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Supplement

Thiamine (Vitamin B1)

Thiamine, also called vitamin B1, is a vitamin the body needs to turn food into energy and keep nerves working. Researchers mostly look at it for small blood vessel damage, where the evidence is moderate, and the clearest finding was that premenstrual symptoms improved in one large trial of 344 people. Other findings were thin: blood pressure improved in a tiny diabetes study, and a heart failure trial found no clear difference in walking.

Sources: PMID 25363099

Best evidence
Grade B
Conditions studied
4
Outcomes
18
Graded outcomes
0121

Evidence by condition

  • Strong
  • Moderate
  • Limited
  • Very limited

4 conditions

Premenstrual Syndrome (PMS): outcomes studied for Thiamine (Vitamin B1)
GradeOutcomeEffectSizeStudiesPeopleStudies list
PMS Symptoms

Large Improvement

Improves (the measure goes down)Large effect1 study344 people

Studies that measured pms symptoms

Type 2 Diabetes: outcomes studied for Thiamine (Vitamin B1)
GradeOutcomeEffectSizeStudiesPeopleStudies list
Blood Pressure

Small Improvement

Improves (the measure goes down)Small effect12 people
High-density lipoprotein (HDL)Improves (the measure goes up)1 study12 people
C-Reactive Protein (CRP)Improves (the measure goes down)12 people
Low-density lipoprotein (LDL)Improves (the measure goes down)12 people
Total cholesterolImproves (the measure goes down)12 people
TriglyceridesImproves (the measure goes down)12 people

Prediabetes

  • Blood Pressure: improves
  • High-density lipoprotein (HDL): improves
  • C-Reactive Protein (CRP): improves
Prediabetes: outcomes studied for Thiamine (Vitamin B1)
GradeOutcomeEffectSizeStudiesPeopleStudies list
Blood Pressure

Small Improvement

Improves (the measure goes down)Small effect12 people
High-density lipoprotein (HDL)Improves (the measure goes up)1 study12 people
C-Reactive Protein (CRP)Improves (the measure goes down)12 people
Low-density lipoprotein (LDL)Improves (the measure goes down)12 people
Total cholesterolImproves (the measure goes down)12 people
TriglyceridesImproves (the measure goes down)12 people

Heart Failure

  • 6-Minute Walking Test Performance
  • Left Ventricular Ejection Fraction: improves
  • End-Diastolic Volume: improves
Heart Failure: outcomes studied for Thiamine (Vitamin B1)
GradeOutcomeEffectSizeStudiesPeopleStudies list
6-Minute Walking Test Performance

No effect

NoneNo effect274 people
Left Ventricular Ejection FractionImproves (the measure goes up)1 study274 people
End-Diastolic VolumeImproves (the measure goes up)274 people
Heart Failure ClassImproves (the measure goes up)274 people
N-terminal Prohormone of Brain Natriuretic PeptideImproves (the measure goes up)274 people

Key findings

  • PMS SymptomsPremenstrual Syndrome (PMS)Improves (the measure goes down)
  • Blood PressureType 2 DiabetesImproves (the measure goes down)
  • 6-Minute Walking Test PerformanceHeart Failure

Shop the evidence-backed picks

Third-party tested Thiamine (Vitamin B1) products, in the forms the graded studies used where we can match them.

  • Grade B

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Studies cited

3 studies from PubMed

  1. The impact of thiamine supplementation on blood pressure, serum lipids and C-reactive protein in individuals with hyperglycemia: a randomised, double-blind cross-over trialDiabetes Metab Syndr · PMID 25982678
  2. The effects of vitamin B1 on ameliorating the premenstrual syndrome symptomsGlob J Health Sci · PMID 25363099
  3. Role of Thiamine Supplementation in the Treatment of Chronic Heart Failure: An Updated Meta-Analysis of Randomized Controlled Trials.Clin Cardiol · PMID 38940395