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ProtocolEngine provides general health information based on published research. This is not medical advice. Consult a healthcare professional before starting any supplement or health protocol.

© 2026 ProtocolEngine

Changelog

What changed in the evidence

Every grade change from the last 30 days, with the studies behind it. When a grade moved because we changed how we process studies, we say so.

Grade changes in the last 30 days

A change is listed once the new grade has held for at least a day and a half. Grades that moved back and forth near a boundary are left out until they settle.

  • Active recoveryCLimited confidence→toBBuilding confidenceOct 18, 2026

    2 new studies, and recalculated after a method update: More complete extraction (Oct 18, 2026)

    • Rethinking neurophysiology of delayed onset muscle soreness: updated concepts and mechanisms for mitigation across endurance, resistance, and plyometric exercise.Systematic reviewPubMed
    • Dose-dependent effects of sodium bicarbonate supplementation combined with sprint interval training on performance adaptations in basketball players: a randomized placebo-controlled trial.Randomized trialPubMed
  • UV eye protectionEInsufficient evidence→toCLimited confidenceOct 18, 2026

    No new studies. Recalculated after a method update: More complete extraction (Oct 18, 2026)

  • FisetinCLimited confidence→toBBuilding confidenceOct 18, 2026

    No new studies. Recalculated after a method update: More complete extraction (Oct 18, 2026)

  • QuercetinBBuilding confidence→toASolid confidenceOct 18, 2026

    3 new studies, and recalculated after a method update: More complete extraction (Oct 18, 2026)

    • Quercetin as a modulator of xenobiotic metabolism: integrating CYP450 regulation, phase II conjugation pathways, and transporter-mediated drug interactions.Systematic reviewPubMed
    • Immunomodulatory potential of Mongolian medicine in sepsis: current evidence, challenges, and translational perspectives.Systematic reviewPubMed
    • Knowledge structure, latent topics, and emerging trends in quercetin-immunity research from 2006 to 2025: a bibliometric and LDA topic-modeling analysis.Systematic reviewPubMed
  • Fermented food intakeBBuilding confidence→toCLimited confidenceOct 14, 2026

    No new studies. The grade was recalculated from the studies already linked.

  • Protein at every mealDPreliminary→toEInsufficient evidenceOct 14, 2026

    No new studies. The grade was recalculated from the studies already linked.

  • EphedraCLimited confidence→toEInsufficient evidenceOct 14, 2026

    No new studies. The grade was recalculated from the studies already linked.

  • Mindful eatingBBuilding confidence→toCLimited confidenceOct 14, 2026

    No new studies. The grade was recalculated from the studies already linked.

  • Daily outdoor light for visionCLimited confidence→toBBuilding confidenceOct 11, 2026

    No new studies. The grade was recalculated from the studies already linked.

Method updates

Changes to how we extract, link or score studies. Grades can move after these without any new research.

  • Oct 20, 2026

    Complete study counts

    Grades for the most-studied supplements were calculated from an incomplete set of findings that varied from night to night, which made some grades flip back and forth. Every grade is now calculated from the complete set, so some grades moved once.

  • Oct 18, 2026

    More complete extraction

    We re-read 4,708 papers with an improved, benchmark-tested extraction step that records each finding separately. This added about 20% more findings per paper, so some grades moved without any new studies.

  • Oct 12, 2026

    Caught up on missed papers

    A pipeline fault had left 4,527 papers added between July and October without extracted findings. We extracted them and recalculated grades. Grades that moved on this date reflect studies we should have counted earlier, not new research.

Corrections

Mistakes on our pages that readers reported or we found, and what we changed.

  • Oct 19, 2026

    Macular health: vitamin E form corrected

    The protocol listed 400 IU of mixed tocopherols. AREDS, the trial the protocol is based on, used 400 IU a day of synthetic vitamin E (dl-alpha-tocopheryl acetate). The protocol now names the form that was tested. Reported by a reader.

    AREDS Report No. 8 (Arch Ophthalmol 2001)

  • Oct 19, 2026

    Macular health: who it is for, copper added, omega-3 removed

    AREDS and AREDS2 found that the formula slowed progression in people who already have intermediate age-related macular degeneration, not in people without it. The protocol now says so, adds the 2 mg of copper both trials paired with zinc, and drops omega-3, which AREDS2 found did not slow progression.

    AREDS2 (JAMA 2013)AREDS Report No. 8 (Arch Ophthalmol 2001)

  • Oct 19, 2026

    Dry eye: omega-3 evidence narrowed

    A 2026 meta-analysis of 27 randomized trials found that long-chain omega-3 (EPA and DHA) helped screen-related and contact-lens dry eye, but not dry eye from meibomian gland dysfunction or unknown causes, and plant omega-3 (ALA) did not help. The protocol now says which kinds of dry eye the evidence supports. Reported by a reader.

    Omega-3 forms and dry eye etiologies, meta-analysis of 27 RCTs (BMC Ophthalmology 2026)

How grades are calculated

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