About
Who runs SupplementScore, how a score is calculated, and how the site is paid for.
Last reviewed · SupplementScore team · CC-BY 4.0
About
SupplementScore is a free, independent public reference and takes no industry funding. It grades dietary supplements against published clinical trials. Every score traces back to peer-reviewed research. The database currently scores 734 supplements, cites 3,222 studies, and draws on 61 sources. Industry funding is $0.
Why we exist
The right supplement can change someone’s sleep, joint pain, energy, or migraines. The wrong one can drain a wallet, interact with a prescription, or harm an organ. Honest information is hard to find. The supplement industry generates over $50 billion a year in the US alone, and most of what you read online is written by someone trying to sell you something.
We built SupplementScore to close that gap. The long-term goal is to use clinical evidence, and eventually blood work and DNA, to give each person precise supplement guidance. We do not sell supplements. We do not accept sponsorships. We do not run affiliate links. The reference is free, and it stays free.
Three rules sit under every page. Every score is traceable to its source studies. There is zero industry funding and zero affiliate deals with brands we score. Scores change when the evidence changes.
Who writes and reviews our content
This is a small, independent, volunteer-run project. Articles, supplement entries, and comparisons are published under the name SupplementScore team. We do not invent personas or credentials.
Each topic starts from the primary literature (PubMed, the Cochrane Library, ClinicalTrials.gov) and regulator documents (FDA, EFSA, EMA, NIH Office of Dietary Supplements, Health Canada). Software, including language models, helps draft and summarise. In citation audits, cited PubMed IDs are checked against the PubMed record. A citation that does not support its sentence is corrected or removed, and the claim is softened to match the evidence. Every article lists its sources and, where we know it, who funded each study.
No named, licensed clinician reviews pages before publication. No page carries a “medically reviewed” label, and nothing here is individual medical advice. A physician, pharmacist, or dietitian who wants to review content under their own name can get in touch.
The “Updated” date on an article is the last time its content was substantively revised. Errors reported through Flag an error are corrected, and the reviewed date is updated. We do not pay for corrections and we do not hide the change.
What we don’t claim
We do not diagnose conditions or recommend a supplement as treatment for a diagnosed condition. Doses on the site are population-level ranges from clinical trials, not a personal prescription. We do not replace a pharmacist or physician reviewing supplement–medication interactions. We do not endorse specific brands, and we do not claim that any supplement prevents, treats, or cures a disease.
Scores reflect group-level clinical data. Individual responses vary by genetics, diet, health status, medications, and existing conditions. Product quality varies between brands. We do not test, certify, or endorse specific products. Talk to a qualified clinician before starting, stopping, or changing a supplement, especially if you are pregnant, nursing, or taking medication. In an emergency, contact local emergency services.
Roadmap
Four stages toward more personal recommendations.
- Comprehensive database — active. 734 supplements scored on six clinical dimensions, from systematic reviews, meta-analyses, and human trials across 61 sources. Updated continuously.
- Personalized recommendations — in progress. A profile engine that builds a plan from age, sex, goals, conditions, and medications: what to take, what to avoid, dosing, timing, and interactions.
- Blood work and lab integration — coming soon. Upload a blood panel or urine test. Results are compared with optimal ranges to point at deficiencies.
- DNA-based personalization — planned. Use MTHFR, VDR, CYP, and APOE variants to adjust for how you absorb, metabolise, and respond to nutrients.
Contact
Corrections, questions, and review offers go to editorial@supplementscore.org. For a correction, name the page, the sentence, and a public source: a PubMed record, a regulator page, or a certifier list. There is no phone line and no published mailing address. The form below is for people who want to help maintain the database. It is not a mailing list and it does not buy a ranking.
Flag an error
On an article or supplement card, use Flag inaccuracy. The form asks for the claim you think is wrong, what it should say, and a citation URL (PubMed, a DOI, a regulator dossier, or a peer-reviewed paper).
The citation is required so we can act on the report. Every submission with a citation is triaged. Reports that touch Tier 4 safety or a drug interaction are escalated to same-day review.
Help build the database
Clinicians, researchers, developers, and writers make the data better. Corrections, new evidence, and partnership offers are welcome. We reply within two business days. No newsletters.
Methodology
Six scores, each from 1 to 5, roll into one number from 0 to 100. Efficacy is weighted 7, safety 4, research depth 3, and onset, cost, and drug-interaction risk 2 each. The highest possible total is 100. Efficacy and safety count the most. The formula is calcScore in app.js and is open to inspect. The headline score does not set the tier by itself. Citation and safety rules below still have to be met.
The four evidence tiers
Every supplement is placed in one tier. The tier is the headline call: how confident the evidence is, and what the risk profile looks like.
| Tier | What it means | What moves a supplement here |
|---|---|---|
| Tier 1 | Proven effective. Multiple large RCTs and meta-analyses with consistent, replicated results across independent research groups. | At least one systematic review or meta-analysis showing a meaningful effect, plus at least one independently funded confirmatory RCT. Industry-only evidence cannot drive a Tier 1 call. |
| Tier 2 | Promising. Clinical trials, but limited to specific populations, conditions, or doses. Real potential, waiting on larger confirmatory studies. | At least two RCTs in a defined population with a consistent direction of effect, but a small total N or no meta-analysis yet. |
| Tier 3 | Unproven. Limited or conflicting human data. Marketing claims often outrun the research. Many popular supplements live here. | Mechanistic plausibility, animal data, or a single small RCT. Shown so readers can see what the evidence does and does not say. |
| Tier 4 | Risky / avoid. Documented harm, including organ damage, severe drug interactions, or death. A regulator has warned. Do not use. | An FDA warning letter or recall, an EMA or EFSA negative opinion, multiple peer-reviewed case reports of serious adverse events, or a ban in a major jurisdiction. |
The six sub-scores
Each card shows six 1–5 sub-scores so the headline is not a black box.
| Field | What 1 means | What 5 means |
|---|---|---|
| Efficacy | Insufficient evidence of benefit | Conclusive — meta-analytic evidence with a consistent direction |
| Safety | Documented serious harm at typical doses | No adverse signals across large population studies |
| Research depth | Fewer than 3 published trials | More than 20 trials, including meta-analyses |
| Onset | 8 or more weeks before a noticeable effect | Immediate, or within hours |
| Cost / value | High cost for a marginal benefit | A meaningful effect for a low cost |
| Drug-interaction risk | Severe interactions documented | None known |
How tiers move
A supplement moves only when the score band and the gates for the new tier are true at the same time. A high score alone is not a promotion. A low score alone is not a demotion from Tier 1.
- Score band. Tier 1 is 72–100, Tier 2 is 60–71, Tier 3 is 40–59, Tier 4 is below 40.
- Citation gate, Tier 1 only. At least one pivotal PubMed-indexed study with a public or nonprofit funder.
- Safety floor, Tier 1 and Tier 2. No active FDA, EFSA, TGA, or Health Canada warning that makes the supplement inappropriate for the general adult population.
- Replication, Tier 1 only. The pivotal effect has been seen in at least two independent samples. That can be two analyses that do not share one research group’s data. It does not have to be two separate trials.
Safety moves are the exception. If a major regulator issues a contraindication or a recall, the supplement moves to Tier 4 within one deploy, whatever the efficacy score. A composite of 72 or higher is required for Tier 1 and is not enough on its own. Many entries sit in that band and stay Tier 2 because the citation gate or the replication rule is not met. Tier 4 can also be assigned above a score of 40 when a regulator has warned against the product. In the prior 12 months: 12 net promotions, 4 demotions, and 1 safety-driven move. The public log is score-changes.csv (date, slug, from, to, reason). Rows from before this file was published were not exported. The narrative of those moves is in this section.
Where the evidence comes from
When sources disagree, the stronger evidence type wins. This is the order:
- 01 Meta-analyses and Cochrane systematic reviews. Pooled effect, risk of bias graded.
- 02 Regulator dossiers. FDA, EFSA, EMA, NIH ODS, Health Canada.
- 03 Independently funded randomised trials. Direct evidence in humans.
- 04 Cohort and observational studies. Useful for safety signals.
- 05 Mechanistic, animal, or anecdotal reports. Hypothesis only.
Primary sources include PubMed, the Cochrane Library, ClinicalTrials.gov, NIH Office of Dietary Supplements, NCCIH, EFSA, EMA HMPC, Health Canada NNHPD, openFDA FAERS, FDA MedWatch, WHO monographs, USDA FoodData Central, DrugBank, the USPSTF, and journals including NEJM, Lancet, JAMA, BMJ, AJCN, and JISSN. Appraisal frameworks include GRADE, Cochrane RoB 2, AMSTAR-2, CONSORT, and PRISMA. The registry of 61 sources is sources/registry.json. Browse the bibliography.
- Cochrane Systematic reviews
- PubMed NLM biomedical index
- ISSN Sports nutrition society
- USPSTF US prevention task force
- EFSA EU food safety
- CDC US public health
- NIH ODS Dietary supplements office
- NCCIH Complementary health
- WHO World Health Organization
- Examine Supplement research
- Nat. Medicines TRC database
- EMA / HMPC EU herbal monographs
- Australian TGA Therapeutic Goods Admin.
- ConsumerLab Product testing
- ACSM Sports medicine
- AHA Am. Heart Assn.
- ACOG OB/GYN college
- UpToDate Clinical decision support
- Health Canada Natural Health Products
- NCI PDQ Cancer supplements
- BMJ British Medical Journal
- FDA Supplement database
- NEJM New England J. Med.
- Lancet Intl. medical journal
- AJCN Am. J. Clin. Nutrition
- NSF Purity certification
- ClinicalTrials NIH trial registry
- AHRQ US healthcare quality
- Ann. Int. Med. Am. Coll. Physicians
- Am. Botanical HerbalGram
- WADA Anti-doping agency
- Harvard Chan Public health
- Johns Hopkins Clinical reviews
- Stanford Med Translational research
- Cleveland Clinic Drug & supplement
- Karolinska Medical research
- PLOS Medicine Open-access research
- Cell Metabolism Metabolism research
- Nutr. Reviews Nutrition science
- BJSM Br. J. Sports Med.
- Eur. Heart J. Cardiology flagship
- Diabetologia EASD journal
- JBMR Bone & mineral
- JAMA Am. Medical Assn.
- Mayo Clinic Evidence reviews
- NHMRC Australian research council
- NICE UK care guidance
- Linus Pauling Micronutrient research
- MSK Herbs Sloan Kettering
- USP Quality verification
- ESCOP EU phytotherapy
- NASEM DRIs & upper limits
- MHRA UK regulator
- GRADE Evidence grading
- Circulation AHA cardiology
- Gut GI & microbiome
- Endo. Reviews Hormone science
- Diabetes Care ADA clinical journal
- AAP Am. Acad. Pediatrics
- ASPEN Clinical nutrition
- Tufts Friedman Nutrition science
These are not primary sources: manufacturer literature, affiliate review sites, industry trade publications, celebrity product pages, retailer product pages, multilevel-marketing materials, and influencer or podcast claims. They may appear in an article only as evidence of a marketing claim being examined.
How study funding changes a score
Industry-funded supplement trials report effect sizes about 20–30% larger, on average, than independently funded ones, after controlling for design quality. We do not ignore that.
- Every cited study is tagged with its funder, a funder type (
public,industry,mixed,nonprofit, ornone_disclosed), and a competing-interest flag. - When a pooled effect comes from industry-funded trials, the narrative applies about a 25% downward adjustment. The adjustment is written on that supplement.
- A Tier 1 call needs at least one
publicornonprofitconfirmatory study. Industry-only evidence cannot promote a supplement to Tier 1. - Citations flag industry funding in amber and a competing-interest disclosure in red, so a reader can weigh them.
The 25% figure is a discount, not a deletion. Many industry trials are well designed and add real evidence. The number comes from meta-research on funding bias. We will revise it as our own tracking accumulates.
SupplementScore is independent and takes no industry funding. We take no money from manufacturers, distributors, retailers, or affiliate programs, and we do not run advertising. Hosting and tools are paid from reader donations and the operator’s personal funds. Editorial staff disclose equity, consulting, and speaking ties to the supplement industry from the prior three years. Someone with an active industry tie cannot write or second-read an entry where that conflict applies. How the site is paid for, how a brand page is chosen, and how to ask for a correction are in Transparency.
Review cadence
| Content | Cadence | Triggers |
|---|---|---|
| Tier 4 and safety articles | 14 days, or on a regulator alert | PubMed, openFDA FAERS, FDA MedWatch, EFSA alerts |
| Tier 1 and breakthrough articles | 30 days | PubMed and Cochrane |
| Pediatric supplements | 30 days | PubMed, AAP, and NIH ODS pediatric |
| Tier 2 and Tier 3 supplements | 60 days | PubMed, ODS, and EMA |
| Evergreen guides and myth-busting | 90 days | PubMed |
An FDA MedWatch or EFSA alert for a supplement we track jumps the queue, whatever the last-reviewed date. Every card and article shows its last-reviewed date.
How interactions are modeled
Three pieces. Pairs are positive synergies, such as vitamin D3 with K2 for bone density, or iron with vitamin C for absorption, each with a 1–5 strength. Cautions are negative pairs: caution (an additive risk worth attention) or avoid (skip the combination). St. John’s wort with an SSRI is avoid because of serotonin syndrome. Ashwagandha with thyroid medication is a caution. Mechanism groups bundle supplements that share a pathway — bleed, serotonin, sedation, stimulant, hepatotoxic, hypoglycemic, hypotensive, thyroid modulator, and others — and flag any two members against each other.
In a profile stack, conflicts show up in three places: a chip on the card, a grouped row that names the mechanism, and a banner at the top of the plan. The profile flags known drug–supplement conflicts from a partial list. No flag does not mean a combination is safe. Discuss supplements and doses with your doctor or pharmacist. A fuller interaction system is still in build as phase 2 of the roadmap.
Glossary
Plain-language definitions for the research terms used on the site.
RCTRandomized controlled trial
DBPCDouble-blind, placebo-controlled
CrossoverCrossover trial
CohortCohort study
Case-controlCase-control study
In vitroIn vitro
SRSystematic review
Meta-analysisMeta-analysis
NMANetwork meta-analysis
GRADEGRADE evidence rating
PRISMAPRISMA reporting standard
SMDStandardized mean difference
RRRelative risk
OROdds ratio
HRHazard ratio
CIConfidence interval (95% CI)
p-valuep-value
NNTNumber needed to treat
PMIDPubMed identifier
DOIDigital Object Identifier
PMCPubMed Central
COIConflict of interest
Funder typeFunder type
public (NIH, NHS, etc.), nonprofit (American Heart Association, etc.), industry (a supplement company), mixed, or none_disclosed. Tier 1 calls require at least one public/nonprofit citation.ULTolerable Upper Intake Level
RDARecommended Dietary Allowance
AIAdequate Intake
EAREstimated Average Requirement
CYP450Cytochrome P450
P-gpP-glycoprotein
Half-lifeHalf-life
AUCArea Under the Curve
CmaxCmax
SNPSingle nucleotide polymorphism
MTHFRMTHFR variant
APOE4APOE4 carrier
Tier 1Tier 1 (Strong Evidence)
Tier 2Tier 2 (Promising)
Tier 3Tier 3 (Trending)
Tier 4Tier 4 (Risky / Avoid)
Questions
Short restatements of the rules above.
How is a SupplementScore calculated?
Six scores from 1 to 5 — efficacy, safety, research depth, onset, cost, and drug-interaction risk — are weighted efficacy ×7, safety ×4, research depth ×3, and the other three ×2. The total is out of 100. Tier 1 also requires an independently funded confirmatory trial. Industry-only evidence cannot make that call.
Does SupplementScore take affiliate commissions, ads, or brand payments?
No. There are no affiliate links, no ads, no sponsored rankings, and no payments from a brand to be listed, scored, or left out. Hosting is paid from reader donations and the operator’s personal funds. The full policy is in Transparency.
What sources are used?
Scores use peer-reviewed human studies and regulator documents, including PubMed, the Cochrane Library, NIH Office of Dietary Supplements, FDA, EFSA, EMA, and Health Canada. Manufacturer ads and affiliate review sites are not sources for a score.
How do I contact the team?
Email editorial@supplementscore.org with the page, the sentence, and a public source. The contact form on this page reaches the same team.
/s/<slug>.html supplement URLs unified under the canonical /supplement.html?slug=… route — internal supplement clicks now skip the redirect hop and render directly into the canonical card. Hero search dropdown layering fixed so results no longer hide behind the filter pills./m/ — five drug pages at first (amlodipine, gabapentin, semaglutide, sertraline, tramadol), now expanded to eleven. Research page article-card grid sweep registered 30 previously-orphaned articles.Transparency
This section says, in one place, what we do not sell, how a score is chosen, how a brand gets listed, who pays for the site, and how to correct a mistake. Last reviewed . No named reviewer. How the pages are written is on How SupplementScore is made.
No affiliate income, ads, or sponsorships
- We do not put affiliate links on any page. A link to a study, a regulator, or a certifier is not a paid referral.
- We do not sell advertising, sponsored rankings, or paid placements.
- We do not take payment from a supplement brand to be listed, scored, or left out.
- We do not sell supplements, and we do not link to a store checkout.
If you find a link that pays us when someone clicks or buys, that is a mistake. Use the corrections path.
How scores are chosen
Each supplement card is a summary of published human evidence, not a product review. Six numbers — efficacy, safety, research depth, and the other published factors — combine into a score. The tier label is not a marketing grade. A high score still needs the citation and safety rules in the methodology. Industry-funded trials are not treated as if they were independent.
We do not raise a score because a brand asked, and we do not lower one because a brand did not. The editorial process uses PubMed, regulator documents, and guidelines. Manufacturer ads, affiliate review sites, and influencer claims are not sources for a score.
How brand pages are chosen
A brand page exists only when at least one named product appeared on a public list we could open: USP Verified, NSF Certified for Sport, Informed-Sport, Informed-Choice, or a Health Canada natural health product licence. The check date on those pages is 15 October 2026.
- The seal or licence applies to the named product, not to every bottle the brand sells.
- A Health Canada NPN means that product is licensed for sale in Canada. It is not a purity seal.
- ConsumerLab pass or fail results are omitted. They sit behind a subscription and were not on a public page we could recheck.
- Being listed is not a score, a recommendation to buy, or a claim that the product treats a disease.
The directory is verified brands. The source for each row is the public certifier page linked from that product.
Funding
Hosting and tools are paid from individual reader donations and the operator’s personal funds. We do not accept money from manufacturers, retailers, distributors, or affiliate networks. There is no paywall on the reference itself.
The volunteer form in the footer, and the form in Help build the database, send an email address to Formspree so we can reply. That form is not a mailing list for sponsors, and submitting it does not buy a ranking. How a study’s funder changes a score is in How study funding changes a score.
Corrections
No named clinician reviews pages before they go up. Pages say so. Software, including language models, helps draft summaries. Cited PubMed IDs are checked against the PubMed record. A citation that does not support the sentence is removed, or the sentence is changed.
If a dose, a study, a certification, or a safety line is wrong, write from Flag an error or email editorial@supplementscore.org. Tell us the page, the sentence, and a public source. We correct the page and update its reviewed date. We do not pay for corrections and we do not hide the change.
What this site does and does not track
- Plausible, a cookieless counter, records that a page was opened. It is not an ad network and it does not follow you across other websites.
- Formspree receives the volunteer form and inaccuracy reports.
- GitHub Pages keeps ordinary server logs.
- Pages use the typeface already on your device. We do not send a font request to Google.
- There are no advertising cookies, no remarketing pixels, and no affiliate tracking parameters.
Details are in the privacy policy.
Sources for this page
- Methodology — how a score is built.
- How study funding changes a score, and who writes the pages.
- Verified brands — product-level certification listings.
- Privacy policy.
- Terms — the site does not endorse a brand or a retailer.