StackTerminal.Health

BETA
Alternative layoutGrade B · 74Mostly solid

Your personalized stack

Built from your goals & the supplement evidence library. You can edit doses & timing.

What this is for
General support
strength, recovery, daily
Why you are seeing this
Goal fit: strength, recovery, daily.
What to do next
Keep the core idea, then tighten timing or overlap issues to make the stack easier to run.
PublicBuilt 09 Feb 20266 ingredients1 interaction flagged · 2 synergies
Core stack
The main ingredients doing the work.
4 key items
Morning or pre-workout • Caffeine anhydrous
Caffeine acutely improves multiple performance outcomes; common effective range is ~3–6 mg/kg in many studies, with high inter-individual variability.
200mg
Trade-offs & context
Sleep

Impairs sleep onset and deep sleep if consumed within 8–10 hours of bedtime

Tolerance

Tolerance develops within 1–2 weeks of daily use, reducing efficacy

Neural

Withdrawal: headache and fatigue on cessation after sustained daily use

Cardiovascular

Elevated heart rate, anxiety, jitteriness — individual sensitivity varies widely

Context: doses >400mg

Cognitive performance (attention, reaction time)
High
Population: Healthy adults (31 trials, n=1,455)
Study type: Systematic review & meta-analysis
Dose context: 200 mg typical (range: 100–400 mg) • Duration: Acute

Caffeine significantly improves reaction time (g=0.28) & accuracy (g=0.27) on attention tasks; dose ≥200 mg shows larger effects.

Citation: Grgic J et al. Int J Sport Nutr Exerc Metab. 2021;31(3):199–206.https://pubmed.ncbi.nlm.nih.gov/33800853/
Benefits are acute; tolerance develops with daily use.
Endurance & sport performance
High
Population: Athletes and active adults
Study type: ISSN Position Stand (systematic review)
Dose context: 200 mg typical (range: 100–400 mg) • Duration: Acute (single dose)

Strong evidence that 3–6 mg/kg caffeine improves endurance, strength, & power; benefits consistent but moderated by genetics & habituation.

Citation: Guest NS et al. J Int Soc Sports Nutr. 2021;18(1):1.DOI: 10.1186/s12970-020-00383-4https://pubmed.ncbi.nlm.nih.gov/33388079/
CYP1A2 & ADORA2A genotypes influence individual response.
Sleep disruption (safety warning)
High
Population: Healthy adults
Study type: Systematic review & meta-analysis
Dose context: 200 mg typical (range: 100–400 mg) • Duration: Acute

Caffeine prolongs sleep latency, reduces total sleep time & efficiency; clinically meaningful disruption occurs with 400 mg within 8–12 h of bedtime.

Citation: Gardiner C et al. Sleep Med Rev. 2023;68:101764.DOI: 10.1016/j.smrv.2022.101764https://pubmed.ncbi.nlm.nih.gov/36870101/
Avoid caffeine within 6–8 h of intended sleep time when sleep is a priority.
Beta-AlanineModerate
Evening • Beta-alanine
Chronic beta-alanine supplementation increases muscle carnosine & can improve performance, commonly using multi-gram daily dosing over weeks.
3200mg
Exercise capacity & performance (broader meta-analysis)
Moderate
Population: Mixed athletes; 1,461 participants across 40 studies
Study type: Systematic review & meta-analysis
Dose context: 4800 mg typical (range: 3200–6400 mg) • Duration: 4–12 weeks

Significant overall effect size (ES = 0.18, 95% CI 0.08–0.28); greatest benefit for exercise in 1–10 min duration window.

Citation: Saunders B et al. Br J Sports Med. 2017;51(8):658–669.DOI: 10.1136/bjsports-2016-096396https://pubmed.ncbi.nlm.nih.gov/27797728/
Effect size modest; larger in capacity vs. performance measures.
High-intensity exercise performance (1–4 min efforts) via muscle carnosine elevation
High
Population: Athletes and trained adults
Study type: ISSN Position Stand (systematic review)
Dose context: 4800 mg typical (range: 3200–6400 mg) • Duration: 4–12 weeks

4–6 g/day for ≥4 weeks significantly augments muscle carnosine (intracellular pH buffer) & improves exercise lasting 1–4 min; no benefit for efforts <60 s.

Citation: Trexler ET et al. J Int Soc Sports Nutr. 2015;12:30.DOI: 10.1186/s12970-015-0090-yhttps://pubmed.ncbi.nlm.nih.gov/26175657/
Paresthesia (tingling) is common but harmless; split dosing reduces it.
Vitamin D3Moderate
Evening • Cholecalciferol
Effectively raises serum 25(OH)D concentrations.
50mg
Fracture prevention in elderly adults
Moderate
Population: Ambulatory and institutionalized elderly persons
Study type: Systematic review and meta-analysis of RCTs
Dose context:

Vitamin D at 700–800 IU/day reduced hip fracture risk by 26% (RR 0.74) & any nonvertebral fracture by 23% (RR 0.77); no significant benefit was observed at 400 IU/day.

Citation: Bischoff-Ferrari HA, Willett WC, Wong JB, et al. Fracture prevention with vitamin D supplementation: a meta-analysis of randomized controlled trials. JAMA. 2005;293(18):2257-64.DOI: 10.1001/jama.293.18.2257https://pubmed.ncbi.nlm.nih.gov/15886381/
Dose-dependent effect; 400 IU/day insufficient for fracture prevention.
Prevention of acute respiratory tract infections
Moderate
Population: Children and adults (ages 0–95); 25 RCTs, n=11,321
Study type: Systematic review and meta-analysis of individual participant data from RCTs
Dose context:

Vitamin D supplementation reduced risk of acute respiratory tract infection (adjusted OR 0.88, 95% CI 0.81–0.96); greatest benefit in those with baseline deficiency (<25 nmol/L) & those receiving daily or weekly dosing rather than bolus doses.

Citation: Martineau AR, Jolliffe DA, Hooper RL, et al. Vitamin D supplementation to prevent acute respiratory tract infections: systematic review and meta-analysis of individual participant data. BMJ. 2017;356:i6583.DOI: 10.1136/bmj.i6583https://pubmed.ncbi.nlm.nih.gov/28202713/
IPD meta-analysis; high statistical power; effect strongest in vitamin D-deficient individuals.
Vitamin D status & physical performance in athletes
Low
Population: Competitive and recreational athletes
Study type: Narrative review
Dose context:

Vitamin D insufficiency is prevalent among athletes, particularly indoor athletes & those in northern latitudes in winter. Insufficiency is associated with reduced muscle strength, power, & endurance; supplementation of 2,000–6,000 IU/day recommended to maintain 25(OH)D >40 ng/mL.

Citation: Yoon S, Kwon O, Kim J. Vitamin D in athletes: focus on physical performance and musculoskeletal injuries. Phys Act Nutr. 2021;25(2):20-25.DOI: 10.20463/pan.2021.0011https://pubmed.ncbi.nlm.nih.gov/34315203/
Narrative review; prevalence data robust, intervention evidence more limited.
Evening • Creatine monohydrate
Creatine monohydrate is safe & effective for improving performance & lean mass at commonly used doses.
5500mg
Trade-offs & context
Tolerance

Water retention of 1–2 kg in the first week (intramuscular, not fat)

Tolerance

GI discomfort — bloating and cramping; spread loading doses across the day

Context: loading phase >10g/day

Note

Non-responders (~25–30%) see minimal benefit regardless of dose

Short-term memory & reasoning
Moderate
Population: Healthy adults (6 RCTs, n=281); larger effects in older adults
Study type: Systematic review of RCTs
Dose context: 5000 mg typical (range: 3000–20000 mg) • Duration: 4–12 weeks

Oral creatine may improve short-term memory & intelligence/reasoning in healthy individuals; effect on other cognitive domains unclear.

Citation: Avgerinos KI et al. Exp Gerontol. 2018;108:166–173.DOI: 10.1016/j.exger.2018.04.013https://pubmed.ncbi.nlm.nih.gov/29704637/
Cognitive benefits most consistent in aging or sleep-deprived populations & those with lower dietary creatine (e.g., vegetarians).
Strength / power performance
High
Population: Healthy adults; athletes and recreationally trained
Study type: ISSN Position Stand (comprehensive review)
Dose context: 5000 mg typical (range: 3000–5000 mg) • Duration: 4–12+ weeks

Consistent improvements in strength, power, & training volume; safe for long-term use (up to 30 g/day for 5 years studied). Loading optional; maintenance commonly 3–5 g/day.

Citation: Kreider RB et al. J Int Soc Sports Nutr. 2017;14:18.DOI: 10.1186/s12970-017-0173-zhttps://pubmed.ncbi.nlm.nih.gov/28615996/
Non-responders (~25–30%) exist; vegetarians/vegans tend to show larger gains.
Support ingredients
Helpful add-ons, secondary support, and the rest of the stack.
2 more
Evening • Triglyceride fish oil
Improves triglycerides & other risk markers; outcomes depend on baseline risk & dose.
2000mg
Trade-offs & context
Tolerance

Fishy aftertaste/burps — take with food or use enteric-coated softgels

Interaction

Mild anticoagulant effect — caution pre-surgery or with blood thinners

Context: doses >3g EPA+DHA/day

Triglyceride reduction
High
Population: Adults with hypertriglyceridemia
Study type: Systematic review and meta-analysis of RCTs
Dose context: (range: 2000–4000 mg)

High-dose omega-3 (≥2 g EPA+DHA/day) consistently reduces fasting triglycerides by 15–30% in adults with elevated baseline levels.

Citation: See PubMed triglyceride meta-analysis.https://pubmed.ncbi.nlm.nih.gov/34139241/
Delayed-onset muscle soreness (DOMS) after eccentric exercise
Low
Population: Healthy adults performing eccentric exercise
Study type: Systematic review and meta-analysis of RCTs
Dose context:

Omega-3 PUFA supplementation produced a statistically significant reduction in DOMS (MD −0.93, 95% CI −1.44 to −0.42; p=0.0004) across 12 RCTs, though the effect size fell below the minimal clinically important difference of 1.4 on a 10-point VAS. Low-quality evidence overall.

Citation: Lv ZT, Zhang JM, Zhu WT. Omega-3 Polyunsaturated Fatty Acid Supplementation for Reducing Muscle Soreness after Eccentric Exercise: A Systematic Review and Meta-Analysis of Randomized Controlled Trials. Biomed Res Int. 2020;2020:8062017.DOI: 10.1155/2020/8062017https://pubmed.ncbi.nlm.nih.gov/32382573/
Statistical significance without clear clinical significance; larger doses (≥6 g/day) & longer supplementation (≥7 weeks) may be required.
Cardiovascular outcomes & mortality
Moderate
Population: General adults and cardiovascular risk populations
Study type: Systematic review and meta-analysis
Dose context:

Omega-3 supplementation associated with reductions in cardiovascular events; benefit most consistent at higher EPA+DHA doses (≥2 g/day) & in high-risk populations.

Citation: See Omega-3 cardiovascular outcome trials meta-analysis.https://pmc.ncbi.nlm.nih.gov/articles/PMC12129820/
PMC full-text review; curated cardiovascular evidence.
Evening • Lyophilized powder
Retatrutide produced large, dose-dependent mean body-weight reductions over 48 weeks versus placebo; GI adverse effects were common & dose-related.
12mg
Body weight reduction
High
Population: Adults with obesity (without diabetes) in a randomized controlled phase 2 trial
Study type: Randomized, double-blind, placebo-controlled phase 2 trial
Dose context: 12 mg typical (range: 1–12 mg) • Duration: 48 weeks

Retatrutide produced substantial mean body-weight reductions over 48 weeks (up to ~24% at highest dose), with larger losses at higher doses; GI adverse effects were common & dose-related.

Citation: Jastreboff et al., N Engl J Med (2023) — Triple–Hormone-Receptor Agonist Retatrutide for ObesityDOI: 10.1056/NEJMoa2301972https://www.nejm.org/doi/full/10.1056/NEJMoa2301972
Phase 3 registrational program design (TRIUMPH)
Low
Population: Adults with obesity ± OSA, knee osteoarthritis, or cardiovascular disease (>5800 participants across 4 trials)
Study type: Phase 3 registrational program design/rationale publication
Dose context: • Duration: Ongoing (trials projected through 2025–2026)

The TRIUMPH phase 3 program (4 trials, >5800 participants) evaluates once-weekly subcutaneous retatrutide vs. placebo for weight management & obesity-related complications (OSA, OA, CVD). No primary efficacy results published as of early 2026; design & rationale published in 2025.

Citation: Wadden et al., Diabetes Obes Metab (2025) — Retatrutide for obesity, OSA and knee OA: Rationale and design of TRIUMPHhttps://pubmed.ncbi.nlm.nih.gov/41090431/
Stack pre-check
No personal data connected — connect wearables or upload bloodwork for a personalised check
1 caution
Supplements
6
Training load
Unknown
Caffeine (est.)
200 mg
Caution
Moderate stimulant load (~200 mg caffeine)
Estimated 200 mg/day of caffeine from explicit items in this stack. Works well for most people, but monitor sleep quality — especially if you're also consuming coffee or tea throughout the day.
Note
Stimulants without sleep-support counterbalance
This stack has a notable stimulant load but no sleep-support ingredient. If sleep quality is important to you, consider adding magnesium, L-theanine, or glycine in the evening to offset stimulant effects.

Pre-check is rule-based, not medical advice. Consult a healthcare professional for personalised guidance.

Interaction Analysis
Pharmacokinetic + pair-level checks
1 caution2 synergies
Caution
Creatine + Caffeine: caffeine may blunt creatine loadingPMID:8960580
Two independent studies found caffeine co-ingestion during creatine loading attenuates the ergogenic benefit on phosphocreatine resynthesis, likely via opposing effects on muscle relaxation time. The interference is more pronounced during the loading phase.
Separate caffeine and creatine by 4+ hours, especially during the loading phase. Take creatine post-workout where possible.
Synergies detected
Synergy
Vitamin D3 + Omega-3: fat-soluble synergyPMID:22190928
Vitamin D3 absorption is higher when taken with fat-containing meals. Omega-3 is also best taken with meals for absorption, so co-administering them with a fat-containing meal is a practical timing synergy.
Take both with your largest fat-containing meal of the day.
Synergy
Creatine + Beta-Alanine: performance synergyPMID:25289715
Creatine supports phosphocreatine replenishment (power), while beta-alanine supports buffering capacity via muscle carnosine. Combination studies report improved repeated high-intensity performance versus baseline or single-agent arms in some protocols.
Take together pre-workout or with meals. Beta-alanine tingling is reduced when split into smaller doses.
Timing optimizations
Caffeine
Before 2pm
Half-life ~5h. A 2pm dose may still be at 50% plasma at 7pm, disrupting sleep architecture. (Onset: ~45 min, half-life: ~5h)
Beta-Alanine
Pre-workout (split doses)
Paresthesia (tingling) is dose-dependent — split into 1–1.6g doses. Works acutely to sustain carnosine levels pre-exercise. (Onset: ~30 min, half-life: ~2.5h)
Vitamin D3
With largest fat-containing meal
Fat-soluble. Co-ingestion with dietary fat increases absorption by 32–56%. (Onset: ~12h, half-life: ~360h)
Creatine Monohydrate
Post-workout or with carbohydrate
Insulin-mediated creatine uptake. Post-workout carbohydrate enhances muscle creatine loading. Timing matters less for maintenance. (Onset: ~1h, half-life: ~3h)
Omega-3 (EPA/DHA)
With fat-containing meal
Fat-soluble. Bioavailability is significantly higher when taken with food vs fasting. (Onset: ~4h, half-life: ~72h)
Retatrutide (LY-343794)
Take ~72h before the intended effect window
Reaches peak plasma concentration in ~72h. Half-life ~150h.

Interaction analysis is based on peer-reviewed pharmacology. PMID links go to PubMed. Not medical advice.

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