Evidence-first health & aging science Newsletter
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Supplements

Supplement safety

Mixed nuts including brazil nuts scattered on dark wood
News

A selenium supplement lowered long-term blood sugar by 1.2 points in eight weeks

That is a drug-sized change from a mineral sold in pharmacies. It came from one small trial in patients with diabetic nerve damage, and the size of the effect is the reason to be careful rather than excited.

Sep 6, 2026

A close-up of a three-lobed strawberry leaf against blurred brown undergrowth
News

Strawberry leaf extract failed its pre-planned memory test, then reported a win anyway

109 older adults took strawberry leaf extract or a placebo for 12 weeks. The pre-planned analysis found nothing, on memory or anything else. The paper is titled 'Enhanced memory function and reduced perceived stress'.

Aug 24, 2026

A glass of milk on a pale speckled surface
verdict

Calcium supplements: uses, evidence, dosing and safety

Calcium is taken for bones, and a 2026 BMJ review found little to no benefit for fractures or falls. Its best evidence is somewhere almost nobody looks: preventing pre-eclampsia in pregnancy.

Aug 6, 2026

A macro close-up of human skin texture with fine hairs
verdict

Collagen: uses, evidence, dosing and safety

Collagen is sold for skin and works better for joints. A 2025 review found that industry-funded studies showed a skin benefit and independently funded ones did not.

Aug 6, 2026

A pregnant woman in a coat resting both hands on her bump
verdict

Inositol: uses, evidence, dosing and safety

Inositol does two things, and it does them better than most of the supplement aisle: it lowers the risk of gestational diabetes, and it improves hormone markers in polycystic ovary syndrome.

Aug 6, 2026

Cuts of raw red beef on a butcher counter
verdict

Iron supplements: uses, evidence, dosing and safety

Iron is the one supplement where taking it without a blood test is genuinely unwise. It fixes a diagnosed deficiency well, and the same dose in the wrong person accumulates with nowhere to go.

Aug 6, 2026

Almonds and walnut halves scattered across a pale surface
verdict

Magnesium: uses, evidence, dosing and safety

Magnesium is bought mostly for sleep, which is its weakest evidence. Its real results are elsewhere: blood pressure in people who are short of it, migraine frequency, and heart rhythm after surgery.

Aug 6, 2026

Two salted salmon fillets on dark slate with lemon wedges and rosemary
verdict

Omega-3 and fish oil: uses, evidence, dosing and safety

Omega-3 has the strongest single result of any supplement on this site, a high-certainty 15% cut in triglycerides. It also has a dose-dependent harm signal that almost nobody selling it mentions.

Aug 6, 2026

A bowl of plain yogurt with strawberries and blueberries on a wooden table
verdict

Probiotics: uses, evidence, dosing and safety

Probiotics have one strong result, halving antibiotic-related C. difficile diarrhea, and a long list of weaker ones. Cochrane noted probiotic-company funding in 28 of the 47 trials it pooled.

Aug 6, 2026

Halved oranges and a grapefruit packed together, cut sides up
verdict

Vitamin C: uses, evidence, dosing and safety

Vitamin C has been tested against the common cold for sixty years and the answer is still a shrug: it may shorten one slightly, and taking it once a cold has started does almost nothing.

Aug 6, 2026

A cannula taped into a patient forearm during an infusion, in black and white
News

High-dose vitamin D did not slow advanced bowel cancer

A 455-patient phase 3 trial run through the US National Clinical Trials Network added high-dose vitamin D3 to standard chemotherapy for metastatic colorectal cancer. It did not delay progression.

Aug 6, 2026

Sunlight dappled through a straw hat across a face
verdict

Vitamin D: uses, evidence, dosing and safety

Vitamin D is the most-studied supplement there is, and the pattern across thirteen uses is almost always the same: correcting a deficiency helps, and adding more on top of enough does not.

Aug 6, 2026

Golden softgel capsules scattered across a white surface
verdict

Coenzyme Q10: uses, evidence, dosing and safety

CoQ10 has decent evidence for the serious condition almost nobody buys it for, and it fails at the one thing almost everybody buys it for. Statin muscle pain is the claim that does not hold up.

Aug 5, 2026

Grey capsules spilled from a clear bottle onto a yellow background
verdict

NAC: uses, evidence, dosing and safety

NAC is a hospital antidote sold as a supplement, and the two are not the same claim. It saves lives in paracetamol overdose. For almost everything it is marketed for, the evidence is thin or uncertain.

Aug 5, 2026

Two cupped hands holding dark soil above a field
verdict

Selenium: uses, evidence, dosing and safety

Selenium is essential, and supplementing it when you are not short of it is the clearest honest-no in the supplement aisle. Cochrane found no cancer benefit at high certainty, plus signals of harm.

Aug 5, 2026

A heap of pale dried ashwagandha roots on a patterned market cloth
verdict

Ashwagandha: uses, evidence, dosing and safety

Ashwagandha has real evidence for stress and sleep, thinner evidence for strength, and a liver problem that arrived in 2017. The list of people who should avoid it is unusually long, and now includes thyroid patients.

Aug 3, 2026

Red barberry berries hanging from a thorned branch against soft green foliage
verdict

Berberine: uses, evidence, dosing and safety

Berberine is sold as nature's Ozempic, a comparison it does not earn. It genuinely lowers blood sugar and some lipids, on small and limited trials; the weight-loss claim driving the marketing is the weakest part.

Aug 3, 2026

Ground turmeric filling an open sack, with fragments of dried root through it
verdict

Turmeric and curcumin: uses, evidence, dosing and safety

Curcumin barely absorbs, and the high-absorption forms built to fix that are the ones LiverTox links to liver injury. Knee osteoarthritis is the one solid use; the rest is thinner than the shelf suggests.

Aug 3, 2026

Sliced raw beef resting on a wooden board in a dark kitchen
verdict

Vitamin B12: uses, evidence, dosing and safety

B12 inverts the usual advice here. Most people do not need it, but vegans, older adults and anyone on long-term metformin do, because untreated deficiency damages nerves in ways that may never reverse.

Aug 3, 2026

Fresh oysters on the half shell arranged on a platter of crushed ice
verdict

Zinc: uses, evidence, dosing and safety

Zinc has three evidence-backed uses: a lozenge for an adult's cold, a high-dose formula for existing macular degeneration, and children in places where deficiency is common. The daily immune capsule is not one of them.

Aug 3, 2026

A close-up of an older person's brown eye
News

A vitamin B3 supplement tracked far less glaucoma in at-risk eyes

Among 2,920 matched patients with high eye pressure, those taking nicotinamide developed glaucoma at 3.5% against 9.0%. The design cannot prove the supplement caused it.

Aug 2, 2026

A sleeping newborn wrapped in a white hospital blanket
News

Newborns who skipped vitamin K had triple the brain bleeds

A JAMA Pediatrics study of 2 million Swedish births found infants who did not get the vitamin K injection had higher odds of bleeding, and refusals have more than doubled since 2006.

Jul 28, 2026

A patient lying on the table of a CT scanner
News

Vitamin K2 slowed artery calcium in a two-year trial

A JAMA Cardiology randomized trial gave 180 patients with coronary artery disease vitamin K2 or placebo for two years and found calcium buildup progressed more slowly on the supplement.

Jul 26, 2026

A child holding a nebulizer mask to their face
News

Vitamin A, not D, tracked with better lungs in asthma

A Thorax study of 1,165 children and 1,041 adults with asthma found blood vitamin A levels tracked with better lung function, while vitamin D did nothing measurable in children.

Jul 26, 2026

Softgel and capsule supplements scattered across a marble surface beside small bowls
News

US supplement use hit 60% as multivitamins fell and ashwagandha rose, across 25 years of data

A JAMA Network Open analysis of 63,442 adults across 25 years of national survey data found supplement use rose from 51% to 60%, with multivitamins falling and ashwagandha, collagen and elderberry rising.

Jul 25, 2026

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