CHAMGAP
EVIDENCE RANKING

Overall Evidence Ranking

00

Grade Criteria

Grades summarize the evidence hierarchy from A to F. Within the same grade, higher scores appear first; verdicts without a score stay at the end of that grade.

A Grade A · 124 · The evidence is relatively strong.

A 97 Mechanical thrombectomy (emergency endovascular procedure using a stent retriever or aspiration) Reduced disability and dependence and increased functional independence at 90 days after acute ischemic stroke caused by anterior-circulation large-vessel occlusion
A 96 Tamoxifen citrate (selective estrogen receptor modulator and prescription medicine) Reduced recurrence and breast-cancer mortality after surgery for estrogen-receptor-positive early breast cancer
A 96 Trastuzumab (anti-HER2 monoclonal antibody; prescription biologic, Herceptin) Reduced recurrence and mortality after surgery and chemotherapy for HER2-positive early breast cancer
A 96 Magnesium sulfate (inorganic magnesium salt anticonvulsant; prescription intravenous or intramuscular injection) Prevention of eclamptic seizures in pregnant women with pre-eclampsia
A 96 Intravenous tranexamic acid (prescription antifibrinolytic hemostatic drug) Reduced four-week all-cause and bleeding mortality when given early to adults with severe traumatic bleeding
A 95 Oral rehydration salts, a glucose-electrolyte solution Correction of mild to moderate dehydration caused by diarrhea, vomiting, or heat
A 94 Dexamethasone (prescription corticosteroid) Reduction of 28-day mortality in hospitalized patients with COVID-19 requiring oxygen or mechanical ventilation
A 94 Abiraterone acetate (a prescription CYP17 androgen-synthesis inhibitor; Zytiga) Prolonged overall survival when combined with ADT and prednisolone in high-risk metastatic castration-sensitive prostate cancer
A 94 Spironolactone (mineralocorticoid receptor antagonist and potassium-sparing diuretic, Aldactone, prescription drug) Reduced all-cause mortality and hospitalization for worsening heart failure in severe symptomatic heart failure with reduced ejection fraction
A 94 Enalapril (oral prescription angiotensin-converting enzyme inhibitor) Reduced all-cause mortality and heart-failure hospitalization in symptomatic heart failure with reduced ejection fraction
A 94 Low-dose aspirin (acetylsalicylic acid, antiplatelet drug available by prescription and over the counter) Prevention of recurrent myocardial infarction, stroke, and vascular death in patients with established myocardial infarction or ischemic stroke
A 94 Antenatal betamethasone (long-acting glucocorticoid given by prescription intramuscular injection) Reduced neonatal and perinatal death and respiratory distress syndrome in imminent preterm birth at 24 to 34 weeks
A 94 Intensive lifestyle intervention (a nonpharmacologic diet, exercise, and behavioral program) Prevention of type 2 diabetes in overweight adults with impaired glucose tolerance
A 94 Immediate kangaroo mother care (immediate KMC, neonatal care based on skin-to-skin contact and breast-milk feeding) Reduced neonatal mortality in preterm or low-birth-weight infants
A 94 Guaiac fecal occult blood testing (gFOBT, repeated screening) Reduced colorectal cancer mortality through repeated fecal occult blood screening in asymptomatic middle-aged and older adults
A 93 Radium-223 dichloride (bone-targeted alpha-emitting radiopharmaceutical; prescription injection, Xofigo) Prolonged overall survival and delayed symptomatic skeletal events in castration-resistant prostate cancer with symptomatic bone metastases and no visceral metastases
A 93 Rituximab (anti-CD20 monoclonal antibody, MabThera, prescription anticancer infusion) Prolonged overall survival when added to CHOP in older adults with diffuse large B-cell lymphoma
A 93 Voluntary medical male circumcision (VMMC, a one-time surgical procedure) Reduced risk of sexually acquired HIV-1 infection in HIV-negative heterosexual men in high-prevalence settings
A 93 Deferred or delayed cord clamping in preterm birth (a delivery procedure) Reduced neonatal death before hospital discharge among infants born preterm
A 93 Aspirin 160 to 300 mg, administered orally in acute care by clinicians Reduced early death and recurrent stroke when started within 48 hours of acute ischemic stroke after intracranial hemorrhage has been excluded
A 93 Helicobacter pylori eradication therapy (oral triple or quadruple therapy) Prevention of incident gastric cancer in asymptomatic infected people
A 92 Creatine (creatine monohydrate) Strength and exercise performance
A 92 Oral iron for iron deficiency Correction of iron-deficiency anemia and improvement of deficiency-related fatigue
A 92 Simvastatin (statin, Zocor, prescription medicine) Reduced myocardial infarction, stroke, and vascular death in people at high cardiovascular risk
A 92 Fluoride toothpaste (nonprescription drug product) Prevention of dental caries in primary and permanent teeth
A 92 Bisoprolol (a prescription beta-1-selective beta blocker marketed as Concor) Reduced all-cause mortality, sudden death, and heart-failure hospitalization in stable symptomatic HFrEF
A 92 Enzalutamide (oral prescription anticancer androgen-receptor signaling inhibitor; Xtandi) Prolong overall survival in men with metastatic castration-resistant prostate cancer after docetaxel
A 92 Low-dose aspirin, 81 to 150 mg, an antiplatelet medicine available by prescription or without prescription depending on jurisdiction Prevention of preterm preeclampsia when a high-risk pregnant patient takes it after 12 weeks of gestation under clinician direction
A 92 Long-acting injectable cabotegravir (cabotegravir LA, HIV integrase inhibitor, Apretude, prescription injection) Reduced sexually acquired HIV-1 infection as pre-exposure prophylaxis in HIV-negative adults at high risk
A 92 Docetaxel (taxane cytotoxic anticancer drug; prescription injection) Prolonged overall survival when added to ADT for metastatic hormone-sensitive prostate cancer
A 92 Low-dose chest computed tomography (LDCT imaging screening) Reduced lung-cancer mortality through regular screening of high-risk smokers
A 92 Streptokinase (plasminogen-activating thrombolytic, prescription injection) Reduced short-term and one-year mortality with early intravenous treatment of acute myocardial infarction
A 92 Once-only flexible sigmoidoscopy screening (lower-colon endoscopic procedure) Reduced distal colorectal cancer incidence and colorectal cancer mortality in asymptomatic middle-aged adults
A 92 Isoniazid (INH, an oral prescription antituberculosis drug) Prevention of active tuberculosis in people with latent tuberculosis infection
A 92 Long-lasting insecticidal net (LLIN, a pyrethroid-treated mosquito-barrier product) Prevention of clinical malaria and all-cause mortality in children in malaria-endemic areas
A 91 Nine-valent human papillomavirus vaccine (9-valent HPV vaccine, Gardasil 9, prescription vaccine) Prevention of vaccine-type persistent HPV infection and high-grade cervical, vulvar, and vaginal precancer
A 91 Oral live attenuated rotavirus vaccines (RV1 Rotarix and RV5 RotaTeq, national immunization program) Prevention of severe rotavirus gastroenteritis and hospitalization in infants
A 91 Inactivated hepatitis A vaccine (prescription vaccine) Prevention of symptomatic hepatitis A in nonimmune children and high-risk adults
A 91 Tdap vaccine (non-live combination of tetanus toxoid, reduced diphtheria toxoid, and acellular pertussis antigens; prescription vaccine including Boostrix) Prevention of pertussis and pertussis hospitalization in early infancy through vaccination at 27 to 36 weeks of pregnancy
A 91 Lenacapavir (HIV-1 capsid inhibitor, the active ingredient in Sunlenca, prescription injection) Prevention of sexually acquired HIV-1 infection with twice-yearly injectable PrEP
A 91 Radical external-beam radiotherapy for prostate cancer (prescription procedure) Reduced prostate-cancer and all-cause mortality when added to androgen-deprivation therapy in locally advanced or high-risk nonmetastatic prostate cancer
A 90 Plant sterols and stanols Reduction in LDL cholesterol
A 90 Nicotine replacement therapy (NRT; nonprescription gum and patches) Improved long-term smoking-cessation success
A 90 Warfarin (prescription vitamin K antagonist anticoagulant; Coumadin) Prevention of ischemic stroke and systemic embolism in nonvalvular atrial fibrillation
A 90 Emtricitabine and tenofovir disoproxil fumarate, a prescription HIV pre-exposure prophylaxis sold as Truvada Prevention of HIV acquisition with adherent pre-exposure prophylaxis
A 90 Updated mRNA COVID-19 vaccine (BNT162b2 or mRNA-1273 family, professionally administered vaccine) Prevention of COVID-19 hospitalization, severe disease, and death in high-risk people
A 90 Semaglutide 2.4 mg (GLP-1 receptor agonist, Wegovy, prescription injection) Reduced composite risk of cardiovascular death, nonfatal myocardial infarction, and nonfatal stroke in adults with overweight or obesity, cardiovascular disease, and no diabetes
A 90 Carotid endarterectomy (standard vascular surgical procedure, non-drug intervention) Prevention of ipsilateral stroke and stroke death after recent TIA or nondisabling stroke with 70% to 99% carotid stenosis
A 90 Implantable cardioverter-defibrillator (ICD, prescription cardiac electrical-therapy device and procedure) Reduced all-cause mortality in patients at least 40 days after myocardial infarction with LVEF of 30% or less
A 90 Panretinal photocoagulation (PRP, standard retinal laser, prescribed procedure) Prevention of severe visual loss and blindness in high-risk proliferative diabetic retinopathy
A 90 Focal or grid retinal laser photocoagulation (prescription ophthalmic procedure) Prevention of moderate vision loss in clinically significant diabetic macular edema
A 90 Sorafenib (oral prescription multikinase inhibitor targeting VEGFR and RAF; Nexavar) Prolonged overall survival as initial systemic therapy for unresectable advanced hepatocellular carcinoma
A 90 One-time abdominal aortic aneurysm ultrasound screening in men aged 65 to 74 years (imaging screening test) Reduced abdominal aortic aneurysm rupture and related mortality in older men
A 90 Medical intermittent pneumatic compression (sequential compression medical device; prescribed inpatient procedure) Prevention of proximal deep-vein thrombosis and death in immobile patients with acute stroke
A 90 High-risk human papillomavirus testing for cervical-cancer screening Prevention of invasive cervical cancer compared with cytology
A 90 Levodopa–carbidopa, a prescription dopamine-precursor and peripheral decarboxylase-inhibitor combination Improvement of tremor, rigidity, and bradykinesia in Parkinson disease
A 89 Recombinant hepatitis B vaccine (HBsAg, national immunization vaccine) Prevention of chronic hepatitis B infection and later cirrhosis and liver cancer after infant vaccination
A 89 Live attenuated varicella vaccine (SuduVax or VARIVAX, national immunization) Prevention of varicella infection and moderate or severe varicella in children
A 88 Oat beta-glucan Blood cholesterol improvement (LDL-C and total cholesterol)
A 88 Caffeine Alertness and exercise performance
A 88 Melatonin Prevention of jet lag and adaptation to destination time
A 88 Varenicline (partial agonist at the alpha4beta2 nicotinic receptor; Champix and Chantix; prescription) Increased long-term smoking cessation for at least six months when combined with behavioral support
A 88 Zoledronic acid (intravenous bisphosphonate, Aclasta, prescription) Prevention of vertebral, hip, and nonvertebral fractures in patients with osteoporosis
A 88 Atorvastatin (HMG-CoA reductase inhibitor, Lipitor, prescription medicine) Additional reduction of major cardiovascular events with high-intensity dosing in established coronary disease
A 88 Measles, mumps, and rubella vaccine (MMR vaccine; live vaccine in the national immunization program) Prevention of measles, mumps, and rubella infections in children
A 88 Ranibizumab (anti-VEGF monoclonal antibody, intravitreal injection, prescription medicine) Improved vision and reduced vision loss in center-involved diabetic macular edema
A 88 Estradiol (prescription estrogen hormone-replacement therapy; Progynova) Reduction of moderate-to-severe menopausal hot flashes and vasomotor symptoms
A 88 Hydrocortisone (physiologic glucocorticoid hormone and prescription medicine) Correction of cortisol-deficiency fatigue and weakness and prevention of adrenal crisis in confirmed primary adrenal insufficiency
A 88 Canagliflozin (a prescription SGLT2 inhibitor; Invokana) Reduced end-stage kidney disease, doubling of creatinine, and kidney or cardiovascular death in albuminuric type 2 diabetic chronic kidney disease
A 88 Pravastatin (prescription HMG-CoA reductase-inhibiting statin; Mevalotin) Primary prevention of coronary heart disease death and nonfatal myocardial infarction in adults with hypercholesterolemia and no prior myocardial infarction
A 88 School and childcare hand-washing promotion program (public-health program combining soap provision and hygiene education) Prevention of diarrhoea episodes in children
A 88 Exercise-based cardiac rehabilitation (an exercise-and-education healthcare delivery program) Reduced recurrent myocardial infarction and hospitalisation in people with coronary heart disease
A 88 Cardiac resynchronization therapy (CRT, an implantable biventricular pacing device) Reduced mortality and heart-failure hospitalization in eligible patients with heart failure and reduced ejection fraction
A 88 Tocilizumab, an intravenous interleukin-6 receptor-blocking antibody Reduction in 28-day mortality among hospitalized patients with COVID-19, hypoxia, and systemic inflammation
A 88 Tamoxifen 20 mg daily for five years as prevention Reduced breast-cancer incidence in high-risk women without breast cancer
A 86 Seasonal inactivated influenza vaccine (national immunization program) Prevention of symptomatic laboratory-confirmed influenza
A 86 Risedronate sodium (oral bisphosphonate, Actonel, prescription drug) Prevention of vertebral and hip fractures in postmenopausal osteoporosis
A 86 Letrozole (aromatase inhibitor, Femara, prescription medicine; off-label for infertility) Increased ovulation and live birth in women with anovulatory PCOS infertility
A 86 Alteplase (intravenous thrombolytic tPA, Actilyse, prescription medicine) Reduced 90-day disability and dependence in eligible patients with acute ischemic stroke
A 86 Levothyroxine sodium (synthetic T4 thyroid hormone; prescription drug, Synthroid) Normalization of thyroid-stimulating hormone and free T4 with improvement of deficiency-related fatigue and cold intolerance in overt primary hypothyroidism
A 86 Metformin (prescription biguanide oral glucose-lowering medicine) Reduction of glycemia (HbA1c and fasting glucose) in type 2 diabetes, especially in newly diagnosed overweight patients, including evidence that intensive treatment reduced mortality and myocardial infarction in that population
A 86 Osimertinib (third-generation EGFR tyrosine kinase inhibitor, Tagrisso, prescription targeted anticancer drug) Prolonged overall survival with adjuvant therapy after complete resection of stage IB to IIIA EGFR-mutated non-small-cell lung cancer
A 86 Elbasvir/grazoprevir (fixed-dose direct-acting antiviral combination, Zepatier, prescription medicine) Virologic cure at 12 weeks after treatment for chronic hepatitis C genotypes 1 and 4
A 86 Poractant alfa (porcine-lung-derived pulmonary surfactant, Curosurf, prescription intratracheal suspension) Reduction of neonatal mortality and pneumothorax in preterm respiratory distress syndrome
A 86 Intensive blood-pressure control (strategy targeting systolic pressure below 120 mmHg) Reduction of major cardiovascular events and death in high-risk hypertension
A 86 Primary percutaneous coronary intervention (primary PCI or primary coronary angioplasty) Reduction of death, reinfarction, and disabling stroke versus fibrinolysis in ST-segment elevation myocardial infarction
A 86 Tai Ji Quan: Moving for Better Balance (therapeutic balance-exercise program) Reduction of falls in community-dwelling older adults at high risk
A 86 Early infant peanut introduction (regular dietary peanut protein begun in infancy) Prevention of peanut allergy in infants
A 86 Otago Exercise Programme (individually prescribed home balance, strength, and walking exercise) Reduction of actual falls among community-dwelling older adults
A 86 Pit-and-fissure sealant for permanent teeth in children Prevention of occlusal caries in permanent teeth
A 86 Hepatitis B vaccine (recombinant or plasma-derived HBsAg vaccine) Prevention of clinical and subclinical hepatitis B virus infection
A 86 As-needed inhaled budesonide-formoterol, 200 micrograms/6 micrograms per actuation Prevention of exacerbations and severe exacerbations in mild asthma
A 86 Early endovenous ablation added to compression, using thermal or nonthermal closure of superficial venous reflux Faster complete healing of venous leg ulcers
A 86 Infant Haemophilus influenzae type b conjugate vaccine Prevention of invasive Hib disease in infants
A 86 An additional 40 minutes outdoors on school days Reduced first onset of myopia in children without baseline myopia
A 86 Percutaneous patent foramen ovale closure Reduction of recurrent stroke after a carefully evaluated cryptogenic ischemic stroke
A 86 Inactivated influenza vaccination during pregnancy Prevention of laboratory-confirmed influenza in infants through six months
A 85 Empagliflozin (Jardiance, an SGLT2 inhibitor) Glycemic control in type 2 diabetes and reduction of cardiovascular and kidney events
A 85 Omeprazole (proton pump inhibitor, Losec, prescription and nonprescription medicine) Mucosal healing and heartburn resolution in erosive reflux esophagitis
A 85 Whole-body therapeutic hypothermia (a neonatal intensive-care procedure) Prevention of death or severe neurodevelopmental disability in neonates with moderate or severe hypoxic-ischemic encephalopathy
A 84 Psyllium husk (psyllium husk; dietary fiber from Plantago ovata/Plantago spp. seed husk) Smooth bowel movements and improvement of blood cholesterol
A 84 Semaglutide (GLP-1 receptor agonist; Ozempic and Rybelsus) Lower HbA1c in type 2 diabetes and reduce major cardiovascular events in high-risk patients
A 84 Insulin glargine (a prescription long-acting basal insulin analog biologic, marketed as Lantus) Basal glucose and HbA1c control with mealtime insulin in type 1 diabetes
A 84 Sumatriptan (a prescription 5-HT1B/1D triptan; Imigran or Sumitran) Two-hour pain freedom and relief of nausea and photophobia during acute migraine attacks in adults
A 84 Amlodipine (prescription long-acting dihydropyridine calcium-channel blocker; Norvasc) Sustained blood-pressure reduction and cardiovascular-risk reduction in adults with hypertension
A 84 Propranolol (nonselective beta blocker; prescription drug) Prevention of a first variceal bleed in cirrhosis with large esophageal varices
A 84 Dapagliflozin, a prescription sodium-glucose cotransporter 2 inhibitor marketed as Farxiga Reduced risk of sustained 50% eGFR decline, end-stage kidney disease, and kidney or cardiovascular death in albuminuric chronic kidney disease with type 2 diabetes
A 84 Goserelin acetate (subcutaneous depot prescription gonadotropin-releasing-hormone agonist; Zoladex) Improved overall survival and prostate-cancer mortality when used as long-term adjuvant therapy with radiotherapy for locally advanced high-risk prostate cancer
A 84 Reduced-sodium, potassium-enriched salt substitute Reduced stroke and major cardiovascular events
A 84 Transcatheter aortic-valve replacement (TAVR; transfemoral catheter-based bioprosthetic valve procedure) Reduction of death, stroke, and rehospitalization in severe symptomatic aortic stenosis
A 84 Mediterranean dietary pattern emphasizing extra-virgin olive oil, nuts, vegetables, legumes, whole grains, and fish Reduced myocardial infarction, stroke, and cardiovascular death in high-risk adults
A 84 Mesh-reinforced groin hernia repair Reduced inguinal or femoral hernia recurrence versus non-mesh tissue repair
A 83 Bivalent killed whole-cell oral cholera vaccine (including Euvichol, prescription vaccine) Prevention of clinical cholera in residents of and travelers to cholera-affected areas
A 82 St. John's wort (St. John's Wort, Hypericum perforatum) depression
A 82 Finasteride 5 mg (prescription 5-alpha-reductase inhibitor, Proscar) Reduced benign prostatic hyperplasia progression, acute urinary retention, and surgery risk
A 82 Clopidogrel (prescription P2Y12 antiplatelet agent) Reduced recurrence of myocardial infarction, ischemic stroke, and vascular death in patients with atherosclerotic disease
A 82 Losartan potassium (angiotensin II receptor blocker, prescription drug; Cozaar) Reduced risk of end-stage kidney disease and worsening renal function in type 2 diabetic nephropathy with proteinuria
A 82 Lithium carbonate (classic mood stabilizer; prescription drug) Prevention of recurrent manic and depressive mood episodes in stabilized bipolar I disorder
A 82 Cefuroxime sodium 1 mg/0.1 mL intracamerally (second-generation cephalosporin; approval status varies by country) Prevention of postoperative endophthalmitis when injected into the anterior chamber at the end of cataract surgery
A 82 Prednisolone (oral prescription corticosteroid; Solondo) Increased complete facial-function recovery at three and nine months in adults with Bell palsy treated within 72 hours
A 82 Single-dose oral dexamethasone (prescription systemic corticosteroid) Reduced return visits and persistent symptoms in mild pediatric croup
A 81 Dutasteride (type 1 and type 2 5-alpha-reductase inhibitor, prescription medicine, Avodart) Improved urinary symptoms and reduced acute urinary retention and surgery in benign prostatic hyperplasia
A 80 Desogestrel/ethinyl estradiol (prescription combined oral contraceptive; Mercilon) Prevention of pregnancy through ovulation suppression when taken correctly
A 80 Multilayer compression bandaging for venous leg ulcers Faster complete healing of venous leg ulcers

B Grade B · 641 · Human evidence exists, but important limits remain.

B 79 Loperamide, an antidiarrheal drug Reduced duration and stool frequency in adults with acute non-bloody diarrhea
B 79 Denosumab (RANKL inhibitor, Prolia, prescription medicine) Reduction of vertebral, hip, and nonvertebral fractures in postmenopausal women with osteoporosis
B 79 Sildenafil (PDE5 inhibitor, Viagra, prescription) Improved erectile function and intercourse success in men with erectile dysfunction
B 79 Tirzepatide (dual GIP and GLP-1 receptor agonist; Mounjaro and Zepbound; prescription) Long-term weight loss in adults with obesity or overweight
B 79 Alendronate (bisphosphonate; Fosamax; prescription) Prevention of vertebral, hip, and nonvertebral fractures in postmenopausal osteoporosis with a prior fragility fracture
B 79 Nirsevimab (Beyfortus; prescription long-acting RSV monoclonal antibody) Prevention of RSV hospitalization during an infant's first RSV season
B 79 Recombinant zoster vaccine (RZV, Shingrix, prescription) Prevention of herpes zoster and postherpetic neuralgia in adults aged 50 years or older
B 79 Apixaban (prescription factor Xa inhibitor anticoagulant, Eliquis) Prevention of stroke and systemic embolism in nonvalvular atrial fibrillation
B 79 Latanoprost (Xalatan, prescription eye drops) Slowing progression of visual-field loss in open-angle glaucoma
B 79 Topical diclofenac (Voltaren Emulgel, nonprescription medicine) Reduced pain and improved function in knee osteoarthritis
B 79 Tirzepatide (dual GIP/GLP-1 receptor agonist, Mounjaro or Zepbound, prescription) Reduced body weight and waist circumference in adults with obesity
B 79 Arexvy RSV vaccine (prescription RSVPreF3 OA vaccine) Prevention of RSV lower respiratory tract disease and severe disease in adults aged 60 years or older
B 79 Glecaprevir/pibrentasvir (Mavyret, prescription direct-acting antiviral combination) Virologic cure at SVR12 after eight weeks of treatment for chronic hepatitis C
B 79 Topical adapalene (topical retinoid, Differin, nonprescription or prescription) Reduction of inflammatory and noninflammatory lesions in mild-to-moderate acne
B 79 Aflibercept (prescription intravitreal anti-VEGF injection; Eylea) Prevention of vision loss and improvement of vision in neovascular age-related macular degeneration
B 79 Tafamidis (TTR stabilizer, Vyndamax, prescription medicine) Reduction in all-cause mortality and cardiovascular hospitalization in transthyretin amyloid cardiomyopathy
B 79 Sofosbuvir/velpatasvir (Epclusa; prescription direct-acting antiviral combination) Sustained virologic response 12 weeks after treatment across all chronic hepatitis C genotypes
B 79 Semaglutide 2.4 mg, a prescription GLP-1 receptor agonist sold as Wegovy Long-term weight loss and maintenance in adults with obesity
B 79 Epinephrine (an alpha- and beta-adrenergic agonist; prescription emergency medicine and autoinjector) Rapid first-line reversal of respiratory distress, hypotension, and airway edema in anaphylaxis
B 79 Terbinafine (a prescription oral allylamine antifungal) Mycological and clinical cure of dermatophyte toenail onychomycosis
B 79 D-glucose or dextrose (rapid-acting monosaccharide; nonprescription medical product) Correction of symptomatic nonsevere hypoglycemia within 15 minutes in a conscious person with diabetes
B 79 Mesalazine/mesalamine (prescription 5-aminosalicylic acid intestinal anti-inflammatory drug; Pentasa) Induction and maintenance of clinical remission in mild-to-moderate ulcerative colitis
B 79 Vardenafil (a prescription PDE5 inhibitor marketed as Levitra) Improved IIEF erectile function and penetration and intercourse success rates in men with erectile dysfunction
B 79 Recombinant glucagon (a hyperglycemic peptide-hormone emergency medicine supplied as a prescription injection, including GlucaGen HypoKit) Emergency restoration of blood glucose in severe diabetic hypoglycemia when the person cannot swallow and requires help from another person
B 79 Methotrexate (folate-antagonist conventional synthetic disease-modifying antirheumatic drug and prescription medicine) First-line disease control and inhibition of joint-damage progression in disease-modifying-antirheumatic-drug-naive moderate-to-high-activity rheumatoid arthritis
B 79 Intravenous N-acetylcysteine or acetylcysteine (prescription thiol antidote injection; Cysten) Prevent or lessen hepatotoxicity and liver failure after acute acetaminophen overdose
B 79 Imatinib (BCR-ABL tyrosine kinase inhibitor, Gleevec, prescription anticancer medicine) Prevention of progression to accelerated phase or blast crisis in newly diagnosed chronic-phase chronic myeloid leukemia
B 79 Nusinersen (antisense oligonucleotide that modifies SMN2 splicing, Spinraza, prescription intrathecal injection) Improved motor-milestone attainment and event-free survival without death or permanent ventilation in spinal muscular atrophy
B 79 Caffeine citrate (methylxanthine respiratory stimulant, Cafnea, prescription injection or oral solution) Reduction in death or neurodevelopmental disability at 18 to 21 months when treating apnea of prematurity
B 79 Pegfilgrastim (long-acting G-CSF, Neulasta, prescription injection) Primary prevention of febrile neutropenia and related hospitalization during myelosuppressive chemotherapy
B 79 Mohs micrographic surgery (prescription skin-cancer surgery with comprehensive mapped margin examination) Prevention of long-term local recurrence in recurrent high-risk facial basal cell carcinoma
B 79 Sofosbuvir/velpatasvir/voxilaprevir (three-drug fixed-dose DAA combination, Vosevi, prescription medicine) SVR12 virologic cure on retreatment of chronic hepatitis C after failure of an NS5A-containing DAA regimen
B 79 Magnesium sulfate (inorganic magnesium salt administered as an intravenous prescription injection) Reduced childhood cerebral palsy and the composite of death or cerebral palsy when given before imminent birth before 32 weeks for fetal neuroprotection
B 79 Organised inpatient stroke-unit care (a multidisciplinary specialist-ward system for admitted patients) Reduced death, dependency, and institutional care after acute stroke
B 79 Semaglutide 1.0 mg as a once-weekly prescription subcutaneous injection Reduced kidney failure, major loss of kidney function, and kidney or cardiovascular death in chronic kidney disease with type 2 diabetes
B 79 Sotatercept-csrk (Winrevair, a prescription subcutaneous activin-signaling inhibitor biologic) Reduced composite risk of death, lung transplantation, or hospitalization for worsening disease in high-risk pulmonary arterial hypertension despite maximally tolerated background therapy
B 79 Inactivated poliovirus vaccine (IPV, intramuscular or subcutaneous injection) Prevention of paralytic poliomyelitis in children
B 78 Whey protein (WPI/WPC) Muscle and dieting
B 78 Lactase enzyme Prevention of bloating and diarrhea from lactose intolerance
B 78 Macrogol 4000 (polyethylene glycol 4000, PEG 4000) Improvement in bowel-movement frequency and stool form in chronic functional constipation
B 78 Ursodeoxycholic acid (UDCA) Improvement of cholestasis and disease progression in primary biliary cholangitis
B 78 Tadalafil 5 mg once daily Improvement of urinary symptoms and quality of life in BPH or LUTS
B 78 Evolocumab (PCSK9 monoclonal antibody; prescription Repatha) Reduced recurrent myocardial infarction and stroke in statin-treated atherosclerotic cardiovascular disease
B 78 Romosozumab (sclerostin-inhibiting antibody, Evenity, prescription medicine) Prevention of vertebral, hip, and clinical fractures in postmenopausal women at high fracture risk
B 78 Dapagliflozin (SGLT2 inhibitor, Farxiga, prescription) Reduced composite risk of worsening heart failure or hospitalization and cardiovascular death regardless of diabetes status
B 78 Dabigatran etexilate (direct thrombin-inhibitor DOAC, Pradaxa, prescription) Prevention of stroke and systemic embolism in nonvalvular atrial fibrillation
B 78 Mepolizumab (prescription anti-IL-5 monoclonal antibody; Nucala) Reduction of clinical exacerbations, hospitalization, and systemic-steroid use in severe eosinophilic asthma
B 78 Alirocumab (PCSK9-inhibiting monoclonal antibody, Praluent, prescription) Reduction of recurrent major cardiovascular events after a recent acute coronary syndrome
B 78 Bimatoprost (a prescription prostamide ocular hypotensive; Lumigan) Lowering of intraocular pressure in open-angle glaucoma and ocular hypertension
B 78 Isotretinoin (prescription oral retinoid) Lesion remission in severe, scarring-risk, or standard-treatment-refractory acne
B 78 Metronidazole (prescription nitroimidazole antimicrobial; Flagyl) Reduced discharge and odor and clinical cure of symptomatic bacterial vaginosis
B 78 Insulin degludec (prescription ultra-long-acting basal insulin biologic; Tresiba) Reduction of symptomatic and severe hypoglycemia versus glargine U100 at similar glycemic control in high-risk type 1 diabetes
B 78 Human serum albumin 20% is a concentrated plasma-protein biologic manufactured from human plasma and administered intravenously by prescription. The claim is that adding albumin to antibiotics in cirrhosis with spontaneous bacterial peritonitis reduces renal impairment and in-hospital mortality.
B 78 Vedolizumab (prescription biologic monoclonal antibody against alpha4beta7 integrin; Kynteles/Entyvio) Induction of clinical response and maintenance of remission in moderate-to-severe ulcerative colitis with inadequate response to prior treatment
B 78 Ledipasvir/sofosbuvir (prescription NS5A and NS5B direct-acting antiviral combination; Harvoni) Sustained virologic response 12 weeks after a 12-week course in treatment-naive chronic hepatitis C genotype 1
B 78 Pioglitazone (thiazolidinedione insulin sensitizer; prescription drug; Actos) Prevention of recurrent stroke and myocardial infarction after ischemic stroke or transient ischemic attack in insulin-resistant adults without diabetes
B 78 Acyclovir or aciclovir (prescription oral guanosine-analogue antiviral) Prevention of recurrent ocular HSV and stromal keratitis in adults with recent ocular herpes simplex disease
B 78 Fenofibrate (PPAR-alpha agonist, prescription drug; retinopathy use is off-label in many jurisdictions) Reduced progression of diabetic retinopathy and need for first laser treatment in type 2 diabetes
B 78 Pembrolizumab (PD-1-inhibiting monoclonal antibody, Keytruda, prescription anticancer infusion) Prevention of recurrence and distant metastasis in completely resected high-risk stage III melanoma
B 78 Long-term oxygen therapy (LTOT, oxygen concentrator and nasal cannula for at least 15 hours per day) Reduced mortality in patients with COPD and severe resting hypoxemia while clinically stable
B 78 Anterior temporal lobectomy (prescribed lesion-resection neurosurgery) Sustained freedom from awareness-impairing and all seizures in drug-resistant temporal lobe epilepsy
B 78 Ivabradine (oral prescription sinoatrial If-channel inhibitor; Procoralan) Reduced combined risk of hospitalization for worsening heart failure and cardiovascular death in HFrEF with sinus rhythm and elevated heart rate
B 78 Endovascular coil embolization for intracranial aneurysm (prescription neurointerventional procedure) Reduced death or dependency at one year in ruptured intracranial aneurysms suitable for either coiling or clipping
B 78 Oral azacitidine (CC-486, a prescription DNA methyltransferase-inhibiting anticancer drug; Onureg) Reduced relapse and death in older patients with AML in first remission after intensive chemotherapy who were not candidates for hematopoietic stem-cell transplantation
B 78 Non-invasive bilevel positive-pressure ventilation (NIV or BiPAP, a mask-based respiratory-support device and hospital procedure) Prevention of hospital mortality and endotracheal intubation in acute hypercapnic COPD exacerbation
B 78 Vutrisiran (Amvuttra, quarterly subcutaneous prescription siRNA) Reduced mortality and recurrent cardiovascular events in transthyretin amyloid cardiomyopathy
B 77 Lemborexant (dual orexin receptor antagonist, Dayvigo, prescription) Improved sleep onset and sleep maintenance in insomnia
B 77 Finerenone (nonsteroidal mineralocorticoid-receptor antagonist; prescription Kerendia) Reduced kidney-failure progression and cardiovascular events in albuminuric chronic kidney disease with type 2 diabetes
B 77 Teriparatide (PTH analog and bone-forming agent, Forteo, prescription) Prevention of new vertebral and nonvertebral fractures in patients with osteoporosis at high fracture risk
B 77 Sacubitril/valsartan (Entresto, prescription angiotensin receptor-neprilysin inhibitor) Reduced cardiovascular death and heart-failure hospitalization in heart failure with reduced ejection fraction
B 77 Edoxaban (oral factor Xa inhibitor direct oral anticoagulant, Lixiana, prescription drug) Prevention of stroke and systemic embolism in nonvalvular atrial fibrillation
B 77 Levonorgestrel-releasing intrauterine system (LNG-IUS, Mirena, prescription device) Improved menstrual blood loss and quality of life in idiopathic heavy menstrual bleeding
B 77 Modafinil (a prescription non-amphetamine wake-promoting eugeroic; Provigil) Reduction of excessive daytime sleepiness and maintenance of wakefulness in adults with narcolepsy
B 77 Raloxifene (prescription selective estrogen-receptor modulator, or SERM) Reduced risk of new vertebral fractures in postmenopausal women with osteoporosis
B 77 Insulin lispro (prescription rapid-acting insulin analogue injection; Humalog) Mealtime control of postprandial glucose and HbA1c in type 1 diabetes, with reduced postprandial excursions and hypoglycemia versus regular human insulin
B 77 Tirzepatide, a prescription injectable dual GIP and GLP-1 receptor agonist marketed as Mounjaro Reduced composite risk of cardiovascular death or worsening heart failure and improved health status in HFpEF with obesity
B 77 High-dose inactivated influenza vaccine (HD-IIV; prescription vaccine, Efluelda) Additional prevention of laboratory-confirmed symptomatic influenza versus standard-dose vaccine in adults aged 65 years or older
B 77 Selective laser trabeculoplasty (SLT, 532-nm frequency-doubled Q-switched Nd:YAG ophthalmic procedure) Reduced disease progression and need for incisional glaucoma surgery as first-line treatment for open-angle glaucoma or ocular hypertension
B 77 Ipilimumab (anti-CTLA-4 monoclonal antibody, Yervoy, prescription anticancer infusion) Prevention of recurrence, distant metastasis, and death after complete resection of high-risk stage III melanoma as adjuvant therapy
B 77 Fecal microbiota transplantation (donor-derived microbial procedure) Clinical cure and prevention of recurrence in multiply recurrent Clostridioides difficile infection
B 77 Quetiapine fumarate (prescription atypical antipsychotic; Seroquel) Prevention of recurrent manic, depressive, or mixed mood episodes in stabilized bipolar I disorder
B 77 Sodium oxybate (GABA-B-related central nervous system depressant, Xyrem, specially controlled oral prescription drug) Reduced cataplexy attacks in patients with narcolepsy
B 77 Roux-en-Y gastric bypass (prescribed bariatric and metabolic surgery) Long-term, five-year medication-free remission of type 2 diabetes in obesity or overweight
B 77 Oxytocin (prescription intramuscular or intravenous uterotonic peptide hormone) Reduced postpartum hemorrhage and transfusion risk with prophylaxis immediately after birth
B 77 Nimodipine (a dihydropyridine calcium-channel blocker and oral prescription drug) Prevention of poor neurological outcome, including death or severe disability, after aneurysmal subarachnoid hemorrhage
B 77 Hydroxyurea (hydroxycarbamide, an oral prescription drug) Reduction of vaso-occlusive pain crises, acute chest syndrome, and transfusion in sickle cell anemia
B 77 Combined Bifidobacterium and Lactobacillus probiotics (live biotherapeutic given enterally under clinical supervision) Prevention of severe necrotizing enterocolitis and all-cause mortality in preterm or low-birth-weight infants
B 77 Dabrafenib plus trametinib (prescription combination of BRAF and MEK inhibitors) Prevention of relapse and distant metastasis after complete resection of stage III BRAF V600-mutated melanoma
B 77 Maternal bivalent RSV prefusion-F vaccine (RSVpreF, Abrysvo, intramuscular prescription vaccine during pregnancy) Prevention of severe RSV lower respiratory tract illness in infants through 6 months of age by maternal vaccination
B 76 Saffron (Crocus sativus) depression and mood
B 76 Limosilactobacillus reuteri DSM 17938 Reduced crying time in breastfed infants with colic
B 76 Rifaximin (Normix; prescription gut-targeted antibiotic) Reduced recurrence of hepatic encephalopathy and related hospitalization in patients with cirrhosis
B 76 Acetazolamide (carbonic anhydrase inhibitor, Diamox, prescription) Prevention of acute mountain sickness in travelers ascending rapidly to high altitude
B 76 Low-dose rivaroxaban 2.5 mg plus aspirin (Xarelto combination, prescription) Reduction in cardiovascular death, stroke, or myocardial infarction in stable coronary or peripheral artery disease
B 76 Dupilumab (IL-4Rα-targeting monoclonal antibody, Dupixent, prescription medicine) Improvement of pruritus and skin lesions in moderate-to-severe atopic dermatitis
B 76 Lactulose (nonabsorbable disaccharide, prescription medicine) Prevention of recurrent overt hepatic encephalopathy in patients with cirrhosis
B 76 Carvedilol (nonselective beta and alpha-1 blocker; prescription medicine, Dilatrend; off-label for portal hypertension) Prevent a first decompensating event in compensated cirrhosis with clinically significant portal hypertension
B 76 OROS methylphenidate (extended-release central nervous system stimulant; controlled prescription drug; Concerta) Reduction of core inattentive, hyperactive, and impulsive symptoms of ADHD in children and adolescents aged six years or older
B 76 Quetiapine fumarate (prescription atypical antipsychotic; Seroquel) Improvement in eight-week depressive symptoms, response, and remission during acute major depressive episodes of bipolar I or II disorder
B 76 Etoricoxib 30 mg, a prescription selective COX-2 nonsteroidal anti-inflammatory drug Reduced pain and improved physical function in symptomatic knee or hip osteoarthritis
B 76 Four-component meningococcal group B vaccine (4CMenB, Bexsero; specialist recombinant-protein plus outer-membrane-vesicle vaccine) Prevention of invasive meningococcal group B disease from two months of age
B 76 Allopurinol (prescription xanthine-oxidase-inhibiting urate-lowering drug marketed as Zyloric) Maintenance of target serum urate and long-term reduction of gout flares and tophi in recurrent or tophaceous gout
B 76 Etanercept (TNF-alpha inhibitor biologic; prescription injection, Enbrel) Improved disease activity, function, and radiographic structural-damage progression when added to methotrexate in active rheumatoid arthritis with inadequate methotrexate response
B 76 Vonoprazan plus amoxicillin (potassium-competitive acid blocker plus penicillin dual therapy; prescription regimen) Eradication and cure of Helicobacter pylori infection in treatment-naive adults
B 76 Tibolone (tissue-selective synthetic steroid; prescription drug; Livial) Prevention of new vertebral and nonvertebral fractures in older postmenopausal women with osteoporosis
B 76 Quadrivalent human papillomavirus vaccine (HPV 6/11/16/18 vaccine, prescription vaccine; Gardasil) Prevention of vaccine-type HPV-related external genital lesions and genital warts in males aged 16 to 26 years
B 76 Tranexamic acid (antifibrinolytic hemostatic medicine, prescription intravenous injection) Reduced death due to bleeding when given within three hours of birth for clinically diagnosed postpartum hemorrhage
B 76 Tirzepatide (dual GIP and GLP-1 receptor agonist; prescription injection, Mounjaro) Delayed or prevented progression to type 2 diabetes in adults with obesity and prediabetes
B 76 Aripiprazole once-monthly long-acting injection (D2 partial-agonist atypical antipsychotic; prescription Abilify Maintena) Prevention of psychotic relapse and exacerbation in stabilized adults with schizophrenia
B 76 Capecitabine (an oral fluoropyrimidine prodrug and prescription anticancer medicine) Reduced recurrence and death in residual HER2-negative breast cancer after neoadjuvant chemotherapy
B 76 Ocrelizumab (anti-CD20 monoclonal antibody, Ocrevus, prescription biologic) Prevention of clinical relapses and sustained disability progression in relapsing multiple sclerosis
B 76 Enoxaparin (low-molecular-weight heparin, Clexane, prescription injection) Reduced composite risk of death or nonfatal recurrent myocardial infarction versus unfractionated heparin in fibrinolysis-treated STEMI
B 76 Prasugrel (P2Y12 inhibitor; Effient; prescription medicine) Reduced composite risk of cardiovascular death, myocardial infarction, or stroke versus clopidogrel in acute coronary syndrome scheduled for PCI
B 76 Budesonide (inhaled corticosteroid, Pulmicort, prescription medicine) Prevention of severe exacerbations, emergency treatment, and hospitalization in early mild persistent asthma
B 76 Cilostazol (PDE3-inhibiting antiplatelet drug, Pletal, prescription medicine) Prevention of recurrent stroke after noncardioembolic ischemic stroke
B 76 Secukinumab (IL-17A monoclonal antibody, Cosentyx, prescription biologic) Skin clearance and itch improvement in moderate-to-severe plaque psoriasis
B 76 Tofacitinib (oral Janus kinase inhibitor; prescription Xeljanz) Induction and 52-week maintenance of clinical remission in moderate-to-severe ulcerative colitis refractory to previous treatment
B 76 Early transjugular intrahepatic portosystemic shunt (early TIPS; covered-stent shunt procedure) Reduction in rebleeding and one-year mortality after high-risk acute variceal bleeding in cirrhosis
B 76 Dialectical behavior therapy (DBT, a structured specialist psychotherapy) Prevention of recurrent suicide attempts and suicide-related hospitalization in high-risk borderline personality disorder
B 76 Captopril (oral prescription angiotensin-converting-enzyme inhibitor) Reduced risk of death, dialysis, or kidney transplantation in proteinuric diabetic nephropathy from type 1 diabetes
B 76 Tenecteplase (modified tissue plasminogen activator thrombolytic; prescription intravenous injection) Reduced disability and dependence and improved functional independence at 90 days in eligible acute ischemic stroke
B 76 Inactivated Japanese encephalitis vaccine (national immunization vaccine) Prevention of clinical Japanese encephalitis in children
B 76 Bicalutamide (a nonsteroidal androgen-receptor antagonist and oral prescription anticancer drug, marketed as Casodex) Reduction in metastasis, prostate-cancer death, and all-cause death when added to salvage radiotherapy for men with rising PSA after prostatectomy
B 76 Exemestane (steroidal aromatase inhibitor; oral prescription medicine marketed as Aromasin) Primary prevention of invasive breast cancer in high-risk postmenopausal women
B 76 Aspirin (an antiplatelet cyclooxygenase inhibitor available by prescription and over the counter) Long-term prevention of colorectal cancer in carriers of Lynch syndrome
B 76 Dispatcher-assisted compression-only cardiopulmonary resuscitation (an emergency medical dispatch-system intervention) Increased survival to hospital discharge after non-asphyxial out-of-hospital cardiac arrest
B 76 Behavioral activation delivered as face-to-face psychotherapy Improved depressive symptoms and functioning in major depressive disorder
B 76 Finasteride 1 mg (oral prescription tablet) Slowed progression and increased hair growth in adult male androgenetic alopecia
B 76 Epley manoeuvre (physical canalith-repositioning procedure for the posterior semicircular canal) Early resolution of vertigo and nystagmus in posterior-canal benign paroxysmal positional vertigo
B 76 Lisinopril, an angiotensin-converting-enzyme inhibitor Reduced early mortality and severe ventricular dysfunction after acute myocardial infarction
B 76 Structured exercise program (three years of supervised and behaviorally supported aerobic exercise after adjuvant chemotherapy) Reduced recurrence, new primary cancer, or death after adjuvant chemotherapy for resected colon cancer
B 76 Prolonged prone positioning for at least 16 hours per day Lower 28-day and 90-day mortality in mechanically ventilated severe ARDS
B 76 Catheter ablation of atrial fibrillation Lower all-cause death or worsening-heart-failure hospitalization in atrial fibrillation with HFrEF
B 76 Cardiovascular polypill (fixed-dose aspirin 100 mg, atorvastatin 20 or 40 mg, and ramipril 2.5, 5, or 10 mg) Reduction of recurrent major cardiovascular events after recent myocardial infarction
B 76 Early antiretroviral therapy (early ART) Prevention of sexual HIV-1 transmission from a person living with HIV to a partner
B 76 Coronary artery bypass grafting (CABG) Reduction of death, myocardial infarction, or stroke versus PCI in diabetes with multivessel coronary disease
B 76 Venetoclax plus azacitidine, a lower-intensity anticancer regimen Longer overall survival in previously untreated acute myeloid leukemia unsuitable for intensive chemotherapy
B 76 Cognitive behavioral therapy for social anxiety disorder Reduced social anxiety, avoidance, and functional impairment with increased response and remission
B 76 Intravenous artesunate for severe malaria Reduced in-hospital mortality in severe falciparum malaria
B 76 Metronidazole 500 mg twice daily for seven days Reduced persistent infection or positive test of cure in women with trichomoniasis
B 76 13-valent pneumococcal conjugate vaccine (PCV13, Prevnar 13) Prevention of vaccine-type community-acquired pneumonia in adults aged 65 years or older
B 76 Contingency management with rewards tied to objectively verified abstinence Increased sustained abstinence and treatment retention during treatment for stimulant use disorder
B 76 Topical 38% silver diamine fluoride (SDF) Arrest of existing active dentin caries lesions in early childhood
B 76 Empagliflozin 10 mg, a prescription SGLT2 inhibitor Reduced cardiovascular death or heart-failure hospitalization in chronic heart failure with ejection fraction above 40%
B 76 A short course of oral prednisone started at discharge after emergency treatment of acute asthma Prevention of asthma relapse and additional care 7 to 21 days after discharge
B 76 Non-removable pressure off-loading with a total contact cast Complete healing of noninfected, nonischemic neuropathic plantar diabetic foot ulcers
B 76 Empagliflozin 10 mg, a prescription SGLT2 inhibitor Reduction of kidney-disease progression or cardiovascular death in adults with chronic kidney disease at risk of progression
B 76 Total trans-fat intake during a period dominated by industrial trans fat More myocardial infarction and coronary death
B 76 Residential radon exposure Increased lung-cancer incidence
B 76 Indoor tanning-device use Higher melanoma incidence
B 76 Live-attenuated herpes zoster vaccine, Zostavax Reduction or delay of new dementia diagnoses in older adults
B 76 A planned seven-day antibiotic strategy for bloodstream infection Noninferiority to fourteen days for 90-day mortality
B 76 Prophylactic human papillomavirus vaccination Reduced incidence of invasive cervical cancer
B 76 Coronary CT angiography added to standard care Prevention of coronary death or nonfatal myocardial infarction in stable chest pain
B 76 Cataract extraction, usually removal of the cloudy lens with intraocular-lens implantation Reduced incident dementia in older adults
B 76 Two years of adjuvant abemaciclib added to standard endocrine therapy Reduction of invasive recurrence in hormone receptor-positive, HER2-negative, node-positive high-risk early breast cancer
B 76 Repeated single-embryo transfer Reduction of multiple birth in good-prognosis IVF
B 76 Planned labor induction at 39 weeks Perinatal outcomes and cesarean delivery in low-risk nulliparous women
B 76 Cardiovascular polypill containing simvastatin, atenolol, hydrochlorothiazide, and ramipril Primary prevention in people without cardiovascular disease
B 76 Awake prone positioning Reduced intubation or death
B 76 Baricitinib 4 mg daily for up to 10 to 14 days Reduced 28-day mortality in patients hospitalized with COVID-19
B 76 Dexamethasone 6 mg orally or intravenously once daily for up to 10 days Reduced 28-day mortality in hospitalized COVID-19
B 76 Individually tailored multifactorial fall prevention addressing exercise, medication, vision, and home hazards Reduced falls and recurrent falls over one year in community-dwelling older adults
B 76 Early transcatheter aortic-valve replacement for asymptomatic severe aortic stenosis Reduced death, stroke, or unplanned cardiovascular hospitalization
B 76 Oral conjugated equine estrogen 0.625 mg plus medroxyprogesterone acetate Increased pulmonary embolism
B 76 Once-weekly subcutaneous semaglutide 2.4 mg Reduction of major cardiovascular events in adults with overweight or obesity, established cardiovascular disease, and no diabetes
B 76 Prophylactic onlay mesh reinforcement added to midline closure in high-risk adults Prevention of incisional hernia at two years
B 76 Propranolol 180 or 240 mg/day started 5-21 days after myocardial infarction Reduction in long-term all-cause mortality
B 76 Active preoperative or intraoperative warming to maintain normothermia Reduced surgical-site infection
B 76 Prophylactic multilayer silicone-foam dressings on the sacrum and heels Reduced new pressure injuries in high-risk hospital or nursing-home patients
B 76 One 30-minute preoperative physiotherapy education and breathing-training session before upper abdominal surgery Reduced 14-day postoperative pulmonary complications and pneumonia
B 76 Preoperative oral antibiotics added to intravenous prophylaxis for elective colorectal surgery Reduced 30-day surgical-site infection versus intravenous prophylaxis alone
B 76 A bundled active-management strategy for the third stage of labor Reduced postpartum hemorrhage of at least 500 mL versus physiological or expectant management
B 76 A prophylactic platelet-transfusion threshold of 25×10⁹/L in severely thrombocytopenic preterm neonates Reduced death or new major bleeding by day 28 versus a threshold of 50×10⁹/L
B 76 Specialist-selected high-bioavailability oral antibiotics for the first six weeks of complex bone and joint infection treatment No increase in one-year treatment failure beyond the prespecified margin versus prolonged intravenous therapy
B 76 Two units of thawed plasma before hospital arrival for trauma patients at risk of hemorrhagic shock Reduced 28- to 30-day mortality versus crystalloid-centered standard resuscitation
B 76 Epinephrine 1 mg during standard resuscitation for adult out-of-hospital cardiac arrest Increased 30-day survival
B 76 A six-month repeated decolonization regimen using 4% chlorhexidine bathing, 0.12% chlorhexidine mouthwash, and 2% nasal mupirocin Reduced one-year clinical MRSA infection among carriers after discharge
B 76 High-dose postdilution online hemodiafiltration targeting at least 23 L of convection volume per session Reduced all-cause mortality versus high-flux hemodialysis in maintenance dialysis
B 76 A restrictive red-cell transfusion strategy starting below hemoglobin 7 g/dL in severe acute upper gastrointestinal bleeding Improved six-week survival versus a liberal 9 g/dL threshold
B 76 A lying-down policy keeping the pelvis as horizontal as possible during second-stage labor in nulliparous women with low-dose epidural analgesia Increased spontaneous vaginal birth versus an upright policy
B 76 One 0.5-mL intramuscular dose of 23-valent pneumococcal polysaccharide vaccine (PPSV23) Reduced all-cause and pneumococcal pneumonia in nursing-home residents
B 76 A bundled nursing-home pneumonia pathway with oral antibiotics, portable radiography, oximetry, oxygen, subcutaneous fluids, and research-nurse monitoring Reduced hospital admission for nursing-home residents with pneumonia or lower respiratory infection
B 76 A single 500-mg intravenous dose of azithromycin added to standard cesarean antibiotic prophylaxis Fewer maternal postoperative infections within six weeks after nonelective cesarean delivery during labor or after membrane rupture
B 76 Acute-heart-failure mortality-risk stratification plus 30-day rapid specialist transitional care Reduced all-cause death or cardiovascular hospitalization after an emergency visit
B 76 Twenty-four-hour structured home remote patient management for selected patients with heart failure Reduced days lost to unplanned cardiovascular hospitalization or all-cause death
B 76 Low-dose aspirin 81 mg daily started at 6 weeks 0 days to 13 weeks 6 days of pregnancy Prevention of delivery before 37 weeks in nulliparous singleton pregnancies in low-resource countries
B 76 Four months of androgen-deprivation therapy added to radiotherapy for localized prostate cancer Improved overall survival and prostate-cancer mortality
B 76 E-MOTIVE, combining a calibrated blood-collection drape with concurrent first-response treatment Reduced severe postpartum hemorrhage, laparotomy for bleeding, or death from bleeding after vaginal birth
B 76 One 0.5 mL dose of Vi-tetanus-toxoid typhoid conjugate vaccine, Typbar-TCV Prevention of blood-culture-confirmed typhoid over two years in children aged 9 months to 15 years in an endemic setting
B 76 An antihypertensive strategy treating mild chronic hypertension during pregnancy to below 140/90 mm Hg Reduction of a composite of severe preeclampsia, medically indicated preterm birth, placental abruption, or fetal or neonatal death
B 76 A bypass-first strategy using adequate single-segment great saphenous vein in chronic limb-threatening ischemia Reduction in major adverse limb events or death versus an endovascular-first strategy
B 76 Add-on azithromycin 500 mg three times weekly for adults with uncontrolled asthma despite medium-to-high-dose inhaled corticosteroid and a long-acting bronchodilator Reduced moderate and severe asthma exacerbations over 48 weeks
B 76 Targeted temperature management at 33°C for 24 hours after nonshockable cardiac arrest Increased survival with favorable neurologic function at day 90
B 76 Laparoscopic parenchyma-sparing liver resection for resectable colorectal liver metastases Reduction of clinically relevant surgical complications within 30 days
B 76 Hybrid Ivor-Lewis esophagectomy with laparoscopic abdominal mobilization and open thoracotomy Reduction of major intraoperative or 30-day complications
B 76 Restrictive perioperative red-cell transfusion threshold Reduced red-cell use while keeping major clinical events within an acceptable margin in moderate- to high-risk cardiac surgery with cardiopulmonary bypass
B 76 Antenatal dexamethasone for women at risk of early preterm birth Reduced neonatal death and stillbirth-or-neonatal-death in low-resource hospitals
B 76 A single intraoperative 8-mg intravenous dose of dexamethasone No clinically unacceptable increase in 30-day surgical-site infection with reduced postoperative nausea and vomiting after noncardiac surgery
B 76 Plasma-Lyte 148 balanced crystalloid Reduced delayed graft function requiring dialysis within 7 days after deceased-donor kidney transplantation
B 76 Combined hydrocortisone and fludrocortisone Reduced 90-day mortality in adults with vasopressor-dependent septic shock
B 76 Intravenous pantoprazole for stress-ulcer prophylaxis Reduced clinically important upper gastrointestinal bleeding in invasively ventilated ICU patients
B 76 Reduced-dose oral glucocorticoid regimen with a faster taper for severe ANCA-associated vasculitis Noninferior death or end-stage kidney disease with fewer serious infections than standard-dose glucocorticoids
B 76 Aspirin 81 mg twice daily for thromboprophylaxis after fracture Noninferior 90-day mortality compared with low-molecular-weight heparin
B 76 Laparoscopic distal gastrectomy Noninferior five-year overall survival versus open surgery in clinical stage I gastric cancer
B 76 Flexible duty-hour rules for surgical residents Noninferior 30-day postoperative death or serious complications among patients
B 76 Four-month standard antituberculosis treatment Noninferior unfavorable outcomes versus six months in children with nonsevere drug-susceptible tuberculosis
B 76 Area-wide deployment of wMel Wolbachia-infected Aedes aegypti Reduced symptomatic virologically confirmed dengue
B 76 Simple hysterectomy with lymph-node assessment Noninferiority to radical hysterectomy for three-year pelvic recurrence in early low-risk cervical cancer
B 76 Two days of postoperative intravenous antibiotics Noninferiority to five days for 90-day infection or death after surgery for complex appendicitis
B 76 Neoadjuvant FOLFOX with selective radiation Noninferior disease-free survival and radiation de-escalation versus standard chemoradiotherapy
B 76 Transanal total mesorectal excision Noninferior 3-year disease-free survival versus laparoscopic TME in mid-to-low rectal cancer
B 75 Baricitinib (JAK1 and JAK2 inhibitor, Olumiant, prescription medicine) Scalp hair regrowth in severe alopecia areata
B 75 Ibuprofen, a nonsteroidal anti-inflammatory drug available over the counter and by prescription Relief of pain and daily-life impairment from primary dysmenorrhea
B 75 Metformin (prescription biguanide; Glucophage) Delay or prevention of type 2 diabetes in high-risk adults with prediabetes
B 75 Timolol maleate (prescription nonselective beta-blocker ophthalmic drug) Lowered intraocular pressure in open-angle glaucoma and ocular hypertension
B 75 Permethrin 5% (prescription topical pyrethroid acaricide for scabies) Mite clearance and clinical cure of classic scabies
B 75 Pramipexole (prescription D2/D3 dopamine agonist; Mirapex) Improvement of nocturnal symptoms and sleep satisfaction in moderate-to-severe idiopathic restless legs syndrome
B 75 Aripiprazole is a prescription atypical antipsychotic with partial dopamine D2 receptor agonist properties. The claim is improvement in depressive symptoms, response, and remission when added for adults with major depressive disorder inadequately responsive to antidepressants.
B 75 Rimegepant (oral calcitonin gene-related peptide receptor antagonist, gepant, and prescription medicine) Freedom from pain and the most bothersome associated symptom two hours after dosing for acute migraine in adults
B 75 Palivizumab (monoclonal antibody targeting the RSV F protein; prescription biologic, Synagis) Prevention of RSV-associated hospitalization in high-risk infants, including those born preterm or with bronchopulmonary dysplasia
B 75 Azithromycin (macrolide antibiotic, prescription drug) Reduced acute-exacerbation frequency and delayed first recurrence in patients with COPD at high risk of exacerbation
B 75 Ethosuximide (succinimide antiseizure medicine, Zarontin, prescription medicine) Seizure freedom and prevention of treatment failure in childhood absence seizures
B 75 Nivolumab plus ipilimumab (intravenous immune-checkpoint inhibitor combination, prescription anticancer therapy) Longer overall survival than lenvatinib or sorafenib as first-line therapy for unresectable or metastatic hepatocellular carcinoma
B 75 Bezlotoxumab (C. difficile toxin B monoclonal antibody, Zinplava, prescription infusion) Prevention of recurrent C. difficile infection after standard antibiotic treatment
B 75 Lateral internal sphincterotomy (prescribed anal-sphincter decompression surgery) Complete healing and prevention of recurrence in medically refractory chronic anal fissure
B 75 Broad-spectrum sunscreen (functional sunscreen cosmetic or over-the-counter product) Prevention of cutaneous squamous cell carcinoma through daily application
B 75 Appendectomy (prescribed laparoscopic or open surgery) Definitive treatment and long-term recurrence prevention for CT-confirmed uncomplicated acute appendicitis in adults
B 75 Oral vancomycin (prescription glycopeptide antibiotic capsule) Clinical cure of severe Clostridioides difficile infection
B 75 Low-calorie total diet replacement program (nutritionally complete formula plus stepped food reintroduction, nonpharmacological program) Drug-free remission of recently diagnosed type 2 diabetes in adults with overweight or obesity
B 75 Low-tidal-volume lung-protective ventilation (a critical-care mechanical-ventilation strategy and procedure) Reduced 28-day and hospital mortality in adult acute respiratory distress syndrome
B 75 Linzagolix (Yselty, prescription oral GnRH antagonist) Reduction of uterine-fibroid-associated heavy menstrual bleeding to the clinical response threshold
B 74 Cranberry (proanthocyanidins, PAC) Urinary tract and bladder health: inhibition of harmful bacterial adhesion in the urinary tract and reduced risk of recurrent urinary tract infection
B 74 Potassium Blood pressure
B 74 Saccharomyces boulardii Diarrhea, gut health
B 74 Sodium bicarbonate (baking soda) High-intensity exercise performance
B 74 DHA and long-chain omega-3 fatty acids during pregnancy Reduced risk of preterm and early preterm birth
B 74 Senna leaf and sennosides (Senna alexandrina; stimulant laxative) Improved bowel-movement frequency and symptoms in adults with chronic functional constipation
B 74 Faricimab (dual VEGF/Ang-2 antibody, Vabysmo, prescription medicine) Maintenance of visual improvement with dosing intervals up to 16 weeks in wet age-related macular degeneration
B 74 Liraglutide 3.0 mg (prescription GLP-1 receptor agonist) One-year weight loss and weight-loss maintenance in adults with obesity
B 74 Rosuvastatin (HMG-CoA reductase inhibitor; Crestor; prescription drug) Primary prevention of a first major cardiovascular event in adults without high LDL cholesterol but with elevated hs-CRP
B 74 Tadalafil (prescription PDE5 inhibitor; Cialis) Improved erectile function and intercourse success in men with erectile dysfunction
B 74 Solriamfetol (a prescription dopamine and norepinephrine reuptake-inhibiting wake-promoting agent) Reduced excessive daytime sleepiness and sustained wakefulness in adults with narcolepsy
B 74 Pitolisant (prescription histamine H3-receptor inverse agonist) Reduced excessive daytime sleepiness and cataplexy in narcolepsy
B 74 Pregabalin (alpha-2-delta gabapentinoid; prescription drug, Lyrica; off-label for restless legs syndrome in Korea) Improvement of nocturnal symptoms, periodic limb movements, and sleep disturbance in moderate-to-severe restless legs syndrome
B 74 Naltrexone 50 mg (mu-opioid receptor antagonist, prescription drug; Revia) Reduced heavy drinking and return to drinking in alcohol use disorder when combined with counseling
B 74 Topical tretinoin (prescription all-trans retinoid cream) Improved fine wrinkles, mottled pigmentation, and rough texture of facial photoaging
B 74 Divalproex or valproate (a prescription valproate-complex-salt antiseizure medicine and mood stabilizer, including Depakote) Improved symptoms and treatment response in adults with an acute manic episode of bipolar I disorder
B 74 Febuxostat (prescription xanthine oxidase inhibitor and urate-lowering drug; Feburic) Long-term reduction of gout flares and tophi by maintaining serum urate below 6 mg/dL in recurrent gout
B 74 Topiramate (a sulfamate-substituted antiseizure prescription drug; Topamax) Reduced monthly attack frequency and prevention of migraine in adults
B 74 Bevacizumab (prescription anti-VEGF monoclonal antibody; off-label ophthalmic use) Improved vision and macular thickness with intravitreal injection in center-involved diabetic macular edema
B 74 Paliperidone palmitate (long-acting injectable atypical antipsychotic; prescription drug, Invega Sustenna) Delayed psychotic relapse and related hospitalization in stabilized adults with schizophrenia
B 74 Clozapine (dibenzodiazepine atypical antipsychotic, prescription medicine; Clozaril) Prevention of suicide attempts and hospitalization to prevent suicide in high-risk schizophrenia or schizoaffective disorder
B 74 Abaloparatide (PTHrP-analog bone-forming agent, Tymlos, prescription injection) Prevention of new vertebral and nonvertebral fractures in postmenopausal women with osteoporosis at high fracture risk
B 74 Bupropion sustained release (NDRI smoking-cessation medicine, prescription drug) Improved six-month continuous smoking abstinence when combined with counseling
B 74 Valproic acid or sodium valproate (broad-spectrum antiseizure medicine, Depakine, prescription drug) Suppression of seizure recurrence and achievement of 12-month remission in newly diagnosed generalized or unclassifiable epilepsy
B 74 Intramuscular midazolam (benzodiazepine; prescription injection) Seizure cessation before emergency-department arrival in prehospital convulsive status epilepticus
B 74 Infliximab (anti-TNF-alpha monoclonal antibody, Remsima, prescription biologic) Reduction in colectomy risk through 54 weeks in moderate-to-severe ulcerative colitis
B 74 Anastrozole (nonsteroidal aromatase inhibitor; Arimidex; prescription anticancer medicine) Prevention of recurrence after surgery for hormone-receptor-positive early breast cancer in postmenopausal women
B 74 Tezepelumab (TSLP-blocking monoclonal antibody; Tezspire; prescription injection) Prevention of exacerbations requiring systemic corticosteroids, emergency care, or hospitalization in severe uncontrolled asthma
B 74 Fondaparinux (synthetic pentasaccharide indirect factor Xa inhibitor, prescription injection; Arixtra) Prevention of symptomatic recurrent venous thromboembolism during initial treatment of acute pulmonary embolism and deep-vein thrombosis
B 74 Verteporfin (benzoporphyrin photosensitizer for photodynamic therapy, Visudyne, prescription infusion plus laser procedure) Prevention of moderate or severe vision loss in wet age-related macular degeneration with classic choroidal neovascularization
B 74 Topical fluorouracil 5% (pyrimidine antimetabolite; prescription cream) Reduced squamous cell carcinoma incidence and surgery in people at high risk of actinic keratosis and skin cancer
B 74 Adhesive occlusion patch for amblyopia (non-drug ophthalmic product) Visual-acuity improvement and treatment success in residual childhood amblyopia after refractive correction
B 74 Olanzapine (oral prescription atypical antipsychotic; Zyprexa) Prevention of mood-episode relapse in bipolar I disorder that responded to olanzapine
B 74 Cervical cerclage (McDonald or Shirodkar technique, prescription obstetric procedure) Prevention of previable birth, perinatal death, and preterm birth in singleton pregnancies with a prior spontaneous birth before 34 weeks and a short midtrimester cervix
B 74 Early pars plana vitrectomy (vitreoretinal microsurgery, prescription procedure) Prevention of long-term severe visual loss and recovery of useful vision in severe vitreous hemorrhage and proliferative diabetic retinopathy in type 1 diabetes
B 74 Immediate pars plana vitrectomy (prescribed vitreoretinal surgery) Prevention of severe visual loss in eyes with light-perception-only vision from bacterial endophthalmitis after cataract surgery
B 74 Irbesartan (an oral prescription angiotensin-receptor blocker, marketed as Avapro) Prevention of doubling of serum creatinine and progression to end-stage renal disease in proteinuric type 2 diabetic nephropathy
B 74 Long-acting injectable risperidone (atypical antipsychotic; prescription injection) Prevention of psychotic relapse and rehospitalization in stabilized schizophrenia
B 74 Mindfulness-based cognitive therapy (MBCT, structured eight-week specialist psychotherapy) Prevention of depressive-episode relapse in recurrent major depressive disorder in remission
B 74 Cemented hip hemiarthroplasty (bone-cement fixation, a prescribed surgical procedure) Prevention of periprosthetic fracture compared with uncemented hemiarthroplasty in older adults with displaced femoral-neck fracture
B 74 Public-access automated external defibrillator (AED, an automated emergency defibrillation device) Increased survival to hospital discharge after out-of-hospital cardiac arrest
B 74 Prophylactic closed-incision negative-pressure wound therapy (a pump-based wound device and procedure) Prevention of postoperative surgical-site infection
B 74 Elinzanetant 120 mg, oral capsules, a nonhormonal prescription drug Reduced frequency and severity of moderate-to-severe menopausal hot flashes and night sweats
B 74 Clesrovimab 105 mg (single intramuscular dose of an anti-RSV monoclonal antibody) Prevention of RSV-associated medically attended lower respiratory infection and RSV-associated hospitalization during an infant's first RSV season
B 74 Zuranolone (50 mg, 14-day oral prescription course) Rapid reduction of depressive symptoms in postpartum depression
B 74 Perindopril-based blood-pressure-lowering regimen, with or without indapamide Prevention of recurrent stroke after stroke or transient ischemic attack
B 73 Topical minoxidil 5% (nonprescription medicine) Hair regrowth in male and female androgenetic alopecia
B 73 Tenofovir disoproxil fumarate (TDF, Viread, prescription) Long-term viral suppression and reduction of fibrosis and disease progression in chronic hepatitis B
B 73 Low-dose colchicine (Colkin, prescription anti-inflammatory medicine) Reduced recurrence of myocardial infarction, stroke, and other major cardiovascular events in coronary disease
B 73 Vibegron (beta-3 adrenergic agonist, Beova, prescription medicine) Improved urinary frequency, urgency, and urgency urinary incontinence in overactive bladder
B 73 Ulipristal acetate (selective progesterone receptor modulator, ellaOne, prescription medicine) Emergency contraception and pregnancy prevention within 120 hours after unprotected intercourse
B 73 Venlafaxine extended release (a prescription SNRI antidepressant and anxiolytic; Effexor XR) Reduction of anxiety symptoms and increased response and remission in generalized anxiety disorder
B 73 Extended-release phentermine/topiramate (prescription fixed-dose combination; Qsymia) Reduction in body weight and waist circumference over 56 weeks in adults with obesity using diet and exercise
B 73 Atomoxetine (prescription selective norepinephrine reuptake inhibitor and nonstimulant) Reduced core inattention, hyperactivity, and impulsivity symptoms in adult ADHD
B 73 Riluzole (a benzothiazole glutamate modulator, Rilutek, prescription medicine) Delayed death or tracheostomy and prolonged survival in amyotrophic lateral sclerosis
B 73 Nivolumab (PD-1 immune-checkpoint antibody, Opdivo, prescription injection) Prevention of recurrence and distant metastasis as adjuvant therapy for completely resected stage III to IV melanoma
B 73 Rivaroxaban (direct factor Xa-inhibiting DOAC, Xarelto, prescription medicine; 15-to-20-mg VTE regimen) Treatment of acute deep-vein thrombosis and pulmonary embolism and prevention of recurrent symptomatic venous thromboembolism
B 73 Fluoxetine (prescription selective serotonin reuptake inhibitor antidepressant; Prozac) Prevention of depressive-episode relapse in remitted major depressive disorder
B 73 Early decompressive hemicraniectomy (emergency prescription neurosurgery) Reduced combined risk of death and severe disability when performed within 48 hours for malignant middle cerebral artery infarction
B 73 Post-exacerbation pulmonary rehabilitation (an exercise, breathing-training, and education program) Prevention of readmission after hospitalization for a COPD exacerbation
B 73 Finerenone (nonsteroidal mineralocorticoid receptor antagonist, oral prescription tablet) Reduced composite risk of worsening heart failure and cardiovascular death in heart failure with mildly reduced or preserved ejection fraction
B 72 Beet (red beet, beetroot juice/powder; inorganic nitrate NO3-) Blood pressure and exercise performance
B 72 Fructooligosaccharides (FOS; prebiotics) Gut health and smoother bowel movements
B 72 Beta-alanine Exercise performance (high-intensity and endurance)
B 72 Docosahexaenoic acid (DHA), retinal and visual-development axis Maintenance of retinal function and infant visual development
B 72 Nicotinamide (niacinamide) Prevention of recurrent nonmelanoma skin cancer in high-risk patients
B 72 Zolpidem (prescription nonbenzodiazepine hypnotic) Shorter sleep latency and increased total sleep time in short-term insomnia
B 72 Tranexamic acid (prescription antifibrinolytic; Doransamin) Reduction of menstrual blood loss in idiopathic or functional heavy menstrual bleeding
B 72 Levonorgestrel (NorLevo, single-agent emergency contraceptive pill) Emergency contraception and pregnancy prevention after unprotected intercourse
B 72 Lurasidone (a prescription atypical antipsychotic marketed as Latuda) Improvement of major depressive episodes associated with bipolar I disorder
B 72 Efinaconazole, a prescription topical triazole antifungal sold as Jublia Complete cure of mild to moderate toenail onychomycosis
B 72 Fluconazole, a prescription triazole antifungal sold including as Diflucan Six-month suppression and reduced recurrence of recurrent vulvovaginal candidiasis
B 72 Cetirizine (second-generation H1 antihistamine, Zyrtec, nonprescription and prescription medicine) Relief of sneezing, rhinorrhea, and itching in seasonal and perennial allergic rhinitis
B 72 Daridorexant (dual orexin receptor antagonist, prescription medicine) Improved sleep onset, sleep maintenance, and daytime functioning in adult insomnia
B 72 Suvorexant (a prescription dual orexin receptor antagonist) Improved sleep onset, sleep maintenance, and total sleep time in adults with insomnia
B 72 Sodium picosulfate (nonprescription stimulant laxative; Dulcopurl) Improvement in complete spontaneous bowel-movement frequency and stool status in chronic constipation
B 72 Dulaglutide (once-weekly GLP-1 receptor agonist; prescription injection, Trulicity) Lower HbA1c in type 2 diabetes and reduce major adverse cardiovascular events in people at high cardiovascular risk
B 72 Lamotrigine (prescription phenyltriazine mood-stabilizing antiseizure medicine; Lamictal) Delayed recurrence of mood episodes, especially depressive episodes, in stabilized bipolar I disorder
B 72 Bromfenac ophthalmic solution (prescription topical NSAID; Bronuck) Reduced anterior-segment inflammation and ocular pain after cataract surgery
B 72 Avanafil (selective prescription phosphodiesterase type 5 inhibitor; Zepeed) Improvement in IIEF erectile function, penetration success on SEP2, and intercourse success on SEP3 in men with erectile dysfunction
B 72 Atezolizumab plus bevacizumab (prescription intravenous PD-L1 inhibitor plus anti-VEGF monoclonal antibody; Tecentriq plus Avastin) Longer overall and progression-free survival than sorafenib in unresectable hepatocellular carcinoma without prior systemic therapy
B 72 Mirtazapine, a prescription noradrenergic and specific serotonergic tetracyclic antidepressant marketed as Remeron Improved depressive symptoms, treatment response, and remission in adults with major depressive disorder
B 72 Clomiphene citrate (a prescription selective estrogen receptor modulator, or SERM) Increased ovulation, clinical pregnancy, and live birth in women with PCOS-related anovulatory infertility
B 72 Apalutamide (androgen-receptor inhibitor; prescription anticancer medicine, Erleada) Prolonged overall survival and radiographic progression-free survival when added to androgen-deprivation therapy in metastatic castration-sensitive prostate cancer
B 72 Darolutamide (nonsteroidal androgen-receptor inhibitor; prescription anticancer drug, Nubeqa) Prolonged overall survival when added to androgen-deprivation therapy and docetaxel in metastatic hormone-sensitive prostate cancer
B 72 Durvalumab (PD-L1-blocking monoclonal antibody; prescription anticancer infusion, Imfinzi) Prolonged overall survival when added to gemcitabine and cisplatin as first-line treatment for unresectable or metastatic biliary tract cancer
B 72 Ribociclib (CDK4/6 inhibitor; prescription anticancer drug, Kisqali) Prolonged overall survival with first-line ribociclib plus letrozole in HR-positive, HER2-negative advanced breast cancer
B 72 Bazedoxifene (selective estrogen-receptor modulator, or SERM; prescription osteoporosis drug, Viviant) Prevention of new vertebral fractures in postmenopausal women with osteoporosis
B 72 Mirvetuximab soravtansine (folate receptor alpha-targeted antibody-drug conjugate; prescription anticancer infusion; Elahere) Prolonged overall survival versus single-agent chemotherapy in folate receptor alpha-high platinum-resistant ovarian cancer
B 72 Lutetium-177 vipivotide tetraxetan (lutetium-177-PSMA-617; PSMA-targeted prescription radioligand; Pluvicto) Prolonged overall survival in PSMA-positive metastatic castration-resistant prostate cancer after an androgen-receptor-pathway inhibitor and taxane therapy
B 72 Liraglutide 3.0 mg (GLP-1 receptor agonist, prescription injection; Saxenda) Delay or prevention of type 2 diabetes onset in adults with obesity and prediabetes
B 72 Eplerenone (selective mineralocorticoid receptor antagonist; prescription medicine) Reduced all-cause mortality, cardiovascular mortality, and cardiovascular-event hospitalization after acute myocardial infarction complicated by left ventricular dysfunction and heart failure
B 72 Ticagrelor (reversible P2Y12 receptor inhibitor; prescription drug, Brilinta) Reduced composite risk of cardiovascular death, myocardial infarction, or stroke and reduced all-cause mortality versus clopidogrel when combined with aspirin in acute coronary syndrome
B 72 Liraglutide 1.8 mg (GLP-1 receptor agonist; prescription injection, Victoza) Reduced three-point MACE consisting of cardiovascular death, nonfatal myocardial infarction, or nonfatal stroke in patients with type 2 diabetes at high cardiovascular risk
B 72 Ramipril (prescription ACE inhibitor; Tritace) Reduced cardiovascular death, myocardial infarction, and stroke in adults at high cardiovascular risk
B 72 Continuous positive airway pressure (CPAP; prescribed or rented sleep-breathing medical device) Improvement in daytime sleepiness, daily functioning, and quality of life in obstructive sleep apnea
B 72 Extended-release metoprolol succinate (metoprolol succinate CR/XL, selective beta-1 blocker, prescription medicine) Reduction of all-cause mortality and heart-failure hospitalization in stable symptomatic HFrEF
B 72 Vi capsular polysaccharide typhoid vaccine (inactivated prescription vaccine) Prevention of culture-confirmed typhoid fever in residents of and travelers to endemic areas
B 72 Olaparib (PARP-inhibitor targeted anticancer drug, Lynparza, prescription medicine) Reduction of invasive recurrence and death after surgery for germline BRCA1/2-mutated, HER2-negative, high-risk early breast cancer
B 72 Cabazitaxel (taxane chemotherapy, Jevtana, prescription injection) Prolongation of overall survival in metastatic castration-resistant prostate cancer progressing after docetaxel
B 72 Misoprostol (prostaglandin E1 analogue, Cytotec, oral prescription drug) Prevention of serious upper gastrointestinal complications such as bleeding and perforation in long-term NSAID users
B 72 Enzalutamide (androgen-receptor inhibitor, Xtandi, oral prescription anticancer drug) Added to ADT to prolong overall survival in high-risk nonmetastatic castration-resistant prostate cancer
B 72 Regorafenib (multitarget tyrosine-kinase inhibitor, Stivarga, oral prescription anticancer drug) Prolonged overall survival in hepatocellular carcinoma that progressed after sorafenib
B 72 Albendazole (benzimidazole anthelmintic, nonprescription medicine) Parasitological cure of intestinal soil-transmitted nematode infections including ascariasis and hookworm
B 72 Candesartan cilexetil (oral prescription angiotensin-receptor blocker; Atacand) Reduced cardiovascular death and heart-failure hospitalization in ACE-inhibitor-intolerant heart failure with reduced ejection fraction
B 72 Phacoemulsification with intraocular-lens implantation (prescription cataract surgery) Reduced recurrent falls, fall rate, and fracture risk in visually impaired older women
B 72 Hydralazine/isosorbide dinitrate (fixed-dose combination, BiDil, prescription medicine) Reduced all-cause mortality and heart-failure hospitalization in Black patients with severe HFrEF receiving standard therapy
B 72 Transurethral resection of the prostate (TURP, prescribed endoscopic urologic surgery) Prevention of long-term treatment failure, including urinary retention and crossover to invasive treatment, in moderately symptomatic benign prostatic hyperplasia
B 72 Atovaquone/proguanil (fixed-dose antimalarial combination; oral prescription medicine marketed as Malarone) Prevention of clinical malaria in travelers to endemic areas
B 72 Capecitabine (oral fluoropyrimidine prodrug, prescription anticancer medicine) Prevention of recurrence and death as adjuvant monotherapy after complete resection of stage III colon cancer
B 72 Household flocculant-disinfectant water-treatment sachet (a ferric-sulfate and calcium-hypochlorite consumable) Prevention of infectious diarrhoea among people in settings with contaminated drinking water
B 72 Professional fluoride varnish (a professionally applied topical fluoride dental treatment) Prevention of caries in primary and permanent teeth of children and adolescents
B 72 Daily inpatient toothbrushing (a physical oral-hygiene and hospital infection-control intervention) Prevention of hospital-acquired pneumonia, particularly in mechanically ventilated inpatients
B 72 Low-dose aspirin (160 mg/day as an oral tablet) Reduced postoperative recurrence of localized colorectal cancer with a PI3K-pathway alteration
B 72 Tai chi (exercise intervention) Improved sleep in older adults with chronic insomnia
B 72 Pelvic floor muscle training for women, also called Kegel exercise Reduced leakage and symptoms of female stress urinary incontinence
B 72 Pitavastatin, a prescription HMG-CoA reductase inhibitor statin Prevention of major cardiovascular events in people with HIV receiving antiretroviral therapy
B 72 Empagliflozin (prescription SGLT2 inhibitor; Jardiance) Reduced cardiovascular events and mortality in type 2 diabetes with established cardiovascular disease
B 72 Acute aspirin 160 mg (antiplatelet drug used in prescription and emergency care) Reduced early vascular mortality in acute myocardial infarction
B 72 Hearing aids (air-conduction hearing-assistance medical devices) Improved conversational listening and hearing-related quality of life in adults with mild to moderate hearing loss
B 72 Nicotine e-cigarette used as a smoking-cessation aid Higher one-year sustained abstinence than nicotine-replacement therapy
B 72 Supervised walking exercise (structured exercise therapy under clinical supervision) Improved intermittent claudication and walking ability in peripheral artery disease
B 72 Helicobacter pylori eradication therapy combining antibiotics with acid suppression Prevention of recurrence after healing of Helicobacter-positive peptic ulcer
B 72 Dupilumab (IL-4R-alpha-targeting monoclonal antibody; prescription injection) Reduced moderate or severe exacerbations in COPD with elevated eosinophils and type 2 inflammation
B 72 Pembrolizumab plus pemetrexed and platinum chemotherapy (prescription anticancer regimen) Prolonged overall survival in metastatic nonsquamous non-small-cell lung cancer
B 72 Exposure and response prevention (ERP or EX/RP, structured psychotherapy) Reduced obsessive-compulsive symptoms and improved treatment response
B 72 Cognitive behavioral therapy for panic disorder (CBT or panic-control treatment) Reduced panic-disorder severity and improved treatment response
B 72 Apixaban, an oral factor Xa inhibitor Prevention of recurrent cancer-associated venous thromboembolism
B 72 Pulmonary rehabilitation for stable COPD (multidisciplinary exercise, education, and behavior-change program) Improvement of dyspnea and health-related quality of life in stable COPD
B 72 Combined oral contraceptive containing estrogen and progestin Relief of primary dysmenorrhea
B 72 Intravenous ondansetron 4 mg, a 5-HT3 antagonist antiemetic Prevention of nausea and vomiting during the first 24 hours after surgery
B 72 Buprenorphine or buprenorphine-naloxone maintenance treatment Reduced illicit opioid use and treatment dropout in opioid use disorder
B 72 Prolonged Exposure therapy, a trauma-focused psychotherapy for PTSD Reduced PTSD symptoms and increased loss of diagnosis and remission
B 72 Cognitive behavioral therapy specifically adapted for bulimia nervosa, CBT-BN Cessation of binge eating and purging and increased remission
B 72 Mechanical thrombectomy for acute basilar-artery occlusion Reduced 90-day disability and increased good functional status after acute basilar-artery occlusion stroke
B 72 Doxycycline 100 mg twice daily for seven days, a prescription tetracycline antibiotic Microbiologic cure of confirmed rectal Chlamydia trachomatis infection
B 72 Single-dose oral ondansetron, a prescription 5-HT3 receptor antagonist antiemetic Reduced vomiting during oral rehydration and reduced intravenous-fluid use in pediatric acute gastroenteritis
B 72 Amoxicillin-clavulanate, a prescription penicillin combination antibiotic Reduced short-term treatment failure in rigorously diagnosed acute otitis media among infants and toddlers
B 72 Interpersonal psychotherapy, a structured 12-session psychological treatment Reduction in depressive symptoms and persistence of major depression after childbirth
B 72 Walking about 7,000 to 10,000 or more steps per day Lower all-cause mortality through a special 10,000-step threshold
B 72 Facility-level breastfeeding promotion and support program Reduced infant gastrointestinal infection through 12 months
B 72 Impella CP microaxial flow pump Reduced 180-day all-cause mortality in STEMI-related cardiogenic shock
B 72 Seasonal inactivated influenza vaccine given shortly after myocardial infarction Reduced cardiovascular events over one year
B 72 Preoperative 2% chlorhexidine gluconate in 70% isopropyl alcohol Reduction of 30-day surgical-site infection after clean-contaminated surgery
B 72 Smoking cessation Reduction in all-cause mortality versus continued smoking
B 72 Raloxifene 60 mg daily for five years Primary prevention of breast cancer in high-risk postmenopausal women
B 72 Intravesical BCG induction and maintenance after TURBT Reduced recurrence in intermediate- and high-risk non-muscle-invasive bladder cancer
B 72 Daily-wear reusable soft contact lenses that are cleaned and stored for reuse Higher incidence of Acanthamoeba keratitis, a form of microbial keratitis, than with daily disposable lenses
B 72 Tailored automated smoking-cessation text messaging, txt2stop Increased biochemically verified continuous abstinence at six months
B 72 Ibuprofen 600 mg three times daily for acute mountain sickness prophylaxis Reduced acute mountain sickness during rapid ascent
B 72 Electric clipping on the day of surgery Reduced surgical-site infection versus razor shaving
B 72 Warm perineal compresses during the second stage of labor Reduced third- and fourth-degree perineal tears
B 72 Taurolidine 13.5 mg/mL plus heparin 1,000 U/mL catheter-lock solution Prevention of catheter-related bloodstream infection in hemodialysis through a central venous catheter
B 72 Daily rifaximin chemoprophylaxis during travel Prevention of travelers' diarrhea
B 72 One intravenous dose of amoxicillin 1 g plus clavulanic acid 200 mg within six hours after forceps or vacuum birth Reduced maternal infection within six weeks after birth
B 72 Prophylactic noninvasive ventilation immediately after planned extubation in high-risk ICU patients Reduced reintubation within seven days versus high-flow nasal oxygen alone
B 72 Individualised energy- and protein-targeted nutritional support started within 48 hours for medical inpatients at nutritional risk Reduction in the 30-day composite of death, ICU admission, non-elective readmission, major complications, or functional decline
B 72 High-dose trivalent inactivated influenza vaccine for long-stay nursing-home residents aged 65 years or older Reduction in six-month respiratory-related hospitalization versus standard-dose vaccine
B 72 Twenty-four hours of high-flow nasal cannula immediately after planned extubation in low-risk ICU adults Reduced reintubation within 72 hours versus conventional oxygen
B 72 An extended clinical-pharmacist transition package spanning medication review, reconciliation, counseling, and postdischarge coordination Reduced all-cause readmission within 180 days versus usual care
B 72 A reengineered discharge bundle combining nurse coordination, an individualized discharge plan, and a pharmacist call 2 to 4 days later Reduced 30-day emergency visits and readmissions
B 72 One unit of prophylactic platelet concentrate before ultrasound-guided CVC placement in adults with 10,000 to 50,000 platelets per microliter Reduced grade 2-to-4 procedure-related bleeding within 24 hours
B 72 The absorbable TYRX minocycline-and-rifampin-eluting envelope added to standard antibiotic prophylaxis Reduced major CIED infection within 12 months after higher-risk device procedures
B 72 Preoperative intensive threshold inspiratory-muscle training plus breathing and coughing instruction for high-risk CABG patients Reduction in postoperative pulmonary complications and pneumonia
B 72 Wearing a standards-compliant motorcycle helmet at the time of a crash Reduced head injury and fatal injury in crashes
B 72 Group cognitive-behavioral prevention for high-risk adolescents Prevention of new depressive episodes
B 72 Caseload midwifery continuity through pregnancy, birth, and postpartum care Reduced caesarean birth among women at low obstetric risk
B 72 Continuous small-bites closure using 5 mm bites and 5 mm advances with 2-0 PDS Plus II after elective midline laparotomy Reduced one-year incisional hernia versus at least 10 mm bites and 10 mm advances with 1 PDS Plus II
B 72 One 200-mg doxycycline dose within 72 hours after removal of a high-risk Ixodes scapularis tick Prevention of erythema migrans at the tick-bite site
B 72 Half-strength apple juice in the emergency department followed by preferred fluids Fewer seven-day treatment failures in young children with mild gastroenteritis and minimal dehydration
B 72 FIRE physiology-guided complete revascularization after myocardial infarction in adults aged 75 years or older Reduced death, myocardial infarction, stroke, or ischemia-driven revascularization
B 72 Repeated PSA-based prostate-cancer screening offered every two to four years to men aged 55 to 69 Reduction in prostate-cancer mortality over 13 years
B 72 Therapist-guided web-based CBT and problem-solving self-help for adults with subthreshold depression Reduced onset of major depressive disorder over 12 months
B 72 Two doses of the live-attenuated tetravalent dengue vaccine TAK-003 on days 0 and 90 in children aged 4-16 in endemic regions Reduced symptomatic virologically confirmed dengue over 12 months
B 72 Non-crosslinked porcine collagen biological mesh placed deep to the abdominal wall during stoma closure Reduction of clinically detected stoma-site incisional hernia within two years
B 72 Selective switch to oral antibiotics after an initial intravenous course Reduced hospitalization and intravenous-treatment burden without an unacceptable increase in six-month major clinical events in stable left-sided infective endocarditis
B 72 Early low-dose hydrocortisone during the first 10 postnatal days Increased survival without bronchopulmonary dysplasia in extremely preterm infants
B 72 Ward protocol for fever, hyperglycemia, and swallowing Reducing death or dependency after acute stroke
B 72 Withholding supplemental parenteral nutrition during the first PICU week Reduced newly acquired infection and PICU dependency
B 72 Single-dose high-dose liposomal amphotericin B combination therapy Noninferior 10-week all-cause mortality in HIV-associated cryptococcal meningitis
B 72 Omission of sentinel lymph node biopsy De-escalation preserving five-year distant disease-free survival in small breast cancer with negative axillary ultrasonography
B 72 A five-day course of prednisone 40 mg Noninferior six-month re-exacerbation after hospitalized acute COPD exacerbation versus 14 days
B 72 Insulin degludec Cardiovascular noninferiority with fewer severe hypoglycemic events
B 72 Single blastocyst-stage embryo transfer Cumulative live birth after up to three transfers versus cleavage-stage transfer
B 72 Laparoscopic bilateral salpingectomy Noninferiority to tubal occlusion for surgical complications through eight weeks after permanent contraception
B 72 Omission of prophylactic cefuroxime 1.5 g before transperineal prostate biopsy Noninferiority for sepsis or urinary tract infection requiring hospitalization within two months
B 72 PERC no-testing rule-out strategy Noninferior exclusion of three-month missed thromboembolism in very-low-risk emergency patients
B 72 Laparoscopic rectal-cancer resection Noninferior 3-year locoregional recurrence versus open rectal-cancer resection
B 72 Delayed second-procedure TARGIT intraoperative radiotherapy Increased five-year local recurrence in the conserved breast and failed noninferiority versus whole-breast external-beam radiotherapy
B 72 Everolimus-eluting stent PCI Noninferior three-year death, stroke, or myocardial infarction versus CABG in left main coronary disease of low or intermediate anatomic complexity
B 72 Ceftolozane-tazobactam Noninferior 28-day mortality versus meropenem in ventilated nosocomial pneumonia
B 72 Left atrial appendage closure with Watchman FLX Noninferior death, stroke, or systemic embolism versus anticoagulation after atrial fibrillation ablation
B 72 Sentinel-node-navigated neck surgery strategy Noninferior three-year overall survival in clinically node-negative early oral cancer
B 71 Olopatadine hydrochloride ophthalmic solution (prescription H1 antihistamine and mast-cell stabilizer) Relief of ocular itching and redness in seasonal allergic conjunctivitis
B 71 Acamprosate calcium (prescription glutamatergic-system anti-craving medicine) Supported continuous abstinence and prevented return to drinking after detoxification in alcohol use disorder
B 71 Suicide-focused cognitive behavioral therapy (structured specialist psychotherapy) Prevention of repeat suicide attempts and recurrent self-harm in adults with a recent suicide attempt
B 70 Peppermint oil (enteric-coated peppermint oil) Irritable bowel syndrome (IBS)
B 70 Vitamin D, bone-health axis Calcium absorption, prevention of osteomalacia, and reduction of fracture risk
B 70 Zinc in the AREDS and AREDS2 context Reduced risk of intermediate age-related macular degeneration progressing to advanced disease and central vision loss
B 70 Bisacodyl Improvement of bowel-movement frequency and symptoms in adults with chronic functional constipation
B 70 Carbohydrate-electrolyte sports drink Improved performance and hydration during endurance exercise lasting at least one hour
B 70 Eszopiclone (Zopistar; prescription Z-drug) Shorter sleep onset, improved sleep maintenance, and increased total sleep time in chronic insomnia
B 70 Orlistat 120 mg (Xenical; prescription gastrointestinal lipase inhibitor) Clinically significant long-term weight loss when combined with diet
B 70 Dutasteride (5-alpha-reductase inhibitor, Avodart, prescription) Increased hair count and width in male androgenetic alopecia
B 70 Galantamine (Reminyl, prescription cholinesterase inhibitor) Delayed decline in cognition and daily function in Alzheimer's dementia
B 70 Naproxen (nonsteroidal anti-inflammatory drug, NSAID, nonprescription or prescription) Improvement of pain and function in knee or hip osteoarthritis
B 70 Spironolactone (prescription antiandrogenic diuretic; Aldactone; off-label for acne) Improvement of persistent or hormonally influenced acne in adult women
B 70 Abrocitinib (oral selective JAK1 inhibitor; Cibinqo; prescription drug) Improvement of skin lesions and itch in moderate-to-severe atopic dermatitis
B 70 Upadacitinib (oral JAK1 inhibitor, Rinvoq, prescription) Improvement in remission, pain, and physical function in rheumatoid arthritis inadequately responsive to prior antirheumatic therapy
B 70 Bupropion XL (prescription extended-release norepinephrine-dopamine reuptake inhibitor antidepressant; Wellbutrin XL) Improvement in depressive symptoms, response, and remission in adult major depressive disorder and prevention of relapse in responders
B 70 Mefenamic acid (prescription fenamate NSAID, including Ponstel) Reduction of pain and need for additional analgesics in primary dysmenorrhea
B 70 Rivastigmine transdermal patch (prescription AChE and BuChE inhibitor; Exelon) Symptomatic attenuation of cognitive and daily-function decline in mild-to-moderate Alzheimer's disease
B 70 Rotigotine (non-ergot dopamine agonist; prescription transdermal patch, Neupro) Reduction of nighttime symptoms, periodic limb movements, and sleep disturbance in moderate-to-severe primary restless legs syndrome
B 70 Valacyclovir (prescription guanosine antiviral prodrug; Valtrex) Prevention of transmission to an uninfected partner through daily suppressive therapy by a person with symptomatic genital HSV-2
B 70 Azithromycin (macrolide antibiotic, prescription drug) Reduced composite of postpartum maternal sepsis or death after a single 2-g intrapartum dose in women planning vaginal birth; the standalone maternal-mortality effect was null
B 70 Lace-up ankle brace (non-drug injury-prevention support) Prevention of first-time and recurrent acute ankle injuries during basketball and field or court sports
B 70 Bempedoic acid (oral prescription ATP citrate lyase inhibitor; Nexletol) Reduced major adverse cardiovascular events in statin-intolerant patients at high cardiovascular risk
B 70 Lacosamide (functionalized-amino-acid antiseizure medicine; Vimpat; prescription medicine) Maintenance of six-month seizure freedom as monotherapy for newly diagnosed focal or primary generalized tonic-clonic epilepsy
B 70 Nordic hamstring exercise (a nonpharmacologic eccentric-strength training intervention) Prevention of first and recurrent hamstring injuries in athletes including football players
B 70 Tenapanor (50 mg orally twice daily, prescription) Concurrent improvement in abdominal pain and complete spontaneous bowel movements in IBS-C
B 70 Screening mammography (low-dose breast radiography) Reduced breast cancer mortality through regular screening of women in their 40s
B 70 Racemic ketamine (intravenous infusion) Rapid reduction of depressive symptoms within 24 hours in treatment-resistant depression
B 70 Intranasal fluticasone propionate, a topical corticosteroid Reduced congestion, rhinorrhea, and sneezing in seasonal allergic rhinitis
B 70 High-flow 100% oxygen (acute inhalation at 12 L/min through a non-rebreather mask) Pain freedom or adequate relief within 15 minutes during an acute cluster-headache attack
B 70 Subcutaneous allergen immunotherapy (SCIT) Reduction of symptoms and rescue-medication use in seasonal allergic rhinitis
B 70 Nitrofurantoin (urinary antibiotic) Symptom resolution and clinical cure of acute uncomplicated cystitis in women
B 70 Ibuprofen 400 mg (oral NSAID) Single-dose pain relief for four to six hours in moderate or severe acute postoperative pain
B 70 OnabotulinumtoxinA (Botox intramuscular injection) Improvement of abnormal posture, neck pain, and disability in cervical dystonia
B 70 Naproxen, a nonselective NSAID Relief of primary dysmenorrhea
B 70 Colchicine, an oral prescription anti-inflammatory drug Prevention of additional recurrent pericarditis episodes
B 70 Repetitive transcranial magnetic stimulation using standard high-frequency left-prefrontal protocols Acute symptomatic remission of treatment-resistant major depressive disorder
B 70 Clomipramine, a prescription tricyclic serotonin-reuptake-inhibiting antidepressant Reduction of obsessions and compulsions and increased treatment response in adults with obsessive-compulsive disorder
B 70 High water intake targeting at least 2 L of urine per 24 hours Prevention of five-year recurrence after treatment of a first idiopathic calcium kidney stone
B 70 Sleeping in standard soft, approved extended-wear silicone-hydrogel, or rigid contact lenses Increased microbial keratitis
B 70 Metabolic-bariatric surgery Reduction in all-cause mortality
B 70 Rigid rocker-sole therapeutic footwear Prevention of recurrent healed plantar ulcer
B 70 Occupational standing or walking for at least 75% of work time Increased hospitalization for lower-limb varicose veins
B 70 Antenatal digital perineal massage performed by the woman or her partner from 34 to 35 weeks Reduced episiotomy and suturing-requiring perineal trauma at vaginal birth
B 70 0.12% to 0.2% chlorhexidine rinse or a single intrasocket application of 0.2% chlorhexidine gel Prevention of alveolar osteitis, or dry socket, after tooth extraction
B 70 Elastic abdominal binder after cesarean delivery Improved early walking and recovery
B 70 Bilateral daytime polypropylene functional foot orthoses made from negative casts and individualized prescriptions Relief of walking pain at six months in mild-to-moderate hallux valgus
B 70 Pregnancy smoking-cessation incentives contingent on biochemically verified abstinence Increased biochemically verified smoking cessation late in pregnancy
B 70 Six to eight sessions of group cognitive behavioral therapy addressing pain-related thoughts and behaviors, pacing, graded activity, and avoidance Reduced disability related to chronic low-back pain
B 70 Repeated cessation counseling plus nicotine replacement begun four to eight weeks before surgery Reduced postoperative complications
B 70 Endotracheal tubes with subglottic secretion drainage Reduced ventilator-associated pneumonia in mechanically ventilated adults
B 70 Antibiotic-corticosteroid ear drops for acute otorrhea in children with tympanostomy tubes Improved otorrhea resolution and clinical cure versus oral amoxicillin-clavulanate or observation
B 70 A two-second vapocoolant skin spray immediately before adult venipuncture or peripheral IV cannulation Reduced patient-reported procedural pain immediately after needle insertion
B 70 Fresh clean nonsterile examination gloves for uncomplicated laceration repair or minor skin excision No increase in post-repair wound infection versus sterile surgical gloves
B 70 Universal nursing-home decolonization with chlorhexidine for routine bathing and periodic nasal 10% povidone-iodine Reduced transfer to hospital because of infection
B 70 Progressive threshold inspiratory-muscle strength training in tracheostomized patients with prolonged failure to wean More successful weaning sustained for 72 hours versus constant low-load sham training
B 70 One gram of EMLA cream 60 minutes before hemodialysis arteriovenous-fistula cannulation Reduced cannulation pain versus a lidocaine patch
B 70 A policy that systematically offers one relative the option to witness out-of-hospital CPR with a dedicated support person Reduction in relatives' PTSD-related symptoms at 90 days
B 70 Long-term structured moderate-intensity physical activity for sedentary adults aged 70-89 at risk of mobility disability Prevention of major mobility disability, inability to walk 400 m within 15 minutes
B 70 Rapid PCR screening followed by 2% intranasal mupirocin and 4% chlorhexidine soap for S. aureus nasal carriers on admission Reduction of hospital-associated S. aureus infection through six weeks after discharge
B 70 Stroke early supported discharge in which a specialist multidisciplinary team accelerates hospital discharge and continues rehabilitation at home Reduced death or dependency after mild-to-moderate stroke
B 70 Cash-like rewards contingent on successful smoking cessation Increased sustained abstinence through six months versus usual cessation support
B 70 A double-sock system using a thin polyester liner under a dense wool-polypropylene outer sock Reduction in boot-related foot blisters during military training
B 70 A multicomponent moderate-intensity physical activity and personalized nutrition program for older adults with physical frailty and sarcopenia Reduced incident mobility disability defined by failure of the 400-m walk
B 70 Rituximab plus short-course prednisone Increased complete remission off therapy at 24 months in newly diagnosed moderate-to-severe pemphigus
B 70 A preformed metal crown placed with the Hall Technique Reduced major failure from pulpal disease or restoration failure requiring intervention in carious primary molars
B 70 Postoperative oral calcium 3 g/day plus active vitamin D 1 microgram/day Prevention of symptomatic hypocalcemia after total thyroidectomy plus central neck dissection for papillary thyroid cancer
B 70 Endoscopic sinus surgery plus intranasal corticosteroids and saline irrigation Improved symptoms and quality of life at six months in adults with chronic rhinosinusitis remaining symptomatic after appropriate medical therapy
B 70 Hip arthroscopy Improved hip-related quality of life and function at 12 months in femoroacetabular impingement syndrome
B 70 Early tailored multidomain physical rehabilitation Improved three-month physical function in older adults hospitalized with acute decompensated heart failure
B 70 Intravenous alteplase selected by MRI DWI-FLAIR mismatch Increased functional independence at 90 days after acute ischemic stroke of unknown onset
B 70 Mobile health-supported ABC integrated care pathway Reduced composite thromboembolism, death, and rehospitalization in atrial fibrillation
B 70 High-dose pralidoxime regimen using a 2 g loading dose followed by 1 g per hour for 48 hours Reduced need for intubation and duration of mechanical ventilation in moderately severe organophosphorus pesticide poisoning
B 70 Offer of a soft bandage with immediate discharge Equivalent three-day pain after pediatric distal radius torus fracture
B 69 Ketotifen fumarate ophthalmic solution (nonprescription antihistamine and mast-cell stabilizer) Relief of ocular itching and tearing from seasonal allergic conjunctivitis
B 69 Donepezil (cholinesterase inhibitor, prescription drug; Aricept) Symptomatic relief of cognition and daily function in mild-to-moderate Alzheimer dementia
B 69 Paroxetine (prescription SSRI; Seroxat) Reduction of panic attacks and anticipatory anxiety and achievement of panic-free status in adults with panic disorder
B 69 Lamotrigine (phenyltriazine antiseizure medicine, Lamictal, prescription drug) Suppression of seizure recurrence and 12-month seizure remission in newly diagnosed focal epilepsy
B 69 Laparoscopic sleeve gastrectomy (prescribed metabolic and bariatric surgical procedure) Long-term medication-free remission of type 2 diabetes associated with obesity
B 69 Lenvatinib (oral prescription multikinase inhibitor targeting VEGFR and FGFR; Lenvima) Overall survival noninferior to sorafenib in previously untreated unresectable hepatocellular carcinoma
B 69 4% chlorhexidine cord care (an antiseptic-based neonatal procedure and WHO essential medicine) Prevention of omphalitis and neonatal death in settings with unhygienic cord practices
B 69 Linaclotide (guanylate cyclase-C agonist, oral prescription capsule) Improved complete spontaneous bowel movement frequency and sense of complete evacuation in chronic idiopathic constipation
B 68 L-carnitine Body fat and dieting
B 68 Ginger (gingerol) digestion, anti-inflammatory effects, and nausea
B 68 Tart cherry (Montmorency, Prunus cerasus) improving sleep quality/sleep duration and post-exercise muscle recovery
B 68 Berberine Blood glucose, cholesterol, and lipids
B 68 OM-85 bacterial lysate, marketed as Broncho-Vaxom Prevention of recurrent respiratory infections in children and high-risk groups
B 68 Escitalopram (SSRI, Lexapro) Symptom response and remission in major depressive disorder
B 68 Ezetimibe (cholesterol-absorption inhibitor, Ezetrol, prescription medicine) Reduced recurrent cardiovascular events when added to a statin after acute coronary syndrome
B 68 Extended-release naltrexone/bupropion (Contrave; prescription obesity medicine) One-year weight loss in adults with obesity when combined with diet and exercise
B 68 Clotrimazole vaginal tablet (topical azole antifungal, Canesten, nonprescription or prescription) Clinical and mycological cure of uncomplicated vulvovaginal candidiasis
B 68 Ibandronate (nitrogen-containing bisphosphonate; prescription drug, Boniva) Reduction of new morphometric vertebral fractures in women with postmenopausal osteoporosis
B 68 Broad-spectrum UVA/UVB sunscreen (functional cosmetic) Slower progression of ultraviolet-induced skin aging with daily use
B 68 Nepafenac (prescription ophthalmic NSAID; Nevanac) Prevention of macular edema and visual loss after cataract surgery in patients with diabetic retinopathy
B 68 Silodosin (selective alpha-1A blocker; prescription drug) Improvement of IPSS, urinary flow, voiding discomfort, and quality of life in men with benign prostatic hyperplasia
B 68 Moxifloxacin 0.5% ophthalmic solution, a prescription fourth-generation fluoroquinolone antibiotic marketed as Vigamox Clinical cure and eradication of causative bacteria in bacterial conjunctivitis
B 68 Ivermectin (prescription macrocyclic lactone antiparasitic medicine, including Stromectol) Mite clearance and clinical cure of classic scabies
B 68 Mirabegron (beta-3 adrenergic receptor agonist and extended-release prescription medicine) Reduced urinary frequency, urgency, and urgency urinary incontinence in adults with overactive bladder
B 68 Levofloxacin 0.5% ophthalmic solution, a prescription fluoroquinolone antibiotic marketed as Cravit Clinical cure and eradication of causative organisms in bacterial conjunctivitis
B 68 Orlistat (gastrointestinal and pancreatic lipase inhibitor; prescription drug, Xenical) Prevention of type 2 diabetes onset in adults with obesity and impaired glucose tolerance
B 68 Vericiguat (soluble guanylate cyclase stimulator; prescription drug, Verquvo) Reduced risk of the composite of cardiovascular death or first heart-failure hospitalization when added to standard therapy in symptomatic chronic heart failure with a left ventricular ejection fraction below 45% after recent worsening
B 68 mRESVIA (mRNA-1345, RSV prefusion-F mRNA vaccine, prescription vaccine) Prevention of laboratory-confirmed RSV lower respiratory tract disease in adults aged 60 years or older
B 68 Carbamazepine (dibenzazepine antiseizure medicine, Tegretol, prescription medicine) Suppression of seizure recurrence and 12-month seizure remission in newly diagnosed focal epilepsy
B 68 Lamivudine (nucleoside antiviral, Zeffix, prescription medicine) Reduced clinical progression of liver disease in chronic hepatitis B with advanced fibrosis or cirrhosis
B 68 Intravenous iron sucrose (intravenous iron replacement; prescription injection) Reduced composite risk of death, myocardial infarction, stroke, or heart-failure hospitalization with a proactive high-dose strategy up to 400 mg monthly in hemodialysis
B 68 Snowboard wrist guard (protective equipment; nonmedical product) Prevention of wrist fractures and sprains during snowboarding
B 68 Doxycycline (prescription tetracycline antibiotic used preventively as doxy-PEP) Prevention of gonorrhea, chlamydia, and syphilis by taking 200 mg after sex in MSM and transgender women with a bacterial STI history
B 68 Interferon beta-1a (immunomodulatory biologic, Rebif, prescription injection) Prevention of clinical relapses and disability progression in relapsing-remitting multiple sclerosis
B 68 Alprostadil (PGE1 intracavernosal vasodilator, Caverject, prescription drug) Induction of an erection sufficient for intercourse when PDE5 inhibitors are unsuitable or inadequate
B 68 Carbetocin (long-acting oxytocin-receptor agonist uterotonic, prescription injection; Duratocin) Prevention of postpartum hemorrhage and severe postpartum hemorrhage when given immediately after birth
B 68 Dexamethasone intravitreal implant (prescription corticosteroid implant; Ozurdex) Clinically meaningful visual recovery of at least 15 letters in macular edema due to retinal vein occlusion
B 68 Imiquimod 5% cream (topical immune-response modifier; prescription Aldara) Nonsurgical tumor clearance and long-term treatment success for low-risk superficial or nodular basal cell carcinoma
B 68 Oxcarbazepine (sodium-channel-blocking antiseizure medicine, Trileptal, oral prescription drug) Maintenance of 24- and 48-week seizure freedom with monotherapy in newly diagnosed focal epilepsy
B 68 Riboflavin-UVA corneal collagen cross-linking (CXL, a photochemical ophthalmic procedure) Prevention of corneal protrusion or K-value progression and visual deterioration in progressive keratoconus
B 68 Human albumin 20% (plasma-protein biologic, prescription intravenous infusion) Reduced mortality and hospitalization with long-term weekly administration in decompensated cirrhosis with ascites
B 68 Dexamethasone (glucocorticoid, intravenous prescription medicine) Reduced death and poor neurological outcome when given immediately before or with antibiotics in adults with bacterial meningitis
B 68 Acoramidis (Attruby, oral prescription TTR stabilizer) Improved composite outcome of mortality, cardiovascular hospitalization, and functional decline in ATTR-CM
B 68 Clascoterone (1% topical prescription cream) Improved treatment success and lesion counts in moderate-to-severe facial acne
B 68 Ibuprofen, a nonsteroidal anti-inflammatory analgesic Two-hour pain relief during an acute migraine attack
B 68 Tonsillectomy (surgical removal of the palatine tonsils) Reduction of sore-throat days in adults with recurrent acute tonsillitis
B 68 Scalp cooling with a circulating cooling cap before, during, and after chemotherapy infusion Prevention of chemotherapy-induced alopecia in breast cancer
B 68 Vestibular rehabilitation (exercise therapy using eye, head, and body movements plus balance adaptation) Reduced chronic vestibular dizziness and related disability
B 68 Dimenhydrinate Prevention of motion sickness
B 68 Topical pure silicone gel without another active scar ingredient Prevention and improvement of hypertrophic scars and keloids
B 68 Five minutes of handheld-fan airflow directed across the nose and mouth during refractory breathlessness Immediate reduction in patient-perceived breathlessness
B 68 A 25-mm needle for infant intramuscular immunization Reduced post-vaccination local reactions compared with a 16-mm needle
B 68 Endovascular thrombectomy for anterior-circulation large-vessel occlusion with an established large infarct Improved 90-day disability distribution and function
B 68 Intravitreal bevacizumab Noninferior 6-month vision versus aflibercept in macular edema from retinal vein occlusion
B 67 Sertraline (a prescription SSRI antidepressant, marketed as Zoloft) Relief of core symptoms and functional impairment in post-traumatic stress disorder
B 67 Sotagliflozin (prescription dual SGLT1/2 inhibitor; INPEFA) Reduction in the composite of cardiovascular death, heart-failure hospitalization, and urgent heart-failure visits after recent worsening heart failure in type 2 diabetes
B 66 Cinnamon (cinnamon; mainly cassia cinnamon/Ceylon cinnamon and cinnamon extract) blood glucose
B 66 Riboflavin (vitamin B2) Migraine prevention
B 66 Beta-sitosterol (prostate-efficacy axis) Improvement of urinary symptoms and flow in benign prostatic hyperplasia
B 66 L-methylfolate (5-MTHF) Improvement in depression and adjunctive antidepressant therapy
B 66 Esketamine nasal spray (Spravato, prescription and supervised administration) Rapid improvement of treatment-resistant depression
B 66 Prucalopride (5-HT4 agonist; prescription drug) Normalization of spontaneous complete bowel movements in chronic idiopathic constipation inadequately responsive to laxatives
B 66 Dienogest (progestin, Visanne, prescription) Reduction of endometriosis-associated pelvic pain and dysmenorrhea
B 66 Vortioxetine (Brintellix, prescription antidepressant) Cognitive and processing-speed improvement independent of depression improvement
B 66 Famotidine (prescription and nonprescription H2-receptor blocker) Relief of heartburn and gastroesophageal reflux symptoms and healing of erosive esophagitis
B 66 Fremanezumab (anti-CGRP monoclonal antibody, Ajovy, prescription medicine) Prevention of episodic and chronic migraine with fewer monthly migraine days
B 66 Celecoxib (a selective COX-2-inhibiting nonsteroidal anti-inflammatory prescription medicine marketed as Celebrex) Reduced pain and stiffness and improved physical function in symptomatic knee osteoarthritis
B 66 Ferric carboxymaltose (prescription intravenous ferric iron; Ferinject) Improvement of fatigue, NYHA functional class, six-minute walk distance, and quality of life in chronic heart failure with reduced ejection fraction and iron deficiency
B 66 Meloxicam (an oxicam NSAID with preferential COX-2 inhibition; prescription drug, marketed as Mobic) Improved pain, stiffness, and WOMAC function scores in knee or hip osteoarthritis
B 66 Wide local excision for melanoma (appropriate surgical margin, prescription skin-cancer operation) Prevention of locoregional recurrence and melanoma death with a wider margin versus 1 cm for trunk or limb melanoma at least 2 mm thick by Breslow depth
B 65 Lactiplantibacillus plantarum 299v Relief of IBS abdominal pain, gas, and bloating
B 65 Buspirone (Buspar, prescription) Relief of persistent anxiety and tension in generalized anxiety disorder
B 65 Memantine (NMDA receptor antagonist, Ebixa, prescription medicine) Delayed decline in cognition and daily function in moderate-to-severe Alzheimer's disease
B 65 Galcanezumab (anti-CGRP monoclonal antibody; Emgality; prescription drug) Reduction in monthly migraine headache days in adults with episodic or chronic migraine
B 65 Fluoxetine (prescription SSRI antidepressant; Prozac) Acute symptom response and remission in adults with major depressive disorder
B 65 Travoprost 0.004%, a prescription ophthalmic prostaglandin F2-alpha analogue Reduction of intraocular pressure in open-angle glaucoma and ocular hypertension
B 65 Aquablation, robot-assisted transurethral waterjet resection Improved moderate-to-severe urinary symptoms from benign prostatic hyperplasia as much as TURP while reducing ejaculatory dysfunction
B 64 Saffron extract, including affron, sleep-efficacy axis Improvement of sleep onset and sleep quality
B 64 Sodium alginate, or alginate Relief of gastroesophageal reflux and heartburn symptoms
B 64 Ketoconazole shampoo (topical antifungal; Nizoral) Reduced scalp seborrheic dermatitis, dandruff, itching, and recurrence
B 64 Dapoxetine (short-acting selective serotonin reuptake inhibitor, Priligy, prescription medicine) Improved intravaginal ejaculatory latency time, ejaculatory control, and sexual satisfaction in men with premature ejaculation
B 64 Atogepant (oral CGRP receptor antagonist, Aquipta, prescription) Reduction in monthly migraine days in adults with episodic or chronic migraine
B 64 Solifenacin (antimuscarinic, Vesicare, prescription) Improvement of urgency, frequency, and urgency urinary incontinence in overactive bladder
B 64 Paroxetine (prescription SSRI; low-dose 7.5 mg for menopausal hot flashes) Reduced moderate-to-severe menopausal hot flashes and night sweats
B 64 Nitroglycerin (glyceryl trinitrate, a prescription organic-nitrate vasodilator in sublingual form) Rapid short-term relief within minutes of an acute angina attack caused by coronary artery disease
B 64 Ferrous sulfate (oral ferrous iron salt sold as an OTC medicine or supplement) Relief of nighttime symptoms in restless legs syndrome with ferritin at or below 75 ng/mL
B 64 Dorzolamide 2% (prescription topical carbonic anhydrase inhibitor ophthalmic solution; Trusopt) Lower intraocular pressure in open-angle glaucoma and ocular hypertension
B 64 Fezolinetant, a prescription nonhormonal neurokinin-3 receptor antagonist marketed as Veozah Reduced frequency and severity of moderate-to-severe menopausal hot flashes and night sweats
B 64 Alprazolam (relatively short-acting, high-potency benzodiazepine; controlled prescription drug marketed as Xanax) Short-term reduction of panic-attack frequency and anticipatory anxiety in adults with panic disorder
B 64 Ferric carboxymaltose (a prescription intravenous iron complex; Ferinject) Improved nighttime symptoms and sleep in adults with restless legs syndrome and iron deficiency
B 64 Hydroxychloroquine sulfate (prescription 4-aminoquinoline conventional synthetic DMARD; Haloxin) Improvement of pain, swelling, physical function, and disease activity in DMARD-naive low-activity early rheumatoid arthritis
B 64 Conjugated equine estrogens (CEE, menopausal hormone therapy, prescription medicine) Reduced hip fractures during treatment in postmenopausal women after hysterectomy
B 64 BCG vaccine (tuberculosis vaccine, professionally administered vaccine) Reduced active tuberculosis after a first dose in previously unvaccinated children
B 64 Colchicine (microtubule-inhibiting prescription anti-inflammatory drug; also called colchicine and marketed in Korea as Colkin) Pain reduction and flare relief in acute gout
B 64 Doxazosin (prescription alpha-1 blocker; Cardura XL) Prevention of long-term composite clinical progression of benign prostatic hyperplasia
B 64 Sacral neuromodulation with an implanted InterStim-type neurostimulator Improvement of refractory overactive bladder and urgency urinary incontinence
B 63 Complex extract including Cynanchum wilfordii (EstroG-100: Cynanchum wilfordii/Cynanchum, Phlomis umbrosa, and Angelica gigas complex) and pomegranate extract/pomegranate concentrate Relief of menopausal symptoms in women
B 63 High-EPA omega-3 fatty acids Reduction of depressive symptoms and adjunctive use with antidepressants
B 63 Lactulose Improvement of bowel-movement frequency and stool consistency in chronic constipation
B 63 Ursodeoxycholic acid (UDCA, prescription bile-acid gallstone dissolution medicine) Dissolution of small noncalcified cholesterol gallstones in a functioning gallbladder
B 63 Digoxin (cardiac glycoside; prescription medicine) Reduced hospitalization for worsening heart failure in patients with HFrEF and normal sinus rhythm
B 63 Continuation or maintenance electroconvulsive therapy (anesthetized prescription brain-stimulation procedure) Prevention of one-year depressive-episode relapse and psychiatric hospitalization when added to medication after remission with acute ECT
B 62 Red yeast rice (monacolin K, red yeast rice) Cholesterol improvement
B 62 Avocado-soybean unsaponifiables (ASU) Improvement of knee osteoarthritis pain and function
B 62 Kava (Piper methysticum) Relief of anxiety symptoms
B 62 Curcumin Adjunctive induction and maintenance of remission in ulcerative colitis
B 62 Benzoyl peroxide (topical antimicrobial and keratolytic, Benzac, nonprescription) Reduction of inflammatory and noninflammatory lesions in mild to moderate acne
B 62 Triazolam (Halcion, prescription benzodiazepine) Short-term improvement of sleep onset in adult insomnia
B 62 Nirmatrelvir plus ritonavir (Paxlovid, prescription antiviral) Reduced hospitalization and death in high-risk nonhospitalized patients treated early for COVID-19
B 62 Tibolone (synthetic steroid, Livial, prescription medicine) Relief of postmenopausal vasomotor symptoms such as hot flashes and night sweats
B 62 Low-dose doxepin (3 to 6 mg prescription medicine) Improved sleep maintenance and reduced nighttime wakefulness in chronic insomnia
B 62 Chlorhexidine mouthwash (antimicrobial oral rinse) Reduced plaque accumulation and gingivitis as an adjunct to toothbrushing
B 62 Alfuzosin hydrochloride extended-release tablet, an alpha blocker sold by prescription including as Xatral XL Improved lower urinary tract symptoms, urinary bother, and quality of life in benign prostatic hyperplasia
B 62 Lasmiditan, a prescription selective 5-HT1F receptor agonist ditan sold as Reyvow Pain freedom two hours after dosing for an acute migraine attack
B 62 Fosfomycin trometamol (a prescription phosphonic-acid antibiotic) Clinical cure of acute uncomplicated cystitis in nonpregnant women with a single 3-g dose
B 62 Flurazepam (a long-acting benzodiazepine sedative-hypnotic, controlled prescription medicine, marketed as Dalmadorm) Reduced sleep-onset latency and nocturnal awakenings and increased total sleep time in short-term insomnia
B 62 Pyridostigmine bromide (prescription reversible cholinesterase inhibitor; Mestinon) Symptomatic relief of fluctuating muscle weakness and fatigability in myasthenia gravis
B 62 Zaleplon (nonbenzodiazepine Z-drug; controlled prescription medicine; Zaledip) Short-term reduction in objective sleep-onset latency in adults with sleep-onset insomnia
B 62 Brinzolamide 1% (topical carbonic anhydrase inhibitor ophthalmic prescription medicine) Lower intraocular pressure in open-angle glaucoma and ocular hypertension
B 62 Ropinirole hydrochloride (prescription non-ergot D2/D3 dopamine agonist; Requip) Short-term improvement of nighttime symptoms, sleep, and quality of life in moderate-to-severe primary restless legs syndrome
B 62 Home INR self-testing (weekly point-of-care testing by warfarin users) Reduction of stroke, major bleeding, and death versus clinic testing
B 62 Carpal tunnel release by division of the transverse carpal ligament Long-term improvement in carpal tunnel symptoms and function
B 61 Ashwagandha (Withania somnifera) stress and anxiety relief
B 61 Lemon verbena extract (Aloysia citrodora) Improvement of sleep quality and stress
B 61 Glycerol supplement (glycerol, GlycerPump) Fluid retention during exercise and improved endurance
B 61 Tianeptine (Stiarone, prescription antidepressant) Improvement in depressive symptoms, response, and remission in major depressive disorder
B 61 Pseudoephedrine (oral decongestant, Sudafed, nonprescription or controlled-sale medicine) Relief of nasal congestion from the common cold or allergic rhinitis
B 60 Vitamin A (retinol/beta-carotene) Eye health, night blindness, skin, and immunity
B 60 Vitamin B6 (pyridoxine) PMS (premenstrual syndrome) and morning sickness
B 60 Inulin (chicory-derived/chicory root) Gut health, bowel movements, and blood glucose
B 60 Zinc Acne and skin
B 60 Maqui berry extract (Aristotelia chilensis) Improvement in dry eye and tear production
B 60 Andrographis (Andrographis paniculata) Reduction of common-cold symptoms and duration
B 60 Lactotripeptides IPP and VPP Blood-pressure reduction in mild hypertension
B 60 Creatine monohydrate, cognition axis Improved memory and reasoning during sleep deprivation and in vegetarians
B 60 Micronized purified flavonoid fraction containing diosmin and hesperidin Relief of bleeding, itching, swelling, and other symptoms of acute hemorrhoids
B 60 Duloxetine (serotonin-norepinephrine reuptake inhibitor, Cymbalta, prescription drug) Improvement of symptoms and induction of remission in adult major depressive disorder
B 60 Bismuth subsalicylate (nonprescription medicine) Reduced stool frequency and duration in acute nonbloody, nonbacterial diarrhea
B 60 Estazolam is a benzodiazepine hypnotic and sedative available by prescription and controlled as a psychotropic medicine. The claim is short-term improvement in sleep onset, sleep maintenance, and sleep duration in adults with insomnia.
B 60 Brotizolam 0.25 mg, a controlled prescription thienotriazolodiazepine hypnotic and sedative Short-term reduction of sleep-onset time and nighttime awakenings and increased sleep duration in adults with severe insomnia
B 60 Brolucizumab (anti-VEGF-A single-chain antibody fragment, Beovu, prescription intravitreal injection) Improved vision and prevention of vision loss in neovascular age-related macular degeneration

C Grade C · 1174 · The evidence is mixed or limited.

C 59 Palmitoylethanolamide (PEA) Adjunctive support for intraocular pressure and glaucoma
C 59 Psyllium husk Improvement of postprandial glucose and HbA1c in type 2 diabetes
C 59 Vitamin E (alpha-tocopherol) Improvement in liver histology in patients with MASH or NASH without diabetes or cirrhosis
C 59 Pioglitazone (Actos, a thiazolidinedione) MASH/NASH resolution and improvement in liver fibrosis and histology
C 59 Low-dose atropine 0.05% (prescription ophthalmic drops) Slowed childhood myopia progression and axial elongation
C 59 Ritlecitinib (a prescription JAK3/TEC inhibitor marketed as Litfulo) Scalp hair regrowth in adults and adolescents with severe alopecia areata
C 59 Lubiprostone (prescription chloride-channel activator; Amitiza) Improvement of spontaneous and complete bowel movements in adults with chronic idiopathic constipation
C 59 Remdesivir (RNA-polymerase-inhibiting antiviral, Veklury, prescription) Prevention of hospitalization and death in high-risk nonhospitalized patients with COVID-19
C 59 Tirzepatide (a prescription injectable dual GIP and GLP-1 receptor agonist; Mounjaro) Reduced glycated hemoglobin and body weight in type 2 diabetes inadequately controlled with metformin
C 59 Acetaminophen or paracetamol (nonopioid analgesic, nonprescription drug; Tylenol) Pain freedom within two hours during an acute episodic tension-type headache
C 59 Tirzepatide, a prescription injectable dual GIP and GLP-1 receptor agonist Reduction of the apnea-hypopnea index and hypoxic burden in adults with obesity and moderate-to-severe obstructive sleep apnea
C 59 Insulin aspart (rapid-acting insulin analogue; prescription injection, NovoRapid/NovoLog) Improved postprandial glucose and HbA1c as mealtime insulin in type 1 diabetes
C 59 Fidaxomicin (narrow-spectrum macrocyclic antibiotic, Dificid, prescription drug) Clinical cure of Clostridioides difficile infection and reduced post-treatment recurrence
C 59 Acarbose (alpha-glucosidase inhibitor, Glucobay, prescription medicine) Delay or prevention of type 2 diabetes onset in adults with impaired glucose tolerance
C 59 SER-109 or Vowst (fecal microbiota spores, live-brpk oral spore capsules) Prevention of recurrent C. difficile infection after antibacterial treatment
C 59 Vitamin A (retinol or retinyl palmitate, fat-soluble vitamin, supplement and high-dose public-health preparation) Reduced mortality among children aged 6–59 months where vitamin A deficiency is a public-health problem
C 59 Vaginal micronized progesterone (prescription progestogen; preterm-birth prevention may be off-label in Korea) Prevention of spontaneous birth before 34 weeks in mid-trimester singleton pregnancy with a short cervix
C 59 Retatrutide (an investigational once-weekly subcutaneous GIP, GLP-1, and glucagon triple-receptor agonist) Substantial weight loss in adults with obesity
C 59 Semaglutide 2.4 mg as a once-weekly prescription subcutaneous injection Improved pain and physical function in moderate knee osteoarthritis with obesity
C 59 Oveporexton (TAK-861), an investigational oral selective orexin-2 receptor agonist Reduced excessive daytime sleepiness and cataplexy in narcolepsy type 1
C 59 Xanomeline–trospium (Cobenfy oral capsules) Reduction of positive and negative symptoms during acute exacerbation of schizophrenia
C 59 Baxdrostat (oral aldosterone synthase inhibitor) Reduced systolic blood pressure in uncontrolled or resistant hypertension
C 59 OnabotulinumtoxinA intradermal injections into the axillae Reduction of severe primary axillary hyperhidrosis and daily-life impairment
C 59 OnabotulinumtoxinA intradetrusor injection (BOTOX, prescription procedure) Reduction of urgency urinary incontinence in refractory overactive bladder
C 58 Folate/folic acid (vitamin B9) Compound claims for anemia, pregnancy, and cardiovascular health
C 58 Hibiscus (Hibiscus sabdariffa/roselle) Blood pressure
C 58 Lavender oil (Silexan) Anxiety
C 58 Chasteberry (Vitex agnus-castus/chasteberry) PMS and premenstrual syndrome
C 58 Olive leaf extract Improvement in blood pressure
C 58 Siberian rhubarb extract (ERr 731) Relief of menopausal hot flashes and symptoms
C 58 Blueberry concentrate Improved memory and cognitive function
C 58 Okra extract (Abelmoschus esculentus) Improvement in postprandial glucose and HbA1c
C 58 Tisochrysis lutea powder Improvement of dry-eye symptoms and tear secretion
C 58 D-allulose (D-psicose) Attenuation of postprandial glucose rise
C 58 Acacia fiber, gum arabic, including Fibregum® Bowel-movement frequency, stool characteristics, and beneficial gut bacteria
C 58 L-arginine Improvement of mild to moderate erectile dysfunction
C 58 Horse chestnut seed extract standardized to aescin Relief of leg pain, edema, and heaviness in chronic venous insufficiency
C 58 Soy protein and isolated soy protein Reduction in LDL cholesterol
C 58 Trehalose ophthalmic solution (cytoprotective artificial tear) Improvement of dry-eye symptoms and tear-film stability
C 58 Diquafosol sodium ophthalmic solution (Diquas, prescription medicine) Improvement of dry-eye symptoms by increasing fluid and mucin secretion
C 58 Lecanemab (anti-amyloid monoclonal antibody, Leqembi, prescription) Slowing cognitive and functional decline in amyloid-confirmed early Alzheimer's disease
C 58 20-valent pneumococcal conjugate vaccine (PCV20, Prevnar 20, prescription vaccine) Prevention of invasive pneumococcal disease and pneumonia caused by vaccine serotypes
C 58 Enavogliflozin (SGLT2 inhibitor, Envlo, Korean-developed prescription drug) Improved HbA1c and glycemic control in patients with type 2 diabetes
C 58 Vaginal estriol (Ovestin vaginal suppository, prescription local estrogen) Relief of vaginal dryness, pain, and dyspareunia in genitourinary syndrome of menopause
C 58 Mirodenafil (PDE5 inhibitor, Mvix, Korean prescription medicine) Improvement of IIEF, erectile function, and intercourse success in men with erectile dysfunction
C 58 Udenafil (prescription PDE5 inhibitor; Zydena, developed in South Korea) Improvement of erectile function and intercourse success in erectile dysfunction
C 58 Potassium nitrate toothpaste (toothpaste for sensitive teeth, nonprescription product) Pain relief for dentin hypersensitivity
C 58 Entecavir (nucleoside-analogue antiviral, Baraclude, prescription) Prevention of cirrhosis, liver cancer, and liver-related death in chronic hepatitis B
C 58 Resmetirom (a prescription thyroid hormone receptor-beta agonist, marketed as Rezdiffra) MASH resolution and at least one-stage fibrosis improvement in noncirrhotic MASH with F2 to F3 fibrosis
C 58 Tenofovir alafenamide (TAF, prescription nucleotide reverse-transcriptase inhibitor antiviral) Viral suppression noninferior to TDF with better renal and bone safety in chronic hepatitis B
C 58 Magnesium (essential mineral supplement; blood-pressure efficacy axis) Reduced blood pressure in adults with hypertension or borderline hypertension
C 58 Peginterferon alfa-2a (prescription injectable pegylated-interferon antiviral biologic; Pegasys) Sustained viral suppression and HBeAg seroconversion after a finite 48-week course in selected patients with chronic hepatitis B
C 58 Gliclazide modified release (second-generation sulfonylurea oral prescription glucose-lowering medicine; Diamicron MR) Lower HbA1c in adults with inadequately controlled type 2 diabetes
C 58 Semaglutide 2.4 mg (prescription injectable GLP-1 receptor agonist; Wegovy) Resolution of steatohepatitis and improvement of liver fibrosis by at least one stage in F2-F3 MASH
C 58 Finasteride 5 mg (a 5-alpha-reductase inhibitor, Proscar, prescription medicine; cancer prevention is unapproved) Reduced prostate-cancer diagnoses in men aged 55 years or older
C 58 Gemigliptin (prescription oral DPP-4 inhibitor, marketed as Zemiglo) Reduction of HbA1c and fasting glucose in type 2 diabetes
C 58 Insulin icodec (ultra-long-acting basal insulin, Awiqli, prescription injection) Once-weekly dosing provides HbA1c control at least as good as once-daily glargine in insulin-naive type 2 diabetes
C 58 Psilocybin 25 mg (single oral investigational dose administered with psychological support) Rapid reduction in depression symptom scores in moderate-to-severe major depressive disorder
C 58 Cagrilintide (long-acting amylin analogue, once-weekly subcutaneous investigational injection) Long-term weight reduction in adults with overweight or obesity and without diabetes
C 58 Cenobamate (antiseizure medicine; Xcopri; prescription medicine) Complete seizure freedom as adjunctive therapy for focal seizures uncontrolled by existing medicines in adults
C 58 Cognitive behavioral therapy for insomnia (CBT-I; sleep restriction, stimulus control, and cognitive restructuring; clinician-delivered or digital therapy) Improvement in sleep onset, nighttime awakenings, sleep efficiency, and insomnia severity in adults with chronic insomnia
C 58 Silver-containing surgical dressing (antimicrobial wound-covering medical device) Prevention of surgical-site infection in closed surgical wounds
C 58 Postnatal breastfeeding counselling and support (professional or peer support program) Improved continuation of any and exclusive breastfeeding at six months
C 58 Low-FODMAP diet (restriction followed by staged reintroduction and personalization) Relief of abdominal pain, bloating, and global symptoms in irritable bowel syndrome
C 58 Rifaximin 550 mg (oral) Relief of global symptoms in irritable bowel syndrome without predominant constipation
C 58 Topical ruxolitinib 1.5% cream, a prescription JAK1 and JAK2 inhibitor Facial repigmentation in nonsegmental vitiligo
C 58 Telmisartan, a prescription angiotensin II receptor blocker Prevention of myocardial infarction, stroke, and cardiovascular death in high-risk patients
C 58 Fexofenadine, a second-generation minimally sedating H1 antihistamine Reduction of sneezing, rhinorrhea, and nasal itching in seasonal allergic rhinitis
C 58 Gabapentin, a prescription antiseizure and neuropathic-pain medicine Reduction of persistent pain from postherpetic neuralgia
C 58 Duloxetine (prescription serotonin and norepinephrine reuptake inhibitor) Relief of widespread pain and patient-perceived symptoms in fibromyalgia
C 58 Tai chi exercise intervention Improved pain and function in knee osteoarthritis
C 58 Dietary Approaches to Stop Hypertension diet Reduced systolic and diastolic blood pressure
C 58 Omalizumab (anti-IgE monoclonal antibody; prescription injection) Increased food-protein dose tolerated without dose-limiting symptoms in multiple food allergy
C 57 Chamomile (chamomile, Matricaria recutita/chamomilla) Anxiety and sleep
C 57 Sage extract (Salvia officinalis/lavandulifolia) Improvement of memory and attention
C 57 Stinging nettle root extract Improvement of urinary symptoms from benign prostatic hyperplasia
C 57 Grape-skin enzymatic fermented extract (KL-GEFE) Improvement of dry eye and tear-film measures
C 57 AB-LIFE probiotic blend Improved LDL and total cholesterol
C 57 Red ginseng oil KGC11o Improved prostate health, nocturia, and urinary symptoms
C 57 Ginger root powder or extract from Zingiber officinale Pain relief in primary dysmenorrhea
C 57 American ginseng (Panax quinquefolius) Improvement of cancer-related fatigue in patients and survivors
C 57 Rebamipide eye drops (Rebaeye, prescription) Improvement of dry-eye symptoms and corneoconjunctival epithelial damage by promoting mucin secretion
C 57 Ramelteon, an MT1 and MT2 melatonin-receptor agonist and prescription hypnotic marketed as Rozerem Reduction of objective sleep-onset latency in chronic sleep-onset insomnia
C 57 Hydrocortisone sodium succinate (systemic glucocorticoid; prescription intravenous injection) Reduced 28-day all-cause mortality in severe community-acquired pneumonia requiring intensive care
C 57 Vonoprazan (potassium-competitive acid blocker; Voquezna or Takecab; prescription medicine) Endoscopic healing and maintenance of healing in erosive esophagitis
C 56 Citrulline (L-citrulline, citrulline malate/malate) Exercise performance and blood-flow/nitric-oxide-related support
C 56 Reishi mushroom (Ganoderma lucidum/Reishi; beta-1,3/1,6-D-glucan and polysaccharides) Immune function
C 56 Colostrum (mainly bovine colostrum) immunity and gut
C 56 NAC (N-acetylcysteine) liver, respiratory health, and antioxidant effects
C 56 Inositol (myo-inositol/D-chiro-inositol) PCOS, mood, and blood glucose
C 56 Grape seed extract (proanthocyanidins/OPC) Antioxidant, vascular, and edema effects
C 56 Yeast/mushroom beta-glucan Immunity
C 56 Centella asiatica extract powder Maintenance of macular pigment density and eye health
C 56 Heukharang lettuce extract (Lactuca sativa) Improved sleep quality and sleep onset
C 56 Low-molecular-weight yeast hydrolysate Appetite suppression and body-fat reduction
C 56 Butcher's broom root extract (Ruscus aculeatus) Relief of leg edema, heaviness, and tension in chronic venous insufficiency
C 56 Ivy gourd leaf extract (Coccinia indica, Coccinia cordifolia, Coccinia grandis) Improved fasting glucose, postprandial glucose, and HbA1c in type 2 diabetes or prediabetes
C 56 Doxylamine succinate (nonprescription sleep aid) Improved sleep onset and maintenance in occasional insomnia
C 56 Drospirenone and ethinyl estradiol 24/4 combination (Yaz, prescription) Improvement in emotional and physical symptoms and daily functioning in premenstrual dysphoric disorder
C 56 Glimepiride (second-generation sulfonylurea; prescription oral glucose-lowering drug marketed as Amaryl) Reduction of fasting and postprandial glucose and HbA1c in type 2 diabetes inadequately controlled with diet and exercise
C 56 Pilocarpine hydrochloride 1.25% ophthalmic solution (muscarinic agonist, VUITY, prescription eye drops) Improved near vision for several hours after dosing in adults with presbyopia
C 56 Continuous positive airway pressure (CPAP, a positive-airway-pressure device used during sleep) Reduced 24-hour blood pressure in resistant hypertension with obstructive sleep apnea
C 56 Methenamine hippurate (non-antibiotic urinary antiseptic) Noninferior prevention of recurrent urinary tract infection in women versus antibiotic prophylaxis
C 56 Deucravacitinib (prescription selective TYK2 inhibitor) Clinical clearance or improvement of moderate-to-severe plaque psoriasis lesions
C 56 Intra-articular corticosteroid injection Short-term improvement in pain and shoulder function in adhesive capsulitis
C 56 Home narrowband UV-B phototherapy (prescription phototherapy device) Control of psoriasis lesions and improvement of dermatology-related quality of life
C 56 Vaginal estrogen (local prescription estriol or estradiol cream or ring) Prevention of recurrent urinary tract infection after menopause
C 56 Apremilast (oral prescription phosphodiesterase-4 inhibitor; Otezla) PASI 75 and static Physician Global Assessment improvement in moderate-to-severe plaque psoriasis
C 56 Septoplasty, with turbinate surgery when indicated Improved patient-reported symptoms and quality of life in nasal obstruction caused by a deviated septum
C 56 Listening to prerecorded music at bedtime Improved patient-reported sleep quality in adults with insomnia symptoms
C 56 Saline nasal irrigation, isotonic or hypertonic Relief of rhinorrhea, sneezing, itching, and obstruction in allergic rhinitis
C 56 Bright light therapy delivered by a light box Improved depressive symptoms and remission in winter seasonal affective disorder
C 56 Tai chi, a low-intensity mind-body exercise intervention Improvement in fibromyalgia symptom burden, pain, fatigue, sleep, and function
C 56 Acupuncture, primarily manual needle acupuncture Clinically meaningful improvement in pain and physical function from knee osteoarthritis
C 56 Habitual whole-natto intake Lower cardiovascular mortality
C 56 Tofu at least once weekly Lower incidence of coronary heart disease
C 56 Soy foods after breast-cancer diagnosis Lower breast-cancer recurrence and mortality
C 56 Wholegrain intake Lower all-cause mortality
C 56 Increased brewed coffee intake Prevention of incident type 2 diabetes
C 56 Habitual intake of edible mushrooms without a specified species Prevention of incident dementia over long-term follow-up
C 56 Habitual edible mushroom intake without specified species or amount Prevention of incident prostate cancer
C 56 Tuna, tuna salad or casserole, and other broiled or baked fish Reduced incidence of heart failure in older adults
C 56 A spicy-food pattern including fresh chili, dried chili, chili sauce, chili oil, and other or unspecified forms Lower all-cause mortality
C 56 Processed meat such as bacon, ham, and sausage, per 50 g/day increment Increased colorectal cancer incidence
C 56 Unprocessed beef, pork, and lamb analyzed separately from processed meat Increased incidence of type 2 diabetes
C 56 Isocaloric replacement of one serving/day of red meat with one serving/day of nuts, legumes, and soy Reduced coronary heart disease incidence
C 56 Sugar-sweetened beverages such as sodas and fruit drinks containing added sugar Increased all-cause mortality
C 56 Combined intake of instant ramen, wheat noodles, udon, jajangmyeon, jjamppong, naengmyeon, and buckwheat noodles Increased incidence of hypertension
C 56 Total intake of ultra-processed foods under the NOVA classification Increased all-cause mortality
C 56 Frequency of fried-food intake Increased heart-failure incidence
C 56 Grilled or barbecued red meat Increased colorectal-cancer incidence
C 56 Vegetarian dietary pattern Reduced all-cause mortality versus nonvegetarian eating
C 56 TOHP dietary sodium-reduction intervention Reduced long-term cardiovascular events
C 56 Domestic water hardness of 121-180 mg/L as CaCO3 Lower incidence of atrial fibrillation, heart failure, coronary heart disease, and stroke
C 56 Red wine 150 mL/day at 14.2%, about 16.9 g of pure alcohol Lower all-cause mortality and longer life
C 56 Drinking coffee, 2 to 5 cups/day, caffeinated and decaffeinated, brewing method unknown Reduced all-cause mortality
C 56 Caffeinated coffee, at least four 150-mL cups/day, at least 600 mL Prevention of incident clinical depression
C 56 Caffeinated coffee at two to four or more cups daily, with cup volume unreported Prevention of symptomatic gallstone disease and cholecystectomy
C 56 A 0-to-32 organic-diet score derived from self-reported frequency across 16 food groups Reduced incidence of cancer
C 56 At least 2.3 daily servings of produce classified as high-residue using US surveillance data Lower clinical-pregnancy and live-birth success per assisted-reproduction cycle
C 56 Childhood consumption of unpasteurized raw farm milk Prevention of childhood asthma and allergic disease
C 56 Plastic contact from food and kitchenware with internal phthalate and bisphenol exposure Reduced clinical pregnancy and live birth after in vitro fertilization
C 56 Self-rated brisk or fast walking Lower cardiovascular and all-cause mortality than self-rated slow walking
C 56 Climbing roughly 6 to 20 flights of stairs per day Lower first atherosclerotic cardiovascular disease events
C 56 Muscle-strengthening exercise once or twice weekly or about 30 to 60 minutes per week Lower all-cause mortality independent of aerobic exercise
C 56 Sleep-wake regularity measured by seven days of wrist accelerometry Reduced all-cause mortality
C 56 Long-term fine-particulate exposure estimated from fixed monitoring networks Higher all-cause mortality
C 56 Ten-year moving-average PM2.5 exposure assigned to residential addresses Higher incidence of dementia
C 56 Prenatal and childhood PM2.5 exposure assigned to birth and residential addresses Higher incidence of childhood asthma
C 56 Persistent household gas-stove use Increased new or persistent asthma in children and adolescents
C 56 Habitual exercise while living under long-term fine-particle pollution Preserved association with lower natural-cause mortality in high-pollution areas
C 56 Observed social isolation level combining living arrangements, family and friend contact, and social participation Higher all-cause mortality hazard
C 56 Satellite-derived normalized difference vegetation index within 250 meters of residence Lower hazard of nonaccidental all-cause mortality
C 56 Periodontitis and tooth-loss status measured by clinical periodontal examination Increased incidence of dementia
C 56 Periodontitis confirmed by baseline clinical periodontal examination Long-term association with all-cause mortality
C 56 Stepwise heated egg powder, 50 mg daily at six to nine months then 250 mg daily to 12 months, alongside aggressive eczema treatment Prevention of egg allergy confirmed by oral food challenge at 12 months
C 56 Traditional tight swaddling with the legs extended and adducted for at least 20 hours daily for one month Increased developmental dysplasia of the hip in infants with physiologically immature hips
C 56 Working at least 55 hours per week, mainly self-reported once at baseline, versus 35 to 40 hours Increased incidence of first stroke
C 56 Habitual cycle commuting Reduced incidence of newly diagnosed cancer
C 56 Habitual hot-water tub bathing Lower incidence of cardiovascular disease
C 56 Artificial light during sleep from a room light or a television left on Increased risk of gaining at least 5 kg and developing overweight or obesity
C 56 Back blows and abdominal thrusts for adult foreign-body airway obstruction Favorable neurological outcome at 30 days
C 56 Tattooing Higher incidence of skin cancer
C 56 Completing a prescribed three-day amoxicillin course for uncomplicated pediatric community-acquired pneumonia Noninferior treatment failure or antibiotic retreatment versus completing seven days
C 56 Alcohol consumption during regular aspirin or nonsteroidal anti-inflammatory drug use Increased major upper gastrointestinal bleeding requiring hospitalization or transfusion
C 56 Oral-anticoagulant prescription coverage of 80% or less during the first 180 days Increased ischemic stroke and systemic embolism in atrial fibrillation
C 56 Multicomponent nonpharmacological delirium-prevention care bundle Reduction of incident delirium among adults hospitalized outside intensive care
C 56 Inpatient comprehensive geriatric assessment centered on dedicated geriatric wards Higher probability of being alive and living at home three to twelve months after admission
C 56 Nurse-led hospital-to-home transitional-care bundles Reduced heart-failure-specific readmission within six months after discharge
C 56 Tirzepatide Noninferiority to dulaglutide for major cardiovascular events
C 56 Calcium-only supplement Increased myocardial-infarction risk
C 56 Oral contraceptives Reduced ovarian-cancer incidence
C 56 Levonorgestrel 52 mg intrauterine device Emergency contraception within five days after unprotected intercourse
C 56 Self-reported green tea consumption Reduction in all-cause mortality
C 56 Total physical activity measured once by seven-day wrist accelerometry Lower incidence of dementia
C 56 Cefazolin 2 g intravenously 20-30 minutes before cesarean skin incision Prevention of maternal infection versus the same antibiotic after cord clamping
C 56 See title and evidence table for the studied intervention. The stated clinical outcome in the title.
C 56 Shift and night work Higher incidence of dementia
C 56 Occupational disinfectant exposure Higher incidence of COPD
C 56 Sugar-sweetened beverages Higher incidence of liver cancer
C 56 House-dust-mite-impermeable encasings for mattress, duvet, and pillow Reduced emergency-department attendance or admission for exacerbation in mite-sensitized children with asthma
C 56 Hospital-issued socks with rubber or synthetic slip-resistant tread Reduced inpatient falls
C 56 Going barefoot or wearing ordinary socks or stockings without shoes Increased falls during everyday activity and indoor walking in older adults
C 56 Pacifier use More acute and recurrent acute otitis media in young children
C 56 Use of hair straighteners, relaxers, or pressing products Associated with increased incidence of uterine cancer
C 56 A structured problem-solving intervention delivered by occupational-health consultants with the employee and manager Reduced registered sickness-absence days among workers with occupational stress or common mental disorders
C 56 Long-haul air travel lasting at least 4 hours Association with increased symptomatic venous thromboembolism within 8 weeks
C 56 A wide desk-mounted forearm-support board for computer work Reduced incidence of new neck and shoulder musculoskeletal disorders
C 56 Supervised twice-daily soap handwashing campaign at school Reduced laboratory-confirmed influenza-associated absence
C 56 Organized outreach that directly mails FIT kits to adults overdue for screening and reminds nonreturners Increased completion of colorectal cancer screening within a defined period
C 56 Seasonal influenza vaccination programs for care-home staff Reduced all-cause mortality among residents during influenza activity
C 56 Titrated oxygen targeting SpO2 88% to 92% during ambulance transport for suspected acute COPD exacerbation Reduced prehospital or in-hospital mortality versus routine high-flow oxygen
C 56 Brief universal postpartum nurse home visiting with linkage to community resources Reduced emergency-department visits and hospital overnights during infancy
C 56 Two months of clinician-delivered CBT-I for adults aged 60 or older with insomnia and no current major depression Prevention of incident and recurrent major depressive disorder over three years
C 56 Air, viscous-fluid, or gel-and-foam skin-protection cushions installed in fitted wheelchairs Prevention of six-month ischial pressure ulcers versus segmented foam in high-risk nursing-home residents
C 56 Shoe-mounted coil ice cleats (Yaktrax Walker) plus use instruction Fewer winter outdoor falls in fall-prone older adults
C 56 The five-session universal school programme Youth Aware of Mental Health (YAM) Fewer suicide attempts over 12 months in adolescents
C 56 Oral cryotherapy during conditioning-drug infusion before allogeneic hematopoietic stem-cell transplantation Reduced WHO grade 3-4 severe oral mucositis
C 56 A standardized fracture liaison service that systematically identifies patients aged 50 or older and links assessment, treatment, and fall prevention Reduced subsequent distal-forearm, proximal-humerus, or hip fragility fractures
C 56 Daily continuous low-dose antibiotic prophylaxis during clean intermittent self-catheterisation Reduction in recurrent symptomatic, antibiotic-treated urinary tract infections over 12 months
C 56 Six-monthly alpha-fetoprotein testing plus liver ultrasonography surveillance in adults at high risk from hepatitis B or chronic hepatitis Reduced hepatocellular-carcinoma mortality
C 56 A 12-gene pharmacogenetic panel linked to genotype-guided prescribing Reduction of causal, clinically relevant adverse drug reactions within 12 weeks of starting a new drug
C 56 The exact synbiotic combination of Lactiplantibacillus plantarum ATCC 202195 plus fructooligosaccharide Reduced sepsis or death by 60 days in healthy, relatively mature rural newborns
C 56 Four-month rifapentine–moxifloxacin regimen Noninferior treatment shortened by two months versus the standard six-month regimen for drug-susceptible pulmonary tuberculosis
C 56 Empirical beta-lactam monotherapy strategy Noninferior 90-day mortality versus combination antibiotic strategies in adults hospitalized outside the ICU with community-acquired pneumonia
C 56 Adjuvant radiotherapy, 26 Gy in five fractions over one week after surgery Noninferior prevention of five-year ipsilateral breast tumor relapse versus 40 Gy in 15 fractions over three weeks
C 56 Direct mailing of HPV self-sampling kits Increased six-month cervical screening completion among adults who were overdue or long-term non-attenders
C 56 Expectant management instead of early ibuprofen Death, necrotizing enterocolitis, or bronchopulmonary dysplasia in extremely preterm PDA
C 56 Seven-day intravenous antibiotics Noninferiority to 14 days for 21-day relapse after clinical remission of culture-proven neonatal sepsis
C 56 UV-C terminal-room disinfection added to standard cleaning Reduced first target-organism clinical-culture or test positivity in the next room occupant
C 56 Risk-based breast cancer screening Noninferior stage IIB or higher breast cancer versus annual screening
C 55 Lactium (milk protein hydrolysate, alpha-s1-casein-derived) sleep and stress relief
C 55 Octacosanol fatigue and endurance
C 55 Zinc immunity and common cold
C 55 Vitamin K2 (MK-7, menaquinone-7) Bone health and vascular calcification/calcium metabolism
C 55 Garlic (including allicin and aged garlic extract) Blood pressure and cholesterol
C 55 Lion's mane mushroom (Lion's mane, Hericium erinaceus) cognition, memory, and nerves
C 55 Astaxanthin (astaxanthin, Haematococcus extract) eye fatigue, skin health, and antioxidant effects
C 55 Lactoferrin Immune function, iron, and gut health
C 55 Hovenia dulcis fruit extract (HDE; hovenic acid) Liver health and hangover
C 55 Artichoke leaf extract Cholesterol, digestion, and liver
C 55 Resistant maltodextrin (resistant maltodextrin/resistant dextrin) Postprandial blood glucose, bowel movements, and triglycerides
C 55 Mulberry leaf extract (DNJ/1-deoxynojirimycin) Postprandial blood glucose
C 55 Huperzine A (derived from club moss) Memory and cognition
C 55 Partially hydrolyzed guar gum (PHGG) Gut health, bowel movements, IBS
C 55 Galactooligosaccharides (GOS) Improvement of constipation and stool frequency, and increased bifidobacteria
C 55 Rye grass pollen extract (Cernilton) Improvement of urinary symptoms from benign prostatic hyperplasia
C 55 PeakATP (oral adenosine triphosphate) Improved strength and exercise performance
C 55 Touchi extract (fermented soybean extract) Suppression of postprandial blood glucose elevation
C 55 Moro blood orange extract (Morosil®) Reduction of abdominal fat, waist circumference, and body weight
C 55 Bacillus coagulans Unique IS-2 Bowel regularity and constipation improvement
C 55 PMO wheat albumin Delayed carbohydrate absorption and reduced postprandial glucose rise
C 55 Lactiplantibacillus plantarum C29-fermented soybean complex (DW2009) Improvement of memory and attention in mild cognitive impairment
C 55 Magnesium Prevention of migraine attacks and reduction in frequency
C 55 Coenzyme Q10, migraine-efficacy axis Reduction in migraine-attack frequency and duration in adults
C 55 Green kiwifruit powder (Actazin) Improvement in bowel frequency, stool form, and abdominal discomfort in functional constipation
C 55 L-ornithine L-aspartate (LOLA) Improvement of cirrhotic hepatic encephalopathy and hyperammonemia
C 55 Almond (Prunus dulcis) Lower LDL cholesterol and reduced heart-disease risk
C 55 Inclisiran (PCSK9-synthesis-inhibiting siRNA, Leqvio, prescription) Approximately 50% lower LDL-C leading to fewer myocardial infarctions and ischemic strokes
C 55 Sodium hyaluronate ophthalmic solution (artificial tears) Improvement of dry-eye symptoms and tear-film stability
C 55 MCT oil (medium-chain triglycerides C8 and C10, supplement) Small reductions in body weight, body fat, and waist circumference when replacing long-chain fat
C 55 Linagliptin (prescription DPP-4 inhibitor; Tradjenta) Lower 24-week HbA1c and fasting plasma glucose in adults with inadequately controlled type 2 diabetes
C 55 Gabapentin (an alpha-2-delta ligand gabapentinoid; prescription Neurontin; off label for RLS) Relief of nocturnal leg discomfort, periodic movements, and sleep disturbance in adults with restless legs syndrome
C 55 Extended-release fampridine or dalfampridine (prescription potassium-channel blocker for walking impairment) Improved walking speed and ability in a subset of people with multiple sclerosis
C 55 White-noise machine or app (non-drug acoustic-masking sleep product) Improved sleep onset and subjective sleep quality in adults and older adults
C 55 Mavacamten (cardiac myosin inhibitor, Camzyos, prescription drug) Improved exercise capacity, dyspnea, and NYHA functional class in symptomatic obstructive hypertrophic cardiomyopathy
C 55 Teplizumab-mzwv (anti-CD3 monoclonal antibody, TZIELD, prescription infusion) Delay of progression from high-risk stage 2 to clinical stage 3 type 1 diabetes
C 55 FIFA 11+ (combined neuromuscular, balance, and strength warm-up; nonpharmacologic exercise intervention) Prevention of lower-extremity and severe sports injuries in youth and amateur football players
C 55 Desmopressin orally disintegrating tablet (prescription vasopressin V2-receptor analog; Nocdurna) Reduced nocturnal voids and longer sleep until first void in adult men with confirmed nocturnal polyuria
C 55 Itraconazole (systemic triazole antifungal, Sporanox, oral prescription drug) Mycological and clinical complete cure of dermatophyte toenail onychomycosis
C 55 Bezafibrate (an oral prescription fibrate and pan-PPAR agonist; off-label for PBC) Improved complete biochemical response and pruritus in primary biliary cholangitis with inadequate UDCA response
C 55 Vegetables/protein-first, carbohydrates-last meal order (non-drug dietary intervention) Blunting post-meal glucose and insulin surges in adults with type 2 diabetes or prediabetes
C 55 Intravesical gemcitabine (prescription instillation) Prevention of tumor recurrence over four years with one immediate post-TURBT instillation in low-grade non-muscle-invasive bladder cancer
C 55 Home long-term noninvasive ventilation (home NIV or BiPAP, a prescribed positive-pressure respiratory-support device) Delayed readmission or death in patients with persistent hypercapnia after an acute COPD exacerbation
C 55 Balance and functional exercise for older adults (community exercise program) Prevention of fall-related fractures in community-dwelling older adults
C 55 Repeated low-level red-light therapy (RLRL, desktop ophthalmic light-treatment device) Slowed axial elongation and refractive progression in children with myopia
C 55 Oral tranexamic acid 250 mg as a prescription tablet Reduced facial pigmentation and MASI severity in adults with melasma
C 55 Orforglipron (oral nonpeptide GLP-1 receptor agonist tablet) Reduction of glycated hemoglobin in early type 2 diabetes
C 55 OnabotulinumtoxinA (Botox; prescription injection) Reduced monthly headache days in adults with chronic migraine
C 55 OnabotulinumtoxinA injections into the glabellar muscles Temporary appearance improvement of moderate or severe glabellar expression lines
C 55 Continuous glucose monitoring for type 2 diabetes treated with basal insulin Improved glycemic control in type 2 diabetes treated with basal insulin
C 55 High-add multifocal soft contact lenses (peripheral-add optical lenses with +2.50 D add power) Slowed refractive progression and axial elongation in childhood myopia
C 55 Transcranial direct current stimulation (tDCS; noninvasive low-intensity direct-current brain stimulation through scalp electrodes) Reduced depressive symptoms and increased response or remission in major depressive disorder
C 55 Renal denervation (catheter-based ablation of sympathetic nerves around the renal arteries) Blood-pressure reduction in hypertension uncontrolled by medication
C 54 Red ginseng (ginsenosides) immune enhancement
C 54 Omega-3 (EPA/DHA) cardiovascular and blood-flow improvement
C 54 Flaxseed (lignans, flaxseed) menopausal symptoms (hot flashes/night sweats), gut health (constipation/bowel movements), cholesterol (LDL/total cholesterol)
C 54 HMB (beta-hydroxy beta-methylbutyrate) Muscle mass, strength, and sarcopenia (older adults)
C 54 Lemon balm (Melissa officinalis) Stress, anxiety, and sleep
C 54 Rosehip (Rosa canina) Joints (osteoarthritis) and antioxidant
C 54 Quisqualis fruit extract powder (Combretum indicum) Prostate health and improved urinary symptoms
C 54 Chrysanthemum zawadskii extract (GCWB106) Joint and cartilage health and improvement of knee pain
C 54 Lactiplantibacillus plantarum HAC01 Reduced postprandial glucose rise in adults with prediabetes
C 54 Hydrangea serrata leaf extract (ReSeringe) Reduced body fat and abdominal fat
C 54 Saffron extract Visual function and contrast sensitivity in age-related macular degeneration
C 54 S-equol, a soy-derived fermentation metabolite Relief of menopausal hot flashes, sleep disturbance, and muscle pain
C 54 Alpha-galactosidase Reduction of gas and bloating after beans or high-FODMAP meals
C 54 Weissella cibaria CMU (OraCMU) Improvement of gingivitis and gum bleeding
C 54 Micellar casein Overnight muscle protein synthesis, recovery, and muscle growth from pre-sleep intake
C 54 Acarbose (alpha-glucosidase inhibitor, Glucobay, prescription medicine) Reduced postprandial glucose and glycated hemoglobin (HbA1c)
C 54 Carboxymethylcellulose sodium eye drops (CMC, Refresh, nonprescription) Improvement of dry-eye symptoms, irritation, and tear-film instability
C 54 Hydroxyapatite toothpaste (fluoride-alternative remineralizing toothpaste, general use) Enamel remineralization without fluoride and caries prevention comparable to fluoride toothpaste
C 54 Azelaic acid (topical acne medicine, nonprescription and prescription product) Reduction of inflammatory and noninflammatory lesions in mild-to-moderate acne
C 54 Branched-chain amino acids (BCAAs: leucine, isoleucine, and valine; medical nutrition and supplements) Improvement of consciousness and neuropsychiatric symptoms in cirrhosis-related hepatic encephalopathy
C 54 Cold-water immersion (CWI; a nonpharmacologic exercise-recovery method) Improved delayed-onset muscle soreness and subjective recovery 24 to 96 hours after high-intensity exercise
C 54 Seladelpar (selective PPAR-delta agonist, Livdelzi, prescription drug) Improved ALP-bilirubin biochemical response and pruritus in primary biliary cholangitis with inadequate UDCA response
C 54 Blood flow restriction training (BFR/KAATSU, low-load exercise with compression cuffs, non-drug exercise equipment) High-load-level gains in muscle size and strength from low-load resistance exercise
C 54 Repaglinide (oral prescription rapid-acting meglitinide insulin secretagogue; NovoNorm) Lower postprandial glucose and HbA1c in type 2 diabetes inadequately controlled by diet
C 54 Postprandial walking (a lifestyle, nonpharmacologic exercise intervention) Suppression of postmeal glucose spikes in type 2 diabetes or impaired glucose tolerance by walking for 10 to 15 minutes immediately after meals
C 54 Acitretin (systemic retinoid; oral prescription drug, Neotigason) Prevention of new cutaneous squamous cell carcinoma in high-risk kidney-transplant recipients with multiple skin cancers
C 54 Intermittent theta-burst transcranial magnetic stimulation (iTBS, noninvasive neuromodulation delivered in a medical setting) Induction of symptomatic response and remission in treatment-resistant major depressive disorder
C 54 Sports mouthguard (boil-and-bite or custom-fitted nonmedical oral protective equipment) Prevention of dental and orofacial injuries during contact sports
C 54 Home blood-pressure self-monitoring linked to clinical care and telemonitoring Improved blood-pressure control in treated hypertension
C 54 Supervised land-based exercise therapy (strength, aerobic, and functional exercise) Improved pain and disability in knee osteoarthritis
C 54 Mandibular advancement device (MAD, intraoral sleep-breathing medical device) Improvement of apnea, daytime sleepiness, and snoring in mild-to-moderate obstructive sleep apnea
C 54 Eye movement desensitization and reprocessing (EMDR, trauma-focused psychotherapy) Improvement in core PTSD symptoms and diagnostic status
C 54 Hypoglossal nerve stimulation (implantable sleep-breathing medical device) Improvement of respiratory indices and daytime function in CPAP-intolerant obstructive sleep apnea
C 54 Guselkumab (prescription IL-23 p19 monoclonal-antibody biologic) PASI90 and IGA 0 or 1 skin-lesion response in moderate-to-severe plaque psoriasis
C 54 Elagolix (prescription oral GnRH antagonist) Response in endometriosis-associated dysmenorrhea and nonmenstrual pelvic pain
C 54 Dry needling (insertion of an unmedicated needle into myofascial trigger points) Reduced morning first-step and foot pain in plantar fasciitis
C 54 Pregabalin (prescription gabapentinoid) Patient-reported pain reduction in painful diabetic peripheral neuropathy
C 54 Melatonin 3 mg (immediate-release indoleamine supplement or medicine) Reduction of monthly migraine days and prevention of adult migraine
C 54 Foam rolling (self-massage device and lifestyle technique) Reduction of delayed-onset muscle soreness and short-term functional recovery after exercise
C 54 Gut-directed hypnotherapy (standardized hypnosis, education, and home-practice psychotherapy) Relief of abdominal pain, bloating, and global symptoms of irritable bowel syndrome
C 54 Naldemedine, a peripherally acting mu-opioid receptor antagonist Improvement of opioid-induced constipation in chronic noncancer pain
C 54 Omalizumab, an anti-IgE monoclonal antibody Reduced itch and hives in antihistamine-refractory chronic spontaneous urticaria
C 54 Propranolol, a nonselective beta blocker Reduction in attack frequency for adult episodic migraine prevention
C 54 Subcutaneous sumatriptan 6 mg Pain freedom or relief within 15 minutes of an acute cluster headache attack
C 54 Empagliflozin 10 mg, a prescription SGLT2 inhibitor Reduction in MRI-measured liver fat in MASLD with type 2 diabetes
C 54 CEFALY external trigeminal nerve stimulation device Reduction in episodic migraine days with daily preventive use
C 54 Duloxetine, a prescription serotonin-norepinephrine reuptake inhibitor Patient-perceived pain reduction in painful diabetic peripheral neuropathy
C 54 Sildenafil, a prescription phosphodiesterase type 5 inhibitor Improved six-minute walk capacity and reduced clinical worsening in pulmonary arterial hypertension
C 54 Dupilumab, a prescription interleukin-4 receptor alpha monoclonal antibody injection Improved congestion, nasal polyps, and disease-specific quality of life in severe chronic rhinosinusitis with nasal polyps
C 54 Nemolizumab, a prescription interleukin-31 receptor alpha monoclonal antibody injection Itch response and skin-nodule clearance in moderate-to-severe prurigo nodularis
C 54 Risankizumab, an interleukin-23 p19 monoclonal antibody At least 90% improvement and clearance of moderate-to-severe plaque psoriasis lesions
C 54 Tapinarof 1% cream, a topical prescription medicine Achievement of clear or almost-clear lesions in adult plaque psoriasis
C 54 Oral prednisolone, a systemic glucocorticoid prescription drug Analgesic equivalence to indomethacin or naproxen in adult acute gout
C 54 Inhaled ensifentrine 3 mg twice daily, a prescription dual PDE3 and PDE4 inhibitor Improved week-12 FEV1 AUC0-12h, with symptoms, quality of life, and week-24 exacerbations assessed separately
C 54 High-dose one-day oral valacyclovir started at the first symptom, 2 g twice in one day Shorter lesion and symptom duration in recurrent herpes labialis
C 54 Dupilumab, a prescription monoclonal antibody targeting IL-4R alpha Clinically meaningful itch reduction and nodule improvement in uncontrolled prurigo nodularis
C 54 Upadacitinib, an oral selective JAK inhibitor marketed as Rinvoq Induction and maintenance of clinical remission in moderate-to-severe ulcerative colitis
C 54 Therapeutic aquatic exercise Improvement of pain and daily function in knee or hip osteoarthritis
C 54 Injectable polydeoxyribonucleotide, or PDRN, using a Placentex-type prescription product Increased complete closure of chronic diabetic foot ulcers by eight weeks
C 54 Amitriptyline, a tricyclic antidepressant prescribed off label for adult migraine prevention Reduction in monthly migraine days and increased 50% response in adults
C 54 Deoxycholic acid injection, ATX-101 marketed as Kybella or Belkyra, for submental fat Visible reduction of moderate or severe submental fat in adults
C 54 Cross-linked hyaluronic acid dermal filler, including injectable gels such as Juvéderm Visible correction and durability of moderate-to-severe nasolabial folds
C 54 Whole lettuce Reduced incidence of estrogen-receptor-negative breast cancer
C 54 Raw onion juice, 10 mL daily Improved insomnia and sleep duration in adults aged 60 years or older
C 54 Small purple potatoes microwaved with the skin Lower blood pressure in overweight adults with hypertension
C 54 Whole-eggplant juice-dried powder Reduction of office blood pressure
C 54 Whole chilies and sweet peppers Lower odds of prevalent sarcopenia
C 54 Whole date fruit, 100 g Reduced bleeding during 24 hours after vaginal delivery
C 54 Freeze-dried whole doenjang Reduction in visceral fat
C 54 One whole Brazil nut daily Improved cognition in mild cognitive impairment
C 54 Three daily servings of whole wheat and oats Reduced systolic blood pressure
C 54 Fully cooked green lentils, 140 g per day Reduced postprandial glucose response
C 54 Farmed trout, 250 g twice weekly as food Improved blood lipids in people with hyperlipidemia
C 54 Cod fillet, 150 g three or five times weekly within an energy-restricted diet Additional weight loss during energy restriction
C 54 Nonfermented skim milk consumed by adolescents Increased prevalence of adolescent acne
C 54 Curry meals combining turmeric with other spices, fat, and main ingredients Lower cognitive decline and incidence of mild cognitive impairment or dementia
C 54 Circulating erythritol concentration Higher circulating concentration and increased major cardiovascular events comprising death, nonfatal myocardial infarction, or stroke
C 54 Forty-eight milligrams of pure sucralose in water taken ten minutes before a glucose load Worsened postprandial glucose and insulin responses
C 54 The proportion of total dietary energy classified as NOVA group 4 ultra-processed food Increased incidence of depressive symptoms
C 54 Early six-hour time-restricted feeding with dinner before 3 pm Improved insulin sensitivity with calories set to weight-maintenance needs
C 54 Very-low-sodium diet estimated as less than 3 g sodium per day Increased death or major cardiovascular events
C 54 An additional 1.5 L of water per day on top of usual intake Prevention of recurrent cystitis in premenopausal women with low baseline fluid intake
C 54 Midlife alcohol intake of 1-14 UK units/week (8-112 g ethanol/week) Prevention of incident dementia
C 54 Drinking coffee, at least 28 oz/day, about 828 mL, brewing method unknown Prevention of incident Parkinson disease
C 54 A porridge meal labeled with 4 mg iron isotope taken with 200 mL black tea Reduced single-meal fractional nonheme-iron absorption
C 54 Repeated consumption of carbonated soft drinks, including cola Lower bone mineral density or increased fracture
C 54 Habitual daytime napping, especially naps shorter than 30 minutes Prevention of cognitive decline and dementia in later life
C 54 Self-reported habitual napping once or twice per week Prevention of fatal and nonfatal cardiovascular events such as myocardial infarction and stroke
C 54 Habitual self-reported sleep of about seven hours per day Lower all-cause mortality than shorter or longer sleep
C 54 Stopping mobile phone use from 30 minutes before usual bedtime for four weeks Shorter self-reported sleep latency, longer sleep duration, and better sleep quality
C 54 Dog ownership recorded in Swedish national registers, observed for up to 12 years Lower cardiovascular and all-cause mortality
C 54 Self-reported annual volunteering categorized as 0, 1-49, 50-99, or at least 100 hours Lower onset of physical-function limitations four years later
C 54 Singing for Lung Health for 90 minutes twice weekly over 10 weeks Replacement of standard exercise training in COPD pulmonary rehabilitation
C 54 A 50-to-55-minute nature walk for adults with major depressive disorder Immediate improvement in working-memory performance
C 54 Placing an infant supine for sleep from birth through the first year Reduced sudden infant death syndrome
C 54 At least 20 minutes of daily supervised prone play after discharge for preterm infants Improved motor development through four months corrected age
C 54 High job demands combined with low job control by baseline questionnaire Increased incidence of coronary heart disease
C 54 Cumulative years of rotating night shifts, defined as at least three nights per month plus day or evening shifts Increased incidence of type 2 diabetes
C 54 A four-week ICU-level positive-communication package called the Hello Bundle Reduced burnout prevalence among ICU healthcare professionals
C 54 A three-week intervention limiting healthy university students' smartphone screen time to no more than two hours per day Reduced depressive symptoms
C 54 Daily digital screen time Higher myopia risk in children and adolescents
C 54 An intensive family intervention limiting recreational screen use to three hours per person per week for two weeks Increased leisure nonsedentary physical activity in children
C 54 Residential road-traffic noise Increased ischemic heart disease and stroke
C 54 Unpaid participation in community or nonprofit volunteering Reduced all-cause mortality risk during prospective follow-up
C 54 Prehospital extremity tourniquet use Reduced in-hospital mortality after civilian peripheral vascular trauma
C 54 A total of twenty minutes of cool running water within three hours after a thermal burn Reduced need for skin grafting and hospital admission
C 54 One-percent povidone-iodine irrigation for a simple acute laceration Reduced wound infection after repair
C 54 Omeprazole 20 mg taken 20 to 30 minutes before the first meal Improved reflux symptoms versus other existing dosing times
C 54 The eight-session individual START coping-strategy program Reduction of depression and anxiety symptoms in family carers of people with dementia
C 54 Below-knee graduated compression stockings worn during long-haul flights Reduction in asymptomatic deep-vein thrombosis detected by post-flight ultrasound
C 54 Ultraviolet or UV/LED gel-nail curing lamps Increased incidence of skin cancer on the hands
C 54 Weighted blanket filled with metal chains, beads, or other heavy material Improved insomnia symptoms
C 54 PDE5 inhibitors Reduced incidence of Alzheimer disease
C 54 Frequency of regular Finnish sauna bathing Reduced incidence of dementia
C 54 Seated soleus push-up Reduced three-hour postprandial glucose excursion
C 54 Wearing socks in bed Improved sleep onset and sleep
C 54 Wearing a bicycle helmet Prevention of head injury and serious head injury during a crash or fall
C 54 Suppressive acyclovir 400 mg twice daily for recurrent genital herpes Prevention of clinical recurrences during treatment
C 54 See title and evidence table for the studied intervention. The stated clinical outcome in the title.
C 54 See title and evidence table for the studied intervention. The stated clinical outcome in the title.
C 54 Fast eating speed Increased incidence of type 2 diabetes
C 54 A non-rigid lumbopelvic support belt worn during waking hours and removed for sleep Relief of pregnancy-related pelvic girdle pain and disability at 20-32 weeks' gestation
C 54 A 19-mm polyurethane foam anti-fatigue mat Relief of perceived foot and leg fatigue during prolonged standing
C 54 Removable dentures worn during sleep Increased incidence of serious pneumonia
C 54 Current dog ownership Reduced incident disabling dementia
C 54 One-inch 3M Micropore paper tape applied to blister-prone sites before racing Prevention of foot blisters during long-distance walking or running
C 54 Screen exposure at age one, including television, DVDs, games, mobile phones, and tablets More developmental screening delay at ages two and four
C 54 Menstrual cup use Associated with increased copper intrauterine-device expulsion
C 54 Work clothing factory-treated with long-lasting permethrin Reduced tick bites in outdoor workers
C 54 A multifaceted package of foot orthoses, foot and ankle exercise, footwear advice and subsidy, falls education, and routine podiatry Reduced fall rate in community-dwelling older adults with disabling foot pain
C 54 An environmental intervention replacing six high-touch ICU objects with copper-alloy surfaces Reduced healthcare-associated infection
C 54 Shift work outside standard daytime hours, including night work Association with increased incident diagnosed depression
C 54 Buttonhole cannulation of a hemodialysis arteriovenous fistula Increased local infection, abscess, or bacteremia versus rope-ladder cannulation
C 54 Aquacel Ag or nanocrystalline-silver dressings Faster wound closure of partial-thickness burns than daily 1% silver sulfadiazine
C 54 Portable-bladder-ultrasound prompted voiding tailored to individual bladder capacity Reduced daytime urine leakage in older nursing-home residents
C 54 Collaborative or case-managed depression care in primary care, with structured contacts, monitoring, clinician feedback, and specialist supervision Reduction in PHQ-9 depressive symptoms
C 54 Custom-molded RTV silicone toe separator worn at night Reduced radiographic hallux valgus angle over 12 months in moderate hallux valgus
C 54 Starting term or near-term neonatal resuscitation with 21% room air and adding oxygen if needed Reduced death or moderate-to-severe hypoxic-ischaemic encephalopathy versus starting with 100% oxygen
C 54 Continuous plantar-pressure sensing insoles with smartwatch alerts and offloading guidance Reduced recurrence of healed plantar diabetic foot ulcers
C 54 The SMArT Work package combining a sit-stand desk with education, goals, feedback, coaching, and prompts Reduced occupational sitting at 12 months among office workers
C 54 Hospital-wide adoption of safety-engineered needles and blood-collection devices Reduction in occupational needlestick injuries among healthcare personnel
C 54 A mobile stroke unit equipped with CT, point-of-care testing, neurologic evaluation, and thrombolysis Reduced disability and increased functional independence at 90 days
C 54 High-protein oral nutritional supplement containing HMB (HP-HMB) Reduced 90-day postdischarge mortality in malnourished older medical inpatients
C 54 Single-use hydrophilic-coated intermittent catheter Reduced antibiotic-treated symptomatic urinary tract infection after acute spinal cord injury
C 54 Frozen gloves and socks during paclitaxel infusion Prevention of paclitaxel-induced peripheral neuropathy
C 54 Standardized twice-daily application of a fragrance-free pH 5-6 moisturizer to the arms and legs Prevention of skin tears in aged-care residents
C 54 Alcohol-based hand sanitizer provision plus enhanced hand-hygiene education during international travel Lower incidence of travelers' diarrhea
C 54 Closure of simple lacerations with 2-octyl or n-butyl cyanoacrylate tissue adhesive Long-term cosmetic results comparable to sutures in clean, linear, low-tension simple lacerations
C 54 A caffeine nap consisting of 200 mg caffeine followed immediately by less than 15 minutes of sleep Fewer simulated driving incidents than with caffeine alone in sleepy drivers
C 54 Paper tape applied continuously to a cesarean incision for 12 weeks Prevention of hypertrophic scar formation
C 54 Four-week multimodal prehabilitation combining exercise, nutrition, and psychological support before colorectal cancer surgery Reduction in severe postoperative complications within 30 days
C 54 Bedside medication management combining patient and drug bar-code verification with an electronic medication record Reduction in nontiming medication-administration errors
C 54 Intensive physiotherapist-supervised pelvic floor muscle training from 20 to 36 weeks of pregnancy Primary prevention of urinary incontinence in late pregnancy and three months postpartum
C 54 The INTERACT3 early goal-directed care bundle for acute intracerebral hemorrhage Improved functional recovery at six months
C 54 Manualized once-weekly Swedish massage delivered by licensed therapists Reduced persistent cancer-related fatigue in breast cancer survivors
C 54 Low-dose titrated amitriptyline Improved six-month symptom severity in irritable bowel syndrome persisting after diet and first-line treatment
C 54 Emicizumab prophylaxis Reduced treated bleeding in hemophilia A with factor VIII inhibitors
C 54 Subcutaneous lanadelumab Prevention of attacks over 26 weeks in patients aged 12 years or older with type I or II hereditary angioedema
C 54 Horse-derived antithymocyte globulin (horse ATG) Improved 6-month hematologic response versus rabbit ATG in severe aplastic anemia
C 54 Etranacogene dezaparvovec gene therapy Reduced annualized bleeding rate versus prior prophylaxis in severe or moderately severe hemophilia B
C 54 Once-daily modified-release hydrocortisone Improved weight and metabolism in adrenal insufficiency
C 54 Sucrose octasulfate-containing wound dressing Increased complete closure by 20 weeks in neuroischaemic diabetic foot ulcers
C 54 Luspatercept Reducing transfusion burden in transfusion-dependent beta-thalassemia
C 54 Romiplostim Reduced treatment failure and splenectomy in adults with immune thrombocytopenia who had not undergone splenectomy
C 54 Deferiprone Noninferior chelation success versus deferasirox in pediatric transfusion-dependent hemoglobinopathy with iron overload
C 54 Physical therapy compared with intra-articular glucocorticoid injection Reduced pain and functional disability in knee osteoarthritis
C 54 Home blood-pressure self-monitoring with prespecified medication self-titration Reduced office systolic blood pressure in high-risk hypertension
C 54 Pharmacist prescribing and follow-up in community barbershops Reduced systolic blood pressure in uncontrolled hypertension
C 54 Belimumab, a prescription BLyS-inhibiting monoclonal antibody Increased week-52 SRI disease-activity response in active systemic lupus erythematosus
C 54 Icon resin infiltration (ICON, DMG, Germany) Reduced radiographic progression of non-cavitated proximal early caries
C 54 A phase-change-material cooling vest and an on-site cooling oasis combining hydration, cold towels, fans, and water dousing Reduced physiological heat strain measured by core temperature and heart rate during sawmill work in Thailand
C 54 A 36 mg/dL treatment-threshold strategy for neonatal hypoglycemia Noninferior Bayley neurodevelopment at 18 months versus a 47 mg/dL threshold
C 54 Luspatercept Transfusion independence with concurrent hemoglobin response in transfusion-dependent lower-risk MDS
C 54 Monthly fitusiran prophylaxis Reduced annualized bleeding in severe hemophilia A or B without inhibitors
C 54 Immediate sequential bilateral cataract surgery Achievement of refractive target versus delayed sequential surgery
C 54 Five-day high-frequency penicillin V Clinical-cure noninferiority versus 10 days
C 54 Inebilizumab Reduced independently adjudicated NMOSD relapse
C 54 Preoperative office evaluation alone, omitting routine urodynamic testing Noninferiority to added urodynamic testing for one-year patient-reported treatment success in uncomplicated stress urinary incontinence
C 54 Real-time video home cardiac rehabilitation Noninferior improvement in 12-week six-minute walk function versus centre-based rehabilitation in stable chronic heart failure
C 54 Pelacarsen Reduction in six-month lipoprotein(a) concentration in patients with cardiovascular disease and elevated Lp(a)
C 54 Secukinumab HiSCR50 lesion response in moderate-to-severe hidradenitis suppurativa
C 54 Intravenous risankizumab induction Week-12 clinical remission and endoscopic response in moderate-to-severe Crohn's disease
C 53 Elderberry (elderberry, Sambucus nigra) Colds, influenza, and immunity
C 53 Magnesium oxide Improvement of chronic constipation and bowel-movement frequency
C 53 Lactobacillus acidophilus YT1 (MENOLACTO®, an individually recognized branded strain) Improved menopausal symptoms, including hot flashes, and quality of life
C 53 Ashwagandha root extract (Withania somnifera; withanolide-containing adaptogenic botanical supplement) Improved strength and aerobic capacity measured by VO2max in healthy adults performing resistance training
C 53 Autologous platelet-rich plasma (PRP, an autologous blood-derived regenerative injection procedure) Increased hair density and hair count in men and women with androgenetic alopecia
C 53 Black seed oil, a Nigella sativa seed-oil herbal supplement containing thymoquinone Improvement of ALT, AST, and ultrasound steatosis in MASLD or nonalcoholic fatty liver disease
C 53 High-flavanol cocoa (cocoa flavanols; epicatechin-class polyphenols used as foods or supplements) Improved fasting insulin and HOMA-IR
C 52 Propolis immunity/oral: general immune-function/cold-prevention claims and oral antibacterial/gum/plaque claims evaluated separately
C 52 GABA (gamma-aminobutyric acid, oral) Stress and sleep
C 52 BCAA (branched-chain amino acids: leucine, isoleucine, valine) Muscle and exercise (muscle mass/strength/exercise performance, post-exercise recovery and muscle soreness)
C 52 Kimchi-derived probiotics (plant-derived lactic acid bacteria) gut health
C 52 Pycnogenol (French maritime pine bark extract) Antioxidant, vascular, and skin effects
C 52 Iodine Thyroid function
C 52 Bacopa monnieri (brahmi) Memory and cognition
C 52 Pomegranate (pomegranate) Antioxidant, vascular, blood pressure, and skin effects
C 52 Sulforaphane/broccoli sprout extract Antioxidant, detoxification, and anticancer
C 52 L-tyrosine Stress, focus, and cognitive performance
C 52 Vitamin B1 (thiamine) Fatigue and nerve function
C 52 Holy basil (tulsi, Ocimum tenuiflorum) Relief of stress and anxiety
C 52 Fennel seed extract Relief of menopausal symptoms
C 52 Artemisia annua extract powder Liver protection and liver-function improvement
C 52 Nicotinamide riboside (NR) Increased NAD+ and healthy aging
C 52 Enzymatically hydrolyzed Tremella fuciformis extract Improvement of age-related cognitive function
C 52 Gastrodia elata extract Improvement of memory and cognitive function
C 52 Pantethine Reduction in LDL cholesterol and triglycerides
C 52 Riboflavin (vitamin B2) Energy production and fatigue improvement
C 52 Lactobacillus helveticus R0052 plus Bifidobacterium longum R0175 Improved stress, anxiety, and mood
C 52 Aster spathulifolius extract Reduced body fat
C 52 Lactiplantibacillus plantarum TWK10 Improvement of endurance performance, strength, and fatigue recovery
C 52 Coenzyme Q10 Improved IVF or ICSI pregnancy success in women with diminished ovarian reserve
C 52 New Zealand blackcurrant anthocyanins (CurraNZ) Exercise endurance and post-exercise muscle recovery
C 52 Lactic-acid-bacteria-fermented oyster extract, FGO Promotion of height growth in children
C 52 MCT oil (medium-chain triglycerides, C8 and C10) Improved memory and cognitive function in mild cognitive impairment and Alzheimer's disease
C 52 Cyclosporine ophthalmic emulsion (Restasis, prescription medicine) Improved tear production and symptoms in inflammatory dry eye
C 52 Metadoxine (500-mg prescription medicine for alcohol-associated liver disease) Accelerated recovery of alcoholic fatty liver and normalization of liver enzymes
C 52 Baloxavir marboxil (Xofluza, prescription antiviral medicine) Prevention of household influenza transmission after a single dose taken by the infected person
C 52 Pidotimod (prescription immunomodulator) Reduced number of recurrent respiratory infections
C 52 Psychobiotic probiotics (live Lactobacillus- and Bifidobacterium-family supplements) Reduced depression scores and adjunctive support for antidepressant treatment in adults
C 52 Bakuchiol (plant-derived meroterpene marketed as a retinol alternative in nonprescription cosmetics) Improvement of facial photoaging wrinkles and hyperpigmentation with topical 0.5% use
C 52 Ferric carboxymaltose (intravenous ferric complex, prescription injection; Ferinject) Reduced heart-failure rehospitalization through 52 weeks after stabilization from acute heart failure with iron deficiency
C 52 DIMS defocus spectacle lenses (Defocus Incorporated Multiple Segments; MiyoSmart; a peripheral myopic-defocus optical medical device) Reduced two-year refractive progression and axial elongation in children with myopia
C 52 Prazosin (an alpha-1 adrenergic receptor blocker and prescription drug; use for PTSD is off-label) Reduced PTSD-related nightmares and sleep disturbance
C 52 Oral sodium bicarbonate (oral alkali-supplement tablets) Delayed kidney-function decline and progression to dialysis in chronic kidney disease with metabolic acidosis
C 52 Bright light therapy (10,000-lux non-drug light treatment using a consumer-available device) Improvement of depressive symptoms and remission in nonseasonal major depressive disorder
C 52 Radical prostatectomy (open, laparoscopic, or robotic prescription surgery) Reduction of prostate-cancer mortality and all-cause mortality in localized prostate cancer
C 52 Ciprofloxacin (prescription fluoroquinolone antibiotic) Primary prevention of spontaneous bacterial peritonitis (SBP) and death in cirrhosis with low-protein ascites
C 52 Donanemab (anti-amyloid monoclonal antibody; prescription intravenous Kisunla) Slowed cognitive and functional decline in amyloid-confirmed early symptomatic Alzheimer disease
C 52 External hip protector (impact-absorbing pads in protective underwear; non-drug protective product) Prevention of hip fractures in older adults at high risk of falls
C 52 Microsurgical varicocelectomy (prescription surgery for male infertility) Increased natural pregnancy and live birth in infertile men with a palpable varicocele and abnormal semen parameters
C 52 Honey (food and nonprescription natural product; age 12 months or older) Relief of nocturnal cough frequency and cough-related sleep disturbance in children with acute upper respiratory infection
C 52 Terlipressin (vasopressin V1 agonist; intravenous prescription injection) Verified reversal of renal dysfunction in cirrhosis-associated hepatorenal syndrome with acute kidney injury
C 52 Coenzyme Q10 (ubiquinone or ubiquinol supplement) Reduced all-cause mortality and heart-failure hospitalization in patients with chronic heart failure receiving standard therapy
C 52 Resistant starch (RS2, digestion-resistant starch, food and supplement) Reduction of intrahepatic triglyceride and liver fat in patients with MASLD/NAFLD
C 52 Low-intensity extracorporeal shockwave therapy (Li-ESWT, local penile procedure) Improved erectile function and erection hardness in vasculogenic erectile dysfunction
C 52 Vitamin C as oral tablets or capsules Improved glycemic control in people with type 2 diabetes
C 52 Genicular nerve radiofrequency ablation Short-term improvement in pain and function for knee osteoarthritis that has not responded to conservative treatment.
C 52 Carbohydrate mouth rinse (at least 6% maltodextrin or a similar carbohydrate solution, rinsed and expectorated during exercise) A small improvement in mean power output during cycling
C 52 Saffron, a Crocus sativus extract Relief of mood and physical symptoms of PMS or PMDD
C 52 Screening colonoscopy (a one-time invitation strategy for asymptomatic adults at average risk) Prevention of colorectal cancer incidence and colorectal cancer death
C 51 Heat-treated green tea extract Improvement of memory and concentration
C 51 Cetyl myristoleate complex (CMO and cetylated fatty acids) Improved knee-joint pain and function
C 51 EnXtra® (a proprietary standardized extract of Alpinia galanga) Improved caffeine-free alertness, attention, and sustained energy
C 51 L-theanine (a green-tea-derived amino-acid supplement) Improved attention and choice reaction time after a single dose in healthy adults
C 51 Topical 5% niacinamide (the amide form of vitamin B3, cosmetic) Improved appearance of facial photoaging, including fine lines, rough texture, and hyperpigmented spots, after 12 weeks of application
C 50 Low-molecular-weight collagen (collagen peptides) Skin hydration and elasticity
C 50 Lutein and zeaxanthin macular health and eye health
C 50 Magnesium sleep improvement and eye-twitching relief
C 50 MSM (methylsulfonylmethane) joint pain and function improvement
C 50 Boswellia serrata (frankincense) joint inflammation and pain relief
C 50 Coenzyme Q10 (ubiquinone/ubiquinol) antioxidant and blood-pressure improvement
C 50 Banaba leaf extract (corosolic acid) postprandial blood-glucose improvement
C 50 CLA (conjugated linoleic acid) body fat reduction
C 50 Spinach extract (thylakoids) appetite suppression and weight management
C 50 Oral hyaluronic acid skin moisturization
C 50 Oral ceramides (rice- and wheat-derived) skin moisturization and barrier
C 50 Collagen (hydrolyzed/UC-II) joint and bone health
C 50 B-complex vitamins Fatigue
C 50 Fucoidan (sulfated polysaccharides from brown algae such as sea mustard and kelp) immune and anticancer claims
C 50 Choline: choline bitartrate, phosphatidylcholine/lecithin, citicoline/CDP-choline, and alpha-GPC/choline alfoscerate Liver health/fatty liver and cognition/memory
C 50 Gelatin Joints, skin, and hair
C 50 Niacin (vitamin B3) Cholesterol and lipids
C 50 Alpha-GPC (alpha-glycerylphosphorylcholine, choline alfoscerate) Cognition and exercise performance
C 50 Tongkat Ali (Eurycoma longifolia) Male vitality and testosterone
C 50 Glycine Sleep
C 50 Natural eggshell membrane (NEM) Improvement of knee-joint pain, stiffness, and function
C 50 Multi-enzyme digestive supplement Improved digestion and bloating in the general population
C 50 Ecklonia stolonifera extract Liver health and liver-enzyme improvement
C 50 Gynostemma pentaphyllum leaf extract Relief of tension caused by stress
C 50 Fermented porcine placenta extract Improvement of fatigue
C 50 L-arabinose Attenuation of sucrose digestion and absorption and postprandial glucose control
C 50 MS-10 thistle complex Relief of menopausal symptoms in women
C 50 Rice bran ethanolic extract Improved sleep duration, sleep efficiency, and sleep onset
C 50 EpiCor dried yeast fermentate Reduction of cold and flu-like symptoms and immune support
C 50 Glycine Improved sleep quality and daytime alertness when taken before bed
C 50 Tomato nutrient complex (Lyc-O-Mato) Oral photoprotection and reduction of skin erythema
C 50 Shoden® ashwagandha extract Sleep quality, sleep onset, and nighttime awakenings
C 50 UREX probiotics GR-1 plus RC-14 (L. rhamnosus GR-1 plus L. reuteri RC-14) Growth of beneficial vaginal bacteria and reduction of bacterial-vaginosis recurrence
C 50 Coenzyme Q10 for male reproductive efficacy Improved sperm concentration and motility and greater pregnancy potential in infertile men
C 50 Curcumin, depression efficacy axis Relief of major depressive disorder symptoms and adjunctive use with antidepressants
C 50 Zinc L-carnosine, including polaprezinc and PepZin GI Gastric-mucosal protection and gastric-ulcer healing
C 50 Lactiplantibacillus plantarum HY7714 Improvement of skin hydration, elasticity, and UV-related skin aging
C 50 NOVAROSE®, a standardized Rosa chinensis petal extract Improved skin hydration, wrinkles, and ultraviolet-related photoaging
C 50 Voglibose (alpha-glucosidase inhibitor; Basen) Prevention of diabetic and cardiovascular complications beyond postprandial glucose suppression
C 50 Sinetrol XPur citrus polyphenol blend (branded ingredient) Reduced body fat, waist circumference, and weight in adults with overweight
C 50 Vitamin D3 (cholecalciferol, fat-soluble vitamin supplement) Improvement in OSDI, tear-film stability, and tear secretion in patients with dry eye and vitamin D deficiency
C 50 Taurine alone (an aminosulfonic acid sports supplement) Longer time to exhaustion and better endurance performance in healthy exercisers when taken alone before exercise
C 50 Adapalene 0.3% (a third-generation topical retinoid; prescription Differin topical product) Topical improvement of periorbital and forehead wrinkles, pigmentation, and texture in photoaged skin
C 50 Bovine colostrum (an immunoglobulin-containing dairy-derived supplement) Improved endurance, strength, power, and postexercise recovery in athletes
C 50 Curcumin extract (curcumin/turmeric extract, a turmeric polyphenol supplement) Delay or prevention of type 2 diabetes in adults with prediabetes
C 50 Hydroxyzine (a first-generation H1 antihistamine and sedating anxiolytic; Ucerax; prescription medicine) Improvement of anxiety, tension, and treatment response in adults with generalized anxiety disorder
C 50 Brexpiprazole (dopamine D2 partial-agonist atypical antipsychotic; Rexulti; prescription drug) Adjunctive treatment of major depressive disorder with inadequate response to antidepressants
C 50 Lactoferrin (milk-derived iron-binding glycoprotein used as an oral supplement) Reduced inflammatory and total lesion counts and severity in mild-to-moderate acne
C 50 Structured breathwork (a nonpharmacologic mind-body intervention or app program using slow, diaphragmatic, or related breathing) Relief of stress and anxiety symptoms in adults
C 50 Enhanced recovery after colorectal surgery (ERAS or fast-track colorectal surgery, a multicomponent perioperative care program) Reduced complications and 30-day readmission after colorectal surgery
C 50 Elafibranor 80 mg oral tablet Improved the alkaline-phosphatase and bilirubin composite biochemical response in primary biliary cholangitis with inadequate UDCA response
C 50 Low-level red-light or laser helmet therapy Increased hair density in male and female androgenetic alopecia
C 50 Acupuncture using true needle treatment Preventive reduction in episodic migraine attack frequency
C 50 Orthokeratology overnight corneal-reshaping lens Slower childhood myopia progression and axial elongation
C 50 Large-volume low-pressure isotonic saline nasal irrigation Improved chronic nasal and sinus symptoms and disease-specific quality of life
C 50 Roflumilast foam 0.3% (topical prescription PDE4 inhibitor) Improvement of seborrheic dermatitis lesion severity and itch
C 50 Efgartigimod alfa (prescription FcRn-blocking biologic) Improved activities of daily living in AChR-antibody-positive generalized myasthenia gravis
C 50 Local superficial heat therapy (abdominal heat patch or heating pad) Relief of pain from primary dysmenorrhea
C 50 Adalimumab (subcutaneous anti-TNF monoclonal-antibody prescription biologic; Humira and biosimilars) Induction and maintenance of clinical remission in moderate-to-severe Crohn disease
C 50 Cetirizine, a second-generation H1 antihistamine, at the standard 10-mg dose Suppression of wheals and itch in chronic spontaneous urticaria
C 50 Bronchial thermoplasty, a radiofrequency bronchoscopic procedure Improvement of quality of life and exacerbations in severe persistent asthma
C 50 Topical diclofenac, an NSAID gel or plaster Improved pain and function in acute ankle sprain
C 50 Fesoterodine, an antimuscarinic treatment for overactive bladder Reduced urinary frequency and urgency urinary incontinence in overactive bladder
C 50 Methylnaltrexone, a peripherally acting mu-opioid receptor antagonist Rapid rescue-free laxation in opioid-induced constipation during advanced illness
C 50 Lifitegrast 5% ophthalmic solution, an LFA-1 antagonist Improved eye-dryness and ocular-discomfort symptoms
C 50 Rimegepant, 75 mg orally every other day Reduction in monthly migraine days for adult migraine prevention
C 50 Ruxolitinib 1.5% cream, a topical JAK1 and JAK2 inhibitor Improvement of lesions and itch in mild to moderate atopic dermatitis
C 50 Amoxicillin, a prescription penicillin antibiotic Meaningful shortening of symptoms and disease-specific quality-of-life impairment in clinically diagnosed adult acute rhinosinusitis
C 50 CEFALY external trigeminal nerve stimulation device Increased freedom from pain at two hours during an acute migraine attack
C 50 Nonimmersive virtual-reality rehabilitation using Nintendo Wii upper-limb tasks Superior post-stroke arm recovery versus time-matched recreational activity
C 50 Powered toothbrush, especially oscillating-rotating designs Improved gingivitis and gingival-bleeding indices versus a manual toothbrush
C 50 Dupilumab, an interleukin-4 receptor alpha monoclonal antibody given by weekly subcutaneous injection Improvement of dysphagia in adults and adolescents with eosinophilic esophagitis
C 50 Ubrogepant, an oral CGRP receptor antagonist Freedom from pain and the most bothersome associated symptom two hours after treatment of an acute migraine
C 50 Tirbanibulin 1% ointment, a five-day prescription topical treatment Complete day-57 clearance of actinic keratoses on the face or scalp treatment field
C 50 Oxymetazoline hydrochloride cream 1% (Rhofade) Improvement of persistent facial erythema associated with rosacea
C 50 Raw whole watercress, 85 g/day Reduced lymphocyte DNA damage
C 50 Burdock-root decoction tea Knee osteoarthritis pain and function
C 50 Baked then chilled potato Lower post-meal insulin response
C 50 Whole okra fruit powder HbA1c reduction in type 2 diabetes
C 50 Raw cucumber slices Lower LDL cholesterol in mildly hyperlipidemic postmenopausal women
C 50 Two whole raw apples with skin, 340 g daily Lower LDL cholesterol
C 50 100% Korean pear juice, 220 mL Reduced hangover symptoms after alcohol
C 50 Fig paste, 300 g daily Improved colonic transit and bowel symptoms in functional constipation
C 50 Whole bananas during a 75 km cycling trial Reduced exercise-associated muscle cramping
C 50 Freeze-dried whole kimchi Reduction in body fat mass
C 50 Whole gochujang Improved triglycerides and ApoB
C 50 Whole koji amazake More defecation days and bowel movements
C 50 Milled flaxseed, 30 g daily Lower blood pressure in peripheral artery disease
C 50 Whole almonds, about 57 g daily Reduced facial wrinkles in postmenopausal women
C 50 Ground sesame seeds, 40 g/day Improved knee osteoarthritis pain and function
C 50 Whole-grain provided diet Increased bowel-movement frequency
C 50 Decaffeinated coffee, a single 300-mL serving Reduced three-hour postprandial esophageal acid exposure in reflux disease
C 50 Dark chocolate above 85% cocoa, a single 40-g serving Improved maximal walking distance and time in peripheral artery disease
C 50 Hibiscus tea brewed from Hibiscus sabdariffa calyces Improvement in LDL, total cholesterol, triglycerides, and other blood lipids
C 50 UV-B-irradiated brown button mushroom, Agaricus bisporus, soup Improved serum 25-hydroxyvitamin D status in adults with low vitamin D
C 50 Frozen farmed Atlantic salmon fillet, 150 g five times weekly Improved postprandial glucose response in adults with overweight
C 50 Calcium-fortified UHT milk, 330 mL on each school day Greater 24-month height growth in 10-year-old girls with low calcium intake and low vitamin D status
C 50 A single 300 mL serving of nonfermented milk containing only A2 beta-casein Reduced acute gastrointestinal symptoms in adults who report discomfort after ordinary milk
C 50 Whole dried dill-leaf powder, 3 g/day Relief of colonic-motility-related symptoms in adults with type 2 diabetes
C 50 One gram per day of whole air-dried ground coriander seed Reduced fasting glucose and LDL in adults with type 2 diabetes
C 50 Red-meat and white-meat diets matched for saturated fat LDL and apoB versus nonmeat protein, and red-versus-white meat differences
C 50 An ultra-processed diet deriving most offered energy from NOVA group 4 foods Increased ad libitum energy intake and short-term weight gain
C 50 Replacing animal meat with processed plant-based meat alternatives Lower LDL cholesterol
C 50 Forty chews per bite Reduced ad-libitum energy intake at one meal
C 50 White rice cooled for 24 hours at 4°C and then reheated Reduced acute postprandial glycemic response
C 50 Low-AGE diet emphasizing boiling and steaming Improvement in circulating AGEs and cardiovascular risk markers
C 50 Low-glycemic-load, higher-protein diet Reduction in acne lesions
C 50 Drinking 500 mL of water 30 minutes before each meal during a hypocaloric diet Greater 12-week weight loss than a hypocaloric diet alone
C 50 Alcohol reduction from a baseline of about 62-64 g/day Lower blood pressure
C 50 Regular coffee, 100 to 150 mL three times daily after colorectal surgery Shorter time to first bowel movement
C 50 Felodipine extended-release 10 mg taken with about 200-250 mL grapefruit juice A clinically important increase in felodipine exposure
C 50 Ciprofloxacin 500 mg swallowed with 300 mL milk or yogurt alone Reduced ciprofloxacin absorption
C 50 Black tea, either 500 mL with 10% skim milk acutely or consumed with milk for four weeks Loss of the tea-associated flow-mediated dilation response
C 50 Curcumin 2 g coadministered with concentrated piperine 20 mg Increased single-dose peak serum curcumin and systemic exposure
C 50 Tomato salsa 300 g eaten with avocado 150 g Increased 9.5-hour plasma TRL exposure to lycopene and beta-carotene
C 50 Raw vegetable salad eaten with 0, 75, or 150 g scrambled whole egg Increased 10-hour plasma TRL AUC for total and individual carotenoids
C 50 Vitamin D3 50,000 IU taken with a meal containing zero or 30% of energy from fat Higher plasma vitamin D3 concentrations 10 to 14 hours after dosing
C 50 A single meal of tomato sauce at 3.5 g/kg containing 5% refined olive oil Six-hour changes in leukocyte adhesion molecules and circulating inflammatory markers
C 50 Coenzyme Q10 120 mg/day plus purified piperine 5 mg/day for twenty-one days Higher absolute plasma coenzyme Q10 increase and concentration-time area
C 50 Mixtures of artificial food colors plus 45 mg/day sodium benzoate Increased hyperactivity scores in children from the general population
C 50 The food emulsifier carboxymethylcellulose, or CMC Altered gut microbiota and metabolites with induction of human intestinal inflammation
C 50 A 14-day positional device that vibrates in the right lateral position to promote left-side sleep Relief of nighttime heartburn and reflux symptoms
C 50 Twice-daily 0.9% saline nasal irrigation after work shifts Relief of chronic sinonasal symptoms in cement-dust workers
C 50 Daily dental floss added to toothbrushing Reduced gingivitis and prevention of long-term periodontal disease
C 50 Massage combining tactile stimulation and passive limb movement in medically stable preterm infants Faster short-term daily weight gain during hospitalization
C 50 Sensor- and smartphone-prompted active microbreaks Prevention of new neck and low-back pain in pain-free, high-risk office workers
C 50 An organization-level intervention increasing control over work time and family-supportive supervision Improved employee sleep duration and sleep sufficiency
C 50 An organization-level 25% reduction in weekly worktime with preserved salary and replacement staffing Improved sleep, sleepiness, and perceived stress
C 50 Adolescents' self-reported everyday digital-technology use Association with lower psychological well-being
C 50 A neck-mounted smartphone holder adjusted to keep neck flexion at 0-15 degrees, added to exercise Reduced nonspecific neck pain and disability in adults with heavy smartphone use
C 50 Smartphone dual tasks such as texting, reading, or calling while walking Reduced gait stability
C 50 Installation of nonpolluting heaters in homes of children with asthma Reduced asthma symptoms
C 50 Residential dampness and mold Increased asthma onset and respiratory symptoms
C 50 Structured horticultural therapy led by trained practitioners using planting, potting, growing, and garden activities Reduction of depressive symptoms in adults
C 50 Long-term workplace use of high heels at least 5 cm high Increased midfoot pain
C 50 Fourteen urinary phthalate metabolites Changes in sperm concentration, total count, motility, and morphology
C 50 Taking levothyroxine fasting immediately before bedtime Lower thyroid-stimulating hormone versus dosing 30 minutes before breakfast
C 50 Low-protein products with protein redistribution during levodopa therapy Reduced daily motor off time
C 50 Peanut oral immunotherapy, including standardized peanut-allergen powder Increased tolerated peanut-protein threshold during an oral food challenge while on treatment
C 50 Saline nasal irrigation in children Relief of cold-related nasal obstruction and fewer subsequent upper-respiratory recurrences
C 50 White noise for newborns and infants Increased likelihood of falling asleep
C 50 Probiotics across multiple strains and formulations Prevention of antibiotic-associated diarrhea in adults
C 50 Facial gua sha massage Facial contour improvement and lifting
C 50 A low-frequency pulsed magnetic therapy system used at bedtime Improvement of insomnia symptoms
C 50 Ear-piercing history Increased nickel contact sensitization
C 50 Prunes, 100 g per day Improved complete spontaneous bowel movements and stool consistency in chronic constipation
C 50 Wedge pillow Relief of nocturnal gastroesophageal reflux symptoms
C 50 Selenium sulfide 2.5% shampoo Dandruff reduction
C 50 Cooling vest during warm-up Improved 5-km running performance in the heat
C 50 A 20-minute warm-water footbath at 38-42 degrees C about one hour before bedtime Improved subjective sleep quality in older adults with sleep problems
C 50 A toilet footstool (Squatty Potty) that raises the knees above the hips while seated Less straining, shorter defecation time, and greater sense of complete evacuation
C 50 Removal of the urethral catheter at 24 hours after TURP in eligible stable patients Reduced catheter pain, discomfort, and hospital stay
C 50 Water-based, oil-based, carbamide-peroxide, and other cerumenolytic ear drops Complete clearance of impacted earwax and reduced need for further removal
C 50 A complementary-feeding program starting at about 3 months while breastfeeding continued, with nonallergenic foods followed sequentially by milk, peanut, egg, sesame, white fish, and wheat Longer nighttime sleep, fewer night wakings, and fewer parent-perceived infant sleep problems
C 50 Percutaneous tibial nerve stimulation using the Urgent PC system Relief of urgency, frequency, urgency urinary incontinence, and quality-of-life impairment in overactive bladder
C 50 Home transcutaneous electrical nerve stimulation Reduced movement-evoked pain in fibromyalgia
C 50 Original constraint-induced movement therapy combining less-affected-hand restraint with intensive task training Improved upper-limb performance and real-world use 3 to 9 months after stroke
C 50 Pre-moistened eyelid-cleansing wipe containing aloe, purslane extract, panthenol, and surfactants Reduction of blepharitis-associated ocular symptoms
C 50 Broad-spectrum sunscreen immediately after fractional CO2 laser Reduced post-procedure pigmentation
C 50 Uniform-attenuation earplugs worn at a live music event Prevention of temporary hearing-threshold shift immediately after amplified music exposure
C 50 Alcohol consumed before sleep under hypobaric conditions resembling a long-haul aircraft cabin Worsened nocturnal hypoxemia, increased heart rate, and impaired sleep architecture
C 50 Standardized grass-pollen sublingual immunotherapy tablets Reduced in-season allergic rhinoconjunctivitis symptoms and rescue-medication use
C 50 Tepid sponging alone, without antipyretic medication, for childhood fever Lower two-hour defervescence than acetaminophen and possible discomfort or shivering
C 50 A wearable continuous low-level lumbar heat wrap maintained near 40 C Reduced short-term pain and disability in acute nonspecific low-back pain
C 50 Early weight-bearing beginning two weeks after operative fixation of an adult ankle fracture Improved four-month ankle function versus six-week delayed weight-bearing without a clear complication increase
C 50 Stepped or internet CBT-based tinnitus care combining education, cognitive restructuring, exposure or relaxation, and hearing management Reduced tinnitus-related distress and functional impairment
C 50 Teacher- or staff-supervised brushing with fluoride toothpaste on each school day Reduced increment in new carious tooth surfaces or DMFS among children
C 50 Immersion of a jellyfish-stung area in 40-45°C water Faster relief of acute pain than ice packs or other topical measures
C 50 Rezūm transurethral convective water-vapor thermal therapy Improvement of moderate-to-severe lower urinary tract symptoms caused by benign prostatic hyperplasia
C 50 Simultaneous abdominal radiofrequency and high-intensity focused electromagnetic treatment with EMSCULPT NEO Reduced ultrasound-measured abdominal subcutaneous fat thickness and increased rectus abdominis thickness
C 50 Disposable nasal expiratory positive airway pressure valve, Provent Reduced apnea-hypopnea index versus a sham valve in obstructive sleep apnea
C 50 Three-day preoperative 5% benzoyl peroxide shoulder wash Reduced shoulder Cutibacterium acnes skin burden versus 4% chlorhexidine
C 50 Z-track technique for gluteal intramuscular injection Reduced medication leakage onto the skin after injection
C 50 A ClearGuard HD chlorhexidine-coated intraluminal barrier cap replaced at every hemodialysis session Reduced positive blood-culture rate versus Tego connector plus Curos disinfecting cap
C 50 A 10-day below-knee cast for severe acute ankle sprain with inability to bear weight Improved ankle function at three months versus double-layer tubular compression bandage
C 50 Comprehensive orthogeriatric care delivered immediately after admission in a dedicated geriatric ward Improved four-month mobility after hip fracture in previously ambulatory older adults
C 50 A workplace hearing-conservation program with sustained use of hearing protection Reduced standard hearing-threshold shifts
C 50 A carbohydrate drink taken the evening before and two hours before elective surgery Attenuation of immediate postoperative insulin resistance
C 50 A split keyboard separated to align with forearm and shoulder width Reduced wrist ulnar deviation while typing
C 50 Seventy-percent isopropyl-alcohol skin swabbing before insulin injection Prevention of local or systemic injection-site infection
C 50 The SB-TEAM program combining school-based telemedicine with directly observed controller therapy More symptom-free days and fewer emergency visits or admissions in children with persistent asthma
C 50 A low- or high-pressure natural-rubber tissue flossing band applied to the calf for two minutes Immediate increase in ankle dorsiflexion range and plantar-flexion isometric torque at 10 degrees of dorsiflexion
C 50 A photocatalytic micro-mist desktop humidifier operated near the face during a visual display terminal task Longer noninvasive tear-film breakup time after one hour of screen work
C 50 Cold cabbage leaves applied twice in addition to usual breast-engorgement care Short-term relief of pain and hardness from postpartum breast engorgement
C 50 Swedish-style abdominal massage added to lifestyle advice Reduced constipation severity over four weeks in functional chronic constipation
C 50 Three preappointment influenza-vaccine texts saying a dose was reserved Increased same-day influenza vaccination versus usual care without a study text
C 50 Ibuprofen 400 mg plus acetaminophen 500 mg taken as needed after third-molar extraction Reduced postoperative pain versus hydrocodone 5 mg plus acetaminophen 300 mg
C 50 A dry-mouth pastille containing gum arabic, hydroxyethylcellulose, sodium hyaluronate, and carrageenan Increased salivary flow and relief of dry mouth
C 50 Pelviva, a disposable home intravaginal pelvic-floor neuromuscular electrical-stimulation device Improved female urinary-incontinence symptoms and quality of life
C 50 Textured insoles designed to stimulate plantar sensory receptors Improved balance in diabetic peripheral neuropathy
C 50 Glasses with pads containing ethanol extracts of four medicinal plants Reduced OSDI symptoms in mild dry eye
C 50 IQP-AE-103, marketed as XLS Medical Pro-7, combining dehydrated okra powder and inulin Twelve-week weight loss during a hypocaloric diet
C 50 Combined CPC and essential-oil mouth rinse Reduced plaque re-accumulation after professional prophylaxis
C 50 Soft denture liner Reduced mandibular residual-ridge resorption in complete-denture wearers
C 50 Smart in-home electronic medication dispenser Improved medication adherence in adults with chronic conditions and polypharmacy
C 50 Weekly subcutaneous tocilizumab with a 26-week prednisone taper Glucocorticoid-free sustained remission at week 52 in giant-cell arteritis
C 50 Apremilast 30 mg twice daily Reduced oral-ulcer burden in Behcet syndrome without major-organ involvement
C 50 Intravenous immune globulin at 2 g/kg every four weeks Clinical improvement including strength and function in active adult dermatomyositis
C 50 Oral eltrombopag Platelet-count response and reduced bleeding in chronic immune thrombocytopenia
C 50 Vosoritide 15 μg/kg by once-daily subcutaneous injection Increased annualized growth velocity over 52 weeks in children with achondroplasia
C 50 Intravenous etelcalcetide Improved PTH response versus cinacalcet in hemodialysis patients with secondary hyperparathyroidism
C 50 Sunlight phototherapy filtered to remove ultraviolet and infrared radiation Bilirubin control noninferior to conventional electric phototherapy in term and late-preterm neonatal jaundice
C 50 A 22-day tapering course of high-dose methylprednisolone Recovery of unilateral vestibular function on caloric testing at 12 months after acute vestibular neuritis
C 50 Skin-care education plus individualized exposure counselling Improved clinical severity of hand eczema in healthcare workers
C 50 Oral sodium fluoride 40 mg/day Slower progression of hearing loss from otosclerosis
C 50 Palopegteriparatide (TransCon PTH) Maintained corrected normocalcemia while eliminating active vitamin D and reducing calcium supplementation in chronic hypoparathyroidism
C 50 Osilodrostat Maintenance of normalized 24-hour urinary free cortisol in Cushing's disease
C 50 Mitapivat, an oral red-cell pyruvate kinase activator Increased week-12-to-24 hemoglobin response in non-transfusion-dependent alpha- or beta-thalassemia
C 50 Fostamatinib, a spleen tyrosine kinase inhibitor Increased stable platelet response in persistent or chronic immune thrombocytopenia
C 50 Olezarsen 80 mg, an APOC3-targeted antisense oligonucleotide Reduced fasting triglycerides at six months in familial chylomicronemia syndrome
C 50 Three-dimensional printed nasoalveolar molding appliance (D-NAM) Improved presurgical maxillary-arch morphology in infants with complete unilateral cleft lip and palate
C 50 Plinabulin compared directly with pegfilgrastim Noninferior duration of severe neutropenia during cycle 1 of docetaxel
C 50 Intravenous sodium thiosulfate given six hours after completion of cisplatin Prevention of cisplatin-induced hearing loss in children
C 50 Self-assembling peptide P11-4 and a self-assembled peptide matrix Arrest or regression of early occlusal caries in children and adolescents
C 50 Roxadustat, an oral prescription HIF prolyl-hydroxylase inhibitor Noninferior hemoglobin change versus epoetin alfa in dialysis-dependent kidney anemia
C 50 Once-weekly somapacitan Noninferior annualized height velocity at week 52 versus daily growth hormone in children with growth hormone deficiency
C 50 MiniMed 670G hybrid closed-loop system Increased time in range in adults with type 1 diabetes
C 50 Cinacalcet Serum calcium normalization in inoperable primary hyperparathyroidism
C 50 Burosumab Radiographic rickets healing in children with X-linked hypophosphatemia
C 50 Preterm formula powder used to fortify human milk Noninferiority to commercial human milk fortifier for in-hospital weight-gain velocity in very-low-birth-weight preterm infants
C 50 Otovent nasal balloon autoinflation Tympanometric resolution of otitis media with effusion in children
C 50 PeniMaster PRO penile traction device Reduction of erect curvature in stable Peyronie's disease
C 50 Real-time computer-aided detection Increased adenoma detection rate during colonoscopy
C 50 Artificial-intelligence ECG screening alert Increased detection of previously undiagnosed low ejection fraction
C 50 Loxoprofen sodium hydrogel transdermal patch Noninferior improvement of myalgia symptoms versus oral loxoprofen
C 50 Vitamin D3 buccal spray in patients with intestinal malabsorption Greater serum 25(OH)D increase than the same 1000 IU/day dose in soft-gel capsules
C 50 Fractional CO2 laser Improvement in inflammatory active-acne lesion counts versus Nd:YAG
C 50 Calcipotriol-betamethasone aerosol foam PGA treatment success versus the same ingredients in gel
C 50 Patisiran Improvement in the 18-month mNIS+7 neurologic impairment score in hereditary ATTR amyloidosis with polyneuropathy
C 50 10-kHz spinal cord stimulation At least 50% pain relief in refractory painful diabetic neuropathy
C 50 H7-coil deep transcranial magnetic stimulation Reduced six-week YBOCS score in treatment-resistant obsessive-compulsive disorder
C 50 Givosiran Reduced annualized composite attacks in recurrent acute intermittent porphyria
C 50 Subcutaneous zilebesiran Change in 24-hour mean ambulatory systolic blood pressure at month 3 in mild-to-moderate hypertension
C 50 Mipomersen 200 mg by weekly subcutaneous injection Reduced LDL-C laboratory values in homozygous familial hypercholesterolaemia
C 50 Inhaled indacaterol-glycopyrronium LABA/LAMA combination Fewer exacerbations than salmeterol-fluticasone in COPD with a prior exacerbation
C 49 L-theanine sleep and tension relief
C 49 Ecklonia cava extract (phlorotannins) sleep
C 49 Glutamine (L-glutamine) Gut, exercise recovery, and immunity
C 49 Acetyl-L-carnitine (ALCAR) Cognition and diabetic neuropathy
C 49 AHCC (active hexose correlated compound; shiitake mycelial extract) Immunity
C 49 SAMe (S-adenosyl-L-methionine) Relief of depressive symptoms and antidepressant augmentation
C 49 Polypodium leucotomos extract Oral ultraviolet protection and erythema reduction
C 49 Black seed oil (Nigella sativa) Combined improvement of blood glucose, blood pressure, and lipids
C 49 L-ornithine Hangover and liver-fatigue improvement
C 49 Persimmon-leaf ethanolic extract Improvement of dry eye
C 49 Black raspberry extract (Rubus occidentalis) Blood-pressure control
C 49 Pasteurized Akkermansia muciniphila MucT Weight loss and prevention of weight regain after loss
C 49 Creatine monohydrate Relief of major depressive disorder symptoms and adjunctive antidepressant treatment
C 49 Viviscal AminoMar proprietary marine protein complex Increased hair density and growth in women
C 49 Metabolaid lemon verbena and hibiscus blend (proprietary ingredient) Reduced appetite, body fat, and body weight in adults with overweight
C 49 Omega-3 fatty acids (EPA and DHA fish-oil supplement; dysmenorrhea efficacy axis) Reduced pain intensity and analgesic use in primary dysmenorrhea
C 49 Alpha-lipoic acid (ALA; mitochondrial cofactor supplement) Reduction of body weight and BMI in adults with overweight or obesity
C 49 Percussive massage gun (a non-drug vibration-based recovery device) Reduced post-exercise delayed-onset muscle soreness and faster recovery of strength and explosive performance
C 49 Cumin (Cuminum cyminum, a culinary plant material used as food and in supplements) Reduced fasting glucose and HbA1c as an adjunct in type 2 diabetes
C 49 Nicotinamide or niacinamide (high-dose oral supplement) Improved retinal ganglion-cell function and short-term visual function in glaucoma during intraocular-pressure-lowering treatment
C 49 WHO Surgical Safety Checklist (patient-safety program) Reduced postoperative complications, surgical-site infection, and mortality
C 48 Undenatured type II collagen (UC-II) Joint pain, function, and flexibility
C 48 Curcumin (turmeric, curcumin/turmeric) Anti-inflammatory and joint health
C 48 Taurine Fatigue and vitality
C 48 Aloe (aloe vera; aloe gel/whole leaf/latex must be distinguished) gut health, bowel movements, and skin health
C 48 Resveratrol anti-aging and cardiovascular
C 48 Alpha-lipoic acid (ALA, alpha-lipoic acid, thioctic acid) antioxidant, blood glucose, and nerves
C 48 Melatonin sleep
C 48 Green coffee (chlorogenic acids; green coffee bean extract/chlorogenic acid) Weight loss and body weight/body fat reduction
C 48 Quercetin Allergy, antioxidant, and immune effects
C 48 Cocoa flavanols (cocoa polyphenols) Cognitive function and vascular/blood-flow health
C 48 Chlorella (chlorella) Detoxification, immunity, and cholesterol
C 48 Fenugreek (Trigonella foenum-graecum) Testosterone, strength, blood glucose, and lactation
C 48 Passionflower (Passiflora incarnata) Anxiety and sleep
C 48 Xylooligosaccharides (XOS) Improved bowel movements and increased bifidobacteria
C 48 Pygeum (African plum tree bark extract) Improvement of urinary symptoms from benign prostatic hyperplasia
C 48 Red clover isoflavones Relief of menopausal hot flashes and night sweats
C 48 Shatavari (Asparagus racemosus) Improvement of menopausal symptoms and female sexual function
C 48 Pelargonium sidoides (EPs 7630) Improvement of acute common-cold and bronchitis symptoms and recovery time
C 48 Lactobacillus-fermented kelp extract Liver function and liver-marker improvement
C 48 Wild green oat extract (Neuravena) Improvement of stress, mood, and focus
C 48 Lespedeza cuneata extract powder Improved male climacteric symptoms
C 48 Phosphatidic acid (PA) Increased muscle mass and strength during resistance training
C 48 Lilium lancifolium extract powder Improvement of joint discomfort and function
C 48 Evening primrose seed extract (PGG) Attenuation of postprandial blood-glucose rise
C 48 Hydroxytyrosol Reduction of oxidative stress and healthy aging
C 48 SAMe (S-adenosyl-L-methionine; ademetionine) Improvement of osteoarthritis pain and function
C 48 Poly-gamma-glutamic acid (γ-PGA; Bacillus-fermented natto polymer) Enhanced calcium absorption and bone health
C 48 Lemon balm-dandelion complex LD100 Liver health and improvement in liver enzymes
C 48 Non-micronized single-ingredient diosmin Relief of venous-insufficiency leg edema, pain, and heaviness
C 48 L-carnitine Improvement in sperm motility and the chance of natural conception in male infertility
C 48 High-polyphenol spearmint extract, Neumentix Improvement of working memory and attention
C 48 A complete mixture of all nine essential amino acids Increased muscle mass and strength during resistance training
C 48 Palmitoylethanolamide (PEA, Levagen+®) Shorter sleep-onset latency and improved sleep quality and waking experience
C 48 elevATP® (a proprietary blend of ancient peat and apple extract) Increased cellular ATP, vitality, exercise energy, and strength
C 48 Fennel seed extract (Foeniculum vulgare) Reduced pain and analgesic use in primary dysmenorrhea
C 48 Oseltamivir (Tamiflu, prescription antiviral) Shortening influenza symptoms leads to fewer hospitalizations and severe complications
C 48 Lactoferrin (milk-protein supplement) Reduction of visceral and abdominal fat and body weight
C 48 Domperidone (dopamine-antagonist gastroprokinetic used off label as a galactagogue) Increased milk volume and successful breastfeeding in postpartum women with low milk supply
C 48 Coenzyme Q10 (mitochondrial quinone antioxidant supplement) Reduction of subjective fatigue in adults with heterogeneous causes and diseases
C 48 Glycolic acid (alpha-hydroxy acid used in nonprescription cosmetics) Improvement of rough texture and fine lines in photoaged skin with topical 5% to 8% use
C 48 Clonazepam (a long-acting benzodiazepine and controlled prescription medicine; use for RBD is off label) Reduced frequency and intensity of dream enactment in isolated REM sleep behavior disorder
C 48 Live multistrain probiotics containing Lactobacillus and Bifidobacterium species, including synbiotics (dietary supplements) Improved liver fat, ALT, AST, and liver stiffness in adults with MASLD or NAFLD
C 48 Oral probiotics, including Streptococcus salivarius K12 and Lactobacillus reuteri, supplied as lozenges or tablets Reduced organoleptic scores and volatile sulfur compounds in halitosis
C 48 Curcumin (turmeric polyphenol, oral capsules or powder) Reduced delayed-onset muscle soreness and accelerated recovery of muscle function when taken around exercise
C 48 Edible castor oil (ricinoleic-acid-rich vegetable oil, food and nonprescription product) Promotion of spontaneous labor onset within 24 hours and vaginal delivery after oral ingestion at term or post-term
C 48 Naltrexone (mu-opioid receptor antagonist; prescription medicine) Relief of refractory pruritus in cholestatic liver disease
C 48 High-dose intravenous vitamin C (10-g infusion, marketed as a fatigue-recovery drip) Reduced temporary fatigue in healthy office workers
C 48 Oral tranexamic acid (prescription antifibrinolytic used off label for melasma) Reduction in melasma area and pigmentation intensity
C 48 Acupuncture (a nonpharmacologic needling procedure at selected points) Improvement of seasonal allergic rhinitis symptoms, quality of life, and antihistamine use
C 48 Yoga (instructor-led exercise program adapted for chronic nonspecific low back pain) Improved pain and function in chronic nonspecific low back pain
C 48 Extracorporeal shock-wave therapy for chronic plantar fasciitis, including radial and focused protocols Improvement of morning first-step pain and function in chronic plantar fasciitis
C 48 Stellate ganglion block (local-anesthetic injection procedure targeting the cervical sympathetic ganglion) Short-term relief of overall PTSD symptoms, hyperarousal, and anxiety
C 47 Ingredients claimed to express aquaporin (AQP3). Representative: glyceryl glucoside. Ingredients that are claimed together but whose cited evidence does not confirm AQP3/skin-moisture matching (such as resurrection plant, aloe, trimethylglycine, etc.) are separated as “claimed but evidence not matched.” Skin moisture
C 47 Schisandra chinensis (schisandra) Fatigue, liver, and antioxidant effects
C 47 L-tryptophan Sleep and mood
C 47 PQQ (pyrroloquinoline quinone) Energy and cognition
C 47 Devil's claw root (Harpagophytum procumbens) Relief of osteoarthritis and low-back pain
C 47 Apple cider vinegar Improvement of postprandial glucose, HbA1c, and body weight
C 47 Purple corn cob and husk extract powder Improvement of dry eyes
C 47 Weissella cibaria JW15 Enhanced immune function and defense against infection
C 47 Berberine Obesity treatment and weight loss
C 47 Ivy leaf dry extract from Hedera helix Reduced cough frequency and severity in acute bronchitis
C 47 Arjuna bark (Terminalia arjuna extract capsules) Improvement of angina symptoms, exercise tolerance, and cardiac function
C 47 Molecular hydrogen or hydrogen-rich water and generating tablets (dissolved H2 supplements) Reduced perceived fatigue and blood lactate during exercise with improved endurance
C 47 Pelvic floor muscle exercise plus manometric biofeedback Improved erectile function in men with erectile dysfunction
C 46 Glutathione (oral) Whitening and skin tone
C 46 Milk thistle (silymarin) liver health and fatigue improvement
C 46 Low-molecular-weight collagen (hydrolyzed collagen peptides) claims of superior absorption rate and molecular weight
C 46 Maca (maca; Lepidium meyenii, including gelatinized maca powder/black maca) Vitality and male function (sexual desire, erectile function, late-onset hypogonadism symptoms, sperm parameters)
C 46 Soy isoflavones (soy isoflavones; genistein, daidzein, glycitein, etc.) Menopausal symptoms in women, especially vasomotor symptoms such as hot flashes/night sweats
C 46 Selenium Antioxidant and immune function
C 46 Rhodiola (Rhodiola rosea) Fatigue and stress
C 46 Cordyceps (including C. militaris, C. sinensis/Cs-4, and Cordyceps mycelium culture extract) Vitality, immunity, and exercise
C 46 Bilberry extract (anthocyanins/anthocyanosides) eye fatigue, eye health, vision/night vision, and dry-eye-related claims
C 46 Chromium (mainly chromium picolinate) blood-glucose management and dieting/weight loss
C 46 Vitamin B12 (cobalamin) Fatigue and anemia
C 46 Betaine (TMG, trimethylglycine) Exercise performance and homocysteine
C 46 Proteoglycan (from salmon nasal cartilage) Skin and joints
C 46 Sophora japonica fruit extract Menopausal women’s health and improvement in the Kupperman Index
C 46 Magnesium L-threonate (Magtein®) Memory, executive function, and increased brain magnesium
C 46 Meso-zeaxanthin Increased macular pigment, improved contrast sensitivity, and reduced glare disability
C 46 Freeze-dried Korean black raspberry powder (Rubus coreanus) Antioxidant activity and reduction of oxidative stress
C 46 Meratrim, a blend of Sphaeranthus indicus flower and Garcinia mangostana fruit-rind extracts Reduction in body weight, BMI, and waist circumference
C 46 Enzymatically modified arabinoxylan rice bran (MGN-3, BioBran) Natural killer cell activation and immune support during cancer treatment
C 46 Intravaginal boric acid Treatment of recurrent non-albicans vulvovaginal candidiasis
C 46 Mirtogenol combination (Mirtoselect bilberry plus Pycnogenol) Lower intraocular pressure and slowed glaucoma progression
C 46 Prunes (dried plums) Maintenance of postmenopausal bone density and prevention of osteoporosis and fractures
C 46 Tegoprazan (potassium-competitive acid blocker, K-CAB, prescription) Faster and superior heartburn relief and erosive-esophagitis healing versus proton-pump inhibitors
C 46 Fexuprazan (potassium-competitive acid blocker, P-CAB, Fexuclue, prescription) Faster and superior nocturnal heartburn relief and erosive-esophagitis healing versus PPIs
C 46 Calcium fructoborate, a branded boron ingredient sold as FruiteX-B Improvement of knee-joint pain and function
C 46 Tafluprost (prostaglandin F2 alpha analogue eye drops, Taflotan, prescription drug) Slowing progression of glaucomatous visual-field loss beyond lowering intraocular pressure
C 46 Testosterone undecanoate (prescription testosterone replacement; Nebido) Broad improvement in libido, sexual function, and vitality in middle-aged men
C 46 High-bioavailability curcumin (Theracurmin curcumin, a curcuminoid polyphenol supplement) Improved memory and attention in middle-aged and older adults without dementia
C 46 Spirulina (Arthrospira platensis, a phycocyanin-containing microalgal supplement) Improved aerobic endurance and time to exhaustion in healthy exercisers
C 46 Psyllium husk, a gel-forming soluble fiber from Plantago ovata used as a supplement or food ingredient Reduction of body weight, BMI, and waist circumference in adults with overweight or obesity
C 46 Cryolipolysis (CoolSculpting-type non-surgical medical-device procedure) Reduced localized subcutaneous-fat thickness and circumference on the abdomen, flanks, and similar areas
C 46 Vaginal hyaluronic acid (topical vaginal gel or cream) Relief of vaginal dryness, atrophy, and dyspareunia in genitourinary syndrome of menopause
C 46 Metformin (prescription biguanide glucose-lowering medicine; use for long-COVID prevention is off label) Prevention of long COVID when started early during acute COVID-19 in adults with overweight or obesity
C 46 Prednisolone (systemic glucocorticoid, Solondo, prescription medicine) Reduction of 28-day, 90-day, and one-year mortality in severe alcohol-related hepatitis
C 46 Low-level laser photobiomodulation (PBM/LLLT; red or near-infrared medical device or procedure) Short-term improvement in pain and WOMAC disability in knee osteoarthritis
C 46 Pegcetacoplan 15 mg intravitreal injection Slowed geographic atrophy lesion enlargement in nonexudative age-related macular degeneration
C 46 Avacincaptad pegol (Izervay, intravitreal injection) Slowed geographic atrophy lesion enlargement in age-related macular degeneration
C 46 Cariprazine, an atypical antipsychotic Reduction of depressive symptoms in bipolar I major depressive episodes
C 46 Crisaborole 2% ointment, a topical PDE4 inhibitor ISGA treatment success in mild-to-moderate atopic dermatitis
C 46 Intra-articular polynucleotide injection for the knee, including PN or PDRN products Improved pain and function in knee osteoarthritis
C 46 Cervical traction, including mechanical, manual, and over-door traction, added to exercise Clinically meaningful improvement in pain and neck-related disability from cervical radiculopathy
C 46 Four gold kiwifruits daily equivalent: two fresh and two freeze-dried Shorter duration of cold symptoms
C 46 Raw unsalted crushed cashews, 30 g daily Lower systolic blood pressure in type 2 diabetes
C 46 Ground pecans incorporated into prepared meals, about 42.5 g/day Improved insulin resistance
C 46 Black-tea beverage, three cups daily Lower 24-hour ambulatory blood pressure in adults with normal to high-normal pressure
C 46 Four grams of dried wakame, Undaria pinnatifida, consumed once with rice Reduction of the acute postprandial glucose rise
C 46 Cookies providing 5.88 g/day kombu powder boiled for 60 minutes to reduce iodine Lower blood pressure in adults with overweight
C 46 One gram of commercial ground cayenne pepper added to food Reduced appetite and calorie intake at one meal
C 46 A meat-based diet combining pork, beef, chicken, and fish Maintenance of serum ferritin and hemoglobin in nonanemic women of childbearing age with low iron stores
C 46 Culinary sesame oil, 35 g daily Lower blood pressure in hypertensive men versus the usual diet or existing olive-oil and corn-oil comparators
C 46 An isocaloric controlled diet containing conventional canola oil Lower LDL when replacing an oil blend with a Western fatty-acid profile
C 46 A weight-loss program providing Lean Cuisine frozen portion-controlled lunch and dinner entrees Greater 12-week weight loss than a self-selected-food program
C 46 Two liters of mineral water daily with a 25-g/day fiber diet Increased stool frequency and reduced laxative use in adults with chronic functional constipation
C 46 Approximately 2 L/day of water added to the usual diet Improved hydration and elasticity of normal skin
C 46 1.5 L/day of carbonated mineral water Improved functional dyspepsia and early satiety
C 46 Alkaline water above pH 8 combined with a 90% plant-based Mediterranean-style diet Improved laryngopharyngeal reflux symptoms
C 46 One to two drinks/day, defined as beer 356 mL, wine 118 mL, or spirits 42 mL Maintained bone density and prevention of osteoporosis or fractures
C 46 Iron-fortified cereal providing 16 mg iron, milk, and two gold kiwifruit eaten together for 16 weeks Improved iron-storage markers in nonanemic women with low iron stores
C 46 Raw vegetable salad with dressings containing 0, 2, 4, 8, or 32 g soybean oil Increased postprandial chylomicron carotenoid AUC and peak concentration
C 46 Raw vegetable salad with 0.5 g black pepper plus an emulsion containing 8 g canola oil Higher ten-hour plasma AUC and peak concentrations of total and individual carotenoids
C 46 High-intensity interval training, commonly three weekly sessions at 85% to 95% of maximal heart rate Greater improvement in peak oxygen uptake than moderate-intensity continuous training
C 46 A nightly bath, massage or lotion, and quiet-activity bedtime routine Improved sleep onset and night waking in children aged 7-36 months
C 46 Mechanical ventilation that lowers indoor carbon dioxide Improved simulated decision-making performance in office workers
C 46 Gratitude lists, journals, or letters delivered as stand-alone psychological exercises one to 28 times over no more than eight weeks Reduction in depressive symptoms
C 46 Unguided Headspace mindfulness app with ten minutes daily encouraged and 4.5 months of study access Reduced stress among patient-facing NHS workers
C 46 Sitting or walking in a forest, usually a single exposure lasting no more than about two hours Sustained control of hypertension
C 46 Nonsurgical periodontal treatment centered on scaling and root planing in people with diabetes and periodontitis Lower HbA1c and prevention of diabetic complications
C 46 Added nonsurgical periodontal treatment with scaling and root planing Reduced rheumatoid arthritis disease activity in patients with coexisting periodontitis
C 46 A one-session condition silencing incoming call and text notifications and putting the phone away Fewer sustained-attention task errors
C 46 Action, non-action, and Tetris-like video-game training Improved untrained general cognitive ability
C 46 Longitudinal follow-up of adolescents' reported exposure to violent video games Increased long-term aggressive behavior
C 46 Sugar-free chewing gum added to standard care after abdominal surgery Shorter time to first postoperative flatus
C 46 Face yoga or facial muscle exercise Improved appearance of facial aging
C 46 An abdominal castor-oil pack Improvement of constipation
C 46 Tongue cleaner Reduction of halitosis-related volatile sulfur compounds
C 46 Water flosser or oral irrigator Improvement in gingivitis and bleeding indices
C 46 VERISOL specific bioactive collagen peptides Increased nail growth and reduced cracking or chipping
C 46 Oil pulling by prolonged swishing of sesame, coconut, or other edible oil Reduced gingivitis and dental plaque
C 46 Seven days of ejaculatory abstinence Increase in serum testosterone
C 46 Drug-free hydrocolloid acne patch Improved appearance and severity of mild-to-moderate inflammatory acne lesions
C 46 Camphor, menthol, and eucalyptus vapor rub Relief of nocturnal cold symptoms in children
C 46 Flurbiprofen 8.75 mg medicated lozenge or troche Relief of acute sore-throat pain and difficulty swallowing
C 46 A policy that delays middle- or high-school start time Longer total sleep on school nights in adolescents
C 46 Inserting cotton-tipped swabs into the ear canal for cleaning Increased cerumen occlusion
C 46 One small desk plant chosen and cared for by the worker, placed beside a computer and viewed during fatigue breaks Reduced anxiety and stress in office workers
C 46 12 SQ-HDM house-dust-mite sublingual immunotherapy tablet, the ACARIZAX/ODACTRA product family Reduced combined allergic-rhinitis symptoms and rescue-medication use
C 46 A unilateral inferior punctal plug in prostaglandin-treated glaucoma patients Improvement in ocular-surface symptoms and tear-film measures
C 46 Pulling back the syringe plunger to aspirate before intramuscular vaccination Prevention of intravascular injection with greater safety and less pain
C 46 Five-minute cleansing of chronic colonized burn wounds with 2% hydrogen peroxide gauze immediately before grafting Increased percentage of skin-graft take at 21 days
C 46 A sequential package of counseling, hearing-aid amplification, tinnitus activities treatment, and Widex Zen fractal tones Reduced distress and functional handicap from chronic tinnitus
C 46 Nike Vaporfly 4% carbon-plated racing shoe Faster outdoor approximately 3.5-km time trial than a conventional lightweight racing shoe in recreational runners
C 46 Six-treatment HydraFacial Clarifying combination procedure Clear or almost-clear improvement of mild-to-moderate acne
C 46 17,000 K blue-enriched white lighting in a daytime office Improved subjective alertness and nocturnal sleep quality in workers
C 46 Prescription-matched free eyeglasses delivered directly at school Improved end-of-year mathematics scores compared with prescription-only access
C 46 An intranasal filter intended to block inhaled pollen Reduced nasal symptoms of seasonal allergic rhinitis
C 46 Daily structured abdominal breathing training Reduced esophageal acid exposure in gastroesophageal reflux disease
C 46 A portion-control dinner plate and breakfast bowl calibrated by calories and food groups Six-month weight loss in adults with obesity and type 2 diabetes
C 46 A commercially available facial massage roller Increased facial skin blood flow and heat-induced vasodilation
C 46 A botanical formula containing lutein ester, zeaxanthin, blackcurrant, chrysanthemum, and goji berry extracts Reduced digital eye fatigue in adults using video displays
C 46 Nutrafol Women's Capsules Hair growth in women with self-perceived thinning hair
C 46 Pyrrolizidine-alkaloid-reduced comfrey root extract ointment, Kytta-Salbe f Reduced acute nonspecific upper or lower back pain
C 46 Caplacizumab added to standard plasma exchange and immunosuppression Faster platelet response and fewer clinical events in acquired thrombotic thrombocytopenic purpura
C 46 Novaloc attachment Improved patient satisfaction with single-implant mandibular overdentures
C 46 Dual-strain Lactobacillus reuteri DSM 17938 and ATCC PTA 5289 lozenges Additional reduction of residual periodontal-pocket depth after nonsurgical periodontal therapy
C 45 Heat-killed lactic acid bacteria (postbiotics, paraprobiotics, heat-treated cultured bacterial cells) Superiority claim that they are clinically better than live probiotics
C 45 Noni (noni, Morinda citrifolia) Anti-inflammatory and cure-all-style claims
C 45 Ginkgo biloba leaf extract (Ginkgo biloba; flavonoid glycosides and terpenoids/terpene lactones) Memory, cognition, and blood circulation
C 45 Phosphatidylserine (PS) Cognition, memory, and concentration
C 45 Calcium (supplement) Bone health, maintenance of bone mineral density, and fracture prevention
C 45 Bromelain (pineapple enzyme) Digestive support and relief of inflammation/edema
C 45 Ecdysterone (ecdysterone/turkesterone) Muscle and strength
C 45 White kidney bean extract (Phaseolus vulgaris) Inhibition of carbohydrate absorption and weight loss
C 45 Butyrate salts (butyrate) IBS abdominal pain and bloating, and improved intestinal barrier
C 45 Perilla leaf extract Eye-fatigue relief
C 45 Whole coffee fruit extract (NeuroFactor/CognatiQ) Improvement in BDNF, focus, and memory
C 45 Korean black raspberry extract powder (individually recognized ingredient No. 2010-62) Improvement of alcoholic liver-injury markers
C 45 Larch arabinogalactan Reduction of colds and upper respiratory infections and immune enhancement
C 45 GlyNAC (glycine plus N-acetylcysteine) Glutathione restoration, mitochondrial improvement, and reversal of aging
C 45 Epicatechin Myostatin inhibition and increased muscle mass and strength
C 45 Robuvit French oak wood extract Reduction of oxidative fatigue, resilience, and healthy aging
C 45 Honeysuckle flower-bud extract GreenCera-F (GCWB104) Protection of the gastric mucosa and improvement of stomach health
C 45 Velositol® (amylopectin-chromium complex) Amplified muscle protein synthesis from protein and increased muscle
C 45 OxyStorm red spinach extract (Amaranthus tricolor nitrate ingredient) Increased nitric oxide, exercise endurance, and performance
C 45 Xylitol chewing gum (sugar-alcohol gum) Prevention of incident dental caries with long-term use
C 45 Tamsulosin (alpha blocker, Harnal, prescription medicine) BPH urinary symptom improvement leading to prevention of acute urinary retention and surgery
C 45 Sacha inchi oil (Plukenetia volubilis, omega-rich oil) Cardiovascular disease prevention through improved LDL cholesterol and triglycerides
C 45 Magnesium (mineral supplement, depression efficacy axis) Relief of depressive symptoms and adjunctive support for antidepressant treatment in adults with depressive disorders
C 45 Nicotinamide (niacinamide, the amide form of vitamin B3) High-dose supplementation to slow long-term visual-field loss in open-angle or normal-tension glaucoma
C 45 Modafinil (wakefulness-promoting prescription drug; Provigil; off-label for multiple-sclerosis fatigue) Improvement of chronic fatigue and fatigue-related daily functioning in people with multiple sclerosis
C 45 L-carnosine (histidine-containing dipeptide supplement) Improved depressive symptoms and remission when added to an SSRI in major depressive disorder
C 45 Creatine monohydrate (a guanidino nutrient used as an oral sports supplement) Improved HbA1c and postprandial glucose in people with type 2 diabetes receiving exercise therapy
C 45 Vortioxetine (Brintellix, oral prescription tablet) Improved cognition, attention, and processing speed in major depressive disorder independently of antidepressant effects
C 45 Montelukast (prescription 4-, 5-, and 10-mg oral tablets or chewables) Improved allergic-rhinitis and asthma symptoms in children and adults
C 45 Home-use red and near-infrared LED mask (630/850 nm) Small improvement in crow's-feet wrinkle grade
C 45 Oral magnesium, a mineral supplement supplied in different magnesium salts Reduction of migraine attack frequency in adults
C 45 OnabotulinumtoxinA (Botox, prescription masseter and temporalis injections) Reduced sleep bruxism, clenching, and related jaw pain
C 45 High-intensity or microfocused ultrasound for nonsurgical facial lifting Improvement in the appearance of facial laxity and wrinkles
C 44 Krill oil (phospholipid omega-3) superior absorption and blood markers versus omega-3
C 44 Elastin (hydrolyzed elastin peptides) skin elasticity and wrinkles
C 44 Manuka honey (MGO/UMF) Stomach health, Helicobacter pylori, GERD symptoms, and immunity
C 44 Valerian (Valeriana officinalis) sleep and anxiety
C 44 Nopal/prickly pear cactus (Opuntia, prickly pear, nopal) Blood glucose, weight loss, and cholesterol
C 44 Keratin (oral keratin) Hair and nails
C 44 African mango (Irvingia gabonensis) Weight and body fat
C 44 Bergamot polyphenolic fraction Improvement in LDL and triglycerides
C 44 Gymnema sylvestre leaf extract Reduction of blood glucose and sugar cravings
C 44 Choline-stabilized orthosilicic acid Improvement in skin elasticity and wrinkles, hair, and nails
C 44 Sea buckthorn oil (Hippophae rhamnoides) Dry-eye symptoms and tear-film improvement
C 44 Sesamin (sesame lignan) Lipids and blood pressure, and fatty liver and liver enzymes
C 44 L-lysine Relief of stress and anxiety
C 44 Chlorophyllin (distinct from liquid chlorophyll) Body-odor reduction and detoxification
C 44 Royal jelly Fatigue recovery and increased vitality
C 44 White willow bark extract Relief of osteoarthritis pain
C 44 Amla (Phyllanthus emblica) Improvement in female pattern hair loss and hair growth
C 44 Theacrine (TeaCrine) Improvement of alertness, energy, and fatigue
C 44 D-pinitol Insulin sensitivity and fasting and postprandial blood glucose
C 44 Annurca apple extract containing procyanidin B2 Reduced hair loss and increased hair density and growth
C 44 Spermidine Reduction of telogen hair loss and prolongation of anagen
C 44 NVP-2106 probiotic blend of Limosilactobacillus mucosae NK41 and Bifidobacterium longum NK46 Improvement in memory and cognitive function
C 44 Baobab fruit powder (Adansonia digitata) Suppression of the postprandial rise in blood glucose
C 44 Urolithin A (Mitopure branded-ingredient supplement) Improved muscle endurance and exercise performance in middle-aged and older adults
C 44 Fruitflow water-soluble tomato concentrate (branded ingredient) Prevention of cardiovascular disease through inhibition of platelet aggregation
C 44 Oral Aloe vera gel or extract (botanical dietary supplement) Improvement of fasting glucose and HbA1c in prediabetes or early type 2 diabetes
C 44 Curcumin (turmeric curcuminoids, a turmeric-derived polyphenol supplement) Improvement of liver fat and ALT and AST in MASLD or NAFLD
C 44 Ashwagandha root extract (Withania somnifera, a withanolide-containing adaptogen supplement) Improved serum testosterone and sexual-function scores in adult men with low desire but normal testosterone
C 44 Melatonin (an indoleamine sleep hormone used as a supplement or medicine) Reduced body weight, body mass index, and waist circumference in adults with overweight or obesity
C 44 Magnesium L-threonate (Magtein, a supplemental magnesium salt marketed for brain bioavailability) Improved deep sleep, rapid-eye-movement sleep, and daytime function in adults with nonclinical sleep dissatisfaction
C 44 Valacyclovir (prescription guanosine antiviral prodrug; Valtrex) Prevention of recurrent keratitis and iritis with one year of suppressive therapy after herpes zoster ophthalmicus
C 44 Positional therapy device (vibration sensor, back support, or belt-based non-drug sleep device) Reduced apnea-hypopnea index and daytime sleepiness in positional obstructive sleep apnea
C 44 Hydroxyzine 25 to 100 mg, prescription oral tablets Improved sleep onset and sleep maintenance in adults with insomnia
C 44 Multivitamin-mineral supplement (once-daily oral tablet) Delayed decline in global cognition and episodic memory in older adults
C 44 Magnesium chloride (oral 5% solution, 382 mg elemental magnesium daily) Improved fasting and post-load glucose in adults with both prediabetes and hypomagnesemia
C 44 Dry needling (a physical-therapy adjunct inserting a needle into myofascial trigger points without injecting medicine) Reduction of chronic nonspecific neck muscle pain and disability
C 43 Multivitamin/multimineral General health, fatigue, and disease prevention
C 43 5-HTP (5-hydroxytryptophan) Mood, appetite, and sleep
C 43 Aronia (aronia/chokeberry) Antioxidant, blood pressure, and vascular effects
C 43 Eleuthero/Siberian ginseng (Eleutherococcus senticosus) Fatigue, stress, and exercise
C 43 Goji berry (wolfberry, Lycium barbarum/goji berry) Eye, fatigue, immunity, antioxidant
C 43 Lycopene Cardiovascular, prostate
C 43 Vitamin C (ascorbic acid) Skin and collagen production
C 43 Grains of paradise extract (Aframomum melegueta) Brown-fat activation, increased energy expenditure, and body-fat reduction
C 43 Resistant starch Improvement of insulin sensitivity and fasting glucose
C 43 Pumpkin seed oil Improvement of urinary symptoms from benign prostatic hyperplasia and male androgenetic alopecia
C 43 Shilajit Improvement of testosterone, sperm, and fatigue
C 43 Urolithin A Improvement of mitochondrial function, muscle endurance, and age-related muscle function
C 43 Tauroursodeoxycholic acid (TUDCA) Improvement in fatty liver and liver enzymes
C 43 Gardenia-derived crocetin Improvement of eye fatigue and accommodation
C 43 Diindolylmethane (DIM) Estrogen balance and PMS improvement
C 43 L-carnosine Anti-glycation and slowing aging
C 43 Guava leaf extract Improvement in postprandial glucose and HbA1c
C 43 Pueraria mirifica Breast enlargement, estrogen balance, and relief of menopausal symptoms
C 43 Tart cherry concentrate (Prunus cerasus) Reduction of uric acid and prevention of gout flares
C 43 Lumbrokinase, a group of earthworm-derived enzymes Thrombolysis and prevention of myocardial infarction and stroke
C 43 R-1,3-butanediol, a ketone precursor Improved exercise energy and endurance
C 43 MitoQ® (mitoquinone or mitoquinol mesylate, a mitochondria-targeted TPP+-linked quinone) Longer healthspan and delayed aging through mitochondrial protection
C 43 Biphenyl dimethyl dicarboxylate, DDB (prescription hepatotonic) Improvement of liver-disease progression and prognosis through ALT normalization
C 43 Dangjo pepper dried powder (individually approved functional ingredient No. 2023-32) Suppression of the postprandial rise in blood glucose
C 43 Modafinil (Provigil; prescription wake-promoting drug) Improved mental energy, alertness, and focus in healthy people
C 43 Arachidonic acid (omega-6 fatty-acid sports supplement) Increased muscle mass, strength, and muscle protein synthesis during resistance training
C 43 Dileucine (L-leucyl-L-leucine dipeptide, DL-185, supplement) Increased muscle protein synthesis, lower-body strength, and muscular endurance during resistance training
C 43 Heat-killed Lactiplantibacillus plantarum L-137, marketed as Immuno-LP20, a non-viable postbiotic Reduced incidence and duration of upper respiratory tract infections
C 43 Coenzyme Q10 (ubiquinone or ubiquinol; a mitochondrial quinone antioxidant supplement) Relief of statin-associated muscle symptoms and improved continuation of statin therapy
C 43 Rhodiola (Rhodiola rosea, rosavin-type adaptogenic herbal supplement) Induction of response and remission in mild-to-moderate major depressive disorder
C 43 Saffron extract from Crocus sativus, a botanical supplement containing crocin and safranal Reduced core inattention, hyperactivity, and impulsivity symptoms of ADHD in children and adolescents
C 43 Saffron extract (Crocus sativus, Satiereal, a crocin- and safranal-related botanical dietary supplement) Reduced snacking and appetite with modest weight loss in overweight women
C 43 Omega-3 EPA and DHA (long-chain marine n-3 polyunsaturated fatty acids; fish-oil-type supplement) Slowing biological aging in older adults as measured by DNA methylation clocks
C 43 Graduated compression garments (elastic compression clothing sold as nonmedical sports products) Faster recovery of strength and power and less delayed-onset muscle soreness when worn during or after exercise
C 43 Kinesiology tape (elastic adhesive tape; nonmedical product) Improvement of pain, walking, and physical function in knee osteoarthritis
C 43 Paraffin bath therapy (superficial thermal rehabilitation treatment or home-use device) Reduced pain and improved grip strength and hand function in hand osteoarthritis
C 43 Nirmatrelvir-ritonavir (Paxlovid, five-day oral prescription tablets) Increased early sustained recovery in vaccinated high-risk outpatients with COVID-19
C 43 Autologous platelet-rich plasma (PRP, intracavernosal injection procedure) Clinically meaningful IIEF-EF improvement in mild-to-moderate erectile dysfunction
C 42 Arginine (L-arginine) fatigue and vitality
C 42 Spirulina and chlorella Detoxification and immunity
C 42 Barley sprout (young barley shoot; Hordeum vulgare L. young barley leaf/sprout) Diet and liver
C 42 Iron (for non-deficient ordinary people) Fatigue
C 42 Chaga mushroom (Chaga, Inonotus obliquus/Fuscoporia obliqua) Immune-function enhancement and anticancer/cancer-prevention or adjunct claims
C 42 Balloon flower root (Platycodon grandiflorus, platycodin/platycodin D-series saponins) bronchial health, cough, and phlegm
C 42 Chitosan, including chitosan derivatives/polyglucosamine Fat absorption inhibition and body fat/body weight reduction
C 42 Moringa (Moringa oleifera) Nutrition, blood glucose, antioxidant, and cholesterol
C 42 Gamma-oryzanol (derived from rice bran) Cholesterol, menopause, autonomic nervous system
C 42 Capsinoids (capsiate) Thermogenesis and body-fat reduction
C 42 Uridine monophosphate (UMP) Memory, cognition, and synaptic health
C 42 Milk basic protein (MBP) Maintenance of bone mineral density and suppression of bone resorption
C 42 Licorice glycyrrhizin Improvement in hepatitis and liver enzymes
C 42 Modified citrus pectin Heavy-metal elimination and detoxification
C 42 NADH (nicotinamide adenine dinucleotide hydride) Improved chronic fatigue
C 42 L-serine Improvement in sleep quality and nighttime awakenings
C 42 Dried Tetraselmis chuii powder Improvement of dry eye and tear secretion
C 42 Clinoptilolite zeolite Heavy-metal adsorption and systemic detoxification
C 42 Bentonite clay Gut cleansing and systemic toxin removal
C 42 Aster glehni extract powder Improvement of age-related cognitive decline
C 42 Astragalus membranaceus extract Immune enhancement and infection prevention
C 42 Paraxanthine (enfinity®) Cleaner alertness, endurance, and reaction speed than caffeine
C 42 Rosemary extract Improved memory and concentration
C 42 Taheebo extract (Tabebuia avellanedae, Tabetri®) Joint and cartilage health and knee discomfort
C 42 Fermented chestnut inner-shell extract Reduced body fat and abdominal fat
C 42 MSM (methylsulfonylmethane) Improvement of skin wrinkles, elasticity, and hydration
C 42 L-lysine Prevention of recurrent herpes labialis and acceleration of lesion healing
C 42 Camu-camu fruit extract (Myrciaria dubia) Powerful antioxidant activity and healthy aging
C 42 Yerba mate extract (Ilex paraguariensis) Reduced body weight, body fat, and waist circumference
C 42 Bifidobacterium longum 1714 (probiotic strain, Zenflore) Reduction of stress and anxiety responses and cortisol
C 42 AstraGin (a branded ingredient derived from Panax notoginseng and Astragalus membranaceus) Maximized muscle function and exercise effects through increased protein and creatine absorption
C 42 Citicoline (CDP-choline, Cognizin, dietary supplement) Improved age-related memory and cognitive function in middle-aged and older adults
C 42 Povidone-iodine gargle or throat spray (Betadine, nonprescription medicine) Prevention of common-cold or COVID-19 infection and progression to severe disease
C 42 Alpha-hydroxyisocaproic acid (HICA, leucine-metabolite sports supplement) Increased muscle mass, reduced muscle loss, and enhanced post-exercise recovery
C 42 Propranolol (nonselective beta blocker, Inderal, prescription medicine; use for performance anxiety is off-label) Improved subjective anxiety and performance in speaking, examinations, and stage situations
C 42 Racecadotril (prescription enkephalinase-inhibiting antidiarrheal) Reduced duration and stool output in pediatric acute watery diarrhea
C 42 Topical caffeine (scalp shampoo or tonic, cosmetic) Reduced shedding and improved hair density in male or female pattern hair loss
C 42 Lactobacillus gasseri BNR17 (breast-milk-derived proprietary probiotic strain used in a product-specific functional food ingredient) Reduced visceral fat area and waist circumference within 12 weeks in adults with obesity
C 42 Coenzyme Q10 (ubiquinone or ubiquinol, a mitochondrial quinone antioxidant supplement) Reduced facial wrinkles and fine lines and improved skin smoothness after 12 weeks of oral intake
C 42 Ashwagandha root extract (Withania somnifera, a withanolide-containing adaptogen supplement) Normalization of TSH, T3, and T4 in asymptomatic or mild subclinical hypothyroidism
C 42 Saffron extract (Crocus sativus, a crocin- and safranal-containing herbal supplement) Improved drug-induced erectile dysfunction in men taking fluoxetine
C 42 Weighted blanket (deep-pressure bedding sold as a nonmedical consumer product) Improved subjective sleep quality and Insomnia Severity Index scores in adults with insomnia
C 42 Mosapride (prescription 5-HT4 gastrointestinal prokinetic, marketed as Gasmotin) Improvement of early satiety, postprandial fullness, and overall symptoms in functional dyspepsia
C 42 Continuous glucose monitor for people without diabetes (CGM, including FreeStyle Libre-type wearable medical devices) Reduced postprandial glycemic variability and HbA1c through real-time feedback in healthy adults and adults with prediabetes
C 42 Theta and delta binaural beats (nonmedical digital sleep content using dichotic auditory frequency differences) Improved sleep-onset latency, sleep efficiency, and deep sleep in insomnia when listened to before bedtime
C 42 Vitamin D3 (cholecalciferol 2,000 IU as an oral capsule) Slowed biological aging by reducing telomere attrition in middle-aged and older adults
C 42 MED3000 (Eroxon, volatile hydroalcoholic topical gel, nonprescription medical device) Improved IIEF-EF and intercourse success in men with erectile dysfunction
C 42 Specific bioactive collagen peptides, marketed as VERISOL Reduction of thigh cellulite and skin waviness
C 42 Spirulina 2 g (Spirulina or Arthrospira platensis oral supplement) Relief of rhinorrhea, congestion, sneezing, and nasal itching in allergic rhinitis
C 42 Mindfulness-based stress reduction (MBSR, a structured 8-week meditation program) Reducing generalized anxiety disorder symptoms more than active stress education
C 42 Oral prednisone (prescription systemic corticosteroid) Improved function and pain in acute sciatica caused by a herniated disk
C 42 Therapeutic ultrasound (low-intensity long-duration or physical-therapy ultrasound device) Improvement of pain and function in knee osteoarthritis
C 42 Monopolar radiofrequency, including Thermage- and YOUMAGIC-type noninvasive tightening devices Improvement in the appearance of facial laxity and wrinkles
C 41 Shiitake mushroom (lentinan, Lentinula edodes/lentinan) Immunity, anticancer
C 41 Picrorhiza kurroa (kutki) extract Improvement in liver function and liver enzymes
C 41 Honeyberry extract powder Protection from liver injury associated with metabolic abnormalities
C 41 Angelica decursiva leaf extract Improvement of joint discomfort and function
C 41 Betaine, trimethylglycine, or TMG for liver outcomes Improvement of fatty liver, liver fat, and liver enzymes
C 41 Oral glutathione Liver detoxification, toxin elimination, and improvement in liver enzymes
C 41 Benfotiamine, also called S-benzoylthiamine Improved pain and nerve function in diabetic peripheral neuropathy
C 41 Thymosin alpha 1 (immunomodulatory peptide; prescription injection) Improved survival and disease-free survival as an adjunct to cancer treatment
C 41 Fortetropin (fertilized egg-yolk ingredient, YOLKED) Increased muscle mass and strength and prevention of muscle loss through myostatin inhibition
C 41 Phentermine (Purimin, prescription sympathomimetic appetite suppressant) Extension of short-term appetite suppression and weight loss to long-term loss and maintenance
C 41 Stabilized oxaloacetate (benaGene-type supplement) Reduced physical and mental fatigue in myalgic encephalomyelitis/chronic fatigue syndrome
C 41 PeptiStrong fava-bean protein hydrolysate (Vicia faba branded ingredient) Increased strength and muscular endurance when combined with resistance training
C 41 Korean red ginseng extract (Panax ginseng, a ginsenoside-containing health supplement) Improved IIEF erectile function and intercourse satisfaction in men with erectile dysfunction
C 41 Lavender essential oil (Lavandula angustifolia; consumer aromatherapy oil) Improve sleep onset, sleep maintenance, and sleep quality through inhaled aromatherapy in adults with poor sleep
C 41 SAMe, or S-adenosyl-L-methionine and ademetionine, a methyl donor sold as a supplement Reduced risk of death or liver transplantation in alcoholic cirrhosis
C 41 L-leucine (a branched-chain essential amino acid sold as a single-ingredient supplement) Improved muscle mass, grip strength, and walking function in older adults with sarcopenia
C 40 ABC juice (apple, beet, carrot) and cabbage juice Stomach health and detoxification
C 40 Cassia seed (Cassia obtusifolia/Senna obtusifolia seed) Eyes, constipation
C 40 Celery seed extract (Apium graveolens seed extract, 3nB) Blood pressure
C 40 Boron Bones, joints, and hormones
C 40 Squalene (from shark/olive sources) Skin and immunity
C 40 Hops (Humulus lupulus) Sleep and anxiety
C 40 Fucoxanthin Reduction in body weight and abdominal fat
C 40 Hesperidin Improvement of blood pressure, endothelial function, and venous circulation
C 40 Alpha-cyclodextrin Improvement of postprandial triglycerides, LDL, and body weight
C 40 Salacia reticulata/oblonga extract Suppression of the postprandial glucose rise
C 40 Mastic gum (Pistacia lentiscus) Functional dyspepsia and Helicobacter suppression
C 40 Fisetin Senolytic activity and healthspan extension
C 40 Ergothioneine Antioxidant effects and healthy aging
C 40 D-ribose Improved fatigue in chronic fatigue syndrome and fibromyalgia
C 40 DMAE (dimethylaminoethanol) Improvement in memory and focus
C 40 Vanadyl sulfate Improvement in insulin sensitivity and blood glucose
C 40 Calcium D-glucarate Enhanced liver detoxification and toxin elimination
C 40 Cycloastragenol (TA-65) Telomerase activation and telomere maintenance
C 40 Cantaloupe melon SOD-gliadin complex (GliSODin) Antioxidant effects and reduced oxidative stress
C 40 Molecular hydrogen-generating tablets Reduced oxidative stress and anti-aging effects
C 40 American skullcap (Scutellaria lateriflora) Relief of anxiety and tension
C 40 DL-phenylalanine (DLPA) Improvement of depressive symptoms and mood
C 40 Fermented amino acid complex Fatigue reduction during endurance exercise
C 40 Germinated fermented soybean extract Relief of menopausal symptoms in women
C 40 Maitake SX-Fraction (Grifola frondosa) Improvement in insulin sensitivity and blood glucose
C 40 Methylliberine (Dynamine®) Caffeine-free alertness, focus, and exercise energy
C 40 Blackcurrant anthocyanins VDT-related eye fatigue and dark adaptation
C 40 Motherwort (Leonurus japonicus) Irregular menstruation, menstrual pain, and postpartum uterine recovery
C 40 Muira puama (Ptychopetalum olacoides) Improvement of male libido and erectile function
C 40 Polygala tenuifolia root extract Improvement of memory, learning, and forgetfulness
C 40 Cyanidin-3-glucoside-rich black soybean seed-coat extract Eye fatigue and accommodative function
C 40 Black ginger (Kaempferia parviflora) Improved erectile function, libido, and male vitality
C 40 Low-molecular-weight whey protein hydrolysate containing a five-amino-acid peptide Improved strength, muscle mass, and resistance-exercise performance
C 40 Lactiplantibacillus plantarum PS128 Relief of stress, anxiety, and depressive feelings
C 40 Diamine oxidase (DAO) Relief of headache, urticaria, and gastrointestinal symptoms attributed to food-related histamine intolerance
C 40 Maca (Lepidium meyenii) Female desire and sexual function, including antidepressant-associated sexual dysfunction
C 40 HemoHIM herbal extract containing Angelica, Cnidium, and Paeonia Enhancement of immune function and defense against infection in healthy adults
C 40 L-ornithine, sleep-efficacy axis Improvement of sleep quality related to stress and fatigue
C 40 L-citrulline, erectile-dysfunction efficacy axis Improvement of erection hardness and sexual function in mild erectile dysfunction
C 40 Inositol-stabilized arginine silicate (Nitrosigine®) Improved exercise pump, blood flow, endurance, and recovery
C 40 PLAG (1-palmitoyl-2-linoleoyl-3-acetyl-rac-glycerol) Enhanced immune function in healthy adults
C 40 Probiotics-fermented garlic extract (individually approved functional ingredient No. 2016-16) Improved liver enzymes and support for liver health
C 40 Magnesium malate / malic acid–magnesium (Super Malic, supplement) Reduced fatigue and pain in fibromyalgia and increased cellular ATP
C 40 2′-Fucosyllactose (2′-FL, human milk oligosaccharide supplement) Improved adult gut microbiota and irritable bowel syndrome symptoms
C 40 Redensyl (trademarked multi-ingredient active in scalp ampoules) Reduced hair loss and increased hair density
C 40 Ursolic acid (apple-peel-derived triterpenoid supplement) Increased muscle mass and strength during resistance training
C 40 Zembrin Sceletium tortuosum extract (standardized proprietary ingredient) Relief of everyday stress and anxiety
C 40 Oral sheep placenta extract (dietary supplement) Improved skin elasticity, whitening, regeneration, and anti-aging
C 40 Ketone monoester (exogenous ketone supplement) Improved endurance, exercise performance, and recovery through increased blood ketones
C 40 Cat's claw (Uncaria tomentosa or Uncaria guianensis, dietary supplement) Relief of pain and inflammation in osteoarthritis and rheumatoid arthritis
C 40 Calcium pyruvate (dietary supplement) Weight and body-fat reduction through increased metabolism and fat burning
C 40 Trimebutine maleate (gastrointestinal motility regulator, Polybutin, prescription or nonprescription) Improvement of overall irritable bowel syndrome symptoms including abdominal pain
C 40 Brimonidine ophthalmic solution (alpha-2 agonist eye drop, Alphagan, prescription) Neuroprotection beyond intraocular-pressure lowering that inhibits visual-field progression in normal-tension glaucoma
C 40 Cabergoline, a prescription dopamine agonist sold including as Caberactin; sexual-function use is off label Shortened post-ejaculatory refractory period and multiple orgasms in healthy men
C 40 Rosemary oil (Rosmarinus officinalis, aromatherapy oil applied to the scalp) Hair regrowth in androgenetic alopecia through scalp application
C 40 Green tea extract or EGCG (catechin supplement) Improved liver enzymes including ALT and AST in MASLD or NAFLD
C 40 L-carnitine (an amino-acid derivative involved in fatty-acid transport and sold as a supplement) Reduced mental fatigue in people with hypothyroidism who remain fatigued during levothyroxine treatment
C 40 Cissus quadrangularis (a Vitaceae plant-extract supplement) Faster clinical and radiographic fracture union with less pain and swelling when added to fracture fixation
C 40 L-arginine alpha-ketoglutarate (AAKG, nitric-oxide-precursor amino-acid salt and sports supplement) Improved bench-press and leg-press maximal strength and repetition performance when taken before exercise
C 40 Saffron extract (Crocus sativus; crocin-containing botanical extract and supplement) Lowering intraocular pressure and inhibiting progression when added to existing eye-drop treatment for primary open-angle glaucoma
C 40 Sodium phosphate as an oral loading supplement Improved endurance and time-trial performance in trained cyclists
C 40 LipiFlow thermal pulsation (ophthalmic medical-device procedure) Improvement of symptoms and tear-film measures in meibomian-gland-dysfunction dry eye
C score not listed Pantothenic acid (vitamin B5) skin and hair-loss improvement

D Grade D · 626 · Human evidence is insufficient or was not confirmed in key trials.

D 38 Echinacea (echinacea) Cold prevention and treatment
D 38 Acai berry (Euterpe oleracea) Antioxidant and anti-aging
D 38 Vitamin D3 (cholecalciferol, fat-soluble vitamin supplement) Prevention of progression from prediabetes to type 2 diabetes in adults
D 38 Inositol (myo-inositol or D-chiro-inositol, a sugar-alcohol cell-signaling nutrient supplement) Reduced BMI and waist circumference and improved weight management in adults with metabolic disorders or polycystic ovary syndrome
D 38 N-acetylcysteine (NAC, a thiol drug indicated as a mucolytic in Korea; psychiatric use is off-label) Reduced hair-pulling urges, behavior, and severity in adults with trichotillomania
D 38 Standardized nitrate-rich beetroot juice (food and sports-supplement beverage) Improved exercise tolerance, walking or cycling endurance, and dyspnea in patients with COPD
D 38 Vitamin K2 MK-7 (menaquinone-7, fat-soluble vitamin supplement) Improvement in fasting glucose and HbA1c in adults with type 2 diabetes or prediabetes
D 38 Maralixibat (Livmarli, oral IBAT inhibitor solution) Relief of cholestatic pruritus in children with Alagille syndrome
D 38 Microneedling (percutaneous collagen induction with a dermal roller) Improved appearance of atrophic acne scars
D 37 Kefir (a fermented milk containing mixed lactic-acid bacteria and yeasts; conventional food) Improved fasting blood glucose and HbA1c in adults with type 2 diabetes
D 36 Pueraria root (kudzu root, Pueraria/kudzu, puerarin) Menopause and hangover
D 36 Whole-body electromyostimulation (WB-EMS, a non-drug exercise device and training method) Improved strength, power, jumping, and sprint performance with short workouts
D 36 Eyelid warming mask (a moist-heat or steam non-drug eye-care product) Improved dryness, foreign-body sensation, and tear-film stability in evaporative dry eye caused by meibomian gland dysfunction
D 36 Active temperature-controlled mattress cover (a water-cooled or heated smart sleep device) Improved objective total sleep time, deep sleep, and sleep efficiency through nighttime temperature control
D 36 Menthol mouth rinse at 0.01% to 0.1%, swilled during exercise and expectorated Improved endurance performance in hot environments
D 35 Chondroitin (chondroitin, mainly chondroitin sulfate) Claims for joint and cartilage health, improvement of osteoarthritis pain and function, and maintenance of joint space
D 35 Probiotics (specific strains) Atopic dermatitis and eczema
D 35 Kanna extract (Sceletium tortuosum) Relief of stress and anxiety
D 35 Nicotinamide (niacinamide) NAD+ replenishment and delayed aging
D 35 Low-dose quetiapine (off-label antipsychotic) Improved sleep onset and maintenance in primary insomnia
D 35 Caralluma fimbriata extract (dietary supplement) Weight loss through reduced appetite and waist circumference
D 35 Astaxanthin (xanthophyll carotenoid antioxidant supplement) Improved exercise endurance, performance, and post-exercise recovery
D 35 N-acetylcysteine (NAC, an oral thiol antioxidant and glutamate-modulating supplement used off label as an adjunct for OCD) Relief of obsessive-compulsive symptoms measured by Y-BOCS when added to existing treatment in adults
D 35 Oral zinc (zinc sulfate, gluconate, and other salts; an essential trace-mineral supplement) Reduced loudness and distress from subjective tinnitus in adults
D 35 Sleep mouth tape (adhesive consumer product intended to encourage nasal breathing; non-drug product) Treatment of nighttime snoring and obstructive sleep apnea with improved sleep quality
D 35 Bates-type eye exercises (device-free vision training) Reduced myopic refractive power and permanently restored unaided vision through repeated training
D 35 Hydrochlorothiazide (thiazide diuretic, Dichlozid, prescription drug) Prevention of clinical and radiologic recurrence of calcium kidney stones
D 35 Sound-blocking earplugs (foam or silicone sleep products; nonmedical devices) Improved subjective sleep quality and fewer nighttime awakenings in noisy intensive-care and hospital wards
D 35 Oral vitamin E (alpha-tocopherol 400 IU; fat-soluble vitamin and nonprescription supplement) Reduced pruritus and SCORAD severity in mild-to-moderate atopic dermatitis
D 35 L-theanine, a tea-derived amino-acid supplement Reduction of stress and tension and promotion of subjective relaxation
D 35 High-dose zinc gluconate oral supplement Shortened symptom duration in early COVID-19
D 35 Intense pulsed light therapy (IPL, ophthalmic procedure) Improved tear-film measures and symptoms in dry eye due to meibomian gland dysfunction
D 35 Alternate-day fasting (25% of baseline energy on fast days and 125% on feast days) Greater and easier-to-maintain weight loss than daily calorie restriction
D 35 HEPA air purifier (household environmental intervention) Relief of house-dust-mite allergic rhinitis symptoms
D 34 Vitamin D immunity and prevention of acute respiratory infections
D 34 Glucosamine joint (knee) pain and function improvement
D 34 Nattokinase (nattokinase, fibrinolytic enzyme derived from Bacillus subtilis natto) Blood clots and blood circulation
D 34 Glucomannan (konjac) Weight loss and satiety
D 34 Mistletoe (Viscum album) Immunity, blood pressure, and anticancer effects (adjunctive therapy)
D 34 Aquamin marine-algae multimineral from Lithothamnion Increased bone mineral density and prevention of fractures
D 34 Dioctahedral smectite (diosmectite), a nonprescription intestinal adsorbent silicate marketed as Smecta Shorter recovery time from acute watery diarrhea in adults
D 34 Calcitonin salmon nasal spray (antiresorptive peptide prescription drug) Prevention of new vertebral fractures in postmenopausal osteoporosis
D 34 Citicoline or CDP-choline (phospholipid precursor, supplement and medicine in some countries) Adjunctive inhibition of glaucomatous visual-field progression during pressure-lowering treatment
D 34 Dihexa (PNB-0408, research-use peptide-like compound marketed for oral use) Enhanced memory and concentration in healthy adults by promoting synaptogenesis
D 34 Graduated compression stockings (15–30 mmHg consumer-available compression medical device) Relief of leg fatigue, discomfort, and edema in healthy people who stand for prolonged periods at work
D 34 Abdominal electrical muscle stimulation belt (abdominal EMS/NMES, low-frequency muscle stimulator, non-drug device) Reduced body weight, abdominal fat, and waist circumference without exercise or dietary change
D 34 Pulsed electromagnetic field device (PEMF; non-drug wellness or rehabilitation device) Improved pain, stiffness, and physical function in knee osteoarthritis
D 34 Astaxanthin (an oral xanthophyll carotenoid supplement derived from microalgae) Improved exercise endurance and faster recovery from muscle damage and fatigue
D 34 Ginger root extract (Zingiber officinale, a gingerol- and shogaol-containing supplement) Reduced weight, body fat, and waist circumference in adults with overweight or obesity
D 34 Sodium citrate (extracellular buffering alkali salt, sports supplement) Improved repeated high-intensity exercise and sport performance after pre-exercise loading
D 34 Hearing-aid-based hearing intervention (prescription or over-the-counter air-conduction hearing-assistance device) Prevention of cognitive decline and dementia in older adults with hearing loss
D 34 Time-restricted eating (8-hour eating window and 16-hour fast) Greater weight loss than a usual eating schedule without separate calorie restriction
D 34 Single-dose oral dexamethasone, a prescription corticosteroid Complete resolution of acute sore throat within 24 hours without antibiotics
D 34 Tamsulosin (prescription alpha-1 blocker) Facilitation of spontaneous passage of ureteral stones 5 mm or smaller
D 34 Lumbar support (back belt or occupational low-back brace) Prevention of low back pain incidence and related sick leave in physical workers
D 34 Intensive insulin glucose control in critical illness (target 81 to 108 mg/dL strategy) Reduction of 90-day and in-hospital mortality in critically ill adults
D 34 Graduated elastic compression stockings (knee-length 30-to-40-mmHg medical device) Prevention of post-thrombotic syndrome after a first proximal deep-vein thrombosis
D 34 Intensive lifestyle intervention (Look AHEAD-style calorie restriction, exercise, and behavioral counseling for weight loss) Prevention of major cardiovascular events in adults with overweight or obesity and type 2 diabetes
D 34 Single invitation to prostate-specific antigen screening Reduction in prostate-cancer mortality among average-risk men
D 34 Montelukast, a leukotriene-receptor antagonist Shortened symptoms and duration of adult postinfectious cough
D 34 Robot-assisted upper-limb training using the MIT-Manus repetitive-rehabilitation system Superior arm-function recovery after stroke compared with usual rehabilitation
D 34 Long-term opioid analgesic strategy using stepped prescription medication management Superior long-term pain-related function versus a nonopioid strategy for chronic back or hip or knee osteoarthritis pain
D 34 Implantable loop recorder screening with continuous electrocardiographic monitoring and anticoagulation after atrial fibrillation detection Prevention of stroke or systemic arterial embolism in older adults at elevated stroke risk
D 34 Incentive spirometry, a self-administered postoperative deep-inspiration device Prevention of postoperative hypoxemia, atelectasis, pneumonia, and other pulmonary complications
D 34 Pediatric adenotonsillectomy Improved attention and executive function in children with sleep-disordered breathing
D 34 Intra-aortic balloon pump, or IABP, for mechanical counterpulsation support Reduced 30-day mortality in acute myocardial infarction with cardiogenic shock undergoing early revascularization
D 34 Early goal-directed therapy, a six-hour protocol targeting central venous pressure and central venous oxygen saturation Reduced 90-day mortality in septic shock versus contemporary usual care
D 34 Sacubitril/valsartan, the prescription angiotensin receptor-neprilysin inhibitor Entresto Reduction in cardiovascular death, heart-failure hospitalization, or outpatient heart failure after acute myocardial infarction
D 34 New initiation of statin therapy in maintenance hemodialysis, including rosuvastatin and atorvastatin Reduction in cardiovascular death, nonfatal myocardial infarction, or nonfatal stroke
D 34 Routine early percutaneous coronary intervention added to optimal medical therapy for stable coronary disease Prevention of death and myocardial infarction in stable coronary artery disease
D 34 Whole bok choy Prevention of incident type 2 diabetes
D 34 Green leafy vegetables as a group Slower cognitive decline and prevention of dementia
D 34 Sunflower-seed-containing food, 25 g/day Improved acne
D 34 Decaf 5-hour Energy low-caffeine shot, one 57-mL bottle Five-hour alertness, mental energy, and cognitive enhancement independent of caffeine
D 34 Olive-oil canned sardines, 100 g twice weekly Metabolic-risk markers and one-year diabetes incidence in older adults with prediabetes
D 34 Frozen cod fillets, 200 g twice weekly from gestational weeks 20 to 36 Improved infant cognitive, language, and motor development at 11 months
D 34 Mixed intake of lean and oily fish Prevention of incident rheumatoid arthritis
D 34 Nonfermented milk without complete separation by fat content Prevention of total and hip fractures in adults
D 34 Whole eggs including yolk, up to about one per day in usual diets Increased incidence of cardiovascular disease
D 34 Unsalted butter, 50 g daily No worse effect on LDL than olive or coconut oil
D 34 Diet sodas and low-calorie drinks grouped as artificially sweetened beverages Prevention of incident type 2 diabetes
D 34 Commercial pure fruit juice with no added sugar Increased incidence of type 2 diabetes
D 34 Advice to skip breakfast and consume no calories before 11 am Weight gain or impaired weight loss over 16 weeks
D 34 WHI low-fat dietary pattern Reduced invasive breast-cancer incidence in postmenopausal women
D 34 MIND dietary pattern Prevention of cognitive decline
D 34 Alcohol at roughly zero to two drinks per day Prevention of coronary heart disease
D 34 Regular coffee above 1,400 g per day, about six 237-mL cups or 1.4 L Prevention of incident invasive colon cancer
D 34 Switching from caffeinated to decaffeinated instant coffee before 20 weeks' gestation, reducing total caffeine by a mean 182 mg/day Higher birth weight and longer gestation
D 34 Weekend-warrior activity concentrating recommended weekly exercise into one or two sessions Whether all-cause mortality differs from activity spread over three or more sessions
D 34 Approximately 8.5 to 12.5 sedentary hours per day Mortality risk as large as smoking and not attenuated by exercise
D 34 Weekend catch-up sleep of more than 0 to under 1 hour, 1 to under 2 hours, or at least 2 hours above weekday sleep Prevention of all-cause mortality and incident cardiovascular disease
D 34 Intensive nonsurgical periodontal therapy with follow-up in patients with cardiovascular disease and periodontitis Prevention of recurrent myocardial infarction, stroke, and other cardiovascular events
D 34 Second-trimester nonsurgical periodontal treatment with scaling, root planing, and oral-hygiene care Prevention of birth before 37 weeks in pregnant patients with periodontitis
D 34 Periodontitis diagnosis and treatment codes in health-care records Increased incidence of rheumatoid arthritis
D 34 Long-term rotating night-shift history, defined as at least three nights per month plus day or evening shifts Increased incidence of invasive breast cancer
D 34 Self-reported habit of carrying an active mobile phone in a front pants pocket Lower fecundability and worse semen parameters
D 34 Personal use of permanent hair dye Higher incidence of hematopoietic cancer
D 34 Bra wearing Higher breast-cancer incidence
D 34 Provision and use of alcohol hand sanitizer added to school hand-hygiene education Prevention of respiratory-illness absence in children
D 34 Taking the full daily dose of usual antihypertensive medication at bedtime Reduced major cardiovascular events versus dosing on awakening
D 34 Physician-pharmacist medication optimization using STOPP/START and STRIPA Reduction of 12-month drug-related hospital admission in inpatients aged 70 or older with multimorbidity and polypharmacy
D 34 Ten sessions of adaptive dual-attention speed-of-processing cognitive training Reduction of claims-diagnosed dementia over 20 years in initially healthy adults aged 65 or older
D 34 A guideline, education, leadership, and onsite-support bundle to reduce physical restraints in nursing homes The claim that physical restraints prevent falls and fall-related fractures
D 34 Expanded use of hospital bed and chair exit alarms Reduced inpatient falls and injurious falls
D 34 Endometrial scratching with a Pipelle biopsy catheter before in vitro fertilization Increase in live birth per randomized woman
D 34 Habitual knuckle cracking Increased hand osteoarthritis
D 34 Liberal red-cell transfusion strategy Reduction in 30-day death or recurrent myocardial infarction versus restrictive transfusion in acute MI with anemia
D 34 Four-component meningococcal serogroup B vaccine, 4CMenB or Bexsero Prevention of laboratory-confirmed gonorrhea in high-risk men
D 34 Early venovenous extracorporeal membrane oxygenation Reduction of 60-day mortality in very severe acute respiratory distress syndrome
D 34 Early 48-hour continuous cisatracurium neuromuscular blockade Reduction of 90-day in-hospital mortality in moderate-to-severe acute respiratory distress syndrome
D 34 High-dose extended-release niacin added to statin therapy Reduction in major cardiovascular events
D 34 Endometrial receptivity testing used to personalize embryo-transfer timing Increase in live birth
D 34 N95 respirators versus medical masks Prevention of influenza among healthcare personnel
D 34 Balanced crystalloids Lower mortality than saline in critically ill adults
D 34 Conservative oxygen target Lower all-cause mortality in critically ill adults
D 34 Earlier, higher-dose ICU mobilization Survival, discharge, and adverse events
D 34 Fresh lemon juice 60 mL twice daily, providing about 6 g citric acid daily Prevention of two-year recurrent idiopathic calcium oxalate stones
D 34 Early aggressive goal-directed fluid resuscitation for acute pancreatitis Improved clinical outcomes and fluid overload
D 34 Time-lapse incubation and morphokinetic embryo selection Increased live birth after IVF or ICSI
D 34 Combined ACE inhibitor and angiotensin-receptor blocker therapy Greater renal protection than monotherapy in chronic kidney disease
D 34 Adaptive servo-ventilation added to guideline-based heart-failure therapy Reduced mortality and cardiovascular events in heart failure with reduced ejection fraction
D 34 See title and evidence table for the studied intervention. The stated clinical outcome in the title.
D 34 Night-time earplugs Reduced incidence of strict ICU delirium
D 34 Powered alternating-pressure air mattress with cyclic inflation and deflation of air cells Reduced new category 2 or worse pressure ulcers in high-risk acutely ill inpatients
D 34 Removing the dressing within 12 hours and bathing normally after primary closure of a minor skin excision No greater wound-infection risk than keeping the wound dry and covered for 48 hours
D 34 Topical intranasal tranexamic acid 100 mg/mL delivered on a cotton dental roll Reduced need for anterior nasal packing in adults with emergency-department epistaxis
D 34 An 18-month workplace wellness package combining nutrition, physical activity, weight management, stress reduction, health assessment, biometrics, and small incentives Improved employee health with lower absenteeism, medical spending and use, and better work performance
D 34 A comprehensive COPD self-management program combining education, an exacerbation action plan, and scheduled case-management calls Reduced COPD-related hospitalization
D 34 Low-level amber LED arrays outlining the bathroom or entry doorframe as seen from the bed Reduced nighttime falls among assisted-living residents with dementia
D 34 Temporary transport of an avulsed permanent tooth in milk before dental care Improved long-term survival and functional replantation success versus tap water, saline, or dry storage
D 34 Irrigation of a simple emergency-department laceration with potable tap water No increase in post-closure wound infection versus sterile normal saline
D 34 Structured professional oral care in nursing homes Prevention of pneumonia among nursing-home residents
D 34 A physiotherapist-prescribed individualized home exercise program soon after hospital discharge Improved mobility while reducing falls in older adults
D 34 A donut-shaped cushion placed beneath the sacrum Prevention of pressure injuries
D 34 A strategy of transfusing fresher, shorter-stored red blood cells Reduced 90-day all-cause mortality versus standard-issue red cells in critically ill adults
D 34 Percutaneous endoscopic gastrostomy feeding in advanced dementia Prevention of new pressure ulcers or improved healing of existing pressure ulcers
D 34 Early enteral nutrition in critically ill adults Reduced 28- to 30-day mortality compared with early parenteral nutrition
D 34 An online skin-care behavior program with personal and ward moisturizers Prevention of occupational hand dermatitis in nurses
D 34 LUCAS automated mechanical chest compression for out-of-hospital cardiac arrest Increased survival and survival with favorable neurologic outcome versus standard manual compression
D 34 Personalised cooler dialysate set 0.5 to 0.9 degrees C below predialysis body temperature Reduction in cardiovascular death or hospitalization for myocardial infarction, ischemic stroke, or heart failure
D 34 Frequent, higher-dose out-of-bed mobilisation started within 24 hours after stroke in addition to usual stroke-unit care Increase in favorable three-month functional outcome, modified Rankin Scale 0 to 2
D 34 A single 1,000-mg infusion of ferric carboxymaltose 10 to 42 days before major open abdominal surgery Reduction in transfusion or death and in transfusion episodes through 30 days after surgery
D 34 Triclosan-coated surgical sutures Reduction of surgical-site infection versus otherwise equivalent uncoated sutures
D 34 Extended-release metoprolol newly started immediately before non-cardiac surgery Safe prevention of cardiovascular events
D 34 Silver-alloy hydrogel-coated short-term indwelling urethral catheter Reduced symptomatic urinary tract infection versus standard PTFE-coated catheter
D 34 Routine prophylactic pelvic suction drainage after rectal cancer excision with low infraperitoneal anastomosis Prevention of pelvic sepsis within 30 days
D 34 Routine gastric residual-volume measurement every six hours during early enteral feeding in mechanically ventilated adults Prevention of ventilator-associated pneumonia within 90 days
D 34 Early high-frequency oscillatory ventilation for adults with moderate-to-severe ARDS Reduced short-term all-cause mortality versus contemporary lung-protective conventional ventilation
D 34 Repeated catheter clamping as bladder training before removal of an indwelling urinary catheter Improved trial-without-catheter success and prevention of recatheterization
D 34 Picaridin lotion added to long-lasting insecticidal nets Reduced PCR-confirmed malaria infection among residents of an endemic area
D 34 Progressive exercise rehabilitation started within 48 hours of acute respiratory admission Reduced 12-month readmission and mortality
D 34 Intracranial arterial stenting added to aggressive medical therapy Reduced recurrent stroke in severe symptomatic intracranial stenosis
D 34 An i-gel-first strategy for initial advanced airway management in out-of-hospital cardiac arrest Better functional recovery at discharge or 30 days than with a tracheal-intubation-first strategy
D 34 A stand-alone HARP program in which an occupational therapist assesses and removes or modifies home fall hazards Lower hazard of a first fall over 12 months in high-risk community-dwelling older adults
D 34 Sericin-free antimicrobial silk garments worn day and night in addition to standard care Improved EASI severity in moderate-to-severe childhood atopic eczema
D 34 A post-myocardial-infarction prophylactic arrhythmia-suppression strategy using encainide/flecainide or pure d-sotalol Prevention of sudden death by suppressing ventricular ectopy
D 34 Addition of a retrievable inferior vena cava filter to standard anticoagulation Reduced three-month symptomatic pulmonary-embolism recurrence in anticoagulatable severe acute pulmonary embolism
D 34 Oral gabapentin titrated to a maximum of 2,700 mg daily Reduced chronic pelvic pain in women without obvious pelvic pathology
D 34 Adding platelet transfusion after spontaneous intracerebral hemorrhage in patients taking antiplatelet therapy Reduced death or dependence at three months
D 34 Perioperative aspirin, 200 mg before noncardiac surgery followed by 100 mg daily Prevention of 30-day death or nonfatal myocardial infarction
D 34 An early complex occupational-medicine add-on intervention Reduced six-month cumulative low-back-pain sick leave in workers with physically demanding jobs
D 34 Emergency-department resuscitative endovascular balloon occlusion of the aorta added to standard care Improved 90-day survival in trauma patients with life-threatening torso hemorrhage
D 34 Parathyroidectomy Prevention of death and major disease in mild primary hyperparathyroidism
D 34 Negative-pressure wound therapy applied to open surgical wounds Shorter time to complete epithelialization in surgical wounds healing by secondary intention
D 34 Lying-flat head position for 24 hours after acute stroke Reduced 90-day disability versus sitting up at 30 degrees or more
D 34 Addition of nitrous oxide to general anesthesia for high-risk noncardiac surgery No increase in major cardiovascular events, but increased severe nausea and vomiting
D 34 Restrictive fluid therapy Reducing disability and complications after major abdominal surgery
D 34 Early tracheostomy within four days of ICU admission Reduced 30-day mortality in adults expected to require prolonged mechanical ventilation
D 34 Energy-dense enteral nutrition at 1.5 kcal/mL Reduced 90-day mortality in mechanically ventilated critically ill adults
D 34 Initial trophic versus full-goal enteral feeding during the first six days of mechanical ventilation More ventilator-free days and lower mortality in acute lung injury
D 34 Levothyroxine 50 micrograms daily started before conception Increased live birth in euthyroid women positive for thyroid peroxidase antibodies
D 34 Five intravenous doses of high-dose epoetin alfa 1000 IU/kg added to therapeutic hypothermia Reduced death or neurodevelopmental disability in moderate or severe neonatal hypoxic-ischemic encephalopathy
D 34 Switching from hydrochlorothiazide to chlorthalidone Reduced major nonfatal cardiovascular events or noncancer death
D 34 Six 50 g doses of activated charcoal given every 4 hours Reduced in-hospital mortality after acute intentional self-poisoning
D 34 Femtosecond laser-assisted cataract surgery (FLACS) Superior three-month uncorrected distance visual acuity versus phacoemulsification
D 34 Total hip arthroplasty Reduced reoperation within two years versus hemiarthroplasty for displaced femoral-neck fracture
D 34 Oral prednisolone Hearing recovery in children with persistent otitis media with effusion
D 34 Single preoperative doxycycline 400 mg plus metronidazole 400 mg Prevention of pelvic infection within 14 days after miscarriage surgery
D 34 Oxycodone-, hydrocodone-, or codeine-acetaminophen combination analgesics Superior two-hour analgesia versus ibuprofen-acetaminophen for acute extremity pain in the emergency department
D 34 One year of postdischarge specialized mood-disorder clinic care Delayed first psychiatric readmission after hospitalization for severe unipolar depression
D 34 Forty intravenous edetate disodium-based chelation infusions Reduced major cardiovascular events in patients with diabetes and prior myocardial infarction
D 34 Inhaled fluticasone furoate-vilanterol ICS/LABA combination Improved overall survival in moderate COPD with heightened cardiovascular risk
D 34 Upper-limb remote ischemic preconditioning using a blood-pressure cuff Reduced death, myocardial infarction, stroke, and other major events after cardiac surgery
D 33 Black cohosh (black cohosh, Cimicifuga/Actaea racemosa) Menopausal symptoms (hot flashes)
D 33 Cinnamon bark (Cinnamomum cassia or C. verum; polyphenol-containing botanical supplement) Clinically meaningful reductions in weight, BMI, and body fat in adults with overweight or obesity
D 33 Highly mineralized alkaline water (a consumer alkaline bottled water product with pH 9 or higher) Better hydration status, lactate recovery, and anaerobic performance during exercise than regular bottled water
D 33 Coffee, a conventional food beverage containing caffeine and chlorogenic-acid polyphenols Prevention of cirrhosis and hepatocellular carcinoma through long-term consumption
D 32 Omega-3 (EPA/DHA) Dry eye disease
D 32 Dandelion (Taraxacum) Liver, diuretic effect, and digestion
D 32 Zinc Prostate, sperm, and male reproduction
D 32 Medium-chain triglyceride oil Improved endurance and exercise energy
D 32 Tocotrienols Reduction in LDL cholesterol and cardiovascular protection
D 32 Lacticaseibacillus paracasei Lpc-37® Reduced stress and anxiety and a steadier mood
D 32 Trazodone (prescription serotonin-modulating antidepressant; Trittico) Improved sleep onset, sleep maintenance, and sleep quality in chronic insomnia among adults without depression
D 32 Omega-3 fatty acids (fish-oil-derived EPA and DHA supplements) Improvement of liver fat, liver enzymes, and histology in MASLD or NAFLD
D 32 Boswellia serrata (a boswellic-acid triterpene herb used as a supplement) Induction of clinical remission in active ulcerative colitis or chronic colitis
D 32 Moringa oleifera leaf (a polyphenol-containing herbal supplement) Reduced body weight, body mass index, and waist circumference in adults with overweight or obesity
D 32 Peppermint essential oil (menthol-rich aroma, nonmedicinal product) Short-term alertness and relief of mental fatigue through aroma inhalation
D 32 Light-blocking eye mask (a nonmedical sleep accessory) Improved sleep onset, sleep maintenance, and subjective sleep quality in adults by blocking light
D 32 Topical caffeine shampoo (a methylxanthine-containing cosmetic or nonprescription hair-loss product) Reduced shedding and improved growth or density in male and female pattern hair loss
D 32 Dawn-simulation sunrise alarm (non-drug light-stimulation sleep device) Improved sleep inertia, post-waking sleepiness, and alert performance in adults with difficulty waking
D 32 Glucosamine sulfate (oral joint supplement and medicine in some countries) Improvement of chronic low back pain and disability associated with degenerative lumbar disease
D 32 Folic acid, the synthetic supplemental form of vitamin B9 Prevention of new polyp or adenoma recurrence after colorectal adenoma removal
D 32 Acupuncture for labour induction (acupoint stimulation at term or post-term) Promotion of spontaneous labour and reduction of medical induction
D 31 Coleus forskohlii extract (forskolin) Reduction of body fat and body weight
D 31 Coenzyme Q10 (ubiquinone or ubiquinol supplement) Improve aerobic, anaerobic, and strength performance in healthy exercisers
D 31 Fresh green kiwifruit (Actinidia deliciosa, an ordinary food containing serotonin and antioxidant compounds) Improved sleep onset, sleep duration, and sleep efficiency when adults with sleep difficulty eat two fruits one hour before bedtime
D 31 Bite-aligning performance mouthguard (sports equipment) Improved strength, power, and agility by optimizing jaw position and clenching
D 31 Capsaicin or cayenne extract (vanilloid chili constituent; food and supplement) Reduction of body weight, BMI, and waist circumference in adults with overweight or obesity
D 31 Chia seed (Salvia hispanica, a food or supplement containing fiber and alpha-linolenic acid) Improved fasting glucose and HbA1c in adults with type 2 diabetes or overweight
D 31 Boswellia serrata (an oral frankincense extract supplement containing boswellic acids) Reduced asthma attacks, dyspnea, and wheeze with improved lung function
D 31 Choline-stabilized orthosilicic acid (ch-OSA, a bioavailable silicon complex sold in supplements such as BioSil) Improved bone formation and femoral bone density when added to calcium and vitamin D in women with osteopenia
D 31 Electroacupuncture (acupuncture with electrical stimulation, a Korean medicine procedure) Improved sleep onset, sleep maintenance, and insomnia severity in adults with chronic insomnia
D 30 Cissus quadrangularis body weight and body fat reduction
D 30 High-dose vitamin C (megadose; ascorbic acid, oral/IV separated) cold prevention and anticancer claims (cold occurrence prevention, cold treatment/duration shortening, cancer prevention, cancer treatment/adjuvant therapy separated by efficacy)
D 30 Spermidine Aging, autophagy, and cognition
D 30 Phosphatidylcholine/lecithin Cognition and liver
D 30 Pterostilbene Antioxidant effects and healthspan extension
D 30 7-Keto-DHEA Increased thermogenesis and metabolic rate and reduced body fat
D 30 Red raspberry leaf (Rubus idaeus) Shorter labor, uterine health, and menstrual-pain relief
D 30 Sea buckthorn berry oil Relief of postmenopausal vaginal dryness and mucosal atrophy symptoms
D 30 Highly branched cyclic dextrin Superior endurance, recovery, and gastrointestinal comfort versus ordinary carbohydrates
D 30 Limosilactobacillus reuteri ATCC PTA 6475 Increased testosterone and vitality in middle-aged men
D 30 Chia seeds (Salvia hispanica) Reduced body weight and body fat through satiety
D 30 Guarana seed extract (Paullinia cupana) Longer-lasting energy than caffeine and improvement of chronic fatigue
D 30 Donepezil (cholinesterase inhibitor; Aricept; prescription) Prevention of progression from mild cognitive impairment to Alzheimer disease
D 30 Clostridium butyricum MIYAIRI 588 probiotic Improvement of abdominal pain and bowel symptoms in diarrhea-predominant irritable bowel syndrome
D 30 Mirtazapine (prescription antidepressant marketed as Remeron) Long-term improvement of chronic insomnia in adults without depression
D 30 Dydrogesterone (prescription oral progestogen; Duphaston) Prevention of miscarriage and increase in live birth across women with threatened miscarriage
D 30 Açaí berry (superfood supplement) Body-weight and body-fat reduction and rapid dieting
D 30 Chlorpheniramine (first-generation H1 antihistamine, nonprescription medicine; sleep use is off label) Improved sleep onset and restorative sleep through sedation and drowsiness
D 30 Pomegranate juice or concentrate (polyphenol-rich fruit-juice food or supplement) Improvement of erectile function and IIEF in men with mild to moderate erectile dysfunction
D 30 Sildenafil citrate, a prescription phosphodiesterase-5 inhibitor marketed as Viagra Improved cycling endurance and time-trial performance at sea level or moderate altitude in healthy exercisers
D 30 Omega-3 EPA and DHA (long-chain n-3 polyunsaturated fatty acids from fish-oil supplements) Clinically meaningful weight and body-fat reduction in adults with overweight or obesity
D 30 100% coconut water (a potassium-centered natural electrolyte beverage sold as a conventional food) Superior postexercise rehydration and endurance recovery versus water or a carbohydrate-electrolyte sports drink
D 30 Creatine monohydrate (a guanidino exercise supplement) Increased total and free testosterone and dihydrotestosterone in healthy men
D 30 Virgin coconut oil (VCO, a saturated-fat food and supplement) Lower low-density lipoprotein cholesterol and prevent cardiovascular disease
D 30 D-allulose, also called D-psicose (a rare-sugar low-calorie sweetener sold as food) Reduction of body weight and fat mass with daily intake in overweight adults
D 30 Blue-light filtering spectacles (a non-drug optical consumer product) Shorter sleep-onset latency and better sleep quality in evening screen users
D 30 Intermittent pneumatic compression recovery boots (sequential pneumatic compression devices such as Normatec, non-drug equipment) Reduced postexercise muscle soreness and faster recovery of strength and performance
D 30 Glucosamine (glucosamine sulfate or hydrochloride, an amino-sugar joint supplement ingredient) Lower all-cause mortality and longer healthspan or lifespan through regular use
D 30 Metformin (a prescription biguanide) Prevention of hepatocellular carcinoma in people with type 2 diabetes and chronic liver disease
D 30 Finnish dry sauna (80-100 degrees Celsius heat exposure in a nonmedical wellness facility) Longer healthspan through lower cardiovascular and all-cause mortality with regular use
D 30 Auricular acupuncture or acupressure (ear-point stimulation used as a traditional or complementary procedure) Reduced weight and BMI in adults with overweight or obesity through appetite suppression
D 30 D-mannose (monosaccharide supplement) Prevention of recurrent urinary tract infection over six months in women
D 30 Autologous platelet-rich plasma administered by intra-articular knee injection Reduced pain and slowed cartilage loss in knee osteoarthritis
D 30 Cannabidiol 150 mg (CBD isolate, sublingual oil) Improved insomnia severity and subjective sleep onset and maintenance in primary insomnia
D 30 Whole-body vibration platform (vibration exercise device; nonmedical product) Reduction of body weight, BMI, and body fat through vibration-platform training alone
D 30 Transcutaneous electrical nerve stimulation (TENS, low-frequency medical device available without a prescription) Improved persistent pain and disability in chronic nonspecific low back pain
D 30 Emu oil (topical animal-derived oil from emu fat, sold as a cosmetic or wellness product) Relief of knee or hand arthritis and joint pain
D 30 Continuous pink-noise audio or sound machine (non-drug sleep device or digital audio) Improved sleep onset, sleep maintenance, and deep sleep in adults
D 30 L-glutamine (a conditionally essential amino acid sold as an oral sports supplement) Reduced body weight and waist circumference in adults with overweight or obesity without dietary or exercise changes
D 30 Whole-body cryotherapy (non-drug wellness procedure using an extreme-cold chamber at −110°C or below) Reduced post-exercise muscle soreness and accelerated recovery of strength and sports performance
D 30 Elevation training mask (a nonmedical respiratory-resistance sports device) Additional improvement in VO2max, endurance, and lung function by simulating hypoxic altitude training
D 30 L-carnitine (oral amino-acid-derivative supplement) Reduction of cancer- and treatment-related fatigue in patients with cancer
D 30 High-dose intravenous vitamin C (high-dose IV ascorbic acid infusion) Reduced death and persistent organ dysfunction in vasopressor-dependent sepsis
D 30 Nirmatrelvir plus ritonavir, or Paxlovid, as 5-day or 10-day oral regimens Postexposure prevention of symptomatic infection in test-negative adults living with a person who has COVID-19.
D 30 High-dose biotin (MD1003, oral biotin 100 mg three times daily) Reversal of walking impairment and disability in progressive multiple sclerosis
D 30 Kinesiology tape, an elastic therapeutic tape Reduction of chronic nonspecific low-back pain and disability
D 30 Daily cold shower finish (30, 60, or 90 seconds after a warm shower) Prevention of cold or influenza symptom days and infections
D 30 Systemic prednisolone (prescription oral glucocorticoid) Hearing recovery in idiopathic sudden sensorineural hearing loss
D 30 Vaginal micronized progesterone (prescription vaginal formulation) Increased live birth in women with unexplained recurrent miscarriage
D 30 Whole-body vibration platform (vibration exercise device) Prevention of bone loss and increased bone density in postmenopausal osteopenia
D 30 Plantar-fasciitis tension night splint Improvement of first-step morning pain and function in plantar fasciitis
D 30 Dextrose prolotherapy (peri-ligament injection procedure) Reduction of chronic nonspecific low back pain and functional disability
D 30 Hyperbaric oxygen therapy (pressurized-chamber oxygen procedure) Improvement of headache, cognitive, and emotional symptoms in persistent postconcussion syndrome
D 30 Autologous platelet-rich plasma (ultrasound-guided subacromial autologous-blood injection) Improved shoulder pain and function in rotator-cuff tendinopathy
D 30 Palliative oxygen (nasal cannula at 2 L/min) Relief of refractory dyspnea in patients without hypoxemia
D 30 Acupuncture (traditional needle-stimulation procedure) Reduction in frequency and severity of menopausal hot flashes
D 30 Intra-articular sodium hyaluronate, an image-guided viscosupplement injection Improved pain and function in hip osteoarthritis
D 30 Transmeatal low-level laser therapy Relief of chronic tinnitus severity and distress in adults
D 30 Subacromial corticosteroid injection Long-term improvement in rotator cuff-related shoulder pain and disability
D 30 Therapeutic ultrasound, low-intensity sound used in physical therapy Additional pain and function improvement when added to exercise and heat for rotator cuff disease
D 30 Thigh-length graduated compression stockings Prevention of proximal deep-vein thrombosis in immobile patients with acute stroke
D 30 Continuous passive motion device Clinically meaningful additional range-of-motion, pain, and functional recovery after total knee arthroplasty
D 30 Percutaneous patent foramen ovale closure Reduced or eliminated migraine attacks in medication-refractory migraine
D 30 Oral spironolactone 100 mg daily, a prescription diuretic with antiandrogen effects Added hair growth in female pattern hair loss when combined with topical minoxidil
D 30 Custom-made semirigid foot orthoses molded from an individual cast Improved plantar-fasciitis pain and function versus a sham insert
D 30 Instrumented lumbar fusion as elective surgery for chronic nonspecific low back pain Greater disability improvement than intensive cognitive and exercise rehabilitation
D 30 Static stretching before and after, or after, exercise Clinically meaningful reduction in delayed-onset post-exercise muscle-soreness intensity
D 30 Whole spinach soup, 250 g/day of spinach Lower blood pressure
D 30 Yacon syrup Post-meal satiety and appetite suppression
D 30 Nitrate-rich beetroot juice Cognitive performance and cerebral blood flow in older adults
D 30 Cooked tomato products PSA reduction in men with prostate cancer
D 30 100% watermelon juice Improved vascular function in healthy postmenopausal women
D 30 Fresh grapefruit, 127 g before meals Additional weight loss beyond a calorie-restricted diet
D 30 Whole sauerkraut Reduction in systemic inflammation
D 30 Habitual whole-cheese intake Lower mortality and major cardiovascular events
D 30 Pressure-cooked parboiled brown rice Improved HbA1c
D 30 Boiled white quinoa seed, 25 to 50 g per day Weight loss
D 30 Wholegrain rye products replacing refined-wheat foods Weight loss
D 30 One meal fortified with 20 g whole oven-dried oyster mushroom powder, Pleurotus ostreatus Reduced ad libitum energy intake at the next meal four hours later
D 30 A diet providing 300 g shrimp per day Whether shrimp worsens blood lipids in normolipidemic adults
D 30 Three grams per day of powder ground from whole green cardamom Improved glucose and lipids in overweight or obese women with prediabetes
D 30 A high-protein weight-loss diet containing lean beef at least four times weekly Added weight loss over an otherwise similar high-protein diet without red meat
D 30 A carnivore diet centered on animal foods while excluding nearly all fruit, vegetables, and grains Improved overall perceived health and well-being
D 30 Perilla oil capsules, 3 g daily Lower triglycerides in people with type 2 diabetes versus fish oil and flaxseed-oil plus fish-oil comparators
D 30 Refined grape-seed oil, 20 mL daily Lower blood pressure versus refined olive oil or no added oil
D 30 Late dinner at 10 pm followed by sleep at 11 pm Worsened sleep architecture over one night
D 30 Healthy low-carbohydrate diet Greater 12-month weight loss than a healthy low-fat diet
D 30 Well-formulated ketogenic diet Greater HbA1c reduction than a Mediterranean diet
D 30 Controlled high-protein diet providing 25% of energy from protein Kidney damage in adults without kidney disease
D 30 Advice to add 1.5 L of water per day to usual intake Reduction in days with at least moderate headache among people with recurrent headaches
D 30 Red wine 150 mL/day with 16.9 g alcohol or white wine 150 mL/day with 15.8 g Improved glycemic control in type 2 diabetes
D 30 Presleep alcohol targeting breath alcohol 0.08 mg/L as printed in the article, with an observed pre-bed mean of 0.066 Faster sleep onset and better whole-night sleep quality
D 30 Participant-selected caffeinated coffee Reduced daily premature atrial contractions
D 30 At least four 150-mL cups of coffee daily, 600 mL or more, or caffeine above 330 mg/day Prevention of osteoporotic fractures in women
D 30 Daily calcium carbonate supplement, 1,000 mg, taken with meals Long-term iron deficiency or anemia
D 30 Eating 100 g grilled spinach together with 100 to 180 g milk or dairy products Increased calcium oxalate kidney-stone events
D 30 Routine use of aluminum pots, pans, and cookware Increased incidence of dementia or Alzheimer disease
D 30 Practice-based social-prescribing link worker support for people with multimorbidity in deprived areas Improved quality of life and mental health
D 30 Periodontitis diagnosis and treatment-need records in national health insurance data Increased incidence of Parkinson disease
D 30 A two-hour cognitive-behavioral sleep class plus two weeks of telephone support for parents of infants aged six to eight months Reduced objective night waking measured by actigraphy
D 30 The modified baby-led complementary-feeding program BLISS with choking-prevention education from about six months Reduced infant choking events
D 30 Vitamin D3 1,200 IU daily in healthy term infants Greater bone strength at 24 months than standard 400 IU daily
D 30 A fourteen-week community singing group for adults aged sixty years or older Reduction of depressive symptoms
D 30 Scraping out a honey-bee stinger versus pinching and pulling it out Reduction of local weal area according to removal method
D 30 Prophylactic acetaminophen, ibuprofen, or another antipyretic during fever Prevention of febrile-seizure recurrence during later febrile illnesses
D 30 Antiperspirant, deodorant, and underarm shaving Higher breast-cancer incidence
D 30 Stopping or continuing alendronate after five years of use Fracture prevention over the next five years
D 30 Two-hour repositioning on a high-density foam mattress Reduction of three-week pressure-ulcer incidence versus three- or four-hour repositioning
D 30 Nectar- or honey-thick liquids taken in a neutral head position Reduction of three-month pneumonia compared with chin-down posture while drinking thin liquids
D 30 Home or hospital bed rest for threatened miscarriage Prevention of miscarriage
D 30 Ionic detox footbath using an electrode array in salted water Increased elimination of heavy metals and toxins from the body
D 30 Continuous positive airway pressure (CPAP) Prevention of atrial-fibrillation recurrence after pulmonary-vein isolation
D 30 Posture-correcting shirt and tension bands Posture and neck-pain improvement
D 30 Compression arthritis gloves Relief of hand pain in rheumatoid or undifferentiated inflammatory arthritis
D 30 Daily self-weighing bundled with a record card, weight-loss goal, text reminders, and counseling Weight loss in adults with obesity
D 30 A domestic ion-exchange water softener installed on the whole-house supply Improvement of existing moderate-to-severe atopic eczema in children
D 30 A silicone nipple shield added to structured lactation support Continuation of exclusive breastfeeding to six months among mothers with nipple abnormalities
D 30 Single-agent bacitracin ointment applied daily for 7-10 days after dermatologic surgery Better prevention of postoperative wound infection than white petrolatum
D 30 Duct-tape occlusion with weekly soaking and debridement Complete clearance of common nongenital warts on hands, feet, or other sites
D 30 A raised toilet seat used after total hip arthroplasty Prevention of early hip dislocation within six months after surgery
D 30 Portable classroom HEPA air cleaners for students with asthma Reduced asthma symptom-days versus sham units
D 30 Daily foot self-inspection by people with diabetes Independent prevention of foot lesions or ulceration
D 30 Applying ordinary toothpaste to a minor thermal burn Removing heat and accelerating wound healing
D 30 Oral or mechanical suction of a venomous-snake bite wound Removal of a clinically meaningful amount of venom
D 30 Yellow-lens night-driving glasses Faster pedestrian detection under headlight glare
D 30 Prophylactic systemic antibiotics for sutured simple hand lacerations Prevention of infection in uncomplicated hand lacerations without bone, tendon, nerve, or major-vessel injury
D 30 Rinsing, cleaning, or storing contact lenses in tap water Safe use without increased Acanthamoeba or fungal keratitis
D 30 Age-adjusted low-dose oral haloperidol added for delirium in palliative care Relief of distressing behavioral, communication, and perceptual delirium symptoms
D 30 Acetaminophen plus diphenhydramine given 30 minutes before transfusion Prevention of febrile nonhemolytic or minor allergic transfusion reactions in patients largely without prior reactions
D 30 Prehospital cooling by wrapping and repeatedly replacing ice-water-soaked sheets Adequate cooling and preserved survival when cold-water immersion is difficult in exertional heat stroke
D 30 Air-travel earplugs containing a pressure-regulating filter Prevention of ear pain and middle-ear barotrauma during aircraft descent
D 30 Routine subcutaneous normal saline at 1 L/day for terminal cancer patients with reduced intake and mild-to-moderate dehydration Improved fatigue, myoclonus, sedation, hallucinations, quality of life, and related dehydration symptoms
D 30 Routine water precautions after pediatric tympanostomy tubes, using earplugs during bathing and swimming or avoiding swimming Prevention of tympanostomy-tube otorrhea within one year
D 30 Routine high-volume saline or phosphate enema on admission in labour Prevention of puerperal and neonatal infection
D 30 Six months of progressive stationary cycling during hemodialysis Clinically improved physical health-related quality of life
D 30 Prophylactic broad-spectrum antibiotics in severe or necrotizing acute pancreatitis without confirmed infection Prevention of infected pancreatic necrosis and death
D 30 Six weeks of strict sling immobilization and prohibition of active motion after rotator cuff repair Reduced 12-month ultrasound retear versus early pain-limited active motion
D 30 Routine nasogastric decompression maintained until passage of flatus or stool after elective hepatectomy Prevention of pneumonia and pulmonary complications
D 30 Gradual reduction of mandatory breaths during SIMV for mechanical-ventilator weaning Faster successful weaning than T-piece spontaneous-breathing trials
D 30 Preoperative whole-body bathing or showering with 4% chlorhexidine Prevention of surgical-site infection
D 30 Plain non-antimicrobial plastic adhesive incise drape Prevention of surgical-site infection
D 30 Pajamas made with far-infrared-emitting functional textile Improved sleep quality in adults with poor sleep
D 30 A 16:8 schedule restricting food intake to 08:00-16:00 Additional liver-fat reduction beyond equal daily calorie restriction
D 30 House-dust-mite-allergen-impermeable mattress, pillow, and duvet covers Improved lung function and inhaled-steroid withdrawal in adults with asthma
D 30 Precision foot reflexology applying pressure to organ-correspondence points Improved anxiety and depressive symptoms during menopause
D 30 Diet personalized with genomic and metabolomic testing Greater fat-mass loss than a generic healthy diet
D 30 Hands4U multifaceted guideline-implementation program Prevention of hand eczema in healthcare workers
D 30 Delivery-room resuscitation strategy incorporating sustained lung inflations Reduced bronchopulmonary dysplasia or death at 36 weeks in extremely preterm infants
D 30 Enamel matrix derivative (Emdogain) Increased marginal bone level 12 months after regenerative surgery for peri-implantitis
D 30 Switch from chronic transfusion and chelation to hydroxyurea and phlebotomy Maintained secondary stroke prevention while reducing iron overload in children with sickle cell anemia
D 30 Risk-based, six-month, and 24-month adult dental recall intervals Maintenance of oral health and oral-health-related quality of life over four years
D 30 Four rituximab infusions Reduced treatment failure in steroid-unresponsive adult ITP
D 30 Nasal high-flow therapy as primary early respiratory support in preterm infants Increased treatment failure within 72 hours versus CPAP
D 30 One additional hyperbaric-oxygen session after a standard first session Increased complete recovery at one month after acute carbon monoxide poisoning with initial coma
D 30 Ten-lesson universal school-based mindfulness training Improved one-year depression risk, social-emotional-behavioral functioning, and well-being in adolescents
D 30 Facilitated physical-activity counseling added to usual care Improved self-reported depressive symptoms at four months in adults with a depressive episode
D 30 Add-on oral roflumilast 500 mcg, a PDE4 inhibitor Reduced moderate or severe exacerbations in severe COPD on maximal inhaled therapy
D 29 Hawthorn leaf and flower extract Improvement in chronic-heart-failure symptoms, exercise capacity, and blood pressure
D 29 Methylphenidate, a prescription central nervous system stimulant; cognitive enhancement in healthy people is off-label Improved concentration, examination scores, and academic performance in healthy students without ADHD
D 29 Lion's mane mushroom (Hericium erinaceus, functional mushroom supplement) Clinically meaningful treatment of depressive and anxiety symptoms
D 29 Korean red ginseng extract (Panax ginseng; ginsenoside-containing health supplement) Improve maximal oxygen uptake, endurance, and power in healthy adults
D 29 Cranberry PAC, a berry-polyphenol supplement from Vaccinium macrocarpon containing proanthocyanidins Antibiotic-replacing symptom resolution and clinical cure of established acute uncomplicated cystitis in women
D 29 Ammonia inhalant (smelling salts, nonmedical arousal product) Improved maximal strength, power, and explosive performance when inhaled immediately before exercise
D 29 Grounding or earthing sleep mat or sheet (conductive bedding; non-medical consumer product) Improved insomnia severity, sleep duration, and daytime sleepiness through grounding during sleep
D 29 Extra-virgin olive oil (EVOO; oleic-acid- and polyphenol-containing food) Lower all-cause mortality and extend healthspan through daily consumption
D 29 Pre-exercise static stretching (a nonpharmacologic flexibility warm-up intervention) Prevention of exercise and sports injuries when used as the sole warm-up component
D 29 Molnupiravir (Lagevrio, prescription oral antiviral capsules) Prevention of hospitalization and death in vaccinated high-risk outpatients with COVID-19
D 29 Oral minoxidil (5-mg tablet) Greater hair growth than topical 5% minoxidil in male androgenetic alopecia
D 28 Probiotics (lactic acid bacteria, specific strains) Body-fat reduction and dieting
D 28 Policosanol (sugarcane-derived) LDL cholesterol improvement
D 28 Garcinia cambogia (HCA) body fat and body weight reduction
D 28 Biotin (vitamin B7) hair-loss improvement and hair growth
D 28 Probiotics (lactic acid bacteria) gut health and improved bowel movements
D 28 Green-lipped mussel oil (New Zealand green-lipped mussel) joint pain relief
D 28 Bitter melon / Jerusalem artichoke (inulin) blood-glucose control
D 28 Tribulus terrestris (Tribulus terrestris) Male vitality, testosterone, and exercise performance
D 28 Exogenous ketone salts (BHB salts) Improved endurance and exercise energy
D 28 Transfer factor derived from colostrum and egg yolk Transfer of immune memory and prevention of colds
D 28 Streptococcus salivarius K12, BLIS K12 Prevention of recurrent pharyngotonsillitis and sore throat
D 28 Taurine Extension of lifespan and healthspan
D 28 Calcium supplementation Prevention of preeclampsia and related hypertensive disorders of pregnancy
D 28 Tauroursodeoxycholic acid (TUDCA) Slowing ALS progression and extending survival
D 28 D-ribose Improved high-intensity exercise performance and recovery through ATP replenishment
D 28 Guggul extract, guggulipid, or guggulsterone Reduction of LDL cholesterol
D 28 Graviola (Annona muricata, soursop) Cancer prevention, treatment, and adjunctive anticancer use
D 28 Fermented Prunus mume vinegar (maesil vinegar) Improvement of unexplained fatigue and vitality
D 28 Pirenoxine eye drops (Kary Uni or Catalin, prescription) Slowing progression of early senile cataract
D 28 Copper tripeptide-1 (GHK-Cu; topical scalp serum) Hair regrowth from scalp application in male and female pattern hair loss
D 28 Clomiphene citrate (prescription medicine, off-label in men) Improved pregnancy and live-birth rates in male infertility
D 28 Turkey tail mushroom (Trametes versicolor, Coriolus, fruiting-body capsules) General immune enhancement and prevention of cancer or support of cancer treatment
D 28 Dong quai (Angelica sinensis single-ingredient capsules) Improvement of menopausal hot flashes and female hormone balance
D 28 Betahistine (histamine analog, prescription) Reduced frequency of vertigo attacks in Ménière's disease
D 28 Lobeglitazone (Korean prescription thiazolidinedione marketed as Duvie) HbA1c improvement in type 2 diabetes leads to fewer cardiovascular and renal complications
D 28 HongJam steamed mature silkworm hydrolysate or powder (individually recognized functional ingredient) Improved memory and global cognition in patients with mild cognitive impairment
D 28 Biotin (vitamin B7, water-soluble vitamin supplement) Thickening and strengthening brittle, splitting nails in adults without biotin deficiency
D 28 Gongjin-dan (a multi-ingredient herbal medicine containing musk, deer antler, and other materials) Improved fatigue severity and physical function in unexplained chronic fatigue
D 28 Vitamin C (ascorbic acid, water-soluble vitamin supplement used with oral iron) Additional acceleration of hemoglobin recovery in iron-deficiency anemia by increasing iron absorption
D 28 Vitamin D3 (cholecalciferol, a fat-soluble vitamin supplement) Additional improvement in strength, power, and anaerobic performance in athletes without vitamin D deficiency
D 28 Deer velvet antler powder, an animal-derived supplement made from dried and ground unossified antler tissue Increased testosterone, libido, and erectile function in healthy middle-aged men
D 28 Omega-3 EPA and DHA (fish oil, a long-chain n-3 PUFA supplement) Primary prevention of new type 2 diabetes in adults
D 28 Nicotinamide riboside chloride (NR, an NAD+ precursor and vitamin B3 derivative supplement) Improved insulin sensitivity and whole-body glucose metabolism in adults with obesity and insulin resistance
D 28 Resveratrol (a stilbene polyphenol dietary supplement) Improved maximal oxygen uptake, aerobic exercise capacity, and training response in healthy adults
D 28 Selenium (an antioxidant trace mineral supplement) Prevention of cognitive decline, Alzheimer disease, and dementia in cognitively normal older adults
D 28 Resveratrol (a stilbene polyphenol supplement) Improvement of liver fat, alanine aminotransferase, aspartate aminotransferase, and histologic fatty liver in metabolic dysfunction-associated or nonalcoholic fatty liver disease
D 28 Low-dose naltrexone (LDN, 1–4.5 mg; a prescription opioid-receptor antagonist used off label) Improved fatigue and daily functioning in people with long COVID
D 28 Lion's mane mushroom (Hericium erinaceus, a polysaccharide-containing functional mushroom supplement) Gastric-mucosal protection and lesion healing in gastritis and gastric ulcer
D 28 External nasal dilator strip (a mechanical, non-drug breathing-aid consumer product) Reduced snoring with nasal congestion and reduced snoring and apnea-hypopnea index in obstructive sleep apnea
D 28 Kinesiology tape, a nonmedicated elastic sports tape applied to the skin Improvement of strength, jumping, sprinting, agility, and endurance in athletes
D 28 Acetyl-L-carnitine (ALCAR; a dietary supplement) Improved multiple-sclerosis-related fatigue and daily function
D 28 Buspirone (prescription 5-HT1A partial-agonist anxiolytic; adjunctive use in major depressive disorder is off-label) Remission and depressive-symptom improvement as augmentation for major depressive disorder with inadequate SSRI response
D 28 Saxagliptin (an oral DPP-4 inhibitor glucose-lowering drug; Onglyza; prescription medicine) Prevention of cardiovascular death, myocardial infarction, and stroke in high-risk type 2 diabetes
D 28 Creatine monohydrate (dietary supplement) Improvement of persistent fatigue and difficulty concentrating in long COVID
D 28 Ertugliflozin (prescription SGLT2 inhibitor; Steglatro) Reduction of three-point MACE comprising cardiovascular death, myocardial infarction, or stroke in type 2 diabetes with cardiovascular disease
D 28 External nasal dilator strip (non-drug medical or lifestyle nasal strip) Improved oxygen uptake, endurance, and athletic performance during exercise
D 28 Ibuprofen (an oral nonsteroidal anti-inflammatory drug sold by prescription and over the counter) Prevention of delayed-onset muscle soreness and faster strength or power recovery when taken around exercise
D 28 Somnox Sleep Robot (non-drug breathing-synchronization sleep device) Improved sleep onset, sleep maintenance, and sleep efficiency in chronic insomnia through breathing-rhythm synchronization
D 28 Myers' cocktail (a noncovered intravenous mixture of B vitamins, vitamin C, and magnesium) Improved fatigue, pain, and quality of life in fibromyalgia and chronic-fatigue patients
D 28 Vitamin D3 (cholecalciferol, nonprescription medicine or supplement) Prevention of severe asthma exacerbations requiring systemic corticosteroids in children and adults
D 28 Extended-release exenatide (2 mg once-weekly subcutaneous injection) Long-term slowing of motor-symptom progression in Parkinson's disease
D 28 Intranasal regular insulin, 40 IU per day Delay cognitive and daily-function decline in mild cognitive impairment or mild Alzheimer disease.
D 28 Elamipretide (investigational subcutaneous peptide) Improved walking ability and fatigue in primary mitochondrial myopathy
D 28 Heated humidified air inhalation (rhinothermy delivered by nasal high flow) Reduction in common-cold symptoms and duration
D 28 Acupuncture or auricular acupuncture for smoking cessation Suppression of nicotine craving and smoking abstinence lasting at least six months
D 28 Intra-articular triamcinolone acetonide (prescription corticosteroid injection) Long-term relief of knee osteoarthritis pain with repeated injections
D 28 Ivermectin (prescription macrocyclic-lactone antiparasitic; off-label for COVID-19) Prevention of severe progression or hospitalization in early COVID-19
D 28 Wearable activity tracker (device providing step, activity, and calorie feedback) Additional weight loss when added to a standard behavioral intervention
D 28 Continuous therapeutic ultrasound (physical-therapy energy device) Improving chronic nonspecific low back pain and disability
D 28 Rigid neutral-position wrist splint Symptom improvement and avoidance of surgery in primary carpal tunnel syndrome
D 28 Tympanostomy tubes (pediatric otolaryngologic surgery) Prevention of recurrent acute otitis media in children
D 28 Lumbar radiofrequency denervation of facet or sacroiliac joint nerves Long-term pain and function improvement in chronic low back pain
D 28 Mesalazine or mesalamine (prescription 5-ASA intestinal anti-inflammatory drug) Improvement of abdominal pain, global symptoms, and stool frequency in irritable bowel syndrome
D 28 Polynucleotide injection (PN or Rejuran intradermal aesthetic procedure) Improved periorbital wrinkles and cosmetic skin regeneration
D 28 Oral gabapentin Prevention of attack frequency in adult episodic migraine
D 28 Physiotherapist-guided pelvic floor muscle training Faster early recovery of urinary continence after radical prostatectomy
D 28 Quercetin-rich whole-onion powder Reduction of visceral fat
D 28 Freeze-dried blueberry powder 26 g, equivalent to 150 g fresh fruit Improved insulin resistance and tissue insulin sensitivity
D 28 Beverage containing 50 g freeze-dried whole-strawberry powder Lower LDL cholesterol
D 28 Freeze-dried whole cheonggukjang Reduction in abdominal fat
D 28 Whole kombucha Lower fasting glucose in type 2 diabetes
D 28 Whole full-fat yogurt Improved bone-turnover markers
D 28 Whole walnuts, 30 to 60 g daily Prevention of age-related cognitive decline
D 28 Whole macadamia nuts, 35 to 59 g/day Weight and body-fat loss
D 28 Matcha powdered drink, two servings daily, providing 3 g matcha Prevention of overall cognitive decline in older adults
D 28 Pu-erh tea brewed from a tea bag in hot water Reduced body-fat percentage and body weight
D 28 Five grams per day of dried Sargassum fusiforme, processed to reduce heavy metals Improved weekly mean glucose in adults with type 2 diabetes
D 28 Replacing 8 oz red meat with 8 oz fresh button mushrooms three times weekly Long-term weight loss over one year
D 28 Whole eggs including yolk, one or three per day Little or no effect on blood LDL and HDL in adults with hyperlipidemia
D 28 Low-fat chocolate milk consumed immediately after exercise and again two hours later Superior recovery of endurance performance versus other recovery beverages
D 28 Three whole eggs consumed after resistance exercise Greater muscle-mass gain than six egg whites matched for protein
D 28 Unpasteurized organic whole raw milk Improved lactose digestion and lactose-intolerance symptoms versus pasteurized milk
D 28 One to three grams per day of powder ground from dried bay leaves Lower fasting glucose in people with type 2 diabetes
D 28 Adding 0.3 g ground black pepper to 0.3, 1, or 3 g turmeric powder Greater chronic-pain reduction than turmeric alone
D 28 A 12-week resistance-training diet providing 1.4 g protein/kg/day and emphasizing 85 g/day of lean beef Additional strength and quadriceps-volume gains beyond resistance training in older women
D 28 Aspartame, a high-intensity sweetener used in beverages and tabletop products Weight loss or prevention of weight gain independent of sugar replacement
D 28 A palm-olein diet supplying 20% of total energy Whether liver fat increases versus soybean oil or cocoa butter
D 28 A breakfast of 50 g fruit granola with 200 mL milk Greater bowel-movement frequency than a cornflake breakfast
D 28 A drink providing 20 g whey protein hydrolysate plus 10 g sucrose twice daily Increased thigh muscle mass in healthy older adults without resistance exercise
D 28 Uncooked lactobacilli-rich vegan diet Improved rheumatoid-arthritis activity and symptoms
D 28 Gluten avoidance in people without celiac disease Relief of abdominal pain, bloating, and other gastrointestinal symptoms
D 28 Hydrogen-dissolved water prescribed at 500 mL/day Slower one-year cognitive decline in mild cognitive impairment
D 28 Red wine 150 mL/day (16.9 g ethanol and 120 kcal) Weight and abdominal visceral-fat loss
D 28 Alcohol 0.5-0.65 g/kg mixed with about 250 mL energy drink containing roughly 80 mg caffeine Masked subjective intoxication and added risk-taking
D 28 A high-prebiotic whole-food diet plus an eight-strain probiotic at 24 billion CFU/day Greater eight-week improvement in total mood disturbance than either component or control
D 28 A single 5 g dose of monosodium glutamate, or MSG, challenged while fasting and with food Consistent and reproducible provocation of an acute cluster of headache, flushing, tingling, and palpitation
D 28 Commercial genetically modified foods and their introduced proteins More clinical allergic symptoms or disease than conventional foods
D 28 Overnight-fasted aerobic exercise for 60 minutes three times weekly at 70% estimated maximal heart rate Additional body-fat loss versus the same exercise after feeding
D 28 Sixty minutes of moderate evening exercise ending two to four hours before bedtime Worsened sleep onset, duration, or efficiency
D 28 Twenty-five grams of whey protein within 30 minutes after resistance exercise Greater long-term muscle gain than pre-exercise or delayed intake
D 28 Looking about 20 feet away for 20 seconds every 20 minutes Relief of digital eye strain and dry-eye symptoms
D 28 A 3M 8210V N95 particulate respirator worn for 48 hours during polluted conditions Lower blood pressure and improved heart-rate variability
D 28 Two household HEPA air purifiers operated for 30 days Lower systolic blood pressure
D 28 Pork, 150 g twice weekly for six weeks Elimination of inhaled fine dust or occupational heavy metals
D 28 Six- or twelve-month routine scale and polish in regular attenders without established or advanced periodontitis Prevention of gingival bleeding and early periodontal disease
D 28 The modified baby-led complementary-feeding program BLISS from about six months through 24 months Healthier growth and prevention of overweight
D 28 A manually adjustable sit-stand workstation provided to office workers for eight weeks Improved cardiovascular and metabolic health
D 28 Ice added to usual care for acute ankle sprain Pain relief and faster recovery
D 28 Eye patching for simple corneal abrasion Faster healing and less pain
D 28 P6 Neiguan acupressure band Reduced nausea from motion sickness
D 28 At-home tooth-whitening strips containing 6% hydrogen peroxide Increased tooth sensitivity as an adverse effect
D 28 Alternate-day versus daily oral ferrous sulfate at the same cumulative elemental-iron dose Improved eight-week hemoglobin response versus daily dosing
D 28 Same-day split dosing of weekly oral methotrexate 25 mg Improved rheumatoid arthritis treatment response
D 28 Mobile seated infant walker Earlier onset of independent walking
D 28 Topical magnesium gel, spray, or oil applied to the skin Faster recovery of postexercise soreness, strength, and performance
D 28 Intravenous glutathione, marketed as a skin-whitening infusion Whole-body skin lightening
D 28 Ear candling Cerumen removal
D 28 Increased intake of seed oils rich in linoleic acid Increased blood inflammatory markers
D 28 A weighted vest worn about eight hours daily during weight loss Attenuation of hip bone loss
D 28 See title and evidence table for the studied intervention. The stated clinical outcome in the title.
D 28 Tea tree oil eyelid scrub Symptom improvement in Demodex blepharitis
D 28 A very-low-force fountain-type electronic bidet using approximately 38-degree-C water for 3-5 minutes Noninferior relief of pain seven days after hemorrhoidectomy as a substitute for a warm sitz bath
D 28 A single 20-minute postpartum perineal ice-pack application Relief of perineal pain
D 28 Simultaneous acetaminophen plus ibuprofen for childhood fever Reduced fever-related discomfort at 48 hours versus either single drug
D 28 Standardized device-assisted scalp massage Hair-thickness change in a randomized split-site comparison
D 28 Complete abstinence from clear fluids after midnight before elective surgery Prevention of regurgitation and pulmonary aspiration during anesthesia
D 28 Repeated fist clenching and releasing under a tourniquet during venepuncture No alteration of the serum or plasma potassium result
D 28 Repeatedly breathing air in and out of a paper bag Rapid and safe relief of anxiety-induced hyperventilation symptoms
D 28 Home syrup of ipecac after childhood poisoning Reduced emergency-department referral or use and fewer adverse outcomes
D 28 Keeping a schoolbag at or below 10% of body weight Prevention of new low back pain in adolescents
D 28 An anti-mouth-opening sleep chinstrap worn alone without CPAP Reduced snoring and treatment of obstructive sleep apnea
D 28 Wearing two pairs of surgical gloves during surgery Reduced inner-glove perforation and visible skin contamination
D 28 Head-down Trendelenburg positioning in hypovolemia Sustained improvement in cardiac output and tissue oxygen delivery
D 28 Standard weekly pillbox, digital timer cap, and pill-bottle toggle strip Improved 12-month medication adherence for chronic-disease therapy
D 28 Unstable curved rocker-sole footwear Improved chronic low-back-pain disability and pain versus flat athletic shoes
D 28 Cushioned insoles containing static bipolar magnets Relief of plantar heel pain
D 28 Early tadalafil 5 mg once daily after nerve-sparing radical prostatectomy Increased recovery of unassisted erectile function after treatment cessation
D 28 Breathe Right external nasal dilator strips Improved sleep quality in people with chronic nocturnal nasal congestion
D 28 Transdermal iron patch Raising iron stores as effectively as oral iron
D 28 Xenogeneic collagen matrix Mucograft added to coronally advanced flaps Root coverage noninferior to autologous connective-tissue grafting in multiple adjacent gingival recessions
D 28 Prophylactic extraction of asymptomatic disease-free impacted third molars Reduced late lower-incisor crowding after orthodontic treatment
D 28 Oral succimer chelation, also known as DMSA Improved cognitive, behavioral, and neuropsychological development in children with blood lead levels of 20 to 44 µg/dL
D 28 Five additional days of beta-lactam therapy after hospitalized community-acquired pneumonia has reached clinical stability Clinically important added treatment success at day 10 or day 15
D 28 Hydroxychloroquine Improvement in dryness, fatigue, and pain in primary Sjogren syndrome
D 28 Tofersen Change in the 28-week ALSFRS-R functional score in SOD1 amyotrophic lateral sclerosis
D 27 Wild yam extract Menopausal symptoms and a 'natural progesterone' effect
D 27 Cilantro leaf extract Heavy-metal elimination and detoxification
D 27 Para-aminobenzoic acid (PABA) Prevention of gray hair and restoration of hair color
D 27 Oral methylene blue (nootropic and biohacking use) Improved mental energy and focus through activation of brain mitochondria
D 27 Pea sprout extract (AnaGain Nu, trademarked ingredient in topical and oral finished products) Reduced hair loss and increased hair growth through oral ingestion
D 27 Guaifenesin (expectorant, nonprescription medicine) Reduced cough and phlegm and shorter recovery from an acute cold or upper respiratory infection
D 27 Resveratrol (a stilbene polyphenol dietary supplement) Increased total and free testosterone and improved male vitality in middle-aged men
D 27 Nicotinamide riboside (nicotinamide riboside chloride, an NAD+ precursor and vitamin B3 derivative supplement) Improved subjective fatigue and daily vitality in adults through increased cellular energy
D 27 High-dose vitamins C and E (ascorbic acid plus alpha-tocopherol antioxidant-vitamin supplement) Additional promotion of muscle-mass and strength gains in healthy, nutritionally sufficient resistance exercisers
D 27 Pickle juice (an acetic-acid- and sodium-containing food brine used as a sports drink) Immediate relief and recurrence prevention of muscle cramps occurring during exercise
D 27 Sodium alginate (a gel-forming brown-seaweed dietary fiber used as a supplement and food additive) Increased premeal satiety leading to reduced weight and body fat in adults with obesity
D 27 Portable canned oxygen (95% oxygen inhalation, non-medical consumer product) Faster fatigue recovery and improved subsequent exercise performance during or after exercise at sea level
D 27 Sports cupping therapy (negative-pressure cup massage; traditional procedure or device) Reduced post-exercise muscle soreness and damage and enhanced performance and recovery
D 27 Intraovarian autologous platelet-rich plasma (self-paid fertility procedure using autologous blood) Restored ovarian function and increased pregnancy and live birth in women with diminished ovarian reserve or poor response
D 27 Far-infrared sauna (whole-body heat therapy using a non-drug device or facility) Relief of joint pain and morning stiffness in rheumatoid arthritis and ankylosing spondylitis
D 27 Bedtime collagen peptides (hydrolyzed protein supplement) Reduced sleep fragmentation and nocturnal awakenings in exercising people with sleep complaints
D 27 Scrotal cooling patch or device (hydrogel or wearable male-infertility product) Improved sperm concentration, motility, morphology, and pregnancy likelihood in men with oligozoospermia
D 27 Nirmatrelvir-ritonavir (Paxlovid) as a fifteen-day oral regimen Reduced overall symptom burden, including fatigue and brain fog, in established long COVID
D 27 Low-dose naltrexone (6 mg orally) Reduced pain in fibromyalgia
D 27 Marine omega-3 EPA and DHA from fish-oil supplements Improvement of dry-eye symptoms and tear-film status
D 26 Liposomal NAD+ Increased cellular energy and mitochondrial vitality
D 26 Scallop- or ascidian-derived plasmalogens in finished memory products Improved memory and global cognition in older adults with mild cognitive impairment
D 26 Senactiv blend (trademarked Panax notoginseng and Rosa roxburghii extracts) Improved high-intensity exercise endurance and accelerated post-exercise muscle recovery
D 26 Steviol glycosides, nonnutritive sweeteners derived from stevia Treatment-level improvement of fasting glucose and HbA1c in type 2 diabetes beyond sweetener substitution
D 26 Sauna suit (non-drug exercise garment that restricts heat loss) Sustained body-fat and weight loss through increased sweating during exercise
D 26 Lorecivivint 0.07 mg (a single investigational intra-articular knee injection) Reduced pain in moderate-to-severe knee osteoarthritis
D 25 Evening primrose oil (gamma-linolenic acid, GLA; in the domestic market often advertised together with GLA-containing oils such as borage oil and blackcurrant oil) PMS (discomfort due to premenstrual changes) and skin (immune hypersensitivity/atopic dermatitis, dryness, itching)
D 25 Shark cartilage Joints and anticancer effects
D 25 Chanca piedra (Phyllanthus niruri) Liver protection and detoxification
D 25 Agmatine sulfate Improved workout pump, blood flow, and endurance
D 25 High-dose vitamin E (alpha-tocopherol) Prevention of dementia and Alzheimer disease in the general older population
D 25 Ginkgo biloba extract Reduction in subjective tinnitus loudness and distress
D 25 L-beta-aminoisobutyric acid (L-BAIBA, MitoBurn) Increased metabolic rate and reduced body fat
D 25 Hoodia gordonii (P57) Appetite suppression and weight loss
D 25 Azithromycin (prescription macrolide antibiotic) Reduced hospitalization, mechanical ventilation, and death in patients with COVID-19
D 25 Pregabalin (gabapentinoid, Lyrica, prescription drug) Improved leg pain and function in acute and chronic sciatica
D 25 Sitagliptin (prescription DPP-4 inhibitor) HbA1c improvement leading to fewer major cardiovascular events
D 25 Omega-3 fatty acids (EPA and DHA fish-oil fatty-acid supplement, cognition claim) Prevention of memory decline and incident dementia in cognitively healthy older adults
D 25 Dendropanax morbiferus extract (a traditional Araliaceae plant extract and supplemental food) Relief of hangover and improvement of alcohol-related liver injury and liver enzymes
D 25 Reishi mushroom extract (Ganoderma lucidum, a polysaccharide- and triterpene-containing functional mushroom supplement) Improved sleep onset, nocturnal awakenings, and sleep quality from reishi monotherapy in adults with insomnia
D 25 High-dose vitamin E 400 IU (alpha-tocopherol, a fat-soluble antioxidant vitamin sold over the counter and as a supplement) Primary prevention of prostate cancer in men from the general population
D 25 Lutein and zeaxanthin (xanthophyll carotenoid supplements) Prevention of age-related cataract progression, moderate vision loss, and cataract surgery
D 25 Somatropin (recombinant human growth hormone, a prescription injectable drug) Reversal of aging, functional rejuvenation, and extension of healthspan in healthy middle-aged and older adults without growth hormone deficiency
D 25 Coenzyme Q10 (ubiquinone or ubiquinol, a mitochondrial quinone supplement) Slower biological aging and longer healthspan or lifespan in healthy adults
D 25 Pistachio (Pistacia vera, a melatonin-containing tree nut) Consumed before bed to shorten sleep onset and improve sleep efficiency and sleep quality
D 25 Spanish black radish extract (Raphanus sativus var. niger, a cruciferous-plant supplement) Improved acetaminophen metabolism and toxin elimination by activating hepatic detoxification enzymes
D 25 Snail secretion filtrate (snail mucin, cosmetic ingredient) Reduced inflammatory mask-acne lesions and improved post-acne skin recovery
D 25 Acetaminophen/paracetamol (non-opioid analgesic, Tylenol, nonprescription drug) Faster recovery and improved pain and function in acute nonspecific low back pain
D 25 Phendimetrazine (sympathomimetic appetite suppressant; short-term prescription drug) Appetite suppression and sustained weight loss in adults with obesity
D 25 Fermented or aged black garlic (food or supplement containing S-allylcysteine) Improved ALT and AST and protection of liver function in healthy adults
D 25 Seed cycling (a diet alternating flaxseed plus pumpkin seed in the follicular phase with sesame plus sunflower seed in the luteal phase) Balanced sex hormones, more regular menstrual cycles, and reduced PMS in healthy women
D 25 Proper lifting education and assistive-device training (manual material handling training, a workplace ergonomics education program) Prevention of low back pain, back-related disability, and absence in workers
D 25 High-dose ursodeoxycholic acid, or UDCA, 28 to 30 mg/kg/day as oral tablets Reduced risk of liver transplantation, cirrhosis, and death in primary sclerosing cholangitis
D 25 Obeticholic acid (Ocaliva oral tablets) Prevention of clinical progression, including death, transplantation, and hepatic decompensation, in primary biliary cholangitis with inadequate response to UDCA
D 25 EEG neurofeedback (electroencephalographic biofeedback training) Improved attention and core symptoms in children with ADHD
D 25 Oral prednisolone (prescription systemic glucocorticoid) Reducing cough duration and symptom severity in adults without asthma who have acute lower respiratory tract infection
D 24 Raspberry ketone Body fat and dieting
D 24 Serrapeptase (serratiopeptidase) Breakdown of arterial plaque, blood clots, and circulating proteins
D 24 Vitamin D Prevention of depression and improvement of mood in generally healthy adults
D 24 N-acetylcarnosine eye drops (NAC eye drops, Can-C) Reversal or slowed progression of age-related cataract and restoration of vision
D 24 Turkesterone, an ecdysteroid supplement derived from Ajuga turkestanica Increased muscle mass and strength through a natural anabolic action
D 24 Omega-3 fatty acids (EPA and DHA fish-oil supplement) Prevention of incident and recurrent depression in middle-aged and older adults without clinically relevant symptoms at baseline
D 24 Vitamin D3 (cholecalciferol, fat-soluble vitamin supplement; cardiovascular efficacy axis) Primary prevention of myocardial infarction, stroke, and cardiovascular death in generally healthy middle-aged and older adults
D 24 Selenium (L-selenomethionine or selenium, an antioxidant trace-mineral supplement) Primary prevention of cardiovascular disease in adults
D 24 Vitamin D3 (cholecalciferol, a fat-soluble secosteroid vitamin sold as a nonprescription medicine and supplement) Reduction of body weight, body mass index, and body fat in adults with overweight or obesity
D 24 Propranolol (a prescription nonselective beta-blocker, marketed as Indenol in Korea) Sustained treatment of core symptoms in panic disorder, social anxiety disorder, and other anxiety disorders rather than one-time performance anxiety
D 24 Pinhole glasses (non-drug multiple-aperture optical vision-training product) Permanent reduction of myopic refractive error and restoration of unaided vision through continued wear
D 24 Oolong tea (partially oxidized Camellia sinensis, food or supplement) Reduced body weight and body fat in adults with overweight or obesity through daily consumption
D 24 Polygala tenuifolia root extract (saponin-containing herbal supplement) Treatment of depressive and anxiety symptoms with a single extract
D 24 Acupressure or spike mat (multi-point pressure bedding, non-medical sleep product) Improved sleep onset, deep sleep, and insomnia severity when used before bed
D 24 Waist trainer or slimming corset (a nonmedical compression shapewear garment) Persistent reduction of abdominal fat and waist circumference with continued wear
D 24 LGG plus BB-12 probiotics as oral capsules containing Lacticaseibacillus rhamnosus GG and Bifidobacterium animalis subsp. lactis BB-12 Prevention of gestational diabetes when taken during pregnancy
D 24 Oral cannabidiol isolate, or CBD isolate, at 400 to 600 mg Clinically meaningful relief of musculoskeletal pain, including acute low back pain and knee osteoarthritis.
D 24 CagriSema (once-weekly subcutaneous cagrilintide 2.4 mg plus semaglutide 2.4 mg) Weight loss noninferior to tirzepatide 15 mg in obesity treatment
D 24 Evening primrose oil (a gamma-linolenic-acid-containing botanical oil supplement) Relief of cyclical mastalgia
D 24 Diazepam (prescription benzodiazepine) Rapid reduction of pain and disability in acute nonspecific low back pain
D 24 Mite-impermeable bedding covers for mattresses, pillows, and duvets (household environmental intervention) Relief of house-dust-mite allergic rhinitis symptoms
D 24 Customized orthotic insoles (non-drug foot orthoses) Prevention of low back pain and duty suspension during prolonged walking or training
D 24 Therapeutic ultrasound for acute ankle sprain rehabilitation Reduction of pain and swelling and acceleration of functional recovery after acute ankle sprain
D 24 Cervical pessary (a silicone device placed around the cervix) Prevention of preterm birth in singleton pregnancy with a short cervix
D 23 Acer tegmentosum extract (traditional maple-family ingredient and supplement) Relief of hangover and improvement of alcohol-related liver injury, fatty liver, and liver enzymes
D 23 Quercetin (a flavonol supplement marketed as a senolytic) Extension of human healthspan and lifespan by clearing senescent cells
D 23 Ginkgo biloba extract (flavonoid- and terpene-lactone supplement or herbal medicine) Lower intraocular pressure and slower visual-field loss in normal-tension glaucoma
D 22 D-mannose Prevention of recurrent urinary tract infection
D 22 Oscillococcinum, Anas barbariae hepatis et cordis extractum 200C Prevention of influenza-like illness and shortening of symptom duration
D 22 Pregnenolone (neurosteroid and hormone-precursor supplement) Improved memory, cognition, and brain aging in healthy middle-aged and older adults
D 22 Omega-3 fatty acids (EPA and DHA; fish-oil supplement) Suppression of age-related macular degeneration progression and vision loss when added to an AREDS formulation
D 22 Folic acid plus vitamins B6 and B12 (a homocysteine-lowering combination of folic acid, pyridoxine, and cobalamin) Prevention of new-onset depression in middle-aged and older women without a history of depression
D 22 Volufiline, a cosmetic trade ingredient containing a sarsasapogenin-rich Anemarrhena asphodeloides root extract in hydrogenated polyisobutene Filler-like correction of under-eye and cheek hollows by increasing fat volume
D 22 Modafinil 200 mg as a prescription oral tablet Reduction of cancer-related fatigue across patients with cancer
D 22 Regular breast self-examination taught and performed monthly Earlier breast cancer detection and lower breast cancer mortality
D 22 CA-125 plus transvaginal-ultrasound ovarian cancer screening in asymptomatic women at average risk Earlier detection and lower ovarian or tubal cancer mortality
D 22 Mechanical lumbar traction Improved pain and function in subacute or chronic nonspecific low-back pain
D 21 Nateglinide (prescription meglitinide insulin secretagogue, marketed as Fastic; prevention use is unapproved) Prevention of diabetes onset and major cardiovascular events in people with impaired glucose tolerance
D 20 Hyperbaric oxygen therapy (HBOT; a prescribed medical oxygen procedure) Reversal of biological aging through improved telomere and immunosenescence markers
D 20 Detox foot pads (adhesive patches applied to the soles) Removal of heavy metals and metabolic waste through the soles during overnight use
D 20 Routine normobaric oxygen (prophylactic oxygen for acute myocardial infarction without hypoxemia) Reduced death and reinfarction in acute myocardial infarction without hypoxemia
D score not listed Green tea catechins (EGCG) body-fat reduction
D score not listed Brewer’s yeast hair-loss relief and hair
D score not listed NMN (nicotinamide mononucleotide) anti-aging and NAD+ increase

F Grade F · 116 · No effect has been repeatedly confirmed.

F 18 Fenofibrate (fibrate, Lipidil, prescription) Additional prevention of myocardial infarction, stroke, and other cardiovascular events in statin-treated patients with type 2 diabetes
F 18 Glucosamine (a prescription product or dietary supplement) Improvement of chronic low-back pain and disability in degenerative lumbar osteoarthritis
F 18 Vitamin D3 (cholecalciferol, a fat-soluble vitamin sold as a dietary supplement) Increased total and free testosterone and improved sexual function in otherwise healthy men
F 18 Vitamin D3 (cholecalciferol, a fat-soluble vitamin sold nonprescription and as a supplement) Improved pain and function and reduced cartilage loss in symptomatic knee osteoarthritis
F 18 Contractubex gel (a nonprescription topical scar medicine combining Allium cepa extract, heparin, and allantoin) Superior improvement of scar color, thickness, and pliability and prevention of hypertrophic scarring after surgery or trauma versus other topical treatments
F 18 Dehydroepiandrosterone (DHEA; an adrenal androgen-precursor steroid sold as a supplement in some countries) Improved live-birth rate after IVF or ICSI in women with diminished ovarian reserve or poor ovarian response
F 18 Melatonin (indoleamine sleep hormone; prescription prolonged-release medicine or supplement) Prevention of delirium in hospitalized older adults and mechanically ventilated critically ill patients
F 18 Vitamin C (ascorbic acid, a water-soluble vitamin and antioxidant sold as a nonprescription supplement) Prevention of delayed-onset muscle soreness and strength loss with high doses before and after exercise
F 18 Fractional carbon dioxide vaginal laser (three treatment sessions) Improved vaginal dryness, burning, and dyspareunia in genitourinary syndrome of menopause
F 18 Intra-articular sodium hyaluronate (intra-articular hyaluronic acid viscosupplementation procedure) Clinically meaningful improvement in knee osteoarthritis pain and function
F 18 Oral probiotics containing live Lactobacillus, Bifidobacterium, or related strains Treatment of symptoms in established atopic dermatitis or eczema
F 17 Aspirin 300 mg oral tablet Reduced recurrence and death after standard treatment for high-risk nonmetastatic HER2-negative breast cancer
F 16 Topical vitamin E (alpha-tocopherol or tocopheryl acetate; antioxidant cosmetic skin oil) Cosmetic improvement of postsurgical scars and prevention of hypertrophic scarring
F 16 Amantadine sulfate (an NMDA-antagonist and dopaminergic antiparkinsonian prescription medicine sold as PK-Merz; off label for MS fatigue) Improvement of chronic fatigue and daily function in people with multiple sclerosis
F 15 Deer velvet antler Improved physical performance and exercise recovery
F 15 Simethicone (Mylicon, nonprescription antifoaming agent) Reduced crying and symptoms caused by infantile colic
F 15 DHEA (dehydroepiandrosterone, an adrenal androgen-precursor steroid sold abroad as a supplement) General anti-aging rejuvenation of strength, body composition, cognition, and quality of life in healthy older adults
F 15 Low-dose aspirin (acetylsalicylic acid, 75 to 100 mg, an antiplatelet nonsteroidal anti-inflammatory drug sold without prescription in some settings) Increased live birth in women with unexplained recurrent miscarriage without antiphospholipid syndrome
F 15 Epidural steroid injection (spinal procedure commonly combined with local anesthetic) Relieving leg pain and disability from lumbar spinal stenosis
F 14 Low-dose aspirin (100 mg; antiplatelet drug) Prevention of dementia, mild cognitive impairment, and cognitive decline in healthy older adults
F 14 Boiled unfiltered coffee, four to six cups/day Does not raise LDL or total cholesterol
F 13 Gabapentin (prescription gabapentinoid marketed as Neurontin) Improved pain and function in chronic sciatica or lumbar radicular pain
F 12 D-aspartic acid Increase in testosterone and muscle
F 12 Vitamin D3, or cholecalciferol Prevention of cancer incidence in generally healthy adults
F 12 Combined vitamins B6, B12, and folate Prevention of dementia and cognitive decline by lowering homocysteine
F 12 Magnesium Prevention of nocturnal idiopathic leg muscle cramps in older adults
F 12 Docusate sodium Softening stool to improve constipation
F 12 Acetaminophen (paracetamol, Tylenol) Sustained pain and function improvement in knee or hip osteoarthritis
F 12 Bitter orange extract (Citrus aurantium, p-synephrine) Weight loss through thermogenesis and fat burning
F 12 Diphenhydramine (nonprescription antihistamine sleep aid) Improvement of sleep onset, maintenance, and restorative sleep in chronic insomnia
F 12 Low-dose aspirin (100 mg, nonprescription antiplatelet medicine) Primary prevention of myocardial infarction and stroke in healthy older adults without cardiovascular disease
F 12 Allopurinol (xanthine oxidase inhibitor, Zyloric, prescription medicine) Prevention of kidney-function decline and kidney failure in gout-free asymptomatic hyperuricemia with chronic kidney disease
F 12 Dextromethorphan (nonprescription antitussive) Relief of nocturnal cough and sleep disturbance from colds or upper respiratory infection in children
F 12 Lacticaseibacillus rhamnosus GG, or LGG, supplied as oral capsules or powder Reduced severity and diarrhea duration in pediatric acute infectious gastroenteritis
F 12 Lateral-wedge insole (a nonmedical corrective shoe insert) Improvement in pain, stiffness, and walking function in medial knee osteoarthritis
F 12 Cervical collar for immobilization after whiplash injury Prevention of neck pain and disability after acute whiplash
F 12 Low-intensity pulsed ultrasound (LIPUS, fracture-healing medical device) Acceleration of fracture union and functional recovery
F 12 Corticosteroid injection (local prescription injection such as peri-epicondylar triamcinolone) Improved sustained one-year recovery and prevention of recurrence in lateral epicondylalgia
F 12 OnabotulinumtoxinA, an intramuscular botulinum toxin type A injection Prevention of attack frequency in episodic migraine
F 12 Empiric DOAC treatment after embolic stroke of undetermined source, including rivaroxaban and dabigatran Reduction in recurrent stroke or systemic embolism after embolic stroke of undetermined source
F 12 One whole avocado per day Reduction of visceral adipose tissue
F 12 Erythropoiesis-stimulating agents used to normalize hemoglobin Reduced cardiovascular events in nondialysis chronic kidney disease
F 12 Once-daily finger-stick self-monitoring of blood glucose in adults with type 2 diabetes not using insulin Improved hemoglobin A1c at 52 weeks
F 12 An oxygen-saturation target strategy of 85–89% Safety or overall benefit in extremely preterm infants
F 10 Vitamin E (high-dose alpha-tocopherol; mainly d-alpha or dl-alpha-tocopherol/acetate, including products of 400 IU or higher) Antioxidant and cardiovascular health/cardiovascular disease prevention
F 10 Ursodeoxycholic acid (UDCA) Improvement of liver histology and fibrosis in MASH/NASH
F 10 Hyland's Calms Forté (multi-ingredient homeopathic product) Relief of stress-related insomnia and restlessness with restful sleep free of next-day drowsiness
F 10 Copper bracelet (skin-worn device) Relief of pain and inflammation in rheumatoid arthritis
F 10 Virgin coconut oil (capsules or edible oil) Weight and body-fat reduction and metabolic enhancement
F 10 Static magnetic bracelet (magnetic health bracelet) Improved pain, stiffness, and function in knee or hip osteoarthritis
F 10 Selenium (antioxidant trace-mineral supplement; glycemic efficacy axis) Prevention of type 2 diabetes and improved glycemic control through antioxidant action
F 10 Colchicine (microtubule-inhibiting prescription anti-inflammatory drug; marketed in Korea as Colkin) Treatment-level improvement in pain, stiffness, and physical function in knee osteoarthritis
F 10 Blue-light filtering spectacles (non-drug optical filters) Relief of eye strain and dry eye and protection of the retina in digital-screen users
F 10 Beta-blockers, including metoprolol and bisoprolol (oral prescription tablets) Prevention of death, reinfarction, and heart failure after myocardial infarction when left ventricular ejection fraction is at least 50%
F 10 Oral semaglutide 14 mg tablet Delayed cognitive and functional decline in early Alzheimer disease
F 10 Vitamin C (oral 500 mg/day supplement) Long-term prevention of age-related cataract onset, progression, and cataract surgery
F 10 Testosterone (1% transdermal gel) Improved memory and cognition in older men with low testosterone
F 10 Autologous platelet-rich plasma injection Recovery of pain and function in chronic midportion Achilles tendinopathy
F 10 Lopinavir-ritonavir, a prescription HIV protease-inhibitor combination marketed as Kaletra Reduced death and clinical progression in hospitalized COVID-19
F 10 Intravenous hydroxyethyl starch, an HES synthetic colloid fluid Improved mortality and kidney outcomes during fluid resuscitation in severe sepsis
F 10 Preimplantation genetic testing for aneuploidy based on embryo biopsy, a chromosome-screening strategy known as PGT-A Increased cumulative live birth in good-prognosis IVF patients with at least three good-quality blastocysts
F 10 Advice to use bed rest for acute sciatica Improved pain, function, and overall recovery
F 10 Bed rest after lumbar puncture instead of immediate mobilization Prevention of post-puncture headache
F 10 Alcoholic beverages in women, per 10 g/day increase in ethanol Breast-cancer prevention or risk reduction
F 10 Daily or at least four-times-weekly whole-body emollient or oil-bath use starting soon after birth Prevention of infant atopic dermatitis
F 9 Bach Rescue Remedy five-flower essence blend Relief of temporary stress and anxiety
F 9 Continuous positive airway pressure (CPAP; a prescribed or rented sleep-breathing medical device) Prevention of recurrent cardiovascular death, myocardial infarction, stroke, and heart-failure hospitalization in moderate-to-severe obstructive sleep apnea with cardiovascular disease
F 9 BCG tuberculosis vaccine revaccination (intradermal BCG-Denmark) Prevention of symptomatic and severe COVID-19 in adults through nonspecific trained immunity
F 8 Inosine Improved endurance and exercise performance
F 8 Bee pollen Improved endurance, physical performance, and post-exercise recovery
F 8 Selenium Prevention of prostate cancer in men from the general population
F 8 Oral homeopathic Arnica montana 30C Reduced bruising, contusions, post-exercise muscle soreness, and swelling
F 8 ZMA complex (zinc-magnesium aspartate plus vitamin B6) Increased testosterone, muscle mass, and vitality in healthy men
F 8 Bach Rescue Remedy (Five Flower flower essence) Relief of acute stress and test anxiety
F 8 Theobromine (a cocoa methylxanthine) Gentler and longer-lasting alertness and energy than caffeine
F 8 Oral phenylephrine (nonprescription ingredient in products such as Pancol-A and Contac) Relief of nasal congestion from a cold or allergic rhinitis
F 8 Glonoinum 30C (single-ingredient ultra-dilute homeopathic product) Rapid relief of menopausal hot flashes with accompanying headache
F 8 Nux vomica 30C homeopathic product Relief of heartburn and dyspepsia
F 8 Amoxicillin (prescription penicillin antibiotic) Shorter cough and recovery in uncomplicated acute bronchitis when pneumonia is not suspected
F 8 Codeine (prescription opioid antitussive) Reduced frequency and severity of cough from the common cold or acute upper respiratory infection
F 8 High-dose vitamin E (alpha-tocopherol 400 to 600 IU, a fat-soluble antioxidant vitamin supplement and ingredient in some nonprescription products) Reduced incidence and progression of age-related cataract and lower risk of cataract surgery
F 8 Activated charcoal capsules (porous carbon adsorbent supplement) Reduced alcohol absorption, blood alcohol, and hangover when taken before or after drinking
F 8 Low-dose aspirin 100 mg (nonprescription antiplatelet drug) Extension of disability-free survival and healthy lifespan in healthy adults aged 70 years or older without cardiovascular disease
F 8 Citicoline, or CDP-choline, a choline-related phospholipid precursor sold as a supplement and used as a medicine in some countries Increased 90-day functional independence and neurological recovery after moderate-to-severe acute ischemic stroke
F 8 Coenzyme Q10, including ubiquinone and ubiquinol, a mitochondrial quinone antioxidant supplement Delayed UPDRS functional decline and disease progression in early Parkinson disease
F 8 Transdermal testosterone gel (prescription androgen-replacement hormone) Prevention of clinical fractures in middle-aged and older men with low testosterone
F 8 Creatine monohydrate (a guanidino ergogenic supplement) Delayed long-term clinical progression and functional decline in early Parkinson disease
F 8 Human chorionic gonadotropin (hCG, a prescription gonadotropin injection) Added to a very-low-calorie diet to reduce weight and hunger and redistribute body fat beyond diet alone
F 8 Arthroscopic partial meniscectomy (orthopedic surgery) Improved pain, locking, and knee function in middle-aged adults with degenerative meniscal tears
F 8 AOD-9604, a sixteen-amino-acid peptide derived from the C-terminal region of growth hormone and marketed for oral or subcutaneous use Produced clinically meaningful weight and body-fat loss in adults with obesity when added to diet and exercise
F 8 Acupuncture as an adjunct before and after embryo transfer Increased live-birth rate in women undergoing in vitro fertilization
F 8 Arthroscopic subacromial decompression (surgery including acromioplasty) Improved shoulder pain and disability attributed to impingement syndrome
F 8 General health checks (multidisease and multirisk-factor screening packages) Prevention of ischaemic heart disease and death in asymptomatic general adults
F 8 Prophylactic low-dose normobaric oxygen (routine use in acute stroke without hypoxia) Reduction of death and disability after acute stroke
F 8 Levothyroxine (prescription synthetic T4 thyroid hormone) Improved fatigue and thyroid-related symptoms in subclinical hypothyroidism
F 8 High-dose methylprednisolone (prescription systemic glucocorticoid) Improved survival and neurologic recovery after acute traumatic brain injury
F 8 Systemic menopausal hormone therapy (oral conjugated equine estrogen alone or with medroxyprogesterone acetate) Primary prevention of coronary heart disease in healthy postmenopausal women
F 8 High-titer COVID-19 convalescent plasma Reduced 28-day mortality in patients hospitalized with COVID-19
F 7 Percutaneous vertebroplasty (prescription procedure injecting PMMA bone cement) Pain and functional improvement beyond sham for acute or subacute osteoporotic vertebral compression fractures
F 6 Ivermectin (antiparasitic drug, Stromectol, prescription) Reduced hospitalization, death, and recovery time in early COVID-19
F 6 Hydroxychloroquine sulfate (a prescription 4-aminoquinoline immunomodulator; off-label for osteoarthritis) Improved pain and function in hand osteoarthritis
F 5 High-dose beta-carotene, lung-cancer prevention axis in smokers Prevention of lung cancer in smokers
F 5 Apoaequorin, marketed as Prevagen Improvement in age-related memory decline and cognitive function
F 5 Vitamin D3, or cholecalciferol Prevention of falls in community-dwelling older adults without vitamin D deficiency
F 5 Ignatia amara 30C (an ultra-diluted homeopathic preparation) Relief of emotional stress, irritability, and depressed mood
F 5 Colchicine (prescription anti-inflammatory drug; Colkin) Reduced hospitalization, mechanical ventilation, and 28-day mortality in COVID-19
F 5 Calcarea carbonica 30C homeopathic product Relief of infant cradle cap and seborrheic scalp dermatitis
F 5 Amygdalin and laetrile, related but chemically nonidentical agents that are often used interchangeably, also called vitamin B17 (cyanide-generating and unapproved alternative-treatment products) Shrinking or treating cancer and extending survival with an apricot-kernel-derived substance
F 5 Pemafibrate (selective PPAR-alpha modulator, Parmodia, prescription lipid-lowering drug) Prevention of cardiovascular death, myocardial infarction, and stroke in type 2 diabetes with hypertriglyceridemia
F 5 Arthroscopic lavage or debridement of the knee (invasive surgical procedure) Improvement in pain and function from knee osteoarthritis
F 5 Periodic chest-radiograph screening for lung cancer Detecting lung cancer early and reducing lung-cancer mortality in asymptomatic adults
F 5 Power Balance hologram bracelet Improved balance, flexibility, strength, and jump power
F 5 Routine episiotomy (a routine policy during vaginal birth) Prevention of severe perineal or vaginal trauma
F 4 Hydroxychloroquine (antimalarial and immunomodulatory prescription drug) Reduced mechanical ventilation and 28-day mortality in hospitalized COVID-19
F 3 Marine omega-3 EPA and DHA (fish-oil supplements and some prescription products) Prevention of incident atrial fibrillation and protection of heart rhythm
F score not listed Saw palmetto prostate health (urination) and hair-loss relief

? Grade ? · 199 · Judgment deferred.

? score not listed Achyranthes root Joints
? score not listed Horny goat weed (Epimedium species, icariin) Improvement of erectile function and libido
? score not listed L-cystine Improvement in diffuse hair loss and hair growth
? score not listed Millet seed extract (Panicum miliaceum) Reduction in hair loss and hair growth
? score not listed Apigenin Sleep quality and tension relief
? score not listed Magnolia bark extract (honokiol and magnolol) Improvement of anxiety, stress, and sleep
? score not listed Dihydromyricetin (DHM) Hangover prevention and relief
? score not listed Artemisia capillaris extract Liver detoxification and hangover improvement
? score not listed Chrysanthemum flower (Chrysanthemum indicum) Eye-fatigue relief and vision protection
? score not listed Eyebright (Euphrasia officinalis) Eye-fatigue relief and vision protection
? score not listed Calcium alpha-ketoglutarate (Ca-AKG) Reduction in biological age and lifespan extension
? score not listed Activated charcoal capsules Systemic toxin removal and detoxification
? score not listed Fadogia agrestis Increased testosterone and male vitality
? score not listed Damiana (Turnera diffusa) Improved libido and sexual function
? score not listed Jujube seed (Ziziphus jujuba var. spinosa) Improvement in insomnia and sleep quality
? score not listed California poppy (Eschscholzia californica) Improvement in sleep onset and sleep quality
? score not listed Strontium citrate Increased bone mineral density and fracture prevention
? score not listed Luteolin Senolytic action and inhibition of neurological aging
? score not listed Mucuna pruriens (velvet bean) Improvement of dopamine and mood
? score not listed Lithium orotate Mood stabilization and anxiety relief
? score not listed Irish sea moss (Chondrus crispus) Thyroid, immune, and general health
? score not listed Monolaurin (glycerol monolaurate) Antibacterial, antiviral, and immune support
? score not listed Colloidal silver Infection prevention and enhanced immunity
? score not listed Yohimbe bark extract (Pausinystalia johimbe) Improved erectile function and libido
? score not listed Cistanche tubulosa extract Improvement of testosterone and sexual function
? score not listed Wild lettuce extract (Lactuca virosa) Sedation, sleep onset, and restful sleep
? score not listed Slippery elm bark (Ulmus rubra) Soothing acid reflux, heartburn, and a sensitive gut
? score not listed Burdock root (Arctium lappa) Liver detoxification and blood purification
? score not listed Caper bush root (Capparis spinosa; an ingredient in LiverCare/Liv.52) Hepatocyte protection and liver detoxification
? score not listed Horsetail extract and silica (Equisetum) Reduced hair loss and stronger hair and nails
? score not listed L-Methionine Hair growth and stronger nails
? score not listed Pine pollen Increased testosterone and male vitality
? score not listed Fulvic acid and humic minerals Trace-mineral supplementation, heavy-metal detoxification, and general vitality
? score not listed Coral calcium with alkalization claims Body alkalization, chronic-disease prevention, and general health
? score not listed Apigenin Sleep, relaxation, and anxiety relief
? score not listed Oral catalase Prevention of gray or white hair and restoration of original hair color
? score not listed Multi-ingredient senolytic blend, Qualia-type Clearance of senescent cells, tissue rejuvenation, and extension of healthspan
? score not listed Organic germanium Ge-132, carboxyethylgermanium sesquioxide Immune enhancement, anticancer effects, fatigue relief, and general vitality
? score not listed Fullerene C60 in olive oil Extension of lifespan and inhibition of aging
? score not listed Betaine hydrochloride (Betaine HCl) Correction of hypochlorhydria and improvement of impaired protein digestion
? score not listed BPC-157 peptide (Body Protection Compound-157) Healing of tendon, ligament, and muscle injuries and faster post-exercise recovery
? score not listed Pentadecanoic acid, C15:0 Reversal of cellular aging and extension of healthspan
? score not listed Deuterium-depleted water, also called DDW or light water Delayed aging and longer healthspan through lower body deuterium
? score not listed L-proline Improvement of skin elasticity and wrinkles through increased collagen synthesis
? score not listed Polygonum multiflorum, Fo-Ti, or He Shou Wu Improvement of hair loss and restoration of gray hair to black
? score not listed Oregano oil from Origanum vulgare, typically carvacrol-rich Treatment of Candida infection or overgrowth
? score not listed Fingerroot extract, Boesenbergia pandurata, or panduratin Reduction of body fat
? score not listed Sarsaparilla root (Smilax species) Blood purification and whole-body detoxification
? score not listed Bovine adrenal cortex extract (adrenal glandular) Recovery from 'adrenal fatigue,' cortisol balance, and increased energy
? score not listed Oral pearl powder (nacre, Margaritifera) Skin lightening, radiance, regeneration, and anti-aging
? score not listed Geranylgeraniol (GG) Prevention of statin-related CoQ10 depletion and muscle pain
? score not listed Ox bile extract (bovine bile acids) Improved fat digestion and fat-soluble vitamin absorption after cholecystectomy
? score not listed Dihydroberberine (DHB, GlucoVantage) Improved postprandial glucose, insulin, and HbA1c
? score not listed Suma root (Pfaffia/Hebanthe paniculata, Brazilian ginseng) Increased testosterone, male libido, and vitality
? score not listed Oral bovine thymus glandular extract T-cell activation, enhanced immunity, and infection prevention
? score not listed Oral salmon-derived polydeoxyribonucleotide (oral PDRN) Cell regeneration, skin rejuvenation, and delayed aging
? score not listed Metformin for anti-aging use in healthy people without diabetes Delayed aging and extended healthspan in healthy people without diabetes
? score not listed Freeze-dried bovine liver glandular for oral use Liver detoxification and liver-function support
? score not listed Coffea cruda 30C homeopathic preparation Relief of insomnia caused by racing thoughts
? score not listed 5-Amino-1MQ (biohacking ingredient and NNMT inhibitor) Reduced body fat and increased metabolic rate through NNMT inhibition
? score not listed Albizia julibrissin bark (He Huan Pi, herbal medicine) Relief of depressed mood and elevation of mood
? score not listed Bromelain (vitreous-floater efficacy claim) Reduction of vitreous floaters and opacities
? score not listed Sirolimus or rapamycin (mTOR inhibitor, Rapamune, prescription medicine) Delayed aging and extended healthspan or lifespan in healthy adults
? score not listed 5α-Hydroxy-laxogenin (dietary supplement) Increased muscle mass and strength as a 'natural anabolic'
? score not listed Topical castor oil (Ricinus communis oil used as a scalp oil) Hair growth and reversal of hair loss through scalp application
? score not listed Reduced NMN (dihydronicotinamide mononucleotide, NMNH, supplement) Delayed aging, improved cellular energy, and longer healthspan through a surge in NAD⁺
? score not listed Mimosa pudica seed (sensitive-plant seed supplement) Removal of intestinal parasites and gut cleansing or detoxification
? score not listed Catuaba bark supplement Increased male libido, erectile function, and testosterone
? score not listed Freeze-dried bovine orchic glandular supplement Increased testosterone, libido, and male vitality
? score not listed Goat's rue (Galega officinalis lactation supplement) Increased breast-milk production in lactating women
? score not listed Triphala (a three-fruit Ayurvedic combination ingredient) Improved bowel-movement frequency and completeness in chronic or functional constipation
? score not listed Mullein leaf (Verbascum; herbal supplement or tea) Lung cleansing, phlegm clearance, and improved bronchial and respiratory health
? score not listed Black walnut–wormwood–clove complex (multi-herb supplement) Removal of intestinal parasites or a parasite cleanse
? score not listed Bovine thyroid glandular (thyroid-tissue supplement) Improved energy, metabolism, and fatigue through thyroid support
? score not listed Agaricus blazei extract (Agaricus mushroom supplement) Cancer prevention, reduced recurrence, and prolonged survival
? score not listed Cistanche tubulosa or Cistanche deserticola extract supplement Delayed aging and extended human healthspan and lifespan
? score not listed Acarbose (prescription alpha-glucosidase inhibitor; Glucobay) Delayed aging and extended healthspan and lifespan in healthy people without diabetes
? score not listed Tributyrin (butyrate-precursor supplement) Improved intestinal permeability or leaky gut and relief of irritable bowel syndrome symptoms
? score not listed Fenbendazole (a veterinary benzimidazole anthelmintic) Tumor shrinkage and longer survival in people with advanced cancer
? score not listed Hyland's Bioplasma 12 cell salts (homeopathic tissue-salt product) Relief of fatigue and nervous tension
? score not listed N-acetyl-L-tyrosine (NALT, dietary supplement) Greater absorption than ordinary L-tyrosine, leading to improved focus and cognition under stress
? score not listed 5-Deazaflavin TND1128 (biohacking supplement) Delayed aging and extended healthspan through NAD and mitochondrial activation
? score not listed Marshmallow root (Althaea officinalis, herbal product) Relief of gastroesophageal reflux and gastrointestinal irritation, with protection and repair of intestinal mucosa
? score not listed Rhus toxicodendron 30C homeopathic product Relief of joint pain, stiffness, and weather-related muscle pain
? score not listed Blue lotus extract oil (Nymphaea caerulea aromatherapy product) Stress and anxiety relief and mind-body calming through inhaled or topical aromatherapy
? score not listed Himalayan pink salt (rock salt) Mineral and electrolyte replacement and hydration superior to ordinary salt
? score not listed Gluten digestive enzyme blend containing DPP-IV, including supplements marketed around AN-PEP-like activity Prevention of accidental gluten exposure and intestinal mucosal injury in celiac disease
? score not listed Low-dose lithium orotate supplement Delayed aging and extension of healthspan and lifespan
? score not listed Goat milk protein supplement Superior prevention of age-related sarcopenia and greater muscle mass and strength than whey or cow-milk protein
? score not listed Agarwood extract or agarwood pill, a traditional Aquilaria supplement Improvement of chronic fatigue and low vitality with immediate restoration of energy
? score not listed Korean black goat extract (Capra hircus coreanae, traditional animal-derived food and supplement) Improvement of anemia and chronic fatigue and restoration of energy in overworked or debilitated people
? score not listed Intravenous NAD+ (self-pay wellness infusion) Slower biological aging and longer healthspan in healthy adults
? score not listed Glycine alone (nonessential amino acid supplement) Slowing human aging and extending healthspan and lifespan
? score not listed Berberine (isoquinoline alkaloid supplement; anti-aging efficacy axis) Slower human aging and extended healthspan and lifespan through AMPK activation
? score not listed Apigenin alone (a flavone polyphenol supplement marketed as a senomorphic) Slower aging rate and extended healthspan and lifespan in healthy adults
? score not listed Taurine (an aminosulfonic-acid neuromodulator supplement) Shorter sleep-onset latency and better sleep quality after taurine alone at bedtime
? score not listed Irish sea moss (Chondrus crispus, red-seaweed supplement) Appetite suppression and weight loss
? score not listed Shilajit, also called mumijo, a natural fulvic-acid and mineral complex sold as a supplement Slowing biological aging in humans and extending healthspan or lifespan
? score not listed Caprylic acid (octanoic acid; C8 medium-chain fatty-acid supplement) Eradicate intestinal Candida overgrowth and improve bloating when taken orally
? score not listed Irish sea moss (Chondrus crispus, a red-algae supplement) Higher circulating testosterone and improved libido and male vitality in healthy men
? score not listed Desiccated beef liver (whole-food supplement derived from bovine organ tissue) Increase everyday energy and reduce fatigue in adults without a confirmed nutritional deficiency
? score not listed Topical beef tallow (rendered and refined bovine fat used as an occlusive moisturizing cosmetic ingredient or consumer product) Treatment-level improvement of itching, inflammation, and skin-barrier damage in atopic eczema
? score not listed Self-instillation of 100% castor oil (ricinoleic-acid-rich plant oil; nonsterile general-purpose oil) Dissolution or reversal of age-related cataract with restored vision after ocular instillation
? score not listed Liquid chlorophyll, usually a supplement containing the chlorophyll derivative sodium copper chlorophyllin Increased everyday energy and improved fatigue recovery in healthy adults
? score not listed Royal jelly, a bee product containing 10-HDA and sold as a dietary supplement Slowed biological aging and extended healthspan or lifespan in healthy adults
? score not listed Batana or ojon oil, an Elaeis oleifera kernel oil used as a botanical scalp cosmetic Follicle reactivation, hair regrowth, and reversal of androgenetic alopecia
? score not listed Creatine monohydrate, a guanidino nitrogen compound sold as a dietary supplement Slowed biological aging and extended healthspan or lifespan in healthy adults
? score not listed Glucose-electrolyte drink mix (a sodium, potassium, and glucose supplement, including Liquid I.V.) Improved everyday fatigue and energy in healthy people without dehydration or prolonged exercise
? score not listed Liquid sodium copper chlorophyllin (a water-soluble chlorophyll derivative supplement) Appetite suppression and reductions in weight and body fat without dietary or exercise changes
? score not listed Mushroom coffee (a conventional food combining coffee with functional mushrooms such as lion's mane, chaga, and cordyceps) More sustained everyday energy and less fatigue than regular coffee containing the same amount of caffeine
? score not listed Castor-oil liver pack (Ricinus communis oil, a ricinoleic-acid-rich topical wellness product) Liver detoxification and improvement of liver enzymes and fatty liver through right-upper-abdominal application
? score not listed Bone-broth protein (an animal-derived food supplement containing collagen and gelatin) Improvement of leaky gut and intestinal permeability and restoration of the intestinal barrier
? score not listed Liposomal reduced glutathione (GSH, a thiol antioxidant supplement) Slower biological aging and longer healthspan and lifespan in healthy adults
? score not listed Oral sodium copper chlorophyllin (a water-soluble chlorophyll derivative sold as a supplement) Reduced acne lesions and cleansed skin after liquid or capsule ingestion
? score not listed Irish sea moss (Chondrus crispus, a carrageenan-containing red-seaweed supplement) Increase of beneficial gut bacteria and improvement of constipation, bloating, and irritable bowel syndrome in humans
? score not listed Apple cider vinegar (ACV, an acetic-acid fermented food and supplement) Improvement of liver fat, alanine aminotransferase, and fibrosis in metabolic dysfunction-associated or nonalcoholic fatty liver disease
? score not listed Oral egg-white ovalbumin (ordinary food used as a protein supplement) Immediate fatigue recovery, greater vitality, and increased serum albumin in generally well-nourished people
? score not listed Fermented rice water, including rice water or Oryza sativa fermentation filtrate (a starch-based topical scalp cosmetic, not a medicine) Stopping androgenetic alopecia and regrowing hair through scalp application or shampoo use
? score not listed Celtic sea salt (predominantly sodium chloride sea salt; conventional food) Recovery from alleged adrenal fatigue and improved daily energy by drinking salt water in the morning
? score not listed Astaxanthin (a xanthophyll carotenoid supplement commonly derived from Haematococcus microalgae) Slower biological aging, longer healthspan, and longer lifespan in healthy adults
? score not listed Pyrroloquinoline quinone disodium (PQQ disodium, a redox-active quinone supplement) Slower aging, longer healthspan, and longer lifespan in healthy adults
? score not listed Urolithin A (Mitopure; a gut-microbiome-derived postbiotic supplement) Slower biological aging and longer healthspan and lifespan in healthy adults
? score not listed Red and near-infrared photobiomodulation device (a non-drug 660- and 850-nm LED panel or belt marketed for wellness) Slower biological aging and longer healthspan and lifespan in healthy adults
? score not listed Wheatgrass, the young leaves of Triticum aestivum used as a green-food powder or juice supplement Liver detoxification and improvement of liver enzymes and liver fat in MASLD
? score not listed Exogenous beta-hydroxybutyrate (BHB ketone salts, mineral-salt ketone-body supplements) Slower biological aging and extended healthspan and lifespan in healthy adults
? score not listed Whole-body cryotherapy (exposure in an extreme-cold chamber at -110 degrees Celsius or below; nonmedical wellness procedure) Longer healthspan and lifespan through lower systemic inflammation and slower aging
? score not listed Magnesium bisglycinate or glycinate (a chelated magnesium salt sold as a supplement) Relief of adult anxiety and tension through absorption superior to ordinary magnesium
? score not listed Trehalose (a nonreducing disaccharide and candidate autophagy modulator used as a food ingredient or supplement) Oral activation of autophagy with slower human aging and improved healthspan and overall lifespan
? score not listed Transdermal magnesium chloride spray or oil (topical wellness product, not a medicine) Improved sleep onset, deep sleep, and nighttime awakenings after application to the skin or feet before bed
? score not listed Oral methylene blue (redox-active compound sold in unapproved wellness products abroad) Slowing the rate of aging and extending healthspan and overall lifespan in healthy adults
? score not listed Peppermint essential oil (menthol-based topical cosmetic or supplement ingredient) Topical promotion of hair regrowth in androgenetic alopecia
? score not listed MOTS-c, a mitochondrial-derived peptide supplied as an investigational subcutaneous injection Slower aging and functional decline through improved mitochondrial function in healthy adults
? score not listed Black sesame and sesamin supplied as oral foods or capsules and as topical scalp oils or products Improved androgenetic alopecia and hair regrowth after topical or oral use
? score not listed Testicular red and near-infrared photobiomodulation (600–1100 nm home LED wellness device) Increased blood testosterone, libido, and vitality in healthy men
? score not listed Topical NAD+ serum (anti-aging cosmetic) Reduced facial wrinkles and improved elasticity and skin aging through increased cellular energy
? score not listed Vitamin B12 (cobalamin, water-soluble vitamin, nonprescription supplement or injection) Metabolism enhancement and weight loss in adults without vitamin B12 deficiency
? score not listed Canagliflozin (prescription SGLT2 inhibitor; Invokana) Delayed aging and extended healthspan and total lifespan in healthy people without diabetes
? score not listed Monk fruit extract (Siraitia grosvenorii and mogroside V natural sweetener used as food) Direct reduction of body weight and body fat when consumed alone
? score not listed Transdermal NAD+ patch (NAD-related wellness supplement patch, non-drug product) Higher systemic NAD+ through skin absorption, slower aging, and longer healthspan
? score not listed Intranasal NAD+ spray (unapproved coenzyme-based wellness product sold through cross-border channels) Improved daily energy and focus and reduced fatigue through nasal absorption
? score not listed Transdermal slimming or weight-loss patch (herbal-mixture adhesive patch; non-drug product) Reduced appetite, abdominal fat, and body weight through metabolic control simply by wearing the patch
? score not listed Molecular-hydrogen inhalation device (water-electrolysis H2/O2 wellness device; non-medical device) Slower biological aging and longer healthspan and lifespan through regular hydrogen inhalation
? score not listed Reduced NADH (nicotinamide adenine dinucleotide hydride, a vitamin B3-derived coenzyme sold as an oral supplement) Slower human aging and extended healthspan or lifespan through restored mitochondrial energy
? score not listed Epitalon/Epithalon (AEDG synthetic tetrapeptide; marketed as an unapproved research product) Slower human aging and extended healthspan and lifespan through telomerase activation
? score not listed Fursultiamine injection (fursultiamine or TTFD, active vitamin B1 derivative, self-paid injection also called a garlic shot) Immediate fatigue relief and increased vitality in generally healthy adults without vitamin B1 deficiency
? score not listed Transdermal vitamin B12 patch (a nonmedical wellness cobalamin supplement patch) Immediate improvement in energy, concentration, and fatigue through skin absorption in adults without vitamin B12 deficiency
? score not listed Oral adenosine-5'-triphosphate disodium (PeakATP; nucleotide supplement) Increased everyday energy and improvement of chronic fatigue independent of exercise
? score not listed Trimethylglycine (TMG or anhydrous betaine, a methyl-donor supplement) Slowed biological aging and extended healthspan through DNA methylation and homocysteine regulation
? score not listed Brown noise or Brownian noise (a low-frequency-emphasized continuous sound delivered as a nonmedical digital audio track or app) Shorter sleep onset, deeper sleep, and improved sleep maintenance when played during bedtime
? score not listed Low-dose oral methylene blue, or methylthioninium chloride (a mitochondrial redox drug marketed as an unapproved wellness supplement) Slower human aging and longer healthspan and lifespan through improved mitochondrial efficiency
? score not listed Oleuropein (an olive-leaf secoiridoid polyphenol taken as an oral supplement) Delayed biological aging and extended healthspan or lifespan in healthy adults
? score not listed Everolimus (an oral prescription mTORC1-inhibiting rapalog, Afinitor) Slower aging rate and longer healthspan or lifespan in healthy adults
? score not listed Sulforaphane (broccoli-sprout-derived isothiocyanate supplement) Slower biological aging and extended healthspan or lifespan in healthy adults
? score not listed Bovine colostrum (supplement containing immunoglobulins and growth factors) Slower biological aging and extended healthspan or lifespan in healthy adults
? score not listed Young-donor plasma infusion (blood-product-based unapproved anti-aging procedure) Reversal of aging, restored memory, and extended healthspan and lifespan
? score not listed Transcutaneous vagus nerve stimulation wearable (consumer electrical-stimulation device) Slower biological aging, longer healthspan, and longer lifespan in healthy adults
? score not listed Wearable core-temperature or heat-stress sensor (heat-flux sensor device) Prevention of heat exhaustion and heatstroke during exercise or outdoor work
? score not listed Houttuynia cordata extract (topical scalp tonic or shampoo) Suppression of androgenetic alopecia and hair regrowth after scalp application
? score not listed Mesenchymal stromal or stem cell-derived exosomes administered intravenously as an unapproved procedure Reversal of systemic aging and extension of healthspan in healthy adults
? score not listed SLU-PP-332, a research small-molecule ERR-alpha, beta, and gamma agonist marketed online for oral or injectable use Improved human endurance and muscle function without exercise
? score not listed KPV tripeptide, Lys-Pro-Val, sold as oral capsules or a research peptide Relief of inflammatory bowel disease or so-called leaky-gut symptoms by improving intestinal inflammation and permeability.
? score not listed FOXO4-DRI (synthetic senolytic peptide marketed for subcutaneous injection; research use) Reversal of human aging rate and functional decline by clearing senescent cells
? score not listed Cardarine (GW501516 or GW1516, an oral PPAR-delta agonist distributed on the black market as a research chemical) Improved endurance and exercise performance in humans
? score not listed Whole garlic-chive leaves Improved erectile function or sexual vitality
? score not listed Whole minari (Oenanthe javanica) Relief of hangover symptoms
? score not listed Whole perilla or shiso leaves Relief of seasonal allergic-rhinitis symptoms
? score not listed Whole Swiss chard Correction of iron-deficiency anemia
? score not listed Whole crown daisy Improved sleep quality and sleep onset
? score not listed Whole daikon radish or radish juice (Raphanus sativus) Relief of functional dyspepsia symptoms
? score not listed Whole carrots or carrot juice (Daucus carota) Improved vision in people with normal sight and no vitamin A deficiency
? score not listed Whole lotus root or lotus-root juice (Nelumbo nucifera rhizome) Relief of cough and sputum in bronchitis
? score not listed Mature pumpkin juice Reduced postpartum edema
? score not listed Whole bell peppers and sweet peppers Improved eye fatigue and visual function
? score not listed Whole Korean melon including seeds and placenta Constipation relief and more frequent bowel movements
? score not listed Dried persimmon Shorter acute diarrhea, fewer stools, or improved stool consistency
? score not listed Cooked whole ginkgo nuts Improved memory
? score not listed Cooked whole black soybeans Reduced hair loss and reversal of gray hair
? score not listed Yuja tea made by diluting sweetened yuja preserve in water Shorter common-cold duration and milder symptoms
? score not listed Dunggulle tea brewed from roasted Polygonatum odoratum rhizome Recovery from everyday fatigue in non-deficient adults
? score not listed Miyeokguk made by rehydrating and cooking dried wakame Faster recovery of postpartum fatigue, pain, anemia, function, or recovery time
? score not listed Dried unseasoned nori from Pyropia or Neopyropia species Faster growth velocity and increased height in children
? score not listed Whole raw or cooked oysters Improved libido, erectile function, and overall sexual function
? score not listed Chueotang, Korean loach soup made with bone-ground loach, doenjang, perilla seed, and vegetables Reduced fatigue and improved vitality or recovery
? score not listed About one to two teaspoons of prepared yellow table mustard Immediate relief and shorter duration of exercise-associated muscle cramps
? score not listed About one clove per day of raw or crushed fresh garlic Prevention of common-cold occurrence
? score not listed Sagol-guk or gomtang, a soup made by prolonged simmering of beef bones Reduced osteoarthritis pain and improved physical function
? score not listed A complete bowl of samgyetang made from a young chicken, glutinous rice, ginseng, garlic, and jujube Reduced fatigue and improved vitality or recovery
? score not listed Commercial blue-agave syrup or agave nectar Improved long-term HbA1c and diabetes management
? score not listed Air-fried potatoes Reduced cancer incidence versus deep-fried potatoes
? score not listed Unpasteurized makgeolli 300 mL/day, about 14.2 g ethanol if 6% ABV Improved bowel movements and constipation relief
? score not listed Eating raw cucumber and raw radish after cutting them together Worsened vitamin C status or clinical deficiency
? score not listed About one persimmon eaten with one serving of properly cooked crab Combination-specific poisoning, abdominal pain, or diarrhea
? score not listed Indoor-air humidification in schools, workplaces, or homes Prevention of upper respiratory tract infection incidence in humans
? score not listed Tilting the head back during a nosebleed Hemostasis and shorter bleeding time
? score not listed Inhaled or sprayed hinoki phytoncide, including cypress essential-oil and cypress-water products Prevention of infections and infection-related hospitalization
? score not listed An onion kept in a room Common-cold prevention
? score not listed Adult mewing, tongue-posture training, or oral-posture training Persistent change in jaw bones or facial contour
? score not listed Coffee enema Liver detoxification and toxin elimination
? score not listed Double voiding: waiting or changing position after a first void and urinating again Prevention of recurrent urinary tract infection, acute retention, catheterization, or hospitalization