SupplementMain effects in studiesEvidenceBenefits studied
Fish oilVisual acuity + retinal function, ROP risk -16%Strong2 of 5
Hyaluronic acidStaining/symptoms -3 pts, Tear stability/production +2sStrong1 of 5
RiboflavinKeratoconus flattening +1.5 D, Cataract reduction −43%Strong3 of 5
Vitamin ADark vision +11.8%, Vitamin A status↑Strong1 of 5
Vitamin DFalls/balance improved, Neuropathy risk lowerStrong1 of 5
MagnesiumAutonomic/stress ↓; catecholamines, Seizures/neurology ↓; +40%Strong1 of 5
LuteinMacular pigment + vision, AMD risk ↓ ~9%Strong1 of 5
Vitamin B12Symptom relief, +33% nerve, Nerve function, B12↑ homocysteine↓Strong1 of 5
GlutathioneOxidative stress ↓, ALT ↓, GSH/GST ↑, injury ↓Strong2 of 5
CalciumHypocalcemia, QTc +0.03s, GABA release, calcium-dependentStrong1 of 5
AlanineALT/liver tests↓, Liver histology/viral clearance↑Strong1 of 5
PotassiumK+ loss, ECG changes, RBC oxidative damage, indicesStrong1 of 5SPaSaw PalmettoSymptom/flow +3.2, Nocturia/residual −12.8 mLStrong1 of 5
Alpha-Lipoic AcidNerve symptoms -3.9, Conduction +3.8 m/sStrong2 of 5ZeaZeaxanthinAMD progression: -10%, Retinal pigment/function: +MPODStrong1 of 5
Arachidonic AcidEye health: better vision, ROP ↓ 16-17%Strong2 of 5
ZincAMD progression -25%, Vision loss / functionStrong2 of 5
Beta-CaroteneAMD risk ↓, Vitamin A status ↑Strong1 of 5
CholineCholine boost, memory +25%, Visual/brain function, IOP -7 mmHgStrong2 of 5
Sodium BicarbonateUrine pH, citrate ↑, Stone risk markers ↓Strong1 of 5
N-Acetyl CysteineSurvival/Liver function, +25ppStrong2 of 5PhoPhosphatidylcholineLiver enzymes/steatosis ↓, Choline/PC status ↑Strong3 of 5
CraCranberryUTI rates ↓ 50%, Urine anti-adhesion ↑Strong1 of 5
NiacinCognition, global status improved, SCAG/CGI improved significantlyStrong2 of 5
Vitamin EAMD slower +25%, Cataracts/retina improvedStrong1 of 5
CurcuminALT/AST ↓, Fat/stiffness ↓Strong1 of 5ThiThiaminePain/sensory relief, +30 µg/L thiamineStrong2 of 5
Vitamin B6Neuropathy symptoms↓, Movement/tremor reliefStrong2 of 5LMeL-MethionineALT/cholestasis ↓, Fibrosis risk ↓Strong1 of 5
L-CarnitineAmmonia/encephalopathy improved, ALT/liver function improvedStrong1 of 5TauTaurineNerve protection: +6.5 mo, Excitability/arousal: threshold↑, ASI↓Strong3 of 5
Vitamin B9Nerve symptoms, homocysteine, +30% homocysteine dropStrong1 of 5
CarnitineAmmonia/encephalopathy, +25%, Liver tests, survivalStrong1 of 5OrnOrnithineAmmonia ↓, HE better, +25% recoveryStrong1 of 5
LycLycopeneUrinary symptoms improved, Qmax/IPSS betterStrong2 of 5
SJoSt. John's WortPain ↓ ~4, Depression ↓ ~11Strong1 of 5
TurmericLiver enzymes ↓, Liver severity ↓Strong1 of 5
Acetyl-L-CarnitineNerve recovery +7.0 m/s, Pain relief -39%Strong1 of 5NetNettleIPSS/flow/residual urine, Nocturia -0.8 voidsStrong1 of 5
MultivitaminNuclear cataract −34–44%, PSC cataract +100%Strong1 of 5
Ginkgo BilobaDizziness/vertigo relief -67.7%, Better function/QoL +15%Moderate3 of 5CitCiticolineImproved acuity, +92%, Slower field loss, -0.95 dB/yearModerate2 of 5
AntAnthocyaninsDry eye symptoms/tear stability +11.35, Glaucoma/night vision/IOPModerate3 of 5
BerBerberineLiver fat, ALT −5, Lipids/insulin, liver supportModerate1 of 5
ManMannoseLess UTI, better comfort, Faster symptom reliefModerate2 of 5
ALiAlpha-Linolenic AcidBetter visual acuity, Rod function preservedModerate2 of 5
Coenzyme Q10Vision/color gains, Retina/nerve stabilityModerate1 of 5DanDanshenLiver enzymes/fibrosis ↓, ALT 80%Moderate2 of 5
MThMilk ThistleALT/AST ↓, Fibrosis/stiffness ↓Moderate1 of 5
AMeS-Adenosyl MethionineCholestasis markers, itch, Liver protection, survivalModerate1 of 5
UriUridineEEG preserved +0.015, Nerve symptoms improvedModerate1 of 5
ChamomileAnxiety ↓; HAM-A −3.2, Well-being ↑; BP/HR ↓Moderate1 of 5PipPiperineALT/NAFLD ↓, Enzymes ↓ 35.8Moderate1 of 5
BenBenfotiaminePain +, Nerve function +Moderate1 of 5
BSiBeta-SitosterolSymptoms better -7.4, Flow up +5.3Moderate1 of 5
ManManganeseCIPN reduced: 1.6 vs 2.3, Motor function worsenedModerate1 of 5
PalmitoylethanolamidePain relief / sleep, Nerve conduction +≈33%Moderate1 of 5SafSaffronVision/function +0.69 letters, Retinal function/IOP -3.25 mmHgModerate1 of 5
TUDTUDCASlower ALS decline +0.42/mo, Longer survival +6.5 moModerate2 of 5
AMuAkkermansia muciniphilaAST -, MetabolitesModerate1 of 5
BilBilberryRetina function +38%, +30%, Eye fatigue, near visionModerate1 of 5
BCuBlack CurrantIOP ↓, field loss ↓, Blood flow ↑, ET-1 normalizedModerate1 of 5
CarCarnosineVision + glare better, IOP - improved retinaModerate1 of 5
ChlChlorogenic AcidAST/ALT −7, Fatty liver indexModerate1 of 5
DSeD-SerineAuditory plasticity, MMN, +10% learningModerate2 of 5
EPrEvening Primrose OilDisability & relapse ↓, Pain & symptoms ↓Moderate2 of 5
GBeGoji BerryMacular pigment +Moderate1 of 5
PBaPine Bark ExtractRetinal swelling/leakage -15μm, +10 cm/s flowModerate1 of 5
PygPygeumBetter flow, less residue, +1.6 mL/s QmaxModerate1 of 5
AstAstaxanthinRetinal function + blood flow, Visual acuity + fatigueModerate1 of 5
AvoAvocadoLutein/MPD +25%, β-carotene→A+12.6xModerate1 of 5
BerBergamotLiver fat ↓11%, Steatosis grade betterModerate1 of 5
ChlChlorellaALT/AST/triglycerides -significant, Glucose/CRP/weight -significantModerate1 of 5
CopCopperLower brain copper exposure, Less neurologic worseningModerate1 of 5
FlaFlaxseed OilSymptoms, tear stability, Staining, +36% ratioModerate1 of 5
IdeIdebenoneVisual acuity +0.1 logMAR, Colour contrast +13.6%Moderate1 of 5
LSeL-SerineNeuropathy: -1.5 score, 1-deoxySL: -41% / -60%Moderate1 of 5
NarNaringeninSteatosis/fat −2.0%, Lipids/visceral fatModerate1 of 5
Phytosterols↓ phytosterols, GGT/ALT, ↓ bile acids, pruritusModerate1 of 5SBuSea BuckthornDry-eye symptoms improved, Tear osmolarity reducedModerate1 of 5
Soy IsoflavonesUrinary leakage -9.5%, Mild symptom reliefModerate1 of 5
InositolSteatosis/enzymes ↓, Oxidative stress ↓Weak2 of 5QueQuercetinALT, liver fat -1.9%, Visceral fat, BMIWeak2 of 5
AlfAlfalfaUrinary N -41 g/d, Urine→feces shiftWeak1 of 5
ArtArtichoke ExtractLiver enzymes down, Fat/steatosis down -11.2%Weak1 of 5
BLiBeef LiverRetinol↓, backfat↑, β-carotene↑, backfat↓Weak1 of 5
BetBetaineFat loss, lower enzymes, CAP/TE ↓, BMI ↓Weak1 of 5
BioBiotinBiotin: enzyme support, MS: slower disabilityWeak1 of 5
BlaBlack Seed OilSteatosis, ALT -32.6%, Liver tests improvedWeak1 of 5
CChCornelian CherryLiver markers: CK-18 −18.4%, Fibrosis score: −0.2 pointsWeak1 of 5
CorCorydalisPain, swelling: -3.8/-21.8, Pain relief: +94.44%Weak1 of 5
EllEllagic AcidLiver fat/stiffness, ALT (-27.9), Enzymes/lipids, ALT (-10.3)Weak1 of 5
EGaEpigallocatechin GallateLiver fat −, CPT-1 +, AST/ALT normal, safeWeak1 of 5
FucFucoxanthinALT/CAP/HOMA-IR ↓, Liver fat ↓Weak1 of 5
LHiL-HistidineBasophil loss; CCL2 +457%, Bowel movement faster; MTL/5-HT ↑Weak1 of 5
MulMulleinPain ↓ 7.3%, Comparable reliefWeak1 of 5
PumPumpkin Seed OilIPSS −3 to −4, QoL slightly improvedWeak1 of 5
RutinMacular function +38%, +30%; dry eyeWeak1 of 5AgmAgmatinePain −26.7%, Axon damage, edemaWeak1 of 5
AOfAlthaea OfficinalisDysuria improved more, Clotrimazole + marshmallowWeak1 of 5
BSkBaikal SkullcapALT↓, response↑, TCRVβ7↑Weak1 of 5
CelCelery SeedLiver labs improved, Sugar/lipids improvedWeak1 of 5
CLiConjugated Linoleic AcidLower liver fat, Fat loss, growth ↓Weak1 of 5
DanDandelionCure +69pp, Symptoms -37%Weak1 of 5
DihDihydroberberineCholestasis markers down, Serotonin downWeak1 of 5
DihDihydromyricetinGlucose/LDL/IR ↓, NAFLD supportWeak1 of 5
DIMDIMUrinary ratio shift, 7/28 tissue DIMWeak1 of 5
GraGrape Seed ExtractHard exudates improved +35.9%, Macular thickness/volume decreasedWeak1 of 5
GCoGreen Coffee ExtractGlucose/insulin -10/-4.4, Liver fat -30.4Weak1 of 5
HibHibiscus↓ weight/fat, steatosis, ↓ free fatty acidsWeak1 of 5
HorHorsetailFrequency/urgency -3.8, Nocturia -1.9Weak1 of 5
JiaJiaogulanAST,HOMA-IR down, BMI downWeak1 of 5
Krill OilTear stability −19.8, Symptoms/IL-17A −18.6Weak1 of 5KudKudzuhs-CRP -6.76%, ALDH +18.1%Weak1 of 5
MBaMagnolia BarkSleep, mood, anxiety improved, No % change reportedWeak1 of 5
MolMolybdenumLiver tests improved, Copper absorption -82%Weak2 of 5
MyrMyricetinALT, glucose -27%, Antioxidant stress -22%Weak1 of 5
NonNoniAcetaldehyde ↓, Hangover symptoms ↓Weak1 of 5
PTePolygala TenuifoliaLearning/memory ↑, Neurogenesis ↑Weak1 of 5
PQQPQQBDNF, NAA +8.6%, Orientation +22.2%Weak1 of 5
PtePterostilbeneALT/GGT ↓, Liver fat unchangedWeak1 of 5
Red CloverOAB symptoms -0.5, Urgency bother lessWeak1 of 5
ReishiOxidative stress ↓27%, Liver enzyme ↓42%Weak1 of 5ResResveratrolChoroidal thickness +16.8μm, Possible choroidal vasodilationWeak1 of 5
SchSchisandraALT/AST ↓, Antioxidants ↑Weak1 of 5
SesSesaminALT/AST ↓, Oxidation lag time ↑Weak1 of 5
WYaWild YamLower symptoms, no size, - no prostate changeWeak1 of 5
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