topicMultivitamin Cognition Randomized Trial
claimAs medical doctors and clinical researchers, we inhabit a world of evidence-based practice.
evidence level3
citationSheldon Rocco (2026)
sourceConsumer-Relevant Endpoints in Nutritional Supplement Research: A Case of Multivitamin and Mineral Supplements
topicMultivitamin Cognition Randomized Trial
claim1 2 3 The Physicians’ Health Study II (PHS-II) [], a large RCT enrolling 14,641 male physicians, found that long-term daily MVM use had no significant effect on major cardiovascular events or all-cause mortality.
evidence level3
citationSheldon Rocco (2026)
sourceConsumer-Relevant Endpoints in Nutritional Supplement Research: A Case of Multivitamin and Mineral Supplements
topicMultivitamin Cognition Randomized Trial
claimThe COcoa Supplement and Multivitamin Outcomes Study (COSMOS) [], which randomly assigned >21,442 older males and females, also found that MVM supplementation did not reduce the risk of cardiovascular disease (CVD) or cancer.
evidence level3
citationSheldon Rocco (2026)
sourceConsumer-Relevant Endpoints in Nutritional Supplement Research: A Case of Multivitamin and Mineral Supplements
topicMultivitamin Cognition Randomized Trial
claimWe are guided by large-scale, randomized, double-blind, placebo-controlled trials [randomized controlled trial (RCTs)] as the reference standard of our profession.
evidence level3
citationSheldon Rocco (2026)
sourceConsumer-Relevant Endpoints in Nutritional Supplement Research: A Case of Multivitamin and Mineral Supplements
topicMultivitamin Cognition Randomized Trial
claimPolyphenols strengthen the intestinal barrier and reduce endotoxemia; cocoa bean shell extracts protected against oxysterol‐induced intestinal damage and improved gut microbiota composition in preclinical models (Alia et al. ).
evidence level3
citationAkif Adnan (2026)
sourceDietary Polyphenols in Non‐Communicable Chronic Diseases: Neuro–Enteric Mechanisms, Multi‐Omics Biomarkers and Translational Opportunities
topicMultivitamin Cognition Randomized Trial
claimWhile many epidemiological studies correlate polyphenol‐rich diets (e.g., Mediterranean diet) with reduced NCCD risk, causality is uncertain due to confounding and measurement error.
evidence level3
citationAkif Adnan (2026)
sourceDietary Polyphenols in Non‐Communicable Chronic Diseases: Neuro–Enteric Mechanisms, Multi‐Omics Biomarkers and Translational Opportunities
topicMultivitamin Cognition Randomized Trial
claimControlled trials provide more robust evidence but vary widely in doses, formulations, populations and endpoints.
evidence level3
citationAkif Adnan (2026)
sourceDietary Polyphenols in Non‐Communicable Chronic Diseases: Neuro–Enteric Mechanisms, Multi‐Omics Biomarkers and Translational Opportunities
topicMultivitamin Cognition Randomized Trial
claimAMP BBB CNS COMT COSMOS CRP (hs‐CRP) CSF EGCG ENB‐2 (ENB) ENS EVOO FMD GAD‐7 (GAD) GM‐CSF (GM) HDL HOMA‐IR (HOMA) IBS IL IR LDL LPS MCI MMSE NADPH NCCD (NCCDs) PHGG PHQ‐9 (PHQ) PSQI PWV RBANS RCT SCFA SD TNF (TNF‐α) 2024 Non‐communicable chronic diseases account for the majority of morbidity and mortality worldwide.
evidence level3
citationAkif Adnan (2026)
sourceDietary Polyphenols in Non‐Communicable Chronic Diseases: Neuro–Enteric Mechanisms, Multi‐Omics Biomarkers and Translational Opportunities