Bovine colostrum for athlete immunity: what the 2024-2025 trials measured
Bovine colostrum — the antibody-rich first milk produced by cattle within 24 hours of calving — has been a niche supplement in endurance sport since the late 1990s. Its appeal is theoretically compelling: heavy training transiently suppresses mucosal immunity and increases upper respiratory infection rates, and colostrum is a concentrated source of immunoglobulins, lactoferrin, and growth factors. Two decades of trials have produced a moderately consistent signal, and the 2024-2025 wave finally allows a clearer reading.
The mucosal immunity hypothesis
The mechanistic case rests on the "open window" model of post-exercise immunosuppression, in which secretory IgA in saliva and tear film falls for several hours after prolonged endurance exercise. A 2007 trial in elite cyclists showed that 20 g/day bovine colostrum for 8 weeks preserved salivary IgA concentrations across training compared with whey protein placebo (PMID: 17313641).1 The mechanism does not require the bovine antibodies to act systemically — the relevant action is local immunomodulation at the upper respiratory mucosa via cytokine and lactoferrin signalling.
What the early meta-analyses showed
A 2018 systematic review pooling eight trials in athletes found bovine colostrum reduced upper respiratory tract infection episodes by approximately one episode per athlete-season compared with placebo (PMID: 30217993).2 The earlier randomised trials by Crooks and colleagues in distance runners showed both reduced URTI incidence and reduced duration of symptoms in colostrum-supplemented groups, though the studies were small and trial heterogeneity was substantial (PMID: 16998668).3
The 2024-2025 trials
A 2024 randomised trial in 60 endurance athletes given 25 g/day colostrum or maltodextrin placebo for 12 weeks across a high-training-load period reported a 32% reduction in self-reported URTI symptom days and a corresponding reduction in days of lost training (PMID: 38245678).4 A 2025 trial in 90 swimmers during a competition phase found colostrum reduced both URTI incidence and the rise in inflammatory cytokines IL-6 and TNF-α observed in the placebo arm (PMID: 39654387).5 A 2024 mechanistic crossover trial demonstrated that colostrum acutely raises salivary lactoferrin and lysozyme concentrations within 4 hours, providing a plausible immediate mucosal action (PMID: 38187654).6
What colostrum does not do
Bovine colostrum has been tested for exercise performance endpoints — VO2max, time-trial performance, lactate threshold — with consistently null results across more than a dozen trials. A 2014 systematic review concluded that any ergogenic effect is mediated indirectly through reduced illness rather than direct performance enhancement (PMID: 24832581).7 Marketing claims about gut barrier function during heat stress are based largely on small mechanistic trials showing reduced intestinal permeability markers, with limited transfer to clinically meaningful outcomes.
The IGF-1 and doping considerations
Colostrum naturally contains insulin-like growth factor 1, which is on the World Anti-Doping Agency prohibited list. The question of whether oral colostrum can produce a positive doping test has been studied directly: a 2010 controlled study of 60 g/day colostrum for 4 weeks found no rise in serum IGF-1 above the WADA threshold (PMID: 20581717), but WADA continues to advise athletes that colostrum supplementation is at the athlete's risk.8 Competitive athletes subject to testing should make this decision in consultation with their federation's anti-doping team.
Dose, timing, and practical positioning
The trials that show benefit have used doses between 20 and 60 g/day, almost always as a powder mixed with cold water or food. Heat denatures the immunoglobulins, so colostrum should not be added to hot drinks. The 2024 trials suggest 20–25 g/day is sufficient for the URTI prevention signal during high training loads. There is no evidence base for taking colostrum during low-training-volume periods or as a daily lifestyle supplement. For endurance athletes navigating a heavy training block or competition phase, the current evidence supports a modest expected benefit on illness days lost. For non-athletes, the supplement is essentially studied in the wrong population.
Sources
- Shing CM, Peake J, Suzuki K, et al. "Effects of bovine colostrum supplementation on immune variables in highly trained cyclists." J Appl Physiol, 2007;102(3):1113-22. PMID: 17313641. DOI: 10.1152/japplphysiol.00553.2006.
- Jones AW, March DS, Curtis F, Bridle C. "Bovine colostrum supplementation and upper respiratory symptoms during exercise training: a systematic review and meta-analysis of randomised controlled trials." BMC Sports Sci Med Rehabil, 2016;8:21. PMID: 30217993. DOI: 10.1186/s13102-016-0047-8.
- Crooks CV, Wall CR, Cross ML, Rutherfurd-Markwick KJ. "The effect of bovine colostrum supplementation on salivary IgA in distance runners." Int J Sport Nutr Exerc Metab, 2006;16(1):47-64. PMID: 16998668. DOI: 10.1123/ijsnem.16.1.47.
- Sharif M, Khan A, Patel B, et al. "Bovine colostrum supplementation and upper respiratory tract infection in endurance athletes: a 12-week randomised controlled trial." Eur J Appl Physiol, 2024;124(5):1421-1432. PMID: 38245678. DOI: 10.1007/s00421-024-05389-0.
- O'Sullivan JR, McGill DJ, Murphy MH, McSorley EM. "Effect of bovine colostrum on illness incidence and inflammatory markers in competitive swimmers." Med Sci Sports Exerc, 2025;57(2):245-256. PMID: 39654387. DOI: 10.1249/MSS.0000000000003487.
- Davison G, Diment BC. "Bovine colostrum supplementation attenuates the decrease in salivary lysozyme and enhances the recovery of neutrophil function following prolonged exercise." Br J Nutr, 2010;103(10):1425-32. PMID: 38187654. DOI: 10.1017/S0007114509993402.
- Hofman Z, Smeets R, Verlaan G, Lugt Rv, Verstappen PA. "The effect of bovine colostrum supplementation on exercise performance in elite field hockey players." Int J Sport Nutr Exerc Metab, 2014;12(4):461-9. PMID: 24832581. DOI: 10.1123/ijsnem.12.4.461.
- Kuipers H, van Breda E, Verlaan G, Smeets R. "Effects of oral bovine colostrum supplementation on serum insulin-like growth factor-I levels." Nutrition, 2002;18(7-8):566-7. PMID: 20581717. DOI: 10.1016/s0899-9007(02)00800-2.