Pre-check is rule-based, not medical advice. Consult a healthcare professional for personalised guidance.
Interaction analysis is based on peer-reviewed pharmacology. PMID links go to PubMed. Not medical advice.
Daily (any time) • Capsule / tablet • Meta-analysis of 8 RCTs (n=37,485) found that B vitamin supplementation reduced homocysteine by ~25% but had no significant effect on major cardiovascular events, stroke, cancer, or…26mg
Meta-analysis of 8 RCTs (n=37,485) found that B vitamin supplementation reduced homocysteine by ~25% but had no significant effect on major cardiovascular events, stroke, cancer, or total mortality. Routine B vitamin supplementation for CVD prevention is not supported.
A placebo-controlled trial reported improved fatigue-related biomarkers & endurance outcomes after 28 days with a specific B-complex formulation.
Vitamin CModerateDaily (any time) • Capsule / tablet • ODS health professional fact sheet summarizes evidence, dosing, & safety/UL (2,000 mg/day).500mg
ODS health professional fact sheet summarizes evidence, dosing, & safety/UL (2,000 mg/day).
Cochrane review of regular vitamin C supplementation (≥200 mg/day) found a consistent ~8% reduction in cold duration in adults & ~14% in children, with no effect on cold incidence in the general population. Therapeutic use at cold onset showed no consistent benefit.
AshwagandhaModerateEvening • KSM-66 (root extract) • Significant improvements in muscle strength, power, & VO2max compared to placebo across 13 RCTs.600mg
May elevate thyroid hormones (T3/T4) — caution with thyroid conditions or thyroid medications
Rare hepatotoxicity cases reported — discontinue if liver enzymes elevated; likely dose- or contaminant-related
May potentiate sedatives and anxiolytics — additive CNS depression
Significant improvements in muscle strength, power, & VO2max compared to placebo across 13 RCTs.
300 mg ashwagandha root extract twice daily significantly improved sleep quality, anxiety scores, & mental alertness on rising vs. placebo.
Small but significant improvement in overall sleep (SMD −0.59); stronger effects in insomnia subgroup & at ≥600 mg/day for ≥8 weeks.
Daily (any time) • Capsule / tablet • Large WHI analysis found multivitamin use had little or no influence on risk of common cancers (breast, colorectal, endometrial, lung, ovarian), cardiovascular disease events, or total…1000mg
Large WHI analysis found multivitamin use had little or no influence on risk of common cancers (breast, colorectal, endometrial, lung, ovarian), cardiovascular disease events, or total mortality in postmenopausal women after 8 years of follow-up.
ODS compendium provides fact sheets on vitamins/minerals; multivitamin impact is driven by baseline status & formulation.
Myo-InositolHighDaily (any time) • Myo-inositol powder • Reliably improves insulin resistance, androgen levels, & menstrual regularity in PCOS; comparable to metformin in some studies.4000mg
GI discomfort (loose stools, bloating) — spread across the day rather than taking a single large dose
Context: single doses >4g
May lower blood glucose — caution if on diabetes medications (metformin, insulin, SGLT2 inhibitors)
Drowsiness at higher doses — take in the evenings if this occurs
Reliably improves insulin resistance, androgen levels, & menstrual regularity in PCOS; comparable to metformin in some studies.
Evening Primrose OilModerateDaily (any time) • Evening primrose oil softgel (8–10% GLA) • Consistent benefit for cyclical breast pain; mixed results for PMS mood; some menopausal hot flush reduction.1500mg
May lower seizure threshold — avoid with epilepsy medications or phenothiazines
Mild blood-thinning activity — caution with anticoagulants
Consistent benefit for cyclical breast pain; mixed results for PMS mood; some menopausal hot flush reduction.
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