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Methodology

Our methodology

How we evaluate supplements and turn the underlying research into a single rating.

What the score means

The overall score is designed to estimate how worthwhile a supplement is for the right user. It combines evidence quality, practical effect size, safety, dose clarity and cost-effectiveness. A high score does not mean everyone should take it; it means the supplement has a favorable evidence-to-risk profile for its intended use case.

Effectiveness score 0–100 combining evidence quality and benefit magnitude. Applied strictly. Popularity, marketing and anecdotes are ignored. When unsure between two bands, the lower one is picked.

  • 90–100
    Excellent

    Multiple meta-analyses confirm large, reliable effects (e.g., creatine for strength, omega-3 for triglycerides).

  • 75–89
    Strong

    Strong RCT evidence with consistent moderate effects.

  • 60–74
    Moderate

    Moderate evidence; works reliably for specific subgroups or conditions.

  • 40–59
    Emerging

    Emerging or mixed evidence; small or inconsistent effects.

  • 20–39
    Weak

    Mostly mechanistic, animal or observational evidence.

  • 0–19
    Negligible

    Negligible evidence or evidence of ineffectiveness.

How evidence grades work

A: strong human evidence with consistent outcomes.

B: promising or good human evidence with some limitations.

C: mixed, limited or context-dependent evidence.

D: weak, preliminary, animal-based, mechanistic or anecdotal evidence.

How risk levels work

Safe: low risk for most healthy adults at standard doses.

Caution: relevant interaction, dose, side-effect or population concerns.

Unsafe: unfavorable risk profile or avoid without medical supervision.

How cost is estimated

Cost is estimated from typical monthly use at commonly effective doses. It is not a price guarantee and may vary by brand, country and formulation.

What sources are used

Our ratings prioritize human clinical trials, systematic reviews, meta-analyses, official supplement fact sheets, regulatory safety limits and established clinical references.

Limitations

Supplement effects vary by person, baseline deficiency, diet, dose, health status, medication use and product quality. Rankings are educational and should not replace professional medical advice.

Medical disclaimer

HowToSupplement is an educational tool, not medical advice. Supplements can interact with medications, health conditions and surgery. Always consult a qualified healthcare professional before using supplements to treat a condition, replace medication, or during pregnancy or breastfeeding.