Evidence map›Paper›PMID 41947475›Full record

Trial reportJournal of cosmetic dermatology2026

Prospective, Randomized, Double-Blind, Placebo-Controlled Study of an Oral Antioxidant-Rich Synbiotic Supplement on Skin Health and Photoaging.

Laila Afzal, Nhi Nguyen, Nasima Afzal, Sarah Adnan, Zillehuma Khan, Ajay S Dulai, Subhendu Nayak, Rishi R Trivedi, Asher Min, Raja K Sivamani

Abstract readRandomized Controlled Trial
In one paragraph

Trial report in Journal of cosmetic dermatology, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

10 authors.

Laila AfzalIntegrative Skin Science and Research, Sacramento, California, USA.
Nhi NguyenIntegrative Skin Science and Research, Sacramento, California, USA.
Nasima AfzalIntegrative Skin Science and Research, Sacramento, California, USA.
Sarah AdnanIntegrative Skin Science and Research, Sacramento, California, USA.
Zillehuma KhanIntegraive Research Institute, Sacramento, California, USA.
Ajay S DulaiIntegrative Skin Science and Research, Sacramento, California, USA.ORCID https://orcid.org/0009-0000-2045-1819
Subhendu NayakVidya Herbs, Florida, USA.
Rishi R TrivediVidya Herbs, Florida, USA.
Asher MinIntegrative Skin Science and Research, Sacramento, California, USA.
Raja K SivamaniIntegrative Skin Science and Research, Sacramento, California, USA.

Funding

Vidya Herbs
6 · The paper itself

Abstract

backgroundPhotoaged skin is primarily induced by prolonged exposure to ultraviolet radiation, leading to increased pigmentation, reduced elasticity, and pronounced wrinkles. There has been an increasing recognition of the influence of nutrition on skin health, with dietary elements emerging as a viable alternative approach to preventing photoaging. This study explores how oral supplementation impacts photoaged skin, hydration, and elasticity.

aimsThis study evaluates the effects of an antioxidant-rich synbiotic supplement on facial elasticity, hydration, and photoaging markers, such as erythema and pigmentation. PATIENTS/

methodsIn this 8-week study, 36 participants from the Sacramento region were randomized to receive either the antioxidant-rich synbiotic supplement or a placebo. Participants had 3 visits: baseline, week 4, and week 8. Noninvasive facial measurements, including hydration, elasticity, erythema, and pigmentation, were obtained. Facial photography and analysis were performed. Tolerability was assessed.

resultsAt week 8, the treatment group showed a significant reduction in wrinkle severity (-5.28%, p < 0.01), whereas the placebo group did not. Cheek elasticity increased significantly at week 4 (22.0%, p < 0.01) and week 8 (13.8%, p < 0.05), along with firmness at week 8 (12.2%, p < 0.01). The placebo group showed no significant changes in these parameters. Additionally, the viscoelasticity of the cheek increased at week 4 (30.2%, p < 0.01) in the treatment group, with no change in the placebo group.

conclusionsThe antioxidant-rich synbiotic supplement improved wrinkle severity, skin facial elasticity, and skin firmness, enhancing several parameters of photoaging.

Indexed as

AntioxidantsDietary SupplementsSkin AgingSynbioticsAdministration, OralAdultAgedDouble-Blind MethodElasticityErythemaFemaleHumansMaleMiddle AgedProspective StudiesSkinAntioxidantsantioxidantelasticityherbshydrationphotoagingskinsynbiotic

Identifiers

PMID41947475
PMCPMC13058406

What OpenQuestion holds

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LicenceCC BY
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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.