Metabolite of the amino acid L-arginine. It plays a role in various physiological processes, including nitric oxide (NO) production, pain control, and cognitive function.
Fundamentals: Agmatine has been shown to enhance nitric oxide production by influencing nitric oxide synthase activity, promoting vasodilation and improved blood flow. It also acts on multiple receptors, including imidazoline and NMDA receptors, to modulate pain perception and reduce inflammation. Additionally, agmatine may have neuroprotective effects, supporting cognitive health and potentially reducing symptoms of depression.
May improve blood flow and support short-term improvement in exercise-induced hypoxemia.
HAUS Panel Decision: Low level of evidence that doesn't support inclusion in HAUSEssentials and/or PHARMLife products at this time.
Not included in any product(s) at this time.
Lippi G, Mattiuzzi C, Cervellin G. Nitric oxide in exercise: a short journey from bench to bedside. Eur J Appl Physiol. 2020;120(3):565-572. doi:10.1007/s00421-019-04274-y.
Gilad GM, Gilad VH. Agmatine: discovery and development as a novel drug for cognitive and psychiatric disorders. CNS Drugs. 2014;28(7):663-673. doi:10.1007/s40263-014-0166-7.
de Vera N, Marcilla I, Martínez A, et al. Neuroprotective effects of agmatine in injured motor neurons after chronic axotomy. Neuropharmacology. 2000;39(11):1935-1941. doi:10.1016/S0028-3908(00)00070-2.
Generally safe at doses ranging from 1 g to 3 g per day. Side effects are rare but may include mild gastrointestinal discomfort or headache.
Known common side effects: None.
Alpha-Glyceryl Phosphoryl Choline (Alpha-GPC)
L-Alpha Glycerylphosphorylcholine AKA alpha-GPC is a natural choline found in the brain. Cholines are key nutrients that provide the foundation for compounds critical for metabolism and energy generation. Alpha-GPC, like DMAE, contributes to the generation of acetylcholine meaning it is involved in memory and muscle activation.
Fundamentals: It's theorized alpha-GPC directly impacts cognitive function via acetylcholine level enhancement and may trigger growth hormone release. We do know it's quickly absorbed into the nervous system crossing the blood-brain barrier and stimulating nerve cell communiccation along with muscle activation through well-studied pathways. The method by which alpha-GPC stimulates existing growth hormone stores to be released is via the excitatory pathways that are triggered by sympathetic nervous functions.
Precursor to acetylcholine and contributes to cognitive and muscle activation.
HAUS Panel Decision:
Strong level of data supporting inclusion in HAUSEssentials and/or PHARMLife products.
Not included in any product(s) at this time.
Parnetti L, Abate G, Bartorelli L, et al. Clinical pharmacology of Choline alphoscerate. A short review. Arch Gerontol Geriatr. 2001;33(3):329-336. doi:10.1016/S0167-4943(01)00117-4.
Bellar D, LeBlanc NR, Campbell B. The effect of alpha-glycerylphosphorylcholine on isometric strength, vertical jump power, and cognitive function. J Int Soc Sports Nutr. 2015;12:44. doi:10.1186/s12970-015-0103-2.
Kidd PM. A review of nutrients and botanicals in the integrative management of cognitive dysfunction. Altern Med Rev. 1999;4(3):144-161. PMID: 10383483.
Kawamura T, Okubo T, Sato K, Fujita S, Goto K, Hamaoka T, Iemitsu M. Glycerophosphocholine enhances growth hormone secretion and fat oxidation in young adults. Nutrition. 2012;28:1122–1126. doi: 10.1016/j.nut.2012.02.011.
Generally safe at doses of 300 mg to 1200 mg per day.
Known common side effects: Muscle tension, headache, and nausea.
A naturally occurring flavonoid, apigenin can be isolated in herbs and foods like celery and citrus. The range of possible clinical and supplement benefits with apigenin are extensive including antioxidant, anti-inflammatory, and potential sleep-enhancing benefits.
Fundamentals: Apigenin acts as a direct inhibitor of CD38, which helps slow down the degradation of NAD+. Since NAD+ is a key coenzyme in the metabolic process, it can help facilitate physical function and has anti-aging effects. Chamomile extract contains many flavonoids including apigenin. Analyses of apigenin containing-intake shows a direct and positive correlation in improving sleep quality and decreasing anxiety in adults. The pathway by which we expect apigenin to have positive nervous system and effects on sleep are through modulation of receptors of the GABA type and inflammatory pathways as it's known to be quite permeable with the blood-brain barrier.
May support relaxation, sleep quality, and reduce inflammation. Limited studies in mammal models tempers this recommendation strength.
HAUS Panel Decision: Moderate level of data supporting inclusion in HAUSEssentials and/or PHARMLife products.
Kramer DJ, Johnson AA. Apigenin: a natural molecule at the intersection of sleep and aging. Front Nutr. 2024 Feb 27;11:1359176. doi: 10.3389/fnut.2024.1359176. PMID: 38476603; PMCID: PMC10929570.
Salehi B, Venditti A, Sharifi-Rad M, Kręgiel D, Sharifi-Rad J, Durazzo A, Lucarini M, Santini A, Souto EB, Novellino E, Antolak H, Azzini E, Setzer WN, Martins N. The Therapeutic Potential of Apigenin. Int J Mol Sci. 2019 Mar 15;20(6):1305. doi: 10.3390/ijms20061305. PMID: 30875872; PMCID: PMC6472148.Liao W, Chen Q, Xu N, et al.
Apigenin: A promising molecule for cancer prevention. Pharmacol Res. 2020;157:104845. doi:10.1016/j.phrs.2020.104845.
Zhang Z, Zhang H, Chen S, et al. The role of apigenin in reversing stress-induced depression-like behavior in mice. Neurosci Lett. 2020;723:134845. doi:10.1016/j.neulet.2020.134845.
Zhao J, Fang H, Zhang H, et al. Apigenin improves sleep quality via modulation of GABA receptors. J Ethnopharmacol. 2018;224:261-267. doi:10.1016/j.jep.2018.06.034.
Considered generally safe at doses of 50 – 100 mg per day. Side effects are rare, but very high doses could lead to stomach upset or discomfort.
Known common side effects: None.
Arugula Extract (Rocket or Eruca sativa)
The types of benefits arugula extract confers are diverse. Also known as rocket, a primary function it possesses is the ability support nitric ozide production much like beetroot extract leading to increased blood vessel relaxation an oxygenation. Other compounds within arugula extract also work to promote antioxidant activity.
Fundamentals: Beta-carotene and polyphenols within arugula extract provide antioxidative benefits through their ability to scavenge free radicals. The ability of polyphenols to also modulate cytokine signaling pathways and decrease inflammatory responses lends itself to the proective effects of the leafy green extract. The level of nitrates natrually contained in arugula are highest among natrual leafy green food sources and more than twice as cocentrated as the nitrate levels in beetroot.
Can improve performance and capacity in short-duration activities.
HAUS Panel Decision: Moderate level of data supporting inclusion in HAUSEssentials and/or PHARMLife products.
Not included in any product(s) at this time.
Dos Santos Baião D, Vieira Teixeira da Silva D, Margaret Flosi Paschoalin V. A Narrative Review on Dietary Strategies to Provide Nitric Oxide as a Non-Drug Cardiovascular Disease Therapy: Beetroot Formulations-A Smart Nutritional Intervention. Foods. 2021 Apr 15;10(4):859. doi: 10.3390/foods10040859. PMID: 33920855; PMCID: PMC8071323.
Guadagnin SG, Rath S, Reyes FG. Evaluation of the nitrate content in leaf vegetables produced through different agricultural systems. Food Addit Contam. 2005 Dec;22(12):1203-8. doi: 10.1080/02652030500239649. PMID: 16356883.
Corleto KA, Singh J, Jayaprakasha GK, Patil BS. Storage Stability of Dietary Nitrate and Phenolic Compounds in Beetroot (Beta vulgaris) and Arugula (Eruca sativa) Juices. J Food Sci. 2018 May;83(5):1237-1248. doi: 10.1111/1750-3841.14129. Epub 2018 Apr 16. PMID: 29660828.
No safety concerns reported for use, but limited data assessing extract supplementation. Rat studies have examined doses 100 times higher than normal oral dietary intake with no documented toxicity.
Known side effects:
None.
Ashwaganda (Withania somnifera)
Ashwaganda is able to provide its effects by hitting a number of different communication systems in the body. It helps the body manage stress and adapt to various situations by improving cognitive function and regulating the levels of stress hormones.
Fundamentals:
There are a number of bioactive compounds found within the ashwaganda shrub including the root and leaves that play a role in its effects. The primary compounds responsible for its therapeutic effects are withanolides, which are steroidal lactones. These compounds have antioxidant, anti-inflammatory, and immune-modulating properties. It is has been found that it directly modulates the hypothalamic-pituitary-adrenal (HPA) axis with the lowering of cortisol, which plays a key role in the body's stress response. It can also play a role in the conversion of T4 to T3, which is the active form of thyroxine hormone. This directly impacts the rate of metabolism and energy levels within the body. The presence of ashwaganda has been shown to impact the level of GABA-receptor activity helping produce calming or anti-anxiety effects. Use at the higher end of typically studied dosing (600 mg/day) has been shown to correlate to more consistent effects on perceived stress and anxiety.
Several clinical trials with validated benefits in neurocognition, performance, and stress management.
HAUS Panel Decision: Moderate level of data supporting inclusion in HAUSEssentials and/or PHARMLife products.
Tiwari S, Gupta SK, Pathak AK. A double-blind, randomized, placebo-controlled trial on the effect of Ashwagandha (Withania somnifera dunal.) root extract in improving cardiorespiratory endurance and recovery in healthy athletic adults. J Ethnopharmacol. 2021 May 23;272:113929. doi: 10.1016/j.jep.2021.113929. Epub 2021 Feb 15. PMID: 33600918.
Lopresti AL, Smith SJ, Malvi H, Kodgule R. An investigation into the stress-relieving and pharmacological actions of an ashwagandha (Withania somnifera) extract: A randomized, double-blind, placebo-controlled study. Medicine (Baltimore). 2019 Sep;98(37):e17186. doi: 10.1097/MD.0000000000017186. PMID: 31517876; PMCID: PMC6750292.
Akhgarjand C, Asoudeh F, Bagheri A, Kalantar Z, Vahabi Z, Shab-Bidar S, Rezvani H, Djafarian K. Does Ashwagandha supplementation have a beneficial effect on the management of anxiety and stress? A systematic review and meta-analysis of randomized controlled trials. Phytother Res. 2022 Nov;36(11):4115-4124. doi: 10.1002/ptr.7598. Epub 2022 Aug 25. PMID: 36017529.
Sharma AK, Basu I, Singh S. Efficacy and Safety of Ashwagandha Root Extract in Subclinical Hypothyroid Patients: A Double-Blind, Randomized Placebo-Controlled Trial. J Altern Complement Med. 2018 Mar;24(3):243-248. doi: 10.1089/acm.2017.0183. Epub 2017 Aug 22. PMID: 28829155.
No safety concerns reported with use at commonly recommended amounts between 300 mg - 600 mg for stress management.
Known side effects:
- Mild gastrointestinal-related symptoms like nausea, diarrhea, and stomach upset.
- Most studies had no adverse event differences between the ashwaganda and placebo groups.
A traditional Ayurvedic plant, Bacopa has a long track-record of use for cognitive enhancement and mood improvement. It has historically been seen as a remedy for memory, attention, and overall cognitive function. Like with any effective brain supplement, there is influence on the levels of neurotransmitters serotonin and dopamine, which also touches on mood stability and anxiety-relief. With the high levels of polyphenols and flavonoids, there is an antioxidant and neuroprotective effect that is seen and could be beneficial in slowing down neurodegenerative diseases like Alzheimer's.
Fundamentals:
Bacosides are the chief active compounds in Brahmi and have been seen to increase the activity of choline acetyltransferase. This enzyme promotes acetylcholine generation and results in improved nerve cell signaling. Diseases like Alzheimer's are associated with low acetylcholine levels and the deficiency is known to impact memory and learning processes. Extracts from Brahmi could increase the presence of brain-derived neurotrophic factor (BDNF), which is a protein responsible for the formation of new neurons and new synaptic connections.
Select clinical trials of high quality, albeit small samples, on the role Bacopa monnieri can play in cognitive and behavioral improvements.
HAUS Panel Decision: Moderate level of data supporting inclusion in HAUSEssentials and/or PHARMLife products.
Kean JD, Downey LA, Sarris J, Kaufman J, Zangara A, Stough C. Effects of Bacopa monnieri (CDRI 08®) in a population of males exhibiting inattention and hyperactivity aged 6 to 14 years: A randomized, double-blind, placebo-controlled trial. Phytother Res. 2022 Feb;36(2):996-1012. doi: 10.1002/ptr.7372. Epub 2022 Jan 18. PMID: 35041248.
Dave UP, Dingankar SR, Saxena VS, Joseph JA, Bethapudi B, Agarwal A, Kudiganti V. An open-label study to elucidate the effects of standardized Bacopa monnieri extract in the management of symptoms of attention-deficit hyperactivity disorder in children. Adv Mind Body Med. 2014 Spring;28(2):10-5. PMID: 24682000.
Benson S, Downey LA, Stough C, Wetherell M, Zangara A, Scholey A. An acute, double-blind, placebo-controlled cross-over study of 320 mg and 640 mg doses of Bacopa monnieri (CDRI 08) on multitasking stress reactivity and mood. Phytother Res. 2014 Apr;28(4):551-9. doi: 10.1002/ptr.5029. Epub 2013 Jun 21. PMID: 23788517.
Morgan A, Stevens J. Does Bacopa monnieri improve memory performance in older persons? Results of a randomized, placebo-controlled, double-blind trial. J Altern Complement Med. 2010 Jul;16(7):753-9. doi: 10.1089/acm.2009.0342. PMID: 20590480.
Most studies utilized dosing between 250 mg to 640 mg with positive outcomes. The prevalence of toxicity or adverse effects are extremely low with mice studies showing no toxicity at doses hundreds of times higher than typical extract use. If any side effects are seen, they are largely tied to the increase in acetylcholine activity. No major safety concerns were reported for use within clinically studied doses.
Known common side effects: mild gastrointestinal symptoms on a small scale in limited patients.
Works to dilate blood vessels in muscles during exercise and improves energy production.
Fundamentals: Beets and their juice provide a natural food source of nitrates. Conversion of dietary nitrates to nitric oxide can support physical performance via vasodilation. This expansion in blood vessels can facilitate blood flow and the delivery of oxygen and nutrients to exercising muscle. Nutrient uptake and waste removal is facilitated through vasodilatory exchange since the expanded blood vessels speed up the removal of waste products that cause muscle fatigue.
Can improve performance and capacity in short-duration activities.
HAUS Panel Decision: Moderate level of data supporting inclusion in HAUSEssentials and/or PHARMLife products.
Not included in any product(s) at this time.
Wylie LJ, Kelly J, Bailey SJ, Blackwell JR, Skiba PF, Winyard PG, Jeukendrup AE, Vanhatalo A, Jones AMBeetroot juice and exercise: pharmacodynamic and dose-response relationshipsJ Appl Physiol.
Rojano-Ortega D, Peña Amaro J, Berral-Aguilar AJ, Berral-de la Rosa FJ. Effects of Beetroot Supplementation on Recovery After Exercise-Induced Muscle Damage: A Systematic Review. Sports Health. 2022 Jul-Aug;14(4):556-565. doi: 10.1177/19417381211036412. Epub 2021 Aug 16. PMID: 34399653; PMCID: PMC9214898.
Wylie LJ, Bailey SJ, Kelly J, Blackwell JR, Vanhatalo A, Jones AM. Influence of beetroot juice supplementation on intermittent exercise performance. Eur J Appl Physiol. 2016 Feb;116(2):415-25. doi: 10.1007/s00421-015-3296-4. Epub 2015 Nov 27. PMID: 26614506; PMCID: PMC4717163.
No safety concerns reported for short-term use at commonly recommended amounts (approximately 2 cups)
Known side effects: None
Beta-alanine can be utilized to synthesize carnosine, which works to buffer changes in muscle pH to help reduce muscle fatigue and loss of force.
Fundamentals: It is a highly prevalent amino acid in foods such as meat, poultry, and fish with about 1 gram/day of beta-alanine intake depending on diet. Lactic acid reduces muscular force and causes fatigue, so carnosine works to reduce the buildup of lactic acid. Since carnosine production is dependent on adequate beta-alanine levels, supplementation at high enough quantities might contribute to an increased physiological response over a long duration of use.
Numerous clinical trials with conflicting results and inconsistent performance benefits.
HAUS Panel Decision: Low level of data supporting inclusion in HAUSEssentials and/or PHARMLife products.
Not included in any product(s) at this time.
Maté-Muñoz JL, Lougedo JH, Garnacho-Castaño MV, Veiga-Herreros P, Lozano-Estevan MDC, García-Fernández P, de Jesús F, Guodemar-Pérez J, San Juan AF, Domínguez R. Effects of β-alanine supplementation during a 5-week strength training program: a randomized, controlled study. J Int Soc Sports Nutr. 2018 Apr 25;15:19. doi: 10.1186/s12970-018-0224-0. PMID: 29713250; PMCID: PMC5918575.
Hoffman JR, Ratamess NA, Faigenbaum AD, Ross R, Kang J, Stout JR, Wise JA. Short-duration beta-alanine supplementation increases training volume and reduces subjective feelings of fatigue in college football players. Nutr Res. 2008 Jan;28(1):31-5. doi: 10.1016/j.nutres.2007.11.004. PMID: 19083385.
Milioni F, de Poli RAB, Saunders B, Gualano B, da Rocha AL, Sanchez Ramos da Silva A, Muller PTG, Zagatto AM. Effect of β-alanine supplementation during high-intensity interval training on repeated sprint ability performance and neuromuscular fatigue. J Appl Physiol (1985). 2019 Dec 1;127(6):1599-1610. doi: 10.1152/japplphysiol.00321.2019. Epub 2019 Oct 17. PMID: 31622158.
Sas-Nowosielski K, Wyciślik J, Kaczka P. Beta-Alanine Supplementation and Sport Climbing Performance. Int J Environ Res Public Health. 2021 May 18;18(10):5370. doi: 10.3390/ijerph18105370. PMID: 34069981; PMCID: PMC8157844.
No safety concerns reported for use of 1.6–6.4 g/day for up to 8 weeks
Known side effects:
- Paresthesia (tingling) in face, neck, back of hands, and upper torso
- Itchy skin
Beta-Hydroxy Beta-Methylbutyrate (HMB)
An intermediate product of the amino acid leucine, Beta-Hydroxy Beta-Methylbutyrate (B-HMB) has been found to play a role in cell signaling and cell stabilization. It is a contributor to protein synthesis contributing to muscle mass and has also been found to play a role in inhibiting protein metabolism, which has a protective effect against muscle fatigue and breakdown. As there is activity in playing both a protective role by slowing down catabolic systems and through the stimulation of anabolic processes as it relates to protein synthesis, exogenous supplementation can bolster the body's stores of B-HMB and ability to enhance these benefits.
Fundamentals: B-HMB can work as a direct and active inhibitor of muscle cell proteolysis through the signaling cascade. It does so by activating or contributing to mutiple pathways. Since B-HMB is a metabolite of the amino acide leucine, an essential amino acid, there is a concentration dependent input at play. Once B-HMB is produced via leucine catabolism, it increases kinase activity within the mechanistic target of rapamycin (mTOR) pathway. The mTOR pathway is well-studied and has the capacity to signal for both cell growth and protein synthesis. From a protective standpoint, B-HMB may slow down the degradation tagging process known as ubiquitination by interfering with the attachment of ubiquitin molecules to muscle proteins. It's also thought to play a role in inhibiting the activity of calpain, which is a calcium-dependent protease involved in muscle protein breakdown.
Several clinical trials of high quality evaluating supplementation with B-HMB and associated.
HAUS Panel Decision: Strong level of data supporting inclusion in HAUSEssentials and/or PHARMLife products.
Not included in any product(s) at this time.
Wilson GJ, Wilson JM, Manninen AH. Effects of beta-hydroxy-beta-methylbutyrate (HMB) on exercise performance and body composition across varying levels of age, sex, and training experience: A review. Nutr Metab (Lond). 2008 Jan 3;5:1. doi: 10.1186/1743-7075-5-1. PMID: 18173841; PMCID: PMC2245953.
Gallagher PM, Carrithers JA, Godard MP, Schulze KE, Trappe SW. Beta-hydroxy-beta-methylbutyrate ingestion, part II: effects on hematology, hepatic and renal function. Med Sci Sports Exerc. 2000 Dec;32(12):2116-9. doi: 10.1097/00005768-200012000-00023. PMID: 11128860.
Nissen S, Sharp RL, Panton L, Vukovich M, Trappe S, Fuller JC Jr. beta-hydroxy-beta-methylbutyrate (HMB) supplementation in humans is safe and may decrease cardiovascular risk factors. J Nutr. 2000 Aug;130(8):1937-45. doi: 10.1093/jn/130.8.1937. PMID: 10917905.
Vukovich MD, Stubbs NB, Bohlken RM. Body composition in 70-year-old adults responds to dietary beta-hydroxy-beta-methylbutyrate similarly to that of young adults. J Nutr. 2001 Jul;131(7):2049-52. doi: 10.1093/jn/131.7.2049. PMID: 11435528.
Nissen S, Sharp R, Ray M, Rathmacher JA, Rice D, Fuller JC Jr, Connelly AS, Abumrad N. Effect of leucine metabolite beta-hydroxy-beta-methylbutyrate on muscle metabolism during resistance-exercise training. J Appl Physiol (1985). 1996 Nov;81(5):2095-104. doi: 10.1152/jappl.1996.81.5.2095. PMID: 8941534.
Rathmacher JA, Pitchford LM, Khoo P, Angus H, Lang J, Lowry K, Ruby C, Krajek AC, Fuller JC, Sharp RL. Long-term Effects of Calcium β-Hydroxy-β-Methylbutyrate and Vitamin D3 Supplementation on Muscular Function in Older Adults With and Without Resistance Training: A Randomized, Double-blind, Controlled Study. J Gerontol A Biol Sci Med Sci. 2020 Oct 15;75(11):2089-2097. doi: 10.1093/gerona/glaa218. PMID: 32857128; PMCID: PMC7566440.
No safety concerns reported for use of a maintenance dose of 3 mg to 6mg/day. Though it is cleared from the body via hepatic (liver) metabolism, prolonged use did not indicate any incidence of hepatic enzyme function, lipid level abnormalities, or kidney function impairement.
Known side effects: None.
Betaine (Trimethylglycine)
Supports creatine production, blood nitric-acid balance, decreases homocysteine levels, and improves water retention in cells. The anhydrous form is used as a prescription to help people with a specific condition manage their metabolic processes.
Fundamentals: The amount of betaine made by the body is normally sufficient, but it can also be consumed through beets, spinach, and whole-grain bread. It can be created in the body by using choline. You get about 100 to 300 milligrams/day of betaine when you eat a nutritious diet. A well-balanced diet likely provides sufficient in-vitro stores. but supplementation where there is an imbalanced or poor diet could support intracellular functions and provide cardiovascular along with liver protection effects. It's used in individuals who are born with metabolic disorders to help their body support typical functions.
Several clinical trials and large population studies with validated benefits in neurocognition, liver health, cardiovascular protection, and fatty acid metabolism.
HAUS Panel Decision: Moderate level of data supporting inclusion in HAUSEssentials and/or PHARMLife products.
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Cholewa JM, Hudson A, Cicholski T, Cervenka A, Barreno K, Broom K, Barch M, Craig SAS. The effects of chronic betaine supplementation on body composition and performance in collegiate females: a double-blind, randomized, placebo controlled trial. J Int Soc Sports Nutr. 2018 Jul 31;15(1):37. doi: 10.1186/s12970-018-0243-x. PMID: 30064450; PMCID: PMC6069865.
Lee EC, Maresh CM, Kraemer WJ, Yamamoto LM, Hatfield DL, Bailey BL, Armstrong LE, Volek JS, McDermott BP, Craig SA. Ergogenic effects of betaine supplementation on strength and power performance. J Int Soc Sports Nutr. 2010 Jul 19;7:27. doi: 10.1186/1550-2783-7-27. PMID: 20642826; PMCID: PMC2915951.
Soleimani E, Ardekani AM, Fayyazishishavan E, Farhangi MA. The interactive relationship of dietary choline and betaine with physical activity on circulating creatine kinase (CK), metabolic and glycemic markers, and anthropometric characteristics in physically active young individuals. BMC Endocr Disord. 2023 Jul 25;23(1):158. doi: 10.1186/s12902-023-01413-3. PMID: 37491240; PMCID: PMC10367233.
Cholewa JM, Wyszczelska-Rokiel M, Glowacki R, Jakubowski H, Matthews T, Wood R, Craig SA, Paolone V. Effects of betaine on body composition, performance, and homocysteine thiolactone. J Int Soc Sports Nutr. 2013 Aug 22;10(1):39. doi: 10.1186/1550-2783-10-39. PMID: 23967897; PMCID: PMC3844502.
Grizales AM, Patti ME, Lin AP, Beckman JA, Sahni VA, Cloutier E, Fowler KM, Dreyfuss JM, Pan H, Kozuka C, Lee A, Basu R, Pober DM, Gerszten RE, Goldfine AB. Metabolic Effects of Betaine: A Randomized Clinical Trial of Betaine Supplementation in Prediabetes. J Clin Endocrinol Metab. 2018 Aug 1;103(8):3038-3049. doi: 10.1210/jc.2018-00507. PMID: 29860335; PMCID: PMC6692715.
No safety concerns reported for 2–5 g/day for up to 15 days.
Known side effects: None
Black Ginger Extract (Kaempferia parviflora)
Black ginger is a plant with extensive roots that's thought to originate in Thailand. The dried powder of black gingerc roots has been used for years in natural medicine for a wide range of treatments and supporting strength enhancement and fitness more recently. The extract is rich in compounds that drive exercise performance and improve strength by facilitating better energy output. The primary benefit of black ginger extract from a performance perspective is the ability to improve blood flow and promote sugar uptake for energy expenditure in muscle tissue cells.
Fundamentals: The key active component of black ginger extract are the methoxyflavones. As a nitric oxide (NO) promoting supplement, black ginger extract promotes the dilation of blood vessels allowing more oxygen and nutrients to reach muscle tissue during workouts. Additionally, black ginger extract activates AMP-activated protein kinase (AMPK), which is critical enzyme in the energy production process for human cells. Once AMPK is turned on, it increases blood sugar uptake and fatty acid oxidation in muscle cells, leading to increased energy availability during exercise.
Can improve performance and capacity in short-duration activities.
HAUS Panel Decision: Strong level of data supporting inclusion in HAUSEssentials and/or PHARMLife products.
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Toda K, Hitoe S, Takeda S, Shimoda H. Black ginger extract increases physical fitness performance and muscular endurance by improving inflammation and energy metabolism. Heliyon. 2016 May 24;2(5):e00115. doi: 10.1016/j.heliyon.2016.e00115. PMID: 27441286; PMCID: PMC4946221.
Promthep K, Eungpinichpong W, Sripanidkulchai B, Chatchawan U. Effect of Kaempferia parviflora Extract on Physical Fitness of Soccer Players: A Randomized Double-Blind Placebo-Controlled Trial. Med Sci Monit Basic Res. 2015 May 6;21:100-8. doi: 10.12659/MSMBR.894301. PMID: 25957542; PMCID: PMC4538785.
Sripanidkulchai B, Promthep K, Tuntiyasawasdikul S, Tabboon P, Areemit R. Supplementation of Kaempferia parviflora Extract Enhances Physical Fitness and Modulates Parameters of Heart Rate Variability in Adolescent Student-Athletes: A Randomized, Double-Blind, Placebo-Controlled Clinical Study. J Diet Suppl. 2022;19(2):149-167. doi: 10.1080/19390211.2020.1852356. Epub 2020 Dec 4. PMID: 33272042.
Huang J, Tagawa T, Ma S, Suzuki K. Black Ginger (Kaempferia parviflora) Extract Enhances Endurance Capacity by Improving Energy Metabolism and Substrate Utilization in Mice. Nutrients. 2022 Sep 17;14(18):3845. doi: 10.3390/nu14183845. PMID: 36145222; PMCID: PMC9501856.
No common safety concerns reported for use within normal dosing limits. Prolonged use at very high quantities typically associated with dietary intake can cause nausea, bloating, or diarrhea. Very high quantities of ginger extract have been shown in lab studies to potentially increase blood thinning, which would be a concern to monitor for those already on antiplatelet or blood-clotting medications.
Known common side effects:
Gastrointestinal issues like bloating, diarrhea, and nausea with very high doses.
Black Pepper Extract (Piper nigrum)
Piperine is the bioactive compound in black pepper that is thought to help with nutrient absorption and availability of supplements taken with it.
Fundamentals: Piperine has been studied in multiple capacities and seen to play a role in enzyme inhibition. In the presence of piperine, enzymes ilike CYP450 that are involved in metabolizing drugs and nutrients are prevented from functioning as usual. The ability of piperine to slow down the metabolism and removal of key nutrients in the liver and intestine is supposed to enable improved efficiency with nutrients and supplements.
Useful as a natural drug and nutrient potentiator to increase both the absorption and duration of availability of coadministered products.
HAUS Panel Decision:
Moderate evidence supporting inclusion in HAUSEssentials and/or PHARMLife products.
Not included in any product(s) at this time.
Shoba G, Joy D, Joseph T, Majeed M, Rajendran R, Srinivas PS. Influence of piperine on the pharmacokinetics of curcumin in animals and human volunteers. Planta Med. 1998 May;64(4):353-6. doi: 10.1055/s-2006-957450. PMID: 9619120.
Khajuria A, Thusu N, Zutshi U. Piperine modulates permeability characteristics of the intestine by inducing alterations in membrane dynamics: influence on brush border membrane fluidity, ultrastructure and enzyme kinetics. Phytomedicine. 2002 Jan;9(3):224-31. doi: 10.1078/09447110260573136. PMID: 12046860.
Khan R, Khan AQ, Lateef A, Tahir M, Rehman MU, Ali F, et al. Piperine ameliorates oxidative stress, inflammation, and apoptosis via inhibition of TNF-α and NF-κB in collagen-induced arthritis. Phytother Res. 2020 May;34(5):1130-1140. doi: 10.1002/ptr.6598. PMID: 32274949.
Generally recognized as safe when used in dietary supplement doses of 5 mg to 10 mg daily.
Known common side effects: None.
A natural mineral found in the environment, boron is involved in maintaining bone health, hormone regulation, and cognitive function.
Fundamentals: Boron plays a role in maintaining the bone matrix by increasing the metabolism of calcium, magnesium, and vitamin D. In terms of the hormone modulatory capacity of boron, most of the activity is indirect via inhibition of binding proteins responsible for eliminating circulating hormone molecules like testosterone and interacts with the enzymes that breakdown estrogen in women.
Limited studies evaluating the use of boron mostly in bone health and hormonal balance.
HAUS Panel Decision:
Moderate level of data supporting inclusion in HAUSEssentials and/or PHARMLife products.
Not included in any product(s) at this time.
Naghii MR, Samman S. The role of boron in nutrition and metabolism. Prog Food Nutr Sci. 1993;17(4):331-349. PMID: 8113381.
Newnham RE. Essentiality of boron for healthy bones and joints. Environ Health Perspect. 1994 Nov;102 Suppl 7(Suppl 7):83-85. doi:10.1289/ehp.94102s783.
Nielsen FH. Boron in human and animal nutrition. Plant Soil. 1997;193(1):199-208. doi:10.1023/A:1004216126069.
Doses up to 20 mg per day have been studied and are seen as within safe limits. For reference, daily intake of dietary boron is estimated to be 1 to 2 mg/day.
Known common side effects: None.
CAUTION: Prolonged and heavy overutilization of boron in the form of supplementation is known to severely disruption metabolic function and reproductive health. Toxicity has been seen with repeated use of doses greater than 20 mg/day.
One of the gold pillars in performance supplements, caffeine works through the nervous system to increase the body's metabolism and fat-burning (lipid oxidation). Equally as important as the body being revved up in terms of performance is the impact caffeine has on dopamine, norepinephrine, serotonin, acetylcholine, and more to improve focus along with overall energy levels. One of the downsides of caffeine is its capacity to induce unintended effects like jitteriness, "crashes", irritability, and anxiety. There are mechanisms to decrease or avoid these types of reactions, which we have accounted for in our formulations. AVOID ALL SOURCES OF CAFFEINE WITHIN 4 HOURS OF YOUR USUAL BED TIME.
Fundamentals: Caffeine increases intracellular concentrations of cAMP by inhibiting phosphodiesterases in skeletal muscle and adipose tissues leading to the promotion of fat breakdown (lipolysis) via lipases and the release of free fatty acids. The increased availability of these fatty acids in skeletal muscle acts as fuel for body functions and muscle activity. spare consumption of muscle glycogen. The recommended maximum intake per day is about 400 mg/day for the average adult and should be taken 15 to 60 minutes prior to exercise. In clinical studies evaluating the use of caffeine along with a known agent to reduce some of the unintended effects of caffeine, 2.5 mg/kg of l-theanine with 2.0 mg/kg of caffeine were studied in combination with positive outcomes on attention and improvement in impulse control.
Repeated findings of enhanced performance along with focus in activities such as running, contact sports, weight-bearing exercises, and more.
HAUS Panel Decision: Strong level of data supporting inclusion in HAUSEssentials and/or PHARMLife products.
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XCEL+ | PRE-WORKOUT
Graham TE, Spriet LL. Metabolic, catecholamine, and exercise performance responses to various doses of caffeine. J Appl Physiol (1985). 1995 Mar;78(3):867-74. doi: 10.1152/jappl.1995.78.3.867. PMID: 7775331.
Chen HY, Chen YC, Tung K, Chao HH, Wang HS. Effects of caffeine and sex on muscle performance and delayed-onset muscle soreness after exercise-induced muscle damage: a double-blind randomized trial. J Appl Physiol (1985). 2019 Sep 1;127(3):798-805. doi: 10.1152/japplphysiol.01108.2018. Epub 2019 Jun 20. PMID: 31219772.
Zaragoza J, Tinsley G, Urbina S, Villa K, Santos E, Juaneza A, Tinnin M, Davidson C, Mitmesser S, Zhang Z, Taylor L. Effects of acute caffeine, theanine and tyrosine supplementation on mental and physical performance in athletes. J Int Soc Sports Nutr. 2019 Nov 26;16(1):56. doi: 10.1186/s12970-019-0326-3. PMID: 31771598; PMCID: PMC6880365.
Southward K, Rutherfurd-Markwick KJ, Ali A. The Effect of Acute Caffeine Ingestion on Endurance Performance: A Systematic Review and Meta-Analysis. Sports Med. 2018 Aug;48(8):1913-1928. doi: 10.1007/s40279-018-0939-8. Erratum in: Sports Med. 2018 Aug 9;: PMID: 29876876.
Cappelletti S, Piacentino D, Sani G, Aromatario M. Caffeine: cognitive and physical performance enhancer or psychoactive drug? Curr Neuropharmacol. 2015 Jan;13(1):71-88. doi: 10.2174/1570159X13666141210215655. Erratum in: Curr Neuropharmacol. 2015;13(4):554. Daria, Piacentino [corrected to Piacentino, Daria]. PMID: 26074744; PMCID: PMC4462044.
Wang Z, Qiu B, Gao J, Del Coso J. Effects of Caffeine Intake on Endurance Running Performance and Time to Exhaustion: A Systematic Review and Meta-Analysis. Nutrients. 2022 Dec 28;15(1):148. doi: 10.3390/nu15010148. PMID: 36615805; PMCID: PMC9824573.
Kahathuduwa CN, Wakefield S, West BD, Blume J, Dassanayake TL, Weerasinghe VS, Mastergeorge A. Effects of L-theanine-caffeine combination on sustained attention and inhibitory control among children with ADHD: a proof-of-concept neuroimaging RCT. Sci Rep. 2020 Aug 4;10(1):13072. doi: 10.1038/s41598-020-70037-7. PMID: 32753637; PMCID: PMC7403383.
Unno K, Furushima D, Hamamoto S, Iguchi K, Yamada H, Morita A, Horie H, Nakamura Y. Stress-Reducing Function of Matcha Green Tea in Animal Experiments and Clinical Trials. Nutrients. 2018 Oct 10;10(10):1468. doi: 10.3390/nu10101468. PMID: 30308973; PMCID: PMC6213777.
No safety concerns for daily use less than 400–500 mg/day for adults.
Known side effects: Nervousness, jitteriness, irritability, fast heart beat.*
*If you don't feel right with the level of caffeine intake, change the:
Frequency of use.
Amount used.
Product used.
Or take a break. Completely.
All PHARMHAUS products are formulated to ensure they remain within the total daily recommendation even when used together.
Mediates blood vessel contraction and dilation, muscle function, blood clotting, nerve transmission, and hormonal secretion. A review of 2007–2010 data from the National Health and Nutrition Examination Survey (NHANES) found that 39% of individuals age 4 and older consume less than the average requirements for calcium from foods and supplements.
Fundamentals: Since calcium is a key ion in maintaining cell gradients, it has a profound effect on action potentials for a wide range of processes from muscle contraction to cell signaling and neurotransmitter release. Bone density is directly tied to calcium levels in the blood, but having sufficient levels of vitamin D is required for calcium absorption and utilization. Much of the discussion on calcium supplementation is focused on the best calcium salt forms. The absorption rate of calcium from food is about 45% with intakes of 200 mg/day with rates decreasing as the intake increases. Calcium supplementation has been shown to promote fat metabolism and help manage body composition. In a randomized, single-blind, cross-over study comparing single doses of 500 mg calcium in the form of four different calcium-salts, subjects were advised to consume 25 micrograms of vitamin D3 daily with an N = 20 healthy young men. The tested new salts were easily water soluble and significantly better than calcium gluconate. Calcium carbonate is almost insoluble. A recent meta-analysis found that absorption of calcium citrate was 27% higher than that of calcium carbonate when taken on an empty stomach and 22% higher when taken with meals. AThe majority of calcium is stored in a calcium-phosphorus complex in the bones.
Proven benefits in a wide-range of normal body functions along with weight-control and musculoskeletal health.
HAUS Panel Decision: Strong level of data supporting inclusion in HAUSEssentials and/or PHARMLife products.
Yao P, Bennett D, Mafham M, Lin X, Chen Z, Armitage J, Clarke R. Vitamin D and Calcium for the Prevention of Fracture: A Systematic Review and Meta-analysis. JAMA Netw Open. 2019 Dec 2;2(12):e1917789. doi: 10.1001/jamanetworkopen.2019.17789. PMID: 31860103; PMCID: PMC6991219.
Li P, Fan C, Lu Y, Qi K. Effects of calcium supplementation on body weight: a meta-analysis. Am J Clin Nutr. 2016 Nov;104(5):1263-1273. doi: 10.3945/ajcn.116.136242. Epub 2016 Oct 12. PMID: 27733391.
No safety concerns reported at recommended intakes (1,000–1,200 mg/day for adults, which is the recommended allowance)
Known side effects: Constipation, kidney stones, and interference with absorption of Iron and Zinc (seen at intakes above 2,000–2,500 mg for adults.)
Increases fatty acid oxidation in the muscle cells of the heart helping promote protective outcomes on the heart and possible modest reductions in body weight.
Fundamentals: Endogenous molecule involved in fatty acid metabolism and is synthesized in vitro using L-lysine and L-methionine. It's naturally found in red meats like beef and lamb along with fish and milk. Supports the transfer of fatty acids into the mitochondrial matrix to support breaking down of fats and energy provisioning from the stored fat reserves.
Several clinical trials with weight loss as a secondary outcome and validated impact.
HAUS Panel Decision: Moderate level of data supporting inclusion in HAUSEssentials and/or PHARMLife products.
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Pekala J, Patkowska-Sokoła B, Bodkowski R, Jamroz D, Nowakowski P, Lochyński S, Librowski T. L-carnitine--metabolic functions and meaning in humans life. Curr Drug Metab. 2011 Sep;12(7):667-78. doi: 10.2174/138920011796504536. PMID: 21561431.
No safety concerns reported for up to 2 g/day for 1 year.
Known side effects: Nausea, vomiting, diarrhea, abdominal cramps, and a “fishy” body odor; might increase trimethylamine N-oxide (TMAO) levels, which are theorized to increase cardiovascular disease risk
One of the most common herbs used for medicinal purposes is chamomile whose standardized tea and herbal extracts are prepared from dried flowers of Matricaria species.
Fundamentals: Sedative effects may be due to the flavonoid known as apigenin that binds to benzodiazepine receptors in the brain. Chamomile is composed of a variety of separate oils. Approximately 120 secondary metabolites have been identified in chamomile, including 28 terpenoids and 36 flavonoids. The principal components of the essential oil extracted from the German chamomile flowers are the terpenoids α-bisabolol and its oxide azulenes including chamazulene and acetylene derivatives. Normally standardized extracts contain 1.2% of apigenin which is one of the most effective bioactive agents. Aqueous extracts, such as in the form of tea, contain quite low concentrations of free apigenin but include high levels of apigenin-7-O-glucoside. Chamomile in the form of an aqueous extract has been frequently used as a mild sedative to calm nerves and reduce anxiety, to treat hysteria, nightmares, insomnia and other sleep problems. Additionally, studies suggest that chamomile ameliorates hyperglycemia and diabetic complications by suppressing blood sugar levels, increasing liver glycogen storage and inhibition of sorbitol in the human erythrocytes
Widely accepted as a mild tranquillizer and sleep-inducer with prevalence in western and eastern medicine.
HAUS Panel Decision: Strong level of data supporting inclusion in HAUSEssentials and/or PHARMLife products.
Srivastava JK, Shankar E, Gupta S. Chamomile: A herbal medicine of the past with bright future. Mol Med Rep. 2010 Nov 1;3(6):895-901. doi: 10.3892/mmr.2010.377. PMID: 21132119; PMCID: PMC2995283.
Forster HB, Niklas H, Lutz S. Antispasmodic effects of some medicinal plants. Planta Med. 1980 Dec;40(4):309-19. doi: 10.1055/s-2008-1074977. PMID: 7220648.
Avallone R, Zanoli P, Corsi L, Cannazza G, Baraldi M. Benzodiazepine compounds and GABA in flower heads of matricaria chamomilla. Phytotherapy Res. 1996;10:177–179.
Kato A, Minoshima Y, Yamamoto J, Adachi I, Watson AA, Nash RJ. Protective effects of dietary chamomile tea on diabetic complications. J Agric Food Chem. 2008;56:8206–8211.
No safety concerns reported.
Known side effects: None
Adequate choline intake allows the body to effectively handle a wide variety of functions ranging from cognitive processing, liver fat maintenance, amino acid balancing, and more. Our own body is able to create choline, but not enough to meet all of our metabolic needs. For this reason it is considered an essential nutrient and studies have shown a significant portion of the population are not meeting adequate levels of intake. Very low levels have been tied to fatty liver disease development and poor thought development. Choline supplementation can be negated by consuming a sufficient level of foods known to be choline-rich. These are foods like chicken liver, salmon, eggs, brussel sprouts, and almonds. For example, a large whole egg has about 150 mg of choline. The recommended intake for adult males and females is between 400 mg to 600 mg daily.
Fundamentals:
The choline metabolic pathway acts as a regulator of many key processes associated with cell structure, brain function, DNA maintenance, and liver fat transport. Choline sits at the top of the metabolic pathway providing the necessary substrates to form key nutrients and compounds like betaine, acetylcholine, and CDP-choline. In supporting the creation of very low density lipoprotein (VLDL), it enables the body to more readily utilize stored triglycerides for energy consumption. The presence of choline also enables the body's synthesis of acetylcholine neurotransmitters, which regulate our nervous system's ability to memorize and focus.
Several clinical trials and large population studies with validated benefits in neurocognition, liver health, DNA integrity, and fatty acid metabolism.
HAUS Panel Decision: Moderate level of data supporting inclusion in HAUSEssentials and/or PHARMLife products.
Not included in any product(s) at this time.
Suzuki T, Morita M, Kobayashi Y, Kamimura A. Oral L-citrulline supplementation enhances cycling time trial performance in healthy trained men: Double-blind randomized placebo-controlled 2-way crossover study. J Int Soc Sports Nutr. 2016 Feb 19;13:6. doi: 10.1186/s12970-016-0117-z. PMID: 26900386; PMCID: PMC4759860.
https://doi.org/10.1080/15502783.2023.2209056
No safety concerns reported for use of up to 5 g/day; adverse effects possible with larger doses especially in those already taking nitrate medications.
Known side effects: Gastrointestinal related issues such as diarrhea and nausea with elevated quantities.
The majority of creatine is stored in skeletal muscle and exerts its effects through multiple pathways supporting protein synthesis and myogenesis. Once supplementation of creatine stops, muscle creatine stores return to baseline in 4–6 weeks.
Fundamentals: Creatine Kinase (CK)-containing tissues with high and fluctuating energy demands like skeletal or cardiac muscle, brain, retina, and spermatozoa play a big role in ATP consumption and production. There is a need for immediate regeneration of ATP hydrolysis during short periods of intense work. Due to the high cytosolic CK activity in fast-twitch muscles, the CK reaction remains in a near-equilibrium state to keep ADP/ATP constant and buffers the cytosolic phosphorylation potential
Large pool of trials showing a benefit for high-intensity and intermittent activity. Creatine can play a role in increasing strength, power, and work from maximal effort muscle contractions. Less valuable in endurance sports
HAUS Panel Decision: Strong level of data supporting inclusion in HAUSEssentials and/or PHARMLife products.
Farshidfar F, Pinder MA, Myrie SB. Creatine Supplementation and Skeletal Muscle Metabolism for Building Muscle Mass- Review of the Potential Mechanisms of Action. Curr Protein Pept Sci. 2017;18(12):1273-1287. doi: 10.2174/1389203718666170606105108. PMID: 28595527.
Kerksick CM, Wilborn CD, Roberts MD, Smith-Ryan A, Kleiner SM, Jäger R, Collins R, Cooke M, Davis JN, Galvan E, Greenwood M, Lowery LM, Wildman R, Antonio J, Kreider RB. ISSN exercise & sports nutrition review update: research & recommendations. J Int Soc Sports Nutr. 2018 Aug 1;15(1):38. doi: 10.1186/s12970-018-0242-y. PMID: 30068354; PMCID: PMC6090881.
No safety concerns reported at typical dose (e.g., loading dose of 20 g/day for up to 7 days and 3–5 g/day for up to 12 weeks)
Known side effects: Weight gain due to water retention; anecdotal reports of nausea, diarrhea, muscle cramps, muscle stiffness, and heat intolerance.
Dimethylaminoethanol (DMAE)
Naturally produced compound that is available in small amounts in the brain and also found in fish such as sardines. DMAE sits upstread of acetylcholine and for this reason it's a role player in brain function and cognitive performance.
Fundamentals: As a precursor substance, DMAE contributes to the production of acetylcholine in the brain. Acetylcholine is a critical chemical messenger that allows nerve cells to communicate between each other and directly impacts cognitive function. DMAE is thought to have antioxidant properties that help protect nerve cells from damage. It has been shown to potentially improve focus and memory.
May contribute to potential cognitive benefits.
HAUS Panel Decision: Low to moderate evidence, not enough research to support inclusion in HAUSEssentials and/or PHARMLife products at this time.
Not included in any product(s) at this time.
Dimpfel W, Schober F, Scholz M. Nootropic effects of dynephrine compared to dimethylaminoethanol combined with vitamins on the brain bioelectric activity (quantitative EEG) in the freely moving rat. Nutr Neurosci. 2003;6(3):167-175. doi:10.1080/1028415021000042833.
Hoyer S, Lannert H. Effects of dimethylaminoethanol-pyroglutamate on brain function and cognitive behavior. J Neural Transm. 2006;113(5):739-744. doi:10.1007/s00702-005-0354-4.
Standard doses between 100 mg to 300 mg are well tolerated.
Known common side effects: Muscle tension, headache, and nausea.
One of the main driving forces behind the value of of green tea extract is the caffeine within and its known ability to Increase energy expenditure and fat oxidation as well as reduce fat storage. Another bioactive component is one of many catechins known as EGCG, which helps provide anti-inflammatory and fat metabolism effects. .
Fundamentals: The active components of green tea that are associated with the weight management effects are catechins, primarily epigallocatechin gallate (EGCG), which is a flavonoid. EGCG interacts with proteins and phospholipids in the plasma membrane to regulate signal transduction pathways, transcription factors, DNA methylation, mitochondrial function, and autophagy. EGCG intake reduces obesity and expression of leptin and stearyl-coA desaturase in white adipose cells, while increasing fat oxidation. This suggests that EGCG actions enhance mitochondrial fat utilization and reduce adipogenesis in fat tissue. EGCG stimulates mitochondrial biogenesis and promotes oxidative phosphorylation through a cAMP/PKA- and sirtuin-dependent mechanism. A meta-analysis of 11 randomized controlled trials found that people who took EGCG combined with caffeine for 12–13 weeks lost on average 1.31 kg more body weight (or gained 1.31 kg less weight) than those in control groups. Another systematic review and meta-analysis looking at 15 randomized control trials assessed that the administration of green tea catechins with caffeine is associated with significant yet modest reductions in BMI and body weight.
Several clinical trials of good methodological quality on green tea catechins with and without caffeine
HAUS Panel Decision: Strong level of data supporting inclusion in HAUSEssentials and/or PHARMLife products.
Jurgens TM, Whelan AM, Killian L, Doucette S, Kirk S, Foy E. Green tea for weight loss and weight maintenance in overweight or obese adults. Cochrane Database Syst Rev 2012;12:CD008650.
Phung OJ, Baker WL, Matthews LJ, Lanosa M, Thorne A, Coleman CI. Effect of green tea catechins with or without caffeine on anthropometric measures: a systematic review and meta-analysis. Am J Clin Nutr 2010;91:73-81.
Kim HS, Quon MJ, Kim JA. New insights into the mechanisms of polyphenols beyond antioxidant properties; lessons from the green tea polyphenol, epigallocatechin 3-gallate. Redox Biol. 2014 Jan 10;2:187-95. doi: 10.1016/j.redox.2013.12.022. PMID: 24494192; PMCID: PMC3909779.
No safety concerns for the non-caffeine component. Green tea naturally contains a moderate amount of caffeine and there are no safety concerns with daily use less than 400–500 mg/day for adults.
Known side effects: Nervousness, jitteriness, irritability, fast heart beat.*
*If you don't feel right with the level of caffeine intake, change the:
Frequency of use.
Amount used.
Product used.
Or take a break. Completely.
All PHARMHAUS products are formulated to ensure they remain within the total daily recommendation even when used together.
This naturally occuring sugar molecule has recently received renewed attention, but has been studied for years as a target for use in multiple conditions. Like with many cell mediating components, there is a role played in how our nervous system functions and performs. Since inositol provides a source for secondary messengers like serotonin and dopamine, it has been studied for uses in mood regulation and mental health. Another key and broad area it's been looked at for is Polycystic Ovary Syndrome (PCOS) management and metabolic health overall: It's been found to act similar to metformin in how it improves insulin sensitivity and hormone balance, which are often dysregulated in PCOS.
Fundamentals:
Inositol acts as a foundational component for phosphoinositides and these are components of our cell membranes that support transduction of cell signaling. One key second messenger created from inositol is inositol triphosphate (IP3), which when activated will release calcium from inside cells to follow though on action potentials and promote cell responses. In terms of how inositol influences metabolic and insulin effects, it promotes the phosphorylation of protein kinase B (Akt) and increases the level of cell uptake of glucose to form glycogen stores and decrease insulin inactivity. Inositol has also been found to work within ovarian cells by promoting signaling responsible for follicular development and hormone receptor expression, which can be disrupted in PCOS due to hormonal imbalances. One of its lesser focused on benefits is around the ability of inositol to work as a neurotransmitter modulator with serotonin and dopamine to help influence mood and cognitive function. Serotonin especially is a key player in sleep latency and maintaining a persistent and consistent sleep cycle.
There are limited clinical trials supporting the use of Inositol supplementation for insomnia relief and sleep benefits. The outcomes associated with available trials do indicate a meaningful and positive effect, which paired with a clean side effect profile provides a valuable resource for support.
HAUS Panel Decision: Moderate level of data supporting inclusion in HAUSEssentials and/or PHARMLife products.
Urrila AS, Hakkarainen A, Castaneda A, Paunio T, Marttunen M, Lundbom N. Frontal Cortex Myo-Inositol Is Associated with Sleep and Depression in Adolescents: A Proton Magnetic Resonance Spectroscopy Study. Neuropsychobiology. 2017;75(1):21-31. doi: 10.1159/000478861. Epub 2017 Aug 10. PMID: 28793304.
Mashayekh-Amiri S, Delavar MA, Bakouei F, Faramarzi M, Esmaeilzadeh S. The impact of myo-inositol supplementation on sleep quality in pregnant women: a randomized, double-blind, placebo-controlled study. J Matern Fetal Neonatal Med. 2022 Sep;35(18):3415-3423. doi: 10.1080/14767058.2020.1818225. Epub 2020 Sep 15. PMID: 32933356.
Greff D, Juhász AE, Váncsa S, Váradi A, Sipos Z, Szinte J, Park S, Hegyi P, Nyirády P, Ács N, Várbíró S, Horváth EM. Inositol is an effective and safe treatment in polycystic ovary syndrome: a systematic review and meta-analysis of randomized controlled trials. Reprod Biol Endocrinol. 2023 Jan 26;21(1):10. doi: 10.1186/s12958-023-01055-z. PMID: 36703143; PMCID: PMC9878965.
Most high-quality studies utilized dosing of 4000 mg. No major safety concerns were reported for use within clinically studied doses.
Known common side effects: None.
Increases blood flow and delivery of oxygen and nutrients to skeletal muscle. Also serves as a substrate for creatine production.
Fundamentals: As a precursor to nitric oxide (NO), L-Arginine contributes to the circulating levels of a molecule that has vasodilatory effects, meaning it relaxes and widens blood vessels. The impact of L-arginine on performance is associated with its role in NO production and its effects on blood flow, oxygen delivery, and nutrient transport. By functioning as a substrate for the enzyme nitric oxide synthase (NOS), it supports the catabolic conversion of L-arginine into nitric oxide (NO) and back to citrulline. At the opposite end of the metabolic spectrum, L-Arginine contributes to the body's urea cycle, which results in ammonia removal (detoxification) and can indirectly improve endurance. During high stress events where the body is diverting resources to other functions, L-Arginine supplementation could become useful as the body's natural (endogenous) production is altered.
May improve performance and endurance in high-stress and extended duration activities. Dosing needs to be consistent, chronic, towards the upper range of 8 grams, and done with a high-quality sourced citrulline malate product with proper ratios.
HAUS Panel Decision: Low to moderate level of data supporting inclusion in HAUSEssentials and/or PHARMLife products.
Not included in any product(s) at this time.
Kruszewski M, Merchelski M, Kruszewski A, Tabęcki R, Aksenov MO, Pągowski Ł. Effects of Multi-Ingredient Pre-Workout Supplement and Caffeine on Bench Press Performance: A Single-Blind Cross-Over Study. Nutrients. 2022 Apr 22;14(9):1750. doi: 10.3390/nu14091750. PMID: 35565718; PMCID: PMC9105861.
d'Unienville NMA, Blake HT, Coates AM, Hill AM, Nelson MJ, Buckley JD. Effect of food sources of nitrate, polyphenols, L-arginine and L-citrulline on endurance exercise performance: a systematic review and meta-analysis of randomised controlled trials. J Int Soc Sports Nutr. 2021 Dec 29;18(1):76. doi: 10.1186/s12970-021-00472-y. PMID: 34965876; PMCID: PMC8715640.
Lima FF, Da Silva TF, Neto MM, Toscano LT, Da Silva CSO, Silva AS. Effect of L-arginine intake on exercise-induced hypotension. Nutr Hosp. 2018 Oct 8;35(5):1195-1200. doi: 10.20960/nh.1708. PMID: 30307304.
Kruszewski M, Merchelski M, Kruszewski A, Tabęcki R, Aksenov MO, Pągowski Ł. Effects of Multi-Ingredient Pre-Workout Supplement and Caffeine on Bench Press Performance: A Single-Blind Cross-Over Study. Nutrients. 2022 Apr 22;14(9):1750. doi: 10.3390/nu14091750. PMID: 35565718; PMCID: PMC9105861.
d'Unienville NMA, Blake HT, Coates AM, Hill AM, Nelson MJ, Buckley JD. Effect of food sources of nitrate, polyphenols, L-arginine and L-citrulline on endurance exercise performance: a systematic review and meta-analysis of randomised controlled trials. J Int Soc Sports Nutr. 2021 Dec 29;18(1):76. doi: 10.1186/s12970-021-00472-y. PMID: 34965876; PMCID: PMC8715640.
Lima FF, Da Silva TF, Neto MM, Toscano LT, Da Silva CSO, Silva AS. Effect of L-arginine intake on exercise-induced hypotension. Nutr Hosp. 2018 Oct 8;35(5):1195-1200. doi: 10.20960/nh.1708. PMID: 30307304.
An amino acid that plays a critical metabolic role, citrulline both helps create arginine and is an end-metaboite of arginine. As a supplement, it's thought to increase blood flow and delivery of oxygen along with nutrients to skeletal muscle. It serves as a driving force for creatine production indirectly by being converted to argininine.
Fundamentals:
Sitting in the same metabolic pathway as arginine and agmatine, it plays a role in blood vessel relaxation indirectly by supporting nitric oxide (NO) synthesis. Citrulline can be converted back into arginine in the body to indirectly support NO production. A practical consideration for citrulline supplementation in place of arginine is the first pass effect magnitude o
May improve performance and endurance in high-stress and extended duration activities. Dosing needs to be consistent, chronic, towards the upper range of 8 grams, and done with a high-quality sourced citrulline malate product with proper ratios.
HAUS Panel Decision: Low to moderate level of data supporting inclusion in HAUSEssentials and/or PHARMLife products.
Not included in any product(s) at this time.
Suzuki T, Morita M, Kobayashi Y, Kamimura A. Oral L-citrulline supplementation enhances cycling time trial performance in healthy trained men: Double-blind randomized placebo-controlled 2-way crossover study. J Int Soc Sports Nutr. 2016 Feb 19;13:6. doi: 10.1186/s12970-016-0117-z. PMID: 26900386; PMCID: PMC4759860.
No safety concerns reported for use of up to 5 g per day. Adverse effects are possible with larger doses especially in those already taking nitrate medications.
Known common side effects: Gastrointestinal related issues such as diarrhea and nausea with elevated quantities.
Non-protein amino acid that is also known as glutamylethylamide. It constitutes between 1% to 2% of the dry weight of green tea. It has been found to have an effect on attention and elevated anxiety states via central nervous activity. It contributes to a restorative state of mind by calming the mind and stabilizing mood.
Fundamentals: Peripherally and centrally administered L-theanine has been reported to act on the brain to modulate monoamine levels in the central nervous system and glutamate and glycine neurotransmissions. It is not a sedative agent, but rather functions as an anxiolytic by acting as a partial agonist for the N-methyl-D-aspartate (NMDA) receptor, resulting in its psychotropic (i.e., antidepressant, anxiolytic, sleep aid, and cognitive-enhancing) effects.
Growing range of evidence and clinical trials supporting the use of L-Theanine as an impactful mood and focus supplement.
HAUS Panel Decision: Moderate level of data supporting inclusion in HAUSEssentials and/or PHARMLife products.
DREAMY | SLEEP
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Nobre AC, Rao A, Owen GN. L-theanine, a natural constituent in tea, and its effect on mental state. Asia Pac J Clin Nutr. 2008;17 Suppl 1:167-8. PMID: 18296328.
Hidese S, Ogawa S, Ota M, Ishida I, Yasukawa Z, Ozeki M, Kunugi H. Effects of L-Theanine Administration on Stress-Related Symptoms and Cognitive Functions in Healthy Adults: A Randomized Controlled Trial. Nutrients. 2019 Oct 3;11(10):2362. doi: 10.3390/nu11102362. PMID: 31623400; PMCID: PMC6836118.
Rao TP, Ozeki M, Juneja LR. In Search of a Safe Natural Sleep Aid. J Am Coll Nutr. 2015;34(5):436-47. doi: 10.1080/07315724.2014.926153. Epub 2015 Mar 11. PMID: 25759004.
Owen GN, Parnell H, De Bruin EA, Rycroft JA. The combined effects of L-theanine and caffeine on cognitive performance and mood. Nutr Neurosci. 2008 Aug;11(4):193-8. doi: 10.1179/147683008X301513. PMID: 18681988.
Owen GN, Parnell H, De Bruin EA, Rycroft JA. The combined effects of L-theanine and caffeine on cognitive performance and mood. Nutr Neurosci. 2008 Aug;11(4):193-8. doi: 10.1179/147683008X301513. PMID: 18681988.
Zaragoza J, Tinsley G, Urbina S, Villa K, Santos E, Juaneza A, Tinnin M, Davidson C, Mitmesser S, Zhang Z, Taylor L. Effects of acute caffeine, theanine and tyrosine supplementation on mental and physical performance in athletes. J Int Soc Sports Nutr. 2019 Nov 26;16(1):56. doi: 10.1186/s12970-019-0326-3. PMID: 31771598; PMCID: PMC6880365.
Unno K, Furushima D, Hamamoto S, Iguchi K, Yamada H, Morita A, Horie H, Nakamura Y. Stress-Reducing Function of Matcha Green Tea in Animal Experiments and Clinical Trials. Nutrients. 2018 Oct 10;10(10):1468. doi: 10.3390/nu10101468. PMID: 30308973; PMCID: PMC6213777.
No safety concerns reported for use well above any typical amounts.
Known side effects: None.
As a non-essential amino acid naturally occuring and produced in the body through conversion from phenylalanine, L-tyrosine touches a number of physiological functions. One of the most impactful roles L-tyrosine plays in the body is serving as the foundation for key neurotransmitters like dopamine, norepinephrine, and epinephrine. These nervous system communicators help by improving focus, alertness, and allow us to think clearly in times of stress. Through supplementation of L-tyrosine, we can promote calmness and mental sharpness since the stress hormones in norepinephrine and epinephrine are directly synthesized in the body from L-tyrosine.
Fundamentals:
Tyrosine itself is directly hydroxylated to L-dopa. L-Dopa can cross the blood-brain barrier and is effectively converted into dopamine. Interestingly, L-dopa is a critical prescription medication for the management of Parkinson's disease, which is driven in part by a clinical deficiency of neurotransmitters needed for basic cognitive and movement processes. Some dopamine is then hydroxylated to form norepinephrine and subsequently epinephrine through methylation. When nerve cells are stimulated, these stockpiled neurotransmitters are released into an area between nerve cells to support communication and continued stimulation of the signaling cascade. The use of oral L-tyrosine in appropriate quantities can be helpful in promoting modest sub-clinical gains in cognitive processing, mood regulation, and stress management through the eventual catecholamines produced by our own body.
There are multiple clinical trials investigating the role of L-tyrosine supplementation on cognitive performance.
HAUS Panel Decision: Moderate level of data supporting inclusion in HAUSEssentials and/or PHARMLife products.
Colzato LS, Steenbergen L, Sellaro R, Stock AK, Arning L, Beste C. Effects of l-Tyrosine on working memory and inhibitory control are determined by DRD2 genotypes: A randomized controlled trial. Cortex. 2016 Sep;82:217-224. doi: 10.1016/j.cortex.2016.06.010. Epub 2016 Jun 23. PMID: 27403851.
Mathar D, Erfanian Abdoust M, Marrenbach T, Tuzsus D, Peters J. The catecholamine precursor Tyrosine reduces autonomic arousal and decreases decision thresholds in reinforcement learning and temporal discounting. PLoS Comput Biol. 2022 Dec 22;18(12):e1010785. doi: 10.1371/journal.pcbi.1010785. PMID: 36548401; PMCID: PMC9822114.
Deijen JB, Wientjes CJ, Vullinghs HF, Cloin PA, Langefeld JJ. Tyrosine improves cognitive performance and reduces blood pressure in cadets after one week of a combat training course. Brain Res Bull. 1999 Jan 15;48(2):203-9. doi: 10.1016/s0361-9230(98)00163-4. PMID: 10230711.
Stock AK, Colzato L, Beste C. On the effects of tyrosine supplementation on interference control in a randomized, double-blind placebo-control trial. Eur Neuropsychopharmacol. 2018 Aug;28(8):933-944. doi: 10.1016/j.euroneuro.2018.05.010. Epub 2018 Jul 3. PMID: 29980424.
Clinical References Sheet for PHARMHAUS.comShareFileEditViewInsertFormatDataToolsExtensionsHelpAccessibility$%123CalibriRandomized studies utilized a wide range of dosing, but positive outcomes were seen with doses around 2000 mg. No major safety concerns were reported for use within clinically studied doses.
Known common side effects: None.Supplement GuidePersonal AssessmentCalculators6 of 39 rows displayedRandomized studies utilized a wide range of dosing, but positive outcomes were seen with doses around 2000 mg. No major safety concerns were reported for use within clinically studied doses.
Known common side effects: None.There are multiple clinical trials investigating the role of L-tyrosine supplementation on cognitive performance. HAUS Panel Decision: Moderate level of data supporting inclusion in HAUSEssentials and/or PHARMLife products. D36There are multiple clinical trials investigating the role of L-tyrosine supplementation on cognitive performance. HAUS Panel Decision: Moderate level of data supporting inclusion in HAUSEssentials and/or PHARMLife products. D36There are multiple clinical trials investigating the role of L-tyrosine supplementation on cognitive performance. HAUS Panel Decision: Moderate level of data supporting inclusion in HAUSEssentials and/or PHARMLife products. D36As a non-essential amino acid naturally occuring and produced in the body through conversion from phenylalanine, L-tyrosine touches a number of physiological functions. One of the most impactful roles L-tyrosine plays in the body is serving as the foundation for key neurotransmitters like dopamine, norepinephrine, and epinephrine. These nervous system communicators help by improving focus, alertness, and allow us to think clearly in times of stress. Through supplementation of L-tyrosine, we can promote calmness and mental sharpness since the stress hormones in norepinephrine and epinephrine are directly synthesized in the body from L-tyrosine. Fundamentals: Tyrosine itself is directly hydroxylated to L-dopa. L-Dopa can cross the blood-brain barrier and is effectively converted into dopamine. Interestingly, L-dopa is a critical prescription medication for the management of Parkinson's disease, which is driven in part by a clinical deficiency of neurotransmitters needed for basic cognitive and movement processes. Some dopamine is then hydroxylated to form norepinephrine and subsequently epinephrine through methylation. When nerve cells are stimulated, these stockpiled neurotransmitters are released into an area between nerve cells to support communication and continued stimulation of the signaling cascade. The use of oral L-tyrosine in appropriate quantities can be helpful in promoting modest sub-clinical gains in cognitive processing, mood regulation, and stress management through the eventual catecholamines produced by our own body. C36There are multiple clinical trials investigating the role of L-tyrosine supplementation on cognitive performance. HAUS Panel Decision: Moderate level of data supporting inclusion in HAUSEssentials and/or PHARMLife products. D36SHARP | FOCUS E36SHARP | FOCUS E36SHARP | FOCUS E36There are multiple clinical trials investigating the role of L-tyrosine supplementation on cognitive performance. HAUS Panel Decision: Moderate level of data supporting inclusion in HAUSEssentials and/or PHARMLife products. D36SHARP | FOCUS E36Colzato LS, Steenbergen L, Sellaro R, Stock AK, Arning L, Beste C. Effects of l-Tyrosine on working memory and inhibitory control are determined by DRD2 genotypes: A randomized controlled trial. Cortex. 2016 Sep;82:217-224. doi: 10.1016/j.cortex.2016.06.010. Epub 2016 Jun 23. PMID: 27403851. Mathar D, Erfanian Abdoust M, Marrenbach T, Tuzsus D, Peters J. The catecholamine precursor Tyrosine reduces autonomic arousal and decreases decision thresholds in reinforcement learning and temporal discounting. PLoS Comput Biol. 2022 Dec 22;18(12):e1010785. doi: 10.1371/journal.pcbi.1010785. PMID: 36548401; PMCID: PMC9822114. Deijen JB, Wientjes CJ, Vullinghs HF, Cloin PA, Langefeld JJ. Tyrosine improves cognitive performance and reduces blood pressure in cadets after one week of a combat training course. Brain Res Bull. 1999 Jan 15;48(2):203-9. doi: 10.1016/s0361-9230(98)00163-4. PMID: 10230711. Stock AK, Colzato L, Beste C. On the effects of tyrosine supplementation on interference control in a randomized, double-blind placebo-control trial. Eur Neuropsychopharmacol. 2018 Aug;28(8):933-944. doi: 10.1016/j.euroneuro.2018.05.010. Epub 2018 Jul 3. PMID: 29980424. F36Colzato LS, Steenbergen L, Sellaro R, Stock AK, Arning L, Beste C. Effects of l-Tyrosine on working memory and inhibitory control are determined by DRD2 genotypes: A randomized controlled trial. Cortex. 2016 Sep;82:217-224. doi: 10.1016/j.cortex.2016.06.010. Epub 2016 Jun 23. PMID: 27403851. Mathar D, Erfanian Abdoust M, Marrenbach T, Tuzsus D, Peters J. The catecholamine precursor Tyrosine reduces autonomic arousal and decreases decision thresholds in reinforcement learning and temporal discounting. PLoS Comput Biol. 2022 Dec 22;18(12):e1010785. doi: 10.1371/journal.pcbi.1010785. PMID: 36548401; PMCID: PMC9822114. Deijen JB, Wientjes CJ, Vullinghs HF, Cloin PA, Langefeld JJ. Tyrosine improves cognitive performance and reduces blood pressure in cadets after one week of a combat training course. Brain Res Bull. 1999 Jan 15;48(2):203-9. doi: 10.1016/s0361-9230(98)00163-4. PMID: 10230711. Stock AK, Colzato L, Beste C. On the effects of tyrosine supplementation on interference control in a randomized, double-blind placebo-control trial. Eur Neuropsychopharmacol. 2018 Aug;28(8):933-944. doi: 10.1016/j.euroneuro.2018.05.010. Epub 2018 Jul 3. PMID: 29980424. F36Colzato LS, Steenbergen L, Sellaro R, Stock AK, Arning L, Beste C. Effects of l-Tyrosine on working memory and inhibitory control are determined by DRD2 genotypes: A randomized controlled trial. Cortex. 2016 Sep;82:217-224. doi: 10.1016/j.cortex.2016.06.010. Epub 2016 Jun 23. PMID: 27403851. Mathar D, Erfanian Abdoust M, Marrenbach T, Tuzsus D, Peters J. The catecholamine precursor Tyrosine reduces autonomic arousal and decreases decision thresholds in reinforcement learning and temporal discounting. PLoS Comput Biol. 2022 Dec 22;18(12):e1010785. doi: 10.1371/journal.pcbi.1010785. PMID: 36548401; PMCID: PMC9822114. Deijen JB, Wientjes CJ, Vullinghs HF, Cloin PA, Langefeld JJ. Tyrosine improves cognitive performance and reduces blood pressure in cadets after one week of a combat training course. Brain Res Bull. 1999 Jan 15;48(2):203-9. doi: 10.1016/s0361-9230(98)00163-4. PMID: 10230711. Stock AK, Colzato L, Beste C. On the effects of tyrosine supplementation on interference control in a randomized, double-blind placebo-control trial. Eur Neuropsychopharmacol. 2018 Aug;28(8):933-944. doi: 10.1016/j.euroneuro.2018.05.010. Epub 2018 Jul 3. PMID: 29980424. F36SHARP | FOCUS E36Colzato LS, Steenbergen L, Sellaro R, Stock AK, Arning L, Beste C. Effects of l-Tyrosine on working memory and inhibitory control are determined by DRD2 genotypes: A randomized controlled trial. Cortex. 2016 Sep;82:217-224. doi: 10.1016/j.cortex.2016.06.010. Epub 2016 Jun 23. PMID: 27403851. Mathar D, Erfanian Abdoust M, Marrenbach T, Tuzsus D, Peters J. The catecholamine precursor Tyrosine reduces autonomic arousal and decreases decision thresholds in reinforcement learning and temporal discounting. PLoS Comput Biol. 2022 Dec 22;18(12):e1010785. doi: 10.1371/journal.pcbi.1010785. PMID: 36548401; PMCID: PMC9822114. Deijen JB, Wientjes CJ, Vullinghs HF, Cloin PA, Langefeld JJ. Tyrosine improves cognitive performance and reduces blood pressure in cadets after one week of a combat training course. Brain Res Bull. 1999 Jan 15;48(2):203-9. doi: 10.1016/s0361-9230(98)00163-4. PMID: 10230711. Stock AK, Colzato L, Beste C. On the effects of tyrosine supplementation on interference control in a randomized, double-blind placebo-control trial. Eur Neuropsychopharmacol. 2018 Aug;28(8):933-944. doi: 10.1016/j.euroneuro.2018.05.010. Epub 2018 Jul 3. PMID: 29980424. F36Randomized studies utilized a wide range of dosing, but positive outcomes were seen with doses around 2000 mg. No major safety concerns were reported for use within clinically studied doses. Known common side effects: None. G36Calming and focus promoting amino acid that works to replenish or improve the levels of key neurotransmitters in the brain. Considerations: 1. Potential for thyroid level changes: Individuals taking medications promoting improved thyroid levels may have their normalized thyroid levels impacted as this supplement can interfere with thyroid stimulating hormone (TSH). Recommendation: Consult with a healthcare professional. H36A well-studied amino acid that has benefits in cognitive performance. I36Randomized studies utilized a wide range of dosing, but positive outcomes were seen with doses around 2000 mg. No major safety concerns were reported for use within clinically studied doses. Known common side effects: None. G36Randomized studies utilized a wide range of dosing, but positive outcomes were seen with doses around 2000 mg. No major safety concerns were reported for use within clinically studied doses. Known common side effects: None. G36
Lemon Balm, also known as Melissa officinalis. has a long track record of use in Asian traditional medicine as a sedative to treat many brain-related disorders such as stress, depression, anxiety, and insomnia. The European Scientific Cooperative on Phytotherapy (ESCOP) recommends the use of lemon balm to relieve mild symptoms of anxiety, including mental stress, restlessness, and irritability.
Fundamentals: The neurocognitive effects are mediated by cholinergic nicotinic and muscarinic receptor binding in the brain and is a GABA interfering agent. There is also some evidence to support the theory that Lemon Balm can influence the levels of neurotransmitters such as serotonin and acetylcholine, which play roles in mood, cognition, and sleep regulation. A systematic review and a meta-analysis reviewing the effects of lemon balm as a medicinal herb on anxiety and depression found that lemon balm significantly improved mean anxiety and depression scores compared with the placebo.
There are several clinical trials supporting the use of Lemon Balm as impactful for relaxation and stress-relief to go along with a long observed history of use in many different populations. .
HAUS Panel Decision: Strong level of data supporting inclusion in HAUSEssentials and/or PHARMLife products.
Ghazizadeh J, Sadigh-Eteghad S, Marx W, Fakhari A, Hamedeyazdan S, Torbati M, Taheri-Tarighi S, Araj-Khodaei M, Mirghafourvand M. The effects of lemon balm (Melissa officinalis L.) on depression and anxiety in clinical trials: A systematic review and meta-analysis. Phytother Res. 2021 Dec;35(12):6690-6705. doi: 10.1002/ptr.7252. Epub 2021 Aug 27. PMID: 34449930.
Haybar H, Javid AZ, Haghighizadeh MH, Valizadeh E, Mohaghegh SM, Mohammadzadeh A. The effects of Melissa officinalis supplementation on depression, anxiety, stress, and sleep disorder in patients with chronic stable angina. Clin Nutr ESPEN. 2018 Aug;26:47-52. doi: 10.1016/j.clnesp.2018.04.015. Epub 2018 May 19. PMID: 29908682.
Scholey A, Gibbs A, Neale C, Perry N, Ossoukhova A, Bilog V, Kras M, Scholz C, Sass M, Buchwald-Werner S. Anti-stress effects of lemon balm-containing foods. Nutrients. 2014 Oct 30;6(11):4805-21. doi: 10.3390/nu6114805. PMID: 25360512; PMCID: PMC4245564.
https://www.ema.europa.eu/en/documents/herbal-report/final-assessment-report-melissa-officinalis-l-folium_en.pdf
No safety concerns reported for use well above any typical amounts.
Known side effects: None.
Known as an adaptogen, Maca has wide range of potential uses especially around brain performance, sexual function, and mood. Originally grown and harvested in the Andes mountains, the root of the vegetable is dried and ground into a powder for health uses. It's thought to help with hormone regulation, energy production, mood improvement through neurotransmitter activity, and memory recall. It is also referred to as Peruvian ginseng.
Fundamentals:
There are various bioactive compounds found in Maca that drive some of the clinical value associated with its use. Macamides and macaenes for example act as phytoestrogens by selectively binding to estrogen receptors and providing estrogen-like effects or antiestrogen activity depending on the hormonal context. It's also been found in studies to increase steroid hormone synthesis, potentially influencing the production of hormones like testosterone and estrogen. The methods by which Maca interacts with the nervous system is mainly through the alkaloids and polyphenol compounds within the plant roots. Those compounds alter the level of release, reuptake, or receptor sensitivity of our neurotransmitters.
There are limited clinical trials supporting the use of Maca for neurocognitive and hormonal benefits. The randomized trials conducted do, however, indicate a slew of potential benefits and uses.
HAUS Panel Decision: Moderate level of data supporting inclusion in HAUSEssentials and/or PHARMLife products.
Dording CM, Fisher L, Papakostas G, Farabaugh A, Sonawalla S, Fava M, Mischoulon D. A double-blind, randomized, pilot dose-finding study of maca root (L. meyenii) for the management of SSRI-induced sexual dysfunction. CNS Neurosci Ther. 2008 Fall;14(3):182-91. doi: 10.1111/j.1755-5949.2008.00052.x. PMID: 18801111; PMCID: PMC6494062.
da Silva Leitão Peres N , Cabrera Parra Bortoluzzi L , Medeiros Marques LL , Formigoni M , Fuchs RHB , Droval AA , Reitz Cardoso FA . Medicinal effects of Peruvian maca (Lepidium meyenii): a review. Food Funct. 2020 Jan 29;11(1):83-92. doi: 10.1039/c9fo02732g. PMID: 31951246.
Stojanovska L, Law C, Lai B, Chung T, Nelson K, Day S, Apostolopoulos V, Haines C. Maca reduces blood pressure and depression, in a pilot study in postmenopausal women. Climacteric. 2015 Feb;18(1):69-78. doi: 10.3109/13697137.2014.929649. Epub 2014 Aug 7. PMID: 24931003.
Studies where statistically significant positive effects were seen used a dose of 3 grams per day. No major safety concerns were reported for use within clinically studied doses.
Known common side effects: mild gastrointestinal symptoms on a small scale in limited patients.
Magnesium plays a part in more than 300 enzyme systems that regulate a wide range of processes in the body, including protein synthesis, muscle and nerve function, blood glucose control, and blood pressure regulation. Since magnesium plays a role in active transport of calcium and potassium ions across cell membranes, it supports nerve impulse conduction, muscle contraction, and normal heart rhythm. Green leafy vegetables, such as spinach, legumes, nuts, seeds, and whole grains are good sources naturally. Insufficiencies or deficiencies are impactful on a number of fronts.
Fundamentals: Hypomagnesemia is defined as a serum magnesium level less than 0.75 mmol/L. Magnesium regulation is largely controlled by the kidney, which typically excretes about 120 mg magnesium into the urine each day. The glycinate and threonate forms are more readily soluble in the gut and have higher absorption rates. Approximately 30% to 40% of the dietary magnesium consumed is typically absorbed by the body. Magnesium is a channel blocker that helps regulate calcium by blocking those channels where there is excess to prevent nerve excitation and maintain the proper firing of action potentials. Magnesium acts as a cofactor in a wide range of enzymatic reactions involved in ATP (adenosine triphosphate) synthesis by supporting ATPase activity. In the neuromuscular junction where the nerve signals transmit to muscle fibers, magnesium helps in the release of acetylcholine. Magnesium influences the function of acetylcholine receptors on the muscle cell membrane, ensuring proper signaling between nerve and muscle. Magnesium helps in regulating the activity of NMDA receptors, preventing excessive calcium influx and maintaining nerve cell function. In muscle cells, magnesium is necessary for the interaction between actin and myosin, by activating myosin ATPase, an enzyme that facilitates the cross-bridge cycling between actin and myosin, allowing muscles to contract and relax effectively. This is where an insufficient level of magnesium can lead to twitching and inappropriate muscle conduction.
There are several clinical trials supporting the use of magneium as critical for the regulation of many types of cells in the body.
HAUS Panel Decision: Strong level of data supporting inclusion in HAUSEssentials and/or PHARMLife products.
DREAMY | SLEEP
RISE | WAKE UP
THRIVE | POST-WORKOUT
Ranade VV, Somberg JC. Bioavailability and pharmacokinetics of magnesium after administration of magnesium salts to humans. Am J Ther. 2001 Sep-Oct;8(5):345-57. doi: 10.1097/00045391-200109000-00008. PMID: 11550076.
Zhang C, Hu Q, Li S, Dai F, Qian W, Hewlings S, Yan T, Wang Y. A Magtein®, Magnesium L-Threonate, -Based Formula Improves Brain Cognitive Functions in Healthy Chinese Adults. Nutrients. 2022 Dec 8;14(24):5235. doi: 10.3390/nu14245235. PMID: 36558392; PMCID: PMC9786204.
Fine KD, Santa Ana CA, Porter JL, Fordtran JS. Intestinal absorption of magnesium from food and supplements. J Clin Invest. 1991 Aug;88(2):396-402. doi: 10.1172/JCI115317. PMID: 1864954; PMCID: PMC295344.
No safety concerns reported within the recommended allowance of 400 mg per day.
Known side effects: Too much magnesium from food does not pose a risk in healthy individuals since the kidneys eliminate excess amounts in the urine. However, high doses of magnesium from dietary supplements or medications can result in diarrhea that can be accompanied by nausea and abdominal cramping. This is because magnesium is an electrolyte that when taken in excess can draw out water into the intestines or colon and increase the speed of your gut's motion. In some contexts like bowel prep for colonoscopies or for those with constipation, this is an intended outcome.
This suppkements represents part of the result when caffeine is ingested and metabolized by the liver. The major metabolite of caffeine (about 70% of the metabolites) is paraxanthine. It can be consumed in natural sources, but it's not nearly as common or abundant as caffeine. There is appeal with this broken down part of caffine as it has the same positive memory improving, energy driving effects of caffeine, but less of the cardiovascular and anxiety-causing side effects some people experience with prolonged or very high use.
Fundamentals: Like caffeine, it works through the nervous system to increase the body's metabolism and fat-burning (lipid oxidation). Equally as important as the body being revved up in terms of performance is the impact caffeine has on dopamine, norepinephrine, serotonin, acetylcholine, and more to improve focus along with overall energy levels. Caffeine increases intracellular concentrations of cAMP by inhibiting phosphodiesterases in skeletal muscle and adipose tissues leading to the promotion of fat breakdown (lipolysis) via lipases and the release of free fatty acids. Toxicity studies evaluating the extreme range (limit) of paraxanthine compared to caffeine found that caffeine's caused more side effects at lower doses compared to paraxanthine. Dose studies also found more staying power with paraxanthine concentration vs. caffeine concentration. From a kinetics perspective, one inherent advantage to utilizing an active metabolite like paraxanthine instead of caffeine (parent molecule) is the slow metabolizing utilizers are not going to experience a different response to supplementation as compared to a fast metabolizer of caffeine since that step is removed from the process. Potency wise, further dose studies have looked at dosing aroung 4 mg per kilogram (2.2 lbs) and found that caffeine and paraxanthine are equipotent. Assuming a 70 kg male used paraxanthine, that would be 280 mg and is similar to the 195 mg per each serving of the PHARMHAUS XCEL+ formula. The recommended maximum intake per day is about 400 mg/day for the average adult and should be taken 15 to 60 minutes before you exercise. AVOID ALL SOURCES OF CAFFEINE OR CAFFEINE BY-PRODUCTS (paraxanthine) WITHIN 4 HOURS OF YOUR USUAL BED TIME.
Repeated findings of enhanced performance along with focus in activities such as running, contact sports, weight-bearing exercises, and more.
HAUS Panel Decision: Strong level of data supporting inclusion in HAUSEssentials and/or PHARMLife products.
Not included in any product(s) at this time.
Szlapinski SK, Charrette A, Guthrie N, Hilmas CJ. Paraxanthine safety and comparison to caffeine. Front Toxicol. 2023 Feb 2;5:1117729. doi: 10.3389/ftox.2023.1117729. PMID: 36818692; PMCID: PMC9932512.
Institute of Medicine (US) Committee on Military Nutrition Research. Caffeine for the Sustainment of Mental Task Performance: Formulations for Military Operations. Washington (DC): National Academies Press (US); 2001. 2, Pharmacology of Caffeine. Available from: https://www.ncbi.nlm.nih.gov/books/NBK223808/
Yoo C, Xing D, Gonzalez D, Jenkins V, Nottingham K, Dickerson B, Leonard M, Ko J, Faries M, Kephart W, Purpura M, Jäger R, Wells SD, Sowinski R, Rasmussen CJ, Kreider RB. Acute Paraxanthine Ingestion Improves Cognition and Short-Term Memory and Helps Sustain Attention in a Double-Blind, Placebo-Controlled, Crossover Trial. Nutrients. 2021 Nov 9;13(11):3980. doi: 10.3390/nu13113980. PMID: 34836235; PMCID: PMC8622427.
Klevebrant L, Frick A. Effects of caffeine on anxiety and panic attacks in patients with panic disorder: A systematic review and meta-analysis. Gen Hosp Psychiatry. 2022 Jan-Feb;74:22-31. doi: 10.1016/j.genhosppsych.2021.11.005. Epub 2021 Dec 2. PMID: 34871964.
No safety concerns for daily use less than 400–500 mg/day for adults.
Known side effects: Nervousness, jitteriness, irritability, fast heart beat.*
*If you don't feel right with the level of caffeine intake, change the:
Frequency of use.
Amount used.
Product used.
Or take a break. completely.
All PHARMHAUS products are formulated to ensure they remain within the total daily recommendation even when used together.
Pomegranate is known to be a wonder-fruit of sorts with its diverse benefits. The extract is directly sourced from the fruit of the tree and is antioxidant rich providing adding protective features that part with multiple active compounds in the extract that drive exercise performance and improve strength. The primary benefit of pomegranate extract from a performance perspective is the ability to improve blood flow and facilitate nutrient and energy delivery during high periods of stress.
Fundamentals: Similar to other nitric oxide (NO) promoting supplements, the extract of pomegranate fruit helps dilate blood vessels allowing more oxygen and nutrients to reach muscle tissue during workouts. The extract can both indirectly and directly raise the levels of NO within the body. Two polyphenols in ellagitannins and their urolithins metabolites incdirectly boost NO levels by increasing the activity level of nitric oxide synthase (eNOS), which is the enzyme that catalyzes the generation of NO in blood vessels. Pomegranate extract can also directly boost NO levels with the natural nitrates naturally found in pomegranates that are then converted into nitric oxide. Polyphenols are also well-implicated in the anti-inflammatory and antioxidant pathways helping reduce cell damage and mitigating oxidative stress. The potential for drug concentration increases in patients utilizing prescription medications that are metabolized in the liver by CYP450 is a possibility. There are multiple clinical studies where pomegranate extract supplementation lead to decreases in inflammatory markers associated heavily with muscle tissue.
Can improve performance and capacity in short-duration activities.
HAUS Panel Decision: Strong level of data supporting inclusion in HAUSEssentials and/or PHARMLife products.
XCEL | PRE-WORKOUT
XCEL+ | PRE-WORKOUT
Torregrosa-García A, Ávila-Gandía V, Luque-Rubia AJ, Abellán-Ruiz MS, Querol-Calderón M, López-Román FJ. Pomegranate Extract Improves Maximal Performance of Trained Cyclists after an Exhausting Endurance Trial: A Randomised Controlled Trial. Nutrients. 2019 Mar 28;11(4):721. doi: 10.3390/nu11040721. PMID: 30925733; PMCID: PMC6521089.
Crum EM, Barnes MJ, Stannard SR. Multiday Pomegranate Extract Supplementation Decreases Oxygen Uptake During Submaximal Cycling Exercise, but Cosupplementation With N-acetylcysteine Negates the Effect. Int J Sport Nutr Exerc Metab. 2018 Nov 1;28(6):586-592. doi: 10.1123/ijsnem.2017-0407. Epub 2018 Aug 1. PMID: 29431536.
Verdú D, Valls A, Díaz A, Carretero A, Dromant M, Kuligowski J, Serna E, Viña J. Pomegranate Extract Administration Reverses Loss of Motor Coordination and Prevents Oxidative Stress in Cerebellum of Aging Mice. Antioxidants (Basel). 2023 Nov 11;12(11):1991. doi: 10.3390/antiox12111991. PMID: 38001844; PMCID: PMC10669012.
Dormal V, Pachikian B, Debock E, Buchet M, Copine S, Deldicque L. Evaluation of a Dietary Supplementation Combining Protein and a Pomegranate Extract in Older People: A Safety Study. Nutrients. 2022 Dec 6;14(23):5182. doi: 10.3390/nu14235182. PMID: 36501211; PMCID: PMC9739468.
Nagata M, Hidaka M, Sekiya H, Kawano Y, Yamasaki K, Okumura M, Arimori K. Effects of pomegranate juice on human cytochrome P450 2C9 and tolbutamide pharmacokinetics in rats. Drug Metab Dispos. 2007 Feb;35(2):302-5. doi: 10.1124/dmd.106.011718. Epub 2006 Nov 28. PMID: 17132763.
While there are no supplement induced safety concerns with pomegranate extract use in healthy individuals, there are possible drug interactions that can occur for those using medications such as ARB and beta-blocker blood pressure medications, estradiol, and statins among others.
Known common side effects:
None.
A building block of the body's maintenance system, Potassium supports the proper balance of fluid volume and cell electrical activity. Like magnesium supports the contraction and relaxation functions of muscle fibers, so too does potassium. It allows muscle cells and nerve fibers to communicate with one another. This has a direct impact on heart function, blood pressure, and energy storage. A critical note, however, is that the FDA has ruled that some oral drug products that contain MORE than 99 mg potassium per dose are not safe because they have been associated with small-bowel lesions. Potassium salts containing more than 99 mg potassium per tablet or capsule must be labeled with a warning about the reports of small-bowel lesions. Due to this labeling requirement, dietary supplement products are going to be largely ineffective and negligible compared to dietary food sources and the overall level of intake needed from food sources.
Fundamentals: Most potassium resides intracellularly,and a small amount is in extracellular fluid. The intracellular concentration of potassium is about 30 times higher than the extracellular concentration. It's this difference, known as the cell gradient, that generates the potential for action and is maintained via the sodium-potassium (Na+/K+) ATPase transporter. In addition to maintaining cellular tonicity, this gradient is required for proper nerve transmission, muscle contraction, and kidney function.
There are several clinical trials supporting the use of potassium as critical for the regulation of many types of cells in the body. Recommended daily requirements in regular and healthy people are best achieved through food intake.
HAUS Panel Decision: Due to the negligible intake level of supplementary potassium and possible associated risks, the rationale to include potassium in PHARMHAUS products is too weak at this time.
Macdonald-Clarke CJ, Martin BR, McCabe LD, McCabe GP, Lachcik PJ, Wastney M, et al. Bioavailability of potassium from potatoes and potassium gluconate: a randomized dose response trial. Am J Clin Nutr 2016;104:346-53.
Stone MS, Martyn L, Weaver CM. Potassium intake, bioavailability, hypertension, and glucose control. Nutrients 2016;8.
No safety concerns reported with the recommended daily allowance of 3400 mg per day (adult male) and 2600 mg per day (adult female).
NOTE: The recommended intake quantity only applies to healthy individuals with NO known history of kidney inadequacy or kidney disease. Since potassium balance is managed by the kidney, individuals with known kidney insufficiency may struggle to balance dietary and supplementary potassium appropriately.
Known side effects: Unusually high level of potassium can lead to irregular heartbeat, muscle weakness, numbness or tingling, and stomach upset.
Rhodiola rosea is a well-known adaptogenic herb that supports the management of both physical and psychological stressors. Like many adaptogenic herbs, it's been associated with increased neurotransmitter activity through nerve cell interactions and increased retention of dopamine as well as serotonin. It has the potential to improve mood, memory, and concentration. Some studies have also shown value in terms of physical performance with increased endurance driven by improved oxygen utilization. Rhodiola is used clinically as well in eastern medicine for management of cardiovascular inflammation and mild depression treatment.
Fundamentals:
The main pathway by which it's assumed Rhodiola makes an impact on the body's stress response is through the hypothalamic-pituitary-adrenal (HPA) axis. As an adaptogen, Rhodiola acts as a neurotransmitter modulator and influences the levels and activity of dopamine, norepinephrine, and serotonin. In terms of physical performance, studies have looked at how Rhodiola activates enzymes involved in ATP generation to stimulate cellular energy production and improve mitochondrial function. Salidroside is the active component within Rhodiola extracts that is thought to have the largest role in improvements with use. Much of the function of Rhodiola is attributed to its ability to effectively intervene in cellular communication especially within inflammatory pathways.
There are several randomized trials supporting the use of Rhodiola extracts for neurocognitive benefits.
HAUS Panel Decision: Strong level of data supporting inclusion in HAUS Essentials and/or PHARM Life products.
Pu WL, Zhang MY, Bai RY, Sun LK, Li WH, Yu YL, Zhang Y, Song L, Wang ZX, Peng YF, Shi H, Zhou K, Li TX. Anti-inflammatory effects of Rhodiola rosea L.: A review. Biomed Pharmacother. 2020 Jan;121:109552. doi: 10.1016/j.biopha.2019.109552. Epub 2019 Nov 9. PMID: 31715370.
Mao JJ, Xie SX, Zee J, Soeller I, Li QS, Rockwell K, Amsterdam JD. Rhodiola rosea versus sertraline for major depressive disorder: A randomized placebo-controlled trial. Phytomedicine. 2015 Mar 15;22(3):394-9. doi: 10.1016/j.phymed.2015.01.010. Epub 2015 Feb 23. PMID: 25837277; PMCID: PMC4385215.
Liao YH, Chao YC, Sim BY, Lin HM, Chen MT, Chen CY. Rhodiola/Cordyceps-Based Herbal Supplement Promotes Endurance Training-Improved Body Composition But Not Oxidative Stress and Metabolic Biomarkers: A Preliminary Randomized Controlled Study. Nutrients. 2019 Oct 3;11(10):2357. doi: 10.3390/nu11102357. PMID: 31623349; PMCID: PMC6835767.
Systemic studies on dosing and ranges for effect are challenging to find and interpret. Studies where statistically significant positive effects were seen used a dose concentration around 20 mg/kg with minimal tolerance issues if at all. No major safety concerns were reported for use within clinically studied doses (up to 20 mg/kg in adults). With a paradoxical response and tolerance-promoting profile, a lower dose is seen as ideal for positive effects.
Known common side effects: Potential for dizziness and low blood pressure with initial use at lower-dose range.
Also known as baking soda, sodium bicarbonate helps keep the acid-base balance in the body normal. Supplementation is thought to help counteract lactic acid build-up during physical activities and fights that burning sensation.
Fundamentals: Sodium bicarbonate reacts with hydrogen ions in the blood and helps buffer the acidity in the body's circulatory system. This naturally occuring process helps delay fatigue during high-intensity activities like sprinting, weightlifting, or short-burst training events. By balancing out the acidosis occuring in this context, it can decrease muscle fatigue.
May be useful in acute settings for recovery and endurance support.
HAUS Panel Decision:
Moderate evidence supporting inclusion in HAUSEssentials and/or PHARMLife products.
Not included in any product(s) at this time.
Carr AJ, Slater GJ, Gore CJ, Dawson B, Burke LM. “Effect of sodium bicarbonate on [H+] buffering and high-intensity cycling performance.” Int J Sport Nutr Exerc Metab. 2011;21(3):191-203.
McNaughton LR, Siegler J, Midgley A. “Ergogenic effects of sodium bicarbonate.” Curr Sports Med Rep. 2008;7(4):230-236.
Price MJ, Simons C. “The effect of sodium bicarbonate ingestion on high-intensity cycling and blood lactate levels.” J Sports Sci. 2010;28(10):933-942.
Peart DJ, Siegler JC, Vince RV. “Practical recommendations for coaches and athletes: A meta-analysis of sodium bicarbonate use for athletic performance.” Strength Cond J. 2012;34(4):79-84.
Typically dosed at a rate of 0.2 g per kilogram of body weight and used 60-90 minutes before exercise.
Known common side effects: Mild discomfort such as gas and bloating if higher doses are used.
Also known as sour cherry or Montmorency cherry, the antioxidant power of this supplement can have strong effects on weight management, joint health, and musculoskelatal recovery. Phytochemicals in tart cherries can support anti-inflammatory functions along with possible pain reduction.
Fundamentals:
Anthocyanin pigments and similar bioflavonoids target free radicals, modulate inflammatory cytokines, inhibit cyclooxygenase (similar to how drugs like Advil work), and strengthen biological membranes promoting anti-inflammatory functions as well as treatment of pain and edema (swelling). The mechanism behind tart cherry’s health benefits is related to the bioactive compounds present in tart cherries, including various polyphenolic compounds that act as antioxidants. Compared to many foods that are rich in antioxidants, the level of antioxidant activity in tart cherries is similar to blueberries, strawberries and pomegranates
A few clinical trials with positive results along with mixed results in aiding muscle strength recovery, reducing soreness, and reducing inflammatory effects on lungs after exercise.
HAUS Panel Decision: Moderate level of data supporting inclusion in HAUSEssentials and/or PHARMLife products.
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Carson CA. Tart Cherry Juice as a Treatment for Peripheral Neuropathy. Integr Med (Encinitas). 2015 Feb;14(1):48–9. PMCID: PMC4566454.
Chai SC, Davis K, Zhang Z, Zha L, Kirschner KF. Effects of Tart Cherry Juice on Biomarkers of Inflammation and Oxidative Stress in Older Adults. Nutrients. 2019 Jan 22;11(2):228. doi: 10.3390/nu11020228. PMID: 30678193; PMCID: PMC6413159.
No safety concerns reported for about 1/2 quart of juice or 480 mg of freeze-dried Montmorency tart-cherry-skin powder per day for up to 2 weeks
Known side effects: None.
This amino acid has a long track record for use in exercise performance and antioxidant activity, but more recent studies have shown taurine's role in boosting other functions in the body such as recovery from illness, heart health, and immunity. There are multiple studies over the past 20 years focused on taurine and its ability to increase the time to exhaustion (TTE) and improve exercise-induced fatigue.
Fundamentals: Most of the functions driven by taurine are proposed to be tied to the gradient and action potential it drives. There is acitivity around ion channels, cell volume, and membrane stabilization that makes taurine impactful. The amino acid was first identified and isolated from the bile of the ox (Bos taurus), hence the name. As it is a semi-essential amino acid, we can suppkement the natural body stores with dietary intake of fish and meat. The protective efffects conferred by the presence of taurine is theorized to be achieved by regulation of calcium ion influx as well as receptor downregulation decreasing levels of toxic proteins that contribute to oxidative stress.
A few clinical trials with positive results along with mixed results in reducing soreness, intracellular hydration, and heart contractility.
HAUS Panel Decision: Moderate level of data supporting inclusion in HAUSEssentials and/or PHARMLife products.
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Ra SG, Choi Y, Akazawa N, Ohmori H, Maeda S. Taurine supplementation attenuates delayed increase in exercise-induced arterial stiffness. Appl Physiol Nutr Metab. 2016;41:618–623. doi: 10.1139/apnm-2015-0560.
Balshaw TG, Bampouras TM, Barry TJ, Sparks SA. The effect of acute taurine ingestion on 3-km running performance in trained middle-distance runners. Amino Acids. 2013;44:555–561. doi: 10.1007/s00726-012-1372-1.
da Silva LA, Tromm CB, Bom KF, Mariano I, Po0zzi B, da Rosa GL, Tuon T, da Luz G, Vuolo F, Petronilho F, Cassiano W, De Souza CT, Pinho RA. Effects of taurine supplementation following eccentric exercise in young adults. Appl Physiol Nutr Metab. 2014;39:101–104. doi: 10.1139/apnm-2012-0229.
Kurtz JA, VanDusseldorp TA, Doyle JA, Otis JS. Taurine in sports and exercise. J Int Soc Sports Nutr. 2021 May 26;18(1):39. doi: 10.1186/s12970-021-00438-0. PMID: 34039357; PMCID: PMC8152067.
No safety concerns reported for study doses of 2 g/day in trials focused on exercise performance and endurance.
Known side effects: None.
An alkaloid like caffeine, theobromine is a minor metabolite of caffeine and is found naturally in cacao beans. Though it has a similar chemical structure to caffeine, it has mild stimulant effects.
Theobromine causes mild stimulation by penetrating effectively into the nervous system. The stimulatory effect improves focus and alertness at a lower intensity compared to caffeine. Clinically, there is evidence supporting its use in improving cardiovascular health through vasodilation (lowers blood pressure).
Potentially useful in utilizers who do not tolerate caffeine for improved focus and attention.
HAUS Panel Decision:
Moderate evidence supporting inclusion in HAUSEssentials and/or PHARMLife products.
Not included in any product(s) at this time.
Grassi D, Desideri G, Ferri C. Cocoa and cardiovascular health: A critical review. Nutrients. 2010;2(8):427-452. doi:10.3390/nu2080427.
Mitchell ES, Slettenaar M, vd Meer N, et al. Differential contributions of theobromine and caffeine on mood, psychomotor performance, and blood pressure. Physiol Behav. 2011;104(5):816-822. doi:10.1016/j.physbeh.2011.06.004.
Russo M, Serra D, Suraci F, et al. Effects of cocoa products and its polyphenols on cardiovascular health. Front Biosci (Landmark Ed). 2008;13:1925-1935. doi:10.2741/2800.**
Considered safe at typical doses of 200 to 500 mg/day. Should not be combined with stimulating supplements like paraxanthine or caffeine due to additive effects.
Known common side effects: Mild gastrointestinal upset, headache, or jitteriness at high doses.
L-tryptophan is critical in a number of metabolic functions and has been widely used in numerous research and clinical trials. Being one of the essential amino acids, proper dietary or supplemental intake ensures proper levels of protein synthesis and production of key brain signaling hormones impacting sleep and mood. We typically associate this amino acid with turkey, but it's also found in chicken, fish, eggs, dairy products, nuts, seeds, and some types of beans.
Fundamentals: L-tryptophan is the only precursor to serotonin. Serotonin ( also known as 5-HT) is synthesized in the brain by a two-step procedure. Serotonin itself is also a key ingredient in the production of another hormone in melatonin. This means tryptophan is a critical building block in mood management and helps regulate sleep-wake behavior.
Several clinical trials of high quality on tryptophan supplementation and its neurocognitive, protein synthesis, and sleep latency effects.
HAUS Panel Decision: Strong level of data supporting inclusion in HAUSEssentials and/or PHARMLife products.
Richard DM, Dawes MA, Mathias CW, Acheson A, Hill-Kapturczak N, Dougherty DM. L-Tryptophan: Basic Metabolic Functions, Behavioral Research and Therapeutic Indications. Int J Tryptophan Res. 2009 Mar 23;2:45-60. doi: 10.4137/ijtr.s2129. PMID: 20651948; PMCID: PMC2908021.
Saidi O, Rochette E, Doré É, Maso F, Raoux J, Andrieux F, Fantini ML, Merlin E, Pereira B, Walrand S, Duché P. Randomized Double-Blind Controlled Trial on the Effect of Proteins with Different Tryptophan/Large Neutral Amino Acid Ratios on Sleep in Adolescents: The PROTMORPHEUS Study. Nutrients. 2020 Jun 24;12(6):1885. doi: 10.3390/nu12061885. PMID: 32599773; PMCID: PMC7353359.
Hartmann E. Effects of L-tryptophan on sleepiness and on sleep. J Psychiatr Res. 1982-1983;17(2):107-13. doi: 10.1016/0022-3956(82)90012-7. PMID: 6764927.
Mohajeri MH, Wittwer J, Vargas K, Hogan E, Holmes A, Rogers PJ, Goralczyk R, Gibson EL. Chronic treatment with a tryptophan-rich protein hydrolysate improves emotional processing, mental energy levels and reaction time in middle-aged women. Br J Nutr. 2015 Jan 28;113(2):350-65. doi: 10.1017/S0007114514003754. Epub 2015 Jan 9. PMID: 25572038.
Effects and Side Effects Associated with the Non-Nutritional Use of Tryptophan by Humans, ,
Author links open overlay panelFernstrom John D.
There are possible safety concerns when total quantities from all sources greatly exceed the 5 mg/kg daily average studied in some trials. The safety concerns are especially important to watch for patients being managed for depression or other behavorial health conditions due to some additive effects that could be seen.
Known side effects: Nausea, dizziness, confusion (rare), delirium (rare), and overheating (rare).
Vitamin A is a a fat-soluble vitamin that comes in two forms, retinoids and carotenoids. It's readily found in dark-colored fruits (blueberry, cherry, grape), dark leafy vegetables, egg yolk, beef, and fish.
Fundamentals: Retinoids including retinol, retinal, and retinoic acid are active forms of vitamin A found in animal products, while carotenoids like beta-carotene are found in plant-based foods and can be converted into active forms of vitamin A in the body. Like most essential vitamins, vitamin A touches a wide range of processes in the body for proper functioning including vision, bone health, immune response, and stress reduction. In terms of immune defense and maintaining a healthy body, the proteins vitamin A helps form serve as a physical barrier to pathogens that can compromise the body and cause infection. Vitamin A also regulates the inflammatory response by influencing the production of immune system signalling cytokines, which helps prevent excessive inflammation. These two parallel processes serve as pillars for speedy recovery and continued performance, and sustain a high-level of wellness.
Several clinical trials of high quality on the role vitamin A plays in key systems within the body and what the impact of deficiency or insufficiency looks like.
HAUS Panel Decision: Strong level of data supporting inclusion in HAUSEssentials and/or PHARMLife products.
Not included in any product(s) at this time.
Gholizadeh, M., Basafa Roodi, P., Abaj, F. et al. Influence of Vitamin A supplementation on inflammatory biomarkers in adults: a systematic review and meta-analysis of randomized clinical trials. Sci Rep 12, 21384 (2022). https://doi.org/10.1038/s41598-022-23919-x
Masnadi Shirazi K, Nikniaz Z, Masnadi Shirazi A, Rohani M. Vitamin A supplementation decreases disease activity index in patients with ulcerative colitis: A randomized controlled clinical trial. Complement Ther Med. 2018 Dec;41:215-219. doi: 10.1016/j.ctim.2018.09.026. Epub 2018 Sep 28. PMID: 30477842.
There are possible safety concerns when total quantities from all sources exceed the recommended daily allowance (RDA). Since vitamin A is fat-soluble, it can accumulate and lead to over-saturation or toxicity. To put it bluntly, you can't just pee it all away. The RDA for men is 3,000 IU (900 mcg) and for women it's under 2.500 IU (700 mcg) per day.
Known common side effects: Nausea and dizziness. In rare cases, there can be vision changes.
As a water-soluble vitamin, Vitamin B1 is largely absorbed in the small intestine. Dietary thiamine comes in the free (absorbable) form. Most thiamine is stored in the liver, but it's maintained in small amounts and has a short half-life, meaning it's cleared out quickly from the body and replenishment of the supply is needed. Adequate thiamine intake positively benefits carbohydrate metabolism in a way that helps decrease lactate concentration, ammonia concentration, and improves endurance. Thiamine helps convert products in the energy-generation pathway within the body into usable forms for metabolism. Food sources include whole grains, meat, nuts, peas, and fish along with fortified foods.
Fundamentals: Poor thiamine intake can contribute to neurological disorders (Wernicke-Korsakoff), diabetes, and heart failure. Thiamin pyrophosphate (TPP), which is activated vitamin B1 plays different roles in glycolysis and the pentose phosphate pathway to support the metabolism of carbohydrates, lipids, and branched-chain amino acids. It serves as a cofactor at several steps during glycolysis and oxidative decarboxylation of carbohydrates. TPP acts as a coenzyme for the mitochondrial enzyme complexes such as α-ketoglutarate dehydrogenase and pyruvate dehydrogenase. These enzymes play a critical role in the Krebs cycle and tricarboxylic acid cycle. Thiamin deficiency decreases the activity of these enzymes, which impairs the conversion of lactate into pyruvate, leading to the accumulation of lactic acid and that feeling of muscle "soreness" or burning in the chest with cardiovascular activity. Lactic acidosis (severe build-up) may cause focal damage to certain brain structures, such as mamillary bodies and the posteromedial thalamus, which can be seen on MRI.
Several clinical trials of high quality on the role vitamin B1 plays in key systems within the body and what the impact of deficiency or insufficiency looks like.
HAUS Panel Decision: Strong level of data supporting inclusion in HAUSEssentials and/or PHARMLife products.
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Martel JL, Kerndt CC, Doshi H, et al. Vitamin B1 (Thiamine) [Updated 2022 Oct 12]. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing. Available from: https://www.ncbi.nlm.nih.gov/books/NBK482360/
Choi SK, Baek SH, Choi SW. The effects of endurance training and thiamine supplementation on anti-fatigue during exercise. J Exerc Nutrition Biochem. 2013 Dec;17(4):189-98. doi: 10.5717/jenb.2013.17.4.189. Epub 2013 Nov 17. PMID: 25566430; PMCID: PMC4241913.
No safety concerns reported for use well above any typical amounts.
Known common side effects: None.
A B-complex vitamin, the name for this vitamin is based on the fact that it contains cobalt. Vitamin B12 is a role player in energy metabolism along with nervous system activity. It is naturally occuring in foods such as meat, seafood, dairy, and eggs.
Fundamentals: Cobalamin supports development, myelination, and function of the nervous system. Due to the cobalt, it plays a role in red blood cell development. It acts as a cofactor for two enzymes, methionine synthase and L-methylmalonyl-CoA mutase. This supports the conversion of homocysteine to the essential amino acid methionine. Methionine is required for the formation of S-adenosylmethionine, a universal methyl donor for almost 100 different substrates, including DNA, RNA, proteins, and lipids.
Several clinical trials of high quality on the role vitamin B12 plays especially in those who are deficient due to poor nutritional intake, follow a non-meat eating diet, or consume heavy alcohol.
HAUS Panel Decision: Strong level of data supporting inclusion in HAUSEssentials and/or PHARMLife products.
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Meyer HE, Willett WC, Fung TT, Holvik K, Feskanich D. Association of High Intakes of Vitamins B6 and B12 From Food and Supplements With Risk of Hip Fracture Among Postmenopausal Women in the Nurses’ Health Study. JAMA network open. 2019 May 3;2(5):e193591-.
Balk EM, Raman G, Tatsioni A, Chung M, Lau J, Rosenberg IH. Vitamin B6, B12, and folic acid supplementation and cognitive function: a systematic review of randomized trials. Archives of internal medicine. 2007 Jan 8;167(1):21-30.
Rizzo G, Laganà A, Rapisarda A, La Ferrera G, Buscema M, Rossetti P, Nigro A, Muscia V, Valenti G, Sapia F, Sarpietro G. Vitamin B12 among vegetarians: status, assessment and supplementation. Nutrients. 2016 Dec;8(12):767.
No major safety concerns reported for use well above any typical amounts except for some reports of bone fractures with prolonged use exceeding the recommended daily allowance of 2.5 mcg per day.
Known side effects: None.
Riboflavin is a water-soluble vitamin that is a building block of two major coenzymes, flavin mononucleotide (FMN) and flavin adenine dinucleotide (FAD). The conversion of tryptophan to niacin (vitamin B3) requires FAD and riboflavin helps maintain normal levels of homocysteine. Most dietary riboflavin is in the form of FMN or FAD. The body stores small amounts of riboflavin in the liver, heart, and kidneys. The importance of vitamin B2 in efficient energy generation can't be understated.
Fundamentals: Riboflavin deficiency is extremely rare in the United States, but insufficiency is not. In addition to inadequate intake, causes of riboflavin deficiency can include hormone abnormalities and some diseases. Since the body can't synthesize riboflavin on its own, it's an absolute dietary requirement. The role it plays in critical metabolic reactions including amino acid, carbohydrate, and lipid metabolism along with the conversion of folic acid and pyridoxine into coenzyme forms means an insufficient supply can compromise energy generation.
Several clinical trials of high quality on the role vitamin B2 plays especially in those who are deficient due to poor nutritional intake, follow a non-meat eating diet, or have a transporter deficiency.
HAUS Panel Decision: Strong level of data supporting inclusion in HAUSEssentials and/or PHARMLife products.
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Institute of Medicine. Food and Nutrition Board. Dietary Reference Intakes: Thiamin, Riboflavin, Niacin, Vitamin B6, Folate, Vitamin B12, Pantothenic Acid, Biotin, and Choline.external link disclaimer Washington, DC: National Academy Press; 1998.
No safety concerns reported for use well above any typical amounts.
Known side effects: None.
Niacin is a water-soluble vitamin that's also commonly referred to as nicotinamide and nicotinic acid. It has to be provided through the diet and food sources include avocado, eggs, saltwater fish, lean meat, potato, chicken, and nuts. It is a major role-player in how the body generates energy using existing fuel sources and supports the synthesis of certain neurotransmitters like serotonin.
Fundamentals: The metabolically active form is coenzyme nicotinamide adenine dinucleotide (NAD) and catalyzes more reactions in the body than any other vitamin-derived coenzyme. It supplies the NAD and NAD-P concentrations needed to support many metabolic systems. NAD and NAD-P are required in most reduction and oxidation (redox) processes, which is responsible for both energy generation and metabolism. NAD is primarily involved in catabolic reactions by transferring the potential energy in carbohydrates, fats, and proteins to adenosine triphosphate (ATP). NAD-P enables anabolic reactions, such as the synthesis of cholesterol and fatty acids. Niacin inhibits a hormone-sensitive lipase in adipose tissue ,which reduces the breakdown of triglycerides to free fatty acids and the transport of free fatty acids to the liver. This is the rationale behind the use of Niacin as a lipid-lowering drug (high concentrations) for patients with high values of bad lipids (fats).
Several clinical trials of high quality on the role vitamin B3 plays especially in those who are deficient due to poor nutritional intake, follow a non-meat eating diet, or have a transporter deficiency.
HAUS Panel Decision: Strong level of data supporting inclusion in HAUSEssentials and/or PHARMLife products.
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Garg A, Grundy SM (1990): Nicotinic acid as therapy for dyslipidemia in non-insulin-dependent diabetes mellitus. JAMA Aug 8; 264(6):723-726.
No safety concerns reported for use well above any typical amounts. There is a common reaction that occurs when you exceed the typical daily intake known as flushing. This is when the skin on the face, arms, and chest turns a reddish color because of relaxation of the small subcutaneous blood vessels and can be accompanied by burning, tingling, and itching sensations.
Known side effects: None.
Vitamin B5 (Pantothenic Acid)
Vitamin B5 is commonly found in natural food sources with deficiencies being infrequent as long as a well-balanced diet and nutrient-rich intake is followed. Food sources include avocado, eggs, legumes, lentils, milk, mushroom, chicken, white/sweet potato. Like many B-vitamins, it's involved in energy metabolism and the synthesis of fatty acids.
Fundamentals: Pantothenic acid is used in the formation of coenzyme A (CoA) and acyl carrier proteins (ACPs), which carry and transfer acetyl and acyl groups, respectively. Pantothenic acid, after passing through several biochemical steps, is converted to CoA, which contains pantothenic acid and adenosine monophosphate. CoA participates in the synthesis of ACPs. Pantothenic acid is a precursor of CoA, which is necessary for the synthesis of many compounds, including fatty acids, cholesterol, steroid hormones, aminolevulinic acid, and some neurotransmitters. CoA is also necessary for energy extraction during the oxidation of fatty acids and oxidation of amino acids.
Several clinical trials of high quality on the role vitamin B5 plays especially in those who are deficient due to poor nutritional intake, follow a non-meat eating diet, or have a transporter deficiency.
HAUS Panel Decision: Strong level of data supporting inclusion in HAUSEssentials and/or PHARMLife products.
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C.J. Bates,Pantothenic Acid, Editor(s): Benjamin Caballero, Encyclopedia of Human Nutrition (Third Edition), Academic Press, 2013, Pages 1-5, https://doi.org/10.1016/B978-0-12-375083-9.00222-1.
Chazot, C.; Steiber, A.L.; Kopple, J.D. Vitamin metabolism and requirements in chronic kidney disease and kidney failure. In Nutritional Management of Renal Disease; Academic Press: New York, NY, USA, 2022; pp. 413–465.
No safety concerns reported for use well above any typical amounts.
Known side effects: None.
Vitamin B6 serves as an intermediary for protein breakdown, supports red blood cell production, and helps manage blood sugar levels. The CDC estimates 10% of Americans have a B6 deficiency meaning the proprotion of individuals with an insufficient level of intake is even greater. Food sources include avocado, banana, legumes, mear, nuts, and chicken.
Fundamentals: Vitamin B6 actually represents six compounds with vitamin B6 activity - pyridoxine (an alcohol), pyridoxal (an aldehyde); and pyridoxamine (contains an amino group) and their respective phosphate esters. Pyridoxal 5’-phosphate (PLP) and pyridoxamine 5’ phosphate (PMP) are the biologically active coenzyme forms of vitamin B6 in the human body. PLP serves as a coenzyme in reactions of amino acid metabolism and activates the rate-limiting step of glycogen (sugar) breakdown. Most large (single bolus) quantities are eliminated quickly through the kidneys. Since vitamin B6 is a co-factor in the formation of aminolevulinic acid, a rate-limiting step in heme biosynthesis, it can be a contributing cause of anemia (low red blood cells).
Several clinical trials of high quality on the role vitamin B6 plays especially in those who are deficient due to poor nutritional intake, have extensive kidney disease, follow a non-meat eating diet, or have a transporter deficiency.
HAUS Panel Decision: Strong level of data supporting inclusion in HAUS Essentials and/or PHARM Life products.
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Simpson JL, Bailey LB, Pietrzik K, Shane B, Holzgreve W. Micronutrients and women of reproductive potential: required dietary intake and consequences of dietary deficiency or excess. Part I--Folate, Vitamin B12, Vitamin B6. J Matern Fetal Neonatal Med 2010;23:1323-43.
Woolf K., Manore M.M. B-vitamins and exercise: Does exercise alter requirements. Int. J. Sport Nutr. Exerc. Metab. 2006;16:453–484. doi: 10.1123/ijsnem.16.5.453.
Parra M, Stahl S, Hellmann H. Vitamin B₆ and Its Role in Cell Metabolism and Physiology. Cells. 2018 Jul 22;7(7):84. doi: 10.3390/cells7070084. PMID: 30037155; PMCID: PMC6071262.
Brown MJ, Ameer MA, Daley SF, et al. Vitamin B6 Deficiency. [Updated 2023 Aug 8]. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2023 Jan-. Available from: https://www.ncbi.nlm.nih.gov/books/NBK470579/
Pfeiffer CM, Sternberg MR, Schleicher RL, Haynes BM, Rybak ME, Pirkle JL. The CDC's Second National Report on Biochemical Indicators of Diet and Nutrition in the U.S. Population is a valuable tool for researchers and policy makers. J Nutr. 2013 Jun;143(6):938S-47S
Muhamad R, Akrivaki A, Papagiannopoulou G, Zavridis P, Zis P. The Role of Vitamin B6 in Peripheral Neuropathy: A Systematic Review. Nutrients. 2023 Jun 21;15(13):2823. doi: 10.3390/nu15132823. PMID: 37447150; PMCID: PMC10343656.
No safety concerns reported for use above typical preventive amounts.
Known side effects: None.
Also known as vitamin B7 or vitamin H, Biotin is a water-soluble B-vitamin that supports fatty acid synthesis, protein metabolism, and carbohydrate production in the body. Common food sources include chocolate, egg yolk, milk, nuts, and cereal along with the body's own ability to generate biotin.
Fundamentals: Presents as a cofactor for five carboxylases that spur along the metabolism of fatty acids, glucose, and amino acids. It supports the production of sugars for energy consumption by adding a carboxyl group to enzymes that play a role in gluconeogenesis.
Several clinical trials of high quality on the role vitamin B7 plays especially in and some utility for supplementation in those who are deficient due to poor nutritional intake. It has been found to potentially interfere with assays and lab measurements depending on level of supplementation.
HAUS Panel Decision: Strong level of data supporting inclusion in HAUSEssentials and/or PHARMLife products.
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Jay, A., Conway, R., Feldman, G. et al. Outcomes of individuals with profound and partial biotinidase deficiency ascertained by newborn screening in Michigan over 25 years. Genet Med 17, 205–209 (2015). https://doi.org/10.1038/gim.2014.104
Ebru Canda, Sema Kalkan Uçar & Mahmut Çoker (2020) Biotinidase Deficiency: Prevalence, Impact And Management Strategies, Pediatric Health, Medicine and Therapeutics, 11:, 127-133, DOI: 10.2147/PHMT.S198656
No safety concerns reported for use above typical preventive amounts.
Known side effects: None.
A water-soluble vitamin that primarily functions as a coenzyme, vitamin B9 is involved in the synthesis of DNA/RNA and metabolism of amino acids. Food sources include beets, green leafy vegetables, oranges, peanut butter, dried beans
Fundamentals: Vitamin B9 is found in two forms, one is folate that is found naturally in foods and the other is folic acid, which is the synthetic form used in supplements and fortified foods. Low folate (or folic acid) intake is known to contribute to increased levels of homocysteine as a result of its interrelation with methionine metabolism. Vitamin B9 supports the conversion of homocysteine to methionine and methylation of deoxyuridylate to thymidylate to aid the formation of DNA. This is critical because it's required for proper cell division. A lack of folate can lead to megaloblastic anemia. This is because vitamin B9 works with vitamin B12 and vitamin C in the production of hemoglobin.
Several clinical trials of high quality on the role vitamin B9 plays in the body especially in those who are deficient due to poor nutritional intake, are pregnant, have malabsorptive disorders, or alcohol dependence.
HAUS Panel Decision: Strong level of data supporting inclusion in HAUSEssentials and/or PHARMLife products.
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Molina-López J, Molina JM, Chirosa LJ, Florea DI, Sáez L, Planells E. Effect of folic acid supplementation on homocysteine concentration and association with training in handball players. J Int Soc Sports Nutr. 2013 Feb 21;10(1):10. doi: 10.1186/1550-2783-10-10. PMID: 23432819; PMCID: PMC3605276.
McNulty H, Pentieva K, Hoey L, Ward M. Homocysteine, B-vitamins and CVD. P Nutr Soc. 2008;67(2):232–237. doi: 10.1017/S0029665108007076.
No safety concerns reported for use within typical recommended allowance of 400 mcg per day.
Known side effects: None.
Vitamin C (L-ascorbic acid)
Water-soluble vitamin that Is not synthesized endogenously. Vitamin C is readily available in high quantities in both fruits and vegetables. People who have limited food variety can struggle to meet their RDA due to the concentration of natural sources being within fruits and vegetables such as broccoli, brussel sprouts, cabbage, cauliflower, potatoes, citrus, spinach, and strawberries
Fundamentals: Vitamin C is required for the biosynthesis of collagen, L-carnitine, and neurotransmitters along with protein metabolism. It's also an important antioxidant and has been shown to regenerate other antioxidants within the body, including alpha-tocopherol (vitamin E). Insufficient vitamin C intake causes scurvy, which is characterized by fatigue or lassitude, widespread connective tissue weakness, and capillary fragility. 70%–90% of vitamin C is absorbed at intakes of 30–180 mg/day. Doses > 1 g/day, have an absorption of less than 50% with unmetabolized ascorbic acid being excreted in the urine. A 2007 Cochrane review examined placebo-controlled trials involving the use of at least 200 mg/day vitamin C taken either continuously as a prophylactic treatment or after the onset of cold symptoms. Prophylactic use of vitamin C did not significantly reduce the risk of developing a cold in the general population. However, in trials involving marathon runners, skiers, and soldiers exposed to extreme physical exercise and/or cold environments, prophylactic use of vitamin C in doses ranging from 250 mg/day to 1 g/day reduced cold incidence by 50%. In the general population, use of prophylactic vitamin C modestly reduced cold duration by 8% in adults and 14% in children.
Select clinical trials of high quality on the role vitamin C plays in cardiovascular health, lipid management, and immune function.
HAUS Panel Decision: Moderate level of data supporting inclusion in HAUSEssentials and/or PHARMLife products.
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Carr AC, Frei B. Toward a new recommended dietary allowance for vitamin C based on antioxidant and health effects in humans. Am J Clin Nutr 1999;69:1086-107.
Moser MA, Chun OK. Vitamin C and Heart Health: A Review Based on Findings from Epidemiologic Studies. Int J Mol Sci. 2016 Aug 12;17(8):1328. doi: 10.3390/ijms17081328. PMID: 27529239; PMCID: PMC5000725.
Sim M, Hong S, Jung S, Kim JS, Goo YT, Chun WY, Shin DM. Vitamin C supplementation promotes mental vitality in healthy young adults: results from a cross-sectional analysis and a randomized, double-blind, placebo-controlled trial. Eur J Nutr. 2022 Feb;61(1):447-459. doi: 10.1007/s00394-021-02656-3. Epub 2021 Sep 2. PMID: 34476568; PMCID: PMC8783887.
Abdollahzad H, Eghtesadi S, Nourmohammadi I, Khadem-Ansari M, Nejad-Gashti H, Esmaillzadeh A. Effect of vitamin C supplementation on oxidative stress and lipid profiles in hemodialysis patients. Int J Vitam Nutr Res. 2009 Sep;79(5-6):281-7. doi: 10.1024/0300-9831.79.56.281. PMID: 20533214.
No safety concerns reported for use within typical recommended allowance of 90 mg/day (males) or 75 mg.day (females). Very high doses are known to cause stomach upset and can contribute to kidney stones.
Known common side effects: None.
Known as the sunshine vitamin, receiving 10-15 min of direct sunlight three times per week week is sufficient for MOST of the endogenous production needed. Co-supplementation with calcium may help prevent bone loss in athletes susceptible to osteoporosis. Promotes bone growth and mineralization. Enhances calcium absorption. Food sources include fatty fish like salmon, mackerel, milk and dairy products that are fortified, fish liver oils. Vitamin D3 is known to bind more tightly to the vitamin-D binding proteins and is more readily converted in the body than vitamin D2, but for supplementation (prevention) needs both are sufficient.
Fundamentals: Solar ultraviolet B photons are absorbed by 7-dehydrocholesterol in the skin, leading to its transformation to previtamin D3, which is rapidly converted to vitamin D3. Season, latitude, time of day, skin pigmentation, aging, sunscreen use, and glass all influence the cutaneous production of vitamin D3. Once formed, vitamin D3 is metabolized in the liver to 25-hydroxyvitamin D3 and then in the kidney to its biologically active form, 1,25-dihydroxyvitamin D3. Analysis of 6 trials (310 adults, 67% female, with mean ages ranging from 21.5 to 31.5 years)suggested vit D supplementation significantly increased muscle strength in the upper and lower limbs.
There are several clinical trials supporting the use of vitamin D as critical for the regulation of many types of cells in the body.
HAUS Panel Decision: Strong level of data supporting inclusion in HAUS Essentials and/or PHARM Life products.
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Reid IR. Therapy of osteoporosis: calcium, vitamin d, and exercise. Am J Med Sci. 1996;312(6):278–286. doi: 10.1097/00000441-199612000-00006.
Peter B. Tomlinson, Corey Joseph, Manuela Angioi. Effects of vitamin D supplementation on upper and lower body muscle strength levels in healthy individuals. A systematic review with meta-analysis. August 11, 2014. DOI:https://doi.org/10.1016/j.jsams.2014.07.022
Michael F Holick. "Sunlight and vitamin D for bone health and prevention of autoimmune diseases, cancers, and cardiovascular disease".The American Journal of Clinical Nutrition, Volume 80, Issue 6, 2004, Pages 1678S-1688S,ISSN 0002-9165,https://doi.org/10.1093/ajcn/80.6.1678S.
G.L. Close, D.L. Hamilton, A. Philp, L.M. Burke, J.P. Morton. New strategies in sport nutrition to increase exercise performance. Free Radical Biology and Medicine, Volume 98, 2016, Pages 144-158. ISSN 0891-5849, https://doi.org/10.1016/j.freeradbiomed.2016.01.016.
Yao P, Bennett D, Mafham M, Lin X, Chen Z, Armitage J, Clarke R. Vitamin D and Calcium for the Prevention of Fracture: A Systematic Review and Meta-analysis. JAMA Netw Open. 2019 Dec 2;2(12):e1917789. doi: 10.1001/jamanetworkopen.2019.17789. PMID: 31860103; PMCID: PMC6991219.
No safety concerns reported for use within typical recommended allowance of 600 IU/day (adults). Very high doses are known to cause stomach upset and can contribute to kidney stones because of Vitamin D's ability to improve calcium absorption.
Known common side effects: None.