Supplement | Properties | Indications | Dosage | Contraindication | Side Effects | Synergistic Combinations |
---|---|---|---|---|---|---|
Vitamin D3+K2 | Vitamin D3+K2 supplements works together to promote calcium absorption into the blood stream (via D3) and direct calcium into bones rather than soft tissues (via K2), thereby supporting bone health, reducing the risk of arterial calcification, and modulating immune and inflammatory responses. [1] | Autoimmune disorders, osteoporosis, deficiency | D3: 5,000 IU/day K2: 50-200mcg/day | Sarcoidosis, hypercalcemia, certain meds (consult doctor), caution in anticoagulation | Rare: hypercalcemia, nausea, kidney stones | K2, calcium, magnesium, omega-3. Magnesium activates and optimizes vitamin D metabolism, vitamin K2 directs calcium into bones (not arteries), calcium supplies the building blocks for bone strength, omega-3s reduce inflammation and support heart health, all amplifying vitamin D3+K2’s benefit for bone, cardiovascular, immune, and overall wellness. |
Omega-3 (EPA/DHA) | Powerful anti-inflammatory nutrients that help resolve and regulate inflammation by altering the production of inflammatory mediators, inhibiting NF-kB, and generating specialized pro-resolving mediators called resolvins and protectins, which are beneficial in a variety of inflammatory and autoimmune conditions [2] | Autoimmune disease, RA, CVD, IBD, Psoriasis | 1-4g EPA+DHA/day (split doses) | Bleeding disorders, anticoagulant therapy, fish/shellfish therapy | GI upset, bleeding risk at high dose | Vitamin D, antioxidants, curcumin. Together they amplify anti-inflammatory, antioxidant, and immunomodulatory effects-improving cardiovascular, metabolic, and immune health- by targeting overlapping and complementary cellular pathways more effectively than any alone. |
Curcumin (with black pepper) | Synergistic supplement where curcumin delivers powerful anti-inflammatory and antioxidant effects, while piperine significantly boosts curcumin’s bioavailability by up to 2,000%-enhancing its absorption and clinical effectiveness in reducing inflammation and pain [3-8] | Chronic inflammation, arthritis, autoimmunity | Curcumin: 500-1,500mg/day with 5-10mg piperine | Gallstones, biliary disease, bleeding risk (high dose), pregnancy | GI complaint, bleeding risk at high dose | Omega-3, resveratrol, quercetin. They collectively amplify anti-inflammatory, antioxidant, and cell-protective effects by targeting complementary pathways, enhancing bioavailability, and more potently reducing oxidative stress, chronic inflammation, and cellular dysfunction than any used alone. |
Quercetin | Plant flavonoid supplement with potent antioxidant and anti-inflammatory properties that helps reduce oxidative stress, inhibits pro-inflammatory cytokines, and supports immune regulation, showing benefits for inflammation, allergic responses, cardiovascular health, and chronic disease prevention [9,10] | Allergies, autoimmune issues, inflammation | 500-1,000mg/day | Pregnancy/breastfeeding, on certain meds (e.g., cyclosporine)-consult provider | Headache, tingling, GI discomfort | Bromelain, vitamin C, curcumin. Bromelain enhances quecertin’s absorption and anti-inflammatory effects, vitamin C recycles and stabilizes quercetin for greater antioxidant potency, and curcumin targets similar pathways, together amplifying immunomodulatory, antioxidant, and respiratory health benefits. |
Resveratrol | Polyphenol supplement with potent antioxidant and anti-inflammatory properties that modulates key cellular pathways such as SIRT1 and NF-kB supports cardiovascular health, and has shown potential benefits in immunity, metabolism, and age-related diseases [11,12] | Cardiometabolic & autoimmune diseases | 100-500mg/day | Caution in bleeding disorders, estrogen-sensitive condition | GI upset, allergy | Curcumin, quercetin, omega-3. Together they provide synergistic anti=inflammation and antioxidant actions, increase bioavailability and cellular uptake, and jointly target key signalling pathways like NF-kB producing stronger protection against oxidative stress, inflammation, and chronic disease than resveratrol alone. |
N-Acetylcysteine (NAC) | Powerful antioxidant and anti-inflammatory properties primarily acting as a precursor for glutathione synthesis, reducing oxidative stress, supporting detoxification, and modulating immune and inflammatory responses in various tissues [13,14] | Inflammation, autoimmunity, detox, lung support | 600-1,800mg/day | Asthma, pregnancy, active ulcers-consult provider | GI upset, rash, rare allergy | Glutathione, vitamin C, selenium. NAC serves as a precursor for glutathione synthesis, vitamin C regenerates oxidized glutathione and boosts antioxidant defense, and selenium acts as a cofactor for glutathione peroxidase- together powerfully enhancing cellular detoxification, redox balance, and protection against oxidative stress. |
LDN (Low Dose Naltrexone) | Modulates immune system and reduces chronic inflammation by temporarily blocking opioid and toll-like receptors, increasing the body’s production of endorphins, and suppressing inflammatory signalling-making it beneficial in certain autoimmune and pain-related conditions [15,16] | MS, Chron’s, fibromyalgia, autoimmune disease | 1.5-4.5mg at night (Rx only) | Chronic opioid treatment, liver disease | Sleep issues, vivid dreams, headache | Vitamin D, omega-3. All three support immune modulation and reduce inflammation through complementary mechanism-vitamin D and omega 3 enhance anti-inflammatory and neuroprotective responses, while LDN modulates immune activity and endorphin production leading to greater improvements in immune balance, neuroprotection and symptom relief than any alone |
Probiotics (Specific strains) | Modulate immune responses and reduce inflammation in autoimmune diseases by restoring gut microbial balance, improving gastrointestinal symptoms, and regulating pro and anti-inflammatory pathways, with evidence supporting benefits in conditions like RA, Ulcerative colitis, MS, and SLE [17,18] | IBD, autoimmunity, atopic disease, dysbiosis | Varies; often 10-50bn CFU/day, strain-specific | Immunosuppressed patients risk of sepsis/fungemia | Gas, bloating, rare infection | Prebiotics, omega-3, curcumin. Prebiotics fuel the growth of beneficial bacteria, omega-3 supports gut lining health and enhances probiotic adhesion and function, and curcumin reduces gut inflammation-together creating a more balanced, resilient microbiome and amplifying digestive, immune and anti-inflammatory benefits beyond what probiotics alone can achieve. |
Boswellia Serrata | Herbal supplement whose gum resin extracts, rich in boswellic acids, specifically inhibit the 5-lipoxygenase enzyme and related inflammatory mediators-reducing pain, swelling and cartilage degradation in conditions such as arthritis and inflammatory bowel disease, while supporting joint comfort and healthy inflammatory responses [19,20] | IBD, RA, OA, asthma, inflammation | 300-500mg, 1-3x/day (extracts 65% acids) | Pregnancy, allergy, caution with anticoagulants | GI upset, rash | Curcumin, quercetin. Curcumin and Boswellia act on complementary molecular pathways to reduce inflammation and pain, and quercetin further amplifies these benefits- together providing greater relief from musculoskeletal and inflammatory conditions than any alone |
Glutathione (Liposomal) | Powerful antioxidant compound naturally produced in the body that protect cells from oxidative damage, supports immune function, aids in detoxification processes, and helps regulate inflammation-making supplementation beneficial for combating chronic disease, enhancing detoxification, and reducing oxidative stress [21,22] | Chronic inflammation, autoimmunity | 250-1,000mg oral or IV; best with precursors | Rare allergy, avoid in cancer unless indicated | Flatulence, cramps (rare, oral) | NAC, Vitamin C, selenium. NAC supplies cysteine for glutathione synthesis, vitamin C regenerates glutathione from its oxidized form and enhances cellular antioxidant defenses, and selenium serves as an essential cofactor for glutathione peroxidase- ensuring optimal antioxidant activity, detoxification, and protection against oxidative stress. |
Selenium | Essential trace mineral; cofactor for antioxidant selenoproteins (GPx/TrxR), immune modulator, supports mitochondrial function, reduces inflammation, and oxidative stress [23,24] | Prevention/ correction of deficiency, thyroid support, immune health, reduction of oxidative stress in critical illness, proposed anti-aging [23,24] | 55-200mcg/day typical (<400mcg/day max) [23,24] | Avoid in autoimmune conditions, severe hypothyroidism, history of nonmelanoma skin cancer, pregnancy (limit to <400mcg); caution in bleeding disorders; high doses are toxic [23,24] | GI upset, headache rash, fatigue, hair loss at high doses, toxicity above 400mcg/day [23,24] | Works synergistically with zinc, vitamin C, and vitamin E to boost antioxidative effects [23,24]. |
Zinc Carnosine | Chelate of zinc and L-carnosine; antioxidant, anti-inflammatory, supports healing of gastric/intestinal mucosa, epithelial and skin tissue, enhances zinc bioavailability [25-27] | Gastric ulcers, oral mucositis, GI lining integrity, taste disorders, wound healing, skin health [25-27] | 75-150mg/day (contains 15-34mg elemental zinc) [25-27] | Copper deficiency, those with severe hepatic impairment, children, pregnancy/lactation should use under medical supervision; excessive zinc may induce copper deficiency [25-27] | Generally very well tolerated; possible mild digestive upset, rare decrease in copper levels [25-27] | Synergistic with carnosine and antioxidants (e.g., vitamin C, vitamin E) for mucosal healing effects [25-27]. |
Zinc Bisgycinate | Chelated zinc (with glycine), high bioavailability and gentle GI profile; supports antioxidant enzymes, skin, immune system [28,29] | Immune health, skin health, wound healing, cognitive and reproductive support [28,29] | 10-30mg elemental zinc/day (not to exceed 40 mg for long-term use) [28,29] | Excessive doses may cause copper deficiency; caution with antibiotics, penicillamine, cisplatin [28,29] | Mild GI upset possible at high doses, nausea, diarrhea, long-term overdose may lead to copper deficiency [28,29] | Synergistic with vitamin C, magnesium, other zinc forms; space intake with iron and copper [28,29] |
Note: always consult a healthcare professional before starting new supplements, especially if you have chronic conditions, are pregnant/breastfeeding, or are on medication.
References
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- National Institutes of Health. Omega-3 Fatty Acids [Internet]. Nih.gov. 2023. Available from: https://ods.od.nih.gov/factsheets/Omega3FattyAcids-HealthProfessional/
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