Preventing the common cold with a vitamin C supplement: A double-blind, placebo-controlled survey
Abstract
One hundred sixty-eight volunteers were randomized to receive a placebo or a vitamin C supplement, two tablets daily, over a 60-day period between November and February. They used a five-point scale to assess their health and recorded any common cold infections and symptoms in a daily diary. Compared with the placebo group, the active-treatment group had significantly fewer colds (37 vs 50, P<.05), fewer days challenged virally (85 vs 178), and a significantly shorter duration of severe symptoms (1.8 vs 3.1 days, P<.03). Consequently, volunteers in the active group were less likely to get a cold and recovered faster if infected. Few side effects occurred with the active treatment, and volunteers reported greatly increased satisfaction with the study supplement compared with any previous form of vitamin C. This well-tolerated vitamin C supplement may prevent the common cold and shorten the duration of symptoms. Volunteers were generally impressed by the protection afforded them during the winter months and the general acceptability of the study medication.
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A recent UK trial found a reduction in recurrent colds in a nine-week trial in both sexes (RR 0.13; 95% CI 0.03 to 0.53).
“Nevertheless, a recent UK trial found a reduction in recurrent colds in a nine‐week trial in both sexes (RR 0.13; 95% CI 0.03 to 0.53) (Van Straten 2002) (seeHemilä 2006a).”
From Vitamin C for preventing and treating the common cold (2013) · cites this paper as Van Straten 2002
Another study captured the incidence and symptoms of the common cold.
“One study investigated the effect of Calcium ascorbate EC on immune function by assessing neutrophil functionality (phagocytosis) and the number of different lymphocyte subsets and natural killer cells after ex vivo stimulation [30], while another captured the incidence and symptoms of the common cold [28].”
From Enhanced Vitamin C Delivery: A Systematic Literature Review Assessing the Efficacy and Safety of Alternative Supplement Forms in Healthy Adults (2025) · cites this paper as [28]
Van Straten and Josling found a shorter duration of severe symptoms compared to placebo (average 1.8 vs 3.1 days, p < 0.03).
“Those in the Calcium ascorbate EC group had significantly fewer common cold episodes (37 in comparison with 50 in the placebo group, p < 0.05) and a shorter duration of severe symptoms compared to the placebo group (average of 1.8 vs. 3.1 days in the placebo group, p < 0.03).”
From Enhanced Vitamin C Delivery: A Systematic Literature Review Assessing the Efficacy and Safety of Alternative Supplement Forms in Healthy Adults (2025) · cites this paper as [28]
The lower infection risk reported with Calcium ascorbate EC is consistent with reported improvements in immune cell function and in leucocyte vitamin C reported in other studies.
“The lower infection risk reported with Calcium ascorbate EC in [28] is consistent with the reported improvements in immune cell function [30] and in leucocyte vitamin C reported in other studies [16,27].”
From Enhanced Vitamin C Delivery: A Systematic Literature Review Assessing the Efficacy and Safety of Alternative Supplement Forms in Healthy Adults (2025) · cites this paper as [28]
Van Straten and Josling found those in the Calcium ascorbate EC group had significantly fewer common cold episodes (37 vs 50 in placebo, p < 0.05).
“Those in the Calcium ascorbate EC group had significantly fewer common cold episodes (37 in comparison with 50 in the placebo group, p < 0.05) and a shorter duration of severe symptoms compared to the placebo group (average of 1.8 vs. 3.1 days in the placebo group, p < 0.03).”
From Enhanced Vitamin C Delivery: A Systematic Literature Review Assessing the Efficacy and Safety of Alternative Supplement Forms in Healthy Adults (2025) · cites this paper as [28]
In that study, indigestion occurred most frequently in the placebo group (10%) compared to 4% among those receiving 1000 mg Calcium ascorbate EC daily over 60 days, while heartburn incidence was 4% and 7%, respectively.
“Indigestion occurred most frequently in the placebo group, at 10%, compared to 4% among those receiving 1000 mg Calcium ascorbate EC daily over a 60-day period, while the incidence of heartburn was 4% and 7%, respectively.”
From Enhanced Vitamin C Delivery: A Systematic Literature Review Assessing the Efficacy and Safety of Alternative Supplement Forms in Healthy Adults (2025) · cites this paper as [28]
From the NICE checklist quality assessment of thirteen RCTs, ten (77%) showed low risk of bias, two (15%) high risk, and one (8%) unclear risk.
“From the assessment of the methodological quality of thirteen RCTs, ten (77%) showed a low risk of bias [12,16,27,28,29,30,31,32,35,37,38], two (15%) showed a high risk of bias [33,36] and one (8%) showed an unclear risk of bias [34].”
From Enhanced Vitamin C Delivery: A Systematic Literature Review Assessing the Efficacy and Safety of Alternative Supplement Forms in Healthy Adults (2025) · cites this paper as [28]
Van Straten and Josling found an overall low incidence of side effects among 168 participants.
“Van Straten and Josling [28] found an overall low incidence of side effects among the 168 participants in their study.”
From Enhanced Vitamin C Delivery: A Systematic Literature Review Assessing the Efficacy and Safety of Alternative Supplement Forms in Healthy Adults (2025) · cites this paper as [28]
Studies using Calcium ascorbate EC reported favorable effects on leukocyte vitamin C concentration, showed improved immunity based on cell functions and numbers, and reported fewer colds and a shorter duration of severe cold symptoms compared to placebo.
“Studies using Calcium ascorbate EC reported favorable effects on leukocyte vitamin C concentration [16,27], showed improved immunity (based on cell functions and numbers) [30], and reported fewer colds and a shorter duration of severe cold symptoms compared to placebo [28].”
From Enhanced Vitamin C Delivery: A Systematic Literature Review Assessing the Efficacy and Safety of Alternative Supplement Forms in Healthy Adults (2025) · cites this paper as [28]
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Preventing the common cold with a garlic supplement: A double-blind, placebo-controlled survey
Josling, P. (2001) · Advances in Therapy · doi:10.1007/bf02850113 · Cited by 191 · see citing works
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Vitamin C and Common Cold Incidence: A Review of Studies with Subjects Under Heavy Physical Stress
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Mega‐dose vitamin C in treatment of the common cold: a randomised controlled trial
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- Authors
- Van Straten, M., & Josling, P.
- Affiliations
- Combat Medical (Spain) (ES)
- ORCID
- Josling, Peter
- Venue
- Advances in Therapy
- Published
- 2002-05
- Volume
- 19
- Issue
- 3
- Pages
- 151-159
- ISSN
- 0741-238X (ISSN-L)
- 1865-8652
- OpenAlex
- W4245574741
- Cited by
- 64
- References
- 6
- Citations by year
- 2026: 1 · 2025: 3 · 2024: 3 · 2023: 4 · 2022: 6 · 2021: 7 · 2020: 2 · 2019: 4 · 2017: 1 · 2016: 1 · 2015: 1 · 2014: 1 · 2013: 1 · 2012: 3
- FWCI
- 1.17
- Type
- journal article
- Language
- en
- Open access
- closed
- Licence
- www.springer.com/tdm (tdm)
- Locations
- Advances in Therapy (publishedVersion)
- Topics
- Health Sciences › Nursing › Nutrition and Dietetics › Vitamin C and Antioxidants Research
- Health Sciences › Medicine › Epidemiology › Respiratory viral infections research
- Health Sciences › Medicine › Complementary and alternative medicine › Herbal Medicine Research Studies
- Keywords
- common cold, vitamin C, vitamin C supplementation, cold prevention, symptom duration, viral challenge, winter, tolerability, participant satisfaction
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