Most "immune boosters" don't actually boost immunity β they correct nutrient deficiencies that suppress it. Here's what the clinical evidence actually supports.
- Vitamin D3 (2000β4000 IU/day): Strongest evidence. A 2017 BMJ meta-analysis of 25 RCTs showed D3 reduced acute respiratory infection risk by ~12% overall and up to 70% in severely deficient individuals. Test serum 25(OH)D and target 30β50 ng/mL.
- Zinc (15β30 mg/day): Correcting deficiency improves immune function. Short-course high-dose zinc (75+ mg/day) may shorten cold duration by ~33% per a 2011 Cochrane review, but chronic high-dose use depletes copper.
- Vitamin C (200β1000 mg/day): Does not prevent colds in general populations but may reduce cold duration by 8β14% when taken regularly. Megadoses (>2 g) cause GI upset.
- Elderberry (Sambucus nigra, 600β900 mg extract/day): Small RCTs show shortened duration of flu-like illness by 1β2 days. Evidence is suggestive, not conclusive.
- Proprietary "immunity complexes" without disclosed doses
- Colloidal silver β no proven benefit, real toxicity risk
- Mega-dose vitamin A or E β harmful at chronic high intake
- Products claiming to "boost" immunity without deficiency correction
Ingredient forms (methylcobalamin over cyanocobalamin, D3 over D2), dose adequacy vs. clinical range, third-party testing, and transparency on country of origin for herbal ingredients.