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Supplement evidence

014 / 575Vitamin

Riboflavin (B2)

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The short answer

Treating deficiency; higher-dose riboflavin may reduce migraine frequency in some adults.

Evidence and scope
Conditional or population-specific

This status does not grade the ingredient for every goal, outcome, or person.

Important limitation
Migraine evidence does not imply general neurologic or lifespan benefit.
Before deciding
Usually well tolerated; bright-yellow urine is expected and harmless.

01 / PRACTICAL GUIDE

Dose, absorption, and combinations

These are indication-specific reference or studied ranges—not a personalized prescription. Start with the objective, then check the form, label, medicines, and health conditions.

Reference range by objective
Meeting usual needs1.1 mg/day women; 1.3 mg/day men

Reference or studied range—not a personalized prescription. The product label or a clinician may specify a different dose.

Dose source
Migraine prevention400 mg/day is commonly studied for prevention

Reference or studied range—not a personalized prescription. The product label or a clinician may specify a different dose.

Dose source

More is not automatically better. A clinician or product label may specify a different amount.

Absorption / solubilityWater-soluble

Water-soluble or readily water-dispersible. This does not mean excess is always harmless.

How it is commonly taken

Take with food if it causes nausea.

Do not combine casually

Bright-yellow urine is expected; migraine dosing should be coordinated with a clinician.

Dose and use source

Dose and use links lead to primary or official source material. Search links are discovery tools, not proof that every returned paper applies.

02 / EVIDENCE

What the research says

We keep supportive, mixed, negative, safety, and contextual findings together. The headline never replaces the underlying papers.

4research papers in this ledger
16unique primary studies represented
1,123unique participants represented

These are audited counts for this JIVANA collection, not search-result totals. Participants are counted once when multiple papers use the same cohort; review papers are not added again to participant totals.

Open the research timelineResearch timeline

Entries are ordered by publication year. A study period appears only when the source reports it.

2026
Mixed or qualifiedPMID 41769676

The effect of riboflavin on the mean attack frequency, severity, and duration of migraine headaches

Pooled frequency and duration favored riboflavin, with a linear dose-response through 400 mg/day. Very high heterogeneity and small or uncontrolled contributing trials limit certainty and product-wide generalization.

Study design and methods
Design
Systematic review and dose-response meta-analysis of 12 clinical trials
Population
749 participants with migraine across adult and pediatric trials
Intervention
Riboflavin regimens up to 400 mg/day versus control
Outcome
Migraine frequency, duration, and severity

Funding or conflict note: The authors declared no conflicts of interest.

Open research record
2025
Mixed or qualifiedPMID 41123035 · CD015464

Riboflavin supplements for blood pressure lowering in adults

The effect on systolic and diastolic pressure was very uncertain; most trials were at high risk of bias and confidence intervals included little or no clinically useful effect. Evidence is insufficient for general blood-pressure treatment.

Study design and methods
Design
Cochrane systematic review of four randomized trials
Population
374 adults, mainly with hypertension and selected MTHFR-genotype groups
Intervention
Oral riboflavin supplements versus inactive control
Outcome
Systolic and diastolic blood pressure, medication, adverse events, and riboflavin status

Funding or conflict note: The review reported author disclosures and public or charitable fellowship support; no product sponsor was reported.

Open research record
2013
Mixed or qualifiedPMID 23608654 · ISRCTN23620802

Blood pressure in treated hypertensive individuals with the MTHFR 677TT genotype is responsive to intervention with riboflavin

Systolic pressure favored riboflavin by 5.6 mmHg, while the diastolic effect was not significant. This genotype-targeted small trial does not establish a general antihypertensive effect.

Study design and methods
Design
Targeted randomized placebo-controlled trial
Population
91 treated hypertensive adults with the MTHFR 677TT genotype
Intervention
Riboflavin 1.6 mg/day or placebo
Outcome
Systolic and diastolic blood pressure

Funding or conflict note: This trial is represented in the 2025 Cochrane review and is excluded from aggregate totals.

Open research record
1998
Supports a specific usePMID 9484373

Effectiveness of high-dose riboflavin in migraine prophylaxis

Attack frequency and headache days favored riboflavin; 59% versus 15% achieved at least 50% improvement in headache days. Two minor events occurred with riboflavin, but the sample was small.

Study design and methods
Design
Randomized placebo-controlled trial
Population
55 patients with migraine
Intervention
Riboflavin 400 mg/day or placebo
Outcome
Attack frequency, headache days, response, and adverse events

Funding or conflict note: This trial is represented in the 2026 migraine synthesis and is excluded from aggregate totals.

Open research record
Unscreened discovery appendix—not evidence490 candidate publicationsSearch run: Aug 21, 2026

Complete for the displayed PubMed query at the search timestamp—not for all databases or every possible synonym. Candidates can be irrelevant, duplicate the same study, or report negative findings. They are never summed as evidence or participants until screened.

03 / SOURCES

Start with the source material

The live search is for discovery only. Search-result counts change and are not included in the audited totals above.

Recent PubMed discovery recordsDirect links to the first 12 records returned by the reproducible search. These are discovery candidates—not reviewed summaries or a count of supportive findings.
  1. Riboflavin therapy in complex I deficiency: Two new cases of leukoencephalopathy and a systematic literature review.Ferrera G, Invernizzi F, Spagnolo M et al. · 2026 · Journal of the neurological sciences · PMID 42476091Open on PubMed
  2. Genome-wide meta-analysis with 1,590,596 individuals identifies 12 novel risk loci for systemic lupus erythematosus.Zhu G, Su W, Deng J et al. · 2026 · Mammalian genome : official journal of the International Mammalian Genome Society · PMID 42581184Open on PubMed
  3. Comparison of accelerated corneal collagen cross-linking under normal and increased oxygen concentrations: A pilot study.Sinha R, Sabir M, Tripathi M et al. · 2026 · Indian journal of ophthalmology · PMID 42241346Open on PubMed
  4. Advanced Medicinal Treatment for Keratoconus: A Systematic Review of New Drugs and Formulations.Hu S, Li X, Zhang X et al. · 2026 · Journal of ocular pharmacology and therapeutics : the official journal of the Association for Ocular Pharmacology and Therapeutics · PMID 41951565Open on PubMed
  5. Unraveling Riboflavin-Mediated Mitochondrial Modulation as a Therapeutic Pathway in Neurological Disorders: An Integrative Systematic Review.Silva-Araújo ER, Toscano AE, Cavalcanti Bezerra Gouveia HJ et al. · 2026 · The Journal of nutrition · PMID 41720188Open on PubMed
  6. Effectiveness of Riboflavin in Inherited Metabolic Diseases: A Systematic Review.Jaeger B, Stolwijk NN, Aaldering F et al. · 2026 · Journal of inherited metabolic disease · PMID 42046426Open on PubMed
  7. Effect of Dentin Biomodification on the Survival of Resin Composite Restorations: An Umbrella Review.El Alaoui N, Chala S, Ghoul S · 2026 · International dental journal · PMID 41713123Open on PubMed
  8. Vitamin E TPGS-enhanced riboflavin accelerated transepithelial cross-linking versus accelerated epithelium-off protocol in progressive keratoconus: a prospective randomized trial.Jain P, Rangari P, Dutta P et al. · 2026 · International ophthalmology · PMID 41758421Open on PubMed
  9. Comparison of epithelium-off versus iontophoresis-assisted transepithelial corneal collagen cross-linking in keratoconus: a systematic review and meta-analysis.Alajmi TS, Alasmari FF, Alasmari TF et al. · 2026 · International ophthalmology · PMID 41661382Open on PubMed
  10. Recessive congenital methemoglobinemia: a systematic review of reported cases.Neven J, Beyltjens T, Meuwissen M et al. · 2026 · Orphanet journal of rare diseases · PMID 41639689Open on PubMed
  11. A randomised controlled trial on cross-linking protocols for the treatment of progressive keratoconus using isoosmolar and hypoosmolar riboflavin with the addition of sterile water in thin corneae.Gustafsson I, Olafsdottir T, Neumann O et al. · 2026 · Acta ophthalmologica · PMID 40630024Open on PubMed
  12. [Assessment of the efficacy of Cytoflavin in the acute phase of ischemic stroke: a systematic review and meta-analysis].Alasheev AM, Kharitonova TV, Shamalov NA et al. · 2026 · Zhurnal nevrologii i psikhiatrii imeni S.S. Korsakova · PMID 42565402Open on PubMed

04 / EXPERT CONTEXT

Expert context—not evidence

Expert positions are dated context—not scientific evidence. They never raise the evidence status or become consensus by repetition.

No direct, source-verified endorsement is currently recorded. Research authorship or discussion alone is not treated as endorsement.

Educational information only—not medical advice. Product quality, dose, medicines, pregnancy, and kidney or liver disease can materially change safety.