supp.fit

HMB

13 benefits mapped to clinical evidence across supplements.

Dose per serving from products

74 products in our catalogue print how much HMB a serving holds.

Most common: 500 mg to 1 g, 36% of 74 products.

Dose per servingProducts
250 mg or less
3
250 mg to 500 mg
13
500 mg to 1 g
27
1 g to 2.5 g
23
2.5 g to 5 g
8

Dose per serving from research

78 study groups in 66 studies say how much HMB participants took a day.

These are the doses the studies gave. They are not a recommendation.

Most common: 2.5 g to 5 g, 83% of 78 study groups.

Daily doseStudy groups
1 g or less
1
1 g to 2.5 g
12
2.5 g to 5 g
65

See every study group

Commonly used together

28 of 75 study groups took HMB with something else. Shown: what 3 or more different studies gave.

What was given together, not what works together.

Taken withStudy groups
Arginine
11
Glutamine
10
Vitamin D
7
Creatine
4
Whey Protein
3

Benefit Evidence

Lean mass +0.8–12.7%

Muscle loss −2.0 kg

3,008 people

Lean mass +2.55kg

Muscle loss -14%

3,470 people
Strength
Strong

Strength ↑; +4.6kg grip

Lean mass ↑; +1.2%

Power/function ↑; +21.5% jump

2,100 people

Muscle loss↓, strength↑

Mortality↓, recovery↑

Function↑, mass↑

2,501 people

Muscle/strength + function

Nutrition/weight + less mortality

Cardio-endothelial +27% FMD

3,204 people

↑Lean mass +3.0kg

↓Fat/VAT −93.8g

↑Strength/power +23%

1,826 people

Damage markers ↓, recovery ↑

Strength/function ↑, stay ↓

1,040 people

Strength/mobility +17%

Mass/weight gains

Hospital stay -4.3d

1,763 people

Strength/mobility +17%

Walk +47.6m

550 people

Strength/power +18%

Aerobic/endurance +9%

Recovery/damage markers

211 people
Endurance
Moderate

Endurance: +VO2max

Threshold/delay: +9.1% OBLA

Recovery: 24h work capacity

202 people

Less CK, soreness

Better strength recovery

69 people

Bone density/strength +6-28%

Bone density + strength

30 people

Research sources

Muscle growth (24)
  1. β-Hydroxy-β-methylbutyrate, Arginine, and Glutamine Complex on Muscle Volume Loss in Critically Ill Patients: A Randomized Control Trial

    PubMed ID: 31134640

    ICU trial: no overall effect but significant reduction in femoral muscle loss in less-severe subgroup — context-specific preservation.

  2. Effect of administration of β-hydroxy-β-methyl butyrate-enriched formula after liver transplantation: A pilot randomized controlled trial

    PubMed ID: 32593895

    Post‑liver‑transplant pilot: greater SMI at 2 months and stronger grip vs control — supports muscle retention/rehabilitation after major illness.

  3. Functional and metabolic effects of omega-3 polyunsaturated fatty acid supplementation and the role of β-hydroxy-β-methylbutyrate addition in chronic obstructive pulmonary disease: A randomized clinical trial

    PubMed ID: 39181037

    COPD patients (HMB+EPA/DHA): some favorable lean mass/protein‑turnover signals but multi‑nutrient confounding.

  4. Effect of leucine metabolite beta-hydroxy-beta-methylbutyrate on muscle metabolism during resistance-exercise training

    PubMed ID: 8941534

    Early RCT: HMB reduced proteolysis markers and increased fat‑free mass over weeks of RT.

  5. Reduced mortality risk in malnourished hospitalized older adult patients with COPD treated with a specialized oral nutritional supplement: Sub-group analysis of the NOURISH study

    PubMed ID: 32921503

    Malnourished older COPD subgroup on HMB‑containing ONS gained weight and strength and had lower short‑term mortality (multi‑nutrient).

  6. Nutritional supplementation of the leucine metabolite beta-hydroxy-beta-methylbutyrate (hmb) during resistance training

    PubMed ID: 10978853

    4‑week RT RCT reported trends to greater lean mass with HMB (modest effect).

  7. Beta-hydroxy-beta-methylbutyrate ingestion, Part I: effects on strength and fat free mass

    PubMed ID: 11128859

    8‑week HMB during resistance training produced greater fat‑free mass gains vs control.

  8. Creatine and beta-hydroxy-beta-methylbutyrate (HMB) additively increase lean body mass and muscle strength during a weight-training program

    PubMed ID: 11448573

    HMB (+/− creatine) increased lean mass over 3 weeks and reduced nitrogen excretion—supports muscle‑mass preservation/gain.

  9. The Effect of β-Hydroxy-β-Methylbutyrate on Aerobic Capacity and Body Composition in Trained Athletes

    PubMed ID: 26849784

    Large crossover in trained athletes: HMB improved fat‑free mass vs placebo (significant change).

  10. Nutritional treatment for acquired immunodeficiency virus-associated wasting using beta-hydroxy beta-methylbutyrate, glutamine, and arginine: a randomized, double-blind, placebo-controlled study

    PubMed ID: 10850936

    HIV wasting RCT: large, clinically meaningful increases in body weight and lean mass — strong evidence of lean-mass preservation/augmentation.

  11. [Efficacy of Transfer Energy Capacitive and Resistive Therapy Combined With β-Hydroxy-β-Methylbutyrate Nutritional Supplementation in Older Adults With Sarcopenic Obesity]

    PubMed ID: 41113429

    HMB + TECAR improved function and grip and accompanied BMI reduction, indicating favorable muscle/lean effects.

  12. Preliminary clinical study on the synergistic effects of prebiotics and β-hydroxy-β-methylbutyrate in improving muscle function and intestinal barrier function in elderly patients with sarcopenia

    PubMed ID: 41627702

    HMB with prebiotics increased skeletal muscle index over 30 days in sarcopenic older adults (combined intervention).

  13. Reversal of cancer-related wasting using oral supplementation with a combination of beta-hydroxy-beta-methylbutyrate, arginine, and glutamine

    PubMed ID: 11975938

    Cancer cachexia RCT: increased body mass and FFM vs control — direct support for preserving/adding lean mass during illness.

  14. The Effect of a 12-Week Beta-hydroxy-beta-methylbutyrate (HMB) Supplementation on Highly-Trained Combat Sports Athletes: A Randomised, Double-Blind, Placebo-Controlled Crossover Study

    PubMed ID: 28708126

    12‑week trial in combat athletes: HMB increased FFM vs placebo—consistent body‑composition benefit.

  15. Body composition in 70-year-old adults responds to dietary beta-hydroxy-beta-methylbutyrate similarly to that of young adults

    PubMed ID: 11435528

    Older adults: Ca‑HMB with resistance training increased fat‑free mass vs placebo (modest but significant/near‑significant effects).

  16. Effect of beta-hydroxy-beta-methylbutyrate on protein metabolism in bed-ridden elderly receiving tube feeding

    PubMed ID: 20460233

    Bedridden elderly: HMB reduced biochemical markers of protein breakdown (BUN, urinary urea N), consistent with anticatabolic, muscle‑preserving action.

  17. Readmission and mortality in malnourished, older, hospitalized adults treated with a specialized oral nutritional supplement: A randomized clinical trial

    PubMed ID: 26797412

    Malnourished older inpatients receiving HP‑HMB supplement gained weight and improved nutrition (reduced mortality)—consistent with muscle‑mass preservation in catabolic illness.

  18. Effectiveness of nutritional supplementation on sarcopenia and recovery in hip fracture patients. A multi-centre randomized trial

    PubMed ID: 28539168

    Elderly hip‑fracture RCT: HMB‑containing supplement preserved appendicular lean mass vs control—strong direct evidence for muscle‑mass preservation.

  19. Impact of specialized oral nutritional supplement on clinical, nutritional, and functional outcomes: A randomized, placebo-controlled trial in community-dwelling older adults at risk of malnutrition

    PubMed ID: 33268143

    Large trial in malnutrition‑risk older adults showed robust weight gain and improved nutritional status; some muscle/strength signals.

  20. Oral Nutritional Supplement with β-hydroxy-β-methylbutyrate (HMB) Improves Nutrition, Physical Performance and Ameliorates Intramuscular Adiposity in Pre-Frail Older Adults: A Randomized Controlled Trial

    PubMed ID: 34179932

    Direct increase in mid‑thigh muscle CSA in pre‑frail older adults after 12 weeks of HMB‑containing ONS.

  21. Impact of β-hydroxy-β-methylbutyrate (HMB) on muscle loss and protein metabolism in critically ill patients: A RCT

    PubMed ID: 34358832

    Ventilated ICU trial: HMB reduced net protein breakdown though did not prevent measured quadriceps area loss over 10 days.

  22. Beta-hydroxy-beta-methylbutyrate supplementation in critically ill trauma patients

    PubMed ID: 17215743

    Trauma ICU: HMB improved nitrogen balance (less negative) — physiological signal consistent with reduced net muscle loss though proteolysis marker unchanged.

  23. Year-long changes in protein metabolism in elderly men and women supplemented with a nutrition cocktail of beta-hydroxy-beta-methylbutyrate (HMB), L-arginine, and L-lysine

    PubMed ID: 19164608

    Year‑long elderly RCT increased lean mass (DXA/BIA) — supports preservation of muscle mass with age.

  24. Oral Supplementation with Beta-Hydroxy-Beta-Methylbutyrate, Arginine, and Glutamine Improves Lean Body Mass in Healthy Older Adults

    PubMed ID: 29672184

    Six‑month older-adult RCT increased total lean mass across measurement methods — clear preservation/augmentation signal.

Muscle maintenance (21)
  1. Effect of leucine metabolite beta-hydroxy-beta-methylbutyrate on muscle metabolism during resistance-exercise training

    PubMed ID: 8941534

    Decreased urinary 3‑methylhistidine (proteolysis) and lower CK in early RT with HMB.

  2. Nutritional treatment for acquired immunodeficiency virus-associated wasting using beta-hydroxy beta-methylbutyrate, glutamine, and arginine: a randomized, double-blind, placebo-controlled study

    PubMed ID: 10850936

    HIV-wasting RCT: large increases in lean mass and body weight vs placebo — strong evidence for sustaining/regaining muscle during chronic illness.

  3. Reversal of cancer-related wasting using oral supplementation with a combination of beta-hydroxy-beta-methylbutyrate, arginine, and glutamine

    PubMed ID: 11975938

    Cancer-related cachexia RCT: increased FFM vs control — supports reduced breakdown or net anabolic effect in cachexia.

  4. Beta-hydroxy-beta-methylbutyrate supplementation in critically ill trauma patients

    PubMed ID: 17215743

    Trauma ICU: HMB improved nitrogen balance compared with placebo (less negative N balance) — physiologic evidence for reduced net breakdown.

  5. β-Hydroxy-β-methylbutyrate, Arginine, and Glutamine Complex on Muscle Volume Loss in Critically Ill Patients: A Randomized Control Trial

    PubMed ID: 31134640

    ICU trial: subgroup benefit in less-severe patients (reduced femoral loss) — some evidence for sustaining muscle in acute illness.

  6. Effect of administration of β-hydroxy-β-methyl butyrate-enriched formula after liver transplantation: A pilot randomized controlled trial

    PubMed ID: 32593895

    Post‑liver‑transplant RCT: improved SMI and grip strength and shorter LOS — supports muscle sustainment during postoperative illness/recovery.

  7. Efficacy of beta-hydroxy-beta-methylbutyrate, arginine, and glutamine for the prevention of mucositis induced by platinum-based chemoradiation in head and neck cancer: A phase II study

    PubMed ID: 37739730

    During chemoradiation HMB mix reduced severe mucositis and limited weight loss — clinically meaningful benefit in a catabolic illness context.

  8. Functional and metabolic effects of omega-3 polyunsaturated fatty acid supplementation and the role of β-hydroxy-β-methylbutyrate addition in chronic obstructive pulmonary disease: A randomized clinical trial

    PubMed ID: 39181037

    COPD study (HMB+EPA/DHA) showed changes in whole‑body protein breakdown measures (multi‑nutrient).

  9. Amino Acid Profile in Malnourished Patients with Liver Cirrhosis and Its Modification with Oral Nutritional Supplements: Implications on Minimal Hepatic Encephalopathy

    PubMed ID: 34836020

    Malnourished cirrhosis: HMB‑ONS increased BCAAs and Fischer's ratio and trended to reduce MHE; metabolic support in disease context.

  10. Reduced mortality risk in malnourished hospitalized older adult patients with COPD treated with a specialized oral nutritional supplement: Sub-group analysis of the NOURISH study

    PubMed ID: 32921503

    Malnourished older COPD subgroup on HMB‑containing ONS had better strength/weight and much lower short‑term mortality (post‑hoc, multi‑nutrient).

  11. Effects of Oral Nutritional Supplement with β-Hydroxy-β-methylbutyrate (HMB) on Biochemical and Hematological Indices in Community-Dwelling Older Adults at Risk of Malnutrition: Findings from the SHIELD Study

    PubMed ID: 39125374

    Large RCT in older adults at risk of malnutrition using an HMB‑containing ONS improved nutritional biomarkers and increased body weight—strongest clinical support for illness/disuse contexts (though multi‑ingredient).

  12. Creatine and beta-hydroxy-beta-methylbutyrate (HMB) additively increase lean body mass and muscle strength during a weight-training program

    PubMed ID: 11448573

    HMB reduced nitrogen excretion and CPK after training—biochemical evidence for reduced proteolysis.

  13. The Effect of β-Hydroxy-β-Methylbutyrate on Aerobic Capacity and Body Composition in Trained Athletes

    PubMed ID: 26849784

    Improved FFM vs placebo in athletes suggests a net anti‑catabolic effect across training.

  14. Anti-inflammatory and anticatabolic effects of short-term beta-hydroxy-beta-methylbutyrate supplementation on chronic obstructive pulmonary disease patients in intensive care unit

    PubMed ID: 17077073

    Ventilated COPD patients: 7 days of HMB reduced inflammatory markers, increased total protein and improved ventilator outcomes in more patients — supports muscle preservation during acute illness.

  15. Effect of beta-hydroxy-beta-methylbutyrate on protein metabolism in bed-ridden elderly receiving tube feeding

    PubMed ID: 20460233

    Bedridden elderly on tube feeding: HMB reduced BUN and urinary urea N excretion — direct biochemical evidence of reduced protein breakdown.

  16. Oral supplement enriched in HMB combined with pulmonary rehabilitation improves body composition and health related quality of life in patients with bronchiectasis (Prospective, Randomised Study)

    PubMed ID: 26522923

    Bronchiectasis patients receiving HMB‑enriched protein drink during pulmonary rehab gained lean mass and strength—supports sustaining muscle during chronic illness (multi‑nutrient).

  17. Readmission and mortality in malnourished, older, hospitalized adults treated with a specialized oral nutritional supplement: A randomized clinical trial

    PubMed ID: 26797412

    Large RCT in malnourished hospitalized older adults: HP‑HMB reduced 90‑day mortality and improved nutritional status and weight—strong evidence HMB helps sustain patients during illness (ONS).

  18. Effectiveness of nutritional supplementation on sarcopenia and recovery in hip fracture patients. A multi-centre randomized trial

    PubMed ID: 28539168

    Hip‑fracture RCT: HMB‑ONS preserved appendicular lean mass and improved nutritional markers in elderly postoperative patients—supports muscle sustainment during acute illness/injury.

  19. Impact of specialized oral nutritional supplement on clinical, nutritional, and functional outcomes: A randomized, placebo-controlled trial in community-dwelling older adults at risk of malnutrition

    PubMed ID: 33268143

    Older adults at malnutrition risk receiving HMB‑containing ONS gained weight and had better clinical/nutritional outcomes — applicable to illness‑related wasting.

  20. Impact of β-hydroxy-β-methylbutyrate (HMB) on muscle loss and protein metabolism in critically ill patients: A RCT

    PubMed ID: 34358832

    Ventilated ICU study showed significant reduction in net protein breakdown with HMB despite short‑term area loss.

  21. Beta-hydroxy-beta-methylbutyrate supplementation and functional outcomes in multitrauma patients: A pilot randomized controlled trial

    PubMed ID: 37357015

    Multitrauma feasibility trial suggested HMB is deliverable with a non‑significant trend toward less quadriceps wasting—supports potential benefit during illness/trauma.

Strength (20)
  1. Vitamin D status affects strength gains in older adults supplemented with a combination of β-hydroxy-β-methylbutyrate, arginine, and lysine: a cohort study

    PubMed ID: 21807930

    FFM increases in older adults occurred broadly, but strength gains depended on adequate vitamin D — conditional maintenance of strength.

  2. Oral Nutritional Supplement with β-hydroxy-β-methylbutyrate (HMB) Improves Nutrition, Physical Performance and Ameliorates Intramuscular Adiposity in Pre-Frail Older Adults: A Randomized Controlled Trial

    PubMed ID: 34179932

    Pre‑frail older adults achieved increased thigh CSA and modest functional benefits with HMB ONS, relevant to maintaining strength.

  3. Impact of specialized oral nutritional supplement on clinical, nutritional, and functional outcomes: A randomized, placebo-controlled trial in community-dwelling older adults at risk of malnutrition

    PubMed ID: 33268143

    Large ONS trial produced small but significant improvements in some strength measures (leg strength/female handgrip) in older adults.

  4. Effectiveness of nutritional supplementation on sarcopenia and recovery in hip fracture patients. A multi-centre randomized trial

    PubMed ID: 28539168

    Hip‑fracture trial in elderly patients: HMB‑ONS preserved appendicular lean mass and improved strength measures—supports maintenance of strength in older adults.

  5. Oral supplement enriched in HMB combined with pulmonary rehabilitation improves body composition and health related quality of life in patients with bronchiectasis (Prospective, Randomised Study)

    PubMed ID: 26522923

    Pulmonary‑rehab patients receiving HMB‑enriched ONS showed increases in handgrip and other strength measures vs rehab alone—supports strength improvement in clinical rehab.

  6. Body composition in 70-year-old adults responds to dietary beta-hydroxy-beta-methylbutyrate similarly to that of young adults

    PubMed ID: 11435528

    Older adult trial: HMB with resistance training produced modest FFM gains and fat loss, supporting maintenance/improvement of strength in older adults.

  7. The Effect of a 12-Week Beta-hydroxy-beta-methylbutyrate (HMB) Supplementation on Highly-Trained Combat Sports Athletes: A Randomised, Double-Blind, Placebo-Controlled Crossover Study

    PubMed ID: 28708126

    Trained combat athletes saw improvements in anaerobic power and related strength/power metrics with HMB.

  8. Creatine and beta-hydroxy-beta-methylbutyrate (HMB) additively increase lean body mass and muscle strength during a weight-training program

    PubMed ID: 11448573

    HMB (and creatine+HMB) produced clear cumulative strength gains over 3 weeks.

  9. Beta-hydroxy-beta-methylbutyrate ingestion, Part I: effects on strength and fat free mass

    PubMed ID: 11128859

    8‑week HMB trial increased specific strength measures (isometric/isokinetic torque).

  10. Nutritional supplementation of the leucine metabolite beta-hydroxy-beta-methylbutyrate (hmb) during resistance training

    PubMed ID: 10978853

    4‑week RT RCT showed modest increases in upper‑body strength with 3 g/day HMB.

  11. Long-term Effects of Calcium β-Hydroxy-β-Methylbutyrate and Vitamin D3 Supplementation on Muscular Function in Older Adults With and Without Resistance Training: A Randomized, Double-blind, Controlled Study

    PubMed ID: 32857128

    HMB+D improved knee extension torque at 3 months and functional indices in older adults, indicating maintenance of strength with age.

  12. Effect of Oral Beta-Hydroxy-Beta-Methylbutyrate (HMB) Supplementation on Physical Performance in Healthy Old Women Over 65 Years: An Open Label Randomized Controlled Trial

    PubMed ID: 26529601

    Older active women: low‑dose Ca‑HMB improved some isometric strength/endurance tests (open‑label design).

  13. Effect of administration of β-hydroxy-β-methyl butyrate-enriched formula after liver transplantation: A pilot randomized controlled trial

    PubMed ID: 32593895

    Post‑liver‑transplant RCT: stronger grip at 1–2 months with HMB formula — clinically meaningful strength gain.

  14. Preliminary clinical study on the synergistic effects of prebiotics and β-hydroxy-β-methylbutyrate in improving muscle function and intestinal barrier function in elderly patients with sarcopenia

    PubMed ID: 41627702

    HMB with prebiotics increased grip strength in older sarcopenic adults over 30 days.

  15. [Efficacy of Transfer Energy Capacitive and Resistive Therapy Combined With β-Hydroxy-β-Methylbutyrate Nutritional Supplementation in Older Adults With Sarcopenic Obesity]

    PubMed ID: 41113429

    In older sarcopenic-obese adults, HMB + TECAR preserved/ improved grip and SPPB—supports maintaining strength with age.

  16. Effects of Beta-Hydroxy-Beta-Methylbutyrate Supplementation on Older Adults with Sarcopenia: A Randomized, Double-Blind, Placebo-Controlled Study

    PubMed ID: 37248756

    Sarcopenic older adults on HMB + resistance training had large, significant gains in handgrip and chair‑stand performance.

  17. Oral Supplementation with Beta-Hydroxy-Beta-Methylbutyrate, Arginine, and Glutamine Improves Lean Body Mass in Healthy Older Adults

    PubMed ID: 29672184

    Six‑month RCT showed lean-mass increase and modest functional benefit relevant to maintaining strength in older adults.

  18. Year-long changes in protein metabolism in elderly men and women supplemented with a nutrition cocktail of beta-hydroxy-beta-methylbutyrate (HMB), L-arginine, and L-lysine

    PubMed ID: 19164608

    One‑year supplementation produced lean-mass gains and increased protein turnover in elderly, consistent with maintaining strength long-term.

  19. Effect of beta-hydroxy-beta-methylbutyrate, arginine, and lysine supplementation on strength, functionality, body composition, and protein metabolism in elderly women

    PubMed ID: 15105032

    Elderly women experienced measurable strength gains and improved function over 12 weeks — supports maintaining/increasing strength with age.

  20. Effects of Co-Ingestion of β-Hydroxy-β-Methylbutyrate and L-Arginine α-Ketoglutarate on Jump Performance in Young Track and Field Athletes

    PubMed ID: 33805883

    Athlete camp study: Ca‑HMB+AAKG prevented decline in jump power during intensive training — supports preservation/improvement of power/strength endurance.

Illness recovery (17)
  1. Reduced mortality risk in malnourished hospitalized older adult patients with COPD treated with a specialized oral nutritional supplement: Sub-group analysis of the NOURISH study

    PubMed ID: 32921503

    Malnourished COPD subgroup had improved strength/weight and lower mortality with HMB‑containing ONS, supporting recovery in illness.

  2. Effects of Oral Nutritional Supplement with β-Hydroxy-β-methylbutyrate (HMB) on Biochemical and Hematological Indices in Community-Dwelling Older Adults at Risk of Malnutrition: Findings from the SHIELD Study

    PubMed ID: 39125374

    Older adults at risk of malnutrition improved nutrition markers and weight with HMB‑containing ONS—may assist recovery in illness/inactivity.

  3. Anti-inflammatory and anticatabolic effects of short-term beta-hydroxy-beta-methylbutyrate supplementation on chronic obstructive pulmonary disease patients in intensive care unit

    PubMed ID: 17077073

    Ventilated COPD patients: more HMB patients improved ventilator status in 7 days, implying faster clinical rehabilitation in acute illness.

  4. Oral supplement enriched in HMB combined with pulmonary rehabilitation improves body composition and health related quality of life in patients with bronchiectasis (Prospective, Randomised Study)

    PubMed ID: 26522923

    Pulmonary‑rehab + HMB‑enriched ONS produced gains in BMD, strength, FFM and QOL vs rehab alone—supports faster/better rehabilitation progress (multi‑nutrient).

  5. Effect of beta-hydroxy-beta-methylbutyrate on protein metabolism in bed-ridden elderly receiving tube feeding

    PubMed ID: 20460233

    Bedridden elderly: HMB reduced markers of protein breakdown over 2–4 weeks — direct evidence supporting recovery/preservation during inactivity.

  6. Readmission and mortality in malnourished, older, hospitalized adults treated with a specialized oral nutritional supplement: A randomized clinical trial

    PubMed ID: 26797412

    HP‑HMB in malnourished older inpatients improved nutritional status and survival, facilitating recovery and rehabilitation in clinical populations.

  7. Effectiveness of nutritional supplementation on sarcopenia and recovery in hip fracture patients. A multi-centre randomized trial

    PubMed ID: 28539168

    Elderly hip‑fracture multicenter RCT: HMB‑ONS preserved lean mass and improved nutritional markers during post‑surgical recovery—strong evidence for aiding rehab.

  8. Impact of β-hydroxy-β-methylbutyrate (HMB) on muscle loss and protein metabolism in critically ill patients: A RCT

    PubMed ID: 34358832

    Critically ill ventilated patients: HMB reduced net protein breakdown and improved phase angle/global health despite not preventing short‑term muscle area loss.

  9. Peripheral Blood T Cell Gene Expression Responses to Exercise and HMB in Sarcopenia

    PubMed ID: 34371826

    Combined exercise + nutrition (including HMB) in sarcopenic older adults improved leg extension strength and ASM; HMB likely contributed but not isolated.

  10. Effects of Beta-Hydroxy-Beta-Methylbutyrate Supplementation on Older Adults with Sarcopenia: A Randomized, Double-Blind, Placebo-Controlled Study

    PubMed ID: 37248756

    HMB + supervised resistance training in sarcopenic older adults improved functional outcomes—facilitates rehabilitation progress.

  11. Beta-hydroxy-beta-methylbutyrate supplementation and functional outcomes in multitrauma patients: A pilot randomized controlled trial

    PubMed ID: 37357015

    Multitrauma feasibility: HMB was deliverable in ICU/ward and trended toward less quadriceps wasting at 28 days.

  12. [Efficacy of Transfer Energy Capacitive and Resistive Therapy Combined With β-Hydroxy-β-Methylbutyrate Nutritional Supplementation in Older Adults With Sarcopenic Obesity]

    PubMed ID: 41113429

    HMB + TECAR produced significant functional and strength gains—directly relevant to rehabilitation progress.

  13. Preliminary clinical study on the synergistic effects of prebiotics and β-hydroxy-β-methylbutyrate in improving muscle function and intestinal barrier function in elderly patients with sarcopenia

    PubMed ID: 41627702

    HMB with prebiotics improved SMI and grip in sarcopenic older adults—supports rehabilitation potential (short trial).

  14. Oral Supplementation with Beta-Hydroxy-Beta-Methylbutyrate, Arginine, and Glutamine Improves Lean Body Mass in Healthy Older Adults

    PubMed ID: 29672184

    Six‑month older‑adult RCT increased LBM and improved stair-climb — suggests better rehab outcomes for older adults.

  15. β-Hydroxy-β-methylbutyrate, Arginine, and Glutamine Complex on Muscle Volume Loss in Critically Ill Patients: A Randomized Control Trial

    PubMed ID: 31134640

    ICU trial subgroup showed reduced femoral loss in less-severe patients — may aid rehab in selected patients.

  16. Effect of administration of β-hydroxy-β-methyl butyrate-enriched formula after liver transplantation: A pilot randomized controlled trial

    PubMed ID: 32593895

    Post‑liver‑transplant: improved grip strength/SMI and shorter LOS — supports faster rehabilitation recovery.

  17. Effects of preoperative beta-hydroxy-beta-methylbutyrate, arginine, and glutamine supplementation on cardiac surgery: A randomized controlled trial

    PubMed ID: 39765161

    Preop HMB+arg+gln improved walk distance and strength post‑cardiac surgery and shortened hospital stay, suggesting faster rehab (multi‑nutrient).

Healthy aging (15)
  1. Effect of beta-hydroxy-beta-methylbutyrate, arginine, and lysine supplementation on strength, functionality, body composition, and protein metabolism in elderly women

    PubMed ID: 15105032

    Elderly RCT showed improved function (get-up-and-go), strength and ↑protein synthesis over 12 weeks — strong aging-relevant signals.

  2. Preliminary clinical study on the synergistic effects of prebiotics and β-hydroxy-β-methylbutyrate in improving muscle function and intestinal barrier function in elderly patients with sarcopenia

    PubMed ID: 41627702

    Short RCT of HMB with prebiotics in sarcopenic older adults showed increased muscle index and grip strength.

  3. [Efficacy of Transfer Energy Capacitive and Resistive Therapy Combined With β-Hydroxy-β-Methylbutyrate Nutritional Supplementation in Older Adults With Sarcopenic Obesity]

    PubMed ID: 41113429

    RCT in older sarcopenic-obese adults: HMB + TECAR improved SPPB and grip, suggesting functional aging benefits.

  4. Effects of Beta-Hydroxy-Beta-Methylbutyrate Supplementation on Older Adults with Sarcopenia: A Randomized, Double-Blind, Placebo-Controlled Study

    PubMed ID: 37248756

    Sarcopenic older adults: HMB + resistance training improved grip, gait speed and chair stand, relevant to healthy aging function.

  5. Oral Nutritional Supplement with β-hydroxy-β-methylbutyrate (HMB) Improves Nutrition, Physical Performance and Ameliorates Intramuscular Adiposity in Pre-Frail Older Adults: A Randomized Controlled Trial

    PubMed ID: 34179932

    12‑week RCT in pre‑frail older adults: HMB supplement increased mid‑thigh muscle CSA and body weight/BMI.

  6. Impact of specialized oral nutritional supplement on clinical, nutritional, and functional outcomes: A randomized, placebo-controlled trial in community-dwelling older adults at risk of malnutrition

    PubMed ID: 33268143

    Large RCT in older adults at malnutrition risk showed significant weight/nutrition gains and some strength improvements with HMB‑containing ONS.

  7. Effectiveness of nutritional supplementation on sarcopenia and recovery in hip fracture patients. A multi-centre randomized trial

    PubMed ID: 28539168

    Multicenter RCT in elderly hip‑fracture patients: HMB-ONS preserved appendicular lean mass and improved nutrition markers—supports healthier aging outcomes.

  8. Readmission and mortality in malnourished, older, hospitalized adults treated with a specialized oral nutritional supplement: A randomized clinical trial

    PubMed ID: 26797412

    Large RCT in malnourished older inpatients: HMB-containing HP supplement reduced 90-day mortality and improved nutritional status—clinically meaningful for aging populations.

  9. Body composition in 70-year-old adults responds to dietary beta-hydroxy-beta-methylbutyrate similarly to that of young adults

    PubMed ID: 11435528

    Older adults (70 y) trial: Ca‑HMB (3 g/day) with resistance training produced modest increases in fat‑free mass and reduced body fat — relevant to healthy aging.

  10. Effects of Oral Nutritional Supplement with β-Hydroxy-β-methylbutyrate (HMB) on Biochemical and Hematological Indices in Community-Dwelling Older Adults at Risk of Malnutrition: Findings from the SHIELD Study

    PubMed ID: 39125374

    Large ONS trial in older adults at risk of malnutrition improved biochemical nutrition markers and weight—supports nutritional status in aging, though multi‑ingredient.

  11. Small-Scale Randomized Controlled Trial to Explore the Impact of β-Hydroxy-β-Methylbutyrate Plus Vitamin D(3) on Skeletal Muscle Health in Middle Aged Women

    PubMed ID: 36364934

    Middle‑aged sedentary women showed reduced IMAT and small thigh volume gain with HMB+D—anatomical changes relevant to healthy aging despite no strength gains.

  12. Long-term Effects of Calcium β-Hydroxy-β-Methylbutyrate and Vitamin D3 Supplementation on Muscular Function in Older Adults With and Without Resistance Training: A Randomized, Double-blind, Controlled Study

    PubMed ID: 32857128

    12-month RCT (HMB+D) improved functional composite and early LBM in older adults, suggesting relevance to healthy aging (co‑supplemented with vitamin D).

  13. Oral Supplementation with Beta-Hydroxy-Beta-Methylbutyrate, Arginine, and Glutamine Improves Lean Body Mass in Healthy Older Adults

    PubMed ID: 29672184

    Six‑month RCT in older adults increased total lean mass and improved stair-climb function — supports aging muscle preservation/function.

  14. Effects of 6-month supplementation with β-hydroxy-β-methylbutyrate, glutamine and arginine on vascular endothelial function of older adults

    PubMed ID: 26306566

    Six‑month RCT improved endothelial function (FMD) in older adults — cardiovascular benefit relevant to healthy aging though not muscle-specific.

  15. Year-long changes in protein metabolism in elderly men and women supplemented with a nutrition cocktail of beta-hydroxy-beta-methylbutyrate (HMB), L-arginine, and L-lysine

    PubMed ID: 19164608

    One‑year RCT in older adults produced modest but significant increases in lean mass and protein turnover — directly relevant to healthy aging.

Body composition (15)
  1. Long-term Effects of Calcium β-Hydroxy-β-Methylbutyrate and Vitamin D3 Supplementation on Muscular Function in Older Adults With and Without Resistance Training: A Randomized, Double-blind, Controlled Study

    PubMed ID: 32857128

    HMB+D improved early LBM in older non‑exercisers (co‑supplemented with vitamin D).

  2. Small-Scale Randomized Controlled Trial to Explore the Impact of β-Hydroxy-β-Methylbutyrate Plus Vitamin D(3) on Skeletal Muscle Health in Middle Aged Women

    PubMed ID: 36364934

    Reduced intermuscular adipose tissue and small thigh muscle volume increase with HMB+D—favorable compositional change.

  3. Creatine and beta-hydroxy-beta-methylbutyrate (HMB) additively increase lean body mass and muscle strength during a weight-training program

    PubMed ID: 11448573

    HMB (and creatine combination) increased LBM vs placebo, reduced markers of protein catabolism.

  4. The Effect of β-Hydroxy-β-Methylbutyrate on Aerobic Capacity and Body Composition in Trained Athletes

    PubMed ID: 26849784

    Crossover athlete trial showed increased FFM and decreased fat mass with HMB vs placebo.

  5. The Effect of a 12-Week Beta-hydroxy-beta-methylbutyrate (HMB) Supplementation on Highly-Trained Combat Sports Athletes: A Randomised, Double-Blind, Placebo-Controlled Crossover Study

    PubMed ID: 28708126

    Trained combat athletes lost fat and gained FFM with HMB over 12 weeks.

  6. Body composition in 70-year-old adults responds to dietary beta-hydroxy-beta-methylbutyrate similarly to that of young adults

    PubMed ID: 11435528

    Older adults: Ca‑HMB with resistance training modestly increased fat‑free mass and decreased body fat on some measures vs placebo.

  7. Oral supplement enriched in HMB combined with pulmonary rehabilitation improves body composition and health related quality of life in patients with bronchiectasis (Prospective, Randomised Study)

    PubMed ID: 26522923

    Pulmonary rehab + HMB‑enriched ONS increased FFM and MAMC—supports lean‑mass improvements in clinical rehab (multi‑nutrient).

  8. Effectiveness of nutritional supplementation on sarcopenia and recovery in hip fracture patients. A multi-centre randomized trial

    PubMed ID: 28539168

    Elderly hip‑fracture RCT: HMB‑ONS preserved appendicular lean mass compared with control—strong evidence for supporting lean mass in vulnerable older adults.

  9. Time-restricted feeding plus resistance training in active females: a randomized trial

    PubMed ID: 31268131

    During time‑restricted feeding, HMB cohort (per‑protocol) lost more fat while FFM and muscle thickness gains were similar across groups—suggests retention of muscle during dieting.

  10. Impact of specialized oral nutritional supplement on clinical, nutritional, and functional outcomes: A randomized, placebo-controlled trial in community-dwelling older adults at risk of malnutrition

    PubMed ID: 33268143

    Large ONS trial increased weight and improved nutritional status; composition shifting toward improved lean outcomes suggested but not isolated to HMB.

  11. Oral Nutritional Supplement with β-hydroxy-β-methylbutyrate (HMB) Improves Nutrition, Physical Performance and Ameliorates Intramuscular Adiposity in Pre-Frail Older Adults: A Randomized Controlled Trial

    PubMed ID: 34179932

    Pre‑frail older adults: HMB ONS increased thigh muscle CSA and modest weight/BMI gains—favorable body composition change.

  12. [Efficacy of Transfer Energy Capacitive and Resistive Therapy Combined With β-Hydroxy-β-Methylbutyrate Nutritional Supplementation in Older Adults With Sarcopenic Obesity]

    PubMed ID: 41113429

    Participants lost BMI while improving grip and SPPB with HMB + TECAR, indicating favorable body composition during weight loss.

  13. Nutritional treatment for acquired immunodeficiency virus-associated wasting using beta-hydroxy beta-methylbutyrate, glutamine, and arginine: a randomized, double-blind, placebo-controlled study

    PubMed ID: 10850936

    HIV-wasting RCT increased lean body mass substantially while fat mass unchanged — strong lean-composition effect in wasting illness.

  14. Year-long changes in protein metabolism in elderly men and women supplemented with a nutrition cocktail of beta-hydroxy-beta-methylbutyrate (HMB), L-arginine, and L-lysine

    PubMed ID: 19164608

    Year‑long elderly RCT increased lean tissue mass (DXA/BIA) — sustained lean‑composition benefit.

  15. Oral Supplementation with Beta-Hydroxy-Beta-Methylbutyrate, Arginine, and Glutamine Improves Lean Body Mass in Healthy Older Adults

    PubMed ID: 29672184

    Six‑month older-adult RCT increased total lean mass by multiple methods — supports improved lean composition.

Exercise recovery (18)
  1. Effects of β-hydroxy-β-methylbutyrate free acid and cold water immersion on post-exercise markers of muscle damage

    PubMed ID: 24639242

    Combining HMB‑FA with cold‑water immersion reduced some inflammatory markers and improved short‑term power—mixed but supportive for recovery.

  2. Effect of beta-hydroxy-beta-methylbutyrate on protein metabolism in bed-ridden elderly receiving tube feeding

    PubMed ID: 20460233

    Bedridden elderly: reductions in protein‑breakdown markers suggest improved preservation/recovery of muscle protein during inactivity.

  3. Oral supplement enriched in HMB combined with pulmonary rehabilitation improves body composition and health related quality of life in patients with bronchiectasis (Prospective, Randomised Study)

    PubMed ID: 26522923

    Pulmonary‑rehab + HMB‑ONS improved FFM, strength and QOL vs rehab alone—supports enhanced recovery in disease/rehab context (multi‑nutrient product).

  4. Effectiveness of nutritional supplementation on sarcopenia and recovery in hip fracture patients. A multi-centre randomized trial

    PubMed ID: 28539168

    Preservation of lean mass and improved nutrition after hip fracture with HMB‑ONS suggests faster convalescence and return to activity.

  5. Impact of β-hydroxy-β-methylbutyrate (HMB) on muscle loss and protein metabolism in critically ill patients: A RCT

    PubMed ID: 34358832

    ICU trial: HMB reduced net protein breakdown and improved cellular phase angle—biomarkers consistent with improved recovery/metabolism.

  6. [Efficacy of Transfer Energy Capacitive and Resistive Therapy Combined With β-Hydroxy-β-Methylbutyrate Nutritional Supplementation in Older Adults With Sarcopenic Obesity]

    PubMed ID: 41113429

    Improved SPPB and grip indicate faster functional recovery and readiness for activity after intervention.

  7. Preliminary clinical study on the synergistic effects of prebiotics and β-hydroxy-β-methylbutyrate in improving muscle function and intestinal barrier function in elderly patients with sarcopenia

    PubMed ID: 41627702

    Muscle and strength gains in sarcopenic older adults suggest potential for quicker return to activity (short trial).

  8. The effects of preoperative supplementation with a combination of beta-hydroxy-beta-methylbutyrate, arginine, and glutamine on inflammatory and hematological markers of patients with heart surgery: a randomized controlled trial

    PubMed ID: 35148750

    Preoperative supplementation lowered postoperative inflammatory markers — reduced inflammation may facilitate recovery.

  9. Effect of administration of β-hydroxy-β-methyl butyrate-enriched formula after liver transplantation: A pilot randomized controlled trial

    PubMed ID: 32593895

    Post‑liver‑transplant: stronger grip, higher SMI at 2 months and shorter LOS — suggests enhanced recovery after major surgery.

  10. Effects of Co-Ingestion of β-Hydroxy-β-Methylbutyrate and L-Arginine α-Ketoglutarate on Jump Performance in Young Track and Field Athletes

    PubMed ID: 33805883

    Athlete camp RCT: maintenance of jump power across repeated sessions implies improved between-session recovery/maintenance of performance.

  11. Anti-inflammatory and anticatabolic effects of short-term beta-hydroxy-beta-methylbutyrate supplementation on chronic obstructive pulmonary disease patients in intensive care unit

    PubMed ID: 17077073

    Ventilated COPD trial: a higher proportion of HMB patients improved ventilator status within 7 days, suggesting faster clinical recovery enabling earlier activity.

  12. Efficacy of beta-hydroxy-beta-methylbutyrate, arginine, and glutamine for the prevention of mucositis induced by platinum-based chemoradiation in head and neck cancer: A phase II study

    PubMed ID: 37739730

    During chemoradiation HMB mix reduced severe mucositis and limited weight loss — supports faster/safer recovery during cancer treatment.

  13. Effects of preoperative beta-hydroxy-beta-methylbutyrate, arginine, and glutamine supplementation on cardiac surgery: A randomized controlled trial

    PubMed ID: 39765161

    Shorter hospital stay (−4.3 days) and improved 6MWD after preop HMB+arg+gln suggest faster return to activity post‑cardiac surgery (multi‑nutrient).

  14. Effect of leucine metabolite beta-hydroxy-beta-methylbutyrate on muscle metabolism during resistance-exercise training

    PubMed ID: 8941534

    HMB reduced plasma CK and proteolysis markers during early RT, consistent with enhanced recovery.

  15. Beta-hydroxy-beta-methylbutyrate ingestion, Part I: effects on strength and fat free mass

    PubMed ID: 11128859

    Reduced CPK responses and improved torque indicate enhanced recovery in an 8‑week trial.

  16. Evaluation of the recovery after heart surgery following preoperative supplementation with a combination of beta-hydroxy-beta-methylbutyrate, L-arginine, and L-glutamine: a double-blind randomized placebo-controlled clinical trial

    PubMed ID: 35964137

    Preoperative supplementation reduced cardiac injury markers and shortened ICU/hospital stay after cardiac surgery — supports earlier return to activity.

  17. Creatine and beta-hydroxy-beta-methylbutyrate (HMB) additively increase lean body mass and muscle strength during a weight-training program

    PubMed ID: 11448573

    HMB reduced serum CPK and nitrogen excretion in a RT trial—evidence for better recovery and lower muscle damage.

  18. β-Hydroxy-β-methylbutyrate (HMB)-free acid attenuates circulating TNF-α and TNFR1 expression postresistance exercise

    PubMed ID: 23908318

    HMB‑FA blunted acute TNF‑α response to heavy resistance exercise—anti‑inflammatory action supportive of recovery.

Daily comfort (14)
  1. Oral Nutritional Supplement with β-hydroxy-β-methylbutyrate (HMB) Improves Nutrition, Physical Performance and Ameliorates Intramuscular Adiposity in Pre-Frail Older Adults: A Randomized Controlled Trial

    PubMed ID: 34179932

    Pre‑frail older adults: gains in thigh muscle CSA and modest weight increases are associated with improved capacity for daily tasks.

  2. Preliminary clinical study on the synergistic effects of prebiotics and β-hydroxy-β-methylbutyrate in improving muscle function and intestinal barrier function in elderly patients with sarcopenia

    PubMed ID: 41627702

    HMB+prebiotics improved SMI and grip strength, likely improving everyday physical capability.

  3. [Efficacy of Transfer Energy Capacitive and Resistive Therapy Combined With β-Hydroxy-β-Methylbutyrate Nutritional Supplementation in Older Adults With Sarcopenic Obesity]

    PubMed ID: 41113429

    HMB + TECAR produced a clinically meaningful SPPB improvement, a strong marker of everyday function.

  4. Effect of beta-hydroxy-beta-methylbutyrate, arginine, and lysine supplementation on strength, functionality, body composition, and protein metabolism in elderly women

    PubMed ID: 15105032

    Elderly RCT: significant 17% improvement in get‑up‑and‑go and strength gains — strong evidence for improved daily function.

  5. Oral Supplementation with Beta-Hydroxy-Beta-Methylbutyrate, Arginine, and Glutamine Improves Lean Body Mass in Healthy Older Adults

    PubMed ID: 29672184

    Six‑month older-adult RCT improved stair-climb time and increased LBM — meaningful functional benefit for daily activities.

  6. Effect of administration of β-hydroxy-β-methyl butyrate-enriched formula after liver transplantation: A pilot randomized controlled trial

    PubMed ID: 32593895

    Post‑liver‑transplant improved grip strength and SMI — likely to translate to better everyday function during recovery.

  7. Effects of preoperative beta-hydroxy-beta-methylbutyrate, arginine, and glutamine supplementation on cardiac surgery: A randomized controlled trial

    PubMed ID: 39765161

    Preop HMB+arg+gln improved 6‑minute walk distance and physical performance after cardiac surgery (multi‑nutrient).

  8. A Novel Fortified Dairy Product and Sarcopenia Measures in Sarcopenic Older Adults: A Double-Blind Randomized Controlled Trial

    PubMed ID: 33067129

    Older adults consuming HMB‑fortified yogurt improved handgrip strength and gait speed (with vitamins D/C).

  9. Long-term Effects of Calcium β-Hydroxy-β-Methylbutyrate and Vitamin D3 Supplementation on Muscular Function in Older Adults With and Without Resistance Training: A Randomized, Double-blind, Controlled Study

    PubMed ID: 32857128

    12‑month HMB+D trial improved a composite functional index and knee torque, especially in non‑exercisers.

  10. Body composition in 70-year-old adults responds to dietary beta-hydroxy-beta-methylbutyrate similarly to that of young adults

    PubMed ID: 11435528

    Older adult resistance‑training trial: modest improvements in lean mass and body composition that can translate to better function with aging.

  11. Oral supplement enriched in HMB combined with pulmonary rehabilitation improves body composition and health related quality of life in patients with bronchiectasis (Prospective, Randomised Study)

    PubMed ID: 26522923

    Pulmonary rehab + HMB‑ONS improved strength, FFM and QOL—translates to better everyday function in patients undergoing rehab.

  12. Effectiveness of nutritional supplementation on sarcopenia and recovery in hip fracture patients. A multi-centre randomized trial

    PubMed ID: 28539168

    Hip‑fracture RCT: preservation of appendicular lean mass and improved nutritional markers likely contribute to better physical function and recovery.

  13. Impact of specialized oral nutritional supplement on clinical, nutritional, and functional outcomes: A randomized, placebo-controlled trial in community-dwelling older adults at risk of malnutrition

    PubMed ID: 33268143

    Large ONS trial in older adults improved composite clinical outcomes and some functional measures (leg strength/handgrip).

  14. Effects of Beta-Hydroxy-Beta-Methylbutyrate Supplementation on Older Adults with Sarcopenia: A Randomized, Double-Blind, Placebo-Controlled Study

    PubMed ID: 37248756

    Sarcopenic older adults: HMB + resistance training produced large, significant improvements in gait speed and five‑time chair stand.

Joint mobility (8)
  1. [Efficacy of Transfer Energy Capacitive and Resistive Therapy Combined With β-Hydroxy-β-Methylbutyrate Nutritional Supplementation in Older Adults With Sarcopenic Obesity]

    PubMed ID: 41113429

    SPPB improvement in HMB+TECAR group indicates improved mobility and lower‑extremity function.

  2. A Novel Fortified Dairy Product and Sarcopenia Measures in Sarcopenic Older Adults: A Double-Blind Randomized Controlled Trial

    PubMed ID: 33067129

    HMB‑fortified yogurt improved gait speed in older adults (co‑supplemented with vitamins).

  3. Effects of preoperative beta-hydroxy-beta-methylbutyrate, arginine, and glutamine supplementation on cardiac surgery: A randomized controlled trial

    PubMed ID: 39765161

    6‑minute walk distance increased substantially after preop HMB+arg+gln (multi‑nutrient).

  4. Oral Supplementation with Beta-Hydroxy-Beta-Methylbutyrate, Arginine, and Glutamine Improves Lean Body Mass in Healthy Older Adults

    PubMed ID: 29672184

    Stair climb improvement indicates better lower‑extremity function and mobility.

  5. Effect of beta-hydroxy-beta-methylbutyrate, arginine, and lysine supplementation on strength, functionality, body composition, and protein metabolism in elderly women

    PubMed ID: 15105032

    Get‑up‑and‑go time improved markedly in elderly women — direct mobility measure.

  6. Preliminary clinical study on the synergistic effects of prebiotics and β-hydroxy-β-methylbutyrate in improving muscle function and intestinal barrier function in elderly patients with sarcopenia

    PubMed ID: 41627702

    Increases in muscle index and grip strength suggest better mobility potential in sarcopenic older adults.

  7. Effects of Beta-Hydroxy-Beta-Methylbutyrate Supplementation on Older Adults with Sarcopenia: A Randomized, Double-Blind, Placebo-Controlled Study

    PubMed ID: 37248756

    HMB + resistance training increased gait speed significantly in sarcopenic older adults (direct mobility measure).

  8. Effectiveness of nutritional supplementation on sarcopenia and recovery in hip fracture patients. A multi-centre randomized trial

    PubMed ID: 28539168

    In elderly hip‑fracture patients, maintenance of appendicular lean mass and nutrition with HMB‑ONS is likely to support improved mobility during recovery.

Workout performance (5)
  1. The Effect of β-Hydroxy-β-Methylbutyrate on Aerobic Capacity and Body Composition in Trained Athletes

    PubMed ID: 26849784

    Crossover trial in trained athletes improved VO2max and body composition, supporting performance gains.

  2. The Effect of a 12-Week Beta-hydroxy-beta-methylbutyrate (HMB) Supplementation on Highly-Trained Combat Sports Athletes: A Randomised, Double-Blind, Placebo-Controlled Crossover Study

    PubMed ID: 28708126

    12‑week study in combat athletes increased anaerobic peak power and ventilatory threshold with HMB.

  3. Effects of 4 Weeks of High-Intensity Interval Training and β-Hydroxy-β-Methylbutyric Free Acid Supplementation on the Onset of Neuromuscular Fatigue

    PubMed ID: 26418369

    HIIT trial in untrained men/women: adding HMB produced greater increases in physical working capacity at the neuromuscular fatigue threshold (PWC(FT)) vs HIIT alone—direct performance benefit.

  4. Effects of Co-Ingestion of β-Hydroxy-β-Methylbutyrate and L-Arginine α-Ketoglutarate on Jump Performance in Young Track and Field Athletes

    PubMed ID: 33805883

    Young-athlete trial: Ca‑HMB+AAKG prevented decline in countermovement jump power during intensive training — direct performance preservation.

  5. Creatine and beta-hydroxy-beta-methylbutyrate (HMB) additively increase lean body mass and muscle strength during a weight-training program

    PubMed ID: 11448573

    Additive effects of HMB and creatine on strength and lean mass can translate to better training performance.

Endurance (4)
  1. Effect of Oral Beta-Hydroxy-Beta-Methylbutyrate (HMB) Supplementation on Physical Performance in Healthy Old Women Over 65 Years: An Open Label Randomized Controlled Trial

    PubMed ID: 26529601

    Older active women: Ca‑HMB improved some endurance tests modestly.

  2. The Effect of β-Hydroxy-β-Methylbutyrate on Aerobic Capacity and Body Composition in Trained Athletes

    PubMed ID: 26849784

    Trained athletes showed increased VO2max and ventilatory threshold with HMB in a crossover RCT—supports endurance benefits.

  3. The Effect of a 12-Week Beta-hydroxy-beta-methylbutyrate (HMB) Supplementation on Highly-Trained Combat Sports Athletes: A Randomised, Double-Blind, Placebo-Controlled Crossover Study

    PubMed ID: 28708126

    Combat athletes improved ventilatory threshold and anaerobic peak power with HMB—endurance and high‑intensity stamina relevance.

  4. Effects of 4 Weeks of High-Intensity Interval Training and β-Hydroxy-β-Methylbutyric Free Acid Supplementation on the Onset of Neuromuscular Fatigue

    PubMed ID: 26418369

    HIIT + HMB RCT in untrained adults: significant greater increase in physical working capacity at the neuromuscular fatigue threshold (PWC(FT)) with HMB—direct evidence for endurance/stamina boost.

Muscle soreness (1)
  1. Effect of leucine metabolite beta-hydroxy-beta-methylbutyrate on muscle metabolism during resistance-exercise training

    PubMed ID: 8941534

    Lower plasma CK with HMB suggests reduced muscle damage/soreness during early training.

Bone health (1)
  1. Oral supplement enriched in HMB combined with pulmonary rehabilitation improves body composition and health related quality of life in patients with bronchiectasis (Prospective, Randomised Study)

    PubMed ID: 26522923

    Pulmonary‑rehab RCT with HMB‑enriched ONS reported increases in bone mineral density—direct evidence for bone support (multi‑nutrient supplement).

Forms of HMB

The form a label may print instead of HMB. Each is a different substance with its own identifier, and none of them has research of its own — the studies are the ones on this page.

Similar by evidence

Supplements the same benefits carry qualifying findings for — a fact about the evidence graph, not a recommendation to swap.

Products with HMB

Search all

90 products whose verified label declares HMB — not every bottle that mentions it in a title.

Being studied right now

Recruiting clinical trials registered on ClinicalTrials.gov. A trial in progress has no result yet — this is what the field is asking, not what it found.