Product Image

Serious Mass Chocolate Peanut Butter

Optimum Nutrition
4.5
★ ★ ★ ★ ★
(5678 ratings)
Sodium 690 mg
Niacin 50.2 mg
Choline 250 mg
Potassium 1100 mg
Selenium 71 mcg
Biotin 300 mcg
Copper 1 mg
Product Image
Score71
A concentrated mass-gain formula with substantial protein, calories, minerals, and creatine. It fits high-energy training needs but is excessive for casual use.
How scoring works
Quantity:6 Pound(s) • (8 servings)
Goals:
Fitness
Bone Health
General Health
Hair Health

Score 71

A concentrated mass-gain formula with substantial protein, calories, minerals, and creatine. It fits high-energy training needs but is excessive for casual use.
How scoring works

Also available as

4 options
Chocolate 336 Gram(s) • 6 lb(s) • 8 servings $48.49 ($6.06 per serving) Banana 336 Gram(s) • 6 Pound(s) • 8 servings $64.99 ($8.12 per serving) Vanilla 168 Gram(s) • 6 Pound(s) • 8 servings $64.99 ($8.12 per serving) Strawberry 168 Gram(s) • 6 Pound(s) • 8 servings $64.99 ($8.12 per serving)
$56.99($7.12 per serving)
Vitacost
$ 62.49
Amazon
$ 56.99
Vitacost
$ 62.49
iHerb
$ 64.99
Report prices

Analysis

The formula delivers a very large calorie load with substantial protein and creatine, making its purpose clear. It can simplify intake for people who struggle to eat enough during a mass-gain phase.

Calcium, phosphorus, potassium, B vitamins, zinc, selenium, and other micronutrients provide broad coverage. Several forms are useful, but the amounts reflect a fortified food rather than a precision micronutrient supplement.

The same concentrated profile is the main limitation: sodium, potassium, carbohydrates, and total calories are all high. Its strong fitness fit does not translate well to heart, focus, detoxification, skin, or other unrelated goals.

Who is it for
  • Hard gainers needing concentrated calories
  • Athletes in a planned mass-gain phase
  • People who want protein and creatine together
Best for
  • Mass gain
  • High-calorie sports nutrition
  • Post-training calorie replacement

Pros

  • Substantial protein serving
  • Includes creatine monohydrate
  • Broad mineral and vitamin fortification

Cons

  • Extremely large calorie load
  • High sodium and potassium
  • Poor fit for most non-fitness goals

Warnings

  • The concentrated calorie and carbohydrate load can promote unwanted weight gain when it exceeds energy needs.
  • High potassium and sodium may be unsuitable with kidney disease or a medically restricted electrolyte intake.
  • The large serving may cause fullness, bloating, or digestive discomfort when taken at once.

Nutrient quality

71 High impact

Several chelated minerals, vitamin D3, natural vitamin E, and selenomethionine are favorable forms. Protein, calories, carbohydrates, creatine, potassium, calcium, and several vitamins are substantial.

Ingredient transparency

80 High impact

Listed vitamins, minerals, creatine, glutamine, and other actives have amounts. No proprietary active blend hides the principal performance doses.

Customer satisfaction

75 High impact

The average rating is strong and provides a positive customer signal. A large review base adds reliability, but no specific complaint or experience themes were provided.

Value for money

57 Moderate impact

The serving provides a large amount of food energy and protein, but its high cost and aggressive scale limit broad value. Comparable products may offer clearer dosing or better quality for the cost.

Report analysis

Goals

Fitness
Fitness
Impact
Highest effect
A+ Goal FitA Strength of SupportA CoverageA- Formula Quality
Magnesium · 180 mgVitamin D · 5 mcgCreatine · 3 Gram(s)

Fifty grams of protein, a large carbohydrate load, and 3 grams of creatine directly support calorie surplus, training fuel, muscle repair, and strength work. Creatine monohydrate is one of the most established sports-performance ingredients and is provided close to a common daily maintenance amount.

The serving also contains 690 mg sodium, 1100 mg potassium, and 180 mg magnesium, which may assist intake around demanding training. The very large calorie and carbohydrate load suits intentional mass gain but is excessive for many routine workouts.

Study evidence
Creatine Supportive 143 studies
Magnesium Disputed 29 studies
Potassium No effect 7 studies
Sodium Supportive 96 studies
Bone Health
Bone Health
Impact
High effect
B Goal FitB- Strength of SupportB CoverageC+ Formula Quality
Phosphorus · 540 mgMagnesium · 180 mgCalcium · 610 mgVitamin D · 5 mcgCopper · 1 mgManganese · 2.45 mgZinc · 15 mgVitamin C · 60 mg

Substantial calcium and phosphorus provide bone mineral material, while protein supports the organic matrix and muscle loading that helps maintain bone. Magnesium, zinc, copper, manganese, potassium, and vitamin D add broader nutritional support.

The calcium amount is slightly high for one efficient absorption window, vitamin D is low, and vitamin K is absent. The very large carbohydrate serving makes the product a mass gainer rather than a focused bone supplement.

Study evidence
Calcium Supportive 144 studies
Copper Disputed 20 studies
Magnesium Supportive 48 studies
Manganese Adverse 12 studies
Phosphorus Supportive 44 studies
Potassium Supportive 39 studies
Vitamin D Supportive 202 studies
Zinc Supportive 33 studies
General Health
General Health
Impact
High effect
C+ Goal FitB- Strength of SupportB CoverageB Formula Quality
Folate · 680 mcg DFEVitamin B12 · 11 mcgVitamin D · 5 mcgMagnesium · 180 mgSelenium · 71 mcgZinc · 15 mgVitamin C · 60 mgCreatine · 3 Gram(s)

Protein, creatine, and a broad micronutrient panel can support high energy needs and exercise recovery. The design is most relevant when intentional weight gain is the goal.

The extremely large calorie load can undermine routine general-health goals when that energy is not needed. Nutrient amounts are clear, but selenium and vitamin D are modest and several mineral forms are ordinary.

Study evidence
Creatine Supportive 42 studies
Selenium Supportive 70 studies
Vitamin D Supportive 115 studies
Hair Health
Hair Health
Impact
High effect
C Goal FitB+ Strength of SupportC+ CoverageD Formula Quality
Biotin · 300 mcgVitamin D · 5 mcgZinc · 15 mgIron · 9 mgVitamin C · 60 mg

A substantial protein serving supplies amino acids needed for keratin production, while zinc, biotin, selenium, copper, and vitamins support normal follicles. The protein is not a hair-specific keratin or collagen peptide source.

Hair benefits would mainly apply when total protein or micronutrient intake is inadequate. The calorie-dense mass-gain formula is poorly focused for someone seeking targeted hair support.

Study evidence
Biotin Supportive 4 studies
Copper Adverse 4 studies
Iron Disputed 25 studies
Selenium Disputed 7 studies
Vitamin D Disputed 34 studies
Zinc Supportive 22 studies
Immunity
Immunity
Impact
Moderate effect
C Goal FitC Strength of SupportC- CoverageC Formula Quality
Magnesium · 180 mgVitamin C · 60 mgZinc · 15 mgVitamin A · 940 mcgVitamin D · 5 mcgSelenium · 71 mcg

Zinc, selenium, vitamin A, vitamin C, and vitamin D provide incidental immune nutrition within a high-calorie mass gainer. Protein and energy can support nutritional adequacy when intake is insufficient, but they do not make the product immune focused.

Zinc is meaningfully supplied, while vitamin C and vitamin D are modest relative to goal-specific targets. The very large calorie load and substantial sodium make the serving unsuitable as a routine immune supplement for many people.

Study evidence
Selenium Mixed 37 studies
Vitamin A Supportive 107 studies
Vitamin C Supportive 53 studies
Vitamin D Supportive 85 studies
Zinc Supportive 73 studies

Ingredients

IngredientAmount per serving
Calories
1250 Calorie(s)
Total Fat
4 Gram(s)
Cholesterol
95 mg
Protein
50 Gram(s)
Vitamin A (Beta-Carotene)
 940 mcg
Vitamin C (Ascorbic Acid)
 60 mg
Vitamin D (Cholecalciferol)
 5 mcg
Vitamin E (D-Alpha-Tocopheryl Succinate)
 20 mg
Thiamin (Thiamine Mononitrate)
 4.8 mg
Riboflavin
4 mg
Niacin (Niacinamide)
 50.2 mg
Vitamin B6 (Pyridoxine Hydrochloride)
 5 mg
Folate (Folic Acid)
 680 mcg DFE
Vitamin B12 (Cyanocobalamin)
 11 mcg
Biotin (D-Biotin)
 300 mcg
Pantothenic Acid (D-Calcium Pantothenate)
 25 mg
Choline (Choline Bitartrate)
 250 mg
Calcium (Calcium Citrate, Dicalcium Phosphate)
 610 mg
Iron (Ferrous Fumarate)
 9 mg
Phosphorus (Dicalcium Phosphate, Dipotassium Phosphate)
 540 mg
Iodine (Potassium Iodide)
 53 mcg
Magnesium (Magnesium Aspartate)
 180 mg
Zinc (Zinc Citrate)
 15 mg
Selenium (Selenomethionine)
 71 mcg
Copper (Copper Gluconate)
 1 mg
Manganese (Manganese Amino Acid Chelate)
 2.45 mg
Chromium (Chromium Polynicotinate)
 120 mcg
Molybdenum (Molybdenum Amino Acid Chelate)
 80 mcg
Sodium
690 mg
Potassium (Dipotassium Phosphate)
 1100 mg
Creatine Monohydrate
3 Gram(s)
L-Glutamine
500 mg
Inositol
250 mg
PABA
5 mg
Adults 18–50
Report overview
Sodium · 690 mg OverallScore75
C Active Ingredient Quality & BioavailabilityA Dose, Safety & Label TransparencyB- Value

An undisclosed sodium source limits confidence in ingredient quality. The sodium dose is well suited to meaningful athletic replenishment. Well-chosen supporting electrolytes strengthen the mineral profile, while the broader nutrition formula helps offset weak electrolyte-only value.

View ingredientView products
Niacin (Niacinamide) · 50.2 mg OverallScore72
B+ Active Ingredient Quality & BioavailabilityA- Dose, Safety & Label TransparencyF Value

The 50.2 mg niacinamide amount is clearly disclosed and remains close to the practical multivitamin range. A standard powder delivery offers no special release advantage, while the broader mass-gainer formula is designed mainly for calories and protein. The very costly serving makes it a poor choice when niacin is the main goal.

View ingredientView products
Choline (Choline Bitartrate) · 250 mg OverallScore67
C+ Active Ingredient Quality & BioavailabilityA- Dose, Safety & Label TransparencyF Value

Choline bitartrate is a suitable systemic form, but it is less targeted to cognitive delivery than Alpha-GPC or citicoline, and the 250 mg choline serving provides a substantial elemental amount. The stated amount requires a one-to-two-unit serving, while the cost per 100 mg of choline is high for a standard systemic form. The very large calorie, sodium, and potassium load suits intentional mass gain rather than routine choline supplementation.

View ingredientView products
Loading alternative details
66 Performance

Serious Mass Banana

Optimum Nutrition
The formulation offers a stronger or more focused alternative for the original purpose. A very large carbohydrate serving with substantial protein and added creatine can help people who intentionally need rapid weight gain, but it is unsuitable as a general wellness product. The extreme calorie and carbohydrate load, short package life, and high serving cost create major trade-offs.
66 Value

Serious Mass Vanilla

Optimum Nutrition
The balance of useful ingredients and serving cost provides better practical value. A very large carbohydrate serving with substantial protein and added creatine can help people who intentionally need rapid weight gain, but it is unsuitable as a general wellness product. The extreme calorie and carbohydrate load, short package life, and high serving cost create major trade-offs.
66 Value

Serious Mass Strawberry

Optimum Nutrition
The balance of useful ingredients and serving cost provides better practical value. A very large carbohydrate serving with substantial protein and added creatine can help people who intentionally need rapid weight gain, but it is unsuitable as a general wellness product. The extreme calorie and carbohydrate load, short package life, and high serving cost create major trade-offs.
Report alternatives

Sources

Published studies used for the product analysis and the top-ranked studies for each ingredient and goal.

  1. Role of Niacin in Current Clinical Practice: A Systematic Review.
    Garg A; Sharma A; Krishnamoorthy P; Garg J; Virmani D; Sharma T; Stefanini G; Kostis JB; Mukherjee D; Sikorskaya E · The American journal of medicine · 2017
    Meta-analysis35,206 participants13 studies pooledHeart Health forNiacin
  2. Choline During Pregnancy and Child Neurodevelopment: A Systematic Review of Randomized Controlled Trials and Observational Studies.
    Gould JF; Hines S; Best KP; Grzeskowiak LE; Jansen O; Green TJ · Nutrients · 2025
    Systematic review9 studies pooledCognitive Support forCholine
  3. Relationship between blood manganese and bone mineral density and bone mineral content in adults: A population-based cross-sectional study.
    Wang C; Zhu Y; Long H; Ou M; Zhao S · PloS one · 2022
    Cross-sectional study9,732 participantsBone Health forManganese
  4. Association between serum phosphorus levels and pelvic bone mineral density in U.S. adults aged 18-59 years.
    Jiang T; Pan Y; Xu J; Ge J; Ji S; Li T; Zhang Y · BMC musculoskeletal disorders · 2025
    Cross-sectional study5,589 participantsBone Health forPhosphorus
  5. The Infatuation With Biotin Supplementation: Is There Truth Behind Its Rising Popularity? A Comparative Analysis of Clinical Efficacy versus Social Popularity.
    Soleymani T; Lo Sicco K; Shapiro J · Journal of drugs in dermatology : JDD · 2018
    Narrative reviewHair Health forBiotin
  6. Relationship of lipoproteins to cardiovascular events: the AIM-HIGH Trial (Atherothrombosis Intervention in Metabolic Syndrome With Low HDL/High Triglycerides and Impact on Global Health Outcomes).
    Guyton JR; Slee AE; Anderson T; Fleg JL; Goldberg RB; Kashyap ML; Marcovina SM; Nash SD; O'Brien KD; Weintraub WS; Xu P; Zhao XQ; Boden WE · Journal of the American College of Cardiology · 2013
    Randomized trial3,414 participantsHeart Health forNiacin
  7. Association of trimethylamine oxide and its precursors with cognitive impairment: a systematic review and meta-analysis.
    Long C; Li Z; Feng H; Jiang Y; Pu Y; Tao J; Yue R · Frontiers in aging neuroscience · 2024
    Meta-analysis82,246 participants9 studies pooledCognitive Support forCholine
  8. Declining serum bone turnover markers are associated with the short-term positive change of lumbar spine bone mineral density in postmenopausal women.
    Zhao S; Mo X; Wen Z; Liu M; Chen Z; Lin W; Huang Z; Chen B · Menopause (New York, N.Y.) · 2022
    Cohort study135 participantsBone Health forPhosphorus
  9. Correlation between bone mineral density and serum trace element contents of elderly males in Beijing urban area.
    Wang L; Yu H; Yang G; Zhang Y; Wang W; Su T; Ma W; Yang F; Chen L; He L; Ma Y; Zhang Y · International journal of clinical and experimental medicine · 2016
    Cross-sectional study91 participantsBone Health forManganese
  10. Vitamins A, B, C, and D: A Short Review for the Dermatologist.
    Coerdt KM; Goggins CA; Khachemoune A · Alternative therapies in health and medicine · 2021
    Narrative reviewHair Health forBiotin
  11. The association between dietary mineral intake and bone mineral density: a cross-sectional study.
    Wei M; Wei J; Huang S · Journal of health, population, and nutrition · 2025
    Cross-sectional study11,520 participantsBone Health forPhosphorus Bone Health forCopper
  12. Gut microbiota-mediated choline metabolism exacerbates cognitive impairment induced by chronic cerebral hypoperfusion.
    Li X; Ren Y; Gao X; Wang H; Zhang J; Xie J; Liang J; Zhao B; Zhou H; Yin J · Journal of cerebral blood flow and metabolism : official journal of the International Society of Cerebral Blood Flow and Metabolism · 2025
    Cross-sectional studyCognitive Support forCholine
  13. Exploring the Cardiovascular Impacts of Oral Nicotinamide: A Comprehensive Narrative Review.
    Shoukfeh R; Tisack AM; Lim HW; Mohammad TF · Journal of drugs in dermatology : JDD · 2025
    Narrative reviewHeart Health forNiacin
  14. The Role of Sex Steroid Hormones in the Association Between Manganese Exposure and Bone Mineral Density: National Health and Nutrition Examination Survey 2013-2018.
    Zhao X; Li J; Yu J; Shi Y; Tang M · Toxics · 2025
    Cross-sectional study8,617 participantsBone Health forManganese
  15. Low serum biotinidase activity in children with valproic acid monotherapy.
    Schulpis KH; Karikas GA; Tjamouranis J; Regoutas S; Tsakiris S · Epilepsia · 2001
    Clinical trial125 participantsHair Health forBiotin
  16. Effect of niacin therapy on cardiovascular outcomes in patients with coronary artery disease.
    Duggal JK; Singh M; Attri N; Singh PP; Ahmed N; Pahwa S; Molnar J; Singh S; Khosla S; Arora R · Journal of cardiovascular pharmacology and therapeutics · 2010
    Meta-analysis5,137 participants7 studies pooledHeart Health forNiacin
  17. Association of dietary choline intake with incidence of dementia, Alzheimer disease, and mild cognitive impairment: a large population-based prospective cohort study.
    Niu YY; Yan HY; Zhong JF; Diao ZQ; Li J; Li CP; Chen LH; Huang WQ; Xu M; Xu ZT; Liang XF; Li ZH; Liu D · The American journal of clinical nutrition · 2025
    Cohort study125,594 participantsCognitive Support forCholine
  18. Dairy product consumption, eating habits, sedentary behaviour and physical activity association with bone mineral density among adolescent boys: a cross-sectional observational study.
    Kopiczko A; Czapla M; Juárez-Vela R; Ross C; Uchmanowicz B · BMC pediatrics · 2024
    Cross-sectional study115 participantsBone Health forPhosphorus
  19. Association of per- and polyfluoroalkylated substances/heavy metals and bone health in children and adolescents.
    Wei Y; Zhang Y; Ji Q; Yang S; Yang F · Frontiers in public health · 2024
    Cross-sectional study622 participantsBone Health forManganese
  20. The Role of Sesbania grandiflora-Derived Biotin and Bambusa arundinacea-Derived Silica Extracts in Promoting Hair, Skin, and Nail Health: A Randomized, Double-Blind, Placebo-Controlled Clinical Study.
    Patel MN; Maheshvari J; Patel N · Cureus · 2025
    Randomized trial105 participantsHair Health forBiotin
  21. Effect of niacin on lipid and lipoprotein levels and glycemic control in patients with diabetes and peripheral arterial disease: the ADMIT study: A randomized trial. Arterial Disease Multiple Intervention Trial.
    Elam MB; Hunninghake DB; Davis KB; Garg R; Johnson C; Egan D; Kostis JB; Sheps DS; Brinton EA · JAMA · 2000
    Randomized trial468 participantsHeart Health forNiacin
  22. Choline intake during pregnancy and child cognition at age 7 years.
    Boeke CE; Gillman MW; Hughes MD; Rifas-Shiman SL; Villamor E; Oken E · American journal of epidemiology · 2013
    Cohort study895 participantsCognitive Support forCholine
  23. Association between blood manganese and bone mineral density in US adolescents.
    Liu J; Tang Y; Chen Y; Zhang X; Xia Y; Geng B · Environmental science and pollution research international · 2023
    Cross-sectional study1,703 participantsBone Health forManganese
  24. Phosphate Metabolism in Health and Disease.
    Peacock M · Calcified tissue international · 2021
    Narrative reviewBone Health forPhosphorus
  25. Assessment of the Role of Niacin in Managing Cardiovascular Disease Outcomes: A Systematic Review and Meta-analysis.
    D'Andrea E; Hey SP; Ramirez CL; Kesselheim AS · JAMA network open · 2020
    Meta-analysis35,760 participants17 studies pooledHeart Health forNiacin
  26. Effects of choline alfoscerate on cognitive function and quality of life in type 2 diabetes: A double-blind, randomized, placebo-controlled trial.
    Sohn M; Park YH; Lim S · Diabetes, obesity & metabolism · 2025
    Randomized trial36 participantsCognitive Support forCholine
  27. Association between phosphorus intake and bone health in the NHANES population.
    Lee AW; Cho SS · Nutrition journal · 2016
    Cross-sectional studyBone Health forPhosphorus
  28. Risk of Environmental Chemicals on Bone Fractures Is Independent of Low Bone Mass in US Adults: Insights from 2017 to 2018 NHANES.
    Ling R; Ai Y; Chen C; Zhang J; Zou Z; Cheng S; Li C; Li X; Wang B · Metabolites · 2023
    Cross-sectional study2,640 participantsBone Health forManganese
  29. The ARBITER 6-HALTS Trial (Arterial Biology for the Investigation of the Treatment Effects of Reducing Cholesterol 6-HDL and LDL Treatment Strategies in Atherosclerosis): final results and the impact of medication adherence, dose, and treatment duration.
    Villines TC; Stanek EJ; Devine PJ; Turco M; Miller M; Weissman NJ; Griffen L; Taylor AJ · Journal of the American College of Cardiology · 2010
    Randomized trial315 participantsHeart Health forNiacin
  30. Maternal choline supplementation mitigates alcohol exposure effects on neonatal brain volumes.
    Warton FL; Molteno CD; Warton CMR; Wintermark P; Lindinger NM; Dodge NC; Zöllei L; van der Kouwe AJW; Carter RC; Jacobson JL; Jacobson SW; Meintjes EM · Alcoholism, clinical and experimental research · 2022
    Randomized trial52 participantsCognitive Support forCholine
  31. Expert consensus on clinical management of metabolic bone disease of prematurity (2021).
    Yan-Mei C; Xin-Zhu L; Rong Z; Xi-Hong L; Xiao-Mei T; Ping-Yang C; Zhi-Chun F; Nutritional Committee of Neonatology Branch of Chinese Medical Doctor Association; Neonatal Nutrition and Health Management Group, Professional Committee of Child Health, Chinese Medical Doctor Association; Editorial Committee of Chinese Journal of Contemporary Pediatrics. · Zhongguo dang dai er ke za zhi = Chinese journal of contemporary pediatrics · 2021
    Guideline / consensusBone Health forPhosphorus
  32. Analysis of the association between mixed exposure to multiple metals and comorbidity of osteopenia or osteoporosis: baseline data from the Chinese Multi-Ethnic Cohort study (CMEC).
    Zhang Y; Chen C; Wu S; Nie C; Hu Y; Zhong J; Hong F · BMC public health · 2025
    Cross-sectional study9,206 participantsBone Health forManganese
  33. The effects of extended-release niacin on carotid intimal media thickness, endothelial function and inflammatory markers in patients with the metabolic syndrome.
    Thoenes M; Oguchi A; Nagamia S; Vaccari CS; Hammoud R; Umpierrez GE; Khan BV · International journal of clinical practice · 2008
    Randomized trial50 participantsHeart Health forNiacin
  34. Randomized, double-blind, placebo-controlled clinical trial of choline supplementation in school-aged children with fetal alcohol spectrum disorders.
    Nguyen TT; Risbud RD; Mattson SN; Chambers CD; Thomas JD · The American journal of clinical nutrition · 2017
    Randomized trial55 participantsCognitive Support forCholine
  35. Management of Hyperphosphatemia in End-Stage Renal Disease: A New Paradigm.
    Rastogi A; Bhatt N; Rossetti S; Beto J · Journal of renal nutrition : the official journal of the Council on Renal Nutrition of the National Kidney Foundation · 2021
    Systematic reviewBone Health forPhosphorus
  36. Association of Urinary Cadmium and Antimony with Osteoporosis Risk in Postmenopausal Brazilian Women: Insights from a 20 Metal(loid) Biomonitoring Study.
    Kunioka CT; de Oliveira Souza VC; Rocha BA; Júnior FB; Belo L; Manso MC; Carvalho M · Toxics · 2025
    Cohort study380 participantsBone Health forManganese
  37. Differential effect of two nicotinic acid preparations on low-density lipoprotein subclass distribution in patients classified as low-density lipoprotein pattern A, B, or I.
    Superko HR; McGovern ME; Raul E; Garrett B · The American journal of cardiology · 2004
    Randomized trial180 participantsHeart Health forNiacin
  38. Does supplementation of choline during or after pregnancies exposed to alcohol improve neurocognitive development of children? A meta-analysis.
    Lino GM; de Carvalho IN; de Amorim VOA; Bresani-Salvi CC; Luna VLM; Galvão PVM; Conrado GAM · Pediatrics and neonatology · 2025
    Meta-analysis5 studies pooledCognitive Support forCholine
  39. Dietary calcium, phosphorus, and osteosarcopenic adiposity in Korean adults aged 50 years and older.
    Choi MK; Bae YJ · Archives of osteoporosis · 2021
    Cross-sectional study7,007 participantsBone Health forPhosphorus
  40. The Manganese-Bone Connection: Investigating the Role of Manganese in Bone Health.
    Taskozhina G; Batyrova G; Umarova G; Issanguzhina Z; Kereyeva N · Journal of clinical medicine · 2024
    Narrative reviewBone Health forManganese
  41. Extended-release niacin therapy and risk of ischemic stroke in patients with cardiovascular disease: the Atherothrombosis Intervention in Metabolic Syndrome with low HDL/High Triglycerides: Impact on Global Health Outcome (AIM-HIGH) trial.
    Teo KK; Goldstein LB; Chaitman BR; Grant S; Weintraub WS; Anderson DC; Sila CA; Cruz-Flores S; Padley RJ; Kostuk WJ; Boden WE; AIM-HIGH Investigators · Stroke · 2013
    Randomized trial3,414 participantsHeart Health forNiacin
  42. Effects of egg yolk choline intake on cognitive functions and plasma choline levels in healthy middle-aged and older Japanese: a randomized double-blinded placebo-controlled parallel-group study.
    Yamashita S; Kawada N; Wang W; Susaki K; Takeda Y; Kimura M; Iwama Y; Miura Y; Sugano M; Matsuoka R · Lipids in health and disease · 2023
    Randomized trial41 participantsCognitive Support forCholine
  43. Effectiveness, safety, and pharmacokinetics of burosumab in Chinese children with X-linked hypophosphatemia: an open-label, single-arm phase 4 study.
    Wu W; Jiang Y; Zhang Z; Liu L; Qiu W; Ji Y; Sugimoto M; Yung C; Qiu C; Kuriki M; Luo X; Xia W · JBMR plus · 2026
    Single-arm trial28 participantsBone Health forPhosphorus
  44. Associations of multiple metals with bone mineral density: A population-based study in US adults.
    Wei MH; Cui Y; Zhou HL; Song WJ; Di DS; Zhang RY; Huang Q; Liu JA; Wang Q · Chemosphere · 2021
    Cross-sectional studyBone Health forManganese
  45. What is the impact of daily oral supplementation of vitamin D3 (cholecalciferol) plus calcium on the incidence of hip fracture in older people? A systematic review and meta-analysis.
    Manoj P; Derwin R; George S · International journal of older people nursing · 2023
    Meta-analysis12,620 participants7 studies pooledBone Health forCalcium
  46. Calcium supplementation prevents seasonal bone loss and changes in biochemical markers of bone turnover in elderly New England women: a randomized placebo-controlled trial.
    Storm D; Eslin R; Porter ES; Musgrave K; Vereault D; Patton C; Kessenich C; Mohan S; Chen T; Holick MF; Rosen CJ · The Journal of clinical endocrinology and metabolism · 1998
    Randomized trial60 participantsBone Health forCalcium
  47. The effects of calcium supplementation (milk powder or tablets) and exercise on bone density in postmenopausal women.
    Prince R; Devine A; Dick I; Criddle A; Kerr D; Kent N; Price R; Randell A · Journal of bone and mineral research : the official journal of the American Society for Bone and Mineral Research · 1995
    Randomized trial168 participantsBone Health forCalcium
  48. The efficacy of calcium supplementation alone in elderly Thai women over a 2-year period: a randomized controlled trial.
    Rajatanavin R; Chailurkit L; Saetung S; Thakkinstian A; Nimitphong H · Osteoporosis international : a journal established as result of cooperation between the European Foundation for Osteoporosis and the National Osteoporosis Foundation of the USA · 2014
    Randomized trial404 participantsBone Health forCalcium
  49. Calcium-enriched foods and bone mass growth in prepubertal girls: a randomized, double-blind, placebo-controlled trial.
    Bonjour JP; Carrie AL; Ferrari S; Clavien H; Slosman D; Theintz G; Rizzoli R · The Journal of clinical investigation · 1997
    Randomized trial149 participantsBone Health forCalcium
  50. The Association between Dietary and Circulating Copper Levels and Osteoporosis: a Scoping Review.
    Ju Y; Xiong W; Pang Y; Chen Z; Hou J; Zheng S; Li Z; Liu T; Xia H; Xia M; Zhong Y; Li J; Jiang X · Biological trace element research · 2026
    Scoping review18 studies pooledBone Health forCopper
  51. Association between dietary copper, iron, zinc, selenium intake and osteopenia or osteoporosis in elderly hypertensive patients: a retrospective cohort study.
    Chen M; Jia L; Gao R · Frontiers in nutrition · 2024
    Cohort study5,286 participantsBone Health forCopper
  52. Associations of dietary copper intake with total bone mineral density and lumbar spine bone mineral density in American adults.
    Hu M; Wang Z; Li C; Zheng Y; Hu J · Medicine · 2025
    Cross-sectional studyBone Health forCopper
  53. Association between dietary copper intake and bone mineral density in children and adolescents aged 8-19 years: A cross-sectional study.
    Cui A; Yan J; Li H; Fan Z; Wei X; Wang H; Zhuang Y · PloS one · 2024
    Cross-sectional study6,965 participantsBone Health forCopper
  54. Association between Serum Magnesium and Fractures: A Systematic Review and Meta-Analysis of Observational Studies.
    Dominguez LJ; Veronese N; Ciriminna S; Pérez-Albela JL; Vásquez-López VF; Rodas-Regalado S; Di Bella G; Parisi A; Tagliaferri F; Barbagallo M · Nutrients · 2023
    Meta-analysis119,755 participants4 studies pooledBone Health forMagnesium
  55. Bioabsorbable Magnesium-Based Materials Potential and Safety in Bone Surgery: A Systematic Review.
    Hung CH; Kwok YC; Yip J; Wong HH; Leung YY · Craniomaxillofacial trauma & reconstruction · 2025
    Systematic review386 participants8 studies pooledBone Health forMagnesium
  56. Vascularized bone grafting fixed by biodegradable magnesium screw for treating osteonecrosis of the femoral head.
    Zhao D; Huang S; Lu F; Wang B; Yang L; Qin L; Yang K; Li Y; Li W; Wang W; Tian S; Zhang X; Gao W; Wang Z; Zhang Y; Xie X; Wang J; Li J · Biomaterials · 2016
    Randomized trial48 participantsBone Health forMagnesium
  57. An update on magnesium and bone health.
    Rondanelli M; Faliva MA; Tartara A; Gasparri C; Perna S; Infantino V; Riva A; Petrangolini G; Peroni G · Biometals : an international journal on the role of metal ions in biology, biochemistry, and medicine · 2022
    Narrative reviewBone Health forMagnesium
  58. Sex-specific differences in the association of magnesium intake with femoral neck bone mineral density among older adults.
    Wang B; Tan X; Yao X; Zhu Z · Endocrine connections · 2025
    Cross-sectional study1,343 participantsBone Health forMagnesium
  59. Sex-specific associations of urinary mixed-metal concentrations with femoral bone mineral density among older people: an NHANES (2017-2020) analysis.
    Li H; Li G; Yi M; Zhou J; Deng Y; Huang Y; He S; Meng X; Liu L · Frontiers in public health · 2024
    Cross-sectional study31 participantsBone Health forManganese
  60. Burosumab Improved Histomorphometric Measures of Osteomalacia in Adults with X-Linked Hypophosphatemia: A Phase 3, Single-Arm, International Trial.
    Insogna KL; Rauch F; Kamenický P; Ito N; Kubota T; Nakamura A; Zhang L; Mealiffe M; San Martin J; Portale AA · Journal of bone and mineral research : the official journal of the American Society for Bone and Mineral Research · 2020
    Single-arm trial14 participantsBone Health forPhosphorus
  61. Early high calcium and phosphorus intake by parenteral nutrition prevents short-term bone strength decline in preterm infants.
    Pereira-da-Silva L; Costa A; Pereira L; Filipe A; Virella D; Leal E; Moreira A; Rosa M; Mendes L; Serelha M · Journal of pediatric gastroenterology and nutrition · 2011
    Randomized trialBone Health forPhosphorus
  62. Effect of potassium citrate on bone density, microarchitecture, and fracture risk in healthy older adults without osteoporosis: a randomized controlled trial.
    Jehle S; Hulter HN; Krapf R · The Journal of clinical endocrinology and metabolism · 2013
    Randomized trial201 participantsBone Health forPotassium
  63. Long-term persistence of the urine calcium-lowering effect of potassium bicarbonate in postmenopausal women.
    Frassetto L; Morris RC; Sebastian A · The Journal of clinical endocrinology and metabolism · 2005
    Randomized trial170 participantsBone Health forPotassium
  64. Partial neutralization of the acidogenic Western diet with potassium citrate increases bone mass in postmenopausal women with osteopenia.
    Jehle S; Zanetti A; Muser J; Hulter HN; Krapf R · Journal of the American Society of Nephrology : JASN · 2007
    Randomized trial161 participantsBone Health forPotassium
  65. Potassium citrate supplementation results in sustained improvement in calcium balance in older men and women.
    Moseley KF; Weaver CM; Appel L; Sebastian A; Sellmeyer DE · Journal of bone and mineral research : the official journal of the American Society for Bone and Mineral Research · 2013
    Randomized trial52 participantsBone Health forPotassium
  66. Effects of potassium chloride and potassium bicarbonate on endothelial function, cardiovascular risk factors, and bone turnover in mild hypertensives.
    He FJ; Marciniak M; Carney C; Markandu ND; Anand V; Fraser WD; Dalton RN; Kaski JC; MacGregor GA · Hypertension (Dallas, Tex. : 1979) · 2010
    Randomized trial42 participantsBone Health forPotassium
  67. Pregnancy vitamin D supplementation and offspring bone mineral density in childhood follow-up of a randomized controlled trial.
    Moon RJ; D' Angelo S; Curtis EM; Ward KA; Crozier SR; Schoenmakers I; Javaid MK; Bishop NJ; Godfrey KM; Cooper C; Harvey NC; MAVIDOS Trial Group · The American journal of clinical nutrition · 2024
    Randomized trial454 participantsBone Health forVitamin D
  68. Vitamin D analogs and bone: preclinical and clinical studies with eldecalcitol.
    Matsumoto T; Takano T; Saito H; Takahashi F · BoneKEy reports · 2014
    Narrative reviewBone Health forVitamin D
  69. Efficacy of vitamin D fortified foods on bone mineral density and serum bone biomarkers: A systematic review and meta-analysis of interventional studies.
    Tangestani H; Djafarian K; Emamat H; Arabzadegan N; Shab-Bidar S · Critical reviews in food science and nutrition · 2020
    Meta-analysis1,786 participants20 studies pooledBone Health forVitamin D
  70. Cholecalciferol Supplementation Attenuates Bone Loss in Incident Kidney Transplant Recipients: A Prespecified Secondary Endpoint Analysis of a Randomized Controlled Trial.
    Tsujita M; Doi Y; Obi Y; Hamano T; Tomosugi T; Futamura K; Okada M; Hiramitsu T; Goto N; Isaka Y; Takeda A; Narumi S; Watarai Y · Journal of bone and mineral research : the official journal of the American Society for Bone and Mineral Research · 2022
    Randomized trial193 participantsBone Health forVitamin D
  71. Vitamin D supplementation and bone health in post-menopausal women: a 24-month randomized controlled intervention with enhanced bioavailability formulations.
    Rasool N; Munir Y · European journal of clinical nutrition · 2026
    Randomized trial612 participantsBone Health forVitamin D
  72. Increased incidence of fractures in middle-aged and elderly men with low intakes of phosphorus and zinc.
    Elmståhl S; Gullberg B; Janzon L; Johnell O; Elmståhl B · Osteoporosis international : a journal established as result of cooperation between the European Foundation for Osteoporosis and the National Osteoporosis Foundation of the USA · 1999
    Cohort study6,576 participantsBone Health forZinc
  73. Zinc Supplementation Increases Procollagen Type 1 Amino-Terminal Propeptide in Premenarcheal Girls: A Randomized Controlled Trial.
    Berger PK; Pollock NK; Laing EM; Chertin V; Bernard PJ; Grider A; Shapses SA; Ding KH; Isales CM; Lewis RD · The Journal of nutrition · 2016
    Randomized trial147 participantsBone Health forZinc
  74. Randomized controlled trial of prenatal zinc supplementation and fetal bone growth.
    Merialdi M; Caulfield LE; Zavaleta N; Figueroa A; Costigan KA; Dominici F; Dipietro JA · The American journal of clinical nutrition · 2004
    Randomized trial242 participantsBone Health forZinc
  75. The effects of zinc supplementation on serum zinc, alkaline phosphatase activity and fracture healing of bones.
    Sadighi A; Roshan MM; Moradi A; Ostadrahimi A · Saudi medical journal · 2009
    Randomized trial60 participantsBone Health forZinc
  76. Is Zinc an Important Trace Element on Bone-Related Diseases and Complications? A Meta-analysis and Systematic Review from Serum Level, Dietary Intake, and Supplementation Aspects.
    Ceylan MN; Akdas S; Yazihan N · Biological trace element research · 2021
    Meta-analysis40 studies pooledBone Health forZinc
  77. Creatine in combination with resistance training and improvement in muscle strength: evaluation of a health claim pursuant to Article 13(5) of Regulation (EC) No 1924/2006.
    EFSA Panel on Dietetic Products, Nutrition and Allergies (NDA) · EFSA journal. European Food Safety Authority · 2026
    Guideline / consensusFitness forCreatine
  78. Effect of creatine and weight training on muscle creatine and performance in vegetarians.
    Burke DG; Chilibeck PD; Parise G; Candow DG; Mahoney D; Tarnopolsky M · Medicine and science in sports and exercise · 2004
    Randomized trial42 participantsFitness forCreatine
  79. Long-term creatine intake is beneficial to muscle performance during resistance training.
    Vandenberghe K; Goris M; Van Hecke P; Van Leemputte M; Vangerven L; Hespel P · Journal of applied physiology (Bethesda, Md. : 1985) · 1998
    Randomized trial19 participantsFitness forCreatine
  80. Effects of Combined Versus Single Supplementation of Creatine, Beta-Alanine, and L-Citrulline During Short Sprint Interval Training on Basketball Players' Performance: A Double-Blind Randomized Placebo-Controlled Trial.
    Li M; Sheykhlouvand M · International journal of sports physiology and performance · 2025
    Randomized trial48 participantsFitness forCreatine
  81. The Additive Effects of Creatine Supplementation and Exercise Training in an Aging Population: A Systematic Review of Randomized Controlled Trials.
    Stares A; Bains M · Journal of geriatric physical therapy (2001) · 2021
    Systematic review17 studies pooledFitness forCreatine
  82. Total magnesium intake and risk of frailty in older women.
    Struijk EA; Fung TT; Bischoff-Ferrari HA; Willett WC; Lopez-Garcia E · Journal of cachexia, sarcopenia and muscle · 2024
    Cohort study81,524 participantsFitness forMagnesium
  83. Dietary Magnesium May Be Protective for Aging of Bone and Skeletal Muscle in Middle and Younger Older Age Men and Women: Cross-Sectional Findings from the UK Biobank Cohort.
    Welch AA; Skinner J; Hickson M · Nutrients · 2018
    Cross-sectional study156,575 participantsFitness forMagnesium
  84. Dietary Magnesium Is Positively Associated With Skeletal Muscle Power and Indices of Muscle Mass and May Attenuate the Association Between Circulating C-Reactive Protein and Muscle Mass in Women.
    Welch AA; Kelaiditi E; Jennings A; Steves CJ; Spector TD; MacGregor A · Journal of bone and mineral research : the official journal of the American Society for Bone and Mineral Research · 2016
    Cross-sectional study2,570 participantsFitness forMagnesium
  85. Nutritional intake as a determinant of high-speed resistance and multicomponent training efficacy on strength in older women at risk of sarcopenia. A randomized clinical trial.
    Polo-Ferrero L; Recio-Rodriguez JI; González-Manzano S; Martín-Vallejo J; Barbero-Iglesias FJ; Montero-Errasquín B; Cruz-Jentoft AJ; Méndez-Sánchez R · Clinical nutrition (Edinburgh, Scotland) · 2025
    Randomized trial80 participantsFitness forMagnesium
  86. Minerals and Sarcopenia in Older Adults: An Updated Systematic Review.
    van Dronkelaar C; Fultinga M; Hummel M; Kruizenga H; Weijs PJM; Tieland M · Journal of the American Medical Directors Association · 2023
    Systematic review45 studies pooledFitness forMagnesium
  87. Longitudinal Association Between Sodium and Potassium Intake and Physical Performance in Older Adults.
    Lana A; Struijk EA; Ortolá R; Rodríguez-Artalejo F; Lopez-Garcia E · The journals of gerontology. Series A, Biological sciences and medical sciences · 2021
    Cohort study868 participantsFitness forPotassium
  88. Exercise-induced hyperkalaemia can be reduced in human subjects by moderate training without change in skeletal muscle Na,K-ATPase concentration.
    Kjeldsen K; Nørgaard A; Hau C · European journal of clinical investigation · 1991
    Observational study15 participantsFitness forPotassium
  89. Potassium Nitrate in Heart Failure With Preserved Ejection Fraction: A Randomized Clinical Trial.
    Zamani P; Shah SJ; Cohen JB; Zhao M; Yang W; Afable JL; Caturla M; Maynard H; Pourmussa B; Demastus C; Mohanty I; Miyake MM; Adusumalli S; Margulies KB; Prenner SB; Poole DC; Wilson N; Reddy R; Townsend RR; Ischiropoulos H; Cappola TP; Chirinos JA · JAMA cardiology · 2025
    Randomized trial84 participantsFitness forPotassium
  90. Potassium Bicarbonate Supplementation Lowers Bone Turnover and Calcium Excretion in Older Men and Women: A Randomized Dose-Finding Trial.
    Dawson-Hughes B; Harris SS; Palermo NJ; Gilhooly CH; Shea MK; Fielding RA; Ceglia L · Journal of bone and mineral research : the official journal of the American Society for Bone and Mineral Research · 2016
    Randomized trial244 participantsFitness forPotassium
  91. Exercise-Associated Muscle Cramps in Ironman-Distance Triathletes Over 3 Decades.
    Nilssen PK; Johnson KB; Hiller WDB; Miller TK; Connolly CP · Clinical journal of sport medicine : official journal of the Canadian Academy of Sport Medicine · 2026
    Observational study10,533 participantsFitness forPotassium
  92. Additive effects of beta-alanine and sodium bicarbonate on upper-body intermittent performance.
    Tobias G; Benatti FB; de Salles Painelli V; Roschel H; Gualano B; Sale C; Harris RC; Lancha AH; Artioli GG · Amino acids · 2013
    Randomized trial37 participantsFitness forSodium
  93. Sodium Hyperhydration Improves Performance With No Change in Thermal and Cardiovascular Strain in Female Cyclists Exercising in the Heat Across the Menstrual Cycle.
    Convit L; Orellana L; Périard JD; Carr AJ; Warmington S; Beaugeois M; Abraham A; Snipe RMJ · International journal of sport nutrition and exercise metabolism · 2025
    Randomized trial12 participantsFitness forSodium
  94. Sodium bicarbonate supplementation improves severe-intensity intermittent exercise under moderate acute hypoxic conditions.
    Deb SK; Gough LA; Sparks SA; McNaughton LR · European journal of applied physiology · 2018
    Randomized trial11 participantsFitness forSodium
  95. International Society of Sports Nutrition position stand: sodium bicarbonate and exercise performance.
    Grgic J; Pedisic Z; Saunders B; Artioli GG; Schoenfeld BJ; McKenna MJ; Bishop DJ; Kreider RB; Stout JR; Kalman DS; Arent SM; VanDusseldorp TA; Lopez HL; Ziegenfuss TN; Burke LM; Antonio J; Campbell BI · Journal of the International Society of Sports Nutrition · 2021
    Guideline / consensusFitness forSodium
  96. The effects of sodium bicarbonate ingestion on swimming interval performance in trained competitive swimmers.
    Gough LA; Newbury JW; Price M · European journal of applied physiology · 2023
    Randomized trial14 participantsFitness forSodium
  97. Effects of high-load, velocity-intentional variable resistance training combined with creatine supplementation on neuroplasticity, oxidative stress, inflammation, physical function, cognitive performance and quality of life in older adults: A randomized, double-blind, placebo-controlled trial.
    Fernandez-Garrido J; Martin EG; Saez-Berlanga A; Gargallo-Bayo P; Gene-Morales J; Alix-Fages C; Jiménez-Martínez P; Caballero O; Salvador-Palmer R; Colado JC · Experimental gerontology · 2026
    Randomized trial103 participantsGeneral Health forCreatine
  98. The impact of creatine supplementation associated with resistance training on muscular strength and lean tissue mass in the aged: a systematic review and meta-analysis.
    Liu S; Huang N; Wu W; OuYang X; Luo Y; Zhong Y; Wang M; Xiao L · European review of aging and physical activity : official journal of the European Group for Research into Elderly and Physical Activity · 2026
    Meta-analysis482 participants8 studies pooledGeneral Health forCreatine
  99. Creatine supplementation during pulmonary rehabilitation in chronic obstructive pulmonary disease.
    Fuld JP; Kilduff LP; Neder JA; Pitsiladis Y; Lean ME; Ward SA; Cotton MM · Thorax · 2005
    Randomized trial38 participantsGeneral Health forCreatine
  100. A multi-metabolite signature robustly predicts long-term mortality in the PREDIMED trial and several US cohorts.
    Fernández-Duval G; Razquin C; Wang F; Yun H; Hu J; Guasch-Ferré M; Rexrode K; Balasubramanian R; García-Gavilán J; Ruiz-Canela M; Clish CB; Corella D; Gómez-Gracia E; Fiol M; Estruch R; Lapetra J; Fitó M; Serra-Majem L; Ros E; Liang L; Dennis C; Asensio EM; Castañer O; Planes FJ; Salas-Salvadó J; Hu FB; Toledo E; Martínez-González MA · Metabolism: clinical and experimental · 2025
    Cohort study1,878 participantsGeneral Health forCreatine
  101. Plasma creatine, estimated intramuscular creatine, transcellular gradient and the risk of mortality: Results from the PREVEND study.
    Doorenbos CSE; Post A; Stegmann ME; Franssen CFM; Dullaart RPF; Navis G; Connelly MA; Bakker SJL · European journal of clinical investigation · 2026
    Cohort study5,127 participantsGeneral Health forCreatine
  102. Associations of selenium status with all-cause and cause-specific mortality: a systematic review and meta-analysis of cohort studies.
    Cui Z; Xie R; Lu X; Schomburg L; Brenner H; Schöttker B · Redox biology · 2025
    Meta-analysis95 participants20 studies pooledGeneral Health forSelenium
  103. Dietary Antioxidants, Circulating Antioxidant Concentrations, Total Antioxidant Capacity, and Risk of All-Cause Mortality: A Systematic Review and Dose-Response Meta-Analysis of Prospective Observational Studies.
    Jayedi A; Rashidy-Pour A; Parohan M; Zargar MS; Shab-Bidar S · Advances in nutrition (Bethesda, Md.) · 2019
    Meta-analysis507,251 participants41 studies pooledGeneral Health forSelenium
  104. The efficacy and safety of selenium supplementation versus placebo in the treatment of Graves' orbitopathy: A systematic review and meta-analysis of randomised controlled trials.
    Sharabati I; Qafesha RM; Hindawi MD; Amro S; Ayesh BM · Clinical endocrinology · 2024
    Meta-analysis4 studies pooledGeneral Health forSelenium
  105. Associations of plasma metal concentrations with the risks of all-cause and cardiovascular disease mortality in Chinese adults.
    Shi L; Yuan Y; Xiao Y; Long P; Li W; Yu Y; Liu Y; Liu K; Wang H; Zhou L; Yang H; Li X; He M; Wu T · Environment international · 2021
    Cohort study6,155 participantsGeneral Health forSelenium
  106. Updates on clinical studies of selenium supplementation in radiotherapy.
    Puspitasari IM; Abdulah R; Yamazaki C; Kameo S; Nakano T; Koyama H · Radiation oncology (London, England) · 2015
    Systematic review16 studies pooledGeneral Health forSelenium
  107. Vitamin D supplementation for prevention of mortality in adults.
    Bjelakovic G; Gluud LL; Nikolova D; Whitfield K; Wetterslev J; Simonetti RG; Bjelakovic M; Gluud C · The Cochrane database of systematic reviews · 2014
    Meta-analysis95,286 participants159 studies pooledGeneral Health forVitamin D
  108. Effect of vitamin D on gastrointestinal symptoms and health-related quality of life in irritable bowel syndrome patients: a randomized double-blind clinical trial.
    Abbasnezhad A; Amani R; Hajiani E; Alavinejad P; Cheraghian B; Ghadiri A · Neurogastroenterology and motility · 2018
    Randomized trial90 participantsGeneral Health forVitamin D
  109. The impact of vitamin D administration on mortality in COVID-19 patients: a systematic review and meta-analysis of randomized controlled trials.
    Kow CS; Ramachandram DS; Hasan SS; Wong Z; Thiruchelvam K · Inflammopharmacology · 2024
    Meta-analysis2,495 participants19 studies pooledGeneral Health forVitamin D
  110. Vitamin D Status and Mortality: A Systematic Review of Observational Studies.
    Heath AK; Kim IY; Hodge AM; English DR; Muller DC · International journal of environmental research and public health · 2019
    Systematic review84 studies pooledGeneral Health forVitamin D
  111. Meta-analysis of long-term vitamin D supplementation on overall mortality.
    Zheng Y; Zhu J; Zhou M; Cui L; Yao W; Liu Y · PloS one · 2014
    Meta-analysis42 studies pooledGeneral Health forVitamin D
  112. Menkes disease and response to copper histidine: An Indian case series.
    Yoganathan S; Sudhakar SV; Arunachal G; Thomas M; Subramanian A; George R; Danda S · Annals of Indian Academy of Neurology · 2022
    Case series4 participantsHair Health forCopper
  113. Trace element levels in alopecia areata.
    Bhat YJ; Manzoor S; Khan AR; Qayoom S · Indian journal of dermatology, venereology and leprology · 2009
    Case-control study100 participantsHair Health forCopper
  114. UV damage to hair and the effect of antioxidants and metal chelators.
    Millington KR; Marsh JM · International journal of cosmetic science · 2021
    In vitro / ex vivo studyHair Health forCopper
  115. Preserving fibre health: reducing oxidative stress throughout the life of the hair fibre.
    Marsh JM; Davis MG; Lucas RL; Reilman R; Styczynski PB; Li C; Mamak M; McComb DW; Williams RE; Godfrey S; Navqi KR; Chechik V · International journal of cosmetic science · 2016
    In vitro / ex vivo studyHair Health forCopper
  116. The Association Between Alopecia Areata and Iron Deficiency Anemia: A Large-Scale Population-Based Case-Control Study.
    Davidovici B; Drutin Y; Ben-Tov A; Mimouni D; Wohl Y · Journal of personalized medicine · 2026
    Case-control study100,203 participantsHair Health forIron
  117. Iron Deficiency and Nonscarring Alopecia in Women: Systematic Review and Meta-Analysis.
    Treister-Goltzman Y; Yarza S; Peleg R · Skin appendage disorders · 2022
    Meta-analysis10,029 participants36 studies pooledHair Health forIron
  118. Comparative Analysis of Postoperative Hair Loss and Micronutrient Deficiencies After One-Anastomosis Gastric Bypass Versus Sleeve Gastrectomy.
    Chinisaz F; Maleki T; Najjari K; Miratashi Yazdi SA · Obesity surgery · 2026
    Cohort study261 participantsHair Health forIron
  119. Assessment of Serum Ferritin Levels in Female Patients With Telogen Effluvium.
    Thamotharan N; Harikumar MV; Sundaram M; Swaminathan A; Rangarajan S · Cureus · 2026
    Cross-sectional study100 participantsHair Health forIron
  120. Diagnosis and treatment of female alopecia: Focusing on the iron deficiency-related alopecia.
    Lin CS; Chan LY; Wang JH; Chang CH · Tzu chi medical journal · 2023
    Cohort study155 participantsHair Health forIron
  121. Beyond Efficacy: 0.6% Selenium Disulfide Shampoo Matches 2% Ketoconazole for Seborrheic Dermatitis with Superior Cosmesis.
    Farris PK; Barbosa V; Houshman EB; Kovylkina N · Journal of drugs in dermatology : JDD · 2026
    Randomized trial87 participantsHair Health forSelenium
  122. Selenium Disulfide-based shampoo applied for 4 weeks significantly improves dandruff and seborrheic dermatitis.
    Turcu G; Artenie C; Nowicka D; Arenbergerová M; Lazaridou E; Khobzei K; Ataseven A; Part M; Leclerc-Mercier S · European journal of dermatology : EJD · 2023
    Observational study1,407 participantsHair Health forSelenium
  123. A Comparative Randomized Clinical Study Assessing the Efficacy of a 1% Selenium Disulfide-Based Shampoo versus 2% Ketoconazole Shampoo in Subjects with Moderate to Severe Scalp Seborrheic Dermatitis.
    Barbosa V; Melo DF; Vañó-Galván S; Lutchmanen-Kolanthan V; Sant'Anna B; Leclerc-Mercier S; Reygagne P · Skin appendage disorders · 2025
    Randomized trial64 participantsHair Health forSelenium
  124. Changes of serum trace elements level in patients with alopecia areata: A meta-analysis.
    Jin W; Zheng H; Shan B; Wu Y · The Journal of dermatology · 2018
    Meta-analysis764 participantsHair Health forSelenium
  125. Scientific opinion on the tolerable upper intake level for selenium.
    EFSA Panel on Nutrition, Novel Foods and Food Allergens (NDA); Turck D; Bohn T; Castenmiller J; de Henauw S; Hirsch-Ernst KI; Knutsen HK; Maciuk A; Mangelsdorf I; McArdle HJ; Peláez C; Pentieva K; Siani A; Thies F; Tsabouri S; Vinceti M; Aggett P; Crous Bou M; Cubadda F; Ciccolallo L; de Sesmaisons Lecarré A; Fabiani L; Titz A; Naska A · EFSA journal. European Food Safety Authority · 2023
    Systematic reviewHair Health forSelenium
  126. Increased prevalence of vitamin D deficiency in patients with alopecia areata: a systematic review and meta-analysis.
    Lee S; Kim BJ; Lee CH; Lee WS · Journal of the European Academy of Dermatology and Venereology : JEADV · 2018
    Meta-analysis2,039 participants14 studies pooledHair Health forVitamin D
  127. Intralesional vitamin D3 in treatment of alopecia areata: A randomized controlled clinical trial.
    Rashad AF; Elgamal E; Fouda I · Journal of cosmetic dermatology · 2022
    Randomized trial60 participantsHair Health forVitamin D
  128. Vitamin D and its Analogs in Treatment of Mild to Moderate Alopecia Areata: Systematic Review and Meta-Analysis.
    Alsaati AA; Kaliyadan F; Alsaadoun D; Alzakry LM; Alzabadin RA; Hakami TH; Rubaian NFB · Indian dermatology online journal · 2025
    Meta-analysisHair Health forVitamin D
  129. Topical calcipotriol vs narrowband ultraviolet B in treatment of alopecia areata: a randomized-controlled trial.
    El Taieb MA; Hegazy EM; Ibrahim HM; Osman AB; Abualhamd M · Archives of dermatological research · 2020
    Randomized trial60 participantsHair Health forVitamin D
  130. Serum 25 hydroxyvitamin D in non-scarring alopecia: A systematic review and meta-analysis.
    Chen Y; Dong X; Wang Y; Li Y; Xiong L; Li L · Journal of cosmetic dermatology · 2024
    Meta-analysis10,670 participants23 studies pooledHair Health forVitamin D
  131. The effects of minoxidil, 1% pyrithione zinc and a combination of both on hair density: a randomized controlled trial.
    Berger RS; Fu JL; Smiles KA; Turner CB; Schnell BM; Werchowski KM; Lammers KM · The British journal of dermatology · 2003
    Randomized trial200 participantsHair Health forZinc
  132. Incubatory environment of the scalp impacts pre-emergent hair to affect post-emergent hair cuticle integrity.
    Schwartz JR; Henry JP; Kerr KM; Flagler MJ; Page SH; Redman-Furey N · Journal of cosmetic dermatology · 2018
    Randomized trialHair Health forZinc
  133. A comparison of hair quality and cosmetic acceptance following the use of two anti-dandruff shampoos.
    Draelos ZD; Kenneally DC; Hodges LT; Billhimer W; Copas M; Margraf C · The journal of investigative dermatology. Symposium proceedings · 2006
    Randomized trial40 participantsHair Health forZinc
  134. BMI and levels of zinc, copper in hair, serum and urine of Turkish male patients with androgenetic alopecia.
    Ozturk P; Kurutas E; Ataseven A; Dokur N; Gumusalan Y; Gorur A; Tamer L; Inaloz S · Journal of trace elements in medicine and biology : organ of the Society for Minerals and Trace Elements (GMS) · 2015
    Case-control study216 participantsHair Health forZinc
  135. Analysis of serum zinc and copper concentrations in hair loss.
    Kil MS; Kim CW; Kim SS · Annals of dermatology · 2013
    Case-control study342 participantsHair Health forZinc
  136. Effects of selenium supplementation on selenoprotein gene expression and response to influenza vaccine challenge: a randomised controlled trial.
    Goldson AJ; Fairweather-Tait SJ; Armah CN; Bao Y; Broadley MR; Dainty JR; Furniss C; Hart DJ; Teucher B; Hurst R · PloS one · 2011
    Randomized trial119 participantsImmunity forSelenium
  137. Effect of selenium on immune response against hepatitis B vaccine with accelerated method in insulin-dependent diabetes mellitus patients.
    Janbakhsh A; Mansouri F; Vaziri S; Sayad B; Afsharian M; Rahimi M; Shahebrahimi K; Salari F · Caspian journal of internal medicine · 2013
    Randomized trial62 participantsImmunity forSelenium
  138. Chemoprevention trial of human hepatitis with selenium supplementation in China.
    Yu SY; Li WG; Zhu YJ; Yu WP; Hou C · Biological trace element research · 1990
    Non-randomized trial20,847 participantsImmunity forSelenium
  139. Selenium nanoparticles as adjunctive therapy in sepsis: A pilot randomized clinical trial.
    Gu WJ; Huang W; Zhao FZ; Yuan XK; Jin K; Chen JL; Zhang CY; Huang Y; He L; Zhuang H; Yin HY; Chen T · Drug resistance updates : reviews and commentaries in antimicrobial and anticancer chemotherapy · 2026
    Randomized trial70 participantsImmunity forSelenium
  140. Selenium supplementation in patients with autoimmune thyroiditis decreases thyroid peroxidase antibodies concentrations.
    Gärtner R; Gasnier BC; Dietrich JW; Krebs B; Angstwurm MW · The Journal of clinical endocrinology and metabolism · 2002
    Randomized trial70 participantsImmunity forSelenium
  141. Depressed immune response to tetanus in children with vitamin A deficiency.
    Semba RD; Muhilal; Scott AL; Natadisastra G; Wirasasmita S; Mele L; Ridwan E; West KP; Sommer A · The Journal of nutrition · 1992
    Randomized trial236 participantsImmunity forVitamin A
  142. Impact of a single megadose of vitamin A at delivery on breastmilk of mothers and morbidity of their infants.
    Roy SK; Islam A; Molla A; Akramuzzaman SM; Jahan F; Fuchs G · European journal of clinical nutrition · 1997
    Randomized trial50 participantsImmunity forVitamin A
  143. Vitamin A supplementation reduces measles morbidity in young African children: a randomized, placebo-controlled, double-blind trial.
    Coutsoudis A; Broughton M; Coovadia HM · The American journal of clinical nutrition · 1991
    Randomized trial60 participantsImmunity forVitamin A
  144. Vitamin A supplementation enhances specific IgG antibody levels and total lymphocyte numbers while improving morbidity in measles.
    Coutsoudis A; Kiepiela P; Coovadia HM; Broughton M · The Pediatric infectious disease journal · 1992
    Randomized trial60 participantsImmunity forVitamin A
  145. Vitamin A supplementation reduces the monocyte chemoattractant protein-1 intestinal immune response of Mexican children.
    Long KZ; Santos JI; Estrada Garcia T; Haas M; Firestone M; Bhagwat J; Dupont HL; Hertzmark E; Rosado JL; Nanthakumar NN · The Journal of nutrition · 2006
    Randomized trial127 participantsImmunity forVitamin A
  146. Vitamin C and contribution to the normal function of the immune system: evaluation of a health claim pursuant to Article 14 of Regulation (EC) No 1924/2006.
    EFSA Panel on Dietetic Products, Nutrition and Allergies (NDA) · EFSA journal. European Food Safety Authority · 2026
    Guideline / consensusImmunity forVitamin C
  147. Therapeutic effects of high-dose vitamin C supplementation in patients with COVID-19: a meta-analysis.
    Sun L; Zhao JH; Fan WY; Feng B; Liu WW; Chen RQ; Ban C; Dang AG; Wang M; Luo KT; Zhou GY; Yu FF; Ba Y · Nutrition reviews · 2024
    Meta-analysis2,334 participants14 studies pooledImmunity forVitamin C
  148. Effect of micronutrient supplements on influenza and other respiratory tract infections among adults: a systematic review and meta-analysis.
    Abioye AI; Bromage S; Fawzi W · BMJ global health · 2021
    Meta-analysisImmunity forVitamin C
  149. New evidence for antioxidant properties of vitamin C.
    Vojdani A; Bazargan M; Vojdani E; Wright J · Cancer detection and prevention · 2001
    Randomized trial20 participantsImmunity forVitamin C
  150. Enhanced Vitamin C Delivery: A Systematic Literature Review Assessing the Efficacy and Safety of Alternative Supplement Forms in Healthy Adults.
    Calder PC; Kreider RB; McKay DL · Nutrients · 2025
    Systematic review13 studies pooledImmunity forVitamin C
  151. Vitamin D supplementation to prevent acute respiratory infections: individual participant data meta-analysis.
    Martineau AR; Jolliffe DA; Greenberg L; Aloia JF; Bergman P; Dubnov-Raz G; Esposito S; Ganmaa D; Ginde AA; Goodall EC; Grant CC; Janssens W; Jensen ME; Kerley CP; Laaksi I; Manaseki-Holland S; Mauger D; Murdoch DR; Neale R; Rees JR; Simpson S; Stelmach I; Trilok Kumar G; Urashima M; Camargo CA; Griffiths CJ; Hooper RL · Health technology assessment (Winchester, England) · 2020
    Meta-analysis11,321 participants25 studies pooledImmunity forVitamin D
  152. Association Between Vitamin D and Influenza: Meta-Analysis and Systematic Review of Randomized Controlled Trials.
    Zhu Z; Zhu X; Gu L; Zhan Y; Chen L; Li X · Frontiers in nutrition · 2022
    Meta-analysis4,859 participants10 studies pooledImmunity forVitamin D
  153. Vitamin D3 and deconvoluting a rash.
    Ernst MK; Evans ST; Techner JM; Rothbaum RM; Christensen LF; Onay UV; Biyashev D; Demczuk MM; Nguyen CV; Honda KS; McCormick TS; Tsoi LC; Gudjonsson JE; Cooper KD; Lu KQ · JCI insight · 2023
    Randomized trial28 participantsImmunity forVitamin D
  154. Effect of vitamin D3 supplementation on cellular immunity and inflammatory markers in COVID-19 patients admitted to the ICU.
    Bychinin MV; Klypa TV; Mandel IA; Yusubalieva GM; Baklaushev VP; Kolyshkina NA; Troitsky AV · Scientific reports · 2022
    Randomized trial110 participantsImmunity forVitamin D
  155. Current opinion on the role of vitamin D supplementation in respiratory infections and asthma/COPD exacerbations: A need to establish publication guidelines for overcoming the unpublished data.
    Anitua E; Tierno R; Alkhraisat MH · Clinical nutrition (Edinburgh, Scotland) · 2022
    Meta-analysis50,554 participants65 studies pooledImmunity forVitamin D
  156. Nutrient supplementation for prevention of viral respiratory tract infections in healthy subjects: A systematic review and meta-analysis.
    Vlieg-Boerstra B; de Jong N; Meyer R; Agostoni C; De Cosmi V; Grimshaw K; Milani GP; Muraro A; Oude Elberink H; Pali-Schöll I; Roduit C; Sasaki M; Skypala I; Sokolowska M; van Splunter M; Untersmayr E; Venter C; O'Mahony L; Nwaru BI · Allergy · 2022
    Meta-analysis199,055 participants115 studies pooledImmunity forZinc
  157. Zinc supplementation reduces the incidence of acute lower respiratory infections in infants and preschool children: a double-blind, controlled trial.
    Sazawal S; Black RE; Jalla S; Mazumdar S; Sinha A; Bhan MK · Pediatrics · 1998
    Randomized trial609 participantsImmunity forZinc
  158. A randomized controlled trial of zinc supplementation in the treatment of acute respiratory tract infection in Thai children.
    Rerksuppaphol S; Rerksuppaphol L · Pediatric reports · 2020
    Randomized trial64 participantsImmunity forZinc
  159. The effect of zinc and vitamin A supplementation on immune response in an older population.
    Fortes C; Forastiere F; Agabiti N; Fano V; Pacifici R; Virgili F; Piras G; Guidi L; Bartoloni C; Tricerri A; Zuccaro P; Ebrahim S; Perucci CA · Journal of the American Geriatrics Society · 1998
    Randomized trial136 participantsImmunity forZinc
  160. The role of specific nutrients in preventing immune system and blood cell disorders: an umbrella review.
    Vecchietti A; Strano P; Minutolo G; Grieco V; Cappuccio G; Granvillano G; Confalonieri L; Briganti GL; Raso E; Chimienti M; Pellegrini M; Mercogliano M; Spatari G; Lugli C; Urbano T; Lorenzon A · Journal of preventive medicine and hygiene · 2026
    Systematic review13 studies pooledImmunity forZinc