What is a peer-reviewed dietary supplement?

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Last updated: April 18, 2025View editorial policy

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From the Guidelines

Peer-reviewed supplements with strong scientific evidence include omega-3 fatty acids, vitamin D, magnesium, probiotics, and creatine, which can be beneficial for reducing inflammation, supporting heart health, and improving immune function, as supported by recent studies such as 1. When considering supplements, it's essential to look at the most recent and highest quality studies, such as the 2021 UEFA expert group statement on nutrition in elite football, which provides current evidence to inform practical recommendations and guide future research 1. Some key points to consider when selecting supplements include:

  • Omega-3s (1-3g daily) reduce inflammation and support heart health
  • Vitamin D (1000-2000 IU daily) is essential for bone health and immune function, especially for those with limited sun exposure
  • Magnesium (300-400mg daily) supports over 300 enzymatic reactions and helps with muscle function and sleep
  • Specific probiotic strains like Lactobacillus and Bifidobacterium (containing at least 1 billion CFUs) can improve gut health and immunity
  • Creatine monohydrate (3-5g daily) enhances muscle performance and recovery for athletes It's also crucial to consult with a healthcare provider before starting any supplement regimen, especially if you have existing health conditions or take medications, as supplements can interact with medications and may not be appropriate for everyone, as noted in studies such as 1, 1, 1, 1, and 1. Additionally, when selecting supplements, look for third-party testing certifications like USP, NSF, or Informed Choice to ensure quality and purity, as these certifications verify that supplements contain what they claim and are free from contaminants. Overall, while supplements can be beneficial, it's essential to approach their use with caution and prioritize a balanced diet and healthy lifestyle, as supported by the 2010 Dietary Guidelines for Americans, which suggest that nutrients come primarily from foods and provide guidance on how to consume a nutrient-rich diet 1.

From the Research

Peer-Reviewed Supplements

  • The use of vitamin and mineral supplements in the primary prevention of cardiovascular disease and cancer has been studied, with limited evidence supporting any benefit 2.
  • A large-scale ancillary study of the VITamin D and OmegA-3 triaL (VITAL) found that dietary supplementation with vitamin D and omega-3 fatty acids did not result in a lower prevalence or severity of pain in middle-aged and older U.S. adults 3.
  • A scoping review of dietary supplements found that taking vitamin and mineral supplements by healthy people neither lowers their risk of cardiovascular diseases nor prevents the development of malignancies, and that omega-3 fatty acids may lower blood triglycerides but their effect on heart disease is less clear-cut 4.
  • A randomized intervention trial found that omega-3 fatty acid supplementation had prebiotic effects, altering gut microbiome composition and potentially mediating some of its cardiovascular effects 5.
  • A randomized controlled trial found that vitamin D supplementation reduced autoimmune disease by 22%, while omega-3 fatty acid supplementation reduced the autoimmune disease rate by 15% (not statistically significant) 6.

Key Findings

  • Vitamin and mineral supplements have limited evidence supporting their use in primary prevention of cardiovascular disease and cancer 2.
  • Omega-3 fatty acid supplementation has prebiotic effects and may mediate some of its cardiovascular effects through its impact on gut microbiome composition 5.
  • Vitamin D supplementation may reduce autoimmune disease risk, while omega-3 fatty acid supplementation may have a smaller, non-statistically significant effect 6.

Supplement Use

  • Dietary supplements should only be used in cases of nutrient deficiency, and their use should be recommended and monitored by a physician 4.
  • The use of supplements should be approached with caution, as some may be adulterated with banned substances and pose health risks 4.

Professional Medical Disclaimer

This information is intended for healthcare professionals. Any medical decision-making should rely on clinical judgment and independently verified information. The content provided herein does not replace professional discretion and should be considered supplementary to established clinical guidelines. Healthcare providers should verify all information against primary literature and current practice standards before application in patient care. Dr.Oracle assumes no liability for clinical decisions based on this content.

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