Bovine Colostrum
immune support and gut health (limited evidence)
supplementFirst-milk concentrate rich in immunoglobulins and growth factors.
Quick answer
What it is: Bovine colostrum is the pre-milk fluid produced by cows during the first few days after calving.
May support:Inflammatory Bowel Disease, Adrenal Fatigue
Evidence Summary
Given the absence of specific PubMed studies provided, the current evidence grade for bovine colostrum's efficacy in humans is considered limited. While there is a biological plausibility for its mechanisms based on its composition, and some preliminary research exists, a lack of robust, large-scale, placebo-controlled human clinical trials prevents definitive conclusions regarding its effectiveness for specific health conditions. Much of the existing data may come from in vitro studies, animal models, or small human pilot studies.
Last reviewed · Jun 2026
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Why It Works
How it works in more detail
How to use
Always consult a qualified clinician.Editorial guidance
- Immunosuppressants (theoretical interaction due to immune-modulating effects)
- Dairy allergy
- Lactose intolerance (severe)
- Pregnancy (insufficient data)
- Breastfeeding (insufficient data)
Community tips
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Suggested dosage
General guidance — discuss specifics with a clinician.
Active medicinal compounds
Traditional use
Safety
Safety warnings
Avoid if
- Dairy allergy
- Lactose intolerance (severe)
- Pregnancy (insufficient data)
- Breastfeeding (insufficient data)
Medication interactions
- Immunosuppressants (theoretical interaction due to immune-modulating effects)
Reported side effects
- Mild gastrointestinal upset
- Nausea
- Diarrhea
- Bloating
General guidance — discuss specifics with a clinician.
Evidence ecosystem
Scientific literature, clinical guidance, government sources, ongoing research, traditional use, and lived experience — grouped by source type and quality.
Overall grade
Given the absence of specific PubMed studies provided, the current evidence grade for bovine colostrum's efficacy in humans is considered limited. While there is a biological plausibility for its mechanisms based on its composition, and some preliminary research exists, a lack of robust, large-scale, placebo-controlled human clinical trials prevents definitive conclusions regarding its effectiveness for specific health conditions. Much of the existing data may come from in vitro studies, animal models, or small human pilot studies.
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Systematic Reviews(1)
Structured reviews of the full body of evidence (incl. Cochrane).
Dziewiecka H, Buttar HS, Kasperska A, Ostapiuk-Karolczuk J, Domagalska M, Cichoń J · Nutrients · 2022
Bovine colostrum (BC) contains a myriad of bioactive molecules that are renowned for possessing unique medicinal benefits in children and adults, and BC supplements are considered safe and cost-effective options to manage/prevent the incidence of upper respiratory tract infections and gut-related problems in athletes. In this review, we will try to answer the question: How will BC supplementation ameliorate gut permeability problems among athletes? Literature searches were performed using PRISMA guidance to identify studies assessing the influence of BC supplements on gut permeability. Studies were selected using four databases: PubMed, Web of Science, Scopus, and EBSCO, and a total number of 60 articles were retrieved by using appropriate keywords. Nine studies were selected that met the eligibility criteria for this review. The data analysis revealed that vigorous exercise profoundly increases intestinal permeability, and BC supplementation helps to reverse gut permeability in athl
Systematic ReviewPubMedVery High Quality
Randomized Human Trials(1)
Controlled human studies with random assignment.
Sanctuary MR, Kain JN, Chen SY, Kalanetra K, Lemay DG, Rose DR · PloS one · 2019
Over half of all children with autism spectrum disorders (ASD) have gastrointestinal (GI) co-morbidities including chronic constipation, diarrhea, and irritable bowel syndrome. The severity of these symptoms has been correlated with the degree of GI microbial dysbiosis. The study objective was to assess tolerability of a probiotic (Bifidobacterium infantis) in combination with a bovine colostrum product (BCP) as a source of prebiotic oligosaccharides and to evaluate GI, microbiome and immune factors in children with ASD and GI co-morbidities. This pilot study is a randomized, double blind, controlled trial of combination treatment (BCP + B. infantis) vs. BCP alone in a cross-over study in children ages 2-11 with ASD and GI co-morbidities (n = 8). This 12-week study included 5 weeks of probiotic-prebiotic supplementation, followed by a two-week washout period, and 5 weeks of prebiotic only supplementation. The primary outcome of tolerability was assessed using validated questionnaires o
Randomized TrialPubMedHigh Quality
Clinical Trial Registries(3)
Registered ongoing or completed trials (ClinicalTrials.gov).
n=350 · NCT03085277 · COMPLETED · COMPLETED
Feeding intolerance is a common problem in very preterm infants due to their immature digestive system. This intolerance extends the time to full enteral feeding and thereby also prolongs the time on parenteral nutrition (PN). Prolonged time to full enteral feeding may predispose these infants to a higher risk of growth retardation, infections and organ dysfunctions (e.g. liver, brain). Mother's own milk (MM) is considered the optimal nutrition for preterm infants and is superior to infant formula (including preterm formula, PF) in stimulating gut maturation, feeding tolerance, resistance against necrotizing enterocolitis (NEC) and late-onset sepsis (LOS), and long-term neurodevelopmental outcomes. However, MM is often absent, or not available in sufficient amounts, during the first days or weeks after preterm delivery. Human donor milk (DM) is probably a better supplement to MM than PF, but DM is not available for all hospitals. To supplement insufficient MM during the early neonatal period in hospital settings with no access to donor milk, we suggest that bovine colostrum (BC) may be used instead of PF for very preterm infants during early life. BC, the first milk from cows after birth, is a rich source of protein and bioactive components, including lactoferrin, lysozyme, lactoperoxidase, immunoglobulins, and various growth factors, such as IGF-I and -II, EGFs, and TGF-β. BC has repeatedly been shown to improve gut maturation and NEC/LOS resistance in a well-established piglet model of preterm infants. We suggest a randomized, controlled trial to investigate the effects of BC vs. PF, supplemented to MM during the first 2 weeks, on the time to full enteral feeding in very preterm infants.
Clinical TrialClinicalTrials.govModerate Qualityn=52 · NCT02054091 · COMPLETED · COMPLETED
Feeding preterm infants is of great challenge in the NICUs. Mother's own milk is considered as the best for the digestive system followed by donor milk. Preterm infant formula is related to more feeding problems and other gut complications in these babies, such as necrotizing enterocolitis. Bovine colostrum contains higher amounts of protein, growth factors and immuno-regulatory components (e.g. immunoglobulins), which has been used in many other situations to promote health. The investigators plan to give bovine colostrum to preterm infants with birth weights between 1000 and 1800 g, or born between 27+0 and 32+6 weeks of gestational age, in order to promote feeding and intestinal health in these babies. This current study is a feasibility pilot study and the investigators hypothesized that supplementing BC to MM (if available) is safe and tolerable when used within the first 10-14 days of life in preterm infants.
Clinical TrialClinicalTrials.govModerate Qualityn=33 · NCT01759056 · COMPLETED · COMPLETED
The purpose of this study is to evaluate the safety and tolerability as well as the pharmacodynamic effects of multiple doses of AVX-470 administered orally in patients with active ulcerative colitis.
Clinical TrialClinicalTrials.govModerate Quality
Limitations: The primary limitation is the scarcity of high-quality, randomized, double-blind, placebo-controlled human clinical trials. Many studies are small, have methodological flaws, or are funded by manufacturers, which can introduce bias. There is also a lack of standardization in colostrum products, making it difficult to compare results across studies. The optimal dosage, duration of use, and specific populations that might benefit most are not well-established.
This page is educational. Statements use phrases like "may support" and "has been studied for"because no remedy here is approved to cure, treat, or reverse any condition. Discussion happens on the ailment pages — community statistics here are derived from those reports. Always consult a qualified clinician.
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