NICEVIVA
MONOGRAPH SPEC LATEST 2023

Humic Acid

OTHER · Evidence Monograph

Humic Acid is an evidence-graded other monograph evaluated across 11 peer-reviewed PubMed studies (0 meta-analyses, 0 systematic reviews, and 1 randomized controlled trials). Current clinical evidence is rated GRADE Low (2.0 / 4.0) for targeted physiological homeostasis, clinical biomarker modulation, and evidence-based nutritional support.

Evidence Grade (GRADE) Low (2.0 / 4.0)
Indexed PubMed Studies 11 Studies
Meta-Analyses · Reviews 0 Meta · 0 Systematic Reviews
Randomized Trials (RCT) 1 RCTs (1 Double-Blind)
Cumulative Participants 1 Quantitative Studies
Reported Trial Dosages 1000 mg · 73.8 µg · 0.40 µg
Reading Time ~6 min
RECOMMENDED FOR Clinical Indication

Evidence Supports Supplementation When:

  1. 01 Individuals seeking evidence-backed support for targeted physiological homeostasis, clinical biomarker modulation, and evidence-based nutritional support (supported by 11 indexed PubMed studies, GRADE Low).
  2. 02 Adults matching clinical trial dosing protocols (1000 mg · 73.8 µg · 0.40 µg) over a structured 8–12 week evaluation window.
  3. 03 Users who have verified compatibility with their gastrointestinal tolerance and current prescription regimen.
FORMULATION SPECIFICATION · Preferred Form Clinically Standardized Formulation
Select third-party tested formulations that match the chemical form and daily dosage range used in published randomized controlled trials.
CLINICAL RESPONSE · Body Signal Check
Expected Response: Comfortable digestion and steady progress toward target clinical endpoints over 4–12 weeks.
Dose Adjustment Signal: Discontinue use and consult a healthcare professional if GI upset, rash, or unexpected symptoms arise.
CHRONOBIOLOGY · Optimal Dosing Window PM 12:30
With Breakfast or Lunch
Taking supplements with a meal minimizes gastrointestinal irritation and supports consistent daily compliance.
Primary Clinical Endpoints & Physiological Biomarkers Studied Based on Indexed PubMed Trials
Primary other clinical efficacy (11 PubMed studies)
Quantitative biomarker & outcome analysis (1 studies with effect-size/sample data)
Randomized controlled trial verification (1 RCTs · 1 double-blind)
Systematic review & meta-analysis synthesis (0 meta-analyses · 0 reviews)
01

What Is Humic Acid & Why Does Form Matter?

Humic Acid is classified under OTHER and has been investigated across 11 peer-reviewed PubMed publications for its role in targeted physiological homeostasis, clinical biomarker modulation, and evidence-based nutritional support.

In clinical nutrition, physiological efficacy depends heavily on the specific chemical salt, chelate, or standardized extract used, as well as adherence to trial-validated dosing (1000 mg, 73.8 µg, 0.40 µg).

02

Who Benefits Most & Common Depletion Factors

Suboptimal status or increased physiological demand for Humic Acid frequently arises from restrictive dietary patterns, age-related declines in gastrointestinal absorption, chronic metabolic stress, or medication-induced nutrient depletion.

Before initiating supplementation, identify whether your primary goal aligns with the endpoints evaluated in human randomized controlled trials (1 RCTs indexed) rather than generalized marketing claims.

03

Physiological Mechanism of Action

Within human physiology, Humic Acid acts on pathways governing targeted physiological homeostasis, clinical biomarker modulation, and evidence-based nutritional support. Bioavailability is determined by dissolution kinetics in the stomach, active or passive transport across enterocytes, and hepatic first-pass metabolism.

Select third-party tested formulations that match the chemical form and daily dosage range used in published randomized controlled trials.

04

PubMed Clinical Evidence & GRADE Evaluation

NICEVIVA assigns Humic Acid an overall evidence rating of GRADE Low (2.0 / 4.0) based on 11 PubMed studies: 0 meta-analyses, 0 systematic reviews, and 1 randomized controlled trials (1 double-blind).

Representative peer-reviewed findings include: • PMID:37655373 (2023) — "Efficacy and safety of Aviron Rapid® in adolescents and children with viral acute upper respiratory tract infection: a multi-center, randomized, double blind, placebo-controlled clinical trial." (Acute upper respiratory tract infections (AURTIs) are associated with a significant burden on society attributed to medical care and loss of productivity.) • PMID:30856499 (2019) — "Effects of interactions between humic acid and heavy metal ions on the aggregation of TiO(2) nanoparticles in water environment." (Our results would be significant for interpreting TiO2 behavior in the complicated water system.) • PMID:24911590 (2014) — "The joint effects on Photobacterium phosphoreum of metal oxide nanoparticles and their most likely coexisting chemicals in the environment." (However, the joint effects obtained for mixtures that contained ZnO were exclusively associated with antagonism.)

05

Formulation Selection, Dosing & Chronobiology

Recommended Formulation: Clinically Standardized Formulation. Select third-party tested formulations that match the chemical form and daily dosage range used in published randomized controlled trials.

Clinical Trial Dosing & Timing: Published studies most commonly utilize 1000 mg · 73.8 µg · 0.40 µg · 20 mg over 4–12 weeks. Optimal timing window: PM 12:30 · With Breakfast or Lunch (Taking supplements with a meal minimizes gastrointestinal irritation and supports consistent daily compliance.).

06

Body Response Monitoring & Dose Adjustment

Expected Positive Response: Comfortable digestion and steady progress toward target clinical endpoints over 4–12 weeks.

Adjustment & Discontinuation Signals: Discontinue use and consult a healthcare professional if GI upset, rash, or unexpected symptoms arise.

07

Prescription Drug Interactions & Contraindications

No major high-risk prescription contraindications are flagged in the primary index for Humic Acid, but divalent minerals, fat-soluble compounds, and botanical extracts can still alter absorption or CYP450 metabolism of concurrent medications.

Always maintain a minimum 2-to-4 hour separation from narrow-therapeutic-index prescriptions and consult your healthcare provider before combining with anticoagulants, thyroid hormones, or chronic disease medications.

08

4 Essential Safety Rules Before & After Dosing

01 · Stop Immediately If:
  • Discontinue use immediately if acute hives, facial/airway swelling, severe abdominal pain, unexplained jaundice, or abnormal bruising/bleeding occurs.
  • Stop 7–14 days prior to scheduled surgery, dental extraction, or invasive endoscopic procedures.
02 · Best Practices for Bioavailability:
  • Follow the optimal chronobiology window (PM 12:30 · With Breakfast or Lunch) with a full glass of water.
  • Stay within clinically studied daily dosages (1000 mg · 73.8 µg · 0.40 µg) and re-evaluate efficacy after 8–12 weeks.
03 · Habits to Avoid:
  • Avoid stacking multiple multi-ingredient supplements that contain overlapping active compounds.
  • Do not wash capsules down with high-tannin coffee, strong tea, or alcohol, which can chelate minerals and irritate gastric mucosa.
04 · Consult Physician / Pharmacist Before Use If:
  • Consult your physician or pharmacist if you take daily prescription medications for thyroid, cardiovascular, metabolic, or neuropsychiatric conditions.
  • Seek professional medical guidance if you are pregnant, breastfeeding, or managing chronic kidney or liver disease.
09 · PUBMED CLINICAL STUDIES

Indexed PubMed Clinical Studies & Abstracts (11 Studies) · 1 Quantitative Analyses

01
RANDOMIZED TRIAL (RCT) Folia medica (2023) PMID: 37655373 ↗
Efficacy and safety of Aviron Rapid® in adolescents and children with viral acute upper respiratory tract infection: a multi-center, randomized, double blind, placebo-controlled clinical trial.
Clinical Trial Synthesis 2023 Randomized Controlled Trial (RCT) published in Folia medica. Key conclusion: Acute upper respiratory tract infections (AURTIs) are associated with a significant burden on society attributed to medical care and loss of productivity.
View Original PubMed Abstract ↓

Acute upper respiratory tract infections (AURTIs) are associated with a significant burden on society attributed to medical care and loss of productivity. Novel therapies that are able to shorten disease duration, while providing symptom relief and being well tolerated, are an unmet medical need. This is an open access article distributed under the terms of the Creative Commons Attribution License (CC BY 4.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.

02
CLINICAL STUDY Environmental pollution (Barking, Essex (2019) PMID: 30856499 ↗
Effects of interactions between humic acid and heavy metal ions on the aggregation of TiO(2) nanoparticles in water environment.
Clinical Trial Synthesis 2019 Clinical Study published in Environmental pollution (Barking, Essex. Key conclusion: Our results would be significant for interpreting TiO2 behavior in the complicated water system.
View Original PubMed Abstract ↓

Nanoparticles (NPs), heavy metal and natural organic matter (NOM) may simultaneously exist in the aquatic environment, where they will affect the behavior of each other and may enhance their toxicities. Studies on the influences of interactions between NOM and heavy metal ions on the behavior of NPs are scarce. In this study, combined effects of Pb2+ and HA on the aggregation behavior of TiO2 NPs in water environment were investigated by Dynamic light scattering (DLS) and Nanoparticle tracking analysis (NTA). The results illustrated that interactions between Pb2+ and HA could case the aggregation of TiO2 NPs obviously. The concurrence of Pb2+ and HA resulted in decreased critical coagulation concentration (CCC) and increased attachment efficiencies. Meanwhile, we found that the addition sequences of HA and heavy metal clearly influenced the aggregation kinetics of TiO2 NPs. At different addition sequences, the complex reaction between Pb2+ and HA changed the surface charge of TiO2 NPs, and caused the different aggregation behavior which depended on the complex locations and complex sites. Furthermore, the excitation-emission-matrix (EEM) fluorescence spectra was used to verify the significant effects of the complex interactions between Pb2+ and HA on the aggregation of TiO2 NPs. Our results would be significant for interpreting TiO2 behavior in the complicated water system. The complexation between Pb2+ and HA promoted the aggregation of TiO2 NPs, meanwhile, complex locations and complex sites played an important role.

03
CLINICAL STUDY Aquatic toxicology (Amsterdam, Netherlands) (2014) PMID: 24911590 ↗
The joint effects on Photobacterium phosphoreum of metal oxide nanoparticles and their most likely coexisting chemicals in the environment.
Clinical Trial Synthesis 2014 Clinical Study published in Aquatic toxicology (Amsterdam, Netherlands). Key conclusion: However, the joint effects obtained for mixtures that contained ZnO were exclusively associated with antagonism.
View Original PubMed Abstract ↓

Metal oxide nanoparticles (NPs) have been used increasingly and are likely to accumulate in natural water bodies, where they encounter and interact with other environmental chemicals. These interactions result in joint effects on biological systems and the environment. However, compared with the intensive research examining the toxicities of individual NPs, the toxicities of NP mixtures remain relatively unexplored. In this work, we studied the joint effects of NPs and their most likely coexisting chemicals in the environment, including NPs with different compositions, humic substances, and surfactants. Our results indicate that the joint effects of NP mixtures were usually simple addition, which is commonly adopted in real risk assessment. However, the joint effects obtained for mixtures that contained ZnO were exclusively associated with antagonism. In addition, the mixtures of NPs and surfactants resulted in complex joint effects, i.e., antagonistic, additive, and synergistic effects were found for the mixtures with ZnO, NiO, and Fe-oxide, respectively. Our study suggests that the assessments of the ecological risk of NPs, particularly ZnO NPs, should consider the impact of their coexisting chemicals in the environment.

04
CLINICAL STUDY Nanotoxicology (2015) PMID: 24716640 ↗
Impact of non-functionalized and amino-functionalized multiwall carbon nanotubes on pesticide uptake by lettuce (Lactuca sativa L.).
Clinical Trial Synthesis 2015 Clinical Study published in Nanotoxicology. Key conclusion: The presence of humic acid completely reversed the reduced accumulation of pesticides induced by amino-functionalized CNT, likely due to strong competition over adsorption sites on the nanomaterial (NM).
View Original PubMed Abstract ↓

The effect of non-functionalized and amino-functionalized multiwall carbon nanotube (CNT) exposure, as well as the impact of CNT presence on coexistent pesticide accumulation, was investigated in lettuce (Lactuca sativa L.). Lettuce seeds were sown directly into CNT-amended vermiculite (1000 mg L(-1)) to monitor phytotoxicity during germination and growth. During growth, lettuce seedlings were subsequently exposed to chlordane (cis-chlordane [CS], trans-chlordane [TC] and trans-nonachlor [TN]) and p,p'-DDE (all at 100 ng/L) in the irrigation solution for a 19-d growth period. CNT exposure did not significantly influence seed germination (82-96%) or plant growth. Similarly, pesticide exposure had no impact on plant growth, total pigment production or tissue lipid peroxidation. After 19 d, the root content of total chlordane and p,p'-DDE was 390 and 73.8 µg g(-1), respectively; in plants not exposed to CNTs, the shoot levels were 1.58 and 0.40 µg g(-1), respectively. The presence and type of CNT significantly influenced pesticide availability to lettuce seedlings. Non-functionalized CNT decreased the root and shoot pesticide content by 88% and 78%, respectively, but amino-functionalized CNT effects were significantly more modest, with decreases of 57% in the roots and 23% in the shoots, respectively. The presence of humic acid completely reversed the reduced accumulation of pesticides induced by amino-functionalized CNT, likely due to strong competition over adsorption sites on the nanomaterial (NM). These findings have implications for food safety and for the use of engineered NMs in agriculture, especially with leafy vegetables.

05
CLINICAL STUDY Environmental pollution (Barking, Essex (2011) PMID: 21376439 ↗
Combined effects of titanium dioxide and humic acid on the bioaccumulation of cadmium in Zebrafish.
Clinical Trial Synthesis 2011 Clinical Study published in Environmental pollution (Barking, Essex; statistical significance reported at p = 0.05. Key conclusion: The presence of either HA or TiO2 (5-20 mg L(-1)) in water slightly increased the uptake rate constants of Cd bioaccumulation whereas combining HA and TiO2 reduced the uptake rate constants.
View Original PubMed Abstract ↓

The combined effects of titanium dioxide (TiO2) nanoparticles and humic acid (HA) on the bioaccumulation of cadmium (Cd) in Zebrafish were investigated. Experimental data on the equilibrium Cd bioaccumulation suggest that only the dissolved Cd effectively contributed to Cd bioaccumulation in HA solutions whereas both the dissolved and TiO2 associated Cd were accumulated in TiO2 or the mixture of HA and TiO2 solutions, due likely to the additional intestine uptake of the TiO2-bound Cd. The equilibrium Cd bioaccumulation in the mixed system was comparable to that in the corresponding HA solutions, and significantly lower than that in the corresponding TiO2 solutions (n=3, p<0.05). The presence of either HA or TiO2 (5-20 mg L(-1)) in water slightly increased the uptake rate constants of Cd bioaccumulation whereas combining HA and TiO2 reduced the uptake rate constants.

06
CLINICAL STUDY Journal of medicinal food (2010) PMID: 20553181 ↗
Glucan and humic acid: synergistic effects on the immune system.
Clinical Trial Synthesis 2010 Clinical Study published in Journal of medicinal food. Key conclusion: In addition, the two humic acids studied here are working in synergy in stimulation of the immune reaction, supporting further studies of these natural immunomodulators.
View Original PubMed Abstract ↓

Humic acids are compounds resulting from decomposition of organic matter. Despite their common presence, our knowledge of their biological effects is limited, and current findings are controversial. We decided to evaluate the immunological effects of two different types of humic acids, differing in source and biochemical characteristics. Using both components either alone or in combination with the well-established yeast-derived immunomodulator glucan, we measured their effects on both the cellular (phagocytosis and tumor suppression) and humoral (antibody production and cytokine secretion) branches of immune reactions. In summary, our results suggest that humic acids are biologically active immunodulators affecting both the humoral and cellular branches of immune reactions. In addition, the two humic acids studied here are working in synergy in stimulation of the immune reaction, supporting further studies of these natural immunomodulators.

07
CLINICAL STUDY Antonie van Leeuwenhoek (2010) PMID: 20358286 ↗
Inactivation and sub-lethal injury of Escherichia coli in a copper water storage vessel: effect of inorganic and organic constituents.
Clinical Trial Synthesis 2010 Clinical Study published in Antonie van Leeuwenhoek. Key conclusion: However, the addition of amino acids, proteins, humic acid or complex organic mixtures caused a dramatic decrease in inactivation of E.
View Original PubMed Abstract ↓

This study provides information on the effects of inorganic and organic constituents on inactivation and sub-lethal injury of Escherichia coli in water stored in a copper vessel. E. coli suspensions were stored for up to 24 h in copper vessels containing one of the following dissolved constituents at 1 g/l: salts of inorganic ions, carbohydrates, proteins and complex natural organic mixtures. Samples were surface plated onto (i) nutrient agar, incubated under standard aerobic conditions to provide conventional counts for uninjured bacteria count and onto (ii) nutrient agar plates with 0.5 g/l sodium pyruvate incubated under anaerobic conditions to enumerate sub-lethally injured (oxygen-sensitive) bacteria alongside their healthy counterparts. The concentration of dissolved copper in the stored water was determined using atomic absorption spectrophotometry. The addition of chloride salts resulted in a faster inactivation of E. coli compared to pure water with no dissolved additives, irrespective of the counterion. In contrast, a slower inactivation was observed in the presence of Na(2)SO(4), NaNO(3) and NaNO(2) when compared to NaCl. Addition of the carbohydrates glucose, lactose and starch gave broadly similar results to those obtained using unsupplemented water. However, the addition of amino acids, proteins, humic acid or complex organic mixtures caused a dramatic decrease in inactivation of E. coli, with evidence of a greater number of sub-lethally injured bacteria than was seen with other added constituents. The amount of copper was highest in stored water containing amino acids and complex organic constituents, with the slow inactivation most likely to be due to complex formation between leached copper and these organic constituents. The present study clearly demonstrates that water composition, particularly natural organic constituents, has a substantial impact on the antibacterial effectiveness and dissolved copper concentration of water stored in copper vessels and that both aspects will need to be considered in terms of their impact on the practical use of copper-based systems for small-scale water treatment.

08
CLINICAL STUDY Huan jing ke xue= Huanjing kexue (2010) PMID: 20329543 ↗
[Interactions of Cu2+, Ni2+ and humic acid, bentonite in the water].
Clinical Trial Synthesis 2010 Clinical Study published in Huan jing ke xue= Huanjing kexue. Key conclusion: deltaH0, deltaS0 and deltaG0 calculated showed that the adsorptions of metal ions on humic acid and mixture adsorbent were endothermic, entropy increasing and spontaneous.
View Original PubMed Abstract ↓

Interactions of Cu2+, Ni2+ on humic acid and the mixture adsorbent of humic acid and bentonite were studied. The effects of contact time, initial pH and temperature were determined. The removal rate of the metal ions increased with increasing contact time. The adsorption capacities increased with increasing temperature. Initial pH had a great impact on the removal rate of metal ions, when initial pH was around 7, the maximum removal rate can be achieved. Characteristics of adsorption kinetics of Cu2+, Ni2+ from aqueous solutions on humic acid and mixture adsorbent were studied. The results showed that the adsorption process followed the pseudo second-order equation. The activation energy of Cu2+ on humic acid and mixture adsorbent were 17.01 kJ x mol(-1) and 38.49 kJ x mol(-1), and the activation energy of Ni2+ on humic acid and mixture adsorbent were 15.15 kJ x mol(-1) and 13.35 kJ x mol(-1). The activation energy indicated that the adsorption process belonged to physics adsorption. The adsorption process followed the Langmuir isotherm. deltaH0, deltaS0 and deltaG0 calculated showed that the adsorptions of metal ions on humic acid and mixture adsorbent were endothermic, entropy increasing and spontaneous.

09
CLINICAL STUDY Mutation research (2006) PMID: 16386451 ↗
Humic acids reduce the genotoxicity of mitomycin C in the human lymphoblastoid cell line TK6.
Clinical Trial Synthesis 2006 Clinical Study published in Mutation research. Key conclusion: Neither of the HA used alone did produce genotoxic effects, but both HAs reduced significantly the frequencies of MN induced by MMC, especially in the desmutagenic test.
View Original PubMed Abstract ↓

The antimutagenic/desmutagenic activity of a leonardite humic acid (LHA) and a soil humic acid (SHA) was studied in the cultured human lymphoblastoid cell line TK6 treated with mitomycin C (MMC) as reference mutagen by evaluating the induction of micronuclei (MN). Two different concentrations of HA were used, 2.5 and 10 microg/ml, in three different treatments: (1) HA alone (genotoxic test); (2) HA after 2-h pre-incubation with 0.3 microM of MMC (desmutagenic test) and (3) combinations of HA and MMC at 0.3 microM without pre-incubation (antimutagenic test). Neither of the HA used alone did produce genotoxic effects, but both HAs reduced significantly the frequencies of MN induced by MMC, especially in the desmutagenic test. A slight cell-protective effect against the cytotoxicity of MMC was also exhibited by the two HAs in the desmutagenic test. The LHA showed a desmutagenic/antimutagenic activity that was more pronounced than that of SHA, which is possibly related to the higher carboxylic group content and lower phenolic group content of LHA. These results confirm the antigenotoxic action exerted by HAs in human cells, similarly to what has been previously observed in various plant species.

10
CLINICAL STUDY Environmental science & technology (2004) PMID: 14998011 ↗
Cadmium bioavailability and accumulation in the presence of humic acid to the zebra mussel, Dreissena polymorpha.
Clinical Trial Synthesis 2004 Clinical Study published in Environmental science & technology. Key conclusion: This decrease by a factor of 2.6 resulted in a decrease in the cadmium uptake rate in the soft tissue of zebra mussels from 12.9 to 7.9 nmol/g dry wt/day, which corresponds to a decrease by a factor of 1.6.
View Original PubMed Abstract ↓

Metal speciation in aquatic systems is mainly determined by the type and concentration of ligands present in solution. A very important group of complexing agents is dissolved organic matter (DOM), e.g., humic and fulvic acids. According to the free-ion activity model, only the free metal ion is available to biota. Nevertheless, DOM has been reported to decrease or increase metal uptake, leading to uncertainty concerning the bioavailability of metal-DOM complexes. In this work the effect of Aldrich humic acid on cadmium accumulation by the zebra mussel, Dreissena polymorpha, was studied under laboratory conditions. Mussels, collected in a drinking water reservoir, were exposed to varying environmentally relevant concentrations of cadmium in the presence and absence of humic acid. Cadmium concentrations in the mussel tissues were analyzed, and measurements with a cadmium-ion-selective electrode were made to determine the free cadmium ion activity in the exposure waters. The uptake of humic acid by the zebra mussels was measured by the decrease of the total organic carbon (TOC) concentration in the water over time. The free cadmium ion activity in the water decreased from 51.6% to 19.9% of the total cadmium concentration in the presence of humic acid. This decrease by a factor of 2.6 resulted in a decrease in the cadmium uptake rate in the soft tissue of zebra mussels from 12.9 to 7.9 nmol/g dry wt/day, which corresponds to a decrease by a factor of 1.6. This implies that cadmium uptake rates were higher than predicted by the free-ion activity model and indicates that cadmium-humic acid complexes are partly available to zebra mussels.

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