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
| Grade | Outcome | Effect | Size | Studies | People | Studies list |
|---|---|---|---|---|---|---|
| Depression Symptoms Moderate Improvement | Improves (the measure goes down) | Moderate effect | 3 studies | 3,064 people | ||
Studies that measured depression symptoms | ||||||
Curcumin
- Anxiety Symptoms: improves
- Depression Symptoms: improves
- Interleukin 1-beta: improves
| Grade | Outcome | Effect | Size | Studies | People | Studies list |
|---|---|---|---|---|---|---|
| Anxiety Symptoms Large Improvement | Improves (the measure goes down) | Large effect | 284 people | |||
| Depression Symptoms | Improves (the measure goes down) | 9 studies | 531 people | |||
Studies that measured depression symptoms | ||||||
| Interleukin 1-beta | Improves (the measure goes down) | 1 study | 108 people | |||
| Cortisol | Improves (the measure goes down) | 108 people | ||||
| Serum BDNF | Improves (the measure goes up) | 108 people | ||||
| TNF-Alpha | Improves (the measure goes down) | 108 people | ||||
Saffron
- Anxiety Symptoms: improves
- Appetite
- Depression Symptoms: improves
S-adenosylmethionine
- Depression Symptoms: improves
- Attention
- Osteoarthritis Symptoms: improves
5-HTP
- Depression Symptoms: improves
| Grade | Outcome | Effect | Size | Studies | People | Studies list |
|---|---|---|---|---|---|---|
| Depression Symptoms Moderate improvement in depression symptoms | Improves (the measure goes down) | Moderate effect | 4 studies | 133 people | ||
Studies that measured depression symptoms
| ||||||
Rhodiola Rosea
- Depression Symptoms: improves
- Insomnia Signs and Symptoms: improves
- Subjective Well-Being: improves
| Grade | Outcome | Effect | Size | Studies | People | Studies list |
|---|---|---|---|---|---|---|
| Depression Symptoms Small Improvement | Improves (the measure goes down) | Small effect | 4 studies | 235 people | ||
Studies that measured depression symptoms
| ||||||
| Insomnia Signs and Symptoms | Improves (the measure goes down) | 1 study | 89 people | |||
Studies that measured insomnia signs and symptoms | ||||||
| Subjective Well-Being | Improves (the measure goes up) | 89 people | ||||
Coenzyme Q10
- Depression Symptoms: improves
- Fatigue Symptoms: improves
| Grade | Outcome | Effect | Size | Studies | People | Studies list |
|---|---|---|---|---|---|---|
| Depression Symptoms Moderate Improvement | Improves (the measure goes down) | Moderate effect | 2 studies | 137 people | ||
Studies that measured depression symptoms | ||||||
| Fatigue Symptoms | Improves (the measure goes down) | 3 studies | 48 people | |||
Studies that measured fatigue symptoms
| ||||||
Folic Acid (Vitamin B9)
- Depression Symptoms: improves
- Schizophrenia symptoms: improves
| Grade | Outcome | Effect | Size | Studies | People | Studies list |
|---|---|---|---|---|---|---|
| Depression Symptoms Small Improvement | Improves (the measure goes down) | Small effect | 2 studies | 247 people | ||
Studies that measured depression symptoms | ||||||
| Schizophrenia symptoms | Improves (the measure goes down) | 2 studies | 123 people | |||
Studies that measured schizophrenia symptoms | ||||||
Vitamin D
- Combined Anxiety & Depression: improves
- Depression Symptoms: improves
| Grade | Outcome | Effect | Size | Studies | People | Studies list |
|---|---|---|---|---|---|---|
| Combined Anxiety & Depression Small Improvement | Improves (the measure goes down) | Small effect | 1 study | 7,534 people | ||
Studies that measured combined anxiety & depression | ||||||
| Depression Symptoms | Improves (the measure goes down) | 5 studies | 24,510 people | |||
Studies that measured depression symptoms
| ||||||
Melatonin
- Depression Symptoms: improves
- Serum BDNF: improves
| Grade | Outcome | Effect | Size | Studies | People | Studies list |
|---|---|---|---|---|---|---|
| Depression Symptoms Small Improvement | Improves (the measure goes down) | Small effect | 2,070 people | |||
| Serum BDNF | Improves (the measure goes up) | 1 study | 2,070 people | |||
Omega-3 Fatty Acids
- Depression Symptoms: improves
- Anxiety Symptoms: improves
- Quality of Life: improves
Magnesium
- C-Reactive Protein (CRP): improves
- Serum Magnesium: improves
- Depression Symptoms: improves
| Grade | Outcome | Effect | Size | Studies | People | Studies list |
|---|---|---|---|---|---|---|
| C-Reactive Protein (CRP) Small Decrease | Improves (the measure goes down) | Small effect | 3 studies | 108 people | ||
| Serum Magnesium | Improves (the measure goes up) | 6 studies | 154 people | |||
| Depression Symptoms | Improves (the measure goes down) | 3 studies | 177 people | |||
| Interleukin 6 | Improves (the measure goes down) | 108 people | ||||
| Serum BDNF | Improves (the measure goes up) | 154 people | ||||
| TNF-Alpha | Improves (the measure goes down) | 108 people |
Theanine
- Anxiety Symptoms: improves
- Attention: improves
- Executive Function: improves
| Grade | Outcome | Effect | Size | Studies | People | Studies list |
|---|---|---|---|---|---|---|
| Anxiety Symptoms Small Improvement | Improves (the measure goes down) | Small effect | 2 studies | 20 people | ||
| Attention | Improves (the measure goes up) | 4 studies | 20 people | |||
| Executive Function | Improves (the measure goes up) | 3 studies | 20 people | |||
| Sleep Quality | Improves (the measure goes up) | 2 studies | 20 people | |||
| Depression Symptoms | Improves (the measure goes down) | 20 people | ||||
| Motor Speed | Improves (the measure goes up) | 20 people | ||||
| Verbal Fluency | Improves (the measure goes up) | 20 people | ||||
| Verbal Memory | Improves (the measure goes up) | 20 people | ||||
| Working Memory | Improves (the measure goes up) | 20 people |
Probiotics
- Depression Symptoms: improves
- Sleep Quality: improves
- Sleep Duration: improves
| Grade | Outcome | Effect | Size | Studies | People | Studies list |
|---|---|---|---|---|---|---|
| Depression Symptoms Small Improvement | Improves (the measure goes down) | Small effect | 1 study | 140 people | ||
| Sleep Quality | Improves (the measure goes up) | 1 study | 424 people | |||
| Sleep Duration | Improves (the measure goes up) | 226 people | ||||
| Sleep Efficiency | Improves (the measure goes up) | 166 people | ||||
| Sleep Latency | Improves (the measure goes down) | 226 people |
Red Clover Extract
- Anxiety Symptoms: improves
- Depression Symptoms: improves
| Grade | Outcome | Effect | Size | Studies | People | Studies list |
|---|---|---|---|---|---|---|
| Anxiety Symptoms Moderate Improvement | Improves (the measure goes down) | Moderate effect | 1 study | 109 people | ||
| Depression Symptoms | Improves (the measure goes down) | 109 people |
Nefiracetam
- Apathy: improves
- Depression Symptoms
| Grade | Outcome | Effect | Size | Studies | People | Studies list |
|---|---|---|---|---|---|---|
| Apathy Small Improvement | Improves (the measure goes down) | Small effect | 1 study | 137 people | ||
| Depression Symptoms No effect | NoneNo effect | 137 people |
Zinc
- Aggression: improves
- Depression Symptoms: improves
- Serum BDNF: improves
| Grade | Outcome | Effect | Size | Studies | People | Studies list |
|---|---|---|---|---|---|---|
| Aggression Small Improvement | Improves (the measure goes up) | Small effect | 30 people | |||
| Depression Symptoms | Improves (the measure goes down) | 3 studies | 162 people | |||
| Serum BDNF | Improves (the measure goes up) | 2 studies | 90 people | |||
| Subjective Well-Being | Improves (the measure goes up) | 1 study | 30 people | |||
| Interleukin 6 | Improves (the measure goes down) | 44 people | ||||
| TNF-Alpha | Improves (the measure goes down) | 44 people |
Chromium
- Appetite: improves
- Depression Symptoms: improves
- Libido: improves
| Grade | Outcome | Effect | Size | Studies | People | Studies list |
|---|---|---|---|---|---|---|
| Appetite Small Decrease | Improves (the measure goes down) | Small effect | 75 people | |||
| Depression Symptoms | Improves (the measure goes down) | 4 studies | 90 people | |||
| Libido | Improves (the measure goes up) | 75 people |
Apigenin
- Depression Symptoms: improves
| Grade | Outcome | Effect | Size | Studies | People | Studies list |
|---|---|---|---|---|---|---|
| Depression Symptoms Moderate Decrease in Hamilton Depression Rating Scale | Improves (the measure goes down) | Moderate effect | 57 people |
GABA
- Depression Symptoms: improves
| Grade | Outcome | Effect | Size | Studies | People | Studies list |
|---|---|---|---|---|---|---|
| Depression Symptoms Improvement in depression scores (90-day trial with exercise) | Improves (the measure goes down) | Moderate effect | 30 people |
Tryptophan
- Depression Symptoms (Mild-Moderate): improves
- Severe Depression: improves
| Grade | Outcome | Effect | Size | Studies | People | Studies list |
|---|---|---|---|---|---|---|
| Depression Symptoms (Mild-Moderate) Better than placebo for mild-moderate depression (Cochrane review) | Improves (the measure goes down) | Moderate effect | 300 people | |||
| Severe Depression Not effective for severe depressive symptoms | Improves (the measure goes down) | Small effect | 150 people |
Ginkgo Biloba
- Libido
- Sleep Quality: improves
| Grade | Outcome | Effect | Size | Studies | People | Studies list |
|---|---|---|---|---|---|---|
| Libido No effect | NoneNo effect | 4 studies | 63 people | |||
| Sleep Quality | Improves (the measure goes up) | 2 studies | 16 people |
Vitamin B12
- Depression Symptoms
- Cognition
- Fatigue Symptoms: improves
| Grade | Outcome | Effect | Size | Studies | People | Studies list |
|---|---|---|---|---|---|---|
| Depression Symptoms No effect | NoneNo effect | 2 studies | 2,912 people | |||
| Cognition No effect | NoneNo effect | 2,912 people | ||||
| Fatigue Symptoms | Improves (the measure goes down) | 1 study | 2,912 people |
Baikal Skullcap
- Depression Symptoms
- Anxiety Symptoms
- Sleep Quality: improves
| Grade | Outcome | Effect | Size | Studies | People | Studies list |
|---|---|---|---|---|---|---|
| Depression Symptoms No effect | NoneNo effect | 1 study | 177 people | |||
| Anxiety Symptoms No effect | NoneNo effect | 177 people | ||||
| Sleep Quality | Improves (the measure goes up) | 177 people | ||||
| Subjective Well-Being | Improves (the measure goes up) | 177 people |
Inositol
- Bipolar Disorder Symptoms
- Depression Symptoms: improves
- Schizophrenia symptoms: improves
| Grade | Outcome | Effect | Size | Studies | People | Studies list |
|---|---|---|---|---|---|---|
| Bipolar Disorder Symptoms No effect | NoneNo effect | 1 study | 66 people | |||
| Depression Symptoms | Improves (the measure goes down) | 5 studies | 113 people | |||
| Schizophrenia symptoms | Improves (the measure goes down) | 2 studies | 21 people |
Docosahexaenoic Acid
- Depression Symptoms
- Postpartum Depression Symptoms
| Grade | Outcome | Effect | Size | Studies | People | Studies list |
|---|---|---|---|---|---|---|
| Depression Symptoms No effect | NoneNo effect | 1 study | 36 people | |||
| Postpartum Depression Symptoms No effect | NoneNo effect | 1 study | 2,320 people |
B Vitamins
- Depressive Symptoms
| Grade | Outcome | Effect | Size | Studies | People | Studies list |
|---|---|---|---|---|---|---|
| Depressive Symptoms Meta-analysis: SMD 0.15 (-0.01-0.32, p=0.07) - trend but not significant | NoneNo effect | 568 people |
N-Acetylcysteine
- Anxiety Symptoms
- Depression Symptoms: improves
| Grade | Outcome | Effect | Size | Studies | People | Studies list |
|---|---|---|---|---|---|---|
| Anxiety Symptoms No effect | NoneNo effect | 319 people | ||||
| Depression Symptoms | Improves (the measure goes down) | 4 studies | 574 people |
Maca
- Sexual Function: improves
| Grade | Outcome | Effect | Size | Studies | People | Studies list |
|---|---|---|---|---|---|---|
| Sexual Function | Improves (the measure goes up) | 2 studies | 45 people |
L-Carnitine
- Depression Symptoms: improves
| Grade | Outcome | Effect | Size | Studies | People | Studies list |
|---|---|---|---|---|---|---|
| Depression Symptoms | Improves (the measure goes down) | 2 studies | 447 people |
Creatine
- Depression Symptoms: improves
| Grade | Outcome | Effect | Size | Studies | People | Studies list |
|---|---|---|---|---|---|---|
| Depression Symptoms | Improves (the measure goes down) | 2 studies | 60 people |
L-Tyrosine
- Depression Symptoms: improves
| Grade | Outcome | Effect | Size | Studies | People | Studies list |
|---|---|---|---|---|---|---|
| Depression Symptoms | Improves (the measure goes down) | 1 study | 65 people |
Lactobacillus reuteri
- Depression Symptoms: improves
| Grade | Outcome | Effect | Size | Studies | People | Studies list |
|---|---|---|---|---|---|---|
| Depression Symptoms | Improves (the measure goes down) | 1 study | 509 people |
Key findings
- Depression SymptomsImproves (the measure goes down)
- Anxiety SymptomsImproves (the measure goes down)
- Combined Anxiety & DepressionImproves (the measure goes down)
The Depression (Major Depressive Disorder) protocol
2 primary supplements · 4 supporting supplements
- Omega-3 Fatty Acids (EPA)1–2 g EPA daily (EPA-dominant formula, EPA:DHA ratio >2:1)
- St. John's Wort300 mg 3× daily (standardized to 0.3% hypericin)
Shop the evidence-backed picks
The collection holds the supplements we grade A or B for its theme, in third-party tested products where the catalog has them. It opens in our Fullscript store. You can look through it without signing in; Fullscript asks for a free account to order.
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
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Studies cited
7 studies from PubMed
- Psychedelic therapy for depressive symptoms: A systematic review and meta-analysis.
- Addition of omega-3 fatty acid to maintenance medication treatment for recurrent unipolar depressive disorder
- Repeated thermal therapy diminishes appetite loss and subjective complaints in mildly depressed patients.
- Optimal dose and type of exercise to improve depressive symptoms in older adults: a systematic review and network meta-analysis.
- Daily Vinegar Ingestion Improves Depression and Enhances Niacin Metabolism in Overweight Adults: A Randomized Controlled Trial.
- Effect of Different Dietary Patterns on Patients with Depressive Disorders: A Systematic Review and Meta-Analysis of Randomized Controlled Trials.
- Violet light photobiomodulation therapy for depression: A double-blind randomized crossover trial.