. Some people feel better after switching to a prenatal vitamin with a gentler form of iron.

If constipation does not improve, talk to your doctor. They can recommend a prenatal vitamin that is easier on your stomach.

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