SupplementMain effects in studiesEvidenceBenefits studied
IronHb/iron ↑, Fatigue ↓Strong2 of 4
CaffeineAlertness +, RT↓, Blood pressure +, alertness +Strong3 of 4
CreatineStrength/fatigue power +, Muscle creatine+PCr boostsStrong1 of 4
ButyrateButyrate↑ fatigue↓, SCFAs↑ energy↓Strong1 of 4
CarnitineFatigue/QoL ↑, Muscle/survival ↑Strong3 of 4
IodineIodine status +, Goitre/survival impactStrong2 of 4
FiberGlucose↓ Fatigue↓, Satiety↑ Energy↑Strong1 of 4
Fish oilMood swings, EPA/DHA +, Strength, function +Strong1 of 4
Coenzyme Q10Heart: pump + symptoms, Fatigue: ↓Strong1 of 4
MelatoninEarlier sleep onset + alertness, Sleep quality + sleepinessStrong2 of 4
PhenylalaninePhe↑ fatigue↑ -77%, Phe/Tyr depletion ↓ fatigueStrong3 of 4
ElectrolytesEnergy/fatigue +performance, Hydration/electrolytesStrong1 of 4
ProbioticsFatigue ↓, endurance ↑, Strength ↑, fatigue ↓Strong1 of 4
Digestive EnzymesFat absorption/energy loss, Energy +3.6kg/dStrong1 of 4
Vitamin CEnergy, mood +vitality, Mood, fatigue +18Strong2 of 4
AlanineFatigue↓, energy↑, Ketosis/alanine shiftStrong2 of 4
Vitamin B9Hb↑, fatigue↓, Anaemia↓, Hb↑Strong1 of 4
Whey ProteinLean mass + insulin, Fat loss + satietyStrong1 of 4
L-TyrosineAlertness ↑; cognition, Tyrosine depletion ↓ alertnessStrong3 of 4
Acetyl-L-CarnitineCognition/mood +, Pain/fatigue/function +Strong4 of 4
Vitamin DFatigue ↓ +10, Fitness betterStrong1 of 4
Alpha-Lipoic AcidVitality: pain/function/QoL, Vitality: antioxidants/metabolicStrong2 of 4
L-CarnitineFatigue ↓, cognition ↑, Exercise capacity ↑Strong1 of 4
Panax GinsengFatigue ↓; energy ↑, ~15% VO2 ↓Strong3 of 4
RiboflavinRiboflavin status, +83%, Fatigue/function, -25 ptsStrong1 of 4
Vitamin B12MS fatigue↓ 2-4w, B12 biomarkers↑, anemia↓Strong1 of 4
MultivitaminEnergy/fatigue: +17.2% energy, Sleep: +5.7%Strong1 of 4NADNADHFatigue↓; NAD+↑, Energy recovery +3.5dStrong4 of 4
GinsengFatigue ↓, cognition ↑, Exercise capacity ↑, fatigue ↓Strong1 of 4
PrebioticsFatigue↓, sleep↑, Energy/metabolism↓ glucoseStrong1 of 4ATPATPATP ↑, fatigue ↓, Energy efficiency ↑Strong1 of 4
NiacinFuel shift: FFA↓, carbs↑, NAD+ boost: ~2xStrong2 of 4
Vitamin AHb/retinol ↑, Anemia ↓Strong1 of 4
Essential Amino AcidsWork/fatigue +19-22%, Dyspnea/walk +50mStrong1 of 4
Folic AcidHb ↑, fatigue ↓, Iron status ↑, fatigue ↓Strong1 of 4
Beta-CaroteneVitamin A, anemia, memory, Maternal mortality −49%Strong2 of 4
PotassiumEnergy: improved recovery, Fatigue: reduced exhaustionStrong1 of 4
ArtemisininMalaria↓ anemia↓, +0.6 g/dL HbStrong1 of 4ThiThiamineEnergy up; fatigue down, VO2↑, lactate↓Moderate2 of 4
CurcuminFatigue ↓, energy ↑, Fatigue/weakness ↓, oxygen ↑Moderate2 of 4
NitrateOxidative cost ↓, endurance ↑, Fatigue ↓, cognition ↑Moderate1 of 4
CollagenBone/metabolic ↑, Strength/healing ↑Moderate1 of 4
Ginkgo BilobaAlertness: faster processing, Alertness: improved attention +31msModerate2 of 4BGlBeta-GlucansGlucose/appetite↓, Infections/survival↑Moderate2 of 4
SarSarcosineMotivation/confidence ↑, Motivation/confidence ↑Moderate2 of 4
Zincless fatigue, +43.7, better exercise tolerance, -1.0Moderate1 of 4
AshwagandhaSleep/fatigue boosts, Energy/recovery +performanceModerate1 of 4
Branched-Chain Amino AcidsLess fatigue, better endurance, Reduced damage, faster recoveryModerate1 of 4GlyGlycineGlucose uptake/flow +24–49%, Hemoglobin/iron + GI betterModerate1 of 4
GTeGreen Tea ExtractEnergy use/fat burn +3%, Vitality/health improvedModerate3 of 4
SpiSpirulinaMetabolic health: −1.43% HbA1c, Weight/lipid gains: −41 mg/dL TCModerate2 of 4
Vitamin B6Liver enzymes/fatty liver -42%, B6/PLP, performance/weightModerate2 of 4AlfAlfalfaIntake/gain +, Rumen pH +Moderate1 of 4
ArginineFatigue/Arginine ↓, Performance/Endurance ↑Moderate1 of 4CitCitrullineHeart function +20%, TB recovery +weight gainModerate2 of 4
IsoIsoleucineBCAAs, growth, BCAAs, survivalModerate1 of 4
MagnesiumEnergy/fatigue +VO2, Energy/fatigue +enduranceModerate1 of 4
Rhodiola RoseaFatigue/attention ↑, +VO2max, recoveryModerate3 of 4AstAstragalusFatigue ↓; endurance ↑, Fatigue ↓; recovery ↑Moderate1 of 4
AstAstaxanthinAntioxidant + fertility, +pregnancy, -ROSModerate2 of 4
DanDanshenVitality +20.9, Fatigue ↓Moderate2 of 4
LHiL-HistidineHistidine ↓ insulin resistance, Carnosine ↓ glucoseModerate2 of 4
LSeL-SerineFatigue -4.4 VAS, Serine↑ / BCAA↓Moderate1 of 4
SJoSt. John's WortMood improvement +20%, Fewer side effectsModerate2 of 4
TheanineAlertness/attention +ms, Alertness/stress −tirednessModerate2 of 4TheTheobromineImproved alertness, cognition, -21→107 ml/minModerate3 of 4
TTeTribulus TerrestrisSexual function + testosterone, PSA/liver enzymes slightly upModerate2 of 4
TryptophanSleep/Fatigue: better sleep, less fatigue, Performance: faster recovery, energyModerate1 of 4
ValerianAlertness: - first hours, Alertness: no next-dayModerate1 of 4AlaAlanylglutamineEnergy/fatigue ↑, +26–83%Moderate1 of 4
AspartateFatigue ↓, Fatigue ↓ (65%)Moderate1 of 4BAlBeta-AlanineDelayed fatigue +7–24%, Higher power/endurance +14–22%Moderate1 of 4
GingerEnergy↑ BAT activation, Fatigue↓ +9.6Moderate1 of 4HawHawthornExercise capacity↑, symptoms↓, QoL↑, fatigue↓Moderate2 of 4
N-Acetyl CysteineGSH/mitochondria + fatigue, 23.8–26.3% longerModerate1 of 4PolPolicosanolCardiovascular recovery +87.5%, Lipids/claudication betterModerate2 of 4
UbiquinolEnergy/fatigue: improved, CoQ10↑, fatigue↓Moderate2 of 4BGrBarley GrassLower fatigue 19%, Less fatigue symptomsModerate1 of 4
CopCopperCopper uptake ↓82%, Blood/energy unchangedModerate1 of 4
CorCordycepsKidney protection, fewer infections, Fat loss, muscle gainModerate1 of 4
EKeExogenous KetonesKetones ↑, glucose ↓, Fatigue/performance mixedModerate1 of 4
GlyGlycerolAmmonia/HE ↓, Performance/rehydration ↑Moderate1 of 4
GuaGuaranaEnergy/Fatigue: ↓ fatigue, Energy/Fatigue: ↑ enduranceModerate2 of 4
HesHesperidinPower/energy: +17.7%, +8.9 W, Soreness/damage: CPK −32.6Moderate1 of 4
OrnOrnithineFatigue↓, sleep↑, Nitrogen balance↑, weight↑Moderate1 of 4
ReishiFatigue ↓28.3%, Fitness/well-being ↑Moderate2 of 4SagSageFatigue/immune +, Fitness +4.1Moderate1 of 4
UAUrolithin AEndurance up; markers down, VO2max +5.4%Moderate2 of 4
WMuWhite MulberryGlucose/insulin spikes ↓, 2h iAUC −34%Moderate1 of 4
AMuAkkermansia muciniphilaFat oxidation + ketones, Muscle strength + VO2maxModerate1 of 4
CocCocoa ExtractTestosterone/strength +20–48%, Sexual function +73–122%Moderate1 of 4
ECaEcklonia CavaLess fatigue, +2.39 min, Metabolic improvement, body fat ↓Moderate2 of 4
GlutamineGlucose/insulin shifts, Cardio-recovery/lipolysisModerate1 of 4IdeIdebenoneCognition/function + dose, Respiratory decline +6.27%Moderate2 of 4
LMeL-MethionineMethionine: DMI, milk, protein, Fatigue: cycling +1.4 minModerate1 of 4
LacLactoferrinHb↑, iron↑, +1.8 to +2.3Moderate1 of 4
RibRiboseEnergy/fatigue +50 pts, ATP recovery +53 sModerate2 of 4
AMeS-Adenosyl MethionineHomocysteine/SAM balance, Liver outcomes & survivalModerate2 of 4
SeleniumFatigue/appetite better, Nutrition/KPS +23%Moderate1 of 4TArTerminalia ArjunaPump function +LVEF, Fatigue/lipids/BP ↓Moderate2 of 4
CitCiticolineAttention/orientation +, EEG arousal shiftsWeak3 of 4
CaseinSatiety + energy, Lower glucose spikesWeak1 of 4ChlChlorogenic AcidEnergy/mood + alertness, Frontal oxygenation / fatigueWeak1 of 4
EleEleutheroMemory + stress ↓, Attention/speed/accuracy ↑Weak2 of 4
GamGambogeAntioxidants +18%, Inflammation markers downWeak2 of 4
MCTMCT Oil↑Ketones, fat use, ↓Heart rate, TGWeak1 of 4
PPrPea ProteinLower post-meal sugar, Less hunger / intakeWeak1 of 4
ResResveratrolEnergy use +4-8%, Fatigue ↓Weak1 of 4
RosRosemaryAlertness, less sleepiness, Mental energy +8.15Weak2 of 4
SGiSiberian GinsengBurnout ↓, VO2peak +12%Weak3 of 4
TauTaurineMore fat burning, +16% fat oxidationWeak1 of 4
Arachidonic AcidIntake↑; AA↑ (+25%), Taste↑; AA↑ (+50%)Weak1 of 4BLiBeef LiverIron uptake, fatigue risk, +1.5x hepcidin, DMT1↓Weak2 of 4
BerBergamotEnergy/VO2max +, Fatigue/sleepiness +Weak1 of 4
HCLBetaine HCLEnergy/Fatigue: ↓ fatigue, Energy/Fatigue: +performance, −fatigueWeak1 of 4
BioBiotinBetter glycemia, +1.76% HbA1c, Lipids improved in subgroupsWeak1 of 4
BCuBlack CurrantEndurance +23%; +8%, Vascular +1.1%Weak1 of 4
CholineFatigue improved +14%, Energy/autonomic +10%Weak1 of 4ColColostrumFatigue -85%; weight +11%, CD4 +14%; weight +11%Weak1 of 4
FucFucoxanthinEnergy use +12%, Fat burn + aerobic fitnessWeak1 of 4
GBeGoji Berry+testosterone, sperm quality, +energy, sleep, GI regularityWeak2 of 4
HAHuperzine AAlertness up: +4.6, +2.7 MMSEWeak2 of 4
InositolFatigue recovery +17.4%, Vigor improvedWeak1 of 4LecLecithinCholine/fat-oxidation boost, Strength/vigor, not fatigueWeak1 of 4
LysLysineLess sedation; −25%, Improved fatigue? unclearWeak1 of 4
MatMatchaAttention + work, +2.2, Fatigue/stress lower, cortisolWeak2 of 4
PalmitoylethanolamideFatigue/cognition: GABAB + plasticity, Pain/inflammation: reduced pain, IL-6Weak1 of 4PomPomegranateLess fatigue, more energy, +REE, +TTEWeak1 of 4
ProPropolisHbA1c −1%; insulin/IR, Energy intake/QoL improvedWeak1 of 4
QueQuercetinEndurance +3–13%, Strength +10%Weak1 of 4
SchSchisandraStrength ↑ +7.7–10.2, Lactate ↓, no mass changeWeak1 of 4
WYaWild YamMuscle size/quality ↑, HbA1c ↓Weak2 of 4
ABlAgaricus BlazeiFatigue -15%, Vitality +21%Weak1 of 4
AKeAlpha-KetoglutarateLower injury, lactate, More α-KG, powerWeak1 of 4
ALiAlpha-Linolenic AcidFat oxidation ↑, ALA-DAG +17%Weak1 of 4
BPoBee Pollen+7.96% WBC, growth, improved FCR, energyWeak1 of 4
BVeBee VenomPain +1.1; function +3.1, VAS improved; 82% vs 62%Weak1 of 4
BeeBeet Root↓O2 cost, +endurance, −RPE / faster sprintWeak1 of 4
BenBenfotiamineHigher thiamine/TDP exposure, +1147% plasma thiamineWeak1 of 4
BerBerberine↑ LVEF, walk capacity, ↓ VPCs; 7 vs 13 deathsWeak1 of 4
BSiBeta-SitosterolWeight gain +2.8 kg, Lymphocytes up; no culture changeWeak1 of 4
BGiBlack GingerPain/function ↑; QoL ↑, Week 4–8Weak1 of 4
BWaBlack WalnutSleep quality, latency, 6-SMT upWeak1 of 4
BluBlueberry ExtractMemory +0.055, BP -7 mmHgWeak1 of 4
BorBoronOxygenation up, fatigue down +4.8%, Inflammation down, energy up −42.9 mg/LWeak1 of 4
CapCaprylic AcidLess fatigue, +10.5 ketones, Lower fat oxidation, -24%Weak1 of 4
CapsaicinHigher fat burn/+48% BAT, Less fatigue/+23% liftWeak1 of 4CarCarnosineEndurance threshold +13.9%, +6% sprint powerWeak1 of 4
CopCoptisBetter glucose control, HbA1c −0.75%Weak1 of 4
CraCranberryInsulin sensitivity +14%, Glucose/insulin loweringWeak1 of 4
DSeD-SerineMotivation +35.7%, Confidence +3.7Weak1 of 4
DenDendrobiumBP +3–5 mmHg, Energy/focus ↑Weak2 of 4
EchEchinaceaProperdin +21%, Vitality scores improvedWeak1 of 4
EllEllagic AcidMood ↓, BDNF ↑, Inflammation ↓, serotonin ↑Weak1 of 4
EGaEpigallocatechin GallateEE ↑ ~4%, Fat oxidation ↑Weak1 of 4
FenFenugreekAnxiety, symptoms ↓, Grip strength ↑Weak1 of 4
FlaFlaxseed OilLower fatigue; hepcidin -25%, More energy; hemoglobin +10%Weak1 of 4
GlyGlyNACGSH, mitochondria up, Oxidative stress downWeak2 of 4
GPaGrains of ParadiseEnergy up, BAT active, +18.6% EE, less fatWeak1 of 4
JujJujubeFatigue ↓, Sleep/mood ↑Weak1 of 4
KelKelpAntioxidants up; fatigue↓, Brain factors up; energy↑Weak1 of 4
Krill OilStrength +9–11%, Muscle size +3.5%Weak1 of 4LicLicoriceWeight/BMI ↓6.2, Glucose/lipids ↓Weak1 of 4
MacMacaErection, wellbeing +1.6, Psychological/physical/social +9,+7Weak1 of 4
ManMannoseFat loss, -2.7 kg, Weight loss, -2.7 kgWeak1 of 4
MorMoringaEndurance + push-ups, Oxidative stress ↓Weak1 of 4
MPrMucuna PruriensEnergy/Fatigue up, +25% ON timeWeak3 of 4
OStOat Straw+ADFI, +G:F, ↓E. coliWeak1 of 4
PanPantothenic AcidB-vitamins up; appetite +weight, Convalescent strength +appetiteWeak1 of 4
PerPerilla OilLower glucose spikes, −0.67 mmol/L FBGWeak1 of 4
PhoPhosphatidylcholineMitochondria + OXPHOS, Phospholipids, PC:PE↓Weak1 of 4
PhoPhosphatidylserineMemory tests + MQ, Perceived fatigue lowerWeak1 of 4
PBaPine Bark ExtractEnergy/fatigue +17%, Energy/fatigue -42.8%Weak1 of 4
PQQPQQMitochondrial ↑; fatigue unchanged, Performance no changeWeak1 of 4
RYeRed Yeast RiceLDL/CRP/ET-1 ↓, Exercise tolerance ↑Weak1 of 4
RutinStrength +13%; gait +8%, Muscle thickness +3-5%Weak1 of 4SafSaffronFatigue scores down, Physical/cognitive fatigue downWeak1 of 4
SReSalacia ReticulataLower HbA1c, less fatigue, −0.36 HbA1c, dose↓Weak1 of 4
SesSesaminFatigue recovery, -PCOOH, LDL antioxidant resistanceWeak1 of 4
ShiShilajitLess fatigue, -7.1pp, Collagen breakdown, -38%Weak1 of 4
UrsUrsolic AcidFaster walking, less fatigue, Mitochondria up, +7.4s walkWeak1 of 4
VanVanadiumBetter glucose control, Less insulin resistanceWeak1 of 4
WKiWhite Kidney BeanLower glucose load, Less fatigue riskWeak1 of 4
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