What supplements should I take? A method, not a stack.
The wellness wave sells stacks without measuring you. Here is how to pick the few supplements with evidence for your goal, and test them on your own data.
Quick answer
The supplements you should take are the few with strong evidence for your one goal, started one at a time: omega-3 for resting heart rate (about 2 bpm lower), saffron for sleep quality (2.14 points better), lavender oil for stress (anxiety 2.8 points lower), creatine for strength (3–5 g a day). Test before iron, vitamin D or B12.
Key takeaways
- A grade measures how solid the research is, not how big the effect is: MelatoninStrong is well studied and speeds sleep onset by only about 7 minutes.
- Take ironStrong only after a ferritin test, never blind, and check your medication before starting anything new.
- Measure one supplement at a time against your band (your normal range): Omega-3 (EPA+DHA)Strong lowers resting heart rate about 2.2 bpm, enough for a wearable to show.
In this guide
- How do I choose the right supplements?
- Which supplement is best for your goal?
- Which supplements have the best evidence?
- What do evidence grades mean?
- Which supplements need a blood test first?
- Which supplements interact with medication?
- How do you buy a supplement you can trust?
- What we left out and why
- How do you know if a supplement is working?
- Frequently asked questions
- References
How do I choose the right supplements?
Choose supplements the way you would run a fair test: one goal, the best evidence for it, a blood test where one applies, a safety check, then one supplement at a time. Many people need fewer supplements than the wellness wave suggests, and some need none. Five steps find the few that fit you.
- 01Name one goal. Sleep, stress, energy or training. One goal means one metric to watch, and that is what makes a result readable.
- 02Choose by evidence grade. Start with Strong or Moderate picks; leave Emerging for later and read Caution as a reason to skip.
- 03Test before ironStrong, vitamin DModerate or B12Moderate. All three help only if you are low, and extra iron can harm you.
- 04Check interactions and safety. Blood thinners, thyroid medication, SSRIs, blood-pressure medication, sedatives, immunosuppressants, pregnancy and kidney disease all narrow your options.
- 05Start one at a time and measure. Umbral compares a 21-day trial, logged with a one-tap weekly check-in, against the 14-day baseline your wearable already holds. The verdict reads as association, not causation.
Which supplement is best for your goal?
The best supplement for you is the one with the strongest evidence for your single goal: saffronStrong or AshwagandhaStrong for sleep, Lavender oil (Silexan)Strong for stress, Creatine monohydrateStrong for strength and Beetroot nitrateStrong for endurance. Tiredness starts with a blood test, not a pill. The linked guides go deeper on each goal.
| Goal | Start with | Evidence | Guide |
|---|---|---|---|
| Sleep | Saffron, ashwagandha, Tart cherryModerate | Sleep quality 2.14 points better across 8 trials | Sleep guide |
| Stress | Lavender oil, L-theanineModerate | Anxiety 2.8 points lower than placebo | Stress guide |
| Tiredness | IronStrong after a ferritin test; Panax ginsengModerate | Iron: tiredness down 48% vs 29% on placebo when ferritin was low | Energy guide |
| Strength | Creatine, Whey proteinStrong | Whey: +5.5 lb (2.49 kg) on your best lift | Training guide |
| Endurance | Beetroot nitrate, CaffeineStrong, Beta-alanineStrong | Beetroot: time trials 1–3% faster | Training guide |
| Workout recovery | CurcuminStrong, whey protein | Curcumin: soreness 0.56 lower on a 0–10 scale | Training guide |
| Resting heart rate and HRV | Omega-3 (EPA+DHA)Strong, TaurineModerate | Omega-3: 2.2 bpm lower across 51 trials | — |
| Cold season | Zinc lozengesModerate within 24 h of symptoms, vitamin CModerate daily, probioticsModerate | Zinc: colds about 2.4 days shorter, low certainty | — |
| Premenstrual symptoms | CalciumModerate, Vitex (chasteberry)Moderate, Magnesium + B6Moderate | Calcium: symptoms down 48% vs 30% on placebo | — |
Which supplements have the best evidence?
Six supplements pair a Strong grade with an everyday goal: Omega-3 (EPA+DHA)Strong, AshwagandhaStrong, saffronStrong, Beetroot nitrateStrong, Creatine monohydrateStrong and Lavender oil (Silexan)Strong. They are ranked by grade, then by whether a wearable can see the effect. Strong means the research is solid; the effects themselves are still modest.
| Supplement · Evidence | Best for | What studies found | Typical dose | On your wearable |
|---|---|---|---|---|
| Omega-3 (EPA+DHA) Strong | Resting heart rate and HRV | Resting heart rate about 2.2 bpm lower across 51 trials. | 1–3 g/day EPA+DHA | Likely visible |
| Ashwagandha Strong | Stress-linked poor sleep | Cortisol 27.9% lower after 60 days at 600 mg. | 600 mg/day | Likely visible |
| Saffron (Crocus sativus extract) Strong | Sleep quality, especially with low mood | Sleep-quality score 2.14 points better than placebo across 8 trials. | 28–30 mg/day standardized extract | Likely visible |
| Beetroot nitrate Strong | Same pace at a lower heart rate | Time trials 1–3% faster; feeds your wearable's VO₂ max estimate. | 6–13 mmol nitrate | Likely visible |
| Creatine monohydrate Strong | Strength, power and short-sleep days | Best-studied performance supplement; one dose eased thinking deficits after 21 h awake. | 3–5 g/day | Below wearable noise |
| Lavender oil (Silexan) Strong | Anxious, restless evenings | Anxiety scale 2.8 points lower than placebo at 80 mg over 10 weeks. | 80 mg/day | Below wearable noise |
Omega-3 (EPA+DHA)
StrongDHA-forward fish or algal oil
Suits almost anyone who wants a number to watch. The drop is driven by DHA and takes 4–12 weeks, and it is one of the few supplement effects steady enough to show in your own resting-heart-rate trend.
- Dose
- 1–3 g/day EPA+DHA
- Timing
- With a fat-containing meal; 4–12 weeks to effect
- · Mild bleeding-time increase — caution with anticoagulants; stop 2 weeks pre-surgery.
- · Atrial fibrillation signal at ≥4 g/day — stay ≤3 g.
Ashwagandha
StrongRoot extract (KSM-66 / Shoden)
Suits stress-linked poor sleep, not people who already sleep well. Benefits build over 8 weeks or more; fewer night wakings and higher overnight HRV are changes a wearable can plausibly show.
- Dose
- 600 mg/day (or 300 mg ×2)
- Timing
- Evening; benefits build over 8+ weeks. Cycle 8–12 weeks.
- · Rare liver-injury case reports (NIH LiverTox) — stop on dark urine/jaundice.
- · Raises thyroid hormones — avoid with hyperthyroidism or levothyroxine.
- · Avoid in pregnancy and autoimmune disease.
What do evidence grades mean?
An evidence grade tells you how much research stands behind a supplement, not how large its effect is. Umbral uses three grades (Strong, Moderate and Emerging) and one flag, Caution, for a safety or interaction concern that outweighs the benefit. One real example of each:
- Strong · multiple randomized trials or meta-analyses. MelatoninStrong: 19 trials agree on about 7 minutes faster sleep onset. Strong evidence, small effect.
- Moderate · some trials, limited replication. MagnesiumModerate: about 17 minutes faster sleep onset, from 3 small trials in older adults with insomnia.
- Emerging · preliminary or mechanistic. PhosphatidylserineEmerging: exercise cortisol about 35% lower in one study of 10 people.
- Caution · interaction or safety flag. EchinaceaCaution: a modest effect at best, against documented allergic reactions including anaphylaxis.
Which supplements need a blood test first?
Three supplements need a blood test first: ironStrong, vitamin DModerate and vitamin B12Moderate. Each helps when you are actually low, does little or nothing when you are not, and iron can do harm. If you are asking which vitamins you should take, start here.
| Supplement | Test | Why test first | Who should ask |
|---|---|---|---|
| Iron | Ferritin + CBC | In women with ferritin under 50 µg/L, tiredness fell 48% vs 29% on placebo. Hemochromatosis affects about 1 in 250 people; excess iron is pro-oxidant. | Menstruating women, endurance athletes, vegetarians |
| Vitamin D | 25(OH)D | Helps tiredness and weakness only if you are deficient. Chronic high doses raise blood calcium; interacts with thiazide diuretics. Retest in 3 months. | Little sun, darker skin at high latitude |
| Vitamin B12 | Serum B12 (± MMA) | No effect on tiredness or thinking when levels are normal. | Vegans, adults over 50, metformin or PPI users |
Which supplements interact with medication?
Twenty-five supplements in Umbral's catalog carry a flag for a medication class or a life stage: blood thinners, thyroid medication, SSRIs, blood-pressure medication, sedatives, immunosuppressants, pregnancy and kidney disease. Find your row in the table below before you start anything new.
Specifics: omega-3 slightly lengthens bleeding time, CoQ10 may weaken warfarin, ashwagandha raises thyroid hormones and melatonin also interacts with contraceptives. This is not a full interaction check: talk to a clinician before starting.
How do you buy a supplement you can trust?
Buy the form the trials tested, from a brand that proves what is in the bottle. Labels are not always accurate and some categories carry documented contamination, so third-party testing and a certificate of analysis matter more than price or packaging. Five cases from the catalog:
- MelatoninStrong: measured content ran from 83% below to 478% above the label. Choose third-party-tested, USP-verified products.
- Whey proteinStrong: look for Informed Sport or NSF certification.
- CordycepsEmerging: wild Cordyceps sinensis is often adulterated, with documented lead and arsenic. Buy cultivated C. militaris or Cs-4, never a mushroom blend.
- Citrulline malateModerate: check the 2:1 ratio on the certificate of analysis; many products deliver 1.1:1, about half the labeled citrulline.
- Cocoa flavanolsModerate: cocoa can carry cadmium, so prefer brands with third-party heavy-metal testing.
What we left out and why
Some popular supplements are not in Umbral's recommendations, and two more carry a Caution flag. If the evidence is thin or the risk is real, it does not belong on your shelf.
- Kava: reports of liver toxicity; banned or under warnings in several countries.
- Valerian: people rated their sleep better, but actigraphy showed no objective change.
- Oral GABA: doubtful that it crosses the blood–brain barrier; low-quality evidence.
- EchinaceaCaution: nothing measurable once you are sick, and anaphylaxis and acute asthma are documented.
- Vitamin B6 (pyridoxine)Caution: the doses that eased premenstrual symptoms (50–600 mg/day) sit above EFSA's 12 mg/day upper limit, and high doses over time can damage nerves.
How do you know if a supplement is working?
A supplement is working for you when your own metric shifts while you take it and moves beyond its usual night-to-night swing. That needs an effect big enough for a wearable to see, so check the tier first: visible, real but hidden, or out of reach.
- Visible (tier A): Omega-3 (EPA+DHA)Strong lowers resting heart rate about 2.2 bpm over 8–12 weeks; Tart cherryModerate added about 34 minutes of sleep a night in a one-week trial; Beetroot nitrateStrong feeds VO₂ max estimates.
- Real but hidden (tier B): MelatoninStrong speeds sleep onset by about 7 minutes, while sleep onset swings about 20 minutes night to night. Creatine monohydrateStrong and MagnesiumModerate sit here too.
- Out of reach (tier C): daily vitamin CModerate shortens colds about 8%, which no wearable metric tracks.
Umbral keeps the test fair: a 14-day baseline your wearable already recorded, one supplement for 21 days with a one-tap weekly check-in, and a verdict after at least 7 nights on each side, read as association, not causation. Connect the wearable you already own, start one supplement, and measure it against your own band.
Frequently asked questions
How many supplements should I take at once?
One new supplement at a time. If you start two together and your sleep or resting heart rate changes, you cannot tell which one did it, or whether either did. Run one for 21 days against your baseline, read the verdict, then add the next.
Do I need a blood test before taking supplements?
Only for some. Iron needs a ferritin test with a complete blood count first, never blind, because hemochromatosis affects about 1 in 250 people. Vitamin D needs a 25(OH)D test and B12 a serum B12 test, since both help only when you are low.
How long does it take for a supplement to work?
It depends on the supplement. Caffeine is taken about 60 minutes before exercise. Omega-3 needs 4 to 12 weeks, ashwagandha 8 weeks or more, and vitex three menstrual cycles. Know the timing so you neither quit a slow supplement early nor credit a fast one for noise.
Is it safe to take supplements with medication?
Not always. Omega-3, saffron and CoQ10 are flagged with blood thinners, ashwagandha with thyroid medication, saffron and rhodiola with SSRIs, and beetroot nitrate and L-theanine with blood-pressure medication. Talk to a clinician before starting anything if you take medication, are pregnant or manage a condition.
Should I take supplements in the morning or at night?
Follow the supplement, not a rule. Rhodiola is mildly stimulating, so take it in the morning; Panax ginseng never in the evening, since insomnia is a documented side effect. Glycine goes 30 to 60 minutes before bed, magnesium 1 to 2 hours before. Creatine works at any hour.
Which supplements can a wearable actually measure?
Only those with effects bigger than your night-to-night noise. Omega-3 lowers resting heart rate about 2.2 bpm over 8 to 12 weeks, which a wearable trend can show; tart cherry and beetroot nitrate are also visible. Melatonin's 7 minutes faster sleep onset is real but hidden in nightly variation.
Find out which of these move your numbers.
A guide can rank the evidence; only your own data can say what works for you. Umbral learns your band (your normal range) for sleep, HRV and recovery, recommends the supplements with evidence for what it sees, and measures each one against you. Results read as association, not causation.
Just connect the wearable you already own: WHOOP, Oura, Garmin, Fitbit and more. Nothing new to buy, no blood draw to start.
References
Every number in this guide comes from these studies: the same evidence catalogue that grades recommendations inside Umbral.
Omega-3 (EPA+DHA)
- Effect of omega-3 long-chain polyunsaturated fatty acid supplementation on heart rate: a meta-analysis of randomized controlled trialsEuropean Journal of Clinical Nutrition · 2018 · meta-analysis · 51 trials · n = 3,000
- Short-term effects of fish-oil supplementation on heart rate variability in humans: a meta-analysis of randomized controlled trialsAmerican Journal of Clinical Nutrition · 2013 · meta-analysis · 15 trials
- Omega-3 polyunsaturated fatty acids intake and blood pressure: a dose-response meta-analysis of randomized controlled trialsJournal of the American Heart Association · 2022 · meta-analysis · 71 trials · n = 4,973
Ashwagandha
- Effect of Ashwagandha (Withania somnifera) extract on sleep: A systematic review and meta-analysisPLOS ONE · 2021 · meta-analysis · 5 trials · n = 400
- A prospective, randomized double-blind, placebo-controlled study of safety and efficacy of a high-concentration full-spectrum extract of Ashwagandha root in reducing stress and anxiety in adultsIndian Journal of Psychological Medicine · 2012 · rct · n = 64
- Does Ashwagandha supplementation have a beneficial effect on the management of anxiety and stress? A systematic review and meta-analysis of randomized controlled trialsPhytotherapy Research · 2022 · meta-analysis · 12 trials
- Ashwagandha — LiverTox: Clinical and Research Information on Drug-Induced Liver InjuryNIH / NCBI Bookshelf · 2019 · case reports
Saffron (Crocus sativus extract)
- Effects of saffron supplementation on improving sleep quality: a meta-analysis of randomized controlled trialsSleep Medicine · 2022 · meta-analysis · 8 trials · n = 611
- A standardised saffron extract improves subjective and objective sleep quality in healthy older adults with sleep complaints: results from the gut-sleep-brain axis randomised, double-blind, placebo-controlled pilot studyFood & Function · 2025 · pilot · n = 52
- An investigation into an evening intake of a saffron extract (affron®) on sleep quality, cortisol, and melatonin concentrations in adults with poor sleep: a randomised, double-blind, placebo-controlled, multi-dose studySleep Medicine · 2021 · rct · n = 120
- Effect of a saffron extract on sleep quality in adults with moderate insomnia: a decentralized, randomized, double-blind, placebo-controlled trialmedRxiv / Current Research in Food Science · 2025 · rct · n = 158
- Effect of saffron supplementation on symptoms of depression and anxiety: a systematic review and meta-analysisNutrition Reviews · 2019 · meta-analysis · 23 trials
Beetroot nitrate
- Effects of dietary nitrate supplementation on exercise performance and blood pressure: an umbrella review of meta-analysesPMC (open access) · 2025 · systematic review
- Beetroot juice and exercise: pharmacodynamic and dose-response relationshipsJournal of Applied Physiology · 2013 · crossover · n = 10
Creatine monohydrate
- Single dose creatine improves cognitive performance and induces changes in cerebral high energy phosphates during sleep deprivationScientific Reports · 2024 · crossover · n = 15
- International Society of Sports Nutrition position stand: safety and efficacy of creatine supplementationJournal of the ISSN · 2017 · systematic review
Lavender oil (Silexan)
- Lavender oil preparation Silexan is effective in generalized anxiety disorder – a randomized, double-blind comparison to placebo and paroxetineInternational Journal of Neuropsychopharmacology · 2014 · rct · n = 539
- Efficacy and safety of lavender essential oil (Silexan) capsules among patients suffering from anxiety disorders: a network meta-analysisScientific Reports · 2019 · meta-analysis · 5 trials · n = 645
- Efficacy of orally administered Silexan in patients with anxiety-related restlessness and disturbed sleep – a randomized, placebo-controlled trialEuropean Neuropsychopharmacology · 2015 · rct · n = 170
- Beneficial effects of Silexan on sleep are mediated by its anxiolytic effectJournal of Psychiatric Research · 2019 · rct · n = 212
- Silexan in anxiety, depression, and related disorders: pharmacological background and clinical dataEuropean Archives of Psychiatry and Clinical Neuroscience · 2025 · systematic review · 7 trials
Tart cherry
- Effect of tart cherry juice (Prunus cerasus) on melatonin levels and enhanced sleep qualityEuropean Journal of Nutrition · 2012 · crossover · n = 20
- Pilot study of the tart cherry juice for the treatment of insomnia and investigation of mechanismsAmerican Journal of Therapeutics · 2018 · pilot · n = 8
L-theanine
- Effects of L-theanine administration on stress-related symptoms and cognitive functions in healthy adults: a randomized controlled trialNutrients · 2019 · rct · n = 30
- The effects of green tea amino acid L-theanine consumption on the ability to manage stress and anxiety levels: a systematic reviewPlant Foods for Human Nutrition · 2019 · systematic review
Iron (ferritin-gated)
- Effect of iron supplementation on fatigue in nonanemic menstruating women with low ferritin: a randomized controlled trialCMAJ · 2012 · rct · n = 198
- Iron supplementation for unexplained fatigue in non-anaemic women: double blind randomised placebo controlled trialBMJ · 2003 · rct · n = 144
- Iron absorption from oral iron supplements given on consecutive versus alternate daysThe Lancet Haematology · 2017 · crossover · n = 40
Vitamin D (test-gated)
- Vitamin D supplementation to prevent acute respiratory infections: systematic review and meta-analysis of stratified aggregate dataThe Lancet Diabetes & Endocrinology · 2024 · meta-analysis · 40 trials · n = 61,589
- Effect of vitamin D supplementation on muscle strength in athletes: a meta-analysisFrontiers in Nutrition · 2023 · meta-analysis
Vitamin B12 (test-gated)
- Effects of vitamin B12 supplementation on cognitive function, depressive symptoms, and fatigue: a systematic review, meta-analysis, and meta-regressionNutrients · 2021 · meta-analysis
- Vitamin B12 — Fact Sheet for Health ProfessionalsNIH Office of Dietary Supplements · 2024 · systematic review
Panax ginseng
- Ginseng and ginseng herbal formulas for symptomatic management of fatigue: a systematic review and meta-analysisJournal of Integrative and Complementary Medicine · 2023 · meta-analysis · 19 trials
- Antifatigue effects of Panax ginseng C.A. Meyer: a randomised, double-blind, placebo-controlled trialPLOS ONE · 2013 · rct · n = 90
- Efficacy of Korean red ginseng (Panax ginseng) for middle-aged and moderate level of chronic fatigue patients: a randomized, double-blind, placebo-controlled trialComplementary Therapies in Medicine · 2020 · rct · n = 50
- Effect of Korean Red Ginseng in individuals exposed to high stress levels: a 6-week, double-blind, randomized, placebo-controlled trialJournal of Ginseng Research · 2019 · rct · n = 63
- The effects of Korean Red Ginseng on stress-related neurotransmitters and gene expression: a randomized, double-blind, placebo-controlled trialJournal of Ginseng Research · 2023 · rct · n = 90
Whey protein
- A systematic review, meta-analysis and meta-regression of the effect of protein supplementation on resistance training-induced gains in muscle mass and strength in healthy adultsBritish Journal of Sports Medicine · 2018 · meta-analysis · 49 trials · n = 1,863
- The Effect of Whey Protein Supplementation on the Temporal Recovery of Muscle Function Following Resistance Training: A Systematic Review and Meta-AnalysisNutrients · 2018 · meta-analysis · 13 trials · n = 152
- International Society of Sports Nutrition Position Stand: protein and exerciseJournal of the International Society of Sports Nutrition · 2017 · systematic review
Caffeine
- Wake up and smell the coffee: caffeine supplementation and exercise performance—an umbrella review of 21 published meta-analysesBritish Journal of Sports Medicine · 2020 · systematic review · 21 trials
- The effect of caffeine on subsequent sleep: A systematic review and meta-analysisSleep Medicine Reviews · 2023 · meta-analysis · 24 trials · n = 340
- International society of sports nutrition position stand: caffeine and exercise performanceJournal of the International Society of Sports Nutrition · 2021 · systematic review
- Caffeine intake and its influences on heart rate variability recovery in healthy active adults after exercise: A systematic review and meta-analysisNutrition, Metabolism and Cardiovascular Diseases · 2022 · meta-analysis · 12 trials
- Caffeine affects autonomic control of heart rate and blood pressure recovery after aerobic exercise in young adults: a crossover studyScientific Reports · 2017 · crossover · 1 trials · n = 32
Beta-alanine
- β-alanine supplementation to improve exercise capacity and performance: a systematic review and meta-analysisBritish Journal of Sports Medicine · 2017 · meta-analysis · 40 trials · n = 1,461
- Effects of β-alanine supplementation on exercise performance: a meta-analysisAmino Acids · 2012 · meta-analysis · 15 trials · n = 360
- International society of sports nutrition position stand: Beta-AlanineJournal of the International Society of Sports Nutrition · 2015 · systematic review
Curcumin
- The effect of curcumin supplementation on delayed-onset muscle soreness, inflammation, muscle strength, and joint flexibility: A systematic review and dose–response meta-analysis of randomized controlled trialsPhytotherapy Research · 2022 · meta-analysis · 10 trials
- Meta-analysis of the effect of curcumin supplementation on skeletal muscle damage statusPLOS ONE · 2024 · meta-analysis · 14 trials · n = 349
- Influence of piperine on the pharmacokinetics of curcumin in animals and human volunteersPlanta Medica · 1998 · crossover · 1 trials · n = 10
- Liver Injury Associated with Turmeric—A Growing Problem: Ten Cases from the Drug-Induced Liver Injury Network [DILIN]The American Journal of Medicine · 2023 · case reports · n = 10
Taurine
- The Effects of an Oral Taurine Dose and Supplementation Period on Endurance Exercise Performance in Humans: A Meta-AnalysisSports Medicine · 2018 · meta-analysis · 10 trials
- Insights into the cardiovascular benefits of taurine: a systematic review and meta-analysisNutrition Journal · 2024 · meta-analysis · 20 trials · n = 808
- Dose-response relationship of taurine on endurance cycling performance under hot and humid conditionsFrontiers in Nutrition · 2025 · crossover · 1 trials · n = 16
Zinc lozenges
- Zinc for prevention and treatment of the common coldCochrane Database of Systematic Reviews · 2024 · systematic review · 34 trials · n = 8,526
Vitamin C (regular use)
- Vitamin C for preventing and treating the common coldCochrane Database of Systematic Reviews · 2013 · systematic review · 29 trials · n = 11,306
Probiotics (URTI strains)
- Probiotics for preventing acute upper respiratory tract infectionsCochrane Database of Systematic Reviews · 2022 · rct · 23 trials · n = 6,950
- Effectiveness of probiotics on the duration of illness in healthy children and adults who develop common acute respiratory infectious conditions: a systematic review and meta-analysisBritish Journal of Nutrition · 2014 · rct · 20 trials
- Effects of Lactobacillus casei Shirota ingestion on common cold infection and herpes virus antibodies in endurance athletes: a placebo-controlled, randomized trialEuropean Journal of Applied Physiology · 2016 · rct · 1 trials · n = 243
Calcium
- Calcium carbonate and the premenstrual syndrome: Effects on premenstrual and menstrual symptomsAmerican Journal of Obstetrics & Gynecology · 1998 · rct · 1 trials · n = 466
- Effect of calcium on premenstrual syndrome: A double-blind randomized clinical trialObstetrics & Gynecology Science · 2017 · rct · 1 trials · n = 64
- Effect of nutritional interventions on the psychological symptoms of premenstrual syndrome in women of reproductive age: a systematic review of randomized controlled trialsNutrition Reviews · 2024 · rct · 31 trials
- The Effect of Calcium on Premenstrual Syndrome: A Meta-Analysis StudyJournal of Clinical Medicine of Kazakhstan · 2025 · rct · 6 trials
Vitex (chasteberry)
- Vitex agnus-castus in premenstrual syndrome: A meta-analysis of double-blind randomised controlled trialsComplementary Therapies in Medicine · 2019 · rct · 3 trials · n = 520
- Vitex agnus castus for premenstrual syndrome and premenstrual dysphoric disorder: a systematic reviewArchives of Women's Mental Health · 2017 · rct · 8 trials
- Treatment for the premenstrual syndrome with agnus castus fruit extract: prospective, randomised, placebo controlled studyBMJ · 2001 · rct · 1 trials · n = 178
Magnesium + B6
- Evaluating the effect of magnesium and magnesium plus vitamin B6 supplement on the severity of premenstrual syndromeIranian Journal of Nursing and Midwifery Research · 2010 · rct · n = 150
- Efficacy of vitamin B-6 in the treatment of premenstrual syndrome: systematic reviewBMJ · 1999 · systematic review · 9 trials · n = 940
Melatonin
- Meta-analysis: melatonin for the treatment of primary sleep disordersPLOS ONE · 2013 · meta-analysis · 19 trials · n = 1,683
- Melatonin natural health products and supplements: presence of serotonin and significant variability of melatonin contentJournal of Clinical Sleep Medicine · 2017 · cohort · n = 31
Magnesium
- Oral magnesium supplementation for insomnia in older adults: a systematic review & meta-analysisBMC Complementary Medicine and Therapies · 2021 · meta-analysis · 3 trials · n = 151
- The role of magnesium in sleep health: a systematic reviewSleep Medicine Reviews (review) · 2022 · systematic review
Phosphatidylserine
- Blunting by chronic phosphatidylserine administration of the stress-induced activation of the hypothalamo-pituitary-adrenal axis in healthy menEuropean Journal of Clinical Pharmacology · 1992 · crossover · n = 9
- The effects of phosphatidylserine on endocrine response to moderate intensity exerciseJournal of the International Society of Sports Nutrition · 2008 · crossover · n = 10
- A soy-based phosphatidylserine/phosphatidic acid complex (PAS) normalizes the stress reactivity of hypothalamus-pituitary-adrenal-axis in chronically stressed male subjects: a randomized, placebo-controlled studyLipids in Health and Disease · 2014 · rct · n = 72
- Effects of soy lecithin phosphatidic acid and phosphatidylserine complex (PAS) on the endocrine and psychological responses to mental stressStress · 2004 · rct · n = 80
Echinacea
- Echinacea for preventing and treating the common coldCochrane Database of Systematic Reviews · 2014 · rct · 24 trials · n = 4,631
- Echinacea for the prevention and treatment of upper respiratory tract infections: A systematic review and meta-analysisComplementary Therapies in Medicine · 2019 · rct · 29 trials
- Adverse reactions associated with echinacea: the Australian experienceAnnals of Allergy, Asthma & Immunology · 2002 · rct · n = 51
Vitamin B6 (pyridoxine)
- Efficacy of vitamin B-6 in the treatment of premenstrual syndrome: systematic reviewBMJ · 1999 · rct · 9 trials · n = 940
- Scientific opinion on the tolerable upper intake level for vitamin B6EFSA Journal · 2023 · rct
CoQ10 / ubiquinol
- Effectiveness of coenzyme Q10 supplementation for reducing fatigue: a systematic review and meta-analysis of randomized controlled trialsFrontiers in Pharmacology · 2022 · meta-analysis · 13 trials
- Effects of coenzyme Q10 supplementation on blood pressure in patients with cardiometabolic disorders: GRADE-assessed systematic review and meta-analysisAdvances in Nutrition · 2023 · meta-analysis
Apigenin (chamomile-derived)
- Effects of chamomile (Matricaria chamomilla L.) on sleep: a systematic review and meta-analysis of clinical trialsComplementary Therapies in Medicine · 2024 · meta-analysis · 5 trials · n = 772
- Therapeutic efficacy and safety of chamomile for state anxiety, generalized anxiety disorder, insomnia, and sleep quality: a systematic review and meta-analysis of randomized trials and quasi-randomized trialsPhytotherapy Research · 2019 · meta-analysis · 12 trials
- Preliminary examination of the efficacy and safety of a standardized chamomile extract for chronic primary insomnia: a randomized placebo-controlled pilot studyBMC Complementary and Alternative Medicine · 2011 · pilot · n = 34
L-carnitine
- Effects of L-carnitine supplementation on markers of exercise-induced muscle damage in healthy adults: A systematic review and meta-analysis of randomized controlled trialsAdvanced Exercise and Health Science · 2025 · meta-analysis · 14 trials · n = 284
- L-Carnitine Tartrate Supplementation for 5 Weeks Improves Exercise Recovery in Men and Women: A Randomized, Double-Blind, Placebo-Controlled TrialNutrients · 2021 · rct · 1 trials · n = 80
- L-Carnitine treatment reduces severity of physical and mental fatigue and increases cognitive functions in centenarians: a randomized and controlled clinical trialThe American Journal of Clinical Nutrition · 2007 · rct · 1 trials · n = 66
- Intestinal microbiota metabolism of L-carnitine, a nutrient in red meat, promotes atherosclerosisNature Medicine · 2013 · cohort · 1 trials · n = 2,595
Rhodiola rosea
- Rhodiola rosea for physical and mental fatigue: a systematic reviewBMC Complementary and Alternative Medicine · 2012 · systematic review
Citrulline malate
- Acute Effect of Citrulline Malate on Repetition Performance During Strength Training: A Systematic Review and Meta-AnalysisInternational Journal of Sport Nutrition and Exercise Metabolism · 2021 · meta-analysis · 8 trials · n = 137
- Effects of Citrulline Malate Supplementation on Exercise Performance: A Systematic Review and Three-Level Meta-AnalysisNutrients · 2026 · meta-analysis · 30 trials · n = 644
- A critical review of citrulline malate supplementation and exercise performanceEuropean Journal of Applied Physiology · 2021 · systematic review
Lemon balm (Melissa officinalis)
- The effects of lemon balm (Melissa officinalis L.) on depression and anxiety in clinical trials: a systematic review and meta-analysisPhytotherapy Research · 2021 · meta-analysis
- The possible 'calming effect' of subchronic supplementation of a standardised phospholipid carrier-based Melissa officinalis L. extract in healthy adults with emotional distress and poor sleep conditionsFrontiers in Pharmacology · 2023 · rct · n = 100
- Effects of herbal combination (Melissa officinalis L. and Nepeta menthoides Boiss. & Buhse) on insomnia severity, anxiety and depression in insomniacs: randomized placebo controlled trialIntegrative Medicine Research · 2018 · rct · n = 45
- Pilot trial of Melissa officinalis L. leaf extract in the treatment of volunteers suffering from mild-to-moderate anxiety disorders and sleep disturbancesMediterranean Journal of Nutrition and Metabolism · 2011 · pilot · n = 20
Sodium bicarbonate
- International Society of Sports Nutrition position stand: sodium bicarbonate and exercise performanceJournal of the International Society of Sports Nutrition · 2021 · systematic review
- Effects of Sodium Bicarbonate Supplementation on Muscular Strength and Endurance: A Systematic Review and Meta-analysisSports Medicine · 2020 · meta-analysis · 24 trials
- Effects of acute or short-term oral sodium bicarbonate supplementation on high-intensity intermittent exercise performance and physiological responses in team-sport athletes: a systematic review and meta-analysisFrontiers in Nutrition · 2026 · meta-analysis · 20 trials · n = 241
Quercetin
- Quercetin supplementation and upper respiratory tract infection: A randomized community clinical trialPharmacological Research · 2010 · rct · 1 trials · n = 1,002
- Effect of Flavonoids on Upper Respiratory Tract Infections and Immune Function: A Systematic Review and Meta-AnalysisAdvances in Nutrition · 2016 · meta-analysis · 14 trials · n = 531
- Quercetin and endurance exercise capacity: a systematic review and meta-analysisMedicine & Science in Sports & Exercise · 2011 · meta-analysis · 11 trials
- Quercetin reduces illness but not immune perturbations after intensive exerciseMedicine & Science in Sports & Exercise · 2007 · rct · 1 trials
Cordyceps
- Effect of Cs-4 (Cordyceps sinensis) on Exercise Performance in Healthy Older Subjects: A Double-Blind, Placebo-Controlled TrialThe Journal of Alternative and Complementary Medicine · 2010 · rct · 1 trials · n = 20
- Current Evidence of Ergogenic and Post-Exercise Recovery Effects of Dietary Supplementation with Cordyceps militaris in Humans — A Narrative ReviewNutrients · 2026 · systematic review · 5 trials · n = 321
- Acute Cordyceps militaris supplementation and elevated resting oxygen uptake with faster reaction times: A randomized crossover trialPLOS ONE · 2026 · crossover · 1 trials · n = 12
Cocoa flavanols
- Dose-response relationship between cocoa flavanols and human endothelial function: a systematic review and meta-analysis of randomized trialsFood & Function · 2019 · meta-analysis · 15 trials · n = 730
- Effect of cocoa flavanol supplementation for the prevention of cardiovascular disease events: the COcoa Supplement and Multivitamin Outcomes Study (COSMOS) randomized clinical trialThe American Journal of Clinical Nutrition · 2022 · rct · 1 trials · n = 21,442
- Effect of cocoa on blood pressureCochrane Database of Systematic Reviews · 2017 · meta-analysis · 35 trials · n = 1,804
Glycine
- Glycine ingestion improves subjective sleep quality in human volunteers, correlating with polysomnographic changesSleep and Biological Rhythms · 2007 · crossover · n = 11
- The effects of glycine on subjective daytime performance in partially sleep-restricted healthy volunteersFrontiers in Neurology · 2012 · crossover · n = 8
Umbral is a wellness product, not a medical device. It does not diagnose, treat, cure or prevent any disease. Supplement information is educational; talk to a clinician before starting anything, especially if you are pregnant, under 18, managing a condition or taking medication. These statements have not been evaluated by the Food and Drug Administration.
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