Skip to content
Dr. Grey AI

Condition

Depression

Depression is a mood condition tied to changes in brain chemistry, inflammation, and the brain's ability to form and adjust connections. Among supplements, St. John's wort and omega-3 fish oil have the strongest evidence, and trials found depression symptoms eased with both, to a moderate degree. The fish oil studies were small, and several focused on depression around pregnancy, while severe depression calls for professional care.

Sources: PMID 15684231; PMID 27468236; PMID 18247194

Supplements studied
34
Graded outcomes
37
Trials
67
People studied
81,835

Evidence by supplement

  • Strong
  • Moderate
  • Limited
  • Very limited

34 supplements

Fish Oil: outcomes studied for Depression
GradeOutcomeEffectSizeStudiesPeopleStudies list
Depression Symptoms

Moderate Improvement

Improves (the measure goes down)Moderate effect14 studies204 people
Postpartum Depression SymptomsImproves (the measure goes down)2 studies93 people
St. John's Wort: outcomes studied for Depression
GradeOutcomeEffectSizeStudiesPeopleStudies list
Depression Symptoms

Moderate Improvement

Improves (the measure goes down)Moderate effect3 studies3,064 people

Curcumin

  • Anxiety Symptoms: improves
  • Depression Symptoms: improves
  • Interleukin 1-beta: improves
Curcumin: outcomes studied for Depression
GradeOutcomeEffectSizeStudiesPeopleStudies list
Anxiety Symptoms

Large Improvement

Improves (the measure goes down)Large effect284 people
Depression SymptomsImproves (the measure goes down)9 studies531 people
Interleukin 1-betaImproves (the measure goes down)1 study108 people
CortisolImproves (the measure goes down)108 people
Serum BDNFImproves (the measure goes up)108 people
TNF-AlphaImproves (the measure goes down)108 people

Saffron

  • Anxiety Symptoms: improves
  • Appetite
  • Depression Symptoms: improves
Saffron: outcomes studied for Depression
GradeOutcomeEffectSizeStudiesPeopleStudies list
Anxiety Symptoms

Small Improvement

Improves (the measure goes down)Small effect6 studies656 people
Appetite

No effect

NoneNo effect74 people
Depression SymptomsImproves (the measure goes down)18 studies656 people
WeightImproves (the measure goes down)3 studies74 people
Sexual FunctionImproves (the measure goes up)2 studies34 people
Sleep QualityImproves (the measure goes up)1 study231 people
HomocysteineImproves (the measure goes down)40 people
Hot Flash SymptomsImproves (the measure goes down)60 people
Subjective Well-BeingImproves (the measure goes up)177 people

S-adenosylmethionine

  • Depression Symptoms: improves
  • Attention
  • Osteoarthritis Symptoms: improves
S-adenosylmethionine: outcomes studied for Depression
GradeOutcomeEffectSizeStudiesPeopleStudies list
Depression Symptoms

Small Improvement

Improves (the measure goes down)Small effect6 studies1,558 people
Attention

No effect

NoneNo effect1 study46 people
Osteoarthritis SymptomsImproves (the measure goes down)6 studies1,558 people
ItchingImproves (the measure goes up)1,558 people
MemoryImproves (the measure goes up)46 people
MotivationImproves (the measure goes up)46 people

5-HTP

  • Depression Symptoms: improves
5-HTP: outcomes studied for Depression
GradeOutcomeEffectSizeStudiesPeopleStudies list
Depression Symptoms

Moderate improvement in depression symptoms

Improves (the measure goes down)Moderate effect4 studies133 people

Rhodiola Rosea

  • Depression Symptoms: improves
  • Insomnia Signs and Symptoms: improves
  • Subjective Well-Being: improves
Rhodiola Rosea: outcomes studied for Depression
GradeOutcomeEffectSizeStudiesPeopleStudies list
Depression Symptoms

Small Improvement

Improves (the measure goes down)Small effect4 studies235 people
Insomnia Signs and SymptomsImproves (the measure goes down)1 study89 people
Subjective Well-BeingImproves (the measure goes up)89 people

Coenzyme Q10

  • Depression Symptoms: improves
  • Fatigue Symptoms: improves
Coenzyme Q10: outcomes studied for Depression
GradeOutcomeEffectSizeStudiesPeopleStudies list
Depression Symptoms

Moderate Improvement

Improves (the measure goes down)Moderate effect2 studies137 people
Fatigue SymptomsImproves (the measure goes down)3 studies48 people

Folic Acid (Vitamin B9)

  • Depression Symptoms: improves
  • Schizophrenia symptoms: improves
Folic Acid (Vitamin B9): outcomes studied for Depression
GradeOutcomeEffectSizeStudiesPeopleStudies list
Depression Symptoms

Small Improvement

Improves (the measure goes down)Small effect2 studies247 people

Studies that measured depression symptoms

Schizophrenia symptomsImproves (the measure goes down)2 studies123 people

Vitamin D

  • Combined Anxiety & Depression: improves
  • Depression Symptoms: improves
Vitamin D: outcomes studied for Depression
GradeOutcomeEffectSizeStudiesPeopleStudies list
Combined Anxiety & Depression

Small Improvement

Improves (the measure goes down)Small effect1 study7,534 people

Studies that measured combined anxiety & depression

Depression SymptomsImproves (the measure goes down)5 studies24,510 people

Melatonin

  • Depression Symptoms: improves
  • Serum BDNF: improves
Melatonin: outcomes studied for Depression
GradeOutcomeEffectSizeStudiesPeopleStudies list
Depression Symptoms

Small Improvement

Improves (the measure goes down)Small effect2,070 people
Serum BDNFImproves (the measure goes up)1 study2,070 people

Omega-3 Fatty Acids

  • Depression Symptoms: improves
  • Anxiety Symptoms: improves
  • Quality of Life: improves
Omega-3 Fatty Acids: outcomes studied for Depression
GradeOutcomeEffectSizeStudiesPeopleStudies list
Depression Symptoms

Small Improvement

Improves (the measure goes down)Small effect5 studies1,373 people
Anxiety Symptoms

Small Improvement

Improves (the measure goes down)Small effect2 studies2,189 people
Quality of LifeImproves (the measure goes up)1 study383 people

Magnesium

  • C-Reactive Protein (CRP): improves
  • Serum Magnesium: improves
  • Depression Symptoms: improves
Magnesium: outcomes studied for Depression
GradeOutcomeEffectSizeStudiesPeopleStudies list
C-Reactive Protein (CRP)

Small Decrease

Improves (the measure goes down)Small effect3 studies108 people
Serum MagnesiumImproves (the measure goes up)6 studies154 people
Depression SymptomsImproves (the measure goes down)3 studies177 people
Interleukin 6Improves (the measure goes down)108 people
Serum BDNFImproves (the measure goes up)154 people
TNF-AlphaImproves (the measure goes down)108 people

Theanine

  • Anxiety Symptoms: improves
  • Attention: improves
  • Executive Function: improves
Theanine: outcomes studied for Depression
GradeOutcomeEffectSizeStudiesPeopleStudies list
Anxiety Symptoms

Small Improvement

Improves (the measure goes down)Small effect2 studies20 people
AttentionImproves (the measure goes up)4 studies20 people
Executive FunctionImproves (the measure goes up)3 studies20 people
Sleep QualityImproves (the measure goes up)2 studies20 people
Depression SymptomsImproves (the measure goes down)20 people
Motor SpeedImproves (the measure goes up)20 people
Verbal FluencyImproves (the measure goes up)20 people
Verbal MemoryImproves (the measure goes up)20 people
Working MemoryImproves (the measure goes up)20 people

Probiotics

  • Depression Symptoms: improves
  • Sleep Quality: improves
  • Sleep Duration: improves
Probiotics: outcomes studied for Depression
GradeOutcomeEffectSizeStudiesPeopleStudies list
Depression Symptoms

Small Improvement

Improves (the measure goes down)Small effect1 study140 people
Sleep QualityImproves (the measure goes up)1 study424 people
Sleep DurationImproves (the measure goes up)226 people
Sleep EfficiencyImproves (the measure goes up)166 people
Sleep LatencyImproves (the measure goes down)226 people

Red Clover Extract

  • Anxiety Symptoms: improves
  • Depression Symptoms: improves
Red Clover Extract: outcomes studied for Depression
GradeOutcomeEffectSizeStudiesPeopleStudies list
Anxiety Symptoms

Moderate Improvement

Improves (the measure goes down)Moderate effect1 study109 people
Depression SymptomsImproves (the measure goes down)109 people

Nefiracetam

  • Apathy: improves
  • Depression Symptoms
Nefiracetam: outcomes studied for Depression
GradeOutcomeEffectSizeStudiesPeopleStudies list
Apathy

Small Improvement

Improves (the measure goes down)Small effect1 study137 people
Depression Symptoms

No effect

NoneNo effect137 people

Zinc

  • Aggression: improves
  • Depression Symptoms: improves
  • Serum BDNF: improves
Zinc: outcomes studied for Depression
GradeOutcomeEffectSizeStudiesPeopleStudies list
Aggression

Small Improvement

Improves (the measure goes up)Small effect30 people
Depression SymptomsImproves (the measure goes down)3 studies162 people
Serum BDNFImproves (the measure goes up)2 studies90 people
Subjective Well-BeingImproves (the measure goes up)1 study30 people
Interleukin 6Improves (the measure goes down)44 people
TNF-AlphaImproves (the measure goes down)44 people

Chromium

  • Appetite: improves
  • Depression Symptoms: improves
  • Libido: improves
Chromium: outcomes studied for Depression
GradeOutcomeEffectSizeStudiesPeopleStudies list
Appetite

Small Decrease

Improves (the measure goes down)Small effect75 people
Depression SymptomsImproves (the measure goes down)4 studies90 people
LibidoImproves (the measure goes up)75 people

Apigenin

  • Depression Symptoms: improves
Apigenin: outcomes studied for Depression
GradeOutcomeEffectSizeStudiesPeopleStudies list
Depression Symptoms

Moderate Decrease in Hamilton Depression Rating Scale

Improves (the measure goes down)Moderate effect57 people

GABA

  • Depression Symptoms: improves
GABA: outcomes studied for Depression
GradeOutcomeEffectSizeStudiesPeopleStudies list
Depression Symptoms

Improvement in depression scores (90-day trial with exercise)

Improves (the measure goes down)Moderate effect30 people

Tryptophan

  • Depression Symptoms (Mild-Moderate): improves
  • Severe Depression: improves
Tryptophan: outcomes studied for Depression
GradeOutcomeEffectSizeStudiesPeopleStudies list
Depression Symptoms (Mild-Moderate)

Better than placebo for mild-moderate depression (Cochrane review)

Improves (the measure goes down)Moderate effect300 people
Severe Depression

Not effective for severe depressive symptoms

Improves (the measure goes down)Small effect150 people

Ginkgo Biloba

  • Libido
  • Sleep Quality: improves
Ginkgo Biloba: outcomes studied for Depression
GradeOutcomeEffectSizeStudiesPeopleStudies list
Libido

No effect

NoneNo effect4 studies63 people
Sleep QualityImproves (the measure goes up)2 studies16 people

Vitamin B12

  • Depression Symptoms
  • Cognition
  • Fatigue Symptoms: improves
Vitamin B12: outcomes studied for Depression
GradeOutcomeEffectSizeStudiesPeopleStudies list
Depression Symptoms

No effect

NoneNo effect2 studies2,912 people
Cognition

No effect

NoneNo effect2,912 people
Fatigue SymptomsImproves (the measure goes down)1 study2,912 people

Baikal Skullcap

  • Depression Symptoms
  • Anxiety Symptoms
  • Sleep Quality: improves
Baikal Skullcap: outcomes studied for Depression
GradeOutcomeEffectSizeStudiesPeopleStudies list
Depression Symptoms

No effect

NoneNo effect1 study177 people
Anxiety Symptoms

No effect

NoneNo effect177 people
Sleep QualityImproves (the measure goes up)177 people
Subjective Well-BeingImproves (the measure goes up)177 people

Inositol

  • Bipolar Disorder Symptoms
  • Depression Symptoms: improves
  • Schizophrenia symptoms: improves
Inositol: outcomes studied for Depression
GradeOutcomeEffectSizeStudiesPeopleStudies list
Bipolar Disorder Symptoms

No effect

NoneNo effect1 study66 people
Depression SymptomsImproves (the measure goes down)5 studies113 people
Schizophrenia symptomsImproves (the measure goes down)2 studies21 people

Docosahexaenoic Acid

  • Depression Symptoms
  • Postpartum Depression Symptoms
Docosahexaenoic Acid: outcomes studied for Depression
GradeOutcomeEffectSizeStudiesPeopleStudies list
Depression Symptoms

No effect

NoneNo effect1 study36 people
Postpartum Depression Symptoms

No effect

NoneNo effect1 study2,320 people

B Vitamins

  • Depressive Symptoms
B Vitamins: outcomes studied for Depression
GradeOutcomeEffectSizeStudiesPeopleStudies list
Depressive Symptoms

Meta-analysis: SMD 0.15 (-0.01-0.32, p=0.07) - trend but not significant

NoneNo effect568 people

N-Acetylcysteine

  • Anxiety Symptoms
  • Depression Symptoms: improves
N-Acetylcysteine: outcomes studied for Depression
GradeOutcomeEffectSizeStudiesPeopleStudies list
Anxiety Symptoms

No effect

NoneNo effect319 people
Depression SymptomsImproves (the measure goes down)4 studies574 people

Maca

  • Sexual Function: improves
Maca: outcomes studied for Depression
GradeOutcomeEffectSizeStudiesPeopleStudies list
Sexual FunctionImproves (the measure goes up)2 studies45 people

L-Carnitine

  • Depression Symptoms: improves
L-Carnitine: outcomes studied for Depression
GradeOutcomeEffectSizeStudiesPeopleStudies list
Depression SymptomsImproves (the measure goes down)2 studies447 people

Creatine

  • Depression Symptoms: improves
Creatine: outcomes studied for Depression
GradeOutcomeEffectSizeStudiesPeopleStudies list
Depression SymptomsImproves (the measure goes down)2 studies60 people

L-Tyrosine

  • Depression Symptoms: improves
L-Tyrosine: outcomes studied for Depression
GradeOutcomeEffectSizeStudiesPeopleStudies list
Depression SymptomsImproves (the measure goes down)1 study65 people

Lactobacillus reuteri

  • Depression Symptoms: improves
Lactobacillus reuteri: outcomes studied for Depression
GradeOutcomeEffectSizeStudiesPeopleStudies list
Depression SymptomsImproves (the measure goes down)1 study509 people

Key findings

  • Depression SymptomsFish OilImproves (the measure goes down)
  • Anxiety SymptomsCurcuminImproves (the measure goes down)
  • Combined Anxiety & DepressionVitamin DImproves (the measure goes down)

The Depression (Major Depressive Disorder) protocol

2 primary supplements · 4 supporting supplements

See the full protocol

Shop the evidence-backed picks

Fullscript collectionStress and mood: evidence-graded picksOpen on Fullscript

Or shop one supplement

The supplements graded A or B for Depression. Each opens third-party tested products for that supplement.

  • Grade A
  • Grade A
  • Grade A
  • Grade B
  • Grade B
  • Grade B

We earn from purchases made in our Fullscript store, and links to Fullscript, iHerb or Thorne carry our referral, so we may earn a commission at no extra cost to you. Grades come from the research and never change based on what we earn. Full disclosure

Studies cited

7 studies from PubMed

  1. Psychedelic therapy for depressive symptoms: A systematic review and meta-analysis.J Affect Disord · PMID 36209780
  2. Addition of omega-3 fatty acid to maintenance medication treatment for recurrent unipolar depressive disorderAm J Psychiatry · PMID 11870016
  3. Repeated thermal therapy diminishes appetite loss and subjective complaints in mildly depressed patients.Psychosom Med · PMID 16046381
  4. Optimal dose and type of exercise to improve depressive symptoms in older adults: a systematic review and network meta-analysis.BMC Geriatr · PMID 38849780
  5. Daily Vinegar Ingestion Improves Depression and Enhances Niacin Metabolism in Overweight Adults: A Randomized Controlled Trial.Nutrients · PMID 39064748
  6. Effect of Different Dietary Patterns on Patients with Depressive Disorders: A Systematic Review and Meta-Analysis of Randomized Controlled Trials.Nutrients · PMID 39940421
  7. Violet light photobiomodulation therapy for depression: A double-blind randomized crossover trial.J Affect Disord · PMID 39961441