Summary of the current evidence on the potential role of dietary supplements in the management of COVID-19
Dietary supplement | Potential role | Available evidence |
---|---|---|
Vitamin C | Decreases NO3, methemoglobin, C-reactive protein, and lactate dehydrogenaselevels | Retrospective human study, ongoing clinical trial (NCT04370288) |
Suppresses cytokine storms, improves pulmonary function, and decreases the risk of ARDS in COVID-19 | Randomized clinical trial | |
Vitamin D | Immunomodulatory effects Low levels associated with dismal outcomes and mortality Supplementation might reduce the risk of severe disease |
Retrospective human studies, inconsistent results Randomized clinical trial, ongoing trial (COVIDIOL, NCT04366908) |
Vitamin E | Antioxidant effects in combination with vitamin C | Single retrospective study |
Zinc | Improves barrier functions and modulates viral particle entry, fusion, replication, viral protein translation, and anti-inflammatory effects | Human studies, ongoing trials |
Selenium | Stimulates T cell proliferation and enhances innate immune system functions Down-regulates the IL-6 response and antioxidant effects |
Retrospective human studies |
Epigallocatechin-3-gallate | Antiviral and antifibrotic effects | |
Xanthohumol | DGAT1/2 inhibitor with both antiviral and anti-inflammatory properties | Animal study |
Curcumin | Inhibitory agent antagonizes the entry of SARS-CoV-2 viral protein by binding to receptor-binding domain site of viral S protein and viral attachment sites of angiotensin-converting enzyme 2 receptor | |
Probiotics | Improve the mucosal innate immune response, decrease intestinal permeability, and anti-inflammatory effect | No direct clinical evidence associated with COVID-19 |