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Lactoferrin

Lactoferrin is an iron-binding protein found in milk and tears that helps regulate immune defenses and inflammation. People mostly look at it for dry eye, where it may support the surface of the eye, though the evidence there is limited and comes from about 250 participants. Firmer findings lie elsewhere: hemoglobin and iron levels went up in iron deficiency anemia, and respiratory infections went down, with strong evidence for each.

Best evidence
Grade A
Conditions studied
9
Outcomes
11
Graded outcomes
4610

Evidence by condition

  • Strong
  • Moderate
  • Limited
  • Very limited

9 conditions

Iron Deficiency Anemia: outcomes studied for Lactoferrin
GradeOutcomeEffectSizeStudiesPeopleStudies list
Hemoglobin Increase

Large Increase

Improves (the measure goes up)Large effect2,992 people
Serum Iron Levels

Large Increase

Improves (the measure goes up)Large effect1,500 people
Pregnancy IDA Treatment

Moderate Increase

Improves (the measure goes up)Moderate effect2,041 people

Respiratory Tract Infections

Respiratory Tract Infections: outcomes studied for Lactoferrin
GradeOutcomeEffectSizeStudiesPeopleStudies list
RTI Incidence Reduction

Moderate Decrease

Improves (the measure goes down)Moderate effect2,500 people

Immune Health

  • Inflammation Markers: improves
Immune Health: outcomes studied for Lactoferrin
GradeOutcomeEffectSizeStudiesPeopleStudies list
Inflammation Markers

Moderate Decrease

Improves (the measure goes down)Moderate effect1,200 people

Neonatal Sepsis

  • Late-Onset Sepsis Prevention: improves
Neonatal Sepsis: outcomes studied for Lactoferrin
GradeOutcomeEffectSizeStudiesPeopleStudies list
Late-Onset Sepsis Prevention

Small Decrease

Improves (the measure goes down)Small effect5,000 people

Acne Vulgaris

  • Acne Lesion Reduction: improves
Acne Vulgaris: outcomes studied for Lactoferrin
GradeOutcomeEffectSizeStudiesPeopleStudies list
Acne Lesion Reduction

Moderate Decrease

Improves (the measure goes down)Moderate effect350 people

Gut Microbiome

  • Beneficial Bacteria Promotion: improves
Gut Microbiome: outcomes studied for Lactoferrin
GradeOutcomeEffectSizeStudiesPeopleStudies list
Beneficial Bacteria Promotion

Moderate Increase

Improves (the measure goes up)Moderate effect400 people

Pediatric Infections

  • Diarrhea Prevention: improves
Pediatric Infections: outcomes studied for Lactoferrin
GradeOutcomeEffectSizeStudiesPeopleStudies list
Diarrhea Prevention

Moderate Decrease

Improves (the measure goes down)Moderate effect1,500 people

Pediatric Ibd

  • Iron Status in IBD Children: improves
Pediatric Ibd: outcomes studied for Lactoferrin
GradeOutcomeEffectSizeStudiesPeopleStudies list
Iron Status in IBD Children

Moderate Increase

Improves (the measure goes up)Moderate effect92 people

Skin Health

  • Skin Hydration: improves
Skin Health: outcomes studied for Lactoferrin
GradeOutcomeEffectSizeStudiesPeopleStudies list
Skin Hydration

Small Increase

Improves (the measure goes up)Small effect400 people

Key findings

  • Hemoglobin IncreaseIron Deficiency AnemiaImproves (the measure goes up)
  • Serum Iron LevelsIron Deficiency AnemiaImproves (the measure goes up)
  • Pregnancy IDA TreatmentIron Deficiency AnemiaImproves (the measure goes up)

Shop the evidence-backed picks

Third-party tested Lactoferrin products, in the forms the graded studies used where we can match them.

  • Grade A

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Studies cited

20 studies from PubMed

  1. The effectiveness of oral bovine lactoferrin compared to iron supplementation in patients with a low hemoglobin profile: A systematic review and meta-analysis of randomized clinical trialsBMC Nutr, 2024 · PMID 38291525
  2. Probiotics, Prebiotics, Lactoferrin, and Combination Products for Prevention of Mortality and Morbidity in Preterm Infants: A Systematic Review and Network Meta-AnalysisJAMA Pediatr, 2023 · PMID 37782505
  3. Lactoferrin: Antimicrobial impacts, genomic guardian, therapeutic uses and clinical significance for humans and animalsBiochimie, 2023 · PMID 37290189
  4. Time to Kill and Time to Heal: The Multifaceted Role of Lactoferrin and Lactoferricin in Host DefensePharmaceutics, 2023 · PMID 37111542
  5. Effect of Lactoferrin Supplementation on Inflammation, Immune Function, and Prevention of Respiratory Tract Infections in Humans: A Systematic Review and Meta-analysisAdv Nutr, 2022 · PMID 35481594
  6. Lactoferrin for iron-deficiency anemia in children with inflammatory bowel disease: a clinical trialPediatr Res, 2022 · PMID 35681097
  7. Lactoferrin modulates gut microbiota and Toll-like receptors (TLRs) in mice with dysbiosis induced by antibioticsFood Funct, 2022 · PMID 35545893
  8. Lactoferrin reduces the risk of respiratory tract infections: A meta-analysis of randomized controlled trialsClin Nutr ESPEN, 2021 · PMID 34620326
  9. Lactoferrin: an overview of its main functions, immunomodulatory and antimicrobial role, and clinical significanceNutrients, 2021 · PMID 33685299
  10. Enteral lactoferrin supplementation for prevention of sepsis and necrotizing enterocolitis in preterm infantsCochrane Database Syst Rev, 2020 · PMID 32232984
  11. Enteral Lactoferrin Supplementation for Preventing Sepsis and Necrotizing Enterocolitis in Preterm Infants: A Meta-Analysis With Trial Sequential Analysis of Randomized Controlled TrialsFront Pediatr, 2020 · PMID 32848789
  12. The Impact of Lactoferrin on the Growth of Intestinal Inhabitant BacteriaInt J Mol Sci, 2019 · PMID 31547574
  13. Effects of Lactoferrin on Subjective Skin Conditions in Winter: A Preliminary, Randomized, Double-Blinded, Placebo-Controlled TrialClin Cosmet Investig Dermatol, 2019 · PMID 31819585
  14. Lactoferrin or ferrous salts for iron deficiency anemia in pregnancy: A meta-analysis of randomized trialsEur J Obstet Gynecol Reprod Biol, 2017 · PMID 29059584
  15. A randomized, double-blind, placebo-controlled trial to determine the efficacy and safety of lactoferrin with vitamin E and zinc as an oral therapy for mild to moderate acne vulgarisInt J Dermatol, 2017 · PMID 28369875
  16. A systematic review of lactoferrin use in dermatologyCrit Rev Food Sci Nutr, 2017 · PMID 26857697
  17. Overview of Lactoferrin as a Natural Immune ModulatorJ Pediatr, 2016 · PMID 27234406
  18. Efficacy and tolerability of oral lactoferrin supplementation in mild to moderate acne vulgaris: an exploratory studyCurr Med Res Opin, 2011 · PMID 21303195
  19. Dietary effect of lactoferrin-enriched fermented milk on skin surface lipid and clinical improvement of acne vulgarisNutrition, 2010 · PMID 20692602
  20. Bovine lactoferrin supplementation for prevention of late-onset sepsis in very low-birth-weight neonates: a randomized trialJAMA, 2009 · PMID 19809023