Benefits
Urinary tract health
Cranberry products have been tested in dozens of trials. Pooled results showed fewer repeat urinary infections in women who get them often, in children and after some medical procedures, but showed little effect in older adults in care homes or in pregnancy. No trial has tested this blend, and its PAC content is not disclosed.
D-mannose content
The blend includes D-mannose, a simple sugar also sold on its own for urinary health. In a double-blind trial in 598 women with frequent infections, 2 g a day for 6 months did not reduce doctor-attended infections compared with placebo (51.0% vs 55.7%, not a significant difference).
Anti-adhesion action
Cranberry proanthocyanidins (PACs) inhibit the attachment of P-fimbriated E. coli to cells lining the bladder in lab studies. This is the leading proposed mechanism; whether this blend delivers enough PACs to do so in people has not been tested.
Mechanism of action
Proanthocyanidins (PACs)
Cranberry PACs inhibit the adherence of P-fimbriated E. coli to the cells lining the bladder in lab studies, so fewer bacteria may attach. PAC content varies between cranberry products and is not disclosed for this blend, and pooled trials could not show a difference between low and high PAC doses.
Clinical trials
Cochrane systematic review of randomized and quasi-randomized trials of cranberry juice, tablets or capsules versus placebo, no treatment or other options, searched to March 2023. (Williams et al. 2023, Cochrane Database Syst Rev)
50 trials with 8,857 participants, including women with recurrent infections, children, older adults in care, pregnant women and people after medical procedures.
Cranberry products reduced symptomatic, culture-verified infections overall (RR 0.70, 95% CI 0.58 to 0.84) and in women with recurrent infections (8 trials, 1,555 people, RR 0.74, 95% CI 0.55 to 0.99). There was little or no benefit in elderly institutionalized people or pregnant women. Effects of different PAC doses were unclear. Gastrointestinal side effects probably did not differ from placebo.
Double-blind randomized placebo-controlled trial of 2 g D-mannose powder daily for 6 months across 99 UK primary care centers. (Hayward et al. 2024, JAMA Intern Med)
598 women aged 18 or older (mean age 58) with at least 2 infections in 6 months or 3 in 12 months; 303 on D-mannose, 295 on placebo.
The primary outcome was not met: 51.0% on D-mannose and 55.7% on placebo had a doctor-attended suspected infection (risk difference -5%, 95% CI -13% to 3%, p=0.26). No secondary outcome differed. The authors concluded D-mannose should not be recommended for prevention in this group.