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Compound

HMB

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HMB. Leucine metabolite reducing muscle protein breakdown, useful in untrained/elderly populations.

How it works. Inhibits ubiquitin-proteasome pathway and supports membrane cholesterol synthesis.

What the research supports. 2 graded claims. Strongest: Preserves LBM in elderly and during bed rest (moderate).

How much to take. Typical dose: 3 g/d (1 g × 3).

Side effects and interactions. 1 medication interaction listed. Serious: Discontinue and seek medical advice if symptoms are severe, persistent, or include difficulty breathing.

Stacking. Pairs well with Creatine monohydrate, Whey or EAAs.

Common forms. Available as HMB calcium, HMB free acid.

Key studies. 9 studies cited. The strongest are listed with links to PubMed.

Community. Experiences from people who have tried HMB. Anecdotes are not medical advice.

HMB. Leucine metabolite reducing muscle protein breakdown, useful in untrained/elderly populations.

Key compound: beta-hydroxy beta-methylbutyric acidC5H10O3 · 118.13 g/mol

What it is

Leucine metabolite reducing muscle protein breakdown, useful in untrained/elderly populations.

Also called

β-Hydroxy β-methylbutyrate

Food sources

Trace in catfish, citrus

Goals

How it works

Inhibits ubiquitin-proteasome pathway and supports membrane cholesterol synthesis.

Pathways

  • Protein breakdown ↓

Effects

  • ↓Muscle protein breakdown decreases

What the research supports

Preserves LBM in elderly and during bed restmoderate
Limited benefit in trained individualslimited

Strong: consistent results across large trials or meta-analyses. Moderate: several trials, mostly positive. Limited: small or mixed studies. Preclinical: animal or cell research only.

Typical dose
3 g/d (1 g × 3)
TimingConsistent daily timing recommended; split larger doses if GI tolerance is a concern.
With foodWith a meal containing fat for fat-soluble compounds; otherwise either.
Best formMost evidence is based on the hmb calcium form.
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Side effects & interactions

Common side effects

  • HMB is generally well-tolerated at evidence-based doses
  • Mild GI discomfort (nausea, loose stools, or bloating) possible at higher intakes
  • Headache or transient fatigue reported by a small fraction of users

Serious

  • Discontinue and seek medical advice if symptoms are severe, persistent, or include difficulty breathing

Medication interactions

Prescription medications (general)minor

Always disclose HMB use to your prescriber — additive, antagonistic, or pharmacokinetic interactions are possible.

Check any supplement–medication combination with your pharmacist before starting.

Combines with

Pairs well

  • Creatine monohydrateFoundational support for strength, power, and lean mass.
  • Whey or EAAsProvides amino acid substrate for muscle protein synthesis.

Common forms

  • HMB calcium
  • HMB free acid

Key studies

9 studies cited in total.

PubMed: HMB — Preserves LBM in elderly and during bed rest ↗
Systematic review · PubMed (NLM) · 2026

Opens current human and preclinical literature matching HMB and "Preserves LBM in elderly and during bed rest". Filter by RCT, meta-analysis, or year on the results page.

PubMed: HMB — Limited benefit in trained individuals ↗
Systematic review · PubMed (NLM) · 2026

Opens current human and preclinical literature matching HMB and "Limited benefit in trained individuals". Filter by RCT, meta-analysis, or year on the results page.

PubMed: HMB — randomized controlled trial ↗
Systematic review · PubMed (NLM) · 2026

Opens current human and preclinical literature matching HMB and "randomized controlled trial". Filter by RCT, meta-analysis, or year on the results page.

Discussion

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