Collagen Supplements Review

The Best Collagen Supplements for Wrinkles and Joints Revealed. Find Out If Collagen Really Works and Which Reviewed Products Are Best In Our Tests and Comparisons.

Medically reviewed and edited by Tod Cooperman, M.D. Tod Cooperman, M.D.

Last Updated: 09/17/2021 | Initially Posted: 09/28/2019Latest Update: Can Collagen Lower Blood Sugar?

Collagen Supplements Reviewed By ConsumerLab

Table of Contents

Summary



·         What is collagen? Collagen is a type of protein found in the skin (types I and III collagen), joints (type II collagen) and other parts of the body. It uniquely contains the amino acid hydroxyproline, along with other amino acids. Collagen in supplements is typically hydrolyzed, i.e., broken down to amino acids and/or chains of amino acids (peptides) to improve absorption as well as the ease with which it mixes into liquids (See What It Is).

·         Health benefits of collagen: Collagen appears to modestly reduce wrinkles and slightly improve the appearance of cellulite. It may also modestly improve joint pain and flexibility in osteoarthritis. These effects can require two to six months of daily use (see What It Does).

·         What did CL's tests of collagen supplements find? ConsumerLab's tests showed that products contained their expected amounts of collagen, ranging, per daily serving, from about 3 grams to 25 grams among powders and liquids, and from 0.01 grams (10 mg) to 6 grams for tablets, capsules, and chews. One product was Not Approved due to contamination with cadmium, a toxic heavy metal (See What CL Found).

·         Best collagen supplements? Among the products Approved in testing, ConsumerLab selected a Top Pick for skin (wrinkles) and a Top Pick for joint pain.

·         How much collagen should I use? Typical daily dosage of hydrolyzed collagen is 1 to 10 grams. Dosing with UC-II, a cartilage-based product, is much lower. Collagen may be taken with or without food. For details see ConsumerTips.

·         Collagen supplements safety and side effects: Collagen supplements are generally well-tolerated, but mild side effects including gastrointestinal symptoms, headache, dizziness and rash can occur. People with allergies to specific sources of collagen (such as fish) should avoid collagen products derived from these sources (see Concerns and Cautions).

What It Is:

Collagen is the most abundant protein in the body. It is a main building block of connective tissue and found in skin, bone, cartilage, tendons, muscle, blood vessels and the cornea of the eye. Collagen protein is a rich source of amino acids -- especially glycine, proline, and hydroxyproline, which are used by the body to build new collagen. Hydroxyproline is unique to collagen and is not found in other types of protein. Hydroxyproline and proline make collagen particularly stable — an important attribute in its role in connective tissues.  Collagen supplements are typically derived from animal sources such as cows, pigs, chicken, or fish, and occasionally, from other sources, such as eggshell membranes. Types of collagen: There are many types of collagen, but the predominant types in the body are types I, II, and III. Collagen supplements for the skin typically (but not always) contain type I and/or type III collagen — the principal types of collagen found in the tendons, bone, and skin — in which they have been shown to decrease with age (Cheng, African J Biotechnol 2011Varani, Am J Pathol 2006). Supplements for joint health typically contain type II collagen, which is found most abundantly in cartilage.

Forms of collagen:
Collagen hydrolysate (also called hydrolyzed collagen or collagen peptides) is collagen that has been broken down (often with heat and enzymes) into smaller fragments of protein, or peptides. This makes the peptides more absorbable and allows them to mix into cold as well as hot liquids.

Collagen that has been only partially hydrolyzed is known as gelatin, in which the collagen fibers (made of a three strands twisted into a helix) are unraveled and become globular. However, gelatin will only dissolve in hot water and won't easily mix into cold water.

Collagen is also sold in a raw "undenatured" form. An example of this is the proprietary ingredient UC-II, which is, essentially, cartilage from chicken breast -- which is why only about 25% of UC-II is collagen, with the rest being other components of cartilage, such as glycosaminoglycans. The makers of UC-II claim that the undenatured collagen in UC-II differs from hydrolyzed or denatured collagen because it contains active immune modulators that reduce the secretion of enzymes that break down type II collagen, thereby slowing the inflammatory response.

Undenatured collagen, gelatin, and collagen hydrolysate may all be broken down in the gut to yield absorbable amino acids, although studies in mice have suggested that absorption may be greater with collagen hydrolysate, due to its smaller molecular size. However, a study in healthy young men showed the bioavailability of amino acids from hydrolyzed collagen peptide powder was not significantly greater than that from an equal amount (20 grams) of gelatin (both were mixed in about 1¼ cup of warm water). The men also found the gelatin slightly more palatable than the peptides and, considering it was only one-quarter the cost of the peptides, 93% said they would be willing to pay for the gelatin versus only 60% for the peptides if they knew the powders were beneficial. (Alcock, Front Nutr 2019).

What It Does:

As with other proteins, most of the collagen you consume will be broken down into individual amino acids during digestion. In addition to being a source of protein, there is preliminary evidence that some collagen peptides may remain intact as they are absorbed, and can accumulate in skin and cartilage (Iwai, J Agric Food Chem 2005Oesser, J Nutr 1999). As discussed below, there is some evidence to suggest that certain types of collagen may modestly help to improve the appearance of aging skin or reduce the pain of knee osteoarthritis.

For aging skin and wrinkles:
Adults lose about 1% of the collagen in their skin each year, which contributes to thinning and wrinkling in aging skin. This loss of collagen may be more evident at an earlier age in women, who have lower collagen density in their skin than men (Shuster, Br J Dermatol 1975).

Several animal studies suggest that collagen (derived from pigs or fish) supplementation may help to maintain or increase collagen density in skin (Matsuda, J Nutr Sci Vitaminol 2006Liang, J Food Sci 2010).

Studies in people suggest that hydrolyzed collagen (including collagen peptides) can provide a very modest (10% to 20%) improvement in wrinkles (by increasing skin volume, elasticity, and/or hydration). Daily dosage has ranged from 0.5 to 10 grams, but the amounts in the lower end of this range — even as low as 0.5 grams — may be sufficient.

The best evidence supporting the use of collagen in aging skin is with Verisol (Gelita AG), a collagen peptide made of hydrolyzed, porcine-derived (from pigs) type I collagen. Several studies have been conducted, all of which used Verisol as a powder mixed with water. The most notable study focused on crow's feet wrinkles around the eyes of women ages 45 to 65. At 4 weeks of treatment with 2.5 grams of Verisol daily, eye wrinkle volume was reduced by 7.2% in comparison to placebo and, at 8 weeks, by 20.1%. Even 4 weeks after treatment, wrinkle volume had decreased 11.5% more than placebo. In addition, fluid extracted from skin (of the inner arm) showed that procollagen type I content increased by 65% compared to placebo after 8 weeks of treatment and elastin increased by 18%. All of these findings were statistically significant (Proksch, Skin Pharmacol Physiol 2014).

Another study among women (average age 48) found those who took 2.5 grams or 5.0 grams of Verisol daily for two months had a modest improvement in skin elasticity of the inner forearms, but no improvement in skin roughness or increase in hydration, compared to placebo. Among those who took the collagen supplement, increased skin elasticity was greatest in women who were over age 50; both doses were equally effective (Proksch, Segger, Skin Pharmacol Physiol 2014). The collagen was given as a powder and added to water. (Although not focused on aging skin, a third study with Verisol among women averaging 40 years of age, found that taking 2.5 grams daily for six months reduced the appearance of thigh cellulite as measured by a "pinch test" by 9% and skin "waviness" by 8% compared to placebo (Schunck, J Med Food 2015). Verisol is an ingredient in many "skin" supplements that appear to provide the proper dose of 2.5 grams (2,500 mg) per daily serving.

A small study among men and women in Japan found that 3 grams of collagen peptides taken daily for three months modestly improved skin hydration and elasticity compared to placebo (Choi, J Cosmet Laser Ther 2014). The addition of 500 mg of vitamin C to the collagen peptides did not enhance these effects. The source of the collagen was not identified but was described as a "highly advanced-collagen tripeptide" which contained "3% glycine — proline — hydroxyproline." 

A study among 36 postmenopausal women in Thailand found that 5 grams of collagen hydrolysate taken daily for one month slightly improved skin elasticity of the cheeks (by 9 to 10%) compared to placebo and the difference was still significant one month after supplementation. There was no improvement in skin elasticity of the upper inner arm, and the researchers noted that sun-exposed skin (such as on the cheek) may benefit most from collagen supplementation because UV radiation from sunlight activates enzymes in the skin that break down existing collagen The collagen was derived from fish (scale and skin), (similar to main ingredient in marine collagen products in this review) and was consumed as a powder mixed with water once daily with breakfast (Sangsuwan, J Dermatolog Treat 2020).

A three-month placebo-controlled study in the summer/fall among 113 Caucasian women (average age 50) found that taking one capsule of BioCell Collagen (by BioCell Technology, LLC, which arranged and funded the study and largely authored the study report) taken twice daily for three months significantly increased collagen content in facial skin, increasing it by 12% versus a 12% decrease in collagen among those taking the placebo. There was no significant difference in skin moisture between the two groups. The collagen and placebo groups reported similar amounts of improvement in skin tone, texture, and dryness but the collagen group reported a greater improvement in facial lines/wrinkles — although this was only an 8% improvement. The collagen group reported an 11% improvement in crow's feet, but this was not significantly greater than the 4% improvement reported by the placebo group. Each capsule contained 500 mg of BioCell Collagen, a blend of 300 mg of hydrolyzed type II collagen derived from chicken sternal cartilage, 100 mg of chondroitin sulfate and 50 mg of hyaluronic acid; participants were instructed to take it with a full glass of water, preferably on an empty stomach (Schwartz, Altern Ther Health Med 2019). Interestingly, an earlier study (not placebo-controlled) using the same dose of BioCell Collagen did not find it to increase collagen content of facial skin when taken for three months (Schwartz Clin Interv Aging 2012). BioCell is found in many products.

A three-month study in Brazil among 43 healthy Caucasian women (average age 52) with fair to medium skin types and wrinkles on the face showed that taking 500 mg of hydrolyzed fish collagen (Cartidyss NG, Abyss Ingredients) containing 65% collagen peptides, 25% chondroitin sulfate, and 9% minerals once daily at night reduced wrinkles around the eyes by 26% compared to baseline, and this was significant compared to placebo, which had no significant reduction. The collagen improved hydration of the dermis (deeper layer of the skin) but not the epidermis (outer layer of the skin). People in the collagen group perceived greater improvement in skin hydration, wrinkles, firmness, and tone, compared to those in the placebo group. However, there was no reduction in wrinkles around the nose and upper lip (i.e., smile lines) or forehead compared to placebo based on objective measures (Campos, Molecules 2021).

All of the studies above included placebo controls. In contrast, none of the studies below included a placebo against which results with collagen can be compared, making their results less meaningful:

A study cited as evidence for the benefits of NeoCell Derma Matrix Collagen Skin Complex did not include a placebo control. NeoCell is a supplement in powder form which contains type I and type III collagen (source of collagen not listed), hyaluronic acid, and vitamin C. The label claims that its clinically tested formula "promotes reduction of fine lines and wrinkles," and "increases hydration by 21%." The label also states that "92% of people had increased skin hydration" and "65% of people experienced firmer and softer skin." However, these claims are based on an unpublished study which, as noted above, had no placebo control and for which only a summary (provided by NeoCell upon email request) appears to be available.

According to the summary provided by NeoCell, 26 women (ages 30 to 50) consumed tablets containing 6 grams of NeoCell Super Collagen+C daily for three months (it's not clear if this is exactly the same formula as sold as a supplement). Skin hydration was measured and compared to measurements before supplementation (areas of the body where measurements were taken are not specified in the summary) and the women reported their observations on changes in their skin. The summary indicates the results stated on the product label (noted above) but does not provide the underlying data which supposedly supports the promoted findings. [Note: The label for this product warns it may contain trace amounts of naturally occurring sulfite residue. People with a sulfite allergy should not take this product].

A 3-month study among 40 women (40 to 50 years old) in Brazil found that 9 grams of hydrolyzed collagen taken daily for three months significantly increased moisture retention, skin density (which decreases with age and sun damage), and skin elasticity in the area around the nose and mouth, and compared to placebo. There was also a reduction in the appearance of wrinkles and the number of enlarged pores compared to before supplementation, but these changes were not compared to placebo, making it impossible to determine the actual benefit of the formula on these parameters. In addition to hydrolyzed collagen, the daily supplement contained modest amounts of vitamins and minerals, including vitamins A (600 mcg), C (45 mg), E (10 mg), and zinc (7 mg) (Campos, J Cosmet Dermatol 2019).

A study among 39 elderly men and women (average age 80) in a rehabilitative facility in Japan found that those who were given a collagen supplement (containing 10 grams of collagen peptides, as well as certain vitamins and minerals) daily for two months had increases in skin hydration (18% vs 0.3%) and elasticity (10% vs 3%) of the forearm compared to those who did not receive the supplement (there was no placebo control). The researchers suggested that these increases in hydration and skin elasticity could help protect from skin tears and pressure sores, a concern in older adults who are hospitalized or confined to bed. However, the incidence of skin tears and pressure sores was not reported, and it should be noted that some of the vitamins in the supplement, such as vitamin A (300 mcg RAE), vitamin C (500 mg) and biotin (50 mcg) per day, may also play a role in the health of the skin (Nomoto, Adv Skin Wound Care 2020) (although, adding 500 mg of vitamin C to collagen supplementation was not shown to help in the Choi study, noted further above).

Hair and nails:
A study among 86 men and women (average age 53) in Missouri found that 450 mg of chicken eggshell membrane hydrolysate (BiovaBio from Biova, which funded the study) taken once daily for three months modestly increased hair density (measured by computer analysis), but did not increase hair growth or decrease hair breakage compared to placebo. There were no improvements in nails (appearance, strength or growth) or skin (fine lines, wrinkle depth or color evenness of the face) compared to placebo (Kalman, J Cosmet Dermatol 2020). According to Biova's websiteBiovaBio is >15% collagen, >20% elastin, and >5% glycosaminoglycans, the same amounts as found in the company's BiovaFlex, a product for joints discussed below.

Healing of skin and tendon injuries:
Small clinical studies funded mostly by companies selling collagen suggest that hydrolyzed collagen provided modest benefits in the healing of pressure ulcers, burn wounds, and may aid in recovery after tendon or ligament injury. Higher quality studies are needed to confirm these results.

A study of 71 long-term care residents with pressure ulcers found that taking 0.5 grams of a concentrated hydrolyzed collagen supplement (Pro-Stat, Medical Nutrition USA, Inc.) three times daily for 8 weeks improved pressure ulcer healing by 5.56 points (on a 17 point scale) compared to 2.85 points in the placebo group. This study was funded by Medical Nutrition USA (Lee, Adv Skin Wound Care 2006).

A study in India among 112 people with pressure ulcers found that those who took 5 grams of a hydrolyzed collagen supplement (Replenwell, Wellnex) twice daily for 16 weeks also resulted in modestly better results compared to those given placebo. This study was funded by and conducted in part by employees of Nitta Gelatin, which produces Wellnex products (Sugihara, Sci Rep 2018).

A study in Japan among 51 people with pressure ulcers found that receiving 125-mL (about 4 oz.) of a beverage containing 10 grams of collagen peptide (V CRESC CP10, Nutri Co., Ltd.) once daily for 4 weeks improved ulcer healing compared to those receiving arginine supplementation (2.5 grams daily) or those in the control group. Those receiving collagen peptide showed a 5.5 point reduction on a 66 point scale compared to a 2 point reduction for those in the control group and a 2.6 point reduction among those in the arginine group (Yamanaka, J Nutr Intermed Metab 2017).

A small study in Iran among 31 men with burns over 20% to 30% of their body found that 100% of those who took a nutritional supplement providing 9 grams of hydrolyzed collagen (Amutiya) four times daily for 4 weeks had complete wound healing at the end of 4 weeks, compared to only 40% of those who took a nutritional supplement with a similar amount of calories but without collagen (Miyab, Burns 2020).

A small study in Korea among eight healthy women with minor skin burns due to laser skin resurfacing found that skin redness after laser resurfacing decreased faster among those who had taken 3 grams of collagen peptide beginning two weeks before and continuing for two weeks after laser therapy compared to those who did not receive supplements. Recovery of skin hydration and skin elasticity was also improved for those who received the collagen supplement compared to the control group. The collagen supplement used in this study was described as a "highly advanced-collagen tripeptide" with 3% glycine-proline-hydroxyproline tripeptides (Choi, Clin Exp Dermatol 2014).

A study among 50 competitive athletes (average age 27) experiencing chronic angle instability (CAI) due to ankle sprains found that taking 5 grams of hydrolyzed collagen (Tendoforte, Gelita AG) daily while completing home-based exercises (e.g., rope skipping, squats and one-legged heel raises) three times weekly for 6 months improved subjective function of the ankle by 5.28 points on a 30-point scale compared to no significant improvement in a placebo group. During a three-month follow-up period, those who had taken collagen reported fewer ankle sprains and injuries and improved ankle stability compared to the placebo group, although ankle stiffness was not improved. This study was partially funded by Gelita AG (Dressler, J Sports Sci Med 2018).

A study in Australia among 20 people with chronic Achilles tendinopathy found that six of out 10 people who took 2.5 grams of hydrolyzed collagen (Tendoforte, Gelita AG) dissolved in water twice daily 30 minutes before calf-strengthening exercises were able to return to their desired running sport after 3 months compared to only three out of 10 people in the placebo group. This study was funded by Gelita AG (Praet, Nutrients 2019).

Joint Pain:
Collagen supplementation for at least three to six months may, at best, modestly reduce joint stiffness and/or pain according to several preliminary studies using various forms of collagen, including undenatured collagen, hydrolyzed collagen (collagen hydrolysate or collagen peptides), and eggshell membrane hydrolysates. Some studies have shown no benefit.

Perhaps the most studied collagen product for joint pain is UC-II which, as noted above, is actually undenatured cartilage and contains only a small amount of collagen that has not been hydrolyzed -- about 10 mg of collagen in a 40 mg daily dose of UC-II. In a randomized, double-blind clinical study of 55 people who experienced joint discomfort after physical activity (but did not have arthritis, or joint pain at rest) daily supplementation with UC-II for 4 months was found to significantly improve average knee extension but did not appear to reduce pain compared to placebo (Lugo, J Int Soc Sports Nutr 2013).

Another clinical study compared daily supplementation with either UC-II (40 mg) or glucosamine and chondroitin (1,500 mg glucosamine HCl and 1,200 mg chondroitin sulfate) in people with knee osteoarthritis. After 3 months, UC-II significantly improved measures of pain, stiffness and physical function while the combination of glucosamine and chondroitin did not (Crowley, Int J Med Sci 2009). A similar, but longer (6 month) study that included a placebo control found that average pain scores decreased by 24 points among those who took UC-II compared to decreases of 19.2 points and 17 points among those who took glucosamine and chondroitin or placebo, respectively. Those who took UC-II also had a significant reduction in stiffness (a decrease of 23.8 points) compared to decreases of 19.4 and 17.8 points, respectively, for those who took glucosamine/chondroitin or placebo. There were no improvements in knee flexion (Lugo, Nutr J 2016).

[Note: The 2016 study above reported that 40 mg of UC-II provided 1.2 mg of undenatured type II collagen as determined by a "newly developed and validated extraction" protocol, while the earlier studies reported that 40 mg of UC-II provided 10 mg of undenatured type II collagen (as we confirmed in this Review). A subsequently published letter by the author (who works for the manufacturer, Lonza) explained that the material in the study (and in UC-II in supplements) did not change: The 2016 study applied a modified testing procedure that provides less extraction time before the collagen is measured, so a lower amount of collagen is reported (Lugo, J Int Soc Sports Nutr 2019).]

A study in which 1,200 mg of a collagen hydrolysate (collagen peptide) (Genacol) was taken daily for six months showed a reduction in pain among 51.6% of those taking the collagen versus 36.5% of those taking placebo, a statistically significant difference. There was no significant difference after only 3 months (Bruyere, Comp Ther in Med 2012).

A small study published in 2014 in people with knee osteoarthritis found that taking 5,000 mg of collagen hydrolysate dissolved in a cup of water or milk in the morning and at night after food daily for 13 weeks significantly improved symptoms compared to taking a placebo (Kumar, J Sci Food Agric 2014). Another 13-week study suggested greater benefit with collagen hydrolysate (also 10 grams daily) than with a more common supplement for osteoarthritis, glucosamine sulfate (Trc, Intl Orthop 2011). However, there was no placebo control, so it is not possible to know if either treatment was truly effective.

A study among 90 men and women ages 40 to 65 (average age 54) with mild to moderate joint pain, inflammation or stiffness of the knee, hip, and/or wrist found that daily supplementation with 2.5 grams of a branded hydrolyzed collagen ingredient (Avicenna's Hydrolyzed Chicken Collagen Type II (AVC-H2) — provided by Avicenna, which funded the study) taken daily for two months modestly reduced joint stiffness, but did not reduce pain or improve activity levels, compared to placebo. In addition, overall WOMAC (Western Ontario and McMaster Universities Osteoarthritis Index) scores, commonly used to evaluate self-reported joint discomfort, were not significantly improved compared to placebo. AVC-H2 contains ≥70% total collagen and was taken as two pills with a glass of water on an empty stomach twice daily (Mohammed, Nutrients 2021).

A three-month study in the Netherlands among 167 men and women with self-reported knee pain (not caused by rheumatoid arthritis or other inflammatory disease) found that a daily dose of 10,000 mg of collagen peptides (dissolved in water and consumed with breakfast) did not reduce knee pain or improve knee function, nor did it reduce blood markers of inflammation or cartilage breakdown, compared to placebo. The collagen peptides consisted of proline/hydroxyproline (23%), glycine (21%), glutamic acid (12%), arginine (8%), alanine (8%) and essential amino acids (16%). The study was funded by the maker of the collagen (Peptan B2000, Rousselot, Belgium) (Bongers, Appl Physiol Nutr Metab 2020). A similar ingredient from the same manufacturer is sold as Peptan in the U.S.

Reductions in joint pain have been modest at best with eggshell membrane hydrolysates, which naturally contain type I collagen, elastin, and small amounts of glucosamine and chondroitin. A study among 80 men and women (average age 53) with self-reported knee pain found that, overall, 450 mg per day of a chicken eggshell membrane hydrolysate (BiovaFlex by Biova LLC, which funded the study) was no more effective than placebo in improving pain, stiffness or function, as there were similar improvements in both groups. However, the researchers then performed a sub-analysis showing that those who began the study with the most difficulty walking experienced somewhat more improvement with BiovaFlex versus placebo in knee stiffness and walking distance. According to Biova's website, BiovaFlex is >15% collagen, >20% elastin, and >5% glycosaminoglycans (Hewlings, J Med Food 2019). One product tested in this review, Ancient Nutrition Multi Collagen Protein, is listed as containing collagen from eggshell membrane.

A double-blind, randomized study in Turkey in which another hydrolyzed eggshell membrane supplement, NEM (Natural Eggshell Membrane, ESM Technologies, LLC), was given to 161 men and women (average age 57) with mild to moderate knee osteoarthritis for one month found that it modestly improved knee function and reduced pain and stiffness, but did not improve flexion or range of motion, or reduce the use of pain medication (Tylenol) compared to placebo. The supplement was given as one 500-mg capsule of eggshell membrane hydrolysate taken with water once daily at breakfast. Supplements that contain this ingredient include Healthy Origins Natural Eggshell Membrane and Natural Factors NEM. Mild side effects such as rash and nausea were reported in three participants who took NEM (Eskiyurt, J Arthritis 2019).

A combination of NEM (500 mg) with 1500 mg of fish oil concentrate (kd-pur, KD Pharma), marketed together as Move3 from KD Pharma, was given once daily to 85 healthy adults (average age 55) who participated in aerobic step exercises every other day. After only 1 week, those given the supplement reported 29% less joint pain immediately after exercise and, 12 hours later, reported 47% less joint pain and 40% less joint stiffness compared to placebo. However, these differences between the two groups did not persist through the second week, possibly due to the notable improvements in pain and stiffness after exercise observed in the placebo group, although after 2 weeks, those given Move3 showed a 12% reduction in a urinary marker of cartilage degradation compared to a 5% increase in the placebo group. KD Pharma sponsored this research (Ruff, Int J Phys Med Rehabil 2020).

Building muscle and muscle strength:
There is some evidence collagen may help to build muscle and increase muscle strength in older adults when combined with exercise — although this is not surprising considering that other sources of protein can achieve the same effect. In a study among older men (average age 72) with sarcopenia (age-related muscle loss) who participated in a strength training program three days per week for 3 months, those who consumed a daily drink containing 15 grams of collagen peptides (BODYBALANCE, GELITA AG) had significantly greater increases in lean muscle mass and muscle strength compared to those who consumed a placebo drink (Zdzieblik, Br J Nutr 2015).

However, if you are looking to supplement to build muscle, you may be better off with a protein powder because collagen is not particularly high the in branched chain amino acids (valine, leucine, and isoleucine) that are needed for muscle maintenance. In fact, a study among older women doing resistance exercise showed whey protein to be much more effective at building muscle than collagen protein. Collagen also tends to be more expensive than a protein powder: Our Protein Powder Review shows that you can get 20 grams of a good protein powder for as little as 40 to 50 cents, while the lowest cost for 20 grams of collagen is at least $1.

Diabetes
Small studies suggest that fish collagen peptides, at a daily dose of 5 grams or more, can lower blood sugar and improve insulin resistance in people with type 2 diabetes. In one study (which was company funded), 61 people with type 2 diabetes took 5 grams of fish (scale) collagen peptide (dissolved in 200 mL of warm water or milk) daily for 3 months. This lowered fasting blood glucose by 78 mg/dL, reduced HbA1c (an indicator of long-term blood sugar levels) from 8.1% to 5.9% and reduced insulin resistance (as measured by HOMA-IR) from 7.9 to 4.7 after 3 months. Taking only 2.5 grams of fish collagen peptide daily did not improve these outcomes (Devasia, J Diabetes Metab 2020). In the other study, 100 people with type 2 diabetes took 6.5 grams of fish collagen peptides twice daily along with diabetes medication for 3 months. This reduced fasting blood glucose by 26 mg/dL, HbA1c by 0.48%, and fasting insulin by 0.24 mU/L compared to baseline, and these improvements were significant compared to those in the control group given carboxymethylcellulose instead of collagen peptides (Zhu, Am J Med Sci 2010).

According to laboratory studies, collagen peptides block the enzyme dipeptidyl peptidase 4 (DPP-4) (Hatanaka, J Enzyme Inhib Med Chem 2014). DPP-4 inhibitors (which include some prescription diabetes medications) can lower blood sugar levels by increasing the level of insulin after meals.


Quality Concerns and Tests Performed:

Like other supplements, neither the FDA nor any other federal or state agency routinely tests collagen supplements for quality prior to sale. ConsumerLab.com, as part of its mission to independently evaluate products that affect health, wellness, and nutrition, purchased and tested popular collagen supplements (powders and capsules) on the market to see if they contained their claimed amounts of collagen. The testing for collagen relies on quantifying hydroxyproline, an amino acid unique to collagen protein. Hydroxyproline is approximately 12.6% of collagen by mass. Therefore the amount of hydroxyproline found (mg/g) is multiplied by 8 to yield the approximate total amount of collagen in a product. Products were also tested for contamination with lead, cadmium and arsenic. In children, infants, and fetuses, even low levels of lead can adversely affect neurobehavioral development and cognitive function. In adults, lead at somewhat higher levels can cause elevated blood pressure, anemia, and adversely affect the nervous and reproductive systems. Lead is of particular concern during pregnancy as the mother can transfer it to the fetus. Cadmium is a carcinogen and kidney toxin. Arsenic is a carcinogen and can damage organs. See Testing Methods and Passing Score for more information.

What CL Found:

All 15 collagen supplements contained their claimed amounts of collagen, including four products tested through ConsumerLab.com's voluntary Quality Certification Program.

One product, however, could not be Approved because it was found to be contaminated with cadmium: Bulletproof Chocolate Collagen Protein contained 8.9 mcg of cadmium per 2-scoop serving, which exceeds the 4.1 mcg limit in the state of California (above which a warning label is required) as well as the limit in Canada. The cadmium likely comes from the cocoa powder in the product, as ConsumerLab has found that cocoa powder is often contaminated with cadmium (see Cocoa Powder and Dark Chocolates Review). In fact, Bulletproof Cocoa Powder tested by ConsumerLab.com in 2017 had the highest concentration of cadmium of any of the cocoa powders tested in that Review. It has since been discontinued. The amount of collagen in a suggested serving of each of the products (or daily serving of a supplement) ranged from as little as 0.01 grams to 25 grams, with the powders and liquids generally providing larger doses than the tablets, capsules, or chews.


Collagen Per Suggested Serving (Grams)



As shown below, the cost to obtain a gram of collagen tended to be much less among products providing larger doses, with the lowest cost being 5 cents per gram. The cost was several dollars per gram for two of the supplements that provided small doses of collagen.


Cost for 1 g of Collagen



Top Picks:

For skin (wrinkles)
Our two Top Picks for collagen for skin are Trunature [Costco] Healthy Skin Verisol Collagen capsules and Besha Inc. Collagen Peptides powder.

Both of these products contain collagen peptides (hydrolyzed collagen) from the branded ingredient Verisol, which, as discussed in the What It Does section, is the only ingredient to have been tested in several placebo-controlled clinical trials. These trials have shown a modest improvement in wrinkles after eight weeks and a slight improvement in the appearance of cellulite after six months.

The products are also reasonably priced, with a daily serving of Trunature (4 capsules) costing 30 cents and providing 2.5 grams of collagen peptides and Besha (2 teaspoons) costing 47 cents and providing 2.9 grams of collagen peptides. Trunature is slightly less expensive per gram, but the real deciding factor between the two is whether you prefer to take 4 fairly large capsules daily or mix about 2 teaspoons of powder into your preferred beverage.

Be aware that Verisol is sourced from pigs. If you have dietary restrictions and prefer other sources, see the last column of the results table below where collagen sources are listed: These include bovine (cow), chicken, fish, and eggshell. The collagen hydrolysates in the powders from Great Lakes Gelatin and Vital Proteins, for example, are both from bovine hide and are listed as kosher.

Collagen for joints
Our Top Pick for collagen for joint pain is Healthy Origins Natural UC-II.

As noted earlier, although some studies have used high doses (several grams daily) of collagen for joint pain, there is more research with the low-dose UC-II, which, as noted earlier, is really chicken cartilage that naturally contains a small amount (just 10 mg or 0.01 grams) of collagen. We tested Healthy Origins Natural UC-II and a single capsule provides the same amount UC-II used in clinical trials — 40 mg per day, which includes the 10 mg of collagen. The cost for this daily dose is 27 cents. 

If you would prefer to try a high-dose collagen hydrolysate product for joint pain, we suggest either Great Lakes Gelatin Collagen Hydrolysate (a powder) or Youtheory Collagen (tablets) as they each contained their claimed amounts of hydrolyzed collagen and were tied as the lowest cost sources of collagen at 5 cents per gram. A serving of Great Lakes is listed as 2 rounded tablespoons providing 12 grams of collagen and the label suggests taking this twice a day — although this is much more collagen than has been used in most clinical trials, so you might want to reduce that by half. Youtheory suggests a daily serving of 6 tablets, providing a total of 6 grams of collagen (and 60 mg of vitamin C — 100% of the RDA) and costing 28 cents.

Be aware that any benefits from taking collagen for joint pain may not be apparent until at least 3 months of daily use.

A note on powders and liquids
All of the collagen powders dissolved easily in cool water and had no distinct flavor, except for Bulletproof, which has a chocolate flavor and a somewhat hollow sweetness due to the sugar alcohol erythritol and Rebaudioside A (from stevia). The one liquid that was tested, LiquiVive, was slightly thick, sweet and mildly sour. It also mixed easily in cool water.

Test Results by Product:

Listed in the table below are the test results for 15 collagen supplements. ConsumerLab.com selected eleven products. Four products (each indicated with a CL flask icon) were tested at the request of their manufacturers/distributors through CL's Quality Certification Program and are included for having passed testing. Products are grouped below by category: powders and liquids, and pills (tablets, capsules and chews).

Shown for each product is the claimed amount of the tested ingredient and the daily serving size recommended on its label. Products listed as "Approved" met their label claims and ConsumerLab.com's quality criteria (see Passing Score). Price and cost comparisons are shown in the third column, notable features are noted in the fourth column, and the full list of ingredients is found in the last column.

Columns can be swiped left and right

Results of ConsumerLab.com Testing of COLLAGEN SUPPLEMENTS

(Click arrows or swipe left or right to see all columns)

Approval Status 

Product Name
(Suggested Serving on Label)

Amount and Type of Collagen Per Serving Claimed

Contained Claimed Amount?

Heavy Metal Contamination

Serving Instructions

Form

Cost for Suggested Serving

[Price per 1 g Collagen]

Price

Precautions

Notable Features

Full List of Ingredients (Per Serving)

Powders and Liquids:

APPROVED

Ancient Nutrition Multi Collagen Protein

Click to View Large Photo

Dist. by Ancient Nutrition, LLC

$ Price Check

1 heaping scoop (10.2 g)

Multi collagen complex (hydrolyzed bovine hide collagen peptides, chicken bone broth collagen concentrate, hydrolyzed fish collagen peptides, eggshell membrane collagen)

Heavy Metals: Pass

Adults take one heaping scoop with 8 ounces of water, juice, coffee, tea or your favorite recipe.

Powder in container

$0.98

[$0.10]

$43.95/16.2 oz [459 g] container (approx. 45 servings)

Precaution: Contains: Egg, Pollock.

1 heaping scoop (10.2 g)
Calories 35, Protein 9 g, Multi Collagen Complex [Hydrolyzed Bovine Hide Collagen Peptides, Chicken Bone Broth Collagen Concentrate, Hydrolyzed Fish Collagen Peptides, Eggshell Membrane Collagen] 10.2 g, more...

APPROVED

Top Pick

for skin from powder

Besha Inc Collagen Peptides

Click to View Large Photo

Dist. by Besha Inc.

2 teaspoons (2.9 g)

Pure natural collagen powder Verisol®

Heavy Metals: Pass

For best results, take two teaspoons of Besha Collagen daily.

Powder in container

$0.47

[$0.16]

$28.99/6.4 oz [180 g] container (approx. 62 servings)

None.

2 teaspoons (2.9 g)
Calories 10, Total Fat 0 g, Sodium 15 mg, Carbohydrate 0 g, Protein 2.61 g.

Ingredients: Pure natural collagen powder Verisol®.

NOT APPROVED

Bulletproof™ Chocolate Collagen Protein

Click to View Large Photo

Dist. by Bulletproof 360, Inc.

2 scoops(41 g)

25 g hydrolyzed collagen

Heavy Metals: Found 8.9 mcg cadmium per serving
(likely due to cacao powder)

Mix 2 scoops into at least 6 ounces of water or your favorite beverage.

Powder in container

$2.92

[$0.12]

$34.99/17.6 oz [500 g] container (approx. 12 servings)

Precaution: Contains: Coconut. Processed in a facility that also processes tree nuts, egg, soy, milk, wheat, fish, crustacean shellfish.

2 scoops (41 g)
Calories 170, Calories from Fat 35, Total Fat 4 g, Saturated Fat 3.5 g, Total Carbohydrate 9 g, Dietary Fiber 2 g, Sugars less than 1 g, Protein 23 g, Calcium 20 mg, Iron 1.0 mg, Sodium 140 mg, Hydrolyzed collagen 25 g, more...

APPROVED

Great Lakes Gelatin® Collagen Hydrolysate - Pure Unflavored Protein

Click to View Large Photo

Dist. by Great Lakes Gelatin®

$ Price Check

2 rounded tablespoons (12 g)

Collagen hydrolysate (from bovine hide)

Heavy Metals: Pass

Take two rounded tablespoons (12 g) twice a day.

Powder in container

$0.66

[$0.05]

$24.99/16 oz [454 g] container (approx. 38 servings)

Kosher. Gluten Free. No MSG. Non-GMO. Keto Certified. Certified Paleo Friendly. Verified Glyphosate Free.

2 rounded tablespoons (12 g)
Calories 43, Sodium 36 mg, Protein 11 g, Collagen Hydrolysate 12 g.

Ingredients: 100% Hydrolyzed Collagen Powder (from bovine hide).

APPROVED

LiquiVive® Liquid Collagen

Click to View Large Photo

Dist. by Allied Sciences

1 tablespoon (15 ml)

7.5 g pure Colsylate™ brand collagen (hydrolyzed collagen peptides - bovine)

Heavy Metals: Pass

Take one tablespoon with 8 oz. water, preferably on an empty stomach. Take 2-3 tablespoons for increased benefits, or as advised by your healthcare provider.

Liquid from bottle

$0.78

[$0.10]

$24.90/16 fl oz [473] bottle (approx. 32 servings)

Contains Zero: Gluten, Milk, Whey, Yeast, Soy, Salt, Starch, Pork, and No Artificial Sweeteners, Colors Or Flavors.

1 tablespoon (15 ml)
Calories 50, Total Carbohydrate 5 g, Sugars 5 g, Protein (Pure Colsylate™ Brand Collagen) 7,500 mg.

Other Ingredients: Hydrolyzed collagen peptides (bovine), filtered water, crystalline fructose, more...

APPROVED

ProCaps® Laboratories Marine Collagen Peptides

Click to View Large Photo

Dist. by ProCaps® Laboratories

1 scoop (5.5 g)

5 g marine collagen peptides

Heavy Metals: Pass

Mix one or more scoops of Marine Collagen Peptides with MSM with water or a beverage of your choosing.

Powder in container

$1.43

[$0.29]

$42.90/5.8 oz [165 g] container (approx. 30 servings)

MSM 500 mg

Contains No Milk, soy, yeast, corn, wheat, gluten, sodium, salt, sugar, fat, cholesterol, color, preservatives or manufacturing additives. Contains No Additives Of Any Kind.

Precaution: Primary ingredient is derived from fish (tilapia).

1 scoop (5.5 g)
Calories 20, Calories from Fat 0, Protein 5 g, Marine Collagen Peptides 5 g, MSM (as methylsulfonyl-
methane) 500 mg.

Other Ingredients: None Listed.

APPROVED

Vital Proteins® Collagen Peptides - Unflavored

Click to View Large Photo

Mfd. by Vital Proteins LLC

$ Price Check

2 scoops (20 g)

Collagen peptide (bovine hide)

Heavy Metals: Pass

Combine 1-2 scoops with 8 fl oz of liquid, mix thoroughly.

Powder in container

$1.76

[$0.09]

$25.00/10 oz [284 g] container (approx. 14 servings)

Kosher. Dairy Free. Gluten Free.

Precaution: This product is manufactured in a facility that processes milk, fish, and tree nuts.

2 scoops (20 g)
Calories 70, Protein 18 g, Sodium 110 mg, Collagen peptides (from bovine hide) 20 g.

Ingredients: Bovine hide collagen peptides.

Pills (Tablets, Capsules, and Chews):

APPROVED

GNC Women's Collagen

Click to View Large Photo

Dist. by General Nutrition Corporation

1 caplet

1,000 mg (1 g) collagen (bovine bone hydrolysate)

Heavy Metals: Pass

As a dietary supplement, take one to six caplets daily.

Large caplet

Also tested for disintegration

$0.14

[$0.14]

$24.99/180 caplets

No Sugar, No Starch, No Artificial Flavors, No Wheat, Gluten Free, No Corn, No Soy, No Dairy.

1 caplet
Calories 5, Protein <1 g, Vitamin C (as Ascorbic Acid) 10 mg, Collagen (Bovine Bone Hydrolysate) 1 g, Hyaluronic Acid (as Sodium Hyaluronate) <1 mg.

Other Ingredients: Microcrystalline Cellulose, more...

APPROVED

Top Pick

for joint pain

Healthy Origins® Natural UC-II®

Click to View Large Photo

Dist. by Healthy Origins®

1 veggie cap

40 mg UC-II® standardized chicken cartilage providing 10 mg (0.01 g) collagen

Heavy Metals: Pass

As a dietary supplement for adults, take one (1) vegetable capsule daily, preferably on an empty stomach at bedtime.

Large veggie cap

$0.27

[$26.97]

$16.18/60 veggie caps

Non-GMO. Gluten Free. Does not contain Wheat, Fish, Shellfish, Egg, Soy, Peanuts or Milk.

1 veggie cap
UC-II® Standardized Chicken Cartilage (Providing 10 mg of total collagen) 40 mg.

Other Ingredients: Rice Flour, Vegetable Capsule (Cellulose, Water), Magnesium Stearate, Potassium Chloride (Stabilizer).

APPROVED

NeoCell® Beauty Bursts® - Super Fruit Punch

Click to View Large Photo

Mfd. by Nature's Products, Inc. for Nutranext Business, LLC

$ Price Check

2 soft chews

2,000 mg (2 g) collagen peptide (bovine collagen) as NeoCell Collagen®

Heavy Metals: Pass

No instructions listed.

Large cube shaped soft chew

$0.47

[$0.24]

$14.19/60 soft chews

Vitamin C 20 mg, Hyaluronic Acid 20 mg

Does Not Contain: soy, wheat, lactose, palm oil, yeast, GMOs, or artificial flavors. Gluten Free.

Precaution: Allergy Warning: May contain trace amounts of naturally occurring sulfite residue.

2 soft chews
Calories 40, Calories from Fat 5, Total Fat <1 g, Total Carbohydrate 6 g, Sugar 4 g, Protein (from Collagen) 2 g, Vitamin C (as Ascorbic Acid) 20 mg, Collagen Peptide (Bovine collagen) 2,000 mg, Hyaluronic Acid (as Sodium Hyaluronate) 20 mg, more...

APPROVED

Olly™ Vibrant Skin

Click to View Large Photo

Dist. by Olly Public Benefit Corp.

2 gummies

120 mg (0.12 g) marine collagen peptides

Heavy Metals: Pass

Take 2 gummies daily.

Large circular gummy

$0.52

[$4.29]

$12.88/50 gummies

Organic Sea Buckthorn (Fruit) Juice Powder 50 mg

No Artificial Flavors or Colors. Gluten Free.

Precaution: Contains: Fish (pollock). Processed in a facility with products that may contain soy, egg, peanuts, tree nuts, milk, shellfish and wheat.

2 gummies
Calories 20, Total Carbohydrate 4 g, Sugars 2 g, Sodium 5 mg, Hyaluronic Acid 120 mg, Marine Collagen Peptides 120 mg, Organic Sea Buckthorn (Fruit) Juice Powder 50 mg.

Other Ingredients: Glucose Syrup, Beet Sugar, Water, Gelatin, more...

APPROVED

Puritan's Pride® Hydrolyzed Collagen

Click to View Large Photo

Mfd. by Puritan's Pride, Inc.

4 caplets

4,000 mg (4 g) hydrolyzed collagen (type I and III)

Heavy Metals: Pass

For adults, take four (4) caplets twice daily on an empty stomach.

Large caplet

Also tested for disintegration

$0.36

[$0.09]

$16.09/180 caplets

Vitamin C 40 mg, Sodium 40 mg, L-Ornithine HCl 60 mg

No Artificial Color, Flavor or Sweetener, No Preservatives, No Sugar, No Starch, No Milk, No Lactose, No Soy, No Gluten, No Wheat, No Yeast, No Fish.

4 caplets
Calories 15, Total Carbohydrate <1 g, Protein 4 g, Vitamin C (as Ascorbic Acid) 40 mg, Sodium 40 mg, Hydrolyzed Collagen (Type I and III) 4,000 mg (4 g), L-Ornithine HCl 60 mg.

Other Ingredients: Vegetable Cellulose, more...

APPROVED

Reserveage Nutrition™ Collagen Booster™

Click to View Large Photo

Dist. by Reserveage

$ Price Check

2 capsules

1,000 mg BioCell Collagen® providing 600 mg (0.6 g) hydrolyzed collagen type II (chicken sternal cartilage extract)

Heavy Metals: Pass

As a dietary supplement, take 2 capsules daily. For intensive use or joint support, take 1 serving twice daily.

Large capsule

$0.58

[$0.97]

$17.49/60 capsules

Chondroitin Sulfate 200 mg, Hyaluronic Acid 100 mg, Pro-Longevity Factors® Blend [Wildcrafted Japanese Knotweed Extract (standardized to contain 100 mg of trans-Resveratrol), Organic French Whole Red Grape, certified Organic Muscadine Whole Red Grape] 400 mg

No unnecessary fillers or additives.

2 capsules
BioCell Collagen® (Proprietary chicken sternal cartilage extract) [Hydrolyzed Collagen Type II 600 mg, Chondroitin Sulfate 200 mg, Hyaluronic Acid 100 mg] 1,000 mg, Pro-Longevity Factors® Blend [Wildcrafted Japanese Knotweed Extract (Polygonum cuspidatum) (root and rhizome) (standardized to contain 100 mg of trans-Resveratrol), more...

APPROVED

Top Pick

for skin from pill

Trunature [Costco] Health Skin Verisol® Collagen

Click to View Large Photo

Dist. by Costco Wholesale Corporation

4 capsules

2,500 mg (2.5 g) healthy skin Verisol® bioactive collagen peptides®

Heavy Metals: Pass

4 capsules per day.

Large capsule

$0.30

[$0.12]

$17.99/240 capsules

None.

4 capsules
Calories 10, Protein 2 g, Sodium 15 mg, Healthy Skin Verisol® Bioactive Collagen Peptides® 2,500 mg.

Other Ingredients: Gelatin capsule (gelatin, purified water), magnesium stearate (vegetable grade), silica.

APPROVED

Youtheory® Collagen

Click to View Large Photo

Mfd. by Nutrawise®

$ Price Check

6 tablets

6,000 mg (6 g) hydrolyzed collagen

Heavy Metals: Pass

Take six (6) tablets per day, all at once or in divided doses.

Large tablet

Also tested for disintegration

$0.28

[$0.05]

$13.75/290 tablets

Vitamin C 60 mg

Dairy free. Soy free. No gluten ingredients.

Precaution: This product is manufactured in a facility that processes whey milk protein and fish extract.

6 tablets
Vitamin C (as Calcium Ascorbate) 60 mg, Hydrolyzed Collagen 6,000 mg.

Other Ingredients: Magnesium stearate (vegetable source).

Unless otherwise noted, information about the products listed above is based on the samples purchased by ConsumerLab.com (CL) for this Product Review. Manufacturers may change ingredients and label information at any time, so be sure to check labels carefully when evaluating the products you use or buy. If a product's ingredients differ from what is listed above, it may not necessarily be of the same quality as what was tested.

The information contained in this report is based on the compilation and review of information from product labeling and analytic testing. CL applies what it believes to be the most appropriate testing methods and standards. The information in this report does not reflect the opinion or recommendation of CL, its officers or employees. CL cannot assure the accuracy of information.

Copyright ConsumerLab.com, LLC, 2021 All rights reserved. Not to be reproduced, excerpted, or cited in any fashion without the express written permission of ConsumerLab.com LLC

ConsumerTips™:

For a discussion of the types and forms of collagen, see the What It Is section.

Some collagen formulas include vitamin C, likely because it plays role in collagen production in the body (by adding a hydroxyl group to proline to form hydroxyproline); however it probably does not provide additional benefit unless you happen to be deficient in vitamin C, which is unlikely.

People who follow vegan or vegetarian diets may consider vegan "collagen builder" or "collagen booster" supplements but should be aware that plants do not provide collagen and these supplements are designed to simply supply ingredients that your body can use in making collagen, like vitamin C and the amino acid proline. However, they are only likely to help if you don't already get enough of these compounds from your diet. They may also contain silicon (as plant-based silica), which may play a role in the production of collagen in bone but is not an essential mineral and has not been demonstrated to improve collagen in the skin. (These formulas also often include biotin based on preliminary research suggesting modest strengthening of brittle nails with high-dose biotin. Be aware that high doses of biotin can interfere with certain blood tests.)

As noted above, benefits from taking daily collagen may take up to 8 weeks for wrinkles and three to six months for joint pain.

Supplements for skin often combine collagen with hyaluronic acid, another component of skin which helps maintain hydration of the skin. A study in Taiwan among 40 healthy men and women age 35 to 64 (average age 43) found that 120 mg of hyaluronic acid (Hyabest, Kewpie Corp — which funded the study) taken once daily for 12 weeks modestly reduced the visibility of wrinkles around the eye ("crow's feet"), and slightly reduced moisture loss in facial skin (but not on the arm or waist) compared to placebo. Skin elasticity of the forehead showed slight improvement in those taking hyaluronic acid compared to placebo, but only when analyzed using one of two testing instruments used for evaluation, making it difficult to draw conclusions about the supplement's effect on skin elasticity (Hsu, Nutrients 2021).

Dosage
For skin wrinkles or joint pain, the common daily dosage of hydrolyzed collagen (collagen hydrolysate) is 1 to 9 grams. For example, the common dose of Verisol hydrolyzed collagen for skin wrinkles or cellulite is 2.5 grams per day. This can be taken at once or divided into two servings per day and it can be taken with or without food.

If you are using UC-II (which is made of cartilage) for joint pain, the dose is much smaller: 40 mg per day (providing 10 mg of collagen). Directions suggest taking this on an empty stomach at bedtime.

Like UC-II, another branded collagen ingredient, NT2 Collagen (also sold as B2Cool Collagen) is made from undenatured type II collagen from chicken sternum cartilage but is manufactured by a different company (Bioiberica). It also provides 10 mg of collagen per 40 mg serving, sold in Life Extension NT2 (as a single ingredient) and Life Extension Arthromax (which also contains glucosamine, boswellia and boron).

For more details about various forms and dosage, see What It Is.

Concerns and Cautions:

Collagen-based supplements appear to be generally well-tolerated but be aware that some people report mild gastrointestinal symptoms (Vijven, Osteo and Cartl 2012). Other side effects that have been reported have been generally mild and include headachedizzinessinsomnialack of appetiteitchy or pustular skin rash and canker sores (Zhang, Arthritis Rheum 2008).

Rarely, liver function abnormalities such as elevated levels of liver enzymes, has been reported (Zhang, Arthritis Rheum 2008Barnett, Arthritis Rheum 1998).

Some individuals may be allergic to fish collagen, even if they have tested negative for allergy to the fish protein parvalbumin, the most common cause of allergic reactions to fish such as salmon and tuna. This is because people who are sensitive to tropomyosin, the most common cause of shellfish allergy, may also have sensitivity to fish collagen, as shown in a study in Australia. Be aware that fish collagen is not currently included in diagnostic tests for fish allergy (Kalic, J Allergy Clin Immunol 2020).

People with an egg allergy should not take products made from eggshell membrane.

As noted above, NeoCell may contain trace amounts of naturally occurring sulfite residue and should not be taken by people with a sulfite allergy.

Because collagen peptides may lower blood sugar, it should be used with caution in people taking blood sugar-lowering medications (i.e., insulin, metformin, glyburide, etc.), especially when taking daily doses above 2.5 grams (Devasia, J Diabetes Metab 2020Zhu, Am J Med Sci 2010).

Concern has been raised over whether taking collagen supplements after breast cancer may increase the risk of breast cancer recurrence. No clinical research has demonstrated that consuming collagen has this effect. The concern appears to be based on the fact that high levels of collagen have been identified in recurrent breast tumors, and patients with tumors with high levels of collagen tend to have worse prognosis (Lu, J Cell Biol 2012). In addition, a study in mice treated for an aggressive form of breast cancer showed that residual cancer cells released a small protein that caused macrophage cells to deposit collagen (Walens, Elife 2019).


Information on this site is provided for informational purposes only. It is not an endorsement of any product nor is it meant to substitute for the advice provided by physicians or other healthcare professionals. The information contained herein should not be used for diagnosing or treating a health problem or disease. Consumers should inform their healthcare providers of the dietary supplements they take.

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Latest Clinical Research Updates for Collagen Supplements

Can Collagen Lower Blood Sugar?

9/17/2021

Can taking collagen supplements lower blood sugar levels? Find out what research suggests in the What It Does section of our Collagen Supplements Review. Also see our Top Picks among collagen supplements.

Collagen for Wrinkles

9/07/2021

Can taking hydrolyzed collagen in low daily doses reduce wrinkles and improve skin hydration in older women? Find out what a recent study showed in the What It Does section of our Collagen Supplements Review. Also, see our Top Picks among collagen supplements for skin wrinkles.

Collagen for Joint Pain?

7/24/2021

Can collagen supplementation reduce joint pain or stiffness in the knee, hip or wrist? See what a new study found in the Joint Pain section of our Collagen Supplements Review. Also see our Top Picks among collagen supplements for joints and for skin.

Hyaluronic Acid for Wrinkles?

6/28/2021

Does supplementing with hyaluronic acid reduce wrinkles or improve skin elasticity in middle-aged men and women? See what a new study found in the Aging Skin and Wrinkles section of our Collagen Supplements Review. Also see our Top Picks for collagen supplements for skin and for joints.

Collagen and Breast Cancer?

4/23/2021

Does supplementing with collagen increase the risk of breast cancer recurrence? Learn what the evidence shows in the Concerns and Cautions section of our Collagen Supplements Review.

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