74% of US adults
take dietary supplements, and 55% are regular users, in the Council for Responsible Nutrition's 2023 consumer survey of 3,192 adults.
Council for Responsible Nutrition and Ipsos, 2023Vitamin B12 is the lead active here, studied most for vitamin B12 status. 17 human studies on Vitamin B12 back this formula, each one cited. Each serving carries 3.6 mg of Riboflavin, inside the range the published research used. Who it fits: for everyone, adults.
Verified by IngredientMDThe panel on the left is the one we evaluated, line by line.
All 12 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: "Strong evidence, strong dose".
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 2,778 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.
74% of US adults
take dietary supplements, and 55% are regular users, in the Council for Responsible Nutrition's 2023 consumer survey of 3,192 adults.
Council for Responsible Nutrition and Ipsos, 202392% of US supplement users
agree that dietary supplements are essential to maintaining their health, in the Council for Responsible Nutrition's 2023 consumer survey.
Council for Responsible Nutrition and Ipsos, 202312.3% of US adults
met the fruit intake recommendation and 10.0% the vegetable recommendation in 2019, in the Behavioral Risk Factor Surveillance System across 49 states.
CDC, MMWR, 202215% of US adults
aged 20 and over ate no breakfast on the day of their dietary recall, in the 2017 to March 2020 What We Eat in America survey.
USDA Agricultural Research Service, 202457.6%
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 Statistics60.2% of US adults aged 20 and over
took a dietary supplement in the past 30 days, and 38.7% took two or more, in the 2021 to 2023 National Health and Nutrition Examination Survey.
CDC National Center for Health Statistics, 202659 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, 2015USDA advises fortified foods or supplements after 50
In its national intake tables USDA notes that "it is advised that individuals over 50 meet their B12 requirement with fortified foods or supplements".
NHANESClinical trial, 1990
In people with weak, splitting nails, oral biotin increased nail thickness by about 25 percent under scanning electron microscopy and the nail surface became more regular.
Journal of the American Academy of DermatologySystematic review, 2024
Across five randomized trials, oral glutathione at 250 to 500 mg a day significantly lowered the skin melanin index compared with placebo.
International Journal of DermatologyRandomised trial, 2014
An oral pantothenic acid supplement significantly lowered total facial blemish count versus placebo after 12 weeks, with fewer inflammatory blemishes.
Dermatology and TherapyMeta-analysis, 2025
In a network meta-analysis of 19 trials with 1,658 participants, biotin-containing preparations were among the supplements linked to greater hair density, though most individual trials were small.
Frontiers in nutritionSystematic review, 2017
Across 18 reported cases, all involving an existing deficiency or related condition, hair and nail growth improved after biotin, with limited evidence of benefit in people who are not deficient.
Skin Appendage DisordersRandomised trial, 2007
In 818 adults aged 50 to 70 with raised homocysteine, 3 years of daily folic acid at 800 micrograms improved memory and information-processing speed scores compared with placebo.
The LancetMeta-analysis, 2024
In a review of 17 trials in healthy people, at least a week of betaine use increased maximal muscle strength, with the clearest gain in the lower body.
Journal of Sports SciencesRandomised trial, 2023
In 44 older women, citrulline plus glutathione improved artery dilation and blunted the blood pressure rise during a cold stress test, but citrulline alone did not improve dilation.
NutrientsRandomised trial, 2023
In adults with elevated blood sugar, 500 mg per day of oral glutathione for six months shifted gut bacterial makeup, enriching Megasphaera, Bacteroides and Megamonas and depleting Escherichia and Shigella.
FEMS Microbiology LettersRandomised trial, 2014
Pantethine, a vitamin B5 derivative, lowered LDL cholesterol by about 11 percent from baseline versus placebo over 16 weeks in adults at low to moderate cardiovascular risk.
Vascular Health and Risk ManagementSystematic review and meta-analysis, 2021
Across 22 trials in 41,633 people, folic acid supplements lowered the top blood pressure number by about 1.1 points and the bottom by about 0.2 points.
Critical Reviews in Food Science and NutritionSystematic review and meta-analysis, 2023
Across 21 trials in 2,025 adults, folic acid improved flow-mediated dilation, a measure of how well arteries widen, by about 2.6 percentage points.
Nutrition JournalRandomised trial, 2015
Pantethine lowered blood triglycerides by about 17 percent from baseline over 8 weeks in adults with moderate dyslipidemia, while a related compound, coenzyme A, lowered them further.
Journal of Clinical LipidologyOpen-label trial, 2025
A human study of a fibre rather than of biotin, where biotin surfaces only through the gut microbiome readout.
European journal of nutritionRandomised trial, 2014
Taking 1,000 mg of oral glutathione daily for six months raised glutathione in red cells, plasma and lymphocytes by about 30 to 35 percent and lowered the oxidized-to-reduced glutathione ratio in blood.
European Journal of NutritionRandomised trial, 2026
Krill oil, in which omega-3 fatty acids are largely phospholipid-bound, increased plasma omega-3 fatty acids more than fish oil over the study period.
The American journal of clinical nutritionRandomised trial, 2016
In middle-aged adults, betaine supplementation lowered plasma homocysteine and raised dimethylglycine, both markers of the methylation pathway it feeds.
NutrientsSystematic review and meta-analysis, 2025
Across 16 studies in 6,098 people, vitamin B12 supplementation raised serum B12 by about 403 pg/mL, and oral or sublingual doses raised it about as much as intramuscular injections.
Frontiers in PharmacologySystematic review, 2026
The review found that reported responsiveness to riboflavin across inherited disorders of metabolism is uneven and rests largely on small series, so the strength of evidence varies by the specific condition.
Journal of Inherited Metabolic DiseaseSystematic review, 2025
In adults with low B12 status, oral and injected B12 were both reported to raise blood B12, to a broadly similar degree across the included studies.
Systematic reviewSystematic review, 2026
The authors pool glutathione supplementation trials in adults with high blood sugar and report marker-level effects with heterogeneous methods across the included studies.
NutrientsAbout 23 percent lower plasma homocysteine at 0.8 mg daily, with 0.2 mg and 0.4 mg reaching roughly 60 and 90 percent of that
Lowers homocysteine, a blood marker tied to heart risk. Measured in adults, standardised to a pretreatment homocysteine of 12 micromol per litre (95% CI 21 to 26 percent).
Meta-analysisMeta-analysis, 1998
Across 12 trials in 1,114 people, adding about 0.5 mg of B12 daily cut homocysteine, a blood marker, by a further 7% beyond folic acid's 25% drop.
BMJMeta-analysis, 2000
Across 12 randomized trials in 1,114 people, daily folic acid of 0.5 to 5 mg lowered blood homocysteine concentrations by about 25 percent.
Indian Heart JournalRandomised trial, 2013
In adults with elevated blood pressure carrying the MTHFR 677TT genotype, riboflavin 1.6 mg per day lowered systolic blood pressure by about 5.6 mmHg versus placebo over 16 weeks.
The paperCohort study, 2026
Reports an association between dietary thiamin, riboflavin and niacin intake and elevated blood pressure and pulse pressure. An association in intake data, not a demonstration of cause.
MedicineMeta-analysis, 2024
In a dose-response meta-analysis of randomised trials, riboflavin was associated with about 1.3 fewer severe recurring headache attacks per month compared with control.
Neurological SciencesRandomised trial, 2021
Three months of oral liposomal glutathione maintained blood glutathione levels and raised the T-helper-1 cytokines IFN-gamma, TNF-alpha and IL-2 in adults with high blood sugar.
Frontiers in Cellular and Infection MicrobiologyMeta-analysis, 2021
Across trials in adults who were not deficient, B12 supplementation showed no detectable improvement in cognitive test scores, mood scores or tiredness.
Meta-analysisSystematic review, 2025
A review summarised what pooled trials found about betaine and endurance exercise performance.
Physical activity and nutritionRandomised trial, 2021
Chronic pantothenic acid supplementation did not produce a detectable change in muscle coenzyme A content or cycling performance, which is a failure to detect a difference rather than a demonstration that none exists.
Applied Physiology, Nutrition, and MetabolismSystematic review, 2025
An umbrella review of water-soluble vitamins, biotin among them, found only small and inconsistent changes in blood sugar and insulin sensitivity measures in adults with raised glucose.
Asia Pacific journal of clinical nutritionMeta-analysis, 2019
The same dose that lowers homocysteine also raised total cholesterol by about 0.34 mmol/L across six randomised trials, with no detected change in LDL, HDL or triglycerides.
Journal of Dietary SupplementsRandomised trial, 2019
Thiamin supplementation did not improve left ventricular ejection fraction in the participants studied. This is a failure to detect a difference in an imaging marker, not evidence that no difference exists.
The American Journal of Clinical NutritionSystematic 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, 2026
A review assessed vitamin B12 supplements for growth, development and thinking skills in children, reporting the pooled findings with their certainty level.
Meta-analysisMeta-analysis, 2026
Pooling 26 studies, about 26.9 percent of adolescent girls worldwide had low folate status, rising to 35.5 percent in Africa, with wide variation between settings.
PLoS OneSystematic review, 2024
B12 taken during pregnancy raised maternal and infant B12 status, with no clear difference detected in birth weight or infant growth.
Systematic reviewMeta-analysis, 2025
A nutrition-status analysis in children included thiamin among the micronutrients measured, reporting intake and status data rather than a result of giving supplements.
Journal of Human Nutrition and DieteticsRandomised trial, 2023
Across several centres, infant formula supplemented with biotin raised infants' blood biotin levels into the range seen with adequate intake.
Pediatrics internationalRandomised trial, 2026
Thiamin supplementation improved the thiamin pyrophosphate effect, a blood marker of thiamin adequacy, in children whose levels were low.
Scientific reportsMeta-analysis, 2021
Pooling nine controlled trials in 673 people, vitamin B2 at 400 mg per day for three months lowered the frequency, days, duration and pain score of severe recurring headache attacks.
Nutritional NeuroscienceRandomised trial, 2023
Two weeks of 50 or 100 mg per day of riboflavin raised measured gut butyrate production and increased microbial network connectivity, without shifting overall gut bacterial composition or Faecalibacterium prausnitzii abundance.
Antioxidants and Redox SignalingMeta-analysis, 2013
Pooling five trials, at least 4 grams of betaine daily for six weeks or more lowered blood homocysteine by about 1.23 micromol per liter.
Journal of Chiropractic MedicinePopulation 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.
In the controlled depletion study the EFSA reference opinion reviews, restricting thiamin intake to 0.009 to 0.015 mg/MJ for 30 days brought urinary free thiamin excretion from a mean of 0.283 mg/24 h down to undetectable levels by day 18 of the depletion period.
In the same depletion and repletion record the EFSA reference opinion reviews, erythrocyte transketolase activity fell progressively to about 75% of baseline during the 30-day depletion period and returned to its baseline value after 1 week of thiamin repletion.
In an intervention the EFSA reference opinion reviews, adults whose baseline riboflavin intake and status were unknown received 5 mg/day of riboflavin for 8 weeks, and haemoglobin concentration, haematocrit and erythrocyte count all rose significantly over that period.
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 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, double-blind, parallel-group dose-finding trial in 120 older people with mild vitamin B12 deficiency, defined as serum B12 of 100 to 300 pmol/L with methylmalonic acid at or above 0.26 umol/L, gave daily oral cyanocobalamin at 2.5, 100, 250, 500 or 1000 ug for 16 weeks. Mean plasma methylmalonic acid fell 16%, 16%, 23%, 33% and 33% across those doses. Daily doses of 647 to 1032 ug accounted for 80% to 90% of the estimated maximum reduction. The window was measured on a blood marker of B12 status, not on a symptom.
An open-label randomised single-dose pharmacokinetic study in 20 healthy men aged 20 to 45, conducted and authored by staff of Emisphere Technologies, the developer of the SNAC carrier under test, measured serum vitamin B12 after one 5 mg cyanocobalamin tablet, with six men on the marketed tablet. Time to peak serum B12 was 6.83 hours for the marketed tablet and 0.5 hours for the carrier coformulation. Absolute bioavailability was 2.16% and 5.09% respectively. One trial, six men per arm. Serum concentration was measured, not any symptom.
In an open trial with no placebo arm, 71 patients with brittle or splitting fingernails took 2.5 mg of biotin a day. Of the 45 cases that could be evaluated, 41 were rated as having firmer and harder nails after an average of 5.5 months of treatment, standard deviation 2.3 months. The rating was clinical judgement rather than an instrument reading, and there was no control group, so the window describes when the raters recorded change, not a placebo adjusted effect.
In a randomised open-label crossover programme, healthy adults took 300 mg single doses of glutathione as an orally dissolving film or a conventional tablet, then 100 mg daily of either for 4 weeks. Plasma glutathione ran higher with the film in the hours after a dose, and circulating glutathione rose over the 4 weeks with both formulations.
In a randomised double-blind crossover trial in 12 resistance-trained men, 14 days of betaine at 1.25 g twice daily raised bench throw power and isometric bench press force compared with placebo, with no change in jump squat power or repetitions completed. A meta-analysis of 17 trials in 317 participants reported a modest pooled effect on maximal strength of 0.47 standardised mean difference for regimens of at least 7 days.
In a randomised, open-label crossover pharmacokinetic study, 12 healthy volunteers took single doses of two milk thistle supplement formulations, with blood sampled over 8 hours. Silybin A and B were rapidly absorbed and eliminated in both, and the soft-gel formulation reached higher peak and total exposure than the powdered capsule.
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.
12 ingredients, from each one's own page.
There is no onset to time in the usual sense. Status markers such as erythrocyte transketolase activity move across weeks, and that is where the change is read.
Urine turns bright yellow within hours of the first dose. Status itself, read as red cell glutathione reductase activity, shifts across two to eight weeks.
Nothing to wait for at everyday amounts. Niacin status shows up on blood work rather than as a sensation. The flush from the nicotinic acid form arrives within 30 minutes.
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.
Red cell folate climbs over roughly four to eight weeks. It's a blood panel change rather than a sensation.
Markers move first. Methylmalonic acid and homocysteine start shifting within a week or two, while anything you would notice takes several weeks of daily use.
Fingernails grow around 3mm a month, so it takes roughly 8 to 12 weeks before enough new plate has grown out to judge the difference by eye.
There's no onset you would time. It feeds coenzyme A within days, and the effect sits in metabolism and blood levels rather than in a sensation.
Blood glutathione markers climb over roughly two to four weeks of daily use. It reads on a panel rather than in sensation, and skin measures in trials took months.
Homocysteine measures shift over about four to six weeks of daily use. It's a blood panel change rather than a sensation.
No same-day sensation. Studies that read liver enzyme markers run four to twelve weeks, so this is a slow, panel-level change rather than something you feel.
Membrane lipids turn over slowly, so what moves first is a blood marker or a gradual steadying over one to two months of daily use.
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.
The free vitamin B2 molecule, an isoalloxazine ring joined to a ribitol sugar chain, supplied as the unmodified crystalline compound with no added salt or phosphate group.
The free-acid form of vitamin B3, pyridine-3-carboxylic acid. It is the reference form of niacin, a small water-soluble molecule carrying a bare carboxylic acid group on the pyridine ring.
The free acid form of vitamin B5, an amide of pantoic acid and beta-alanine, supplied as a viscous hygroscopic oil or a stabilised liquid rather than a dry salt.
The intact tripeptide of glutamate, cysteine and glycine with the cysteine thiol in its free reduced state, which is the form the body makes and uses inside cells. Setria is a fermentation-produced branded version of this same molecule.
In a 6-month double-blind randomized placebo-controlled trial in 54 non-smoking adults, oral reduced glutathione at 250 or 1,000 mg daily raised glutathione concentrations in blood, erythrocytes, plasma and lymphocytes, with levels returning toward baseline after a one-month washout.
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 liquid, so the serving can be adjusted and it suits anyone who would rather not swallow a capsule.
Where two of this brand's products carry actives the literature has read together, the pairing and its basis are below. The evidence word is the corpus row's own confidence, never a score.
Vitamin C and glutathione sit on the same antioxidant recycling loop, where glutathione regenerates oxidized vitamin C and adequate vitamin C spares glutathione from being consumed. Each one keeps the other in its reduced, working form.
redox recycling couple. No combination trial has tested this exact pairing.
The body makes part of its own phosphatidylcholine by adding three methyl groups to phosphatidylethanolamine, a step that draws on the methyl pool betaine helps refill. Supplying phospholipids directly reduces how much methyl currency that route spends.
Shared methylation pathway. No combination trial has tested this exact pairing.
Methionine synthase is a B12-dependent enzyme, and it is the step that converts homocysteine back to methionine using the folate methyl group. Without that step SAM regeneration slows and with it the methylation route to phosphatidylcholine. This is a cofactor relationship, not an additive effect.
Established enzymology. No combination trial has tested this exact pairing.
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.