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Reference Daily Intake

The Reference Daily Intake (RDI) is a set of reference values established by the (FDA) for essential vitamins and minerals, used in labeling to indicate recommended daily consumption levels for adults and children aged four years and older. These values form a key component of the broader Daily Value (DV) system on and supplement labels, where the percent Daily Value (%DV) helps consumers gauge how much a serving of a product contributes to their daily needs. RDIs are designed to promote informed dietary choices by providing standardized benchmarks based on , without varying by individual factors like age or sex beyond the general adult population reference. The concept of RDIs originated from earlier nutrient reference systems and was formalized in the early 1990s as part of efforts to modernize U.S. food labeling. Prior to RDIs, the FDA used U.S. Recommended Daily Allowances (U.S. RDAs), which were derived from the National Academy of Sciences' 1968 Recommended Dietary Allowances (RDAs) and served a similar labeling purpose but were based on outdated data. In 1990, the FDA proposed replacing U.S. RDAs with RDIs under the Nutrition Labeling and Education Act (NLEA) of 1990, with the change finalized in 1993 to incorporate updates from the 1989 RDAs, using population-weighted averages rather than the highest needs to better reflect general adequacy. Subsequent revisions, including a major update in 2016, aligned RDIs more closely with evolving Dietary Reference Intakes (DRIs) developed by the National Academies of Sciences, Engineering, and Medicine, ensuring they reflect current nutritional science on preventing deficiencies and supporting health. RDIs differ from the comprehensive DRIs, which encompass multiple reference points like Recommended Dietary Allowances (RDAs) for nearly all healthy individuals, Adequate Intakes () when data is limited, Estimated Average Requirements (EARs) for planning, and Tolerable Upper Intake Levels (ULs) for safety. For labeling, the FDA simplifies DRIs into a single RDI value per nutrient, typically drawn from the RDA or for the reference , to keep labels user-friendly. RDIs are distinct from Daily Reference Values (DRVs), which apply to macronutrients (e.g., total fat at 78 g or carbohydrates at 275 g) and other components like or sodium, with the overall system combining both for a unified labeling framework. This structure allows for consistent %DV calculations across products, aiding comparisons and encouraging balanced diets. Current RDIs, as updated in and effective on labels since , cover essential vitamins and minerals, with values adjusted for and priorities like and immune function. For example: These values are periodically reviewed to incorporate new research, emphasizing RDIs' role in without serving as personalized advice.

Fundamentals

Definition and Purpose

The Reference Daily Intake (RDI) refers to the daily consumption level of vitamins and minerals deemed sufficient to meet the requirements of nearly all (97-98%) healthy individuals in the general population (adults and children aged 4 years and older). Established by the U.S. Food and Drug Administration (FDA), the RDI serves as a standardized reference specifically for facts panels on and dietary supplement labels, focusing on micronutrients rather than or macronutrients. The primary purpose of the RDI is to facilitate the calculation of the (%DV) displayed on product labels, allowing consumers to quickly assess how much a given serving contributes to their overall daily intake based on a 2,000-calorie reference . This promotes by enabling informed food choices, encouraging the selection of nutrient-dense products, and helping to prevent both deficiencies and excesses in key micronutrients. Unlike references for macronutrients such as fats or carbohydrates, which rely on Daily Reference Values (DRVs), the RDI provides the foundational benchmark exclusively for vitamins and minerals in labeling. The %DV is derived from the RDI using the formula: \%DV = \left( \frac{\text{amount per serving}}{\text{RDI}} \right) \times 100 For label presentation, the FDA specifies rounding rules to simplify readability; for instance, values less than 10% often round to 0%. The RDI itself is informed by the scientific foundation of the Dietary Reference Intakes (DRIs), a set of nutrient guidelines developed by the National Academies of Sciences, Engineering, and Medicine.

Relation to Dietary Reference Intakes

The Dietary Reference Intakes (DRIs) are a comprehensive set of nutrient reference values developed by the National Academies of Sciences, Engineering, and (formerly the Institute of Medicine) to assist in planning and assessing diets for individuals and populations. These include four main categories: the Estimated Average Requirement (), which represents the daily intake level estimated to meet the needs of 50% of healthy individuals in a specific life stage and gender group; the Recommended Dietary Allowance (RDA), set at the level sufficient to meet the requirements of 97-98% of healthy individuals; the Adequate Intake (AI), used when data are insufficient to establish an or RDA but assumed to ensure nutritional adequacy; and the Tolerable Upper Intake Level (UL), indicating the highest daily intake unlikely to cause adverse health effects. The Reference Daily Intake (RDI) is derived from the DRIs by the U.S. Food and Drug Administration (FDA) specifically for labeling on food and dietary supplements, with RDIs for the general population aged 4 years and older established using a population-coverage approach by selecting the highest RDA or value from the DRIs to cover the needs of nearly all healthy individuals in that population. Where an RDA is unavailable, the FDA adopts the as the basis for the RDI; for instance, the RDI for choline is set at 550 mg/day, drawing from the due to limited data for establishing an or RDA. RDIs are fixed values rather than varying by age, sex, or life stage as in the full DRI framework. Key differences between RDIs and DRIs lie in their scope and application: RDIs provide simplified, uniform points for consumer labeling to facilitate easy comparison of contributions across products, whereas DRIs offer detailed, tailored guidelines that include upper limits (UL) and are intended for broader dietary planning, , and development by professionals. This adaptation emphasizes practicality for public on adequacy, focusing on a 2,000-calorie without incorporating the full variability of DRIs, such as adjustments for , , or older adults.

Daily Value Framework

Components of Daily Values

The Daily Values (DVs) serve as reference amounts of to consume or not exceed each day, expressed in grams, milligrams, or micrograms, and are used on and facts labels to help consumers compare nutrient content across products. These DVs encompass Reference Daily Intakes (RDIs) for vitamins and minerals, as well as Daily Reference Values (DRVs) for macronutrients such as total fat, carbohydrates, and protein, along with , added sugars, and other components like sodium and . Key components of the DV system include RDIs, which provide standardized reference levels for essential micronutrients, and DRVs, which establish targets for broader dietary elements; for instance, the DRV for total fat is 78 grams, saturated fat is 20 grams, sodium is limited to 2,300 milligrams, and cholesterol to 300 milligrams, all calculated to support balanced intake without exceeding health risks. These values form the basis for calculating the percent Daily Value (%DV) displayed on labels, allowing consumers to assess a serving's contribution to daily nutrient goals. DVs are standardized based on a 2,000-calorie daily , which represents an average reference for adults and children aged 4 years and older. Previous label formats included adjustments for 2,500-calorie intakes, but these were removed in the update effective on labels since 2020. Within this framework, the RDI specifically acts as the denominator for computing %DV for vitamins and minerals, ensuring uniform application across food and products to promote consistent nutritional . The RDIs themselves are derived from Dietary Reference Intakes (DRIs) established by health authorities to reflect population-level needs.

Derivation Process

The U.S. (FDA) derives Reference Daily Intakes (RDIs) through a of the Dietary Reference Intakes (DRIs) developed by the National Academies of Sciences, Engineering, and Medicine. This step-by-step process begins with identifying the Recommended Dietary Allowance (RDA) or Adequate Intake (AI) values from the DRIs for vitamins and minerals, then selecting the highest value among adults and children aged 4 years and older to cover the reference population. Special considerations apply to subgroups like pregnant or lactating women, where their higher needs may be incorporated if they represent the maximum for the group. Key factors in this derivation include achieving 97-98% population adequacy, as defined by the RDA's purpose, while accounting for nutrient —such as using retinol activity equivalents for to reflect absorption differences—and ensuring label usability through rounding to practical, consumer-friendly numbers. Adjustments for levels are not made, as RDIs focus on static reference points for general labeling rather than individualized needs. For example, the RDI for is established at 90 mg, drawn from the adult male RDA and rounded for simplicity on labels. Once derived, RDIs are integrated into the Daily Value (DV) system by combining them with Daily Reference Values (DRVs) for macronutrients and other elements, such as the 50 g DRV for protein, to enable uniform %DV calculations across labels. Updates to RDIs follow the FDA's rulemaking process, initiated by new DRI evidence, involving a proposed rule, public comment period for stakeholder input, and a final rule incorporating feedback. An illustrative case is the RDI for , set at 20 mcg following the DRI update, which recommended 15 mcg for ages 1-70 years and 20 mcg for those over 70 to mitigate risks from deficiency; the FDA adopted the higher to enhance protection across the population.

Nutrient-Specific Values

Vitamins and Choline

The Reference Daily Intake (RDI) values for vitamins and choline serve as benchmarks for the average to prevent deficiencies and support overall , forming the basis for percentage Daily Value (%DV) calculations on nutrition labels. These values, updated by the FDA in 2016 to reflect contemporary , became mandatory for compliance by January 1, 2020, for larger manufacturers and January 1, 2021, for smaller ones.
NutrientRDI (Adults)Unit/Notes
900mcg RAE; RAE = retinol activity equivalents (accounts for varying of and provitamin A , e.g., 1 mcg RAE = 12 mcg from food)
90mg
20mcg (or 800 IU); IU = international units
15mg (natural form; 1 mg = 1.5 IU synthetic)
120mcg
Thiamin (B1)1.2mg
(B2)1.3mg
(B3)16mg NE; NE = niacin equivalents (includes contributions from )
1.7mg
(B9)400mcg DFE; DFE = dietary folate equivalents (adjusts for higher of synthetic folic acid, e.g., 1 mcg DFE = 0.6 mcg folic acid from supplements)
2.4mcg
(B7)30mcg
(B5)5mg
Choline550mg; recognized as an essential in 1998 based on adequate levels to prevent liver and metabolic functions
These RDIs are derived from Dietary Reference Intakes established by the National Academies to meet the needs of nearly all healthy individuals, with specific adjustments for units like RAE and DFE to ensure accurate representation of nutrient activity in foods and supplements. For instance, the folate RDI of 400 mcg DFE helps prevent defects in pregnancies when consumed periconceptionally. Choline's inclusion stems from its role in integrity and synthesis, with the 550 mg RDI set for adult males (425 mg for females) to avert deficiencies linked to fatty liver.

Minerals

The Reference Daily Intake (RDI) values for essential minerals form a critical component of the U.S. Food and Drug Administration's (FDA) Daily Value (DV) framework, providing standardized reference amounts for inorganic nutrients vital to human health, such as bone development, enzyme function, and fluid balance. These values guide nutrition labeling by enabling consumers to calculate the percent DV (%DV) contributed by a serving of food or supplement, promoting informed dietary choices. Unlike vitamins, which are organic compounds, minerals are inorganic elements obtained primarily from soil, water, and food sources, with RDIs expressed in elemental forms (e.g., milligrams of elemental iron rather than iron compounds) to ensure consistency in labeling. The RDIs for minerals are derived from the Dietary Reference Intakes (DRIs) established by the National Academies of Sciences, Engineering, and Medicine, which include Recommended Dietary Allowances (RDAs) where sufficient data exist or Adequate Intakes (AIs) otherwise. In its 2016 final rule on nutrition labeling, the FDA updated several mineral RDIs to reflect contemporary scientific evidence, including an increase in to 4,700 mg aligned with the DRI AI for adults to support blood pressure regulation. For most minerals, RDIs target the needs of adults and children aged 4 years and older, with rationales centered on preventing deficiency while considering and population median intakes; for instance, the calcium RDI of 1,300 mg supports peak bone mass accrual during growth phases. Upper intake levels (ULs) exist for some minerals to avoid adverse effects like toxicity, though these are not part of the RDI framework. The table below summarizes the current RDI values for key essential minerals, their measurement units, and primary physiological roles. These reflect the 2016 FDA revisions and are used for %DV calculations on labels, with mandatory declaration required only for calcium, iron, and (alongside ).
MineralRDIUnitPrimary Role
Calcium1,300mgEssential for and teeth formation, blood clotting, , and signaling; value based on achieving peak bone mass.
Chromium35mcgEnhances insulin action and of carbohydrates, fats, and proteins; based on Adequate Intake (AI).
Copper0.9mgFacilitates iron absorption, energy production, and defense via .
Iodine150mcgCrucial for synthesis, , and .
Iron18mgSupports formation, oxygen transport, energy production, and immune ; expressed as elemental iron for labeling accuracy.
Magnesium420mgAids in energy production, health, muscle and , and regulation.
Manganese2.3mgSupports , formation, and activity; based on AI due to limited data for establishing an RDA.
Molybdenum45mcgEnables for and .
Phosphorus1,250mgKey for formation, energy (as ATP), and acid-base balance.
Potassium4,700mgRegulates , transmission, and muscle contractions, including heart rhythm; see Special Cases for detailed considerations.
Selenium55mcgActs as an , supports and immune response through selenoproteins.
Zinc11mgPromotes immune , wound healing, DNA synthesis, and growth; elemental zinc for bioavailability assessment.
Chloride2,300mgAssists in fluid and acid-base balance, digestion via hydrochloric acid, and signaling; often paired with sodium intake limits.

Labeling Regulations

Requirements for Declarations

In the United States, the (FDA) mandates that the percent (%DV) for vitamins and minerals with established Reference Daily Intakes (RDIs) must be declared on the when these s are added to a or when a or is made about them, providing consumers with a basis for comparing contributions across products. These declarations are calculated based on the defined by reference amounts in FDA regulations, expressed relative to the RDI for a 2,000-calorie , and formatted explicitly as "% Daily Value" within the label's section. For fortified foods, where are intentionally added, the %DV declaration is required regardless of the amount present, ensuring transparency about enhancements. Rounding rules for %DV declarations are standardized to simplify label readability while maintaining accuracy: values less than 2% of the DV are typically expressed as 0% or may be omitted with an accompanying statement indicating the amount is insignificant, and increments increase progressively—2% steps for 2% to 10%, 5% steps for 10% to 50%, and 10% steps above 50%. This approach avoids overly precise figures that could confuse consumers, with the actual nutrient amount (in metric units like milligrams or micrograms) also required alongside the %DV for mandatory vitamins and minerals under updated rules. All declarations must appear in the principal display panel's adjacent "Nutrition Facts" box, arranged in a vertical column format for standard packages or a linear/tabular alternative for small ones, ensuring the information is prominent and accessible at the point of purchase. For products with package sizes exceeding 200% of the reference amount, dual-column labeling is required, showing nutrient information both per serving and per container or multiple servings to reflect realistic consumption patterns. Compliance with these declaration requirements stems from the 2016 FDA final rule revising nutrition labeling, with full implementation deadlines set at January 1, 2020, for manufacturers with annual sales over $10 million and July 1, 2021, for smaller entities, after extensions to accommodate industry adjustments. Manufacturers must retain records substantiating levels for at least two years to verify compliance during FDA inspections.

Mandatory and Voluntary Nutrients

Under the U.S. Food and Drug Administration (FDA) regulations for nutrition labeling, certain nutrients derived from Reference Daily Intakes (RDIs) are mandated for declaration on the Nutrition Facts label to address key public health concerns, while others are optional. The mandatory vitamins and minerals include vitamin D, calcium, iron, and potassium, selected because population data indicate widespread inadequate intake of these nutrients, contributing to risks such as bone health issues and cardiovascular disease. These must be listed with their amounts and percent Daily Values (%DV) based on RDIs, regardless of the food's contribution, to help consumers make informed choices about nutrient-dense diets. This framework evolved from earlier standards established in 1990, when vitamins A and , along with calcium and iron, were required due to their roles in preventing deficiencies like night blindness and . The 2016 updates, finalized in the FDA's revision of nutrition labeling rules, removed the mandates for vitamins A and —reflecting improved dietary patterns and fortification practices that reduced deficiency risks—while adding and to prioritize emerging public health priorities like prevention and blood pressure management. These changes align RDIs with updated Dietary Reference Intakes from the National Academies of Sciences, Engineering, and Medicine, ensuring labels reflect current on nutrient needs for adults and children over four years. Voluntary nutrients encompass additional vitamins such as the (thiamin, riboflavin, , etc.), , , and minerals like magnesium, , , and , which may be declared if they contribute meaningfully to the food's profile. Voluntary nutrients must be declared if added to the food or if a nutrient content or is made about them. They may otherwise be included at the manufacturer's discretion, even if providing less than 10% . Choline, established with an Adequate level rather than a full RDI, is also optional and often included in fortified products to highlight its benefits for liver function and fetal development. Omission is permitted without penalty, allowing flexibility for product-specific formulations. Exceptions apply to certain formats; for instance, small or principal display panels may abbreviate or omit voluntary nutrients to accommodate space constraints, provided mandatory ones are retained. Dietary supplements follow similar rules but require declaration of all listed vitamins and minerals based on their RDIs, with voluntary inclusions still tied to public health relevance.

Historical Evolution

Early Development

The origins of standardized nutrient intake guidelines in the United States trace back to 1941, when the Food and Nutrition Board of the National Research Council developed the first Recommended Dietary Allowances (RDAs) in response to wartime needs during . These initial RDAs established daily intake levels for protein, energy, and eight key vitamins and minerals to ensure adequate for military personnel and civilians amid food shortages. The guidelines were published in 1943 and aimed to provide a scientific basis for national defense-related food planning. Building on evolving , the U.S. (FDA) introduced the U.S. Recommended Daily Allowances (USRDA) in 1973 as the first federal standard for nutrition labeling on food products. The USRDA values were derived directly from the 1968 edition of the RDAs, selecting a single set of reference levels for 19 —including vitamins A, C, thiamin, , , calcium, iron, and protein—to simplify labeling and ensure coverage for the general population. This system applied to voluntary nutrition labeling, becoming mandatory only if a product made nutrient content claims or had added nutrients. For instance, the USRDA for iron was set at 18 mg, reflecting the higher needs of premenopausal women to address vulnerability to deficiency. During the 1970s and 1980s, the updated the RDAs in 1974 and 1980 to incorporate new research on nutrient requirements, including refined estimates for , additional vitamins, and minerals tailored to , , and physiological status. However, the FDA did not revise the USRDA values in response, leaving labeling standards based on the outdated 1968 data. This stagnation drew critiques from experts, who argued that the uniform USRDA failed to adequately reflect updated on the heightened needs of vulnerable groups, such as premenopausal women requiring elevated to prevent , potentially misleading consumers about personalized adequacy. A pivotal development occurred with the passage of the Nutrition Labeling and Education Act (NLEA) in 1990, which mandated nutrition labeling on most packaged foods and authorized health claims, thereby necessitating a comprehensive review of reference intake standards to modernize the system.

1993 Establishment and Updates

In 1993, the U.S. established the Reference Daily Intake (RDI) as part of its implementation of the Nutrition Labeling and Education Act of 1990, replacing the previous U.S. Recommended Daily Allowances (U.S. RDAs) that had been in use since 1973. However, due to a moratorium imposed by the Dietary Supplement Act of 1992, the FDA could not incorporate the updated 1989 RDAs and instead renamed the U.S. RDAs to RDIs while retaining the same values derived from the 1968 highest Recommended Dietary Allowance (RDA) levels set by the for vitamins and minerals, specifically targeting healthy adults and children aged 4 years and older, while excluding values for pregnant or lactating women to ensure broad applicability in labeling. This final rule, published on January 6, 1993, primarily aimed to distinguish the labeling standards from the National Academy of Sciences' RDAs and reduce consumer confusion, with an effective date of May 8, 1994, allowing industry time to adjust product formulations and labels. Throughout the and , the FDA made several minor adjustments to labeling requirements that indirectly affected how RDIs were presented, though the core RDI values remained largely unchanged until a major revision. For instance, in 2003, the FDA issued a final rule requiring the declaration of trans fatty acids on the , integrating this into the existing framework alongside RDI-based percent Daily Values for other nutrients to address emerging evidence on cardiovascular health risks. These tweaks focused on enhancing label transparency without altering the RDI calculations themselves. A significant update occurred in 2016 when the FDA issued a comprehensive final rule revising the Nutrition and Supplement Facts labels, which included targeted changes to several RDI values to better reflect contemporary (DRI) evidence from the National Academies of Sciences, Engineering, and Medicine. Key modifications encompassed increasing the RDI for from 10 mcg (400 IU) to 20 mcg (800 IU) based on updated needs for health and immune function, and raising the RDI for from 3,500 mg to 4,700 mg to support regulation and reduce risk in the general . The rule also established a new Daily Reference Value (DRV) of 50 g for added sugars, equivalent to less than 10% of total daily calories on a 2,000-calorie , alongside updates for five other nutrients including calcium, iron, and , to prioritize concerns like chronic disease prevention. Implementation of the 2016 updates was phased: manufacturers could voluntarily comply starting July 26, 2016, with mandatory compliance required by January 1, 2020, for manufacturers with $10 million or more in annual , and by January 1, 2021, for smaller manufacturers (less than $10 million in annual ), ensuring a gradual transition while maintaining consistency in RDI usage. As of November 2025, no major revisions to the RDI values have been enacted since 2016, though the FDA continues to monitor ongoing DRI reviews by the Academies, including framework updates initiated in 2023-2024 for select nutrients, with potential future actions pending alignment with new scientific evidence. These updates have historically been driven by the need to incorporate evolving DRI data, such as the elevated RDI to address population-level deficiencies linked to elevated and cardiovascular outcomes.

Special Cases

Sodium Considerations

Sodium's treatment within the Reference Daily Intake (RDI) and Daily Value (DV) system differs markedly from that of essential nutrients aimed at ensuring adequacy, as it functions primarily as a nutrient to limit for protection. The DV for sodium is established at 2,300 milligrams (mg) per day, representing a tolerable upper intake level (UL) rather than a target for sufficiency, to mitigate risks of and . This value derives from the 2010 Dietary Reference Intakes (DRI) report by the Institute of Medicine (now ), which set the UL at 2,300 mg/day for adults based on evidence linking higher intakes to elevated . On labels, the percent Daily Value (%DV) for sodium thus serves as a warning indicator, with values exceeding 100% signaling consumption beyond the recommended maximum in a single serving. The policy rationale for this approach stems from widespread overconsumption in the United States, where average daily sodium intake approximates 3,400 mg—substantially surpassing the DV and contributing to population-level health burdens like hypertension. Nutrition labeling is designed to empower consumers to reduce intake, aligning with broader goals from the Dietary Guidelines for Americans, which advise limiting sodium to under 2,300 mg/day for the general population and ideally below 1,500 mg/day for high-risk groups such as those with hypertension, African Americans, and individuals over age 50. By highlighting sodium content, the %DV facilitates informed choices to curb excess, particularly from processed and restaurant foods that account for the majority of intake. Labeling regulations mandate sodium declaration on the Nutrition Facts panel for most packaged foods, ensuring transparency as a core component of the FDA's framework since the 1990 Nutrition Labeling and Education Act. To further amplify reduction efforts, the FDA has explored enhanced visibility measures, including front-of-package (FOP) nutrition labeling proposals that would flag high sodium levels—such as in the January 2025 draft rule requiring interpretive icons for nutrients to limit like sodium on most packaged items. These initiatives build on earlier sodium-focused actions, like the 2023 proposed amendments to food standards permitting salt substitutes to ease reformulation. The sodium DV originated in the 1993 RDI framework at 2,400 mg but was revised downward to 2,300 mg in the 2016 update, incorporating the 2010 DRI evidence to sharpen its emphasis without altering the upper-limit orientation. This adjustment, alongside ongoing voluntary industry targets for sodium reduction, underscores a sustained regulatory commitment to lowering average intakes toward safer levels.

Potassium Considerations

The Daily Value (DV) for potassium on nutrition labels is set at 4,700 mg for adults and children aged 4 years and older, derived from the Adequate Intake () level established in the 2005 Dietary Reference Intakes (DRI) report by the National Academies of Sciences, Engineering, and Medicine, which was based on evidence linking this intake to blunting salt-induced rises in . Although the DRIs for potassium were updated in 2019 to lower the AI to 2,600 mg for adult females and 3,400 mg for adult males, the U.S. (FDA) retained the 4,700 mg DV for labeling purposes to promote awareness of potassium's role in balance and countering sodium's effects on cardiovascular health. Potassium's status under Reference Daily Intake (RDI) guidelines is unique due to widespread population deficiencies, prompting the FDA to its declaration on Nutrition Facts labels starting with the 2016 rule revisions, with full compliance required by 2021. Average daily intake among U.S. adults is approximately 2,500 mg, far below the DV, largely because diets low in potassium-rich fruits and vegetables contribute to this shortfall. This mandatory labeling aims to encourage consumption of such foods, like bananas, potatoes, and leafy greens, to help meet adequacy targets and address risks from inadequate intake. Low intake is associated with increased risk of , as it impairs the kidneys' ability to excrete sodium and regulate , exacerbating the effects of high-sodium diets. To align with emerging on these benefits, the FDA raised the from 3,500 mg (used prior to ) to 4,700 mg in the updated labeling regulations, emphasizing potassium's protective role against chronic conditions like elevated . The 2020–2025 , extending through 2025, reinforce the 4,700 mg target as a key component of nutrient-dense dietary patterns to prevent chronic diseases, highlighting alongside calcium and as nutrients of concern.

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