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Colostrum

Colostrum is the milk mammals produce shortly after birth. Supplements usually use bovine colostrum, collected from cows after calving.

Also listed as First Milk, Bovine colostrum

Can it reduce cold-like symptoms?

A meta-analysis of five trials involving 152 regularly exercising adults found fewer days and episodes of upper respiratory symptoms with colostrum over 8–12 weeks. The pooled rate ratios were 0.56 for symptom days and 0.62 for episodes. These are relative rates, not the percentage of people guaranteed to avoid a cold. Four trials had moderate or high overall risk of bias, largely because methods were poorly reported. 1

Immune SupportMixed

There is a positive signal in exercising adults, with uncertainty about its size and applicability beyond that group. Symptom reporting does not identify a particular virus. 1

What happened outside athletic training?

A Polish trial tested 0.5–1.0 g daily in medical and health-science students, initially for 45 days and again for seven days later in a 107-day observation period. The reported benefit favored medical students, the group considered more exposed to infection and workload. Symptoms came from online questionnaires. 2

Only 158 of the 234 students entering the trial were included in the final analysis. Exclusions depended partly on questionnaire completion and unusually high symptom scores, which weakens confidence in the comparison. One author reported payments from the product manufacturer. This is an interesting follow-up to the athlete studies, with important selection and measurement limitations. 2

Does it “seal a leaky gut”?

A 2024 meta-analysis of ten articles found improvements in two urinary sugar-ratio tests used to assess intestinal permeability. Another marker, intestinal fatty acid-binding protein, did not improve. Results for some measures varied greatly between studies of athletes and patients. 3

Gut IntegrityToo little evidence

Barrier-marker changes are a useful research lead. They do not establish relief from everyday bloating or successful treatment of a digestive disease. 3

What about strength and bones?

In one trial summarized by the clinical review, 40 older adults combined resistance training with colostrum or a whey-based comparator for eight weeks. Colostrum improved leg-press strength and a marker of bone breakdown, but not body composition or muscle thickness. The colostrum dose was 60 g daily. 4

Bone densityToo little evidence

A change in a bone-breakdown marker in a small, short trial does not establish higher bone density or fewer fractures. 4

Which questions remain open?

The same clinical review found inconsistent results across gastrointestinal illnesses and limited evidence in older adults. Trials of topical products, newborn feeding and oral supplements answer different questions; they should not be pooled into a promise for an adult powder. The composition review is useful for biological hypotheses, but it also reports dairy-industry funding and author employment links. 4 5

This page does not assess colostrum for skin texture, histamine balance, joint mobility or everyday energy crashes.

Effects by health goal

Open an effect to see the studies behind its rating. Bars show the size of the effect; the letter grades the evidence.

Gut Health4 effects

Gut healthStrongA3 studies
Gut IntegrityGut HealthStrongA3 studies
Microbiome healthGut HealthModerateB3 studies
Digestive sensitivityGut HealthModerateB3 studies

All studies

26 publications are linked to Colostrum, newest first.

Bovine Colostrum Increases Intestinal Permeability in Healthy Athletes and Patients: A Meta-Analysis of Randomized Clinical Trials.2024A Review: The Effect of Bovine Colostrum on Immunity in People of All Ages2024Exploring the impact of colostrum supplementation on athletes: a comprehensive analysis of clinical trials and diverse properties2024Moderate Dose Bovine Colostrum Supplementation in Prevention of Upper Respiratory Tract Infections in Medical University Students: A Randomized, Triple Blind, Placebo-Controlled Trial2023Anti-Inflammatory and Anti-Allergic Properties of Colostrum from Mothers of Full-Term and Preterm Babies: The Importance of Maternal Lactation in the First Days2023Effects of Long-Term Supplementation of Bovine Colostrum on Iron Homeostasis, Oxidative Stress, and Inflammation in Female Athletes: A Placebo-Controlled Clinical Trial2022A Systematic Review of the Influence of Bovine Colostrum Supplementation on Leaky Gut Syndrome in Athletes: Diagnostic Biomarkers and Future Directions2022Association between Maternal Characteristics and Immune Factors TGF-β1, TGF-β2, and IgA in Colostrum: An Exploratory Study in Japan2022The impact on colostrum oxidative stress, cytokines, and immune cells composition after SARS-CoV-2 infection during pregnancy2022Bovine colostrum: A source of bioactive compounds for prevention and treatment of gastrointestinal disorders2021Colostrum Therapy for Human Gastrointestinal Health and Disease2021Bovine Colostrum Applications in Sick and Healthy People: A Systematic Review2021Impact of Oropharyngeal Administration of Colostrum in Preterm Newborns’ Oral Microbiome2021Bovine Colostrum and Its Potential for Human Health and Nutrition2021Milk Proteins—Their Biological Activities and Use in Cosmetics and Dermatology2021Nutritional attributes of bovine colostrum components in human health and disease: A comprehensive review2021Nutraceutical Supplementation Based on Colostrum as Osteoporosis Treatment: A Pilot Study2021Supplementation of Bovine Colostrum in Inflammatory Bowel Disease: Benefits and Contraindications2020Immunological Outcomes of Bovine Colostrum Supplementation in Trained and Physically Active People: A Systematic Review and Meta-Analysis2020Influences of bovine colostrum on nasal swab microbiome and viral upper respiratory tract infections – A case report2020

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