Modality

Supplements

Botanicals, vitamins, minerals, and other ingestibles: what the evidence shows.

Supplements are anything you take by mouth: herbs, plant extracts, vitamins, minerals, amino acids, fatty acids, probiotics. Every entry here is anchored to a Cochrane review, an EMA HMPC monograph, an EFSA authorised claim, or a major-journal RCT. Items with only traditional use behind them are not in this catalogue.

Supplements catalogue

259 evidence-anchored supplements, strongest evidence first.

Andrographis paniculataCautionSupplement
Strong evidence
Acts fast

Andrographis paniculata

Cochrane-supported 'king of bitters' for upper respiratory infection symptom relief.

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Why

Andrographis paniculata is a bitter herb widely used in Indian, Chinese, and Scandinavian phytotherapy. The Cochrane review of Andrographis for acute respiratory tract infection found that the standardised extract Kan Jang (containing andrographolides plus Eleutherococcus) shortened symptom duration and reduced overall symptom severity compared with placebo. Effect is most consistent for cough, sore throat, and rhinorrhoea.

How it works

Andrographolides modulate cytokine signalling (TNF-α, IL-6), inhibit NF-κB, and show direct antiviral activity against influenza A in vitro. Mucosal immune effects are documented in animal models.

Expected onset · Symptom reduction often within 2–4 days of starting at symptom onset

How to take

Dosage

Standardised extract delivering 60–120 mg/day total andrographolides (Kan Jang dose: 1 tablet three times daily for 5 days from symptom onset).

Timing

Three times daily with food, started at symptom onset

On the label

Look for Kan Jang or extracts standardised to total andrographolides content (typically 4–6% in dried herb, 10%+ in concentrated extracts).

Ideal for

Adults with early symptoms of cold or upper respiratory tract infection, looking for a botanical alternative to symptomatic OTCs.

Safety

Common GI side effects (loss of appetite, nausea, diarrhoea). Bitter taste can worsen reflux. Possible additive effects with antihypertensives and anticoagulants. Avoid in pregnancy (animal studies show reproductive toxicity). Allergic reactions, including anaphylaxis, are rare but reported. Limit use to acute episodes (1–2 weeks) rather than chronic use.

Evidence

At a glance

Hu 2017 PLoS One meta-analysis (33 RCTs, n=7,175): Andrographis significantly reduced cough and sore throat severity in upper respiratory tract infection vs placebo and standard care. Coon 2004 earlier systematic review reached the same conclusion. Used acutely from symptom onset, not chronically.

Where to get it

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AREDS2 multivitamin (full formulation)CautionSupplement
Strong evidence
Within weeks

AREDS2 multivitamin (full formulation)

Multi-nutrient formula tested in the NEJM-tier AREDS2 RCT, the evidence-based supplement for slowing AMD progression.

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Why

The AREDS2 formula is the specific multi-nutrient combination tested in the Age-Related Eye Disease Study 2 (Chew JAMA 2013): vitamin C 500 mg, vitamin E 400 IU, zinc oxide 80 mg (later reduced to 25 mg without efficacy loss), cupric oxide 2 mg, lutein 10 mg, zeaxanthin 2 mg. Designed for adults with intermediate or advanced AMD in at least one eye. Beta-carotene from the original AREDS formula was removed because of lung-cancer risk in smokers.

How it works

Combined antioxidant (vit C, E) and trace-mineral (zinc, copper) effects on macular oxidative stress and inflammation; lutein/zeaxanthin specifically concentrate in macular pigment. Synergistic effects greater than individual components in the original AREDS trial.

Expected onset · AMD progression endpoints assessed over 3–5 years

How to take

Dosage

AREDS2 daily formula: vit C 500 mg, vit E 400 IU, zinc oxide 25–80 mg, cupric oxide 2 mg, lutein 10 mg, zeaxanthin 2 mg. Once or split twice daily with food.

Timing

With meals; split twice daily for better tolerability

On the label

Look for 'AREDS2 formula' explicitly, the specific dosing matters and varies between OTC products. PreserVision AREDS2 is the brand most-aligned with the trial formula.

Ideal for

Adults with intermediate (large drusen) or advanced AMD in one eye; under ophthalmology guidance to confirm the staging and the appropriateness of supplementation.

Safety

Zinc dose can cause GI upset and copper depletion (hence the cupric oxide co-prescription). Vitamin E at 400 IU has been weakly associated with mortality in some meta-analyses. Discuss with ophthalmologist in shared decision. Not for primary prevention without AMD diagnosis, only studied in established AMD. Smokers: AREDS2 (not AREDS1) is the appropriate formula (no beta-carotene). Pregnancy: not indicated.

Evidence

At a glance

AREDS (2001 Arch Ophthalmol) original formula reduced 5-year risk of advanced AMD by ~25% in intermediate AMD. AREDS2 (2013 JAMA) replaced beta-carotene with lutein/zeaxanthin without efficacy loss and with improved smoker safety. Chew 2022 JAMA Ophthalmol 10-year follow-up confirmed sustained benefit and the safety of zinc 25 mg (vs original 80 mg).

Where to get it

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Beta-glucan (oat / barley)CautionSupplement
Strong evidence
Within weeks

Beta-glucan (oat / barley)

Soluble fibre with EFSA-authorised claim for lowering blood cholesterol at 3 g/day.

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Why

Beta-glucan from oats and barley is one of only a handful of nutrients with an EFSA authorised health claim under Article 14 for cholesterol reduction. The threshold for the claim, 3 g/day of oat beta-glucan, has been confirmed in multiple meta-analyses to lower LDL cholesterol by approximately 0.25–0.30 mmol/L on average. The same fibre also produces a separate EFSA-authorised glycemic-response claim when consumed with carbohydrate-containing meals.

How it works

Forms a viscous gel in the small intestine that binds bile acids, increasing their faecal loss and forcing hepatic cholesterol-to-bile conversion, lowering circulating LDL. The same viscosity slows glucose absorption and blunts postprandial blood-sugar peaks.

Expected onset · LDL cholesterol changes typically over 4–6 weeks of consistent daily intake

How to take

Dosage

3 g/day of beta-glucan from oats or barley (the EFSA-cited threshold), typically met with ~75 g of oatmeal, ~40 g of oat bran, or a beta-glucan concentrate.

Timing

With breakfast or any carbohydrate-containing meal

On the label

Look for products stating 'beta-glucan from oats' or 'beta-glucan from barley' with dose per serving, the EFSA claim requires the product to deliver at least 1 g per serving.

Ideal for

Adults with elevated LDL cholesterol or postprandial glycemic spikes, aiming for a food-first approach.

Safety

Generally well tolerated. Bloating and flatulence in the first 1–2 weeks as the colonic microbiota adapts. Can slow absorption of some medications. Separate dosing by 1–2 hours. Avoid in active inflammatory bowel disease flare (high-fibre may aggravate).

Evidence

At a glance

EFSA-authorised Article 14 health claim: 3 g/day of oat beta-glucan lowers blood cholesterol, the highest regulatory tier in EU food law. Whitehead 2014 Am J Clin Nutr meta-analysis (28 RCTs): oat beta-glucan reduced LDL by 0.25 mmol/L on average. Effect modest but consistent and additive to statins.

Where to get it

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CalciumCautionSupplement
Strong evidence
Within weeks

Calcium

Essential mineral with EFSA claims for bone, teeth, muscle and blood-clotting, best paired with vitamin D and ideally food-source.

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Why

Calcium is essential for bone matrix, muscle contraction, neurotransmission and blood coagulation. EFSA has authorised health claims for normal bone, normal teeth, normal muscle function, normal neurotransmission and normal blood clotting. Supplementation at 500–1,200 mg/day is widely used in postmenopausal osteoporosis prevention. The Bolland 2010 BMJ meta-analysis raised a cardiovascular event signal with calcium supplements (without vitamin D), clinical practice has moved towards food-first calcium with vitamin D co-supplementation when supplements are needed.

How it works

Hydroxyapatite formation in bone (with phosphate). Excitation-contraction coupling in muscle (binding troponin C). Synaptic vesicle release at neurotransmitter terminals. Coagulation factor IV (the central divalent cation of clotting).

Expected onset · Bone-marker changes over weeks; clinical osteoporosis outcomes over years

How to take

Dosage

RDI: 800–1,200 mg/day total intake (food + supplement). Supplement: 500–600 mg per dose (absorption limited above this). Avoid total intakes above 2,000 mg/day.

Timing

With meals; split for higher doses; separate from iron and thyroid medication by 4 hours

On the label

Calcium citrate (better absorbed independent of food/acid; safer in hypochlorhydria) or calcium carbonate (cheaper, take with food). Stated elemental calcium per dose, not salt weight.

Ideal for

Postmenopausal women and adults with low dietary calcium intake (<700 mg/day from food); osteoporosis prevention contexts under clinical guidance; pregnancy and lactation.

Safety

Bolland 2010 BMJ meta-analysis raised concern about cardiovascular events with calcium supplements (without vitamin D), debate ongoing, but practice is food-first calcium with vit D co-supplementation when needed. Constipation, bloating, increased kidney-stone risk in stone-formers. Reduces absorption of iron, thyroxine, tetracyclines, quinolones. Separate by 4 hours. Pregnancy and breastfeeding: increased dietary need; supplement when food intake is inadequate.

Evidence

At a glance

EFSA-authorised claims cover six separate functions of calcium. Tang 2007 Lancet meta-analysis: calcium 1,200 mg + vitamin D 800 IU reduced fracture risk by 12% over 3.5 years in older adults. Bolland 2010 BMJ raised concern over calcium alone for cardiovascular events, practical takeaway is to favour dietary calcium and pair supplements with vitamin D.

Where to get it

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Capsaicin topicalCautionSupplement
Strong evidence
Within weeks

Capsaicin topical

Cochrane-supported high-dose 8% patch for neuropathic pain; lower-strength creams have separate evidence in OA.

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Why

Capsaicin is the principal pungent compound in chilli pepper (Capsicum frutescens). Two distinct evidence streams matter clinically. Low-strength creams (0.025–0.075%) have an older RCT base in painful diabetic neuropathy, post-herpetic neuralgia and knee/hand osteoarthritis. The high-strength 8% patch (Qutenza) is a prescription-only single-application treatment with Cochrane-supported NNT of 7–11 for moderate pain relief in post-herpetic neuralgia and HIV-associated neuropathy.

How it works

Activates and then desensitises TRPV1 receptors on small unmyelinated C-fibre and Aδ-fibre nociceptors, producing initial burning followed by sustained reduction in pain signal transmission. Repeated low-dose application leads to depletion of substance P from cutaneous nerve terminals.

Expected onset · Low-strength cream: pain reduction over 2–4 weeks of consistent application. High-strength patch: effect over 1–2 weeks lasting up to 3 months.

How to take

Dosage

Low-strength cream (0.025–0.075%): apply to affected area 3–4 times daily. High-strength 8% patch (Qutenza): single 30–60 min application by trained clinician, repeatable at ≥3-month intervals.

Timing

Low-strength: 3–4 times daily; high-strength patch: single clinical application

On the label

Low-strength: Zacin 0.025%, Axsain 0.075%. High-strength: Qutenza 8% patch (prescription-only).

Ideal for

Adults with painful diabetic neuropathy, post-herpetic neuralgia, or localised musculoskeletal pain when oral analgesics are limited.

Safety

Initial burning, stinging, erythema are universal. These settle with repeated use. Wash hands thoroughly after application; do not apply near eyes, mucous membranes, or broken skin. High-strength patch requires clinical setting due to acute pain on application. Cough and bronchospasm possible if aerosolised. Pregnancy: avoid high-strength; low-strength culinary use is unrestricted.

Evidence

At a glance

Cochrane 2017 SR on the 8% capsaicin patch in chronic neuropathic pain: NNT of 7–11 for moderate (≥30%) pain relief at 8–12 weeks in PHN and HIV neuropathy. Cochrane 2012 SR on low-strength creams: less clear signal but improvement vs placebo in painful diabetic neuropathy and OA across older trials. Effect specific to small-fibre neuropathic pain.

Where to get it

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Comfrey topical (Symphytum)CautionSupplement
Strong evidence
Acts fast

Comfrey topical (Symphytum)

EMA Well-Established Use topical extract for back pain and sprains, strongest topical herbal evidence in the catalogue.

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Why

Comfrey root topical preparations (Symphytum officinale) hold an EMA HMPC monograph at the Well-Established Use level for symptomatic treatment of myalgia and acute joint sprains. The pyrrolizidine alkaloid (PA) content that makes oral comfrey hepatotoxic is substantially absent in modern PA-free topical preparations (Kytta-Salbe, Traumaplant). RCTs report analgesic and anti-inflammatory effects comparable to diclofenac gel in acute soft-tissue injury and back pain.

How it works

Allantoin, rosmarinic acid and triterpene saponins reduce local inflammation and accelerate granulation tissue formation. Topical application avoids the hepatic first-pass exposure to PAs, eliminating the main safety concern of oral comfrey.

Expected onset · Pain reduction often within 3–5 days; sprain healing within 1–2 weeks

How to take

Dosage

PA-free comfrey root cream or ointment: apply 4 g three times daily to the affected area for up to 2 weeks.

Timing

Three times daily during the acute phase

On the label

'PA-free' (pyrrolizidine alkaloid-free) topical preparation, Kytta-Salbe, Traumaplant, Symphytum Officinale Salbe. Internal preparations are not recommended.

Ideal for

Adults with acute soft-tissue injury (ankle sprain, muscle strain, contusion), acute non-specific back pain, or symptomatic knee osteoarthritis.

Safety

Use only PA-free (pyrrolizidine alkaloid-removed) topical preparations. Internal comfrey is hepatotoxic and is not recommended. Apply to intact skin only; not for open wounds. Limit to 4–6 weeks of continuous use. Avoid in pregnancy and breastfeeding even topically. Allergic skin reactions possible.

Evidence

At a glance

Predel 2005 Phytomedicine RCT (n=164 acute ankle sprain): PA-free comfrey root ointment was non-inferior to diclofenac gel for pain reduction over 7 days. EMA classifies topical comfrey root preparations as Well-Established Use for myalgia and joint sprains, the highest regulatory tier for a botanical. Staiger 2012 Phytother Res review summarises strong topical evidence base across back pain, ankle sprain and OA.

Where to get it

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CranberryCautionSupplement
Strong evidence
Months

Cranberry

Cochrane-supported for recurrent uncomplicated UTI prevention in women, proanthocyanidin dose is what matters.

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Why

Cranberry (Vaccinium macrocarpon) extracts have one of the few well-established prevention indications in herbal medicine. The 2023 Cochrane review concluded that cranberry products reduce the risk of symptomatic, culture-verified UTI in women with recurrent UTIs, in children, and in people susceptible after interventions. Effect is dose-dependent, products delivering at least 36 mg/day of proanthocyanidins are the ones with consistent positive results.

How it works

A-type proanthocyanidins inhibit P-fimbriated E. coli adherence to uroepithelial cells, the first step in colonisation and infection. Effect is dose-dependent and requires a quantified PAC content.

Expected onset · Prevention effect assessed over 6–12 months of consistent use; not for treating an established UTI

How to take

Dosage

Standardised extract delivering ≥36 mg/day proanthocyanidins (PACs), typically once or twice daily. Cranberry juice (250 ml twice daily) was used in older trials but PAC content varies widely.

Timing

Daily, divided or single dose

On the label

Products stating 'PAC content' as DMAC-quantified milligrams. 36 mg PAC/day is the dose-response threshold for the positive trials.

Ideal for

Adult women with recurrent uncomplicated UTI; children with recurrent UTI; people susceptible to UTI after urological intervention.

Safety

Caution with warfarin, INR elevation has been reported, though meta-analyses suggest the signal is small with standardised low-dose products. Avoid in those with calcium oxalate kidney stones (cranberries are high in oxalate). Pregnancy: safe at culinary doses; supplement data limited.

Evidence

At a glance

Cochrane 2023 SR (50 RCTs, n=8,857): cranberry products reduce the risk of symptomatic culture-verified UTI in women with recurrent UTI (RR 0.74) and in children. Effect concentrated in standardised products delivering quantified PAC content (≥36 mg/day) rather than juice alone, the dose-response is well documented.

Where to get it

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Creatine monohydrateSupplement
Strong evidence
Within weeks

Creatine monohydrate

5g daily: strongest evidence base of any sports supplement, with cognitive benefits in older adults too.

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Why

Creatine increases phosphocreatine stores in muscle, improving capacity for short-duration high-intensity work. Decades of research; very well tolerated. Recent trials show cognitive benefits in older adults, especially under sleep deprivation. One of the few supplements with an evidence base comparable to RCT-tested drugs.

How it works

Saturates muscle phosphocreatine stores, enabling rapid ATP regeneration during intense effort. Brain creatine pools also rise, supporting cognition under metabolic stress.

Expected onset · 2–4 weeks for full muscle saturation

How to take

Dosage

5g per day. No loading needed for the long term.

Timing

Anytime, with food for slightly better absorption

On the label

Generic monohydrate (e.g., Creapure®); branded 'fancy' creatines are not better.

Safety

Causes 1–2kg water weight gain initially. Hydrate well.

Markers this may influence

Evidence

At a glance

Kreider 2017 J Int Soc Sports Nutr position stand: creatine monohydrate at 3–5 g/day is the most extensively studied sports supplement, with consistent improvements in strength, power, and high-intensity exercise capacity across decades of RCTs. Emerging cognitive benefits in older adults under metabolic stress (e.g. sleep deprivation). Very well tolerated.

Where to get it

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Folate (B9, folic acid / 5-MTHF)Supplement
Strong evidence
Within weeks

Folate (B9, folic acid / 5-MTHF)

EU-authorised health claim for reducing neural tube defect risk at 400 µg/day preconception. The clearest cause-and-effect vitamin claim in EU food law.

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Why

Folate is the strongest example of a vitamin whose supplementation reduces a specific birth defect: the MRC Vitamin Study 1991 (Lancet) randomised 1,817 women at high risk of recurrence and found a 72% reduction in neural tube defects with periconceptional folic acid. EU Commission Regulation 1135/2014 authorised the disease-risk-reduction claim for 400 µg/day, taken from at least one month before conception through the first trimester. Outside pregnancy, folate also lowers plasma homocysteine, although the cardiovascular benefit of doing so has been modest in large trials.

How it works

One-carbon donor for DNA synthesis (thymidylate, purines) and methylation (via 5-methyltetrahydrofolate → methionine → SAM). 5-MTHF is the active form delivered to tissues; folic acid is reduced through DHFR before use.

Expected onset · Red-cell folate rises over 8–12 weeks; the NTD-prevention window opens after ≥4 weeks of preconception supplementation

How to take

Dosage

400 µg/day folic acid (EU-authorised dose for NTD risk reduction). 4–5 mg/day for women with a previous NTD-affected pregnancy (the MRC trial dose), only under medical supervision. 5-MTHF (methylfolate) is an alternative for those who prefer the active form, dosed equivalently.

Timing

Daily, ideally from ≥1 month preconception through the first trimester

On the label

Both folic acid and 5-MTHF (e.g. Quatrefolic, Metafolin) deliver the protective effect at 400 µg. Avoid combined products with ≥1 mg folic acid unless prescribed.

Ideal for

Anyone planning a pregnancy or able to become pregnant; people with known MTHFR variants or elevated homocysteine; long-term users of methotrexate, sulfasalazine, or anticonvulsants under clinician supervision.

Safety

Can mask vitamin B12 deficiency on bloodwork, check B12 status before high-dose folate, especially in older adults. Discuss with a doctor before high doses with epilepsy, methotrexate, or a personal history of folate-sensitive cancers.

Evidence

At a glance

MRC Vitamin Study 1991 (Lancet, n=1,817 high-risk women): 4 mg/day folic acid preconception cut neural tube defect recurrence by 72% (RR 0.28, 95% CI 0.12–0.71). EU Commission Regulation 1135/2014 then authorised a disease-risk-reduction claim at 400 µg/day.

Where to get it

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GingerSupplement
Strong evidence
Acts fast

Ginger

Cochrane-supported for pregnancy-related, post-operative, and chemo-induced nausea.

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Why

Cochrane-supported for pregnancy-related, post-operative, and chemo-induced nausea. EFSA-recognised for normal digestive function (traditional use).

How it works

Gingerols and shogaols are partial 5-HT3 receptor antagonists (mechanism shared with ondansetron) and prokinetic agents.

Expected onset · Acute effect within hours; cumulative effect over 4 days in pregnancy-nausea trials

How to take

Dosage

Typically 1 g/day in divided doses (250 mg 4 times daily, or 500 mg twice daily) for nausea. Subgroup analyses favour daily doses below 1.5 g.

Timing

Pre-emptively before nausea triggers; with meals for motion sickness

Safety

Mild antiplatelet effect. Discuss with your doctor if on anticoagulants or before surgery. May lower blood glucose (caution with antidiabetics). High doses can cause heartburn.

Evidence

At a glance

Viljoen 2014 Nutr J meta-analysis (12 RCTs, n=1,278 pregnant women): ginger ≤1.5 g/day significantly reduced nausea on the visual analogue scale (MD 1.20, 95% CI 0.56–1.84, p=0.0002 vs placebo). EMA HMPC monograph also recognises Zingiber officinale for prevention of motion sickness and short-term post-operative nausea.

Where to get it

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Horse chestnut (aescin)CautionSupplement
Strong evidence
Within weeks

Horse chestnut (aescin)

Cochrane-reviewed seed extract for chronic venous insufficiency, comparable to compression stockings for leg oedema and aching.

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Why

Horse chestnut (Aesculus hippocastanum) seed extract, standardised to aescin (escin), holds an EMA Well-Established Use monograph for symptomatic treatment of chronic venous insufficiency. The Cochrane review concluded that horse chestnut seed extract is an effective short-term treatment for symptoms of CVI, with effects on leg pain and oedema comparable to compression stockings.

How it works

Aescin inhibits hyaluronidase and elastase activity, sealing venous endothelial pores and reducing transcapillary leakage. Modulates inflammatory cytokine release and has venotonic effect, increasing venous tone. The standardised extract has a sustained-release form that improves tolerability.

Expected onset · Leg pain and heaviness within 2–4 weeks; oedema within 4–8 weeks

How to take

Dosage

Standardised seed extract: 50 mg aescin twice daily (300–600 mg extract twice daily). Sustained-release forms once daily where available.

Timing

Twice daily with food

On the label

Standardised to '50 mg aescin per dose' or '~16% triterpene glycosides'. Named preparations: Venoplant, Venostasin, Aesculaforce.

Ideal for

Adults with chronic venous insufficiency (heavy, aching legs; ankle oedema; nocturnal cramps; varicose vein discomfort).

Safety

Use the standardised seed extract. Raw horse chestnut is toxic (esculin/aesculin content). Possible interaction with anticoagulants and antiplatelets. Mild GI upset, headache, dizziness. Caution in kidney or liver impairment. Pregnancy: avoid (limited data and historical concerns).

Evidence

At a glance

Cochrane 2012 SR (17 RCTs, n=1,575): horse chestnut seed extract significantly reduced leg pain, leg volume and leg oedema in chronic venous insufficiency vs placebo, with effects comparable to compression stockings in head-to-head trials. EMA classifies the seed extract as Well-Established Use, the highest regulatory tier for a botanical.

Where to get it

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Iberogast (STW 5)CautionSupplement
Strong evidence
Within weeks

Iberogast (STW 5)

Nine-herb fixed combination with the strongest RCT base for functional dyspepsia in the natural-medicine catalogue.

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Why

Iberogast (STW 5) is a fixed combination of nine herbal extracts, Iberis amara, peppermint, chamomile, caraway, liquorice, lemon balm, angelica, milk thistle, and celandine, sold widely across Europe for functional dyspepsia and IBS. Multiple RCTs and a network meta-analysis place STW 5 alongside cisapride and metoclopramide for global symptom improvement, with a generally favourable safety profile. A 2018 EMA review reaffirmed its benefit/risk balance while strengthening the rare hepatotoxicity warning, celandine content has since been removed in some markets.

How it works

Region-specific dual action on gastric motility, relaxant in the antrum/pylorus (mints, liquorice) and tonic in the proximal stomach (Iberis amara), addressing the impaired gastric accommodation typical of functional dyspepsia. Additional antispasmodic, carminative, and mucosal-protective effects.

Expected onset · Symptom improvement often within 2 weeks; trials run 4–8 weeks

How to take

Dosage

20 drops three times daily before or with meals, for up to 4–8 weeks.

Timing

Before or with each main meal

On the label

STW 5 (original) or STW 5-II (celandine-free), match the form to local availability. Generic 'bitter blends' are not equivalent.

Ideal for

Adults with functional dyspepsia (epigastric discomfort, early satiety, postprandial fullness) or IBS-overlap symptoms.

Safety

Rare but real hepatotoxicity reports, mostly linked to the celandine (Chelidonium) component, newer formulations (STW 5-II) omit celandine. Stop and seek medical advice for any unexplained jaundice, nausea, or right-upper-quadrant pain. Contains ethanol. Avoid in pregnancy, breastfeeding, alcohol-use disorder, and severe liver disease.

Evidence

At a glance

Ottillinger 2013 Wien Med Wochenschr meta-analysis (6 RCTs, n>500): STW 5 significantly reduced functional dyspepsia symptoms vs placebo, with effect sizes comparable to cisapride and metoclopramide in head-to-head trials. Madisch 2004 Aliment Pharmacol Ther RCT (n=315): GI symptom score reduced 6.9 vs 4.4 points on placebo over 8 weeks. Hepatotoxicity signal led to celandine being reviewed and removed from some formulations.

Where to get it

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IodineCautionSupplement
Strong evidence
Within weeks

Iodine

Essential trace mineral with EFSA claims for thyroid function and cognitive function, critical in pregnancy, common gap in non-fortified diets.

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Why

Iodine is essential for thyroid hormone synthesis (T3, T4). EFSA has authorised health claims for normal thyroid function, normal cognitive function, normal energy-yielding metabolism, and skin maintenance. Deficiency causes goitre and, in pregnancy, irreversible developmental cognitive impairment (cretinism in severe cases, subclinical cognitive deficit in mild cases). Salt iodisation has reduced deficiency in many countries but is incomplete in much of Europe, and vegan/plant-based diets often need supplementation.

How it works

Incorporated into thyroxine (T4) and triiodothyronine (T3) at the thyroid follicular cell apical membrane (TPO-mediated organification). T3/T4 then regulate basal metabolic rate, neurodevelopment, growth, and many other systems.

Expected onset · Thyroid-function effects over weeks; cognitive-developmental outcomes assessed over years (paediatric context)

How to take

Dosage

RDI: 150 µg/day (adults). Pregnancy: 220–250 µg/day. Breastfeeding: 290 µg/day. Avoid sustained intake above 600 µg/day from supplements.

Timing

With or without food

On the label

'Potassium iodide' (basic salt) or 'kelp' (variable iodine content, less predictable). Stated micrograms per dose.

Ideal for

Pregnant and breastfeeding women (highest priority); women planning conception; vegans without seaweed intake; people not using iodised salt; populations in iodine-deficient regions.

Safety

Can precipitate or worsen autoimmune thyroid disease. Caution in Hashimoto's, Graves' history. Sudden high-dose iodine in iodine-deficient nodular goitre can cause iodine-induced hyperthyroidism (Jod-Basedow). Pregnancy: critical, supplement with iodine when intake is borderline, but avoid massive doses. Allergic reactions to iodine itself are extremely rare (contrast-medium reactions are to the carrier, not iodine).

Evidence

At a glance

EFSA-authorised claims for four functions including thyroid and cognition. Bath 2013 Lancet UK ALSPAC analysis: even mild gestational iodine deficiency was associated with reduced child verbal IQ at 8 years, anchors the pregnancy supplementation rationale. Zimmermann 2011 Nat Rev Endocrinol systematic review confirms the cognitive-developmental impact of mild-to-moderate iodine deficiency.

Where to get it

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Iron (ferrous bisglycinate)CautionSupplement
Strong evidence
Within weeks

Iron (ferrous bisglycinate)

Cochrane evidence supports iron supplementation in iron-deficiency anaemia for fatigue.

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Why

Cochrane evidence supports iron supplementation in iron-deficiency anaemia for fatigue. Don't supplement blindly: test ferritin and saturation first.

How it works

Component of haemoglobin; oxygen transport and mitochondrial electron-transport chain function depend on adequate iron stores.

Expected onset · Haemoglobin rise within 2–4 weeks; full repletion of ferritin typically takes 3–6 months

How to take

Dosage

Typical adult treatment: 40–80 mg elemental iron daily or every-other-day (alternate-day dosing now favoured for better absorption). Bisglycinate forms are gentler on the gut. Always test ferritin and transferrin saturation first.

Timing

Morning, on empty stomach, with vitamin C; not with coffee, tea, calcium, or zinc

Safety

Do not supplement without documented deficiency; iron overload causes harm. Avoid in haemochromatosis, thalassaemia traits without specialist guidance. Take 2 h apart from levothyroxine, fluoroquinolones, tetracyclines, and PPIs.

Evidence

At a glance

Houston 2018 BMJ Open systematic review (4 RCTs, n=714 non-anaemic iron-deficient adults): oral iron reduced self-reported fatigue (SMD -0.38, 95% CI -0.52 to -0.23), but did not improve objective exercise capacity. Stoffel 2017 Lancet Haematol shows alternate-day dosing actually increases fractional absorption vs daily dosing.

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Ivy leafCautionSupplement
Strong evidence
Acts fast

Ivy leaf

EMA Well-Established Use monograph for productive cough, the leading paediatric herbal expectorant in Europe.

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Why

Ivy leaf (Hedera helix) extract holds an EMA Well-Established Use monograph for productive cough, the higher regulatory tier requiring bibliographic evidence of clinical efficacy. The standardised extract EA 575 (Prospan) is one of the most-prescribed herbal expectorants in German and European paediatric practice. RCTs in children with acute bronchitis report symptom improvement comparable to ambroxol.

How it works

Saponins (hederagenin, α-hederin) reduce bronchial mucus viscosity and stimulate β2-adrenoceptor signalling in airway smooth muscle, producing mild bronchodilation and mucolytic effect without the dry-cough adverse effect of suppressants.

Expected onset · Symptom improvement often within 4–7 days

How to take

Dosage

EA 575 syrup: paediatric doses banded by age (e.g. 2.5 ml 3 times daily for ages 1–5). Adult dose: 5–7.5 ml three times daily. Dry extract tablets: 35 mg twice daily.

Timing

Three times daily during symptomatic phase

On the label

EA 575 (Prospan) or extracts standardised to '5–7.5:1 ethanol extract' or with stated hederacoside C content. Generic ivy syrups vary widely.

Ideal for

Adults and children (typically aged 1+ depending on local product) with productive cough associated with acute bronchitis or upper respiratory tract infection.

Safety

Mild GI upset and rare allergic skin reactions. Some liquid preparations contain sorbitol. Note for fructose intolerance. Pregnancy and breastfeeding data are limited, defer to the product's age and pregnancy labelling.

Evidence

At a glance

EMA HMPC classifies ivy leaf extract as Well-Established Use for productive cough, the higher regulatory tier for botanicals, requiring bibliographic evidence of clinical efficacy. Holzinger 2011 systematic review of 10 trials (n>17,000 children): symptom improvement comparable to ambroxol, favourable safety profile. The dominant herbal expectorant in European paediatrics.

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Konjac glucomannanCautionSupplement
Strong evidence
Acts fast

Konjac glucomannan

EFSA-authorised soluble fibre for cholesterol reduction and for weight loss in the context of an energy-restricted diet.

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Why

Glucomannan (from the konjac root, Amorphophallus konjac) is a highly viscous soluble fibre with two EFSA-authorised health claims, for the maintenance of normal blood cholesterol (≥4 g/day) and for weight loss in the context of an energy-restricted diet (≥3 g/day before meals). Effect on LDL is modest but consistent; weight-loss effect is small in absolute terms but EFSA-recognised.

How it works

Absorbs water in the stomach to form a viscous gel, slowing gastric emptying and promoting satiety, basis of the weight-loss claim. In the small intestine, binds bile acids and slows nutrient absorption, basis of the cholesterol claim.

Expected onset · Satiety acute; LDL changes over 4–6 weeks

How to take

Dosage

LDL reduction: 4 g/day, split. Weight loss: 1 g three times daily with at least 1–2 glasses of water, taken 15–30 min before meals.

Timing

Before meals, with substantial water

On the label

Powder or capsules (not pre-formed tablets), pre-formed tablets carry choking risk. Stated glucomannan content per dose.

Ideal for

Adults with mild dyslipidaemia or seeking adjunct satiety support during weight loss; people with constipation looking for a soluble fibre option distinct from psyllium.

Safety

**Always with abundant water, choking and oesophageal obstruction are documented with tablets that swell in the throat**. Glucomannan tablets that pre-swell before swallowing are particularly risky. Can reduce absorption of co-administered medications. Separate by 2–4 hours. Mild GI upset (bloating, flatulence). Avoid in oesophageal stricture or known dysphagia.

Evidence

At a glance

EFSA authorised both the cholesterol claim (≥4 g/day) and the weight-loss claim (≥3 g/day in energy-restricted context). Sood 2008 Am J Clin Nutr meta-analysis: glucomannan reduced total cholesterol by 0.5 mmol/L and LDL by 0.4 mmol/L vs control. Weight effect is modest but real, clinical magnitude smaller than EFSA authorisation alone suggests.

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Lactobacillus rhamnosus GG (LGG)CautionSupplement
Strong evidence
Acts fast

Lactobacillus rhamnosus GG (LGG)

Most-studied single probiotic strain, Cochrane support for paediatric acute infectious diarrhoea and AAD prevention.

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Why

Lactobacillus rhamnosus GG (LGG, strain ATCC 53103) is the single most-studied probiotic strain in the world, with over 1,000 RCTs across multiple indications. The strongest evidence is for acute paediatric infectious diarrhoea (where Cochrane found ~1 day shortening of duration) and for antibiotic-associated diarrhoea prevention. Smaller bodies support use in atopic eczema prevention in high-risk infants and in C. difficile-positive diarrhoea.

How it works

Surface SpaCBA pili mediate adherence to intestinal mucus, displacing pathogens by competitive exclusion. Bacteriocin secretion inhibits Gram-negative pathogens. Stimulates IgA secretion and modulates Treg/Th17 balance, basis of the atopic prevention signal.

Expected onset · Acute diarrhoea: 1–2 days. AAD prevention: requires concurrent dosing.

How to take

Dosage

Acute diarrhoea: 10¹⁰ CFU twice daily for 5–7 days. AAD prevention: 10⁹–10¹⁰ CFU/day during antibiotic course and 1 week after. Capsules and sachets dose by CFU not weight.

Timing

Daily; with or without food; separate from antibiotic by 2 hours where possible

On the label

Stated 'L. rhamnosus GG' or 'LGG' or 'ATCC 53103', strain identity matters (different L. rhamnosus strains are not equivalent). CFU dose stated at end of shelf life, not at manufacture.

Ideal for

Children with acute infectious diarrhoea (alongside oral rehydration); children and adults starting antibiotic courses; high-risk infants for eczema prevention (with paediatric guidance).

Safety

Avoid in critically ill, immunocompromised, central-line-bearing, short-bowel patients, rare bacteraemia reports. Generally very well tolerated in healthy people. Coordinate with the prescribing clinician in complex paediatric conditions.

Evidence

At a glance

Szajewska 2019 Aliment Pharmacol Ther meta-analysis (15 RCTs, n=2,963): LGG reduced acute paediatric diarrhoea duration by ~1 day and stool frequency on day 2 vs placebo. Cochrane 2017 SR confirmed reduction in AAD risk. ESPGHAN paediatric guideline lists LGG as one of two probiotics with sufficient evidence to recommend for acute gastroenteritis adjunctive use.

Where to get it

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Lutein + zeaxanthinCautionSupplement
Strong evidence
Months

Lutein + zeaxanthin

Macular carotenoids with NEJM/JAMA-tier RCT support (AREDS2) for slowing age-related macular degeneration progression.

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Why

Lutein and zeaxanthin are dietary carotenoids that concentrate in the macula of the retina, the macular pigment. The AREDS2 trial (Chew JAMA 2013, n=4,203) tested lutein 10 mg + zeaxanthin 2 mg daily in adults at intermediate or advanced AMD; the lutein/zeaxanthin combination significantly reduced progression to advanced AMD in subjects with low dietary intake. Lutein/zeaxanthin is now part of the AMD nutritional standard of care and replaced beta-carotene in the AREDS2 formulation (lower lung cancer risk in former smokers).

How it works

Filter blue light at the macula and quench reactive oxygen species generated by photoreceptor metabolism. Cross the blood-retinal barrier and concentrate in macular pigment, increasing optical density and contrast sensitivity.

Expected onset · Macular pigment optical density changes over 3–6 months; AMD progression endpoints over 3–5 years

How to take

Dosage

AREDS2 dose: 10 mg lutein + 2 mg zeaxanthin per day. Higher doses (up to 20 mg lutein) have been used in shorter trials without added benefit.

Timing

Once daily with a meal containing fat for absorption

On the label

10 mg lutein + 2 mg zeaxanthin (AREDS2 dose). Free-form (FloraGLO) or from marigold extract (Tagetes erecta).

Ideal for

Adults with intermediate or advanced AMD in one eye; people with low dietary intake of leafy greens (the principal food source); adults with strong family history of AMD as nutritional risk-reduction.

Safety

Generally very well tolerated at AREDS2 doses. Mild yellowing of skin at very high doses (carotenodermia), reversible. Replaced beta-carotene in the AREDS2 formulation because beta-carotene raised lung-cancer risk in current/former smokers, lutein/zeaxanthin does not carry this risk. Pregnancy and breastfeeding: dietary intake safe; supplement-dose data limited.

Evidence

At a glance

AREDS2 (Chew 2013 JAMA, n=4,203 AMD patients): 10 mg lutein + 2 mg zeaxanthin daily reduced progression to advanced AMD by ~10% overall and by ~26% in subjects with low baseline dietary intake. Wu 2015 25-year follow-up confirmed dietary lutein/zeaxanthin intake correlated with reduced AMD incidence. AREDS2 dose now replaces beta-carotene in the standard formulation.

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Magnesium citrate / oxide (constipation + general)CautionSupplement
Strong evidence
Acts fast

Magnesium citrate / oxide (constipation + general)

Osmotic-effect magnesium forms, distinct from glycinate's sleep use, useful for occasional constipation and as general magnesium supplementation.

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Why

Magnesium citrate and magnesium oxide are widely-used non-stimulant osmotic laxatives at higher doses, and general magnesium-deficiency supplements at lower doses. EFSA-authorised claims cover magnesium's contribution to normal muscle function, normal nervous system function, reduction in tiredness and fatigue, and electrolyte balance. Citrate is better-absorbed than oxide; oxide is cheaper and has stronger osmotic-laxative effect at high doses.

How it works

Magnesium ions are osmotically active in the gut lumen, drawing water in and softening stool. Systemically absorbed magnesium is a cofactor in over 300 enzymatic reactions, energy production (ATP), nerve conduction, muscle contraction, and calcium homeostasis.

Expected onset · Laxative effect within 6–24 hours; general supplementation effects emerge over weeks

How to take

Dosage

Constipation: 200–400 mg elemental magnesium at bedtime or split. General supplementation: 200–400 mg elemental magnesium/day. Note total includes magnesium from food.

Timing

Constipation use: bedtime. General use: with meals.

On the label

'Magnesium citrate' (better absorbed) or 'magnesium oxide' (stronger laxative). Stated elemental magnesium per dose (not salt weight). For sleep/relaxation use, see magnesium-glycinate.

Ideal for

Adults with occasional constipation; adults with low magnesium intake; people with muscle cramps, tension, or low-grade fatigue (general supplementation use).

Safety

Avoid or use very cautiously in kidney disease, impaired magnesium excretion can cause hypermagnesaemia (weakness, hypotension, arrhythmia). Diarrhoea is dose-limiting and is the main reason to titrate. Reduces absorption of tetracyclines, quinolones, bisphosphonates and levothyroxine. Separate by 2–4 hours. Pregnancy: dietary doses safe; supplement doses fit standard prenatal practice.

Evidence

At a glance

EFSA authorised four separate claims for magnesium, muscle, nervous system, tiredness/fatigue, electrolyte balance, the highest regulatory tier in EU food law. Mori 2019 Sci Rep RCT (n=34 chronic constipation): magnesium oxide 1.5 g/day significantly improved stool frequency, consistency and QoL over 28 days. Walker 2003 confirmed superior bioavailability of citrate vs oxide.

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Multi-strain probioticsCautionSupplement
Strong evidence
Within weeks

Multi-strain probiotics

Cochrane: multi-strain probiotics reduce antibiotic-associated diarrhoea and C.

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Why

Cochrane: multi-strain probiotics reduce antibiotic-associated diarrhoea and C. diff risk. Strain-specific evidence for IBS (Bifidobacterium infantis 35624).

How it works

Diverse strain combinations colonise the gut transiently and produce strain-specific immunomodulatory and barrier-supportive effects. Cochrane evidence is strongest for antibiotic-associated diarrhoea prevention.

Expected onset · C. diff-prevention effect requires use throughout the antibiotic course

How to take

Dosage

For C. difficile prevention during antibiotics: ≥10 billion CFU/day, started within 2 days of antibiotic initiation, continued through and 5–7 days beyond the antibiotic course.

Timing

Separate from antibiotic dose by 2 hours; with or just after a meal

Safety

Generally well-tolerated. Avoid in severely immunocompromised patients, central venous catheters, or critical illness.

Evidence

At a glance

Goldenberg 2017 Cochrane review (39 trials, n=9,955 adults and children on antibiotics): probiotics started within 2 days of antibiotic initiation reduced the incidence of C. difficile-associated diarrhoea from 4.0% to 1.5% (RR 0.40, 95% CI 0.30–0.52), NNT around 42, but the relative risk reduction is large in high-risk settings. Moderate-certainty evidence.

Where to get it

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N-acetylcysteine (NAC)CautionSupplement
Strong evidence
Acts fast

N-acetylcysteine (NAC)

Cochrane-supported mucolytic for COPD exacerbations; precursor to glutathione with emerging psychiatry signal.

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Why

N-acetylcysteine (NAC) is a mucolytic precursor of glutathione, used clinically since the 1960s. The Cochrane review of NAC in chronic bronchitis and COPD found a modest but real reduction in exacerbation frequency at 1,200 mg/day. Separately, NAC is the standard antidote for paracetamol overdose. A newer body of psychiatry RCTs supports adjunctive use in OCD, trichotillomania, and bipolar depression, though psychiatric indications remain off-label.

How it works

Free thiol group disrupts mucin disulfide bridges (mucolytic effect). Provides cysteine for hepatic glutathione synthesis, the body's principal endogenous antioxidant. Modulates glutamate signalling via the cystine-glutamate antiporter, which underlies the psychiatric signal.

Expected onset · Mucolytic effect within days; exacerbation-reduction effects assessed over 6–12 months

How to take

Dosage

Mucolytic / COPD: 600 mg twice daily (1,200 mg/day total). Higher doses up to 2,400 mg/day used in psychiatric trials.

Timing

With or away from meals; effervescent forms have higher bioavailability

On the label

'N-acetyl-L-cysteine' or 'NAC' with stated milligrams. Effervescent forms (e.g. Fluimucil) have the most consistent absorption data.

Ideal for

Adults with chronic bronchitis or COPD with frequent exacerbations; people seeking glutathione precursor support.

Safety

Sulphur-egg taste and odour common, effervescent or enteric-coated forms help. Mild GI upset. Rare bronchospasm in asthma. Caution and use with bronchodilator cover at first dose. Theoretical anticoagulant effect. Caution with warfarin and DOACs. Avoid in active peptic ulcer.

Evidence

At a glance

Cazzola 2015 Pulm Pharmacol Ther meta-analysis (13 RCTs, n>4,000): NAC 1,200 mg/day reduced COPD exacerbations vs placebo (rate ratio ~0.75). Cochrane 2019 SR on mucolytics in chronic bronchitis confirmed reduction in exacerbations and rescue antibiotic use. Psychiatric signal (OCD, trichotillomania, bipolar) is consistent but indications remain off-label.

Where to get it

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Pelargonium (EPs 7630)CautionSupplement
Strong evidence
Acts fast

Pelargonium (EPs 7630)

Cochrane-supported South African geranium root extract for acute bronchitis, strongest RCT base of any herbal cough product.

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Why

Pelargonium sidoides root (extract EPs 7630, sold as Umckaloabo) has the strongest RCT base of any herbal product for acute respiratory infections. The Cochrane review of 10 RCTs in adults and children found significant reductions in bronchitis symptom severity, faster return to work or school, and reduced antibiotic use versus placebo. Effect is modest but consistent and the safety profile is favourable in standard use.

How it works

Antiviral activity against respiratory viruses (rhinovirus, coronavirus, influenza, RSV), blocks viral attachment and replication in vitro. Stimulates ciliary beat frequency in respiratory epithelium, enhances macrophage phagocytosis, and induces interferon-β.

Expected onset · Symptom reduction often within 4–7 days

How to take

Dosage

EPs 7630 liquid: 30 drops three times daily for 7 days (adults). Tablets: 20 mg three times daily. Children's doses are weight-banded and product-specific.

Timing

Three times daily, away from meals if possible

On the label

Look specifically for 'EPs 7630' or 'Umckaloabo', generic Pelargonium products vary widely and may not deliver the studied extract.

Ideal for

Adults and children (over 6 years) with acute uncomplicated bronchitis or upper respiratory tract infection.

Safety

Rare hepatotoxicity reports. Stop and seek medical advice for any unexplained jaundice, nausea, or fatigue. Avoid in active liver disease. Bleeding risk. Caution with anticoagulants and antiplatelets, stop 2 weeks before surgery. Pregnancy data limited. Allergic skin reactions possible.

Evidence

At a glance

Cochrane 2013 SR (10 RCTs, n>2,000 adults and children): EPs 7630 significantly reduced bronchitis symptom severity (BSS score) vs placebo and shortened time to symptom resolution. Effect demonstrated for acute bronchitis, sinusitis, and common cold. Pelargonium is the herbal product with the most consistent RCT evidence in respiratory infection.

Where to get it

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Peppermint oilCautionSupplement
Strong evidence
Within weeks

Peppermint oil

Strongest evidence in the natural-medicine catalogue for IBS.

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Why

Strongest evidence in the natural-medicine catalogue for IBS. Multiple meta-analyses confirm benefit for pain and global symptom improvement.

How it works

Menthol blocks calcium influx in intestinal smooth muscle, producing antispasmodic effect. Enteric coating is essential, uncoated formulations release in the stomach and worsen reflux.

Expected onset · Symptom relief often within 2 weeks; standard trial duration is 4–12 weeks

How to take

Dosage

Enteric-coated capsule: 180–225 mg three times daily, taken 30–60 min before meals, for up to 4–12 weeks.

Timing

30–60 min before meals

On the label

Enteric-coated capsules of standardised peppermint oil, not uncoated capsules or tea.

Safety

Can cause heartburn and worsen reflux, enteric coating is essential. Avoid in hiatus hernia, GERD, gallstones, or biliary obstruction.

Evidence

At a glance

Ingrosso 2022 Aliment Pharmacol Ther network meta-analysis of IBS treatments: enteric-coated peppermint oil ranked among the most effective interventions for global IBS symptoms and abdominal pain, with an NNT of 4, better than most prescription antispasmodics. Enteric coating is essential; uncoated formulations worsen reflux.

Where to get it

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Plant sterols / stanols (phytosterols)CautionSupplement
Strong evidence
Within weeks

Plant sterols / stanols (phytosterols)

EFSA-authorised LDL-lowering at 1.5–3 g/day, additive to statins and to dietary changes.

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Why

Plant sterols (β-sitosterol, campesterol, stigmasterol) and stanols (saturated equivalents) are structurally similar to cholesterol but poorly absorbed. EFSA has authorised health claims that plant sterols and stanols at 1.5–3 g/day lower blood cholesterol and that this effect is additive to statin therapy. Commercial vehicles include enriched margarines (Benecol, Becel pro.activ), yoghurt drinks, and concentrated supplements.

How it works

Compete with cholesterol for incorporation into mixed micelles in the small intestine, reducing both dietary and biliary cholesterol absorption. Effect saturates above ~3 g/day. Independent of statin mechanism, additive when combined.

Expected onset · LDL reduction at 2–3 weeks; full effect by 8 weeks

How to take

Dosage

1.5–3 g/day plant sterols or stanols, with meals. Higher doses (>3 g/day) do not produce greater LDL reduction.

Timing

Split across 2–3 main meals containing fat for absorption competition

On the label

Stated plant sterol or stanol content (1.5–3 g effective range). Esterified forms in fortified spreads are well-studied; supplement capsules need higher doses to achieve same intake.

Ideal for

Adults with elevated LDL cholesterol; on statin therapy looking for additional LDL reduction; family hypercholesterolaemia.

Safety

Reduces absorption of fat-soluble vitamins, particularly β-carotene. Eat plenty of carotenoid-rich foods (orange, yellow, dark green vegetables). Contraindicated in sitosterolaemia (rare genetic condition causing pathological plant-sterol accumulation). Pregnancy and breastfeeding: avoid concentrated phytosterol products (limited safety data in vulnerable groups).

Evidence

At a glance

EFSA-authorised health claims at 1.5–3 g/day lower blood cholesterol, the highest regulatory tier in EU food law, with a separate authorisation acknowledging the additive effect to statins. Demonty 2009 dose-response meta-analysis: each 1 g/day reduced LDL by ~0.094 mmol/L, plateauing at ~3 g/day. Ras 2014 confirmed effect across dose ranges and product forms.

Where to get it

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Educational information about supplements. Not medical advice. Not intended to diagnose, treat, cure, or prevent any disease. Speak with your physician before starting any supplement or new practice, especially if you have a medical condition or take prescription medication.