Supplement Label Index

Zeaxanthin isomers (mixed isomer blend) vs. Meso-Zeaxanthin

Among 385 on-market zeaxanthin products with an identifiable primary form, 71.4% use Zeaxanthin isomers (mixed isomer blend) (275 products) and 9.1% use Meso-Zeaxanthin (35).

Zeaxanthin isomers (mixed isomer blend)Meso-Zeaxanthin
Quality tierUnratedTier 2
Zeaxanthin by weight——
Share of market71.4%9.1%
On-market products27535
Median declared dose0.4 mg
middle half: 0.4–1
4 mg
middle half: 4–8.5
Most common brandsGNC Mega Men, GNC Women's Ultra Mega, GNC Women'sLife Extension, Higher Nature, Doctors' Preferred

Doses are declared per serving in mg. “By weight” is the share of the ingredient that is the nutrient itself (e.g. elemental magnesium in a magnesium salt).

Why Zeaxanthin isomers (mixed isomer blend) is unrated

Label states only "isomers" with no declared isomer ratio, so the meso-zeaxanthin content (the part with trial evidence) is unknown; not ranked.

Why Meso-Zeaxanthin is tier 2

Human RCT evidence at supplemental doses: in 52 early-AMD patients, formulations containing 10 or 17 mg/day meso-zeaxanthin (with lutein and zeaxanthin) raised macular pigment optical density across more eccentricities than lutein 20 mg + zeaxanthin 2 mg, and the 17 mg arm improved contrast sensitivity most; a separate RCT (n=44) showed serum and central MPOD increases. Evidence is from small trials by one research group with no disease-progression endpoint, hence tier 2 rather than 1.

Source: Sabour-Pickett S et al. 2014, Retina 34(9):1757-1766, PMID 24887490; Connolly EE et al. 2011, Invest Ophthalmol Vis Sci 52(12):9207-9217, PMID 21979997

Tiers summarize published comparative bioavailability or outcome evidence for each form (see methodology). This page describes the market; it is not a recommendation to take either form. Talk to a clinician about what's right for you.

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