CHAMGAP
CATEGORY HUB

General

General verdicts ranked by evidence score. 277 verdicts in this category.

62 foods and supplements claimed to help general health, ranked by evidence
Drugs and procedures removed — only what you swallow, ordered by how strong the evidence is.

01

General Evidence Ranking

Within this category, verdicts with higher evidence scores appear first. Verdicts without a score stay lower in the same list.

A 96 Intravenous tranexamic acid (prescription antifibrinolytic hemostatic drug) Reduced four-week all-cause and bleeding mortality when given early to adults with severe traumatic bleeding
A 95 Oral rehydration salts, a glucose-electrolyte solution Correction of mild to moderate dehydration caused by diarrhea, vomiting, or heat
A 94 Guaiac fecal occult blood testing (gFOBT, repeated screening) Reduced colorectal cancer mortality through repeated fecal occult blood screening in asymptomatic middle-aged and older adults
A 93 Rituximab (anti-CD20 monoclonal antibody, MabThera, prescription anticancer infusion) Prolonged overall survival when added to CHOP in older adults with diffuse large B-cell lymphoma
A 92 Fluoride toothpaste (nonprescription drug product) Prevention of dental caries in primary and permanent teeth
A 92 Low-dose chest computed tomography (LDCT imaging screening) Reduced lung-cancer mortality through regular screening of high-risk smokers
A 90 Nicotine replacement therapy (NRT; nonprescription gum and patches) Improved long-term smoking-cessation success
A 88 Varenicline (partial agonist at the alpha4beta2 nicotinic receptor; Champix and Chantix; prescription) Increased long-term smoking cessation for at least six months when combined with behavioral support
A 86 Osimertinib (third-generation EGFR tyrosine kinase inhibitor, Tagrisso, prescription targeted anticancer drug) Prolonged overall survival with adjuvant therapy after complete resection of stage IB to IIIA EGFR-mutated non-small-cell lung cancer
A 86 Poractant alfa (porcine-lung-derived pulmonary surfactant, Curosurf, prescription intratracheal suspension) Reduction of neonatal mortality and pneumothorax in preterm respiratory distress syndrome
A 86 Pit-and-fissure sealant for permanent teeth in children Prevention of occlusal caries in permanent teeth
A 84 Mesh-reinforced groin hernia repair Reduced inguinal or femoral hernia recurrence versus non-mesh tissue repair
A 82 Prednisolone (oral prescription corticosteroid; Solondo) Increased complete facial-function recovery at three and nine months in adults with Bell palsy treated within 72 hours
A 82 Single-dose oral dexamethasone (prescription systemic corticosteroid) Reduced return visits and persistent symptoms in mild pediatric croup
B 79 Imatinib (BCR-ABL tyrosine kinase inhibitor, Gleevec, prescription anticancer medicine) Prevention of progression to accelerated phase or blast crisis in newly diagnosed chronic-phase chronic myeloid leukemia
B 79 Nusinersen (antisense oligonucleotide that modifies SMN2 splicing, Spinraza, prescription intrathecal injection) Improved motor-milestone attainment and event-free survival without death or permanent ventilation in spinal muscular atrophy
B 79 Pegfilgrastim (long-acting G-CSF, Neulasta, prescription injection) Primary prevention of febrile neutropenia and related hospitalization during myelosuppressive chemotherapy
B 78 Long-term oxygen therapy (LTOT, oxygen concentrator and nasal cannula for at least 15 hours per day) Reduced mortality in patients with COPD and severe resting hypoxemia while clinically stable
B 78 Oral azacitidine (CC-486, a prescription DNA methyltransferase-inhibiting anticancer drug; Onureg) Reduced relapse and death in older patients with AML in first remission after intensive chemotherapy who were not candidates for hematopoietic stem-cell transplantation
B 77 Hydroxyurea (hydroxycarbamide, an oral prescription drug) Reduction of vaso-occlusive pain crises, acute chest syndrome, and transfusion in sickle cell anemia
B 76 Acetazolamide (carbonic anhydrase inhibitor, Diamox, prescription) Prevention of acute mountain sickness in travelers ascending rapidly to high altitude
B 76 Epley manoeuvre (physical canalith-repositioning procedure for the posterior semicircular canal) Early resolution of vertigo and nystagmus in posterior-canal benign paroxysmal positional vertigo
B 76 Structured exercise program (three years of supervised and behaviorally supported aerobic exercise after adjuvant chemotherapy) Reduced recurrence, new primary cancer, or death after adjuvant chemotherapy for resected colon cancer
B 76 Venetoclax plus azacitidine, a lower-intensity anticancer regimen Longer overall survival in previously untreated acute myeloid leukemia unsuitable for intensive chemotherapy
B 76 Intravenous artesunate for severe malaria Reduced in-hospital mortality in severe falciparum malaria
B 76 Topical 38% silver diamine fluoride (SDF) Arrest of existing active dentin caries lesions in early childhood
B 76 Residential radon exposure Increased lung-cancer incidence
B 76 Prophylactic onlay mesh reinforcement added to midline closure in high-risk adults Prevention of incisional hernia at two years
B 76 A prophylactic platelet-transfusion threshold of 25×10⁹/L in severely thrombocytopenic preterm neonates Reduced death or new major bleeding by day 28 versus a threshold of 50×10⁹/L
B 76 Two units of thawed plasma before hospital arrival for trauma patients at risk of hemorrhagic shock Reduced 28- to 30-day mortality versus crystalloid-centered standard resuscitation
B 76 A restrictive red-cell transfusion strategy starting below hemoglobin 7 g/dL in severe acute upper gastrointestinal bleeding Improved six-week survival versus a liberal 9 g/dL threshold
B 76 A single intraoperative 8-mg intravenous dose of dexamethasone No clinically unacceptable increase in 30-day surgical-site infection with reduced postoperative nausea and vomiting after noncardiac surgery
B 76 Plasma-Lyte 148 balanced crystalloid Reduced delayed graft function requiring dialysis within 7 days after deceased-donor kidney transplantation
B 76 Flexible duty-hour rules for surgical residents Noninferior 30-day postoperative death or serious complications among patients
B 74 Cranberry (proanthocyanidins, PAC) Urinary tract and bladder health: inhibition of harmful bacterial adhesion in the urinary tract and reduced risk of recurrent urinary tract infection
B 74 Naltrexone 50 mg (mu-opioid receptor antagonist, prescription drug; Revia) Reduced heavy drinking and return to drinking in alcohol use disorder when combined with counseling
B 74 Bupropion sustained release (NDRI smoking-cessation medicine, prescription drug) Improved six-month continuous smoking abstinence when combined with counseling
B 74 Tezepelumab (TSLP-blocking monoclonal antibody; Tezspire; prescription injection) Prevention of exacerbations requiring systemic corticosteroids, emergency care, or hospitalization in severe uncontrolled asthma
B 74 Fondaparinux (synthetic pentasaccharide indirect factor Xa inhibitor, prescription injection; Arixtra) Prevention of symptomatic recurrent venous thromboembolism during initial treatment of acute pulmonary embolism and deep-vein thrombosis
B 73 Vibegron (beta-3 adrenergic agonist, Beova, prescription medicine) Improved urinary frequency, urgency, and urgency urinary incontinence in overactive bladder
B 73 Riluzole (a benzothiazole glutamate modulator, Rilutek, prescription medicine) Delayed death or tracheostomy and prolonged survival in amyotrophic lateral sclerosis
B 73 Rivaroxaban (direct factor Xa-inhibiting DOAC, Xarelto, prescription medicine; 15-to-20-mg VTE regimen) Treatment of acute deep-vein thrombosis and pulmonary embolism and prevention of recurrent symptomatic venous thromboembolism
B 72 Atovaquone/proguanil (fixed-dose antimalarial combination; oral prescription medicine marketed as Malarone) Prevention of clinical malaria in travelers to endemic areas
B 72 Professional fluoride varnish (a professionally applied topical fluoride dental treatment) Prevention of caries in primary and permanent teeth of children and adolescents
B 72 Nicotine e-cigarette used as a smoking-cessation aid Higher one-year sustained abstinence than nicotine-replacement therapy
B 72 Dupilumab (IL-4R-alpha-targeting monoclonal antibody; prescription injection) Reduced moderate or severe exacerbations in COPD with elevated eosinophils and type 2 inflammation
B 72 Pembrolizumab plus pemetrexed and platinum chemotherapy (prescription anticancer regimen) Prolonged overall survival in metastatic nonsquamous non-small-cell lung cancer
B 72 Apixaban, an oral factor Xa inhibitor Prevention of recurrent cancer-associated venous thromboembolism
B 72 Intravesical BCG induction and maintenance after TURBT Reduced recurrence in intermediate- and high-risk non-muscle-invasive bladder cancer
B 72 Tailored automated smoking-cessation text messaging, txt2stop Increased biochemically verified continuous abstinence at six months
B 72 Prophylactic noninvasive ventilation immediately after planned extubation in high-risk ICU patients Reduced reintubation within seven days versus high-flow nasal oxygen alone
B 72 Individualised energy- and protein-targeted nutritional support started within 48 hours for medical inpatients at nutritional risk Reduction in the 30-day composite of death, ICU admission, non-elective readmission, major complications, or functional decline
B 72 Twenty-four hours of high-flow nasal cannula immediately after planned extubation in low-risk ICU adults Reduced reintubation within 72 hours versus conventional oxygen
B 72 An extended clinical-pharmacist transition package spanning medication review, reconciliation, counseling, and postdischarge coordination Reduced all-cause readmission within 180 days versus usual care
B 72 A reengineered discharge bundle combining nurse coordination, an individualized discharge plan, and a pharmacist call 2 to 4 days later Reduced 30-day emergency visits and readmissions
B 72 One unit of prophylactic platelet concentrate before ultrasound-guided CVC placement in adults with 10,000 to 50,000 platelets per microliter Reduced grade 2-to-4 procedure-related bleeding within 24 hours
B 72 Continuous small-bites closure using 5 mm bites and 5 mm advances with 2-0 PDS Plus II after elective midline laparotomy Reduced one-year incisional hernia versus at least 10 mm bites and 10 mm advances with 1 PDS Plus II
B 72 Early low-dose hydrocortisone during the first 10 postnatal days Increased survival without bronchopulmonary dysplasia in extremely preterm infants
B 72 Withholding supplemental parenteral nutrition during the first PICU week Reduced newly acquired infection and PICU dependency
B 72 Sentinel-node-navigated neck surgery strategy Noninferior three-year overall survival in clinically node-negative early oral cancer
B 70 Ibuprofen 400 mg (oral NSAID) Single-dose pain relief for four to six hours in moderate or severe acute postoperative pain
B 70 High water intake targeting at least 2 L of urine per 24 hours Prevention of five-year recurrence after treatment of a first idiopathic calcium kidney stone
B 70 0.12% to 0.2% chlorhexidine rinse or a single intrasocket application of 0.2% chlorhexidine gel Prevention of alveolar osteitis, or dry socket, after tooth extraction
B 70 Elastic abdominal binder after cesarean delivery Improved early walking and recovery
B 70 Pregnancy smoking-cessation incentives contingent on biochemically verified abstinence Increased biochemically verified smoking cessation late in pregnancy
B 70 Repeated cessation counseling plus nicotine replacement begun four to eight weeks before surgery Reduced postoperative complications
B 70 One gram of EMLA cream 60 minutes before hemodialysis arteriovenous-fistula cannulation Reduced cannulation pain versus a lidocaine patch
B 70 A preformed metal crown placed with the Hall Technique Reduced major failure from pulpal disease or restoration failure requiring intervention in carious primary molars
B 70 Postoperative oral calcium 3 g/day plus active vitamin D 1 microgram/day Prevention of symptomatic hypocalcemia after total thyroidectomy plus central neck dissection for papillary thyroid cancer
B 70 Endoscopic sinus surgery plus intranasal corticosteroids and saline irrigation Improved symptoms and quality of life at six months in adults with chronic rhinosinusitis remaining symptomatic after appropriate medical therapy
B 70 High-dose pralidoxime regimen using a 2 g loading dose followed by 1 g per hour for 48 hours Reduced need for intubation and duration of mechanical ventilation in moderately severe organophosphorus pesticide poisoning
B 68 Mirabegron (beta-3 adrenergic receptor agonist and extended-release prescription medicine) Reduced urinary frequency, urgency, and urgency urinary incontinence in adults with overactive bladder
B 68 Vestibular rehabilitation (exercise therapy using eye, head, and body movements plus balance adaptation) Reduced chronic vestibular dizziness and related disability
B 68 Dimenhydrinate Prevention of motion sickness
B 64 Solifenacin (antimuscarinic, Vesicare, prescription) Improvement of urgency, frequency, and urgency urinary incontinence in overactive bladder
B 62 Chlorhexidine mouthwash (antimicrobial oral rinse) Reduced plaque accumulation and gingivitis as an adjunct to toothbrushing
B 62 Home INR self-testing (weekly point-of-care testing by warfarin users) Reduction of stroke, major bleeding, and death versus clinic testing
B 61 Pseudoephedrine (oral decongestant, Sudafed, nonprescription or controlled-sale medicine) Relief of nasal congestion from the common cold or allergic rhinitis
B 60 Micronized purified flavonoid fraction containing diosmin and hesperidin Relief of bleeding, itching, swelling, and other symptoms of acute hemorrhoids
C 59 OnabotulinumtoxinA intradetrusor injection (BOTOX, prescription procedure) Reduction of urgency urinary incontinence in refractory overactive bladder
C 58 Folate/folic acid (vitamin B9) Compound claims for anemia, pregnancy, and cardiovascular health
C 58 Potassium nitrate toothpaste (toothpaste for sensitive teeth, nonprescription product) Pain relief for dentin hypersensitivity
C 58 Gabapentin, a prescription antiseizure and neuropathic-pain medicine Reduction of persistent pain from postherpetic neuralgia
C 58 Duloxetine (prescription serotonin and norepinephrine reuptake inhibitor) Relief of widespread pain and patient-perceived symptoms in fibromyalgia
C 56 Septoplasty, with turbinate surgery when indicated Improved patient-reported symptoms and quality of life in nasal obstruction caused by a deviated septum
C 56 Wholegrain intake Lower all-cause mortality
C 56 A spicy-food pattern including fresh chili, dried chili, chili sauce, chili oil, and other or unspecified forms Lower all-cause mortality
C 56 Sugar-sweetened beverages such as sodas and fruit drinks containing added sugar Increased all-cause mortality
C 56 Total intake of ultra-processed foods under the NOVA classification Increased all-cause mortality
C 56 Vegetarian dietary pattern Reduced all-cause mortality versus nonvegetarian eating
C 56 A 0-to-32 organic-diet score derived from self-reported frequency across 16 food groups Reduced incidence of cancer
C 56 Habitual cycle commuting Reduced incidence of newly diagnosed cancer
C 56 Back blows and abdominal thrusts for adult foreign-body airway obstruction Favorable neurological outcome at 30 days
C 56 Inpatient comprehensive geriatric assessment centered on dedicated geriatric wards Higher probability of being alive and living at home three to twelve months after admission
C 56 Occupational disinfectant exposure Higher incidence of COPD
C 56 Seasonal influenza vaccination programs for care-home staff Reduced all-cause mortality among residents during influenza activity
C 56 Titrated oxygen targeting SpO2 88% to 92% during ambulance transport for suspected acute COPD exacerbation Reduced prehospital or in-hospital mortality versus routine high-flow oxygen
C 56 Brief universal postpartum nurse home visiting with linkage to community resources Reduced emergency-department visits and hospital overnights during infancy
C 56 Daily continuous low-dose antibiotic prophylaxis during clean intermittent self-catheterisation Reduction in recurrent symptomatic, antibiotic-treated urinary tract infections over 12 months
C 56 A 12-gene pharmacogenetic panel linked to genotype-guided prescribing Reduction of causal, clinically relevant adverse drug reactions within 12 weeks of starting a new drug
C 56 Four-month rifapentine–moxifloxacin regimen Noninferior treatment shortened by two months versus the standard six-month regimen for drug-susceptible pulmonary tuberculosis
C 55 Intravesical gemcitabine (prescription instillation) Prevention of tumor recurrence over four years with one immediate post-TURBT instillation in low-grade non-muscle-invasive bladder cancer
C 54 Weissella cibaria CMU (OraCMU) Improvement of gingivitis and gum bleeding
C 54 Hydroxyapatite toothpaste (fluoride-alternative remineralizing toothpaste, general use) Enamel remineralization without fluoride and caries prevention comparable to fluoride toothpaste
C 54 Pregabalin (prescription gabapentinoid) Patient-reported pain reduction in painful diabetic peripheral neuropathy
C 54 Duloxetine, a prescription serotonin-norepinephrine reuptake inhibitor Patient-perceived pain reduction in painful diabetic peripheral neuropathy
C 54 Self-reported annual volunteering categorized as 0, 1-49, 50-99, or at least 100 hours Lower onset of physical-function limitations four years later
C 54 Placing an infant supine for sleep from birth through the first year Reduced sudden infant death syndrome
C 54 Buttonhole cannulation of a hemodialysis arteriovenous fistula Increased local infection, abscess, or bacteremia versus rope-ladder cannulation
C 54 Portable-bladder-ultrasound prompted voiding tailored to individual bladder capacity Reduced daytime urine leakage in older nursing-home residents
C 54 Hospital-wide adoption of safety-engineered needles and blood-collection devices Reduction in occupational needlestick injuries among healthcare personnel
C 54 Bedside medication management combining patient and drug bar-code verification with an electronic medication record Reduction in nontiming medication-administration errors
C 54 Emicizumab prophylaxis Reduced treated bleeding in hemophilia A with factor VIII inhibitors
C 54 Icon resin infiltration (ICON, DMG, Germany) Reduced radiographic progression of non-cavitated proximal early caries
C 54 A phase-change-material cooling vest and an on-site cooling oasis combining hydration, cold towels, fans, and water dousing Reduced physiological heat strain measured by core temperature and heart rate during sawmill work in Thailand
C 54 Monthly fitusiran prophylaxis Reduced annualized bleeding in severe hemophilia A or B without inhibitors
C 52 Iodine Thyroid function
C 52 Lactic-acid-bacteria-fermented oyster extract, FGO Promotion of height growth in children
C 52 Oral sodium bicarbonate (oral alkali-supplement tablets) Delayed kidney-function decline and progression to dialysis in chronic kidney disease with metabolic acidosis
C 52 Honey (food and nonprescription natural product; age 12 months or older) Relief of nocturnal cough frequency and cough-related sleep disturbance in children with acute upper respiratory infection
C 52 Screening colonoscopy (a one-time invitation strategy for asymptomatic adults at average risk) Prevention of colorectal cancer incidence and colorectal cancer death
C 50 Fesoterodine, an antimuscarinic treatment for overactive bladder Reduced urinary frequency and urgency urinary incontinence in overactive bladder
C 50 Amoxicillin, a prescription penicillin antibiotic Meaningful shortening of symptoms and disease-specific quality-of-life impairment in clinically diagnosed adult acute rhinosinusitis
C 50 Powered toothbrush, especially oscillating-rotating designs Improved gingivitis and gingival-bleeding indices versus a manual toothbrush
C 50 UV-B-irradiated brown button mushroom, Agaricus bisporus, soup Improved serum 25-hydroxyvitamin D status in adults with low vitamin D
C 50 Calcium-fortified UHT milk, 330 mL on each school day Greater 24-month height growth in 10-year-old girls with low calcium intake and low vitamin D status
C 50 Curcumin 2 g coadministered with concentrated piperine 20 mg Increased single-dose peak serum curcumin and systemic exposure
C 50 Twice-daily 0.9% saline nasal irrigation after work shifts Relief of chronic sinonasal symptoms in cement-dust workers
C 50 Daily dental floss added to toothbrushing Reduced gingivitis and prevention of long-term periodontal disease
C 50 Smartphone dual tasks such as texting, reading, or calling while walking Reduced gait stability
C 50 Residential dampness and mold Increased asthma onset and respiratory symptoms
C 50 Water-based, oil-based, carbamide-peroxide, and other cerumenolytic ear drops Complete clearance of impacted earwax and reduced need for further removal
C 50 Percutaneous tibial nerve stimulation using the Urgent PC system Relief of urgency, frequency, urgency urinary incontinence, and quality-of-life impairment in overactive bladder
C 50 Uniform-attenuation earplugs worn at a live music event Prevention of temporary hearing-threshold shift immediately after amplified music exposure
C 50 Teacher- or staff-supervised brushing with fluoride toothpaste on each school day Reduced increment in new carious tooth surfaces or DMFS among children
C 50 A dry-mouth pastille containing gum arabic, hydroxyethylcellulose, sodium hyaluronate, and carrageenan Increased salivary flow and relief of dry mouth
C 50 Pelviva, a disposable home intravaginal pelvic-floor neuromuscular electrical-stimulation device Improved female urinary-incontinence symptoms and quality of life
C 50 Combined CPC and essential-oil mouth rinse Reduced plaque re-accumulation after professional prophylaxis
C 50 Smart in-home electronic medication dispenser Improved medication adherence in adults with chronic conditions and polypharmacy
C 50 Oral eltrombopag Platelet-count response and reduced bleeding in chronic immune thrombocytopenia
C 50 Sunlight phototherapy filtered to remove ultraviolet and infrared radiation Bilirubin control noninferior to conventional electric phototherapy in term and late-preterm neonatal jaundice
C 50 A 22-day tapering course of high-dose methylprednisolone Recovery of unilateral vestibular function on caloric testing at 12 months after acute vestibular neuritis
C 50 Oral sodium fluoride 40 mg/day Slower progression of hearing loss from otosclerosis
C 50 Osilodrostat Maintenance of normalized 24-hour urinary free cortisol in Cushing's disease
C 50 Three-dimensional printed nasoalveolar molding appliance (D-NAM) Improved presurgical maxillary-arch morphology in infants with complete unilateral cleft lip and palate
C 50 Intravenous sodium thiosulfate given six hours after completion of cisplatin Prevention of cisplatin-induced hearing loss in children
C 50 Self-assembling peptide P11-4 and a self-assembled peptide matrix Arrest or regression of early occlusal caries in children and adolescents
C 50 Once-weekly somapacitan Noninferior annualized height velocity at week 52 versus daily growth hormone in children with growth hormone deficiency
C 50 Preterm formula powder used to fortify human milk Noninferiority to commercial human milk fortifier for in-hospital weight-gain velocity in very-low-birth-weight preterm infants
C 50 Vitamin D3 buccal spray in patients with intestinal malabsorption Greater serum 25(OH)D increase than the same 1000 IU/day dose in soft-gel capsules
C 50 10-kHz spinal cord stimulation At least 50% pain relief in refractory painful diabetic neuropathy
C 50 Givosiran Reduced annualized composite attacks in recurrent acute intermittent porphyria
C 49 WHO Surgical Safety Checklist (patient-safety program) Reduced postoperative complications, surgical-site infection, and mortality
C 48 Chlorella (chlorella) Detoxification, immunity, and cholesterol
C 48 Oral probiotics, including Streptococcus salivarius K12 and Lactobacillus reuteri, supplied as lozenges or tablets Reduced organoleptic scores and volatile sulfur compounds in halitosis
C 47 Ivy leaf dry extract from Hedera helix Reduced cough frequency and severity in acute bronchitis
C 46 Low-molecular-weight collagen (hydrolyzed collagen peptides) claims of superior absorption rate and molecular weight
C 46 A meat-based diet combining pork, beef, chicken, and fish Maintenance of serum ferritin and hemoglobin in nonanemic women of childbearing age with low iron stores
C 46 Longitudinal follow-up of adolescents' reported exposure to violent video games Increased long-term aggressive behavior
C 46 Tongue cleaner Reduction of halitosis-related volatile sulfur compounds
C 46 Water flosser or oral irrigator Improvement in gingivitis and bleeding indices
C 46 Oil pulling by prolonged swishing of sesame, coconut, or other edible oil Reduced gingivitis and dental plaque
C 46 Inserting cotton-tipped swabs into the ear canal for cleaning Increased cerumen occlusion
C 46 A sequential package of counseling, hearing-aid amplification, tinnitus activities treatment, and Widex Zen fractal tones Reduced distress and functional handicap from chronic tinnitus
C 46 An intranasal filter intended to block inhaled pollen Reduced nasal symptoms of seasonal allergic rhinitis
C 46 Caplacizumab added to standard plasma exchange and immunosuppression Faster platelet response and fewer clinical events in acquired thrombotic thrombocytopenic purpura
C 46 Novaloc attachment Improved patient satisfaction with single-implant mandibular overdentures
C 45 Noni (noni, Morinda citrifolia) Anti-inflammatory and cure-all-style claims
C 45 Xylitol chewing gum (sugar-alcohol gum) Prevention of incident dental caries with long-term use
C 44 Krill oil (phospholipid omega-3) superior absorption and blood markers versus omega-3
C 44 Chlorophyllin (distinct from liquid chlorophyll) Body-odor reduction and detoxification
C 43 Multivitamin/multimineral General health, fatigue, and disease prevention
C 42 Balloon flower root (Platycodon grandiflorus, platycodin/platycodin D-series saponins) bronchial health, cough, and phlegm
C 42 Modified citrus pectin Heavy-metal elimination and detoxification
C 42 Clinoptilolite zeolite Heavy-metal adsorption and systemic detoxification
C 42 Bentonite clay Gut cleansing and systemic toxin removal
C 42 Povidone-iodine gargle or throat spray (Betadine, nonprescription medicine) Prevention of common-cold or COVID-19 infection and progression to severe disease
C 41 Benfotiamine, also called S-benzoylthiamine Improved pain and nerve function in diabetic peripheral neuropathy
C 40 Diamine oxidase (DAO) Relief of headache, urticaria, and gastrointestinal symptoms attributed to food-related histamine intolerance
D 35 Oral zinc (zinc sulfate, gluconate, and other salts; an essential trace-mineral supplement) Reduced loudness and distress from subjective tinnitus in adults
D 35 Hydrochlorothiazide (thiazide diuretic, Dichlozid, prescription drug) Prevention of clinical and radiologic recurrence of calcium kidney stones
D 34 Tamsulosin (prescription alpha-1 blocker) Facilitation of spontaneous passage of ureteral stones 5 mm or smaller
D 34 Early goal-directed therapy, a six-hour protocol targeting central venous pressure and central venous oxygen saturation Reduced 90-day mortality in septic shock versus contemporary usual care
D 34 Weekend-warrior activity concentrating recommended weekly exercise into one or two sessions Whether all-cause mortality differs from activity spread over three or more sessions
D 34 Approximately 8.5 to 12.5 sedentary hours per day Mortality risk as large as smoking and not attenuated by exercise
D 34 Personal use of permanent hair dye Higher incidence of hematopoietic cancer
D 34 Physician-pharmacist medication optimization using STOPP/START and STRIPA Reduction of 12-month drug-related hospital admission in inpatients aged 70 or older with multimorbidity and polypharmacy
D 34 Early 48-hour continuous cisatracurium neuromuscular blockade Reduction of 90-day in-hospital mortality in moderate-to-severe acute respiratory distress syndrome
D 34 Balanced crystalloids Lower mortality than saline in critically ill adults
D 34 Fresh lemon juice 60 mL twice daily, providing about 6 g citric acid daily Prevention of two-year recurrent idiopathic calcium oxalate stones
D 34 Removing the dressing within 12 hours and bathing normally after primary closure of a minor skin excision No greater wound-infection risk than keeping the wound dry and covered for 48 hours
D 34 Topical intranasal tranexamic acid 100 mg/mL delivered on a cotton dental roll Reduced need for anterior nasal packing in adults with emergency-department epistaxis
D 34 Temporary transport of an avulsed permanent tooth in milk before dental care Improved long-term survival and functional replantation success versus tap water, saline, or dry storage
D 34 Structured professional oral care in nursing homes Prevention of pneumonia among nursing-home residents
D 34 A strategy of transfusing fresher, shorter-stored red blood cells Reduced 90-day all-cause mortality versus standard-issue red cells in critically ill adults
D 34 Early high-frequency oscillatory ventilation for adults with moderate-to-severe ARDS Reduced short-term all-cause mortality versus contemporary lung-protective conventional ventilation
D 34 An i-gel-first strategy for initial advanced airway management in out-of-hospital cardiac arrest Better functional recovery at discharge or 30 days than with a tracheal-intubation-first strategy
D 34 Addition of nitrous oxide to general anesthesia for high-risk noncardiac surgery No increase in major cardiovascular events, but increased severe nausea and vomiting
D 34 Restrictive fluid therapy Reducing disability and complications after major abdominal surgery
D 34 Early tracheostomy within four days of ICU admission Reduced 30-day mortality in adults expected to require prolonged mechanical ventilation
D 34 Energy-dense enteral nutrition at 1.5 kcal/mL Reduced 90-day mortality in mechanically ventilated critically ill adults
D 34 Initial trophic versus full-goal enteral feeding during the first six days of mechanical ventilation More ventilator-free days and lower mortality in acute lung injury
D 34 Six 50 g doses of activated charcoal given every 4 hours Reduced in-hospital mortality after acute intentional self-poisoning
D 34 Oxycodone-, hydrocodone-, or codeine-acetaminophen combination analgesics Superior two-hour analgesia versus ibuprofen-acetaminophen for acute extremity pain in the emergency department
D 30 High-dose intravenous vitamin C (high-dose IV ascorbic acid infusion) Reduced death and persistent organ dysfunction in vasopressor-dependent sepsis
D 30 Kinesiology tape, an elastic therapeutic tape Reduction of chronic nonspecific low-back pain and disability
D 30 Systemic prednisolone (prescription oral glucocorticoid) Hearing recovery in idiopathic sudden sensorineural hearing loss
D 30 Transmeatal low-level laser therapy Relief of chronic tinnitus severity and distress in adults
D 30 A carnivore diet centered on animal foods while excluding nearly all fruit, vegetables, and grains Improved overall perceived health and well-being
D 30 Controlled high-protein diet providing 25% of energy from protein Kidney damage in adults without kidney disease
D 30 Eating 100 g grilled spinach together with 100 to 180 g milk or dairy products Increased calcium oxalate kidney-stone events
D 30 Practice-based social-prescribing link worker support for people with multimorbidity in deprived areas Improved quality of life and mental health
D 30 The modified baby-led complementary-feeding program BLISS with choking-prevention education from about six months Reduced infant choking events
D 30 Ionic detox footbath using an electrode array in salted water Increased elimination of heavy metals and toxins from the body
D 30 Oral or mechanical suction of a venomous-snake bite wound Removal of a clinically meaningful amount of venom
D 30 Delivery-room resuscitation strategy incorporating sustained lung inflations Reduced bronchopulmonary dysplasia or death at 36 weeks in extremely preterm infants
D 30 Risk-based, six-month, and 24-month adult dental recall intervals Maintenance of oral health and oral-health-related quality of life over four years
D 30 Nasal high-flow therapy as primary early respiratory support in preterm infants Increased treatment failure within 72 hours versus CPAP
D 30 One additional hyperbaric-oxygen session after a standard first session Increased complete recovery at one month after acute carbon monoxide poisoning with initial coma
D 28 Tauroursodeoxycholic acid (TUDCA) Slowing ALS progression and extending survival
D 28 Graviola (Annona muricata, soursop) Cancer prevention, treatment, and adjunctive anticancer use
D 28 Betahistine (histamine analog, prescription) Reduced frequency of vertigo attacks in Ménière's disease
D 28 Acupuncture or auricular acupuncture for smoking cessation Suppression of nicotine craving and smoking abstinence lasting at least six months
D 28 Rigid neutral-position wrist splint Symptom improvement and avoidance of surgery in primary carpal tunnel syndrome
D 28 Adding 0.3 g ground black pepper to 0.3, 1, or 3 g turmeric powder Greater chronic-pain reduction than turmeric alone
D 28 A single 5 g dose of monosodium glutamate, or MSG, challenged while fasting and with food Consistent and reproducible provocation of an acute cluster of headache, flushing, tingling, and palpitation
D 28 Pork, 150 g twice weekly for six weeks Elimination of inhaled fine dust or occupational heavy metals
D 28 Six- or twelve-month routine scale and polish in regular attenders without established or advanced periodontitis Prevention of gingival bleeding and early periodontal disease
D 28 A manually adjustable sit-stand workstation provided to office workers for eight weeks Improved cardiovascular and metabolic health
D 28 At-home tooth-whitening strips containing 6% hydrogen peroxide Increased tooth sensitivity as an adverse effect
D 28 Mobile seated infant walker Earlier onset of independent walking
D 28 Ear candling Cerumen removal
D 28 A very-low-force fountain-type electronic bidet using approximately 38-degree-C water for 3-5 minutes Noninferior relief of pain seven days after hemorrhoidectomy as a substitute for a warm sitz bath
D 28 Complete abstinence from clear fluids after midnight before elective surgery Prevention of regurgitation and pulmonary aspiration during anesthesia
D 28 Repeated fist clenching and releasing under a tourniquet during venepuncture No alteration of the serum or plasma potassium result
D 28 Standard weekly pillbox, digital timer cap, and pill-bottle toggle strip Improved 12-month medication adherence for chronic-disease therapy
D 28 Xenogeneic collagen matrix Mucograft added to coronally advanced flaps Root coverage noninferior to autologous connective-tissue grafting in multiple adjacent gingival recessions
D 28 Prophylactic extraction of asymptomatic disease-free impacted third molars Reduced late lower-incisor crowding after orthodontic treatment
D 27 Cilantro leaf extract Heavy-metal elimination and detoxification
D 27 Guaifenesin (expectorant, nonprescription medicine) Reduced cough and phlegm and shorter recovery from an acute cold or upper respiratory infection
D 25 Ginkgo biloba extract Reduction in subjective tinnitus loudness and distress
D 25 Pregabalin (gabapentinoid, Lyrica, prescription drug) Improved leg pain and function in acute and chronic sciatica
D 24 Oral cannabidiol isolate, or CBD isolate, at 400 to 600 mg Clinically meaningful relief of musculoskeletal pain, including acute low back pain and knee osteoarthritis.
D 22 D-mannose Prevention of recurrent urinary tract infection
D 20 Detox foot pads (adhesive patches applied to the soles) Removal of heavy metals and metabolic waste through the soles during overnight use
F 13 Gabapentin (prescription gabapentinoid marketed as Neurontin) Improved pain and function in chronic sciatica or lumbar radicular pain
F 12 Vitamin D3, or cholecalciferol Prevention of cancer incidence in generally healthy adults
F 12 Magnesium Prevention of nocturnal idiopathic leg muscle cramps in older adults
F 12 Allopurinol (xanthine oxidase inhibitor, Zyloric, prescription medicine) Prevention of kidney-function decline and kidney failure in gout-free asymptomatic hyperuricemia with chronic kidney disease
F 12 Dextromethorphan (nonprescription antitussive) Relief of nocturnal cough and sleep disturbance from colds or upper respiratory infection in children
F 12 An oxygen-saturation target strategy of 85–89% Safety or overall benefit in extremely preterm infants
F 8 Oral homeopathic Arnica montana 30C Reduced bruising, contusions, post-exercise muscle soreness, and swelling
F 8 Oral phenylephrine (nonprescription ingredient in products such as Pancol-A and Contac) Relief of nasal congestion from a cold or allergic rhinitis
F 8 Nux vomica 30C homeopathic product Relief of heartburn and dyspepsia
F 8 General health checks (multidisease and multirisk-factor screening packages) Prevention of ischaemic heart disease and death in asymptomatic general adults
F 8 Prophylactic low-dose normobaric oxygen (routine use in acute stroke without hypoxia) Reduction of death and disability after acute stroke
F 5 High-dose beta-carotene, lung-cancer prevention axis in smokers Prevention of lung cancer in smokers
F 5 Amygdalin and laetrile, related but chemically nonidentical agents that are often used interchangeably, also called vitamin B17 (cyanide-generating and unapproved alternative-treatment products) Shrinking or treating cancer and extending survival with an apricot-kernel-derived substance
F 5 Periodic chest-radiograph screening for lung cancer Detecting lung cancer early and reducing lung-cancer mortality in asymptomatic adults
? score not listed Activated charcoal capsules Systemic toxin removal and detoxification
? score not listed Irish sea moss (Chondrus crispus) Thyroid, immune, and general health
? score not listed Monolaurin (glycerol monolaurate) Antibacterial, antiviral, and immune support
? score not listed Colloidal silver Infection prevention and enhanced immunity
? score not listed Fulvic acid and humic minerals Trace-mineral supplementation, heavy-metal detoxification, and general vitality
? score not listed Coral calcium with alkalization claims Body alkalization, chronic-disease prevention, and general health
? score not listed Organic germanium Ge-132, carboxyethylgermanium sesquioxide Immune enhancement, anticancer effects, fatigue relief, and general vitality
? score not listed Sarsaparilla root (Smilax species) Blood purification and whole-body detoxification
? score not listed Mimosa pudica seed (sensitive-plant seed supplement) Removal of intestinal parasites and gut cleansing or detoxification
? score not listed Fenbendazole (a veterinary benzimidazole anthelmintic) Tumor shrinkage and longer survival in people with advanced cancer
? score not listed Hyland's Bioplasma 12 cell salts (homeopathic tissue-salt product) Relief of fatigue and nervous tension
? score not listed Himalayan pink salt (rock salt) Mineral and electrolyte replacement and hydration superior to ordinary salt
? score not listed Whole Swiss chard Correction of iron-deficiency anemia
? score not listed Dried unseasoned nori from Pyropia or Neopyropia species Faster growth velocity and increased height in children
? score not listed Air-fried potatoes Reduced cancer incidence versus deep-fried potatoes
? score not listed Eating raw cucumber and raw radish after cutting them together Worsened vitamin C status or clinical deficiency
? score not listed Tilting the head back during a nosebleed Hemostasis and shorter bleeding time
? score not listed Double voiding: waiting or changing position after a first void and urinating again Prevention of recurrent urinary tract infection, acute retention, catheterization, or hospitalization