The honest supplement guide
Supplements: the few that work, the many that are marketing
The UK supplements industry sells billions of pounds of hope a year, and most of it is regulated as food, not medicine. That means products reach the shelf without proving they do anything at all. A small handful genuinely work. A slightly larger handful are useful in specific situations. And some are not just useless but dangerous, which is where the MHRA has had to step in. Here is the whole truth, sorted pile by pile.
Pile one: genuinely evidence-backed
Pile two: oversold, underdelivered
Pile three: the nonsense, and the ones the MHRA warns about

How the rules actually work (and how companies skirt them)
In the UK, supplements are regulated as foods. They cannot legally claim to treat, prevent or cure disease, and when a company crosses that line, two regulators get involved. The Advertising Standards Authority bans misleading adverts, and it rules against supplement and diet-product claims every month. The MHRA steps in when a "supplement" contains an actual drug or makes medicinal claims, because at that point it is an illegal unlicensed medicine. The loophole is wording: "supports", "boosts" and "contributes to" are legal even when the product does nothing, which is why those words appear on every tub. When you see them, read them as "unproven". And if a supplement gives you an odd reaction, report it through the MHRA Yellow Card scheme, which accepts reports about herbal products and supplements too. More on all of this on our regulators page.
The research behind this page
We link the actual research, not press releases. These are the papers and reviews the numbers on this page come from.
- International Society of Sports Nutrition position stand: Kreider et al., Journal of the ISSN, 2017. Creatine monohydrate is the most effective legal supplement for improving strength and muscle in training, with a strong long-term safety record at 3 to 5 grams a day.
- US Preventive Services Task Force, JAMA, 2022. For healthy adults, the evidence does not show that multivitamins or most single supplements prevent heart disease or cancer, and beta-carotene supplements caused harm in smokers.
- Cochrane review: Abdelhamid et al., 2020. Omega-3 capsules have little or no effect on heart disease or death for most people. Oily fish on the plate remains the better bet.
Sources worth reading yourself
- ISSN position stand on creatine, the review that settled the question.
- British Dietetic Association: detox diets and products.
- NHS: food guidelines and labels.
- MHRA, for safety alerts on illegal slimming products.
- Advertising Standards Authority, to see which claims have been banned this month.
- pharmacy-score.co.uk, to check the score of any pharmacy before you buy from it.