SubEx
Glucosamine·Protect bones and joints·finding 14 of 20
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★★☆Single study — solid evidence, such as one good trial or a large observational dataset, but not replicated at the top tier.

Physical & body · no significant effect · single study

Scanned directly, the cartilage looked no better after 24 weeks

X-rays measure the gap between the bones and infer the cartilage. The only trial to scan it, in 201 knees after 24 weeks on 1,500 mg a day, found no less damage.

What the study found

The one trial to use MRI saw no slowing of cartilage damage

X-rays measure the gap between the bones and infer the cartilage. This is the only glucosamine trial to look at the cartilage directly, using magnetic resonance imaging: after 24 weeks on 1,500 mg a day, scans of 201 knees showed no less cartilage damage.

The caveat · 3 in 10 without confirmed arthritis

Three in ten had knee pain without X-ray-confirmed osteoarthritis, so this is not purely a trial in established disease. Twenty-four weeks is short for a structural endpoint when the trials reporting benefit ran three years. It used a hydrochloride drink, which sulfate proponents reject.