Vitamin C (ascorbic acid vs buffered vs liposomal) and immune

What 3 graded rows on vitamin c (ascorbic acid vs buffered vs liposomal) agree on for immune, and where they differ. Counted side by side, never averaged.

What the rows agree on

Each block and row is one graded row from the Vitamin C (ascorbic acid vs buffered vs liposomal) page, with its PubMed record.

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Vitamin C (ascorbic acid vs buffered vs liposomal) and immune

3 rows · 11,333 people

Split. 2 rows found an improvement and 1 found no difference.

No difference
Improved
Each block is one evidence row, sized by how many people it enrolled, with its grade inside.
  • Grade B× 1
  • Grade D× 1
  • No effect× 1
Rows
3
Trials
3
At least: a review without a trial count
People
11,333
Pooled reviews may count some twice

Where they differ

From the rows
Trial sizeWho was studied

The best-graded row, grade B, is a meta-analysis of 598 people (2013) and found an improvement. 1 row is graded No effect, our grade for adequately powered trials that found no effect.

The row that found no difference was larger: 10,708 people, against a median of 313 people for the 2 rows that found an improvement.

Only the 2 rows that found an improvement name women, men and athletes or trained people in their population. Only the row that found no difference names children or teens in its population.

The rows

2 improved · 1 no difference
  1. Grade BChance of catching a cold under heavy physical stress · Improved

    Meta-analysis · n 598 · 2013 · Marathon runners, skiers and soldiers on subarctic exercises (5 trials)

    At least 0.2 g/day · Regular intake over the study period

    Cold risk was roughly halved (RR 0.48; 95% CI 0.35 to 0.64).

    Row on the Vitamin C (ascorbic acid vs buffered vs liposomal) page · PubMed 23440782 (opens PubMed)

  2. Grade DBlood vitamin C levels: liposomal vs standard · Improved

    Crossover RCT · n 27 · 2024 · Healthy adults (19 men, 8 women)

    500 mg, single doses · 24-hour sampling per arm

    Liposomal vitamin C gave a 27% higher peak and 21% higher 24-hour exposure in plasma, and a 20% higher peak in white blood cells, than standard vitamin C.

    Row on the Vitamin C (ascorbic acid vs buffered vs liposomal) page · PubMed 39237620 (opens PubMed)

  3. No effectChance of catching a cold, general population · No difference

    Meta-analysis · n 10,708 · 2013 · General community trials in children and adults

    At least 0.2 g/day · Regular intake over the study period

    No meaningful reduction in cold risk (RR 0.97; 95% CI 0.94 to 1.00). Regular vitamin C shortened colds by 8% in adults and 14% in children; vitamin C started after symptoms began had no consistent effect.

    Row on the Vitamin C (ascorbic acid vs buffered vs liposomal) page · PubMed 23440782 (opens PubMed)

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