Health

The Supplements That Work — and the Ones That Don’t

42. Psyllium (Fiber) Psyllium is a soluble fiber derived from the husks of Plantago ovata seeds, widely used as a dietary supplement for promoting digestive health… Diana Yasinskaya - September 4, 2025

According to the CDC, over 57% of adults in the United States reported using dietary supplements in 2022. The digestive system is most directly affected by these products, as it processes and absorbs their components. However, misinformation and inconsistent results are widespread challenges, making it difficult for consumers to distinguish between evidence-based supplements and those with unproven claims. Understanding which supplements truly work is essential for making safe, effective health decisions.

1. Multivitamins

1. Multivitamins
A bottle of multivitamins sits open on the table, with assorted colorful pills and tablets scattered nearby. | Generated by Google Gemini

Multivitamins are among the most widely used dietary supplements globally, often marketed as a convenient way to fill nutritional gaps and promote overall wellness. They typically contain a blend of essential vitamins and minerals, aiming to meet daily recommended intakes. While multivitamins can be beneficial for individuals with specific nutrient deficiencies, substantial scientific evidence suggests that for most well-nourished adults, these supplements offer little to no measurable health benefit. Major studies, such as those reviewed by the National Institutes of Health (NIH), have found that multivitamins do not significantly reduce the risk of chronic diseases like heart disease or cancer in the general population.

The Harvard T.H. Chan School of Public Health notes that most people who consume a balanced diet rich in fruits, vegetables, and whole grains are unlikely to benefit from daily multivitamin use. However, certain groups—such as pregnant women, older adults, and individuals with restrictive diets—may require specific supplementation. Ultimately, relying on a nutrient-rich diet remains the most effective strategy for meeting daily vitamin and mineral needs for most healthy adults.

2. Vitamin D

2. Vitamin D
A bottle of vitamin D sits on a sunlit table, highlighting its role in supporting healthy, strong bones. | Generated by Google Gemini

Vitamin D is essential for maintaining healthy bones by aiding calcium absorption, and it also plays a significant role in supporting immune system function. Deficiency in vitamin D is surprisingly common, especially among individuals with limited sun exposure, those living in northern latitudes, people with darker skin, or individuals who regularly use sunscreen. According to the National Institutes of Health Office of Dietary Supplements, nearly one in four Americans may have inadequate vitamin D levels.

Supplementation is especially important for those at risk of deficiency, as low vitamin D can lead to bone disorders such as osteoporosis and rickets. The CDC and other public health organizations recommend supplementation for infants, older adults, and people with limited sun exposure or certain health conditions. However, for individuals who already maintain adequate levels through their diet and reasonable sun exposure, additional supplementation may not provide extra benefits and could potentially cause harm if taken in excess. Regular testing and consultation with a healthcare provider are recommended to determine if vitamin D supplementation is necessary for individual health needs.

3. Vitamin C

3. Vitamin C
Vitamin C supports immunity, collagen production, and skin health, but excessive supplementation offers limited benefits…

Vitamin C, also known as ascorbic acid, is celebrated for its antioxidant properties and its well-documented role in supporting the immune system. It is essential for collagen production, wound healing, and the maintenance of healthy skin, cartilage, and bones. Many people turn to vitamin C supplements with the belief that high doses can prevent or cure the common cold. However, research shows that while vitamin C is crucial for overall health, excessive supplementation offers limited benefits for most people.

Comprehensive reviews, such as those published by the Cochrane Library, reveal that routine vitamin C supplementation does not significantly reduce the risk of developing colds in the general population. Some evidence suggests that regular use might slightly reduce the duration and severity of cold symptoms, but the effect is generally modest. The National Institutes of Health Office of Dietary Supplements notes that most people can meet their vitamin C needs through a balanced diet rich in fruits and vegetables. For healthy adults, additional supplementation is usually unnecessary and unlikely to provide major benefits for immune defense or cold prevention.

4. Calcium

4. Calcium
A glass of fresh milk sits beside a bottle of calcium pills, symbolizing strong bones and healthy nutrition. | Generated by Google Gemini

Calcium is a vital mineral, best known for its role in building and maintaining strong bones and teeth. It also supports muscle function, nerve transmission, and heart health. While calcium is an essential nutrient, the primary source should ideally be dietary—found in dairy products, leafy greens, and fortified foods. According to the National Institutes of Health Office of Dietary Supplements, most people can meet their calcium requirements through a balanced diet, especially when coupled with adequate vitamin D intake for proper absorption.

Supplemental calcium is sometimes recommended for individuals at risk for osteoporosis or those who cannot obtain enough from food. However, research, including findings published by the Harvard T.H. Chan School of Public Health, suggests that excessive calcium supplementation may increase the risk of kidney stones and, potentially, cardiovascular disease. Overuse can also cause digestive problems and interfere with the absorption of other minerals. For most healthy adults, focusing on dietary sources of calcium is preferable, and supplementation should only occur under the guidance of a healthcare provider to avoid the risks associated with excessive intake.

5. Iron

5. Iron
A close-up view of iron tablets beside fresh meat, with a graphic illustration of healthy red blood cells in the background. | Generated by Google Gemini

Iron is an essential mineral that plays a critical role in transporting oxygen throughout the body via red blood cells. It is necessary for producing hemoglobin and myoglobin, proteins that carry oxygen in the blood and muscles, respectively. Iron deficiency is the most common cause of anemia worldwide, leading to symptoms such as fatigue, weakness, and impaired cognitive function. Certain groups—such as menstruating women, pregnant individuals, young children, and people with certain medical conditions—are at higher risk of iron deficiency and may require supplementation.

According to the National Institutes of Health Office of Dietary Supplements, iron supplements are effective at treating and preventing iron-deficiency anemia when prescribed based on documented need. However, unnecessary iron supplementation can be harmful for individuals who do not have a deficiency. Excess iron can accumulate in the body, causing gastrointestinal distress, organ damage, and increasing the risk of conditions such as hemochromatosis. The Centers for Disease Control and Prevention (CDC) recommend that iron supplementation should only be taken when advised by a healthcare professional, following a diagnosis of deficiency or increased physiological need.

6. Omega-3 Fish Oil

6. Omega-3 Fish Oil
Golden fish oil capsules are arranged beside a fresh fish, highlighting their connection to heart health and wellness. | Generated by Google Gemini

Omega-3 fatty acids, primarily eicosapentaenoic acid (EPA) and docosahexaenoic acid (DHA), are vital for supporting heart and brain health. These healthy fats help reduce inflammation, lower triglyceride levels, and may contribute to maintaining normal blood pressure. Fish oil supplements, derived from fatty fish such as salmon, mackerel, and sardines, are popular sources of omega-3s. Research from the Harvard T.H. Chan School of Public Health highlights that eating fish regularly is consistently associated with a lower risk of heart disease.

The evidence for omega-3 supplementation, however, is mixed. Large-scale studies reviewed by the American Heart Association indicate that while fish oil supplements can modestly lower triglycerides, they may not significantly reduce the risk of heart attack, stroke, or overall mortality in healthy individuals. For most people, consuming omega-3-rich foods is preferable to taking supplements. Plant-based sources like flaxseeds and walnuts offer alpha-linolenic acid (ALA), another beneficial omega-3. Overall, a diet rich in fatty fish or plant-based omega-3s is the recommended approach, with supplementation reserved for those unable to meet needs through food alone.

7. Probiotics

7. Probiotics
Probiotic capsules rest beside a bowl of creamy yogurt, highlighting the power of gut-friendly bacteria for wellness. | Generated by Google Gemini

Probiotics are live microorganisms—often strains of bacteria or yeast—touted for their ability to support digestive health by maintaining or restoring a healthy balance of gut microbiota. The human gut harbors trillions of microorganisms, collectively influencing digestion, immune response, and even mental health. Probiotic supplements are marketed to improve digestion, boost immunity, and treat or prevent gastrointestinal disturbances such as diarrhea, irritable bowel syndrome (IBS), and antibiotic-associated imbalance.

Scientific evidence, as summarized by the National Center for Complementary and Integrative Health (NCCIH), shows that probiotics can be beneficial in specific situations, such as reducing the risk of antibiotic-associated diarrhea and managing certain symptoms of IBS. However, for healthy individuals, routine probiotic supplementation does not consistently confer significant benefits, and the effects can be highly strain-specific. Additionally, not all commercial products contain strains that have been studied or proven effective. The Mayo Clinic emphasizes that while probiotics are generally safe for most people, those with compromised immune systems or serious illnesses should consult a healthcare provider before use. Overall, probiotics may help in targeted cases, but broad claims are often overstated.

8. Magnesium

8. Magnesium
Magnesium supports muscle function, energy production, heart rhythm, and bone health; deficiency disrupts these processe…

Magnesium is a crucial mineral involved in over 300 biochemical reactions in the body, including muscle contraction, nerve function, blood glucose regulation, and energy production. It also plays a role in bone development and maintaining a steady heart rhythm. Symptoms of magnesium deficiency can include muscle cramps, fatigue, irregular heartbeat, and neurological disturbances. While true deficiency is relatively uncommon among healthy individuals, it can occur in those with gastrointestinal diseases, type 2 diabetes, chronic alcoholism, or older adults with poor dietary intake.

According to the National Institutes of Health Office of Dietary Supplements, magnesium supplementation can be effective in treating deficiencies and may help manage certain conditions such as migraine headaches, premenstrual syndrome, and constipation. For most people, magnesium needs can be met by consuming a balanced diet rich in nuts, seeds, whole grains, leafy green vegetables, and legumes. The Harvard T.H. Chan School of Public Health cautions that excessive supplementation can lead to adverse effects like diarrhea, abdominal cramping, and, in extreme cases, cardiac issues. Supplementation is most beneficial for individuals with diagnosed deficiencies or increased physiological needs, ideally under medical supervision.

9. Zinc

9. Zinc
A bottle of zinc tablets spills onto a table, highlighting their role in supporting immunity and wound healing. | Generated by Google Gemini

Zinc is an essential trace mineral that plays a pivotal role in immune function, wound healing, DNA synthesis, and cell division. It is also important for the senses of taste and smell. Zinc is commonly included in immune-boosting supplements and over-the-counter cold remedies, as it is known to support the body’s defense mechanisms. According to the National Institutes of Health Office of Dietary Supplements, zinc supplementation can help reduce the duration of the common cold if taken within 24 hours of symptom onset, though the benefit is modest.

While zinc deficiency can impair immune response and slow wound healing, true deficiency is rare in developed countries due to adequate dietary intake from sources like meat, shellfish, legumes, seeds, and nuts. Excessive zinc supplementation, however, poses significant risks. High doses can cause nausea, vomiting, loss of appetite, abdominal cramps, diarrhea, and headaches. Chronic overuse may suppress immune function, lower “good” HDL cholesterol, and interfere with the absorption of other essential minerals such as copper and iron. The Centers for Disease Control and Prevention (CDC) advises that zinc supplements should be used cautiously and primarily when a deficiency or increased need is identified.

10. Vitamin B12

10. Vitamin B12
Bright B12 tablets rest beside a diagram of healthy nerve cells, emphasizing their importance in a vegan diet. | Generated by Google Gemini

Vitamin B12, or cobalamin, is a water-soluble vitamin essential for nerve health, red blood cell formation, and DNA synthesis. It is naturally found in animal-based foods such as meat, fish, dairy, and eggs. Because of its vital role in nervous system function and the prevention of megaloblastic anemia, maintaining adequate B12 levels is crucial for overall health. Older adults, individuals with gastrointestinal disorders affecting absorption, and people following vegan or strict vegetarian diets are at heightened risk of B12 deficiency.

The National Institutes of Health Office of Dietary Supplements notes that symptoms of deficiency may include fatigue, weakness, constipation, numbness, balance problems, and cognitive disturbances. For these at-risk groups, B12 supplementation—either in oral or injectable form—can be necessary and highly effective in preventing or treating deficiency. The Harvard T.H. Chan School of Public Health recommends regular supplementation or consumption of fortified foods for vegans and older adults, as the body’s ability to absorb B12 from food decreases with age. For most others who consume sufficient animal products, supplementation is generally unnecessary.

11. Vitamin E

11. Vitamin E
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Vitamin E is a fat-soluble antioxidant that helps protect cells from oxidative damage caused by free radicals. It plays a role in immune function, skin health, and cellular signaling. Found naturally in nuts, seeds, vegetable oils, and green leafy vegetables, vitamin E has been widely promoted for its potential to prevent chronic diseases, such as heart disease and certain cancers, due to its antioxidant properties.

However, research findings on the effectiveness of vitamin E supplementation are mixed. Large clinical trials, such as those reviewed by the National Institutes of Health Office of Dietary Supplements, have not consistently shown benefits for heart health or cancer prevention in well-nourished adults. In some cases, high-dose vitamin E supplementation has been associated with increased risk of hemorrhagic stroke and, in certain populations, a higher risk of prostate cancer. The Harvard T.H. Chan School of Public Health cautions that excessive intake from supplements can interfere with the body’s ability to clot blood and may interact with certain medications. For most people, adequate vitamin E intake should come from a balanced diet, and high-dose supplementation should be avoided unless specifically recommended by a healthcare provider.

12. Folic Acid

12. Folic Acid
Folic acid supports healthy fetal development and prevents neural tube defects in early pregnancy.

Folic acid, the synthetic form of folate (vitamin B9), is crucial for DNA synthesis, cell division, and proper fetal development. Its most notable benefit is the prevention of neural tube defects (NTDs) such as spina bifida and anencephaly when taken by women before conception and during early pregnancy. Public health authorities, including the Centers for Disease Control and Prevention (CDC), strongly recommend that all women of reproductive age consume 400 micrograms of folic acid daily, either through fortified foods or supplements.

For populations outside of pregnancy and childbearing potential, the need for folic acid supplementation is generally limited. Most adults can meet their folate requirements through a varied diet containing leafy greens, legumes, and fortified grains. The National Institutes of Health Office of Dietary Supplements notes that excessive folic acid supplementation can mask symptoms of vitamin B12 deficiency, potentially delaying diagnosis and treatment. Therefore, while folic acid is a proven and critical supplement for preventing birth defects, routine supplementation beyond these specific needs is unnecessary for most healthy adults following a balanced diet.

13. Creatine

13. Creatine
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Creatine is a naturally occurring compound found in muscle cells, where it helps produce energy during high-intensity, short-duration activities such as weightlifting and sprinting. Supplementing with creatine increases the body’s stores of phosphocreatine, enabling enhanced ATP production and improved muscular performance. Numerous studies, including those summarized by the National Institutes of Health (NIH), confirm that creatine supplementation can significantly increase strength, power output, and muscle mass in athletes and individuals engaged in intensive resistance training.

Despite these proven benefits, misconceptions persist among casual users. Some believe creatine is a steroid or carries significant health risks, but research shows it is safe for healthy adults when used within recommended dosages. Additionally, casual exercisers who do not engage in high-intensity or explosive exercise may see little to no benefit from supplementation. The Mayo Clinic notes that while mild side effects like water retention and gastrointestinal discomfort can occur, serious adverse effects are rare. For most people, creatine is best reserved for athletes and active individuals seeking measurable performance gains from intense physical training.

14. Protein Powders

14. Protein Powders
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Protein powders, commonly derived from whey, casein, soy, or plant sources, are popular supplements among athletes, bodybuilders, and fitness enthusiasts seeking to promote muscle growth and recovery. Protein is a fundamental macronutrient required for repairing tissues, building muscle, and supporting metabolic health. Supplementation can be convenient for individuals who struggle to meet protein requirements through whole foods, particularly following intense exercise or during periods of increased need.

The Harvard T.H. Chan School of Public Health emphasizes that most people can achieve optimal protein intake through a balanced diet rich in lean meats, dairy, eggs, legumes, nuts, and seeds. For recreational exercisers and the general population, additional protein from supplements is typically unnecessary and may lead to excessive intake. The Mayo Clinic warns that overconsumption of protein—especially from supplements—can stress the kidneys, increase the risk of dehydration, and contribute to unwanted calorie excess. Ultimately, while protein powders are useful for select groups, prioritizing whole food sources remains the healthiest and most sustainable approach for most individuals.

15. Collagen

15. Collagen
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Collagen supplements have surged in popularity, largely marketed for their potential benefits to skin elasticity, joint health, and hair and nail strength. Collagen is the most abundant protein in the human body, providing structural support to connective tissues. Supplemental collagen is typically hydrolyzed, making it easier for the body to absorb as peptides. Small studies, such as those reviewed by the Harvard T.H. Chan School of Public Health, suggest that collagen supplements may modestly improve skin hydration, elasticity, and reduce joint discomfort, particularly in people with osteoarthritis.

However, the overall scientific evidence remains limited and more rigorous, long-term research is needed to confirm these effects. The National Institutes of Health (NIH) notes that the body breaks down collagen into amino acids, which are then used to build proteins as needed—meaning benefits are not guaranteed to impact skin or joints directly. Alternatives include consuming a balanced diet rich in protein, vitamin C, and nutrients that support natural collagen production. For most people, maintaining healthy skin and joints is best achieved through a holistic approach rather than relying solely on supplements.

16. Glucosamine

16. Glucosamine
A close-up view of glucosamine tablets scattered beside a model of a knee joint, highlighting arthritis relief. | Generated by Google Gemini

Glucosamine is a naturally occurring compound found in cartilage, often used as a dietary supplement to alleviate joint pain and symptoms of osteoarthritis. It is commonly available as glucosamine sulfate or glucosamine hydrochloride, and frequently combined with chondroitin. The supplement is marketed with claims of supporting joint health, reducing pain, and slowing the progression of osteoarthritis. However, evidence from clinical trials is mixed. According to analyses summarized by the National Center for Complementary and Integrative Health (NCCIH), while some studies report modest pain relief in people with knee osteoarthritis, the overall effect is small and not consistently better than placebo.

The Arthritis Foundation notes that glucosamine supplementation appears to be safe for most adults, but its effectiveness varies greatly among individuals. Some people may notice symptom improvement, while others experience little to no benefit. Glucosamine is not recommended as a first-line treatment for joint pain; consumers should set realistic expectations and consult with healthcare providers before use, especially if taking other medications or managing chronic conditions. Non-supplement strategies, such as exercise and weight management, remain essential for joint health.

17. Coenzyme Q10 (CoQ10)

17. Coenzyme Q10 (CoQ10)
A bottle of CoQ10 capsules spills onto a table, symbolizing support for heart health and vibrant cell energy. | Generated by Google Gemini

Coenzyme Q10 (CoQ10) is a naturally occurring antioxidant found in the mitochondria of cells, where it plays a vital role in cellular energy production. CoQ10 helps convert food into energy and protects cells from oxidative damage. Its levels naturally decline with age and in certain chronic diseases. CoQ10 has gained popularity as a supplement, particularly among individuals seeking to support heart health or reduce statin-induced muscle pain.

Some studies suggest that CoQ10 supplementation may provide benefits for people with specific heart conditions, such as heart failure, hypertension, and angina, as reviewed by the National Center for Complementary and Integrative Health (NCCIH). There is also evidence that it may help reduce muscle-related side effects of statin medications. However, for the general population, the Harvard T.H. Chan School of Public Health notes that evidence supporting routine CoQ10 supplementation for disease prevention or enhanced energy is limited and inconsistent. CoQ10 is generally safe, but it should be used under medical supervision, especially for those with chronic conditions or on multiple medications. A balanced diet can help maintain CoQ10 levels in most healthy individuals.

18. Melatonin

18. Melatonin
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Melatonin is a hormone produced by the pineal gland that plays a critical role in regulating the body’s circadian rhythm, or sleep-wake cycle. As a supplement, melatonin is widely used to address sleep disorders such as insomnia, jet lag, and shift work-related sleep disturbances. According to the Sleep Foundation, melatonin supplementation can be effective in promoting sleep onset and adjusting sleep timing, particularly for those with circadian rhythm disruptions.

However, the widespread use of melatonin has led to concerns about overuse and inappropriate dosing. The Mayo Clinic notes that while melatonin is generally considered safe for short-term use, excessive or prolonged supplementation can cause side effects such as headaches, dizziness, daytime sleepiness, and interference with natural hormone cycles. There is limited evidence to support its use for chronic insomnia in the general population. Experts recommend starting with the lowest effective dose and consulting a healthcare provider before use, especially for children, pregnant women, or those on other medications. Practicing good sleep hygiene remains the foundation of healthy sleep.

19. Green Tea Extract

19. Green Tea Extract
A vibrant display of fresh tea leaves surrounds a bottle of green tea extract, highlighting its natural weight loss benefits. | Generated by Google Gemini

Green tea extract is a concentrated source of polyphenols, particularly catechins like epigallocatechin gallate (EGCG), which are touted for their antioxidant and potential fat-burning effects. Many supplements claim to boost metabolism, enhance fat loss, and provide protective benefits against chronic diseases through these compounds. While some clinical trials, such as those reviewed by the National Institutes of Health Office of Dietary Supplements, indicate modest weight loss in overweight or obese adults who use green tea extract, the effects are generally small and not a substitute for healthy lifestyle habits.

Beyond weight loss, green tea extract’s antioxidant content is associated with reduced oxidative stress and inflammation, but robust evidence linking supplementation to major disease prevention is lacking. The Mayo Clinic warns that high doses of green tea extract can cause side effects, including gastrointestinal upset, liver toxicity, and interactions with medications. Most benefits can be obtained by drinking brewed green tea in moderation, which offers antioxidants without the risks associated with concentrated supplements. As with many supplements, green tea extract should be used cautiously and not relied upon for dramatic weight loss or disease prevention.

20. Turmeric/Curcumin

20. Turmeric/Curcumin
A vibrant heap of golden turmeric powder sits beside glossy curcumin capsules, both celebrated for their anti-inflammatory benefits. | Generated by Google Gemini

Turmeric, a spice derived from the root of the Curcuma longa plant, contains the active compound curcumin, known for its potent anti-inflammatory and antioxidant properties. Curcumin has been studied for its potential to alleviate symptoms of inflammatory conditions such as arthritis, metabolic syndrome, and even depression. According to the National Institutes of Health Office of Dietary Supplements, some research shows curcumin supplementation can modestly reduce inflammation and joint pain, particularly in people with osteoarthritis or rheumatoid arthritis.

Despite these promising findings, curcumin’s effectiveness is limited by its poor absorption in the digestive tract. Many supplements address this challenge by combining curcumin with piperine (from black pepper) or using specialized formulations to enhance bioavailability. Still, the Mayo Clinic notes that evidence from large-scale, high-quality clinical trials is lacking, and results are often inconsistent. While turmeric and curcumin are generally safe, high doses may cause digestive upset or interact with medications. Incorporating turmeric as a spice in cooking may offer some benefits, but consumers should have realistic expectations regarding the impact of supplements on chronic inflammation or widespread health conditions.

21. Garlic Supplements

21. Garlic Supplements
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Garlic has a long history of use in traditional medicine for its potential cardiovascular and immune-boosting properties. Many garlic supplements are marketed for lowering blood pressure, improving cholesterol profiles, and supporting immune health due to bioactive compounds such as allicin. Studies reviewed by the National Center for Complementary and Integrative Health (NCCIH) suggest that garlic supplements may lead to small reductions in blood pressure and cholesterol in some individuals, but the effects are typically modest and may not translate into significant improvements in heart disease outcomes.

The Mayo Clinic notes that while garlic has shown some antimicrobial and immune-supportive effects in laboratory studies, strong clinical evidence supporting supplementation for preventing or treating infections is lacking. For most people, eating fresh garlic as part of a balanced diet provides potential health benefits without the risks associated with concentrated supplements, such as gastrointestinal upset or interactions with blood-thinning medications. Supplementation is rarely necessary unless recommended by a healthcare provider for a specific health concern, and whole-food consumption remains the safest and most evidence-based approach.

22. Ginkgo Biloba

22. Ginkgo Biloba
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Ginkgo biloba, derived from the leaves of the ginkgo tree, is commonly marketed as a supplement to enhance brain health, memory, and cognitive function, particularly in older adults. Its proposed benefits are attributed to antioxidant and anti-inflammatory effects, as well as increased blood flow to the brain. However, large-scale research, such as the Ginkgo Evaluation of Memory (GEM) study published by the National Institutes of Health, found that ginkgo biloba did not significantly reduce the risk of dementia or slow cognitive decline in older adults over several years of use.

The National Center for Complementary and Integrative Health (NCCIH) also reports that evidence for ginkgo’s effectiveness in memory enhancement and prevention of Alzheimer’s disease is inconsistent and generally does not support widespread supplementation. While ginkgo biloba is generally considered safe for most people, it can cause side effects such as headache, upset stomach, and allergic skin reactions, and may interact with blood-thinning medications, increasing the risk of bleeding. Older adults interested in brain health should focus on proven lifestyle strategies, such as regular exercise and a balanced diet, rather than relying on ginkgo supplements.

23. Echinacea

23. Echinacea
A vibrant echinacea flower blooms beside a supplement bottle, highlighting a natural approach to supporting the immune system. | Generated by Google Gemini

Echinacea is a popular herbal supplement commonly used to prevent or treat the common cold and boost immune function. Derived from the purple coneflower, its extracts and teas are believed to stimulate the immune system and reduce the duration and severity of cold symptoms. Despite its widespread use, research on echinacea’s effectiveness has produced inconsistent results. The National Center for Complementary and Integrative Health (NCCIH) notes that while some studies suggest echinacea may slightly reduce the likelihood or duration of colds, others find little to no benefit compared to placebo.

Systematic reviews, such as those conducted by the Cochrane Library, confirm that echinacea products vary widely in composition and quality, making it difficult to draw definitive conclusions. For most people, echinacea is generally safe when used short-term, though side effects such as gastrointestinal upset and allergic reactions can occur, particularly in individuals with allergies to related plants. Given the lack of strong evidence, echinacea should not replace proven preventive strategies like good hand hygiene and proper rest for immune support.

24. Elderberry

24. Elderberry
A jar of rich elderberry syrup sits beside a cluster of fresh berries, a natural remedy for colds. | Generated by Google Gemini

Elderberry, derived from the berries of the Sambucus nigra plant, has gained significant popularity as a natural remedy for preventing and treating colds and influenza. Elderberry supplements, syrups, and gummies are widely promoted for their potential to reduce the duration and severity of viral respiratory infections due to their high concentration of antioxidants and purported immune-boosting effects. Some small clinical trials, such as those highlighted by the National Institutes of Health (NIH), suggest that elderberry extract may modestly shorten the length of flu symptoms when taken at the onset of illness.

However, the National Center for Complementary and Integrative Health (NCCIH) emphasizes that larger, well-designed studies are needed to confirm these effects and determine the true efficacy of elderberry for cold and flu prevention. Elderberry is generally considered safe for short-term use in its commercial, cooked, or prepared forms. Raw or unripe elderberries and other parts of the plant can be toxic and should not be consumed. While elderberry may offer potential benefits, it should not be used as a substitute for vaccination or other evidence-based preventive measures against respiratory infections.

25. Ashwagandha

25. Ashwagandha
Ashwagandha root and capsules are artfully arranged on a rustic surface, highlighting their natural support for stress relief. | Generated by Google Gemini

Ashwagandha (Withania somnifera) is an herb traditionally used in Ayurvedic medicine and classified as an adaptogen, meaning it is thought to help the body adapt to stress. Ashwagandha supplements are widely promoted for reducing anxiety, improving sleep, enhancing cognitive function, and boosting energy levels. Some clinical studies, such as those summarized by the National Institutes of Health (NIH), indicate that ashwagandha extract may reduce stress and anxiety levels, particularly in individuals with chronic stress, and may also modestly improve sleep quality.

Despite these promising findings, more large-scale, long-term studies are needed to fully establish ashwagandha’s efficacy and safety profile. The National Center for Complementary and Integrative Health (NCCIH) notes that while ashwagandha is generally considered safe for short-term use, potential side effects include gastrointestinal upset, drowsiness, and interactions with medications for thyroid disorders, blood pressure, or immune suppression. Pregnant and breastfeeding women should avoid ashwagandha due to insufficient safety data. As with other herbal supplements, consumers should consult a healthcare provider before starting ashwagandha, especially if managing chronic conditions or taking prescription medications.

26. Ginseng

26. Ginseng
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Ginseng, particularly Panax ginseng and American ginseng, is a popular herbal supplement marketed for boosting energy, enhancing mental performance, and supporting immune function. Its active compounds, ginsenosides, are believed to help the body resist physical and mental stress. Some studies, including those reviewed by the National Center for Complementary and Integrative Health (NCCIH), suggest that ginseng may offer modest improvements in cognitive function, fatigue, and immune response, especially in people coping with chronic illness or stress.

However, the overall evidence remains mixed, with many studies limited by small sample sizes and inconsistent results. The Mayo Clinic notes that while ginseng is generally safe for short-term use, it can cause side effects such as insomnia, headaches, digestive upset, and changes in blood pressure. Ginseng may interact with blood thinners, diabetes medications, and stimulants, requiring caution for those with underlying health conditions or those taking prescription drugs. While some individuals may benefit from ginseng, especially for short-term energy or immune support, its use should be approached carefully and under the guidance of a healthcare professional.

27. Saw Palmetto

27. Saw Palmetto
A cluster of ripe saw palmetto berries rests beside a bottle of capsules commonly used for prostate health support. | Generated by Google Gemini

Saw palmetto is a herbal supplement derived from the fruit of the Serenoa repens plant, widely promoted for supporting prostate health and alleviating symptoms of benign prostatic hyperplasia (BPH)—a non-cancerous enlargement of the prostate gland common in older men. Saw palmetto is believed to work by inhibiting the conversion of testosterone to dihydrotestosterone (DHT), a hormone linked to prostate growth. Despite its popularity, clinical evidence regarding its effectiveness remains inconclusive.

The National Center for Complementary and Integrative Health (NCCIH) and a systematic review in the Cochrane Library report that saw palmetto supplements have not consistently demonstrated significant improvements in urinary symptoms or flow measures when compared to placebo in men with BPH. While generally considered safe for most users, saw palmetto can cause mild side effects such as headache or digestive upset, and may interact with blood thinners and hormone-related medications. Men experiencing urinary symptoms should consult a healthcare provider for proper diagnosis and evidence-based treatment options, as saw palmetto may not be an effective or sufficient intervention for prostate health concerns.

28. St. John’s Wort

28. St. John's Wort
Bright yellow St. John’s Wort flowers rest beside herbal capsules, symbolizing a natural approach to supporting mood balance. | Generated by Google Gemini

St. John’s wort (Hypericum perforatum) is a plant-based supplement traditionally used to treat mild to moderate depression. Some studies and meta-analyses, such as those referenced by the National Center for Complementary and Integrative Health (NCCIH), suggest St. John’s wort can be as effective as standard antidepressants for mild cases, with fewer side effects. However, its efficacy for severe depression is less clear, and results vary widely among individuals and products.

A major concern with St. John’s wort is its potential for significant drug interactions. The U.S. Food & Drug Administration (FDA) warns that the supplement can reduce the effectiveness of various prescription medications, including antidepressants, birth control pills, blood thinners, and HIV treatments, by accelerating their breakdown in the liver. This can lead to treatment failure or serious side effects. St. John’s wort should be avoided by pregnant or breastfeeding women, children, and anyone taking prescription medication without consulting a healthcare provider. Due to these risks, individuals considering St. John’s wort for depression should seek professional advice and never self-medicate without supervision.

29. Chromium

29. Chromium
A bottle of chromium tablets sits beside a glucose meter, emphasizing their role in supporting healthy blood sugar levels for diabetes care. | Generated by Google Gemini

Chromium is an essential trace mineral that plays a role in carbohydrate, fat, and protein metabolism, and is sometimes marketed as a supplement for improving blood sugar control, particularly in people with type 2 diabetes. Chromium picolinate is the most common supplemental form. Some small studies have suggested that chromium supplementation may improve insulin sensitivity and help with glycemic control. However, comprehensive reviews, such as those cited by the National Institutes of Health Office of Dietary Supplements, indicate that the benefits are limited and inconsistent.

The Mayo Clinic notes that while chromium deficiency is rare in healthy individuals, supplementation does not significantly benefit most people, including those with diabetes, unless a true deficiency exists. Excessive chromium intake can cause side effects such as stomach upset, headaches, and, in rare cases, kidney or liver problems. For the vast majority of individuals, a balanced diet containing whole grains, meats, fruits, and vegetables provides sufficient chromium. Therefore, supplementation is generally unnecessary unless specifically recommended by a healthcare provider for a documented deficiency or under medical supervision.

30. Selenium

30. Selenium
Selenium tablets rest beside a handful of Brazil nuts, highlighting their powerful antioxidant benefits and natural sources. | Generated by Google Gemini

Selenium is an essential trace mineral with antioxidant properties, playing a crucial role in DNA synthesis, thyroid hormone metabolism, and protecting cells from oxidative damage. Selenium is found in foods such as Brazil nuts, seafood, meat, and grains. It has been promoted for its potential to reduce cancer risk and support immune function. However, large clinical trials—including the Selenium and Vitamin E Cancer Prevention Trial (SELECT)—have found no significant benefit of selenium supplementation in lowering the risk of prostate or other cancers, and some research even suggests a possible increased risk at high doses.

The National Institutes of Health Office of Dietary Supplements notes that selenium deficiency is rare in most developed countries, and excessive supplementation can lead to toxicity. Symptoms of selenium toxicity (selenosis) include gastrointestinal distress, hair loss, nail brittleness, and neurological abnormalities. Chronic high intake may also increase the risk of type 2 diabetes and other health issues. For most people, a varied diet provides adequate selenium, and supplementation should only be considered in cases of diagnosed deficiency or under medical supervision to avoid the potential for harmful effects.

31. Beta-Alanine

31. Beta-Alanine
An athlete scoops a serving of beta-alanine powder, highlighting the supplement’s role in supporting muscle performance. | Generated by Google Gemini

Beta-alanine is a non-essential amino acid commonly included in sports supplements for its purported ability to enhance athletic performance, particularly during high-intensity exercise. Beta-alanine increases muscle carnosine levels, which helps buffer acid in muscles and may delay the onset of fatigue during short bursts of intense activity. According to research summarized by the National Institutes of Health (NIH), beta-alanine supplementation has been shown to improve performance in activities lasting one to four minutes, such as sprinting, rowing, or high-intensity interval training.

While the evidence supports modest benefits for well-trained athletes, the International Society of Sports Nutrition notes that the effects are less pronounced for recreational exercisers or during endurance events. A common side effect of beta-alanine supplementation is paresthesia—a tingling sensation, typically in the face, neck, or hands—which is harmless but may be unpleasant. The sensation can be minimized by taking smaller doses throughout the day. For most people, beta-alanine is not necessary, but it may be useful for competitive athletes seeking incremental improvements in high-intensity performance.

32. Branched-Chain Amino Acids (BCAAs)

32. Branched-Chain Amino Acids (BCAAs)
A scoop of BCAA powder sits beside a pair of dumbbells, ready to fuel muscle recovery after exercise. | Generated by Google Gemini

Branched-chain amino acids (BCAAs)—leucine, isoleucine, and valine—are essential amino acids often marketed for their role in muscle growth, recovery, and endurance. BCAA supplements are popular among athletes and gym enthusiasts who believe that these products can reduce muscle soreness, decrease exercise-induced fatigue, and enhance performance. While BCAAs are indeed crucial for muscle protein synthesis, the National Institutes of Health (NIH) notes that the body requires all nine essential amino acids for optimal muscle repair and growth, which are readily available in complete protein sources such as meat, dairy, eggs, and soy.

Research, including reviews published by the Journal of the International Society of Sports Nutrition, suggests that while BCAA supplementation may offer some benefits for reducing post-exercise muscle soreness, the effects are generally modest and do not surpass the benefits of consuming adequate amounts of whole protein. For most individuals, a balanced diet with sufficient high-quality protein will provide all the necessary amino acids, making dedicated BCAA supplements unnecessary for muscle recovery or endurance. Prioritizing whole foods is a more effective and cost-efficient strategy for muscle health.

33. L-Carnitine

33. L-Carnitine
A bottle of L-carnitine capsules sits beside workout gear, symbolizing a boost of energy for exercise routines. | Generated by Google Gemini

L-carnitine is a naturally occurring compound involved in the transport of fatty acids into the mitochondria, where they are converted into energy. Marketed as a “fat burner” and energy booster, L-carnitine supplements are widely used by athletes and those seeking weight loss. Despite these claims, scientific studies such as those referenced by the National Institutes of Health Office of Dietary Supplements demonstrate that L-carnitine supplementation provides limited fat-burning or weight loss benefits in healthy adults. Most research shows little or no effect on body composition or physical performance in the general population.

However, L-carnitine may be relevant in specific clinical situations. For example, individuals with certain genetic disorders, chronic kidney disease, or conditions that limit endogenous L-carnitine production may benefit from supplementation as part of medical management. The Mayo Clinic notes that L-carnitine is generally safe at recommended doses but may cause side effects such as nausea, cramps, or a “fishy” body odor. For most healthy people, adequate amounts of L-carnitine are obtained from diet, particularly animal products, and supplementation is unnecessary for fat loss or increased energy.

34. Resveratrol

34. Resveratrol
A resveratrol capsule rests beside a glass of red wine, symbolizing a modern approach to healthy aging. | Generated by Google Gemini

Resveratrol is a polyphenol found in red wine, grapes, berries, and peanuts, celebrated for its antioxidant, anti-inflammatory, and purported anti-aging properties. Much of the public interest stems from the “French Paradox”—the observation that French populations have a relatively low incidence of heart disease despite a diet rich in saturated fat, which some attribute to moderate red wine consumption. Resveratrol supplements are marketed to mimic these benefits, with claims ranging from heart health support to life span extension.

However, scientific evidence remains inconclusive. According to the National Institutes of Health Office of Dietary Supplements, most research on resveratrol’s effects has been conducted in animals or test tubes, with doses far higher than those obtainable through diet or supplements. Human trials, such as those reviewed by the Mayo Clinic, have not demonstrated consistent benefits for cardiovascular health or aging-related diseases. Additionally, resveratrol supplements tend to contain variable amounts and may interact with blood thinners and other medications. While moderate wine consumption can be part of a healthy lifestyle, relying on resveratrol supplements for anti-aging or disease prevention is not supported by robust clinical evidence.

35. Glutamine

35. Glutamine
A scoop of pure glutamine powder sits beside a pair of dumbbells and a gut health guide on a gym bench. | Generated by Google Gemini

Glutamine is a non-essential amino acid that becomes conditionally essential during periods of intense physical stress, illness, or injury. It is widely marketed to athletes and fitness enthusiasts for muscle recovery, immune support, and gut health. Glutamine plays a key role in protein synthesis, nitrogen transport, and is a major fuel source for cells in the digestive tract. Despite these important functions, the National Institutes of Health (NIH) notes that healthy individuals typically produce sufficient glutamine to meet their needs, and supplementation is unlikely to enhance muscle recovery or exercise performance in most cases.

Some research suggests glutamine supplementation may be beneficial in specific clinical situations, such as in critically ill patients, those with severe burns, or in individuals with gastrointestinal disorders like short bowel syndrome. The Mayo Clinic highlights that while glutamine is generally safe at recommended doses, excessive intake may cause side effects such as upset stomach or, in rare cases, adverse effects in people with liver or kidney problems. For the majority of healthy, active individuals, a balanced diet provides all the glutamine required for muscle and gut health, making routine supplementation unnecessary.

36. Niacin (Vitamin B3)

36. Niacin (Vitamin B3)
A bottle of niacin tablets spills onto a wooden surface, highlighting vitamin B3’s role in supporting healthy cholesterol levels. | Generated by Google Gemini

Niacin, also known as vitamin B3, is an essential nutrient involved in energy production, DNA repair, and cholesterol metabolism. Prescription-strength niacin has been used for decades to help lower LDL (“bad”) cholesterol, raise HDL (“good”) cholesterol, and reduce triglycerides. However, recent large clinical trials, such as those summarized by the American Heart Association, have questioned the effectiveness of niacin supplementation in reducing cardiovascular events when added to statin therapy. The benefits for most people are now considered limited, particularly in the context of modern cholesterol-lowering medications.

One of the most common side effects of niacin supplementation is skin flushing—a sudden warmth and redness of the face and neck—which can be uncomfortable but is usually harmless. Higher doses can also cause more serious side effects, including liver toxicity, gastrointestinal upset, and impaired glucose tolerance. The National Institutes of Health Office of Dietary Supplements recommends using niacin supplements for cholesterol management only under medical supervision. For most people, dietary sources such as meat, fish, whole grains, and legumes are sufficient, and niacin supplementation is best reserved for specific medical indications.

37. Biotin

37. Biotin
A bottle of biotin tablets sits beside shiny hair strands and manicured nails, highlighting beauty from within. | Generated by Google Gemini

Biotin, also known as vitamin B7, is a water-soluble vitamin involved in energy metabolism and the health of hair, skin, and nails. Supplement manufacturers often promote biotin for improving hair thickness and nail strength, leading to its widespread inclusion in beauty products and “hair, skin, and nails” formulations. However, the National Institutes of Health Office of Dietary Supplements reports that biotin deficiency is extremely rare among healthy individuals, as the vitamin is abundant in foods like eggs, nuts, seeds, and whole grains, and is also produced by gut bacteria.

Scientific evidence supporting the use of biotin supplements for hair and nail growth in people without a deficiency is limited. According to the American Academy of Dermatology, most people who consume a balanced diet will not benefit from additional biotin. Furthermore, high-dose biotin supplementation can interfere with laboratory tests, leading to incorrect results for thyroid, cardiovascular, and other conditions. Misleading marketing often exaggerates biotin’s cosmetic benefits. For the vast majority, focusing on a nutrient-rich diet is the best way to support healthy hair and nails, rather than relying on unnecessary supplements.

38. Iodine

38. Iodine
A close-up of iodine tablets beside a salt shaker, highlighting their role in supporting healthy thyroid function. | Generated by Google Gemini

Iodine is an essential trace element critical for the production of thyroid hormones, which regulate metabolism, growth, and development. Inadequate iodine intake can lead to thyroid disorders such as goiter and, in severe cases, intellectual disabilities in infants and children. While iodine deficiency is a major public health concern globally—particularly in regions where the soil is iodine-poor—deficiency is rare in countries where iodized salt is widely used. The National Institutes of Health Office of Dietary Supplements notes that seafood, dairy products, eggs, and iodized salt are good dietary sources for most people.

Supplementation may be necessary for individuals with limited access to iodized foods, pregnant and breastfeeding women (who have increased requirements), or those with specific medical conditions affecting iodine absorption. However, excessive iodine intake from high-dose supplements can be harmful, potentially causing thyroid dysfunction, autoimmune thyroiditis, or even thyroid cancer in susceptible individuals. The CDC advises that supplementation should be guided by a healthcare provider, based on individual risk and needs. For most people, meeting iodine needs through a balanced diet and iodized salt is safe and effective, while unnecessary supplementation can pose health risks.

39. Choline

39. Choline
A bottle of choline tablets sits beside a pair of eggs and a brain illustration, highlighting brain health nutrition. | Generated by Google Gemini

Choline is an essential nutrient often grouped with B vitamins and plays a key role in brain development, neurotransmitter synthesis, and liver function. It is necessary for the production of acetylcholine, a neurotransmitter involved in memory and muscle control, and for the transport and metabolism of fats in the liver. Choline is particularly important during pregnancy for fetal brain development. According to the National Institutes of Health Office of Dietary Supplements, most adults in the United States do not meet recommended choline intake levels, but deficiency is uncommon due to the body’s ability to synthesize small amounts.

Primary dietary sources of choline include eggs, liver, meat, fish, dairy, and certain vegetables like broccoli and Brussels sprouts. Supplementation may be necessary for pregnant or breastfeeding women, vegans, or individuals with increased needs or restricted diets. The Harvard T.H. Chan School of Public Health notes that excessive choline intake from supplements can cause side effects such as fishy body odor, low blood pressure, and liver toxicity. For most people, a varied and balanced diet is sufficient to meet choline needs, making supplementation unnecessary outside of specific circumstances.

40. MCT Oil

40. MCT Oil
A clear glass bottle of pure MCT oil sits beside fresh coconut halves, perfect for a ketogenic boost. | Generated by Google Gemini

MCT (medium-chain triglyceride) oil is a supplement derived primarily from coconut or palm kernel oil. It is widely used by individuals following ketogenic or low-carbohydrate diets, as MCTs are rapidly absorbed and converted into ketones, providing an alternative energy source for the brain and muscles. Advocates claim MCT oil can boost metabolism, enhance cognitive function, and promote weight loss. Some studies, such as those cited by the Harvard T.H. Chan School of Public Health, suggest that MCT oil may increase satiety and slightly enhance calorie burning compared to long-chain fats, potentially aiding weight management.

However, the overall evidence for significant weight loss or cognitive benefits remains limited. According to the National Institutes of Health (NIH), most studies are short-term and involve small sample sizes. Excessive intake of MCT oil can cause gastrointestinal discomfort, including diarrhea and cramping, and may contribute to increased cholesterol levels in some individuals. For most people, MCT oil can be a useful addition to specific dietary approaches like the ketogenic diet, but it is not a magic solution for weight loss or metabolic health, and moderation is advised.

41. Lysine

41. Lysine
A bottle of lysine tablets sits beside a glass of water and a smiling person, promoting cold sore relief and immune support. | Generated by Google Gemini

Lysine is an essential amino acid necessary for protein synthesis, calcium absorption, and hormone production. It is commonly marketed as a supplement for managing and preventing cold sores (herpes simplex labialis) and supporting immune health. According to the National Institutes of Health (NIH), several studies have found that lysine supplementation may help reduce the frequency and severity of cold sore outbreaks, particularly in individuals with recurrent infections. The mechanism is thought to involve lysine’s ability to inhibit the replication of the herpes simplex virus.

Beyond cold sore prevention, claims about lysine’s broader immune-boosting effects are less substantiated. The Mount Sinai Health Library indicates that most healthy individuals receive sufficient lysine from a balanced diet that includes meat, dairy products, eggs, legumes, and some grains. Supplementation is generally unnecessary unless a specific deficiency or therapeutic need is identified. Lysine supplements are considered safe for most people, though very high doses may cause stomach upset or diarrhea. For those seeking to prevent cold sores, lysine may be useful, but dietary intake is typically adequate for general immune and nutritional needs.

42. Psyllium (Fiber)

42. Psyllium (Fiber)
A spoonful of psyllium husk fiber supplement rests atop a wooden table, ready to support healthy digestion. | Generated by Google Gemini

Psyllium is a soluble fiber derived from the husks of Plantago ovata seeds, widely used as a dietary supplement for promoting digestive health and regularity. Psyllium absorbs water in the gut, forming a gel-like substance that helps soften stool and ease constipation. It is also marketed for its potential benefits in lowering cholesterol and supporting heart health. According to the National Institutes of Health (NIH), psyllium supplementation can effectively improve bowel regularity, relieve symptoms of irritable bowel syndrome (IBS), and reduce both total and LDL cholesterol levels when used as part of a balanced diet.

The Mayo Clinic highlights that psyllium and other fiber supplements are generally safe for most people, but they should be introduced gradually and taken with plenty of water to prevent gastrointestinal discomfort and potential blockages. While psyllium provides a convenient way to boost fiber intake, experts recommend obtaining most dietary fiber from whole foods such as fruits, vegetables, whole grains, legumes, and nuts. These sources offer additional nutrients and phytochemicals that support overall health beyond what fiber supplements alone can provide.

43. CLA (Conjugated Linoleic Acid)

43. CLA (Conjugated Linoleic Acid)
A bottle of CLA capsules spills onto a table, highlighting supplements often used to support weight loss and fat reduction. | Generated by Google Gemini

Conjugated Linoleic Acid (CLA) is a naturally occurring fatty acid found in meat and dairy products from grass-fed animals. CLA supplements are marketed for their potential to promote fat loss, increase lean muscle mass, and improve metabolic health. These claims are largely based on animal studies and small-scale human trials. According to a review by the National Institutes of Health Office of Dietary Supplements, CLA supplementation has resulted in modest reductions in body fat in some overweight and obese individuals, but the effects are not dramatic or consistent across all studies. Many trials report little or no impact on body weight or composition in the general population.

The Mayo Clinic notes that CLA is generally considered safe at typical supplement doses, but potential side effects include digestive upset, fatigue, and increased inflammation markers. Some evidence suggests long-term supplementation may adversely affect blood sugar and cholesterol levels. As with many fat loss supplements, CLA should not be viewed as a substitute for diet and exercise. For most people, focusing on whole foods and healthy lifestyle habits remains the most effective and safest approach to weight management.

44. HMB (Beta-Hydroxy Beta-Methylbutyrate)

44. HMB (Beta-Hydroxy Beta-Methylbutyrate)
A bottle of HMB capsules sits beside a pair of dumbbells, highlighting this muscle-supporting supplement for fitness enthusiasts. | Generated by Google Gemini

HMB (Beta-Hydroxy Beta-Methylbutyrate) is a compound produced in the body from the amino acid leucine and is marketed as a supplement for muscle preservation, strength enhancement, and improved exercise recovery. HMB is particularly popular among athletes, bodybuilders, and older adults seeking to prevent muscle loss during periods of inactivity or intense training. Research summarized by the National Institutes of Health (NIH) indicates that HMB supplementation can help reduce muscle protein breakdown and may modestly increase lean body mass and strength, especially in individuals new to resistance training or those experiencing muscle wasting due to aging or illness.

However, the benefits of HMB appear to be less pronounced in well-trained athletes or those already consuming adequate protein. The International Society of Sports Nutrition states that HMB is generally safe and well-tolerated at recommended doses, with few reported side effects. The supplement may be most useful for people at risk of muscle loss, such as older adults, individuals recovering from injury, or those beginning a new exercise regimen. For the general population with established exercise routines, the added benefits of HMB may be minimal when compared to proper nutrition and consistent resistance training.

45. Vitamin K

45. Vitamin K
A bottle of vitamin K tablets sits beside a vibrant assortment of leafy greens, highlighting their role in healthy blood clotting. | Generated by Google Gemini

Vitamin K is a fat-soluble vitamin essential for the synthesis of proteins involved in blood clotting and bone metabolism. There are two main forms: K1 (phylloquinone), found in leafy green vegetables, and K2 (menaquinone), present in fermented foods and animal products. Vitamin K is crucial for activating clotting factors that prevent excessive bleeding and for supporting the carboxylation of proteins that regulate bone mineralization. According to the National Institutes of Health Office of Dietary Supplements, deficiency is rare in healthy adults but can occur in individuals with malabsorption disorders, chronic liver disease, or those taking certain medications like anticoagulants or long-term antibiotics.

The Harvard T.H. Chan School of Public Health notes that adequate vitamin K intake is associated with better bone health and a reduced risk of fractures. For most people, a diet rich in green vegetables, such as spinach, kale, and broccoli, provides sufficient vitamin K. Supplementation is typically unnecessary unless prescribed by a healthcare provider for specific medical reasons. Individuals on blood-thinning medications should consult their doctor before changing vitamin K intake, as it can influence medication effectiveness and blood clotting risk.

46. Aloe Vera Supplements

46. Aloe Vera Supplements
A clear jar of aloe vera gel sits beside green capsules, highlighting natural support for healthy digestion. | Generated by Google Gemini

Aloe vera is a succulent plant traditionally used for its soothing effects on the skin, but its supplements—often in the form of juices, capsules, or powders—are marketed for digestive health, including relief from constipation, irritable bowel syndrome (IBS), and inflammation of the gut. The key compounds in aloe vera include aloin and other anthraquinones, which have natural laxative properties. According to the National Center for Complementary and Integrative Health (NCCIH), there is some evidence that aloe latex (the yellowish substance under the skin) can be effective as a short-term laxative, but it is not recommended for long-term use due to safety concerns.

The Mayo Clinic points out that the scientific support for aloe vera supplements for other digestive complaints, such as IBS or stomach ulcers, is weak and inconsistent. Purity and dosage are also concerns, as some aloe supplements may contain variable amounts of active compounds or contaminants, and high doses can cause diarrhea, dehydration, or electrolyte imbalances. Consumers should exercise caution, choose reputable brands, and avoid prolonged use unless under medical supervision.

47. Spirulina

47. Spirulina
A vibrant mound of deep green spirulina powder sits alongside fresh algae, highlighting this nutrient-rich superfood. | Generated by Google Gemini

Spirulina is a blue-green algae that has gained popularity as a “superfood” supplement, promoted for its dense nutritional profile and antioxidant content. It is rich in protein, B vitamins, iron, and a range of phytonutrients, leading to claims that it can boost energy, enhance immunity, and provide detoxifying effects. According to the National Institutes of Health Office of Dietary Supplements, spirulina does offer a concentrated source of nutrients, especially for those with restricted diets, though most people can meet their nutritional needs through balanced food choices.

Spirulina also contains antioxidants such as phycocyanin, which may help combat oxidative stress. However, as noted by the National Center for Biotechnology Information (NCBI), human studies on spirulina’s effects are limited and generally show only modest benefits, such as improving some markers of cholesterol and immune function. There are also concerns about contamination with toxins if spirulina is harvested from unsafe waters. For most healthy individuals, spirulina can be a nutritious addition to the diet, but its real-world impact is likely less dramatic than marketing suggests, and it should not replace a varied, whole-food diet.

48. Yohimbe

48. Yohimbe
Bottles of yohimbe bark capsules sit beside a bold warning label, emphasizing caution with herbal supplements. | Generated by Google Gemini

Yohimbe is an herbal supplement derived from the bark of the Pausinystalia yohimbe tree, traditionally used to enhance sexual performance and treat erectile dysfunction. Its active compound, yohimbine, acts as an alpha-2 adrenergic receptor antagonist, theoretically increasing blood flow and nerve impulses to sexual organs. While some clinical studies, such as those referenced by the National Center for Complementary and Integrative Health (NCCIH), suggest yohimbe may offer modest improvements in erectile function, the evidence is inconsistent and does not support widespread supplementation for sexual health.

Yohimbe use is associated with significant risks, including increased heart rate, high blood pressure, anxiety, dizziness, and in severe cases, heart attack or seizures. The U.S. Food and Drug Administration (FDA) and other health authorities have issued warnings about yohimbe supplements due to these potential adverse effects and the lack of standardization in dosage and purity. Yohimbe can also interact dangerously with medications for blood pressure, mental health, and other conditions. For these reasons, yohimbe is generally not recommended, and individuals seeking support for sexual health should consult a healthcare provider for safer, evidence-based alternatives.

49. Kava

49. Kava
A calming kava root drink sits in a rustic cup, offering a natural remedy for easing anxiety and stress. | Generated by Google Gemini

Kava, derived from the root of the Piper methysticum plant native to the South Pacific, is traditionally consumed as a beverage for its calming effects. It is widely marketed as a natural remedy for anxiety, stress, and insomnia. The active compounds, known as kavalactones, are believed to affect neurotransmitters in the brain, promoting relaxation without impairing cognitive function. Some clinical trials, including systematic reviews cited by the National Center for Complementary and Integrative Health (NCCIH), suggest that kava extract may be more effective than placebo in reducing symptoms of mild to moderate anxiety.

Despite these potential benefits, kava’s use is controversial due to reports of serious liver toxicity, including hepatitis, cirrhosis, and even liver failure. The U.S. Food and Drug Administration (FDA) has issued advisories about the risks associated with kava supplements, and some countries have restricted or banned their sale. Other side effects can include drowsiness, gastrointestinal upset, and interactions with medications or alcohol. Given the unpredictable risk of liver damage, consumers are urged to approach kava supplements with caution and consult healthcare providers before use, especially if they have any history of liver disease.

50. Garcinia Cambogia

50. Garcinia Cambogia
Plump garcinia cambogia fruits rest beside a scattering of capsules, highlighting a popular natural weight loss supplement. | Generated by Google Gemini

Garcinia cambogia is a tropical fruit extract commonly found in weight loss supplements, with its active component hydroxycitric acid (HCA) purported to block fat production and suppress appetite. These claims have contributed to the immense popularity of garcinia cambogia in the diet industry. However, scientific research, including reviews by the National Institutes of Health Office of Dietary Supplements, shows that weight loss effects are generally small and not clinically significant. Most high-quality studies indicate that garcinia cambogia supplementation produces only minor reductions in body weight compared to placebo, and its long-term effectiveness is unproven.

Besides limited efficacy, there are safety concerns associated with garcinia cambogia use. The U.S. Food and Drug Administration (FDA) has documented cases of liver damage and other severe side effects, including gastrointestinal distress, headaches, and interactions with medications. Due to these risks and the lack of substantial evidence supporting notable weight loss, garcinia cambogia is not recommended as a primary weight management tool. Sustainable weight loss is best achieved through balanced nutrition, regular physical activity, and guidance from healthcare professionals, rather than relying on unproven supplement solutions.

Conclusion

Conclusion
A doctor discusses supplement options with a patient, holding a bottle while guiding an informed health decision together. | Generated by Google Gemini

Navigating the vast world of dietary supplements requires a critical eye and a commitment to evidence-based decision-making. Many products are marketed with bold claims, yet only a select few have robust scientific backing for general use. Before starting any supplement, it’s essential to consult a healthcare professional, especially if you have underlying health conditions or take prescription medications. Use resources like the NIH Office of Dietary Supplements and the FDA to screen for safety and effectiveness. Ultimately, prioritizing a balanced diet and individualized guidance is the safest and most effective approach to optimizing your health.

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