acid patients with medical conditions treatments that are aggravated by the consumption of vitamin a individuals in the prenatal period wishing to avoid the consumption of vitamin a in supplements the dietary supplement is not limited by the inclusion of specific vitamins minerals or other nutrients but rather the exclusion specifically of vitamin a and or its precursors for the purpose outlined above application_number US 56614809 A description while the patent and scientific literature is replete with nutritional supplement and vitamin formulations there is no disclosure of the present invention for the promotion and maintenance of health even though some of the aforementioned ingredients are available in common multi vitamin supplements they also contain vitamin a as previously mentioned vitamin a is not recommended for consumption by patients undergoing treatment with oral or topical forms of retinoids such as isotretinoin tretinoin and retinoic acid patients with medical conditions treatments that are aggravated by the consumption of vitamin a individuals in the prenatal period wishing to avoid the consumption of vitamin a in supplements furthermore there has been no suggestion as to the use of these supplements for these patient types other nutritional supplements can be added to the formulation although they are not essential for its function any known dietary supplement may be added to the above listed essential components.