HMB

HMB is a metabolite of the essential amino acid leucine that plays an anticatabolic role in muscle tissue. In addition to preventing muscle protein breakdown, HMB may help improve strength and muscle mass in older adults, but evidence of a benefit for athletes is lacking.

Quick Answer

What it is

HMB is a metabolite of the essential amino acid leucine that plays an anticatabolic role in muscle tissue. In addition to preventing muscle protein breakdown, HMB may help improve strength and muscle mass in older adults, but evidence of a benefit for athletes is lacking.

Key findings

  • Grade C: Blood glucose (Metabolic Health)
  • Grade D: Body Fat
  • Grade D: Anaerobic Capacity

Safety

No specific caution or interaction language was detected in the current summary/outcome notes.

ℹ️ Quick Facts: HMB

Quick Facts: HMB

  • Best Evidence:Grade C
  • Conditions Studied:11
  • Research Outcomes:132
  • Key Effect:Metabolic Health
Outcomes by grade:
A0
B0
C2
D11
11 conditions · 132 outcomes

Detailed Outcomes

Grade:
Effect:
Size:
Sort:
|
C
Blood glucose
Small Improvement
1 study
smallImproves
?
High-density lipoprotein (HDL)
Improves
?
Low-density lipoprotein (LDL)
9 studies
Improves
?
Total cholesterol
9 studies
Improves
?
Triglycerides
8 studies
Improves
?
Body Fat
Improves
?
Muscle Mass
Improves
?
Oxygen Uptake
1 study
Improves
?
Urea
1 study
Improves
C
Blood glucose
Small Improvement
1 study
smallImproves
?
Body Fat
Improves
?
High-density lipoprotein (HDL)
Improves
?
Low-density lipoprotein (LDL)
1 study
Improves
?
Muscle Mass
Improves
?
Oxygen Uptake
1 study
Improves
?
Power Output
Improves
?
Total cholesterol
1 study
Improves
?
Triglycerides
1 study
Improves
?
Urea
1 study
Improves
D
Body Fat
No effect
none
D
Anaerobic Capacity
No effect
1 study
none
?
Muscle Mass
Improves
?
Strength
Improves
?
Power Output
Improves
?
Weight
6 studies
Improves
?
Food Intake
4 studies
Worsens
?
Muscle Damage
Worsens
?
Bone Mineral Density
2 studies
Improves
?
Fatigue Symptoms
2 studies
Improves
?
Liver Enzymes
Worsens
?
Training Volume
2 studies
Improves
?
Cortisol
1 study
Improves
?
High-density lipoprotein (HDL)
Improves
?
Low-density lipoprotein (LDL)
1 study
Improves
?
Muscle Soreness
Improves
?
Testosterone
1 study
Improves
?
Total cholesterol
1 study
Improves
D
Body Fat
No effect
none
?
Fat-free mass (FFM)
4 studies
Improves
D
Body Fat
No effect
none
?
Food Intake
2 studies
Worsens
?
Muscle Mass
Improves
?
Bone Mineral Density
1 study
Improves
?
Fatigue Symptoms
1 study
Improves
?
Liver Enzymes
Worsens
?
Muscle Damage
Worsens
D
Anaerobic Capacity
No effect
1 study
none
?
Power Output
Improves
?
Muscle Mass
Improves
?
Body Fat
Improves
?
Food Intake
4 studies
Worsens
?
Muscle Damage
Worsens
?
Bone Mineral Density
2 studies
Improves
?
Cortisol
2 studies
Improves
?
Fatigue Symptoms
2 studies
Improves
?
High-density lipoprotein (HDL)
Improves
?
Liver Enzymes
Worsens
?
Low-density lipoprotein (LDL)
2 studies
Improves
?
Testosterone
2 studies
Improves
?
Total cholesterol
2 studies
Improves
?
Training Volume
2 studies
Improves
?
Blood glucose
1 study
Improves
?
Growth Hormone
1 study
Improves
?
IGF-1
1 study
Improves
?
Interleukin 6
1 study
Improves
?
Muscle Soreness
Improves
?
Oxygen Uptake
1 study
Improves
?
Triglycerides
1 study
Improves
?
Urea
1 study
Improves
D
Anaerobic Capacity
No effect
1 study
none
?
Power Output
Improves
?
Muscle Mass
Improves
?
Body Fat
Improves
?
Low-density lipoprotein (LDL)
2 studies
Improves
?
Blood glucose
1 study
Improves
?
Bone Mineral Density
1 study
Improves
?
Cortisol
1 study
Improves
?
Food Intake
1 study
Worsens
?
Growth Hormone
1 study
Improves
?
IGF-1
1 study
Improves
?
Interleukin 6
1 study
Improves
?
Oxygen Uptake
1 study
Improves
?
Testosterone
1 study
Improves
?
Urea
1 study
Improves
D
C-Reactive Protein (CRP)
No effect
1 study
none
?
Muscle Damage
Worsens
?
Cortisol
2 studies
Improves
?
Muscle Soreness
Improves
?
Power Output
Improves
?
Testosterone
2 studies
Improves
?
Training Volume
2 studies
Improves
?
Fatigue Symptoms
1 study
Improves
?
Range of Motion
1 study
Improves
D
Anaerobic Capacity
No effect
1 study
none
?
Power Output
Improves
?
Body Fat
Improves
?
Cortisol
1 study
Improves
?
Fatigue Symptoms
1 study
Improves
?
Muscle Damage
Worsens
?
Muscle Mass
Improves
?
Muscle Soreness
Improves
?
Testosterone
1 study
Improves
?
Training Volume
1 study
Improves
D
Anaerobic Capacity
No effect
1 study
none
?
Body Fat
Improves
?
Muscle Mass
Improves
?
Power Output
Improves
D
Cortisol
No effect
1 study
none
?
Power Output
Improves
?
Growth Hormone
1 study
Improves
?
IGF-1
1 study
Improves
?
Interleukin 6
1 study
Improves
?
Muscle Mass
Improves
?
Testosterone
1 study
Improves
D
Anaerobic Capacity
No effect
1 study
none
?
Muscle Mass
Improves
?
Strength
Improves
?
Body Fat
Worsens
?
Power Output
Improves
?
Weight
6 studies
Worsens
?
Food Intake
4 studies
Worsens
?
Muscle Damage
Worsens
?
Bone Mineral Density
2 studies
Improves
?
Fatigue Symptoms
2 studies
Worsens
?
Liver Enzymes
Worsens
?
Training Volume
2 studies
Improves
?
Cortisol
1 study
Worsens
?
High-density lipoprotein (HDL)
Improves
?
Low-density lipoprotein (LDL)
1 study
Worsens
?
Muscle Soreness
Worsens
?
Testosterone
1 study
Improves
?
Total cholesterol
1 study
Worsens

Related Supplements

Creatine

11 shared conditions · 433 outcomes

Creatine is among the most well-studied and effective supplements for improving exercise performance. It does this mainly by increasing energy availability during high-intensity activity. Creatine may also provide cognitive and mental health benefits in some contexts.

Ashwagandha

8 shared conditions · 318 outcomes

Ashwagandha has been called the king of Ayurvedic herbs. It’s best known for reducing stress and anxiety. It may also modestly enhance various aspects of physical performance, increase testosterone levels, and improve reproductive health, but more research is needed to confirm these effects.

Whey Protein

7 shared conditions · 197 outcomes

Whey protein is one of the two high-quality proteins derived from cow’s milk (casein being the other). Its high digestibility, quick absorption, and well-researched benefits for muscle gain and cardiometabolic health make it a popular protein supplement among athletes and older adults.

Spirulina

7 shared conditions · 304 outcomes

Spirulina, commonly known as “blue-green algae”, is a nontoxic cyanobacterium that is rich in various nutrients and bioactive pigments and polyphenols. Spirulina contains many antioxidant compounds and could have beneficial cardiometabolic effects.

Sodium Bicarbonate

7 shared conditions · 132 outcomes

Sodium bicarbonate (baking soda) is an evidence-based ergogenic aid for high-intensity exercise. B-grade evidence for running and aerobic performance via acid buffering. Works by increasing blood buffering capacity, allowing muscles to tolerate more lactic acid. Best for high-intensity efforts lasting 1-7 minutes. MAJOR DRAWBACK: GI distress is common (nausea, cramping, diarrhea) - known as 'bicarb shits' by athletes. Serial loading protocols may reduce GI issues. Also used medically for CKD acidosis.

Magnesium

7 shared conditions · 248 outcomes

Magnesium is an essential dietary mineral that is involved in energy production, nervous system function, blood pressure regulation, and blood glucose control. A lack of magnesium in the diet — which is common in modern societies — is associated with an increased risk of diabetes, cardiovascular disease, and other health conditions.

Fish Oil

7 shared conditions · 448 outcomes

Fish oil is a mix of mostly EPA and DHA derived from fatty fish. It reduces triglycerides, but does not seem to affect the rate of cardiovascular events. It appears to reduce the symptoms of depression and improve some painful, inflammatory conditions.

Fenugreek

7 shared conditions · 70 outcomes

Fenugreek, Trigonella foenum-graecum, is a plant in the legume family. It is used for reducing blood sugar, improving blood lipids, and increasing testosterone and libido. Fenugreek also shows promise for polycystic ovary syndrome, menopausal symptoms, and dysmenorrhea. People who breastfeed also take it to increase milk production, although the evidence there is mixed.