| Niacinamide (nicotinamide)Vitamin · checked Oct 21, 2026 | BGrade B | New non-melanoma skin cancers↑Improved · Form tested: Nicotinamide | RCT n = 386 20154 graded rows for this goal |
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| Hyaluronic AcidOther · checked Oct 21, 2026 | BGrade B | Skin hydration, elasticity and wrinkle depth↑Improved · Form tested: High-molecular-weight sodium hyaluronate (1.8 MDa) drink | RCT n = 147 20252 graded rows for this goal |
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| Collagen peptidesOther · checked Oct 21, 2026 | CGrade C | Skin hydration, elasticity and wrinkles?Mixed · Form tested: Collagen supplements | Meta-analysis n = 1,474 2025 |
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| Tea Tree OilBotanical · checked Oct 21, 2026 | CGrade C | Acne severity↑Improved · Form tested: Topical tea tree oil preparations | Meta-analysis n = 445 20267 graded rows for this goal |
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| Calendula (Calendula officinalis)Botanical · checked Oct 21, 2026 | CGrade C | Severe acute radiation skin reactions vs aqueous cream (breast cancer radiotherapy)↔No effect · Form tested: Calendula cream (Weleda) | RCT n = 411 20138 graded rows for this goal |
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| AstaxanthinOther · checked Oct 21, 2026 | CGrade C | Skin moisture, elasticity and wrinkles↑Improved · Form tested: Astaxanthin (mostly Haematococcus algal extract) | Meta-analysis n = 293 2021 |
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| ComfreyBotanical · checked Oct 21, 2026 | CGrade C | Time for fresh abrasions to close: 10% vs 1% herb cream↑Improved · Form tested: Comfrey herb cream (Traumaplant 10%) vs an otherwise identical 1% cream | RCT n = 278 20074 graded rows for this goal |
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| Ophiopogon (Mondo Grass Root)Botanical · checked Oct 21, 2026 | CGrade C | Atopic dermatitis severity and flare-ups (topical use)↑Improved · Form tested: Topical product with oligofructans from Ophiopogon japonicus | RCT n = 234 2019 |
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| DMSO (dimethyl sulfoxide)Other · checked Oct 21, 2026 | CGrade C | Herpes zoster course with idoxuridine carried in DMSO vs oral acyclovir↑Improved · Form tested: 40% idoxuridine in DMSO on the skin vs oral acyclovir (double-dummy) | RCT n = 171 19928 graded rows for this goal |
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| Purple nutsedge (Cyperus rotundus)Botanical · checked Oct 21, 2026 | CGrade C | Underarm hyperpigmentation↑Improved · Form tested: Topical Cyperus rotundus essential oil | RCT n = 153 20223 graded rows for this goal |
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| PABA (Para-Aminobenzoic Acid)Other · checked Oct 21, 2026 | CGrade C | Skin thickening and mobility in scleroderma↔No effect · Form tested: Aminobenzoate potassium | RCT n = 146 1994 |
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| Glutathione (oral)Other · checked Oct 21, 2026 | CGrade C | Skin lightening and dark-spot size↑Improved · Form tested: glutathione 250 mg with L-cystine 500 mg, vs glutathione alone, cystine alone or placebo | RCT n = 124 20223 graded rows for this goal |
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| Gotu kolaBotanical · checked Oct 21, 2026 | CGrade C | Facial wrinkles and skin barrier in middle-aged women↑Improved · Form tested: Oral Centella asiatica extract | RCT n = 112 20262 graded rows for this goal |
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| Equol (S-equol)Other · checked Oct 21, 2026 | CGrade C | Crow's-feet wrinkles↑Improved · Form tested: Natural S-equol 10 or 30 mg/day vs placebo | RCT n = 101 2012 |
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| Rosemary OilBotanical · checked Oct 21, 2026 | CGrade C | Hair count in pattern hair loss (androgenetic alopecia)↑Improved · Form tested: Rosemary oil applied to the scalp | RCT n = 100 20152 graded rows for this goal |
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| Yeast mannanOther · checked Oct 21, 2026 | CGrade C | Subjective skin dryness↑Improved · Form tested: Yeast mannan tablets vs maltose placebo | RCT n = 100 2020 |
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| TriphalaBotanical · checked Oct 21, 2026 | CGrade C | Scalp oiliness (sebum) in scalp seborrhoea↑Improved · Form tested: Triphala powder standardised to about 92 mg gallic acid per gram | RCT n = 80 2022 |
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| Pumpkin seed oilBotanical · checked Oct 21, 2026 | CGrade C | Hair count in male pattern hair loss↑Improved · Form tested: pumpkin seed oil capsules | RCT n = 76 2014 |
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| Ceramides (oral phytoceramides)Other · checked Oct 21, 2026 | CGrade C | Dry skin, water loss and wrinkles↑Improved · Form tested: Wheat polar lipid complex (oil or powder) | RCT n = 72 20247 graded rows for this goal |
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| Gamma-oryzanolOther · checked Oct 21, 2026 | CGrade C | Skin water content↑Improved · Form tested: Rice bran oil capsules enriched with gamma-oryzanol and phytosterol esters | RCT n = 70 2026 |
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| Ferulic acidOther · checked Oct 21, 2026 | CGrade C | Rosacea lesions with topical ferulic acid added to doxycycline↑Improved · Form tested: Topical ferulic acid solution vs saline, both with oral doxycycline | RCT n = 60 20252 graded rows for this goal |
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| Lactobacillus salivarius (Ligilactobacillus salivarius)Other · checked Oct 21, 2026 | CGrade C | Eczema severity in children (SCORAD)↑Improved · Form tested: L. salivarius plus fructo-oligosaccharide vs fructo-oligosaccharide alone | RCT n = 54 2012 |
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| Polypodium leucotomosBotanical · checked Oct 21, 2026 | CGrade C | Repigmentation with light therapy?Mixed · Form tested: Polypodium leucotomos extract | RCT n = 50 20076 graded rows for this goal |
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| ArnicaBotanical · checked Oct 21, 2026 | DGrade D | Contact allergy to arnica in dermatology patients↓Worsened · Form tested: Arnica extract patch test | Observational n = 443 20015 graded rows for this goal |
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| YarrowBotanical · checked Oct 21, 2026 | DGrade D | Episiotomy wound pain and redness (ointment)↑Improved · Form tested: Yarrow ointment applied to the wound | RCT n = 140 2018 |
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| Aloe VeraBotanical · checked Oct 21, 2026 | DGrade D | Skin barrier, moisture and collagen score↑Improved · Form tested: Aloe sterol capsules (lophenols and cycloartanols from aloe gel) | RCT n = 120 2020 |
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| HorsetailBotanical · checked Oct 21, 2026 | DGrade D | Episiotomy wound recovery and pain (3% ointment)↑Improved · Form tested: 3% Equisetum arvense ointment (topical) | RCT n = 108 2015 |
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| Bentonite ClayOther · checked Oct 21, 2026 | DGrade D | Infant diaper rash (cream on the skin)↑Improved · Form tested: Bentonite cream applied to the skin, versus calendula cream | RCT n = 100 2015 |
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| KeratinOther · checked Oct 21, 2026 | DGrade D | Facial skin aging signs, hair gloss and nail hardness↑Improved · Form tested: Feather keratin hydrolysate (at least 83.5% free L-amino acids) | RCT n = 99 20253 graded rows for this goal |
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| CistancheBotanical · checked Oct 21, 2026 | DGrade D | Hair density in patterned hair loss (with Laminaria)↑Improved · Form tested: MK-R7: Cistanche tubulosa and Laminaria japonica extract complex (3:1) | RCT n = 94 2015 |
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| JiaogulanBotanical · checked Oct 21, 2026 | DGrade D | Hair density, thickness and elasticity↑Improved · Form tested: Gynostemma pentaphyllum extract drink | RCT n = 94 2025 |
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| Melon SOD (GliSODin)Botanical · checked Oct 21, 2026 | DGrade D | Sunburn threshold (minimal erythema dose)↑Improved · Form tested: Melon concentrate (Extramel-type, no gliadin) | RCT n = 88 2018 |
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| PiceatannolOther · checked Oct 21, 2026 | DGrade D | Facial skin hydration and wrinkles↑Improved · Form tested: Drink with piceatannol from passion fruit seeds | RCT n = 82 20262 graded rows for this goal |
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| Green mandarin extractBotanical · checked Oct 21, 2026 | DGrade D | Eye-area wrinkles in women (green mandarin extract)↑Improved · Form tested: Green mandarin (Putgyul) 50% ethanol extract standardized to narirutin (about 40 mg/g) | RCT n = 80 2022 |
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| PygeumBotanical · checked Oct 21, 2026 | DGrade D | Hair density in telogen effluvium and pattern hair loss (combination product)↑Improved · Form tested: Capsule with L-cystine, saw palmetto, pumpkin seed, Pygeum africanum, vitamins and minerals | RCT n = 80 2025 |
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| ErgothioneineAmino acid · checked Oct 21, 2026 | DGrade D | Skin moisture and wrinkles↑Improved · Form tested: Ergothioneine-rich oyster-type mushroom (hiratake, Pleurotus sp.) tablets | RCT n = 77 2024 |
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| Punicalagins (Pomegranate Ellagitannins)Botanical · checked Oct 21, 2026 | DGrade D | Sunburn threshold (minimal erythema dose) after UVB↑Improved · Form tested: POMx extract (100 mg punicalagin A/B per 1,000 mg) or pomegranate juice vs placebo | RCT n = 74 2019 |
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| Purslane ExtractBotanical · checked Oct 21, 2026 | DGrade D | Chronic hand eczema severity↑Improved · Form tested: Standardized oral purslane syrup, plus topical Vaseline in both groups | RCT n = 62 2024 |
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| Saw palmettoBotanical · checked Oct 21, 2026 | DGrade D | Hair counts in adults with thinning hair↑Improved · Form tested: Proprietary saw palmetto fatty-acid extract (SEREVELLE) | RCT n = 60 2026 |
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| Eggshell membraneOther · checked Oct 21, 2026 | DGrade D | Skin firmness and elasticity↑Improved · Form tested: Fresh eggshell membrane (MKARE) | RCT n = 58 2025 |
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| Sweet violet (Viola odorata)Botanical · checked Oct 21, 2026 | DGrade D | Itch and dry skin in hemodialysis (topical oil with massage)↑Improved · Form tested: Violet oil applied with massage | RCT n = 57 2019 |
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| AmlaBotanical · checked Oct 21, 2026 | DGrade D | Hair growth in female pattern hair loss↑Improved · Form tested: Amla fruit syrup (Traditional Persian Medicine product) | RCT n = 52 2024 |
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| BiotinVitamin · checked Oct 21, 2026 | DGrade D | Brittle nails (added to a medicated nail lacquer)↑Improved · Form tested: Oral biotin plus hydroxypropyl chitosan nail lacquer vs lacquer alone | RCT n = 50 2019 |
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| Silica (Silicon)Mineral · checked Oct 21, 2026 | DGrade D | Skin roughness and hair and nail brittleness↑Improved · Form tested: Choline-stabilized orthosilicic acid (ch-OSA) pellets | RCT n = 50 20053 graded rows for this goal |
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| Pantothenic Acid (Vitamin B5)Vitamin · checked Oct 21, 2026 | DGrade D | Skin wound repair after surgery (with vitamin C)↔No effect · Form tested: Pantothenic acid plus ascorbic acid | RCT n = 49 19952 graded rows for this goal |
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| Capsanthin (paprika xanthophylls)Other · checked Oct 21, 2026 | DGrade D | Sunburn threshold (minimal erythema dose) and UV-induced darkening↑Improved · Form tested: Paprika xanthophyll capsules | RCT n = 46 2018 |
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| Borage Oil (GLA)Fatty acid · checked Oct 21, 2026 | DGrade D | Acne lesions↑Improved · Form tested: Borage oil | RCT n = 45 20144 graded rows for this goal |
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| SpearmintBotanical · checked Oct 21, 2026 | DGrade D | Androgens and hirsutism in PCOS?Mixed · Form tested: Spearmint herbal tea | RCT n = 42 20102 graded rows for this goal |
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| OreganoBotanical · checked Oct 21, 2026 | DGrade D | Bacteria and infection in surgical wounds↑Improved · Form tested: 3% oregano extract ointment versus petrolatum | RCT n = 40 2011 |
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| RutinOther · checked Oct 21, 2026 | DGrade D | Skin wrinkles and elasticity (rutin cream applied to the skin)↑Improved · Form tested: Rutin-containing cream (concentration not stated in the abstract) | RCT n = 40 2016 |
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| Ellagic AcidOther · checked Oct 21, 2026 | DGrade D | Skin darkening after UV exposure?Mixed · Form tested: Ellagic acid-rich pomegranate extract | RCT n = 39 2006 |
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| Terminalia chebula (haritaki)Botanical · checked Oct 21, 2026 | DGrade D | Facial sebum, redness and wrinkles↑Improved · Form tested: Standardised fruit extract (Synastol TC) | RCT n = 38 2023 |
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| SqualeneFatty acid · checked Oct 21, 2026 | DGrade D | Facial wrinkles and markers of skin photoaging?Mixed · Form tested: Oral squalene | RCT n = 37 2009 |
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| Rose HipBotanical · checked Oct 21, 2026 | DGrade D | Facial wrinkles, skin moisture and elasticity↑Improved · Form tested: Hyben Vital rose hip powder (seeds and shells), compared with astaxanthin | RCT n = 34 2015 |
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| DL-PhenylalanineAmino acid · checked Oct 21, 2026 | DGrade D | Skin repigmentation in vitiligo with UVA light↑Improved · Form tested: Oral L-phenylalanine plus UVA irradiation | RCT n = 32 19942 graded rows for this goal |
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| DMAE (Deanol)Other · checked Oct 21, 2026 | DGrade D | Skin firmness with DMAE gel↑Improved · Form tested: Topical DMAE gel | RCT n = 30 2002 |
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| Castor OilBotanical · checked Oct 21, 2026 | DGrade D | Eyelid inflammation (blepharitis) signs and symptoms↑Improved · Form tested: Topical 100% cold-pressed castor oil on the eyelids | RCT n = 26 2021 |
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| L-HistidineAmino acid · checked Oct 21, 2026 | DGrade D | Atopic dermatitis severity (SCORAD and patient-rated POEM)↑Improved · Form tested: L-histidine dissolved in a morning drink | Crossover RCT n = 24 2017 |
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| Marshmallow RootBotanical · checked Oct 21, 2026 | DGrade D | Atopic dermatitis severity in children (1% ointment)↑Improved · Form tested: 1% marshmallow ointment (topical) vs 1% hydrocortisone ointment | Pilot RCT n = 22 2021 |
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| GuggulBotanical · checked Oct 21, 2026 | DGrade D | Inflammatory lesions in nodulocystic acne versus tetracycline↑Improved · Form tested: Gugulipid tablets | RCT n = 20 1994 |
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| Chlorophyll (Chlorophyllin)Other · checked Oct 21, 2026 | DGrade D | Fine lines, wrinkles and sun spots on the face (topical gel)↑Improved · Form tested: 0.066% liposomal sodium copper chlorophyllin gel (topical) | Open-label trial n = 10 20153 graded rows for this goal |
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| Omega-6 Fatty AcidsFatty acid · checked Oct 21, 2026 | ∅No effect | Eczema symptoms with GLA oils↔No effect · Form tested: Oral evening primrose oil or borage oil (sources of gamma-linolenic acid) | Meta-analysis n = 1,596 2013 |
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| Evening primrose oilFatty acid · checked Oct 21, 2026 | ∅No effect | Global eczema symptoms↔No effect · Form tested: Oral evening primrose oil | Systematic review n = 289 2013 |
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