About 10% of US women of reproductive age
are iron deficient.
Peer-reviewed analysisDHA is the lead active here, studied most for nutrition while breastfeeding. Vitamin D3 is the most studied active here, with 17 human studies behind it, each one cited. Each serving carries 200 mg of DHA, inside the range the published research used. Who it fits: made for women, adults.
Verified by IngredientMDThe panel on the left is the one we evaluated, line by line.
All 7 actives checked against the clinical evidence: dose, form, and what the research actually shows.
Doses, ratios, and how the ingredients work together. That assessment is the verdict above: "Stronger in a pair".
The verdict is public and identical whether or not a brand pays. A formula that does not clear the bar gets nothing.
Read by the engine against 2.1 million data points from clinical trials, PubMed and more than a hundred vetted sources. No individual reviewer is named or implied.
Cross-checked against 227 documented interactions for these actives.
Public health figures the engine matched to this formula's ingredients. Reported by their source, cited and dated, never written by the brand.
About 10% of US women of reproductive age
are iron deficient.
Peer-reviewed analysisUnder 250 mg a day
US adults average well under the 250 mg a day of EPA and DHA that health authorities suggest for heart health.
Peer-reviewed analysisAbout 8% of US women aged 19 and over
take in less vitamin B12 from food and drink than the estimated average requirement.
NHANESAbout 42% of Americans
take in less calcium than the estimated average requirement.
NHANESAbout 18% of US women aged 19 to 50
take in less folate from food and drink than the estimated average requirement.
NHANESAbout 20% of US women aged 19 to 30
take in less iron from food and drink than the estimated average requirement.
NHANESAbout 75% of US women aged 51 to 70
take in less calcium from food and drink than the estimated average requirement.
NHANESAbout 19% of US women aged 31 to 50
take in less iron from food and drink than the estimated average requirement.
NHANESAbout 59% of US women aged 19 and over
take in less calcium from food and drink than the estimated average requirement.
NHANES57.6%
During 2017 to 2018, 57.6% of US adults aged 20 and over reported using a dietary supplement in the past 30 days.
CDC National Center for Health Statistics27.5 years, the 2023 US age at first birth
, was up from 26.6 years in 2016 among US women having their first birth, according to the CDC National Center for Health Statistics.
CDC National Center for Health Statistics, 20255.5% of US women aged 20 to 44
who were not pregnant or lactating fell below the estimated average requirement for iron from food alone, in the same NHANES analysis covering 2007 to 2018.
Murphy et al., Nutrients journal, 202234% of US women
aged 18 to 45 who had been or were pregnant said they started taking a prenatal vitamin or multivitamin before they knew they were pregnant, in a national survey run for the March of Dimes.
The Harris Poll for March of Dimes, 201744% to 48% of US pregnancies
, among women surveyed across 2009, 2011, 2013 and 2015, were reported as occurring about the right time, the largest share of any category, in a study of pregnancy desire from the Guttmacher Institute.
Guttmacher Institute (Kost, Zolna and Murro, Demography), 202359 to 66 days
was the median time it took adults to make a new daily health habit automatic across the studies a 2024 review pooled, with individuals ranging from 4 to 335 days.
Systematic review and meta-analysis, 202461% to 74%
About 61 to 74 percent of adults refilling a long-term medicine on their own stopped within a year, versus 33 to 44 percent on one set pickup day.
Cohort study, 2015Meta-analysis, 2011
In trials giving DHA by itself, DHA lowered triglycerides and raised HDL cholesterol by about 4.5 mg/dL compared with placebo.
The paperSystematic review, 2023
Across 18 studies, pyridoxine on its own and in combinations improved nausea scores in pregnancy on both the Rhode and PUQE scales, a use with a long clinical track record.
Archives of Gynecology and ObstetricsMeta-analysis, 2025
Across 20 trials in pregnant women, iron-folic acid formulations varied in hemoglobin response and reported tolerance, with dose and frequency mattering more than the specific iron salt.
BMC pregnancy and childbirthMeta-analysis, 2015
Across 51 trials in 12,257 adults over 50, calcium raised bone density by 0.7 to 1.8 percent at all five sites measured, with no further gain after the first year.
BMJRandomised trial, 2026
A pilot randomised controlled trial of oral calcium carbonate and its effect on uterine contractility. Pilot trials are sized to test feasibility rather than to establish an effect.
Journal of Obstetrics and GynaecologyRandomised trial, 2026
A randomised controlled pilot study of oral calcium carbonate given alongside an oxytocin infusion during labour induction, reported as a pilot rather than a definitive trial.
American Journal of Obstetrics and Gynecology MFMSystematic review, 2021
In people with normal blood pressure, calcium lowered the top number by about 1.4 mmHg and the bottom by about 1.5 mmHg across trials, with a bigger effect under 35.
Cochrane Database of Systematic ReviewsSystematic review, 2025
The review reports inconsistent associations between folic acid supplementation in pregnancy and later blood sugar handling, and calls for dose-resolved data. Association, not cause.
International journal of molecular sciencesMeta-analysis, 2026
Across 11 trials in 992 women of reproductive age, vitamin D produced no detectable change in a blood hormone marker of ovarian reserve.
Frontiers in EndocrinologyMeta-analysis, 2026
Pooled data found that women who had been pregnant before were more likely to take folic acid, an association about behavior, not an effect of the vitamin itself.
BMJ openRandomised trial, 2022
In 120 pregnant women, 24 mg iron as ferrous bisglycinate absorbed better within two hours than 66 mg ferrous fumarate, both raising iron levels over six months, with fewer gut side effects for bisglycinate.
NutrientsMeta-analysis, 2026
A review of vitamin D supplementation and semen quality measures in men found effects on sperm markers, not proven reproductive outcomes.
PeerJMeta-analysis, 2005
Across 25 trials in 2,596 people, 0.8 milligrams or more of folic acid a day lowered blood homocysteine by about 23 to 25 percent, and 0.4 milligrams by about 20 percent.
Am J Clin NutrRandomised trial, 2024
In 150 adults after weight-loss surgery, calcium citrate gave slightly higher exposure over 8 hours than calcium carbonate in a crossover comparison, 76.1 versus 74.7 mg per dL per hour.
The paperMeta-analysis, 2025
Across pooled trials, folic acid consistently lowered a blood marker called homocysteine, with less consistent change in more meaningful health outcomes.
BMC nutritionMeta-analysis, 2012
In head to head randomised trials, vitamin D3 raised blood 25-hydroxyvitamin D more than vitamin D2, with the gap clearest after a single large dose and less apparent with daily dosing.
The American Journal of Clinical NutritionMeta-analysis, 2024
Pooling randomised comparisons, no clear difference was detected between heme and non-heme iron preparations in haemoglobin and ferritin response, with tolerance differing between forms.
European journal of nutritionSystematic review, 2025
Reviews reported immune-cell and immune-marker changes alongside vitamin B12 repletion in adults whose B12 absorption is impaired. The outcomes summarised are markers, and the review names cyanocobalamin among the preparations used rather than isolating it.
Oxidative Medicine and Cellular LongevityMeta-analysis, 2025
In children and adolescents with low iron stores, longer supplementation courses raised haemoglobin more than short courses, while higher doses added little beyond moderate doses.
PloS oneMeta-analysis, 2026
Across 9 placebo-controlled eccentric exercise trials in healthy adults, supplements combining DHA with EPA reduced delayed onset muscle soreness (Hedges g -0.75, 95% CI -1.14 to -0.36). The wider body of 43 studies was mixed, and the trials tested the two fats together rather than DHA alone.
NutrientsSystematic review, 2026
Reviewing trials that combined sodium bicarbonate, cholecalciferol and protein, the authors reported small gains in muscle mass and muscle function measures, without isolating any single component.
Frontiers in NutritionMeta-analysis, 2025
Comparing dosing schedules, alternate-day oral iron produced haemoglobin gains that were not clearly different from daily dosing, while fewer gastrointestinal complaints were reported.
BMC pharmacology & toxicologyMeta-analysis, 2021
Across trials in older adults, vitamin D alone showed no detectable change in fall risk, while vitamin D with calcium was linked to fewer falls, mainly in those starting with low vitamin D levels.
Clinical NutritionOpen-label trial, 2024
A study measured how oral vitamin B12 absorption changes with dose in healthy adults, explaining why higher oral doses work once the usual route saturates.
NutrientsRandomised trial, 2025
In a double-blind noninferiority crossover, the authors did not detect a difference in the primary blood marker between folic acid and placebo. A failure to detect a difference is not evidence that none exists.
The American journal of clinical nutritionSystematic review, 2013
Across 111 studies covering 10,695 people, ferrous fumarate carried the highest reported side-effect rate among the oral iron supplements compared, at 47.0 percent overall and 43.4 percent gut-related.
Current Medical Research and OpinionOpen-label trial, 2022
After cyanocobalamin supplementation the authors detected no association between serum vitamin B12 and the nocturnal sleep parameters measured. This is a failure to detect a relationship, not a demonstration that none exists.
HeliyonRandomised trial, 2010
Formula-fed infants given DHA-enriched formula from 0.32% of fatty acids developed better visual acuity by 12 months than infants on DHA-free formula.
American Journal of Clinical NutritionMeta-analysis, 2024
Pooling 9 randomised trials of DHA given before or after birth, infants in the DHA groups scored 1.47 points higher on the Psychomotor Development Index (95% CI 0.23 to 2.72), with no difference detected on the Mental Development Index.
Frontiers in NeurologyMeta-analysis, 2026
Pooling trials in adult men, vitamin D supplementation showed no consistent change in total testosterone or androgen availability markers.
NutrientsRandomised trial, 2026
In adolescents taking long-term antiviral medication, high-dose vitamin D with calcium carbonate showed no detectable gain in bone mineral density over placebo, which is a failure to detect a difference rather than proof of none.
The Lancet. Child & adolescent healthMeta-analysis, 2022
Across 71 trials, omega-3 (DHA and EPA together) at 2 to 3 grams a day lowered the top blood pressure number by about 2.6 points.
Journal of the American Heart AssociationRandomised trial, 2026
In 26 amateur runners, 12 weeks of DHA and EPA raised red blood cell omega-3 levels while placebo stayed the same, blood markers not performance outcomes.
Prostaglandins, Leukotrienes and Essential Fatty AcidsPopulation figures from public health data. Context for the category, not a statement about any individual and not a claim about this product.
Each line below was derived from this formula's own record at the time of verification. Nothing here was written by the brand, and nothing can be added that the evidence does not carry.
One pairing in this formula has been studied as a combination in human trials. Each finding below is what a named study measured, cited and dated, never written by the brand.
In a 2025 network meta-analysis of 16 randomized trials in healthy adults, folic acid taken together with vitamins B6 and B12 lowered blood homocysteine more than any single supplement, with the 1 mg folic acid plus 7.2 mg B6 plus 20 micrograms B12 arm ranked most effective versus placebo (mean difference -1.03 micromol/L, 95% CI -1.71 to -0.36).
Research strength. Research strength says how much work stands behind the combination. It is never a product score.
Fail closed. Where actives were studied on their own rather than together, each shows on its own evidence, never a combined effect no trial measured.
Independent record. Every finding is cited to a named trial, dated, and never written by the brand.
Findings from trials that studied these actives as a combination. Context for how the actives were tested together, not a statement about any individual and not a claim about this product.
Time-to-effect windows the engine read from the trial record. Each is a window a named study measured, cited and dated, never written by the brand.
A systematic review and Bayesian meta-analysis drew on 108 articles from 14,002 screened records and modelled blood folate against folic acid intake using one-compartment pharmacokinetic models. Red blood cell folate rose 1.78 fold from baseline to steady state at 375 to 570 ug folic acid per day, and reaching that steady state took a median of 36 weeks, 95% credible interval 27 to 52 weeks. Serum or plasma folate rose 11.6% for every 100 ug per day of folic acid intake, 95% credible interval 8.4 to 14.9.
A kinetic study in six healthy men aged 22 to 31 gave 3.6 umol per day, 1.6 mg, of deuterium-labelled folic acid for four weeks, with folate tracked in serum, erythrocytes and urine by microbiological assay and gas chromatography mass spectrometry. Serum folate reached its maximum concentration in about 18 days, while isotopic labelling of erythrocyte folate kept rising across the whole four weeks. After supplementation stopped, red blood cell folate and urinary folate excretion declined linearly, and serum folate fell with a slow-phase half-life of 18.7 days. One study, six men, no control group.
A randomised crossover study in 54 nonanemic young women with plasma ferritin at or below 20 ug/L gave labelled iron sulfate as single fasting morning doses of 40, 60, 80, 160 and 240 mg. Twenty four hours after doses of 60 mg or more, serum hepcidin was raised and fractional iron absorption from the following dose was 35% to 45% lower. Across the dose range a sixfold rise in dose, 40 to 240 mg, produced a threefold rise in iron absorbed, 6.7 to 18.1 mg. Total iron absorbed from three doses inside 24 hours was not significantly greater than from two morning doses. The measure was iron absorption and serum hepcidin, not a symptom.
In a randomised single-blind trial, 20 participants took either fish oil supplying 1,296 mg EPA and 864 mg DHA daily or flaxseed oil for eight weeks, with erythrocyte membrane and plasma samples drawn at weeks 0, 4, 8, 10, 12, 14, 16 and 24. On fish oil, erythrocyte membrane EPA rose 300 percent and DHA rose 42 percent by week eight. Levels held until about week 12 and then declined across the post-supplementation sampling, faster in plasma phospholipids than in erythrocyte membranes. Membrane fatty acid content was measured, not a symptom, and this is one trial of 20 people.
In a randomised double-blind crossover trial, healthy men and women aged 19 to 34 took capsules supplying about 4 g DHA per day, with plasma sampled at days 0, 1, 3, 7, 14 and 28. DHA concentrations tripled and so did DHA-derived oxylipins. Increases were detectable as early as day 1, and 11 of 12 individual DHA oxylipins plus total DHA oxylipins reached a plateau by days 5 to 7. The plateau came earlier and was reached by more oxylipins in females than in males. Plasma marker chemistry was measured, not a feeling.
In the trial record, blood vitamin D rises for about 3 months of daily vitamin D3 and then holds at a plateau, near 69 nmol/L at 1,000 IU a day, from a starting level near 41 nmol/L.
An expert consensus on vitamin B6 use, developed by a six-member Delphi panel with a structured evidence-quality assessment, calculated from pharmacokinetic parameters that complete clearance of vitamin B6 from the body takes a washout period of about 20 to 40 days after intake stops.
A randomised cross-over trial in ten women of mean age 69 gave a single 500 mg dose of calcium as citrate fasting, citrate with a meal, fortified juice or a dairy product meal, with blood drawn before and at 1, 2, 4 and 6 hours. Serum ionised and total calcium increased significantly from baseline over six hours, with the rise similar after fortified juice, delayed when citrate was taken with a meal and smaller after the dairy meal. A separate double-blind cross-over trial in 25 postmenopausal women measured parathyroid hormone and a bone resorption marker 12 hours after a single calcium dose. Ten participants is a small sample, and what moved was blood chemistry, not a sensation.
Windows measured in the cited trials. Context for how the active behaves over time, not a statement about any individual and not a claim about this product.
7 ingredients, from each one's own page.
Serum folate climbs within a few hours of a dose and red cell folate takes about eight to twelve weeks to plateau. The change lands on a blood panel, not in how you feel.
Iron stores rebuild slowly. Haemoglobin readings usually move across three to four weeks and ferritin over two to three months, which is why this one is tracked with blood work.
Membranes fill slowly. The omega 3 index moves over eight to twelve weeks, and the trials reporting cognitive or eye comfort changes run three to six months.
Blood 25-hydroxyvitamin D climbs over six to twelve weeks on a steady daily dose. It is a panel change first, and anything subjective trails behind it.
Nothing quick. Conversion to the active coenzyme happens within hours, but plasma pyridoxal 5-phosphate takes a couple of weeks to settle at a new level.
Blood markers move within a week or two. Red cell size takes roughly six to eight weeks to settle, and how you feel tends to follow the markers.
Two clocks. The reaction with stomach acid happens within minutes. The bone contribution is slow and reads on a scan over months, not as a sensation.
How each ingredient usually behaves over time, from its own page on IngredientMD. General timing for the ingredient, not a measurement of this product.
What each form is, and where it fits in a formula. Measured findings carry the study that reported them.
Ferrous salt of fumaric acid, about 33 percent elemental iron, moderately water-soluble
The alcohol form as a hydrochloride salt. Highly stable, water-soluble, and requires both kinase phosphorylation and FMN-dependent oxidation to reach the coenzyme form.
A corrinoid with a cyanide group occupying the upper axial position on the cobalt atom, added during purification to give a single crystalline species.
Calcium carbonate is the calcium salt of carbonic acid, an alkaline white powder that is poorly soluble in water and goes into solution in acid. It carries 40 percent elemental calcium by weight, so 1250 mg of the salt supplies 500 mg of calcium.
In a randomised four-period, three-way crossover in 24 vitamin D replete postmenopausal women, marketed calcium carbonate, encapsulated calcium carbonate and marketed calcium citrate produced identical 24-hour time courses for the increment in total serum calcium, with no significant between-product difference in serum iPTH suppression. An earlier meta-analysis of 15 studies in 184 subjects reported calcium absorption from citrate higher than from carbonate by 20.0% across the whole set, 27.2% on an empty stomach and 21.6% with meals, so the two bodies of evidence do not agree. Carbonate is 40% elemental calcium by weight. In a randomised double-blind crossover in 27 healthy women, 500 mg/day of calcium as carbonate did not change stool frequency or Bristol Stool Form Scale scores.
Descriptions of the form itself, read from the cited studies. Not a comparison between products and not a statement about any individual.
It is a softgel, so the active is already dissolved in oil and the shell keeps it away from air and light.
Because the effect builds and holds only with continued daily use, a steady recurring supply is the practical way to keep it going.
Put an earned verification on your own product page.
These statements have not been evaluated by the Food and Drug Administration. This product is not intended to diagnose, treat, cure, or prevent any disease. This record is not medical advice. Always consult your healthcare provider before starting any supplement regimen.