Is That Supplement Doing More Harm Than Good?

Person pouring pills from a small amber bottle

Could your nightly melatonin supplement be harming your gut more than it helps your sleep?

At a Glance

  • Melatonin is widely used for sleep but may adversely affect gut health, especially for IBD sufferers.
  • A study found melatonin aggravated inflammation and worsened symptoms in an IBD mouse model.
  • Use of hormonal supplements requires caution due to their delicate interaction with the immune system.
  • Non-hormonal sleep remedies and lifestyle changes are recommended alternatives to melatonin.

Understanding Melatonin’s Role and Risks

Melatonin, a hormone naturally occurring in the body, is widely used, especially as a supplement to aid sleep. Despite its popularity, melatonin supplements aren’t regulated strictly, leaving users unaware of potential adverse effects. Research highlights risks for individuals with inflammatory bowel disease (IBD), where melatonin may exacerbate gut health issues.

A study utilizing a mouse model of IBD demonstrated that melatonin intake worsened symptoms, increased gut inflammation, and slowed recovery. Findings suggest that melatonin affects the immune system’s delicate balance, interacting unfavorably, especially in the gut. However, the study’s results have yet to be replicated in human trials, meaning caution is prudent when using supplements.

Examining Alternatives and Recommendations

Experts advocate for careful consideration of any hormonal supplement use, emphasizing awareness of potential complications. Hormonal supplements like melatonin are not universally effective solutions for sleep issues and can bring unforeseen side effects.

“The study prompts us to use caution when administering long-term supplements for chronic diseases. Supplements, even seemingly harmless ones, are generally not well-regulated and may have effects that we don’t yet understand,” said Dr. Shilpa Ravella.

More sustainable and less risky alternatives include lifestyle changes such as maintaining a consistent sleep routine and reducing screen time before bed. Non-hormonal options, including supplements with magnesium and other nutrients, can provide sleep aid without disturbing hormonal balance.

Rethinking Supplement Use for Better Health Outcomes

Though melatonin has merits, its drawbacks, particularly for individuals with IBD, necessitate careful scrutiny. The hormone is produced in the brain and intestines, indicating significant effects on gut health. Studies to date signal mixed outcomes for IBD, urging individuals to weigh benefits against potential harm.

“We should take great care with medications, hormone supplements, or hormones offered as food supplements. You buy a ‘food supplement’ in a pharmacy and think it’s not a drug, it won’t alter anything in your body, it will only do good because, after all, it’s sold as a food supplement, but it’s not really that at all. It’s a hormone and regulation of the interaction between all hormones and the immune system is very delicate,” asserted Dr. Cristina Ribeiro de Barros Cardoso.

This revaluation of supplements emphasizes the importance of considering whole food sources to meet nutritional needs safely. Focusing on natural dietary enhancements can lead to improved health outcomes, reduced costs, and alignment of wellness practices with long-term goals.