CyanthOx™ (Sea Buckthorn Proanthocyanidin Extract)

Hippophae rhamnoides L.
Evidence Level
Limited
3 Clinical Trials
7 Documented Benefits
2/5 Evidence Score

CyanthOx™ is a branded sea buckthorn (Hippophae rhamnoides) berry extract from Puredia, sourced from sea buckthorn grown on the Tibetan Plateau and standardized for proanthocyanidin content. Two grades available: CyanthOx™30 (30% proanthocyanidins, ~150 mg actives per 500 mg) and CyanthOx™80 (80% proanthocyanidins). Distinguished from grape seed and pine bark extracts by predominance of prodelphinidins rather than procyanidins - a structural difference that gives a different antioxidant profile in ORAC assays. Marketing claims 8x the antioxidant capacity of grape seed extract and 1.7x pine bark extract by ORAC. Honest framing: clinical evidence is limited - the primary citation is a small acute crossover trial in healthy subjects. See separate entry for generic Sea Buckthorn covering the broader plant evidence base including vitamin C and omega-7 content.

Studied Dose 500 mg CyanthOx 30 (~150 mg proanthocyanidins); commercial 100-500 mg/day.
Active Compound Proanthocyanidins (>80% in CyanthOx 80, predominantly prodelphinidins), bioflavonoids (quercetin, kaempferol, isorhamnetin), phenolic acids.

Benefits

Acute stem cell mobilization — preliminary

A small randomized double-blind placebo-controlled crossover trial gave 500 mg sea buckthorn proanthocyanidin extract. CD45dim CD34+ CD309- progenitor stem cells increased significantly vs baseline at 2h, but vs placebo did not reach significance. Industry-funded. Hypothesis-generating only.

Antioxidant capacity (ORAC and cellular)

ORAC value claims position CyanthOx™ as 8× grape seed extract and 1.7× pine bark extract. ORAC is a chemical antioxidant assay — strong correlate of polyphenol content but not a validated clinical outcome marker (FDA dropped ORAC database in 2012 due to misuse in marketing). Cellular studies (CyanthOx™80 in raw 264.7 macrophages) show protection against H₂O₂-induced oxidative damage. Mechanism plausible; clinical translation to specific outcomes not established.

Prodelphinidin chemistry — distinguishing feature

Most plant proanthocyanidin extracts (grape seed, pine bark) are predominantly procyanidins — built from catechin/epicatechin units. CyanthOx™ is predominantly prodelphinidins — built from gallocatechin/epigallocatechin units, with an additional hydroxyl group. This structural difference may produce different bioavailability and bioactivity profiles vs procyanidin-based extracts. Clinical implications of this difference are not yet definitively established by head-to-head trials.

Cardiovascular and skin claims — mechanism-level

Manufacturer markets cardiovascular, skin, and circulation support based on antioxidant mechanism plus extrapolation from broader sea buckthorn and proanthocyanidin literature. No dedicated CyanthOx™ RCTs for cardiovascular or skin endpoints have been published in peer-reviewed journals as of 2026. Generic sea buckthorn evidence (vitamin C, omega-7 oils) is distinct from this proanthocyanidin extract evidence. Honest framing: marketing claims outpace dedicated branded clinical evidence.

Sea buckthorn whole-plant context

CyanthOx™ is a polyphenol-fraction extract specifically — distinct from sea buckthorn berry oil (omega-7 palmitoleic acid) or sea buckthorn juice (vitamin C). Each fraction has different bioactives and clinical evidence profile. For mucous membrane hydration, dry eye, and Sjögren's: omega-7 sea buckthorn oil has stronger evidence. For polyphenol-mediated antioxidant claims: CyanthOx™ is the relevant fraction but evidence is still preliminary.

Tibetan Plateau sourcing claim

Marketing emphasizes sea buckthorn grown on the Tibetan Plateau as having superior bioactive content due to high-altitude UV exposure and environmental stress. This terroir-style claim has some plausibility — UV exposure can increase plant secondary metabolite production. Specific quantitative comparisons of Tibetan vs other-origin sea buckthorn proanthocyanidin content not independently published. Source verification depends on supply chain transparency.

Generally well-tolerated

Sea buckthorn has long history of food and traditional medicine use. CyanthOx™ at 500 mg in the trial was well-tolerated with no reported adverse events. Long-term safety data specifically for the concentrated proanthocyanidin extract is limited but the parent food has good safety profile. Pregnancy/lactation: limited specific safety data for the concentrated extract.

Mechanism of action

1

Prodelphinidin antioxidant activity

Prodelphinidins are built from gallocatechin/epigallocatechin units — structurally distinct from procyanidins (catechin/epicatechin). The additional hydroxyl group on the B-ring may give different free radical scavenging kinetics and metal-chelation profile. ORAC values position the extract as more potent than common procyanidin sources, though chemical assays don't perfectly predict clinical effects.

2

Bioflavonoid contribution

Sea buckthorn berries also contain quercetin, kaempferol, and isorhamnetin glycosides. These bioflavonoids have independent antioxidant and anti-inflammatory activity. Likely contribute to overall extract effects beyond proanthocyanidin alone.

3

Possible stem cell mobilization signal

Acute increase in CD45dim CD34+ CD309- progenitor stem cells 2 hours post-dose vs baseline (significant) but not vs placebo (not significant). Mechanism for any such effect would involve polyphenol-mediated signaling on bone marrow stem cell egress. Effect would need replication in larger trials before being considered established.

4

Polyphenol bioavailability considerations

Like other proanthocyanidin extracts, polymerization affects absorption — monomers and oligomers absorb better than polymeric forms. Specific bioavailability of CyanthOx™ prodelphinidins vs other extract types not fully characterized. Consumed with food generally improves polyphenol absorption.

Clinical trials

1
Acute Stem Cell Crossover

Randomized double-blind placebo-controlled crossover trial in 12 healthy subjects (mean age 49.3 years, 8 female/4 male).

12 healthy subjects

Randomized double-blind placebo-controlled crossover trial in 12 healthy subjects (mean age 49.3 years, 8 female/4 male). Single 500 mg dose of sea buckthorn proanthocyanidin extract vs placebo. Blood draws at baseline, 1 hour, and 2 hours post-dose. Significant increase in CD45dim CD34+ CD309- progenitor stem cells at 2 hours vs baseline (p<0.007). Comparison to placebo did not reach statistical significance (p<0.17). Industry-funded (Biomx Stemceuticals). Hypothesis-generating; needs replication.

2
ORAC Antioxidant Capacity (laboratory assay)

Cited industry comparison: CyanthOx™ shows 1.7× ORAC capacity vs French maritime pine bark extract.

Laboratory antioxidant assay — no human subjects.

Cited industry comparison: CyanthOx™ shows 1.7× ORAC capacity vs French maritime pine bark extract. 8× ORAC vs grape seed extract per manufacturer (Puredia) comparison data. Important context: ORAC is a chemical assay, not a clinical outcome. FDA discontinued ORAC database in 2012 due to misuse in marketing claims that didn't translate to clinical benefit. Strong polyphenol content suggested but clinical relevance requires outcome trials.

3
Cellular Antioxidant Study (in vitro, CyanthOx™80)

In vitro studies in raw 264.7 macrophage cells.

In vitro — raw 264.7 macrophage cell line (no human subjects).

In vitro studies in raw 264.7 macrophage cells. CyanthOx™80 at 25, 50, 100 μg/mL provided protection against H₂O₂-induced oxidative damage (800 μmol/L for 4 hours). Cellular mechanism support for antioxidant claims. Not human clinical evidence — limited clinical translation extrapolation appropriate.

Side effects and drug interactions

Common Potential side effects

Generally well-tolerated; sea buckthorn has long history of food and traditional medicine use.
No adverse events reported in the small (n=12) Drapeau 2019 acute trial.
Long-term safety data for concentrated proanthocyanidin extract specifically is limited.
Mild GI symptoms possible with high-dose polyphenol intake.
Pregnancy/lactation: limited specific safety data for the concentrated extract; precautionary avoidance reasonable.
Allergic reactions to berry products rare but possible.

Important Drug interactions

Anticoagulants (warfarin, DOACs): proanthocyanidins may have mild antiplatelet activity; theoretical bleeding risk with combination — monitor INR.
Antihypertensives: theoretical mild additive blood pressure effects.
Antidiabetic medications: proanthocyanidins may modestly affect glucose metabolism; monitor blood glucose.
Iron supplements: separate by 2+ hours due to polyphenol-mineral chelation reducing iron absorption.
Generally well-tolerated combination profile based on broader sea buckthorn safety record.

Frequently asked questions about CyanthOx™ (Sea Buckthorn Proanthocyanidin Extract)

What is CyanthOx?

CyanthOx™ is a branded sea buckthorn (Hippophae rhamnoides) berry extract from Puredia, sourced from sea buckthorn grown on the Tibetan Plateau and standardized for proanthocyanidin content. Two grades available: CyanthOx™30 (30% proanthocyanidins, ~150 mg actives per 500 mg) and CyanthOx™80 (80% proanthocyanidins).

What is CyanthOx used for?

CyanthOx is researched primarily for Antioxidant, Cardiovascular, and Hair, Skin & Nails. A small randomized double-blind placebo-controlled crossover trial gave 500 mg sea buckthorn proanthocyanidin extract. CD45dim CD34+ CD309- progenitor stem cells increased significantly vs baseline at 2h, but vs placebo did not reach signif…

What is the recommended dosage of CyanthOx?

The clinically studied dose is 500 mg CyanthOx 30 (~150 mg proanthocyanidins); commercial 100-500 mg/day. Always follow the product label and check with a healthcare provider for personal advice.

Is CyanthOx safe, and does it have side effects?

For most healthy adults, CyanthOx is well tolerated at studied doses. Reported effects can include: Generally well-tolerated; sea buckthorn has long history of food and traditional medicine use. No adverse events reported in the small (n=12) Drapeau 2019 acute trial. It may also interact with some medications. CyanthOx is not right for everyone, so check with a healthcare provider first if you are pregnant or breastfeeding, have a medical condition, or take prescription medication.

Does CyanthOx interact with any medications?

Possible interactions include: Anticoagulants (warfarin, DOACs): proanthocyanidins may have mild antiplatelet activity; theoretical bleeding risk with combination — monitor INR. Antihypertensives: theoretical mild additive blood pressure effects. If you take prescription medication, check with a pharmacist or doctor before using it.

How strong is the scientific evidence for CyanthOx?

NutraSmarts rates the evidence for CyanthOx as Limited (2 out of 5). It is backed by 3 clinical trials and 6 cited references summarized on this page. A higher rating reflects more, larger, and better-designed human studies.

References(6 citations)

Evidence ratings on NutraSmarts are based on the totality of human clinical research, with emphasis on randomized controlled trials, meta-analyses, and systematic reviews. The references below directly support claims made throughout this page.

  1. Drapeau C, Benson KF, Jensen GS Rapid and selective mobilization of specific stem cell types after consumption of a polyphenol-rich extract from sea buckthorn berries (Hippophae) in healthy human subjects. Clinical Interventions in Aging. 2019;14:253-263. doi: 10.2147/CIA.S186893.PubMedUsed to support: The primary human trial on the branded sea buckthorn proanthocyanidin extract (SBB-PE): a small (n=12) randomized, double-blind, placebo-controlled crossover. A single 500 mg dose acutely raised circulating CD34+ progenitor stem cells versus baseline. Honest framing: industry-funded (Biomx Stemceuticals), tiny sample, and the rise did not reach statistical significance versus placebo, so it is hypothesis-generating only.
  2. Zhou Z, He Z, He Y, Peng Q From Desert Greening to Human Health: A Systematic Review of the Extraction, Unique Structure, and Bioactivity of Sea Buckthorn Proanthocyanidins. Foods. 2025;14(18):3203. doi: 10.3390/foods14183203.PubMedUsed to support: Systematic review documenting the prodelphinidin-dominant structure that distinguishes sea buckthorn proanthocyanidins from grape seed and pine bark (procyanidin) extracts, along with extraction methods and antioxidant/anti-inflammatory bioactivity. Supports the structural-difference claim central to this ingredient.
  3. Zhu Y, Yuen M, Li W, Yuen H, Wang M, Smith D, Peng Q Composition analysis and antioxidant activity evaluation of a high purity oligomeric procyanidin prepared from sea buckthorn by a green method. Current Research in Food Science. 2021;4:840-851. doi: 10.1016/j.crfs.2021.11.008.PubMedUsed to support: Characterizes the polyphenol and oligomeric proanthocyanidin composition and in-vitro antioxidant activity of a high-purity sea buckthorn extract of the CyanthOx type. Supports the composition and antioxidant-capacity claims at the chemistry level (not a clinical outcome).
  4. Ma K, Yuen M, Yuen T, Yuen H, Peng Q Protective Mechanism of Sea Buckthorn Proanthocyanidins Against Hydrogen Peroxide-Induced Oxidative Damage in Adult Retinal Pigment Epithelial-19 Cells. Antioxidants (Basel). 2024;13(11):1352. doi: 10.3390/antiox13111352.PubMedUsed to support: In-vitro evidence that sea buckthorn proanthocyanidins protect cultured cells against hydrogen-peroxide oxidative damage. Mechanistic support for the antioxidant claim; a cellular study, not human evidence.
  5. Liu X, Yuen M, Yuen T, Yuen H, Wang M, Peng Q Anti-skin aging effect of sea buckthorn proanthocyanidins in D-galactose-induced aging mice. Food Science & Nutrition. 2024;12(2):1082-1094. doi: 10.1002/fsn3.3823.PubMedUsed to support: Animal study (D-galactose-aged mice) reporting anti-skin-aging effects of sea buckthorn proanthocyanidins. Supports the skin claims at the preclinical level only; no human skin trial of the branded extract has been published.
  6. Sławińska N, Żuchowski J, Stochmal A, Olas B Extract from Sea Buckthorn Seeds-A Phytochemical, Antioxidant, and Hemostasis Study; Effect of Thermal Processing on Its Chemical Content and Biological Activity In Vitro. Nutrients. 2023;15(3):686. doi: 10.3390/nu15030686.PubMedUsed to support: Independent (non-manufacturer) in-vitro study of sea buckthorn polyphenols showing antioxidant activity and effects on hemostasis/platelet function. Supports both the antioxidant rationale and the precautionary antiplatelet/bleeding drug-interaction note.