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The Research Behind Spirulina
The Science Behind Spirulina
Disclosure of interest. Agnese Stunda-Zujeva is a co-founder of SpirulinaNord and developed the photobioreactor cultivation system this company uses. She is a working scientist writing about her field, and she has a commercial interest in it. Every factual claim below is linked to a primary source you can read yourself.
What is spirulina?
Spirulina is the common name for two species of filamentous cyanobacteria — Arthrospira platensis and Arthrospira maxima — that grow naturally in warm, alkaline lakes. It is usually described as a “blue-green algae,” but that label is loose: spirulina is a bacterium, not a plant and not a true alga. It has no cell nucleus and, importantly for nutrition, no cellulose cell wall. That is one reason its protein and minerals are unusually easy for the human gut to access — there is no rigid wall to break down first.
Humans have eaten it for centuries. It was harvested from Lake Texcoco by the Aztecs and is still eaten around Lake Chad. Commercial cultivation began in the 1970s. It holds US FDA Generally Recognized as Safe (GRAS) status.
Almost all spirulina sold worldwide is grown in open ponds and then spray-dried into a powder or pressed into tablets. A smaller quantity is grown in closed-loop photobioreactors and kept fresh — raw and living. Section 1 explains why that distinction is biologically meaningful.
Why is the evidence base for spirulina unusually deep?
Spirulina has been studied for over 60 years. A PubMed search returns more than 3,800 records — but the number that actually matters is the human evidence, and it is genuinely unusual for a functional food. There are dozens of placebo-controlled trials, multiple meta-analyses in mainstream clinical-nutrition journals and systematic reviews that grade the quality of the underlying studies rather than merely counting them.
The largest pooled analysis to date (Mousavi et al., 2025) combined 22 randomized placebo-controlled trials covering 5,385 participants and found that every measured marker of inflammation and oxidative stress moved in a favorable direction.
Important to note that almost every trial used commodity dried spirulina powder or tablets. Drying damages some of the heat-sensitive compounds that make spirulina interesting in the first place, so the material tested in most of this literature is compositionally significantly poorer than fresh spirulina.
A note on dose and duration. The trials cluster in a narrow band. Most used between 1 and 6 grams of dried spirulina per day. The inflammation literature finds signal mainly above 2 g/day sustained for eight weeks or more; the IBS trial used 1 g/day for twelve weeks; three independent allergy groups converged on 2 g/day; body-composition changes only reach statistical significance in trials running twelve weeks or longer. Two patterns hold across the whole literature. Blood markers such as hemoglobin move within days to a couple of weeks. Everything else — inflammation, body composition, the microbiome — takes 8-12 weeks before a trial can see it at all. Studies shorter than that tend to report nulls, and that is as much a fact about the study design as about the ingredient.
1. How is fresh spirulina different from dried spirulina powder?
Most people first meet spirulina as a dark green powder or a tablet. That form exists because drying is cheap, shelf-stable, and easy to ship. It is also the form that has been measured repeatedly in the lab against fresh spirulina harvested straight from a photobioreactor. The two forms are chemically different products by the time they reach you, and the science is reasonably clear about where the difference sits.
What drying does to spirulina
Industrial drying pushes wet spirulina through hot air. Heat degrades a fraction of the bioactive compounds, and the compounds most affected are the ones spirulina is studied for: pigments, antioxidants, and heat-sensitive vitamins. Typical commodity powder then sits in a container, exposed to residual oxygen, for months before being opened. Oxidation continues slowly across that window.
How much is lost depends heavily on the method. In the comparative literature, spray-drying costs roughly 23% of phycocyanin; freeze-drying about 9%; vacuum-drying as much as 80%(Vasquez Guevara et al., 2025). None of this is controversial in the food-science literature. It is the same reason fresh herbs and dried herbs are treated as different ingredients in cooking.
What the measurements show
Lab analyses comparing fresh spirulina against commercial dried powder find consistent compositional gaps. The figures below are stated as how much more of each compound fresh spirulina contains than dried powder:
- Phycocyanin — about 60% more in fresh. Phycocyanin is the blue pigment-protein that makes up 14–20% of spirulina’s protein fraction and is the single most-studied spirulina bioactive for antioxidant and anti-inflammatory work.
- Carotenoids — about 50% more in fresh. Including beta-carotene, which the body converts to vitamin A, and zeaxanthin, which is relevant for eye tissue.
- Vitamin E — about 87% more in fresh. A fat-soluble antioxidant and a canonical heat-loss casualty.
- B-vitamins — about 20% more in fresh, across the B-complex family.
- Superoxide dismutase (SOD) — 167.7 units per gram in fresh, undetectable in spray-dried powder (Luo et al., 2024). SOD is one of the body’s own antioxidant enzymes. It is a protein, and heat denatures it. Detectable SOD is a signature of a live, uncooked product.
These are composition measurements. They describe what sits in the jar, not what happens in the body.
Why this matters scientifically
Fresh spirulina delivers more of the compounds researchers study when they study spirulina. The reasonable inference is that the biological signal has more material to work with. The limit on that inference is firm: no head-to-head fresh-versus-dried human trial has been run. The composition gap is measured. The clinical translation of that gap is not. We flag this openly because the rest of this page is careful about the difference between evidence and extrapolation, and this section has to be too.
What the composition gap does tell you concretely is this: the sensory signature of fresh spirulina — dark green, almost no taste, no fishy odour — is itself a quality marker. The off-tastes and strong smells in commodity spirulina are oxidation products and contamination from open-pond cultivation. A fresh product grown in a sealed reactor does not carry those signatures.
Antioxidant capacity also varies enormously between commercial spirulina products, and processing is a large part of why (Stunda-Zujeva et al., 2023).
2. What nutrients does spirulina contain?
The anchor reference is Podgórska-Kryszczuk et al. (2024), a comprehensive composition review in Molecules.
Protein
Spirulina is 55–70% protein by dry weight, which places it among the most protein-dense foods that exist. It contains all nine essential amino acids. Its digestibility is 85–95% — comparable to or better than most animal proteins, and higher than most plant proteins. The absence of a cellulose cell wall is the structural reason: there is nothing the gut has to break through.
Iron
Dried spirulina contains 100–170 mg of iron per 100 g. That is a very high figure for a plant-kingdom-adjacent food.
Pigments and antioxidant compounds
Phycobiliproteins make up up to 20% of spirulina’s protein fraction; phycocyanin — the blue pigment — accounts for 14–20% of it. Alongside phycocyanin sit beta-carotene and other carotenoids, vitamin E, gamma-linolenic acid (GLA), chlorophyll, and a broad mineral spectrum.
B-vitamins
Spirulina contains thiamine (B1), riboflavin (B2), niacin (B3) and B6 in bioavailable form.
It is not a source of vitamin B12. Spirulina contains a pseudo-B12 — an inactive analogue that human beings cannot absorb or use. This is settled in the literature and Podgórska-Kryszczuk 2024 is explicit about it. A great many spirulina products are marketed as a natural B12 source. If you are vegan or vegetarian, spirulina does not solve your B12 requirement, and you should still supplement with cyanocobalamin or methylcobalamin.
Iron and vitamin C together
One composition fact is worth isolating, because it recurs later on this page: vitamin C increases the absorption of iron. This is one of the few nutrient interactions with an authorized EU health claim behind it, and it is a real, well-characterised mechanism. Iron and vitamin C consumed in the same meal behave differently from the same two nutrients consumed hours apart.
3. Is spirulina a good source of iron?
Iron deficiency is the most common nutritional deficiency in the world and the leading non-cardiac cause of chronic tiredness. Spirulina carries a lot of iron (100–170 mg per 100 g dry). The more interesting question is how much of that iron the body can actually get at.
A three-arm randomised trial in Ndhiwa Sub-County, Kenya (Othoo et al., 2021, BMC Nutrition) randomised 240 iron-deficient children aged 6–23 months over six months, comparing a spirulina-enriched corn-soy blend against a standard corn-soy blend and against placebo. It reported that spirulina’s iron was 89.1% extractableunder simulated gastric conditions, against 53.2% for the standard micronutrient premix.
Extractability is a laboratory measure of how much iron is released and becomes available for absorption. It is not the fraction a human absorbs. Real-world iron absorption is far lower for every food — non-heme plant iron typically runs 2–20%, heme iron from meat roughly 15–35%. Spirulina’s iron is released far more readily than the iron in a standard fortification premix.
In the same trial, children receiving the spirulina blend recovered from iron-deficiency anemia roughly 4× faster than placebo and 2.4× faster than the standard fortified blend.
The blood-level signal does appear across other populations. A trial in iron-deficient women saw serum iron and red-cell measures improve over eight weeks. A trial in pregnant women saw hemoglobin rise significantly faster than control. A trial in anemic children in Gaza saw ferritin and hemoglobin both rise. A crossover trial in healthy cyclists picked up a hemoglobin signal even in people whose iron was already normal. An in-vitro Caco-2 intestinal-cell model (Puyfoulhoux et al., 2001) found spirulina’s iron availability comparable to beef within that assay.
A performance-science trial (Gurney & Spendiff, 2020) adds another angle: hemoglobin rose about 8% in one week, maximum oxygen uptake rose about 9%, and the oxygen needed to hold a submaximal pace dropped 6%. That is the “working harder on less fuel” effect. Time to exhaustion did not change in this trial.
4. How does spirulina affect gut health?
In the most recent well-designed trial Nasab et al. (2025), published in Nutrition Journal, gave 1 gram of spirulina daily to patients with constipation-type IBS for 12 weeks. Zonulin — a blood marker that reflects how “leaky” the intestinal barrier is — dropped on spirulina and rose on placebo, and symptom scores improved. Quality of life improved. Antioxidant capacity went up; oxidative damage markers came down. This is the first trial of its kind on spirulina and one of the cleaner pieces of clinical evidence in the whole literature.
The mechanism behind it is multi-layered. A 2025 critical review (Alves et al.) traced how spirulina changes the mix of bacteria in the gut — more of the helpful strains, fewer of the inflammatory ones — and raises short-chain fatty acids, which are what those helpful bacteria produce. Guan et al. (2024) identified spirulina’s polysaccharides (the sugar-chain component, distinct from the blue pigment) as the prebiotic fuel the bacteria ferment. Animal studies show the physical gut barrier strengthens at the molecular level: the tight-junction proteins that seal the gut lining go up.
One framing point that matters. Spirulina is a prebiotic, not a probiotic. It feeds the good bacteria already in your gut rather than adding new ones. That is a different mechanism from a yoghurt-style live-culture product, and worth understanding when you are comparing categories.
5. Does spirulina affect cognitive performance?
The cognitive evidence for spirulina is broad in scope — four human trials ranging from healthy adults all the way to Alzheimer’s patients.
The most relevant trial for a working adult is Johnson et al. (2016). Healthy men taking spirulina for 8 weeks performed better on a sustained mental-arithmetic task, with a measurable difference showing up just four hours after the first dose.
The clinical-population trials are more striking. Choi et al. (2022) ran a 12-week trial in 80 older adults with mild cognitive impairment; visual learning, working memory, and vocabulary performance all improved versus placebo. Tamtaji et al. (2023) is the first whole-spirulina trial in an Alzheimer’s population; the cognitive score rose slightly on spirulina and fell on placebo, and several metabolic markers improved in parallel. The fourth trial (Asadolah-poor-kashi et al., 2026) gave 1 g/day for twelve weeks to methadone-maintained men and found reduced anxiety and stress.
Mechanism work in animals traces a gut-brain pathway: rodents on spirulina show rescued cognitive performance, less amyloid and tau, and the effect appears to run through changes in the gut microbiome. These are animal models, and we treat them as mechanism only.
6. What does spirulina do to inflammation and immune markers?
The single biggest piece of evidence in the whole spirulina literature is the Mousavi et al. (2025) meta-analysis: 22 randomized placebo-controlled trials, 5,385 people pooled together. Every marker they measured — C-reactive protein, interleukin-6, TNF-alpha, the oxidative-damage marker malondialdehyde, total antioxidant capacity — moved in the favourable direction. For a nutrition intervention, that is a remarkable degree of consistency.
The mechanism research traces it to two compounds working together. Phycocyanin — the blue pigment-protein that makes up as much as a fifth of spirulina’s protein fraction — dampens the master switch for inflammatory genes (Wu et al., 2016). Beta-carotene mops up reactive oxygen molecules upstream, before they reach the switch. A trial in competitive soccer players (Zhang et al., 2022) found that during a hard training block, the placebo group’s immune cell counts dropped, while the spirulina group’s held steady. That is an immune-preservation signal in a population where training stress genuinely suppresses immunity.
7. Does spirulina improve athletic performance?
Gurney & Spendiff (2020) is the cleanest performance trial: one week, 6 g/day, crossover design. Hemoglobin rose about 8%. Maximum oxygen uptake rose about 9%. And the amount of oxygen needed to hold a submaximal pace dropped 6% — the “work economy” effect, where the same pace costs the body less. Time to exhaustion did not change in this trial, and that matters: the signal is aerobic economy, not raw endurance.
Kalafati et al. (2010) is the counterweight. A four-week trial in trained men found time to exhaustion rose 32%, fat oxidation rose, and oxidative-stress markers dropped — although the sample size is only nine people. The effect is real but underpowered compared with Gurney’s cleaner signal. A separate trial in untrained adults (Sandhu et al., 2010), using a food-realistic 2 g/day for eight weeks, found peak and average force rose and fatigue resistance improved, on top of regular strength training.
Zhang et al. (2022) in competitive soccer players saw immune-cell counts hold steady during heavy training while the placebo group’s dropped. A systematic review across 13 trials (Calella et al., 2022) concluded that the consistent signals across the literature are reduced oxidative stress and immune support; direct performance effects are more variable across trial designs.
8. What does the research say about spirulina and hay fever?
Spirulina has three human trials specifically on seasonal and year-round allergic rhinitis, and they are among the cleanest allergy trials on any functional food. The main one is Cingi et al. (2008), in European Archives of Oto-Rhino-Laryngology: 150 patients, six months, 2 g/day. Runny nose, sneezing, congestion, and itching all improved significantly versus placebo.
The mechanism is selective in an interesting way. Mao et al. (2005) measured cytokines — the signalling molecules that drive the immune response — and found that the one specifically responsible for allergic inflammation (IL-4) dropped by about a third, while the cytokines responsible for normal immune defence were unchanged. That matters because broad immune suppression is exactly what you do not want from an allergy intervention. A third trial (Nourollahian et al., 2020) ran spirulina against a standard antihistamine over two months and reported favourable results for spirulina on nasal symptom and quality-of-life scores.
Limitations: The dose convergence is striking — three independent groups, in Turkey, the United States and Iran, arrived at 2 g/day — and the geography is also the limitation. None of these trials ran in a Northern European population, and hay-fever epidemiology tracks pollen composition and genetic background. The effect builds over weeks: Mao ran eight weeks, Cingi six months. This is not a rescue treatment for an acute episode. No trial has compared spirulina against allergen immunotherapy, which remains the only disease-modifying allergy treatment available.
Safety note: A 2024 review (Gromek et al.) documented four published cases covering five people worldwide who had severe allergic reactions to spirulina. The culprit is part of the phycocyanin protein, and it shares sequence similarity with pistachio, fish, shrimp, corn, and latex proteins. If you have known severe allergies to any of those, do not start spirulina without talking to a doctor. Noe that the risk of allergy to spiruina is extremely low and the few people who have suffered severe reactions had an existing severe attopic background (such as a severe allergy to birch pollen or dust mites).
9. What does the research say about spirulina, blood pressure and cholesterol?
Two prominent independent meta-analyses, five years apart, by different research groups, converge on the same results. Machowiec et al. (2021) pooled five trials and found spirulina lowered systolic blood pressure by about 5 mmHg on average, and close to 9 mmHg in people who started out hypertensive. Serban et al. (2016), in Clinical Nutrition, pooled seven trials and found total cholesterol dropped 47 mg/dL, LDL dropped 41, triglycerides dropped 44, and HDL rose 6. The effects grew with longer trial duration.
The signal holds up in different delivery formats too. A triple-blind trial (Mohammadi et al., 2021) used a tomato-based sauce as the carrier instead of pills and saw blood pressure and triglycerides fall — worth noting because nearly every other trial in this literature used capsules. A pilot trial at 4.5 g/day for 12 weeks (Martinez-Samano et al., 2018) saw systolic pressure drop 14 mmHg and markers of blood-vessel inflammation improve. Animal models in rabbits and pigs add mechanism but are not human outcomes, so we label them as such.
Limitations: No spirulina trial has ever measured an outcome that matters clinically — a heart attack, a stroke, a death, or any composite of them. Blood pressure and LDL cholesterol are surrogate markers. They are good surrogate markers, but they are not the thing itself.
What this research does not say. It does not say spirulina can replace any prescribed medication. Do not stop a prescribed medication. No EU health claim links spirulina to blood pressure, cholesterol, heart attack, or stroke. If you are on cardiovascular medication and curious about this, bring this page and its reference list to your cardiologist. The useful role for this evidence is as information your doctor can weigh — not as a substitute for anything.
10. What does the research say about spirulina and body weight?
Lak et al. (2025) ran a GRADE-rated meta-analysis — the highest-quality review format in nutrition research — across 17 placebo-controlled trials. On average, participants lost about 1 kilogram of body weight, BMI dropped slightly, and body fat percentage dropped about 0.8 points. Modest numbers, but consistent across trials, and the effect grew with dose.
The effect concentrates in specific groups. Moradi et al. (2019) found weight change about 60% larger in people with obesity than in people who were merely overweight — heavier at baseline, stronger response. Zarezadeh et al. (2021) established a duration rule: BMI changes only reach statistical significance in trials running 12 weeks or longer. Shorter trials under-measure it. And Fu et al. (2025), pooling 23 studies, found that combining spirulina with exercise produced noticeably bigger improvements in cholesterol than either alone — a synergy signal that is unusual in nutrition meta-analyses.
Szulinska et al. (2017), in adults who were both obese and hypertensive, saw weight, BMI, waist, LDL, inflammation, antioxidant capacity, and insulin sensitivity all move in the right direction at the same time. The pattern looks less like weight loss and more like the metabolic picture shifting as a whole.
11. Does spirulina reduce oxidative stress?
The same 22-trial Mousavi meta-analysis cited in Section 6 reported unusually large effects on the two canonical oxidation markers: total antioxidant capacity went up substantially, and malondialdehyde (the main oxidative-damage marker) dropped substantially. In the language of effect sizes, both are in “large” territory. Nutrition interventions rarely produce effects this big on these markers, which is why spirulina shows up so often in oxidative-stress reviews.
The mechanism has three parts working together. First, spirulina appears to upregulate the body’s own native antioxidant enzymes — superoxide dismutase, catalase, glutathione peroxidase — rather than just providing antioxidants directly. Second, phycocyanin and beta-carotene scavenge reactive oxygen molecules on contact. Third, the same NF-kB pathway that drives inflammation also drives the oxidative feedback loop, and phycocyanin dampens it. Three pathways, not one. That is why the effect sizes are large.
Fresh versus dried matters more here than anywhere else in the research. SOD — the body’s own antioxidant enzyme — is measurable at 167.7 units per gram in fresh spirulina and undetectable in spray-dried powder, because heat denatures enzymes (Luo et al., 2024). Phycocyanin is about 60% more abundant in fresh, carotenoids about 50%, vitamin E about 87%. Any trial that used dried spirulina tablets started from a lower compositional baseline than fresh. What the body does with that extra composition is a question for future trials. For now, it is a composition fact, not an efficacy claim.
12. What does the research say about spirulina and aging?
Let’s start with what aging actually is, day to day, because it makes the rest of this section easier to read. A large part of aging is a slow loss of reserve. When you are young, you recover quickly — from a hard week, a poor night’s sleep, a minor infection — and the cost is paid off almost invisibly. With age, recovery gets slower, and the small costs stop clearing. A low-grade infection that a younger body would shrug off instead lingers and draws on reserves. Inflammation that should switch off after it has done its job stays quietly switched on. Researchers have a name for that last part: “inflammaging” — the chronic, low-level inflammation that rises with age and is now one of the most studied drivers of how bodies wear down. The felt experience of it is ordinary. More of your energy goes to holding steady, and less is left over for living.
The hypothesis is this: if a food can lower chronic inflammation, support metabolism, and help cells manage oxidative stress, then it is acting on some of the same machinery that drives aging — and a body under less of that load might wear down more slowly. The mechanisms in it are real, and the earlier sections of this page show spirulina moving several of them in human trials: inflammation markers down (Section 6), oxidative-damage markers down (Section 11), metabolic markers improving (Sections 9 and 10).
Important to note that no scientific trial has ever measured whether spirulina slows aging, because you cannot measure aging in a twelve-week study.
References
Every study named on this page, with a resolvable persistent identifier. All links go to the publisher, PubMed, or PubMed Central — not to a summary of a summary.
- Podgórska-Kryszczuk I et al. 2024. Spirulina — an invaluable source of macro- and micronutrients with broad biological activity. Molecules 29(22):5387. DOI: href="https://doi.org/10.3390/molecules29225387" target="_blank" rel="external noopener noreferrer" > 10.3390/molecules29225387 · href="https://pmc.ncbi.nlm.nih.gov/articles/PMC11596570/" target="_blank" rel="external noopener noreferrer" > PMC
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- Nasab MG et al. 2025. Spirulina supplementation on intestinal permeability and symptoms in IBS-C: randomized controlled trial. Nutrition Journal 24:64. DOI: href="https://doi.org/10.1186/s12937-025-01132-6" target="_blank" rel="external noopener noreferrer" > 10.1186/s12937-025-01132-6 · PMID: href="https://pubmed.ncbi.nlm.nih.gov/40259354/" target="_blank" rel="external noopener noreferrer" > 40259354
- Alves JLB et al. 2025. Spirulina and gut microbiota: a critical review. Crit Rev Food Sci Nutr 65(11):2062–75. DOI: href="https://doi.org/10.1080/10408398.2024.2323112" target="_blank" rel="external noopener noreferrer" > 10.1080/10408398.2024.2323112 · PMID: href="https://pubmed.ncbi.nlm.nih.gov/38420934/" target="_blank" rel="external noopener noreferrer" > 38420934
- Guan Y et al. 2024. Spirulina polysaccharides as a prebiotic: a comprehensive review. J Funct Foods 116:106158. DOI: href="https://doi.org/10.1016/j.jff.2024.106158" target="_blank" rel="external noopener noreferrer" > 10.1016/j.jff.2024.106158
- Yu T et al. 2020. Spirulina, chronic inflammation, gut microbiota and intestinal permeability in high-fat-diet rats. J Cell Mol Med 24(15):8603–13. DOI: href="https://doi.org/10.1111/jcmm.15489" target="_blank" rel="external noopener noreferrer" > 10.1111/jcmm.15489 · PMID: href="https://pubmed.ncbi.nlm.nih.gov/32633894/" target="_blank" rel="external noopener noreferrer" > 32633894 (in rats)
- Hu J et al. 2019. Dose effects of orally administered spirulina on the gut microbiota in mice. Front Cell Infect Microbiol 9:243. DOI: href="https://doi.org/10.3389/fcimb.2019.00243" target="_blank" rel="external noopener noreferrer" > 10.3389/fcimb.2019.00243 · PMID: href="https://pubmed.ncbi.nlm.nih.gov/31334136/" target="_blank" rel="external noopener noreferrer" > 31334136 (in mice)
- Johnson M et al. 2016. A randomized, double-blind, placebo-controlled study of spirulina supplementation on mental and physical fatigue in men. Int J Food Sci Nutr 67(2):203–6. DOI: href="https://doi.org/10.3109/09637486.2016.1144719" target="_blank" rel="external noopener noreferrer" > 10.3109/09637486.2016.1144719 · PMID: href="https://pubmed.ncbi.nlm.nih.gov/26888417/" target="_blank" rel="external noopener noreferrer" > 26888417
- Choi SM et al. 2022. Standardized spirulina maxima extract in older adults with mild cognitive impairment: RCT. Nutrients 14(18):3714. DOI: href="https://doi.org/10.3390/nu14183714" target="_blank" rel="external noopener noreferrer" > 10.3390/nu14183714 · PMID: href="https://pubmed.ncbi.nlm.nih.gov/36145090/" target="_blank" rel="external noopener noreferrer" > 36145090
- Tamtaji OR et al. 2023. The effects of spirulina intake on clinical and metabolic parameters in Alzheimer’s disease: RCT. Phytother Res 37(6):2437–47. DOI: href="https://doi.org/10.1002/ptr.7791" target="_blank" rel="external noopener noreferrer" > 10.1002/ptr.7791 · PMID: href="https://pubmed.ncbi.nlm.nih.gov/36861852/" target="_blank" rel="external noopener noreferrer" > 36861852
- Asadolah-poor-kashi M et al. 2026. Spirulina on anxiety, stress and cognition in methadone-maintained men: RCT. Food Sci Nutr. DOI: href="https://doi.org/10.1002/fsn3.71521" target="_blank" rel="external noopener noreferrer" > 10.1002/fsn3.71521
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