About 45% of US adults
take in less vitamin A than the estimated average requirement.
Peer-reviewed analysisFolate (as L-methylfolate calcium salt) is the lead active here. 12 human studies on Folate (as L-methylfolate calcium salt) back this formula, each one cited. Each serving carries 400 mcg of Folate (as L-methylfolate calcium salt), 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 25 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 3,261 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 45% of US adults
take in less vitamin A than the estimated average requirement.
Peer-reviewed analysisAbout 46% of US adults
take in less vitamin C than the estimated average requirement.
Peer-reviewed analysisAbout 84% of US adults
take in less vitamin E than the estimated average requirement.
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 15% of US adults
take in less zinc than the estimated average requirement.
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 41% of US women aged 19 and over
take in less vitamin A from food and drink than the estimated average requirement.
NHANESAbout 44% of US women aged 19 and over
take in less vitamin C from food and drink than the estimated average requirement.
NHANESAbout 85% of US women aged 19 and over
take in less vitamin E from food and drink 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 18% of US women aged 19 and over
take in less zinc from food and drink than the estimated average requirement.
NHANESSystematic 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 JournalMeta-analysis, 2020
Across 86 randomised trials in 162,796 adults, taking more long chain omega-3 lowered blood triglycerides by about 15 percent, with larger falls at higher doses.
Cochrane Database of Systematic ReviewsMeta-analysis, 2025
Across 29 trials in 1,583 people, algae like chlorella cut top blood pressure by about 2.1 and bottom by about 1.9, with higher doses of whole algae working better.
Journal of Human Nutrition and DieteticsRandomised trial, 2023
One month of daily supplementation raised blood riboflavin by 0.77 standard deviation units and cut the proportion of women with low riboflavin status.
PLoS MedicineClinical 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 DermatologyMeta-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 nutritionRandomised trial, 2026
In a pilot trial of 20 postmenopausal women, 1,650 mg of oral choline lowered brain activation during a memory task, a brain-activity measure rather than a test score.
NutrientsSystematic 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 DisordersMeta-analysis, 2026
Pooled trials reported that coenzyme Q10 and its analogs lowered post-exercise markers of oxidative stress and muscle strain, with smaller and less consistent effects on metabolic markers.
The Journal of international medical researchRandomised trial, 1997
In iodine-deficient adults, 0.2 mg of iodide daily reduced thyroid gland volume by about 38% over 12 months compared with placebo.
Journal of Clinical Endocrinology and MetabolismRandomised trial, 2020
In a controlled dietary intervention in adults, changing sodium and potassium intake shifted how the body handled calcium and phosphate, indicating that sodium intake affects normal mineral balance.
The Journal of Clinical Endocrinology and MetabolismMeta-analysis, 2025
Pooled trials found selenium supplementation lowered thyroid antibody levels in adults with raised antibodies.
MedicineSystematic review, 2026
Trials of omega-3 combined with standard dental cleaning found changes in clinical gum measurements, but as an add-on rather than a standalone effect.
BMC Oral HealthMeta-analysis, 2024
Across six trials in 739 women, zinc lowered menstrual discomfort scores, with bigger drops after eight weeks or more, even at doses as low as 7 mg daily.
NutrientsMeta-analysis, 2016
Zinc acetate lozenges cut cold symptom length by about 2.7 days, versus a roughly seven day average, across three pooled trials.
British Journal of Clinical PharmacologyRandomised trial, 2025
Among 104 preschool children with prenatal alcohol exposure, those given choline for nine months scored 25% higher on a sequential memory measure than those given placebo.
The American journal of clinical nutritionMeta-analysis, 2024
In a dose-response analysis of trials, riboflavin was linked to about 1.3 fewer severe recurring headache attacks per month compared with control.
Neurological SciencesAbout 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, 2021
Pooled trials of alpha-tocopherol supplementation showed small changes in blood lipid measures, with triglycerides most affected and total cholesterol largely unchanged.
The paperMeta-analysis, 2022
Across 26 trials in 1,831 adults with raised cardiometabolic risk markers, coenzyme Q10 lowered systolic blood pressure by about 4.8 mmHg, with 100 to 200 mg a day the most effective range.
Advances in NutritionRandomised trial, 2015
A double-blind placebo-controlled trial that measured serum lipid markers before and after phylloquinone supplementation in a defined clinic population. Lipid concentrations are intermediate measures, so the paper speaks to markers rather than to any clinical endpoint.
Nutrition Research and PracticeMeta-analysis, 2025
A dose response review found circulating selenium levels are associated with blood pressure, an association rather than a demonstrated cause.
BMC public healthMeta-analysis, 2024
Across trials, thiamine was linked to a change in a heart-pumping marker called ejection fraction, but the trial base was small and mixed, so this isn't settled.
Clinical CardiologySystematic review, 2025
Across 16 studies in 6,098 people, vitamin B12 raised blood B12 levels by about 403 pg/mL, with oral or under-the-tongue doses working about as well as injections.
Frontiers in pharmacologyRandomised trial, 2025
A trial of a zinc citrate toothpaste found changes in the oral plaque microbiome, a topical dental-care use rather than a swallowed supplement.
Scientific ReportsMeta-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 NutritionSystematic review, 2026
A Cochrane review found vitamin B12 supplementation improves vitamin B12 status, while effects on blood counts were less certain.
The Cochrane database of systematic reviewsMeta-analysis, 2020
Across 26 randomized trials in adults, vitamin E lowered a marker of inflammation by about 0.52 mg per liter, with the alpha-tocopherol form showing this effect where other forms did not.
Scientific ReportsSystematic review, 2026
A systematic review catalogued gastrointestinal symptoms reported across sodium bicarbonate dosing protocols and described how symptom burden varies with dose, timing and whether the dose is split or given with food.
European Journal of Sport ScienceMeta-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 NutritionSystematic review, 2025
A review summarizes reported immune-related changes when B12 levels are restored in adults with impaired absorption, noting the evidence base is small and doesn't test this specific form on its own.
Oxidative medicine and cellular longevityMeta-analysis, 2021
Pooling 24 randomised trials found no detectable change in body weight, body mass index or waist circumference with vitamin E, so it is not a body-composition ingredient.
Clinical NutritionRandomised trial, 2010
A controlled supplementation trial that measured markers of glucose handling, including fasting glucose and insulin measures, and reported no detectable between-group difference overall. That is a failure to detect a difference on intermediate markers, not evidence that none 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 ObstetricsSystematic review, 2026
A Cochrane review of eight trials in children and adolescents found iodine supplements gave a slight rise in cognitive test scores over placebo, a standardised difference of 0.19 in one trial of 166 participants.
The Cochrane database of systematic reviewsSystematic review and meta-analysis, 2020
In pregnant women with mild to moderate iodine deficiency, iodine lowered a thyroid marker and curbed the usual pregnancy rise in thyroid size. Infant cognitive, language and motor scores showed no change across trials.
American Journal of Clinical NutritionMeta-analysis, 2026
Pooling trials in adult men, vitamin D supplementation showed no consistent change in total testosterone or androgen availability markers.
NutrientsMeta-analysis, 2021
Pooling randomised trials of thiamine in intensive care, the authors did not detect a clear effect on the pooled clinical endpoints, which is a failure to detect a difference rather than a demonstration that none exists.
Journal of Critical CareSystematic review, 2025
Randomised trials and observational studies of choline intake during pregnancy were pooled to look at child neurodevelopment, with the reported associations differing by study design.
NutrientsMeta-analysis, 2012
Across 29 trials, about 500 mg of vitamin C daily for 8 weeks lowered systolic pressure by about 3.8 points and diastolic by about 1.5 points versus control.
The American Journal of Clinical NutritionMeta-analysis, 2022
Across 71 trials, taking 2 to 3 grams a day of DHA and EPA together lowered the top blood pressure number by about 2.6 points.
Journal of the American Heart AssociationMeta-analysis, 2023
Across 90 trials in 72,598 people, higher daily DHA and EPA intake lowered blood triglycerides and non-HDL cholesterol in a near-linear way, most clear above about 2 g a day.
Journal of the American Heart AssociationMeta-analysis, 2015
Across trials, vitamin C, 500 to 2000 mg daily, gave a small improvement in blood vessel function, greater in older adults, but not when combined with vitamin E.
British Journal of NutritionRandomised trial, 2008
In 32 healthy adults taking DHA for two weeks, algal oil capsules and cooked salmon raised DHA about equally, about 80 percent and 25 percent in two blood measures.
Journal of the American Dietetic AssociationRandomised trial, 2019
In a crossover trial, 19 healthy women taking 1000 mg of ascorbic acid before a single bout of cycling showed higher antioxidant capacity readings afterward than after placebo.
Journal of the International Society of Sports NutritionRandomised trial, 2013
In adults with the MTHFR 677TT genotype, riboflavin at 1.6 mg a day lowered systolic blood pressure by about 5.6 mmHg over 16 weeks.
The paperMeta-analysis, 2022
Pooling six trials in 364 adults with elevated blood sugar, thiamine at 100 to 900 mg per day showed no detectable effect on HbA1c (-0.02 percent) or fasting glucose, while HDL cholesterol rose by about 0.10 mmol/L.
BMJ OpenPopulation 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.
Two pairings in this formula have been studied as combinations in human trials. Each finding below is what a named study measured, cited and dated, never written by the brand.
In a meta-analysis of eight randomized trials, vitamin K2 taken together with vitamin D raised total bone mineral density and lowered undercarboxylated osteocalcin, a marker of vitamin K status.
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 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.
A double-blind randomised dose-finding trial gave 60 postmenopausal women aged 50 to 69 either 0, 50, 100 or 200 micrograms of menaquinone-7 daily for four weeks on a controlled diet. The ratio of carboxylated to undercarboxylated osteocalcin rose dose dependently, with significant differences from the 0 microgram group at 100 and 200 micrograms. A companion 12-week trial in 120 people aged 20 to 69 confirmed the change at 100 micrograms daily. Both studies were run by authors affiliated with the R and D division of J-Oil Mills. An independent 8-week double-blind trial in 55 healthy prepubertal children found the same direction at 45 micrograms daily. What was measured is a blood marker of vitamin K status, not bone density and not a sensation.
A double-blind randomised trial gave 244 healthy postmenopausal women either placebo or 180 micrograms of menaquinone-7 daily for three years, with bone mineral density measured by DXA at baseline and after each year. Menaquinone-7 decreased the age-related decline in bone mineral content and bone mineral density at the lumbar spine and femoral neck, but not at the total hip. The effect is a slowed decline rather than a gain, and the trial ran three years rather than weeks.
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.
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 the excretion studies the EFSA reference opinion reviews, urinary output closely tracked dietary sodium once intake was held steady: 98% of dietary sodium appeared in 24-hour urine in a 3-day study, and 86% of sodium ingested over 4 weeks was recovered in 24-hour urine collected during the same period.
In the controlled metabolic study the EFSA reference opinion reviews, young men held at constant sodium intakes for 29 days per level showed rising average daily urinary aldosterone excretion as intake was stepped down from 4.9 g/day to 2.5 g/day.
In the trial record, EPA in blood plasma plateaus after 4 to 8 weeks of daily fish oil, while EPA in the red blood cell membrane rises with a 28 day half-life and reaches a steady state at about 180 days.
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.
A randomised crossover trial in 36 healthy men compared two 100 mg coenzyme Q10 formulations. After four weeks of daily intake, fasting plasma coenzyme Q10 had roughly doubled from baseline for both preparations (p < 0.001), with no difference between formulations (p = 0.74). Plasma concentration was the measure, not a symptom.
A randomised single-dose crossover study gave 24 men 60 mg of coenzyme Q10 in four formulations and tracked plasma over 12 hours. Time to maximum plasma concentration was 1.3 and 2.0 hours for the fast-melting and effervescent forms against 3.7 and 4.1 hours for the soft gel and powder-filled forms. Total exposure was not significantly different between forms. Blood concentration was measured, no symptom outcome was assessed.
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.
Weeks to months. Liver stores buffer intake, so vitamin A status moves slowly and shows up on a blood panel rather than as a sensation.
Plasma levels climb within hours and plateau near the top of the band. Collagen-linked changes in gums and skin show up across weeks, on examination rather than by sensation.
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.
Plasma levels climb within days, though there's no sensation attached. The change reads on a blood panel rather than in how you feel.
There is no onset to feel. Carboxylation picks up within days of steady intake, and it reads on functional markers rather than in how your day goes.
Days for absorption, weeks for the marker. Undercarboxylated osteocalcin falls across roughly four to twelve weeks of daily intake, and that is a status marker rather than an outcome.
Blood thiamine rises within days. Any shift in daytime energy or clear thinking usually lands across two to four weeks of steady daily use.
Bright yellow urine turns up within hours, which is simply surplus clearing. Status markers such as glutathione reductase activity respond across a few weeks of daily use.
Circulation and lipid changes here are read from a blood panel, or from how your hands and feet handle cold over a month or two.
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.
Serum B12 rises within days of daily use. Methylmalonic acid, the marker of supply inside cells, settles across four to twelve weeks, and anything noticeable follows that.
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.
Preformed vitamin A in which retinol is joined to palmitic acid, a long-chain saturated fatty acid, forming an oil-soluble ester. It is the same ester form in which the body holds its own vitamin A reserves.
The unbuffered acid, pKa around 4.2, fully water soluble and the reference form for most assays and trials.
The long-side-chain menaquinone, usually made by bacterial fermentation of the kind that gives natto its K2. The seven-unit tail keeps it circulating far longer than the short-chain MK-4, which is why microgram doses are the convention.
In a 12-week double-blind randomised controlled trial, 71 healthy young and older adults took menaquinone-7 at 240 micrograms daily or placebo. Circulating MK-7 rose with supplementation, while recovery from a bout of muscle-damaging resistance exercise did not differ from placebo on strength, function, soreness or inflammatory markers.
The nitrate salt of thiamine, a near-neutral, only slightly water-soluble powder used widely to fortify flour and to build dry tablets and multivitamins.
The most common naturally occurring stereoisomer of inositol, a six-carbon sugar alcohol (cyclohexanehexol). It is the form found in most foods and in the body's own inositol pool, and is supplied as a free white crystalline powder.
The aldehyde form, one kinase step from the active coenzyme and not requiring the oxidase step.
The calcium salt of (6S)-5-methyltetrahydrofolate, the same reduced folate that already circulates in blood, so it joins the folate cycle without passing through dihydrofolate reductase. Only the 6S (L) diastereomer is the biologically usable one. The calcium salt exists because free 5-MTHF oxidises quickly in air and light and needs a crystalline form that can survive being weighed, blended and pressed.
Double-blind, randomised, parallel-group trial in 172 healthy women aged 18 to 40, comparing an oral contraceptive combined with levomefolate calcium against the same contraceptive plus folic acid over 24 weeks, then 20 weeks of follow-up. Mean concentration-time curves for plasma folate, red blood cell folate and homocysteine were comparable between the two groups. After dosing stopped, median time for red cell folate to fall below 906 nmol per litre was 10 weeks (95 percent CI 8 to 12). The study was designed and authored by Bayer HealthCare staff.
Cobalamin carrying a methyl group on the cobalt centre, the same species used directly by methionine synthase.
The calcium salt of D-pantothenic acid: two pantothenate anions paired with one calcium ion, isolated as a stable white crystalline powder.
Choline paired with L-(+)-tartaric acid as a crystalline, freely water-soluble salt.
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 gummy, which is the format people actually keep taking, and adherence decides whether anything else matters.
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.