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    Supplement

    Hyaluronic Acid (Oral)New

    Supplement
    Joint Support
    4/10 Evidence

    Oral hyaluronic acid (hyaluronan) is a glycosaminoglycan marketed for skin hydration and joint comfort. Small RCTs and meta-analyses suggest a modest skin-hydration benefit and promising but unsettled effects on mild-to-moderate knee osteoarthritis pain.

    Mechanism of Action

    Orally ingested hyaluronan is partly broken into low-molecular-weight fragments and absorbed in the gut; these fragments may signal fibroblasts and synoviocytes to increase endogenous hyaluronan, collagen and matrix production, and may have anti-inflammatory effects. Bioavailability and the exact signalling route in humans remain incompletely established.

    Dosing Protocol

    Recommended

    120mg per day (skin and joint trials typically 120-200 mg)

    Standard starting dose based on research

    Therapeutic Range

    80

    Minimum

    to

    240

    Maximum

    mg per day (skin and joint trials typically 120-200 mg)

    Once daily, with or without food; allow 8-12 weeks before judging effect

    Cycling Protocol

    No established cycling. Reassess pain or skin outcomes at 12 weeks and stop if no benefit

    Dosages are general guidelines. Individual requirements vary based on body weight, health status, and specific goals. Start with lower doses and adjust based on response.

    Benefits

    Primary Benefits

    • Small improvement in skin hydration (a 2022 meta-analysis of about 4 RCTs and roughly 200 adults reported SMD around +0.40; seen via secondary summary)
    • Possible reduction in knee osteoarthritis pain and stiffness in mild-to-moderate disease

    Secondary Benefits

    Possible improvement in skin wrinkling/elasticity (small trials)
    Possible support for dry-eye comfort (limited data)

    Safety Information

    Contraindications

    Do not use if any of the following apply:

    • •Pregnancy and breastfeeding (insufficient data)
    • •Known hypersensitivity to hyaluronic acid or to avian/bacterial source materials
    • •Active cancer unless cleared by oncologist (theoretical, hyaluronan signalling)

    Drug/Supplement Interactions

    May interact with the following. Consult a healthcare provider before combining:

    Anticoagulants/antiplatelets - theoretical additive effect (very limited data)
    Other joint supplements (glucosamine, chondroitin, collagen) - commonly combined; no known harmful interactions

    Potential Side Effects

    Some users may experience:

    Mild GI upset
    Rare allergic reactions
    Rash

    This is not a complete list of interactions or side effects. Individual responses vary. Always start with the lowest effective dose and monitor your response. Report any adverse effects to your healthcare provider.

    Quality Markers

    Look for these specific quality indicators when sourcing this compound:

    • States molecular weight and source (bacterial fermentation is typical; vegan)
    • Dose per serving is 120 mg or higher for skin/joint use
    • Third-party tested for purity
    • Avoid proprietary blends that hide the hyaluronic acid dose

    Trusted Certifications

    NSF Certified
    USP Verified
    GMP Certified
    ConsumerLab Approved

    Note: Supplement quality varies dramatically between brands. Cheap supplements often contain fillers, incorrect doses, or contaminants. Investing in quality products from reputable manufacturers is essential for safety and efficacy.

    Evidence Profile

    Evidence Score

    4/10

    Emerging/Anecdotal

    Limited clinical data, primarily mechanistic studies or user reports

    Classification:
    Emerging. Skin-hydration evidence is the most consistent (small RCTs; pooled effect modest). For knee osteoarthritis, a 2018 systematic review (Guadagna et al.) judged the data promising but called for higher-quality trials; trials are small, short and often industry-funded, and osteoarthritis guidelines do not recommend oral hyaluronic acid as standard care. No regulatory-approved indication for oral use. Scored Emerging (4). Evidence

    Evidence Scale

    8-10

    Strong

    5-7

    Moderate

    1-4

    Emerging

    PHS
    671
    / 1000
    T3
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