ClinicalTrials.gg
RecruitingNCT07764328Updated Aug 13, 2026

This Study Aims to Evaluate Whether Milamend's Product Could Improve Hormone Balance in Women Who Suffer From Self-reported PCOS Symptoms.

An interventional study of A dietary supplement powder for women and Placebo in Polycystic Ovarian Syndrome (PCOS), sponsored by Mila Mend Inc.. Recruiting at 1 site in United States. Open to female participants aged 18 Years to 40 Years. Per ClinicalTrials.gov, last updated 2026-08-13.

Sponsored by Mila Mend Inc. · Not applicable, Interventional, and Supportive care

From the registry’s dates

  • Registered 7 months after the study started (first participant enrolled Dec 2025, registered Jul 2026).
  • Started Dec 2025; still recruiting 10 months later.
Phase
Not applicable
Study type
Interventional
Enrollment
225
Allocation
Randomized
Ages
18 Years to 40 Years
Sex
Female
01

Study summary

The rationale for this study is to observe the impact of a consumer-grade commercially available product called Milamend Hormone Balance on quality of life and hormonal health in women with self-reported symptoms associated with Polycystic Ovarian Syndrome (PCOS). Additionally, the study aims to observe the impact of the product on menstrual cycle structure and associated symptoms, on reproductive and metabolic markers, on body image concerns, anxiety and general well-being. A consumer-driven, decentralized observational clinical research study is therefore well-suited for examining the effects of this product in this population.

We will examine the outcomes in a broad age-range of premenopausal women who have chosen to try this product. The study will incorporate participant reported outcome questionnaires and surveys and at-home blood specimen collection. There is no "doctor-patient" relationship as part of this research since the participant as a consumer is making the informed choice to try the product and take part in the observational process with self-reported measures, cycle tracking and at-home blood sample collection. Findings from this study will contribute knowledge toward the tolerability and formulation of the product and the design of future studies.

Read the detailed description

Natural supplements are increasingly recognized as a viable and effective approach for impacting the multifaceted symptoms from hormone dysregulation that underlie conditions such as Polycystic Ovary Syndrome (PCOS). The investigational product for this study. Milamend Hormone Balance was developed to address multiple interlinked mechanisms common in PCOS and related endocrine concerns: insulin resistance, androgen excess, oxidative stress, thyroid dysfunction, gut dysbiosis, and mood regulation. Ingredient selection prioritized human evidence (RCTs/meta-analyses where available), bioavailable forms, and a systems approach spanning reproductive, metabolic, immune, and gut-brain axes.

The product's core ingredients are designed to support hormonal balance and insulin signaling, critical for conditions like PCOS. A blend of Myo- and D-chiro-inositol in a 40:1 ratio is included as it directly mimics the body's natural physiological ratio and is the most extensively studied blend for improving insulin sensitivity and restoring menstrual regularity. This blend helps to improve ovulation and reduce symptoms of high androgens, like hirsutism and acne. Chromium picolinate further supports this by enhancing insulin receptor signaling and managing blood sugar levels and cravings. Similarly, Zinc picolinate is included due to its role in insulin metabolism, hormone balance, and antioxidant defenses, which can improve menstrual and androgen-related symptoms. The final two ingredients in this category, Coenzyme Q10 (CoQ10) and Alpha-lipoic acid (ALA), work together to support mitochondrial function and reduce oxidative stress. This is particularly beneficial for egg/embryology quality and overall cellular energy, with both ingredients showing positive results in studies related to insulin resistance and fertility outcomes.

Several ingredients in the supplement provide foundational support for overall health and well-being. Folate (as 5-MTHF) is the active form of vitamin B9 and is crucial for DNA synthesis, egg maturation, and methylation pathways. It is especially beneficial for individuals with specific genetic variations (MTHFR polymorphism) that affect folate processing. Vitamin B6 (as P5P), its active form, is included to support neurotransmitter synthesis, particularly for serotonin and melatonin, which can help alleviate PMS symptoms and improve mood and sleep. Selenium, in the form of L-selenomethionine, is an essential antioxidant that supports thyroid function and the conversion of thyroid hormones. When combined with inositol, it has been shown to improve thyroid antibodies and menstrual regularity. This is especially helpful for women with both thyroid dysfunction and hormonal imbalances.

The supplement also addresses common co-morbidities associated with hormonal imbalances by including a blend of amino acids. L-glutamine supports gut barrier integrity, which is often compromised in conditions like PCOS, and helps reduce inflammation. L-lysine is included for immune support and its role in collagen and elastin production, which is important for skin health. L-carnitine tartrate supports mitochondrial energy and fatty acid metabolism, helping to combat the fatigue often associated with insulin resistance. Finally, L-tryptophan is a precursor to serotonin and melatonin, helping to manage mood and sleep disturbances. L-threonine is also included to support immune function, collagen synthesis, and tissue repair, contributing to overall health and resilience.

02

Conditions studied

  • Polycystic Ovarian Syndrome (PCOS)

Keywords

  • Polycystic Ovarian Syndrome
  • PCOS
  • Quality of Life
  • Hormonal Health
  • Oligomenorrhea
  • hyperandrogenism
03

In context

Polycystic Ovary Syndrome

956 studies on the registry are indexed under Polycystic Ovary Syndrome; 176 are open to participants now.

This study's planned enrollment of 225 is above the median of 70 across 697 interventional studies indexed under Polycystic Ovary Syndrome.

Browse Polycystic Ovary Syndrome studies →

Lead sponsor

This is the only study on the registry with Mila Mend Inc. as lead sponsor.

Counted across the registry records on this site, refreshed daily.

04

Who can participate

Ages eligible
18 Years to 40 Years
Sexes eligible
Female
Accepts healthy volunteers
No

Go through the criteria one by one — yes, no or not sure — and take the list to your doctor or the study team. Kept in this browser only.

Inclusion criteria

  1. Females between 18-40 years old, inclusive
  2. Known diagnosis of Polycystic Ovarian Syndrome (PCOS) OR likely have PCOS as defined by presence of:
  3. Oligomenorrhea (\<9 menstrual cycles in the past year)
  4. Signs of hyperandrogenism (hirsutism, acne, female-pattern hair loss)
  5. Has recorded menstrual cycle duration of at least 3 menstrual cycles in the past year
  6. of 18.5-35
  7. Owns or is willing to purchase a personal digital weight scale for monthly weight measurement.
  8. In good general health at the time of screening (Investigator discretion).
  9. Able to read and understand English.
  10. Able to read, understand, and provide .
  11. Able to use a personal smartphone device and download Chloe by People Science.
  12. Able to receive shipment of the product at an address within the United States.
  13. Able to complete study assessments over the course of up to 16 weeks.

Exclusion criteria

Exclusion Criteria:

Any potential participants who:

  1. Do not have a personal smartphone, internet access, or unwilling to download Chloe.
  2. Rates the impact of PCOS on their overall quality of life as "Rarely/Seldom" or "Not at all"
  3. Average cycle length of last 3 cycles is >50 days
  4. Concomitant Therapies:

    1. Use of hormonal within the last 6 months.
    2. Use of a Co-Q10 supplement within the last 6 months.
    3. Use of any high dose vitamin B supplements in the last 6 months.
    4. Received any therapies or treatments within 30 days prior to randomization.
    5. Use of any other alpha-inositol/myo-inositol supplement in the last 6 months.
    6. Pioglitazone, spironolactone or metformin in the previous 6 months.
  5. Other Illnesses or Conditions: Participants who have the following comorbidities or gastrointestinal illnesses are excluded:
  6. Perimenopausal or menopausal.
  7. Participants diagnosed with Diabetes Mellitus (DM) for both Type I and Type II, who are managed with Insulin, Thiazolidinediones (TZDs) or Metformin.
  8. Known diagnosis of other causes of oligomenorrhea (e.g. thyroid disease, primary ovarian insufficiency, hyperprolactinemia, Cushing syndrome, any disorders of sexual development or Obesity).
  9. Chronic hepatic, renal, or cardiovascular disease (excluding hypertension).
  10. Known disorders that would affect nutrient absorption (e.g., Crohn's Disease, ulcerative colitis, chronic diarrhea, Celiac Disease, Irritable Bowel Syndrome, eating disorder).
  11. Currently pregnant, planning to become pregnant in the next 3 months, or breastfeeding
  12. Currently diagnosed with Alcohol Use Disorder and/or Substance Use Disorder.
  13. Any underlying medical conditions or comorbidities that may confound the assessment of digestive symptoms or the evaluation of the study outcomes.
  14. Have a significant illness, disease or condition which, in the opinion of the principal investigator, may impact their ability to participate in the study or impact the study outcomes.
  15. Other possible causes of oligomenorrhea such as history of disordered eating, chronic jetlag or shiftwork
  16. Known or previous allergic reaction to the product ingredients: Vitamin B6 (as Pyridoxal-5-Phosphate), Folate (as L-5-Methyltetrahydrofolate Calcium), Zinc (as Zinc Picolinate), Selenium (as L-Selenomethionine), Chromium (as Chromium Picolinate), Myo-inositol, D-chiro-inositol, Co-enzyme Q10, Alpha Lipoic Acid, L-Glutamine, L-Carnitine Tartrate, L-Lysine (as L-Lysine HCl), L-Threonine, L-Tryptophan, beet root powder, hibiscus, or spirulina (algae) or citric acid.
  17. Are unlikely for any reason to be able to comply with the trial or considered unsuited for participation in the study by the Principal Investigator.
Terms in these criteria, in plain language(5)

Underlined terms in the criteria open these too. Explained by clinicaltrials.gg, not part of the registry record. The study team decides who can take part.

BMI (body mass index)

Weight in kilograms divided by height in metres squared. Example: 70 kg and 1.75 m gives 70 ÷ (1.75 × 1.75) ≈ 22.9.

What counts as overweight or obesity differs between countries (some use lower cut-offs), so go by the range the study states.

Informed consent

Before you join, the study team explains what taking part involves — its purpose, what happens, the risks and possible benefits — and answers your questions, so you can decide freely. Consent is usually recorded on a form (the informed consent form, ICF) signed by you or, where the law allows, by someone legally authorised to decide for you.

You can keep asking questions during the study, you are told of new information that matters, and you can choose to leave at any time.

Contraception

Ways of preventing pregnancy. “Highly effective” methods fail less than 1% of the time a year when used correctly — for example an IUD or an implant.

Criteria usually say which methods count and how long to keep using them after the last dose, sometimes for male participants too. Some studies accept a partner’s vasectomy if it was confirmed successful and that person is the participant’s only sexual partner.

Investigational drug or device

A drug or device being studied in a clinical trial.

It may be new, or already approved and being studied for another use, dose or form. Criteria often leave out people who took part in another study of one within a recent period, commonly 30 days or five half-lives.

Hypersensitivity

An allergy, or another reaction of the immune system, to a substance. “Hypersensitivity to the study drug” means a known allergic reaction to it — not every side effect a medicine can have.

05

Study design

Phase
Not applicable
Primary purpose
Supportive care
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Single (Participant)
Enrollment
225 participants (estimated)

Study arms

  • Placebo comparator
    Placebo Arm

    Control Arm using the placebo

    Dietary Supplement: Placebo

  • Experimental
    Study Product Arm

    Experimental study arm will use the Milamend Hormone Balance supplement

    Dietary Supplement: A dietary supplement powder for women

Interventions

  • Dietary supplementA dietary supplement powder for women

    1 scoop/day mixed with ≥8 oz water for the first 3 days at study start and then increase to 1 scoop twice daily (AM/PM) with food.

    Also known as: Hormone Balance supplement

  • Dietary supplementPlacebo

    1 scoop/day mixed with ≥8 oz water for the first 3 days at study start and then increase to 1 scoop twice daily (AM/PM) with food.

    Also known as: Hormone Balance Supplement Placebo

06

What researchers measure

Primary outcomes

  1. Quality of Life Impact

    To evaluate the impact of Milamend product on quality of life associated with PCOS symptoms. Change in health-related quality of life score between placebo and study product group as measured by the PCOS-QOL. Baseline will be compared as well.

    Time frame: 13 weeks

Secondary outcomes

  1. Menstrual Cycle Frequency, Function and Length Impact

    To evaluate the impact of Milamend on menstrual cycle frequency. Change in presence of LH surges between study product and placebo groups.

    Time frame: 12 weeks

  2. Menstrual Cycle Symptoms Impact

    To evaluate the impact of Milamend on menstrual cycle symptoms. Change in the incidence, characteristics and/or severity of cycle symptoms between study product and placebo groups.

    Time frame: 12 weeks

  3. General Well-Being Impact

    To evaluate the impact of Milamend product on general well-being. Change in general well-being score between placebo and study product group as measured by the Patient Health Questionnaire-9 (PHQ-9). Baseline will be compared as well.

    Time frame: 13 weeks

  4. Impact on Anxiety

    To evaluate the impact of Milamend on anxiety. Change in anxiety score between placebo and study product group as measured by GAD-7. Baseline will be compared as well.

    Time frame: 13 weeks

  5. Body Image Impact

    To evaluate the impact of Milamend product on body image concern. Change in body image concern score between placebo and study product group as measured by the Body Image Concern Inventory (BICDI). Baseline will be compared as well.

    Time frame: 13 weeks

  6. Hormone and Metabolic Blood Marker Impact

    To assess the impact of Milamend product on hormone and metabolic blood markers. Change from baseline in hormone and metabolic blood markers at Week 12 as measured by blood collection.

    Time frame: Baseline to Week 12

  7. Safety and Tolerability Assessment

    To observe the safety and tolerability of Milamend's product. Assessment of the number, frequency, and severity of adverse events (AEs), serious adverse events (SAEs) and AE withdrawals reported over the study product and placebo use period.

    Time frame: 12 weeks

Other outcomes

  1. Study Experience Assessment

    To identify improvements for future participant-centered study designs using feedback Assessment of patient satisfaction survey of study experience including design and use of app-based data collection tools

    Time frame: 12 weeks

07

Study locations

1 of 1 sites recruiting
08

References and documents

Publications

  • PDF. Accessed September 3, 2025. https://www.europeanreview.org/wp/wp-content/uploads/5512-5521.pdf
  • Mao X, Zeng X, Qiao S, Wu G, Li D. Specific roles of threonine in intestinal mucosal integrity and barrier function. Front Biosci (Elite Ed). 2011 Jun 1;3(4):1192-200. doi: 10.2741/e322. PubMed 21622125 ↗
  • Finlay D, Cantrell D. The coordination of T-cell function by serine/threonine kinases. Cold Spring Harb Perspect Biol. 2011 Jan 1;3(1):a002261. doi: 10.1101/cshperspect.a002261. PubMed 21421912 ↗
  • Roth W, Zadeh K, Vekariya R, Ge Y, Mohamadzadeh M. Tryptophan Metabolism and Gut-Brain Homeostasis. Int J Mol Sci. 2021 Mar 15;22(6):2973. doi: 10.3390/ijms22062973. PubMed 33804088 ↗
  • Anderson G. Polycystic Ovary Syndrome Pathophysiology: Integrating Systemic, CNS and Circadian Processes. Front Biosci (Landmark Ed). 2024 Jan 18;29(1):24. doi: 10.31083/j.fbl2901024. PubMed 38287831 ↗
  • Gong Y, Jiang T, He H, Wang Y, Wu GL, Shi Y, Cai Q, Xiong CL, Shen R, Li J. Effects of carnitine on glucose and lipid metabolic profiles and fertility outcomes in women with polycystic ovary syndrome: A systematic review and meta-analysis. Clin Endocrinol (Oxf). 2023 May;98(5):682-691. doi: 10.1111/cen.14885. Epub 2023 Feb 17. PubMed 36746677 ↗
  • Papachroni KK, Piperi C, Levidou G, Korkolopoulou P, Pawelczyk L, Diamanti-Kandarakis E, Papavassiliou AG. Lysyl oxidase interacts with AGE signalling to modulate collagen synthesis in polycystic ovarian tissue. J Cell Mol Med. 2010 Oct;14(10):2460-9. doi: 10.1111/j.1582-4934.2009.00841.x. PubMed 19583806 ↗
  • Unni SN, Lakshman LR, Vaidyanathan K, Subhakumari KN, Menon NL. Alterations in the levels of plasma amino acids in polycystic ovary syndrome--A pilot study. Indian J Med Res. 2015 Nov;142(5):549-54. doi: 10.4103/0971-5916.171281. PubMed 26658589 ↗
  • Kim MH, Kim H. The Roles of Glutamine in the Intestine and Its Implication in Intestinal Diseases. Int J Mol Sci. 2017 May 12;18(5):1051. doi: 10.3390/ijms18051051. PubMed 28498331 ↗
  • Wang P, Chen B, Huang Y, Li J, Cao D, Chen Z, Li J, Ran B, Yang J, Wang R, Wei Q, Dong Q, Liu L. Selenium intake and multiple health-related outcomes: an umbrella review of meta-analyses. Front Nutr. 2023 Sep 13;10:1263853. doi: 10.3389/fnut.2023.1263853. eCollection 2023. PubMed 37781125 ↗
  • Gunalan E, Yaba A, Yilmaz B. The effect of nutrient supplementation in the management of polycystic ovary syndrome-associated metabolic dysfunctions: A critical review. J Turk Ger Gynecol Assoc. 2018 Nov 15;19(4):220-232. doi: 10.4274/jtgga.2018.0077. Epub 2018 Oct 9. PubMed 30299265 ↗
  • Carboni L. Active Folate Versus Folic Acid: The Role of 5-MTHF (Methylfolate) in Human Health. Integr Med (Encinitas). 2022 Jul;21(3):36-41. No abstract available. PubMed 35999905 ↗
  • Florou P, Anagnostis P, Theocharis P, Chourdakis M, Goulis DG. Does coenzyme Q10 supplementation improve fertility outcomes in women undergoing assisted reproductive technology procedures? A systematic review and meta-analysis of randomized-controlled trials. J Assist Reprod Genet. 2020 Oct;37(10):2377-2387. doi: 10.1007/s10815-020-01906-3. Epub 2020 Aug 7. PubMed 32767206 ↗
  • Guarano A, Capozzi A, Cristodoro M, Di Simone N, Lello S. Alpha Lipoic Acid Efficacy in PCOS Treatment: What Is the Truth? Nutrients. 2023 Jul 19;15(14):3209. doi: 10.3390/nu15143209. PubMed 37513627 ↗
  • Nasiadek M, Stragierowicz J, Klimczak M, Kilanowicz A. The Role of Zinc in Selected Female Reproductive System Disorders. Nutrients. 2020 Aug 16;12(8):2464. doi: 10.3390/nu12082464. PubMed 32824334 ↗
  • Fazelian S, Rouhani MH, Bank SS, Amani R. Chromium supplementation and polycystic ovary syndrome: A systematic review and meta-analysis. J Trace Elem Med Biol. 2017 Jul;42:92-96. doi: 10.1016/j.jtemb.2017.04.008. Epub 2017 Apr 21. PubMed 28595797 ↗
  • Nordio M, Basciani S, Camajani E. The 40:1 myo-inositol/D-chiro-inositol plasma ratio is able to restore ovulation in PCOS patients: comparison with other ratios. Eur Rev Med Pharmacol Sci. 2019 Jun;23(12):5512-5521. doi: 10.26355/eurrev_201906_18223. PubMed 31298405 ↗
  • Han Y, Hou Y, Han Q, Yuan X, Chen L. Dietary supplements in polycystic ovary syndrome-current evidence. Front Endocrinol (Lausanne). 2024 Sep 27;15:1456571. doi: 10.3389/fendo.2024.1456571. eCollection 2024. PubMed 39398335 ↗

Individual participant data

Plan to share: Undecided

09

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Aug 13, 2026, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT07764328
Lead sponsor
Mila Mend Inc.
Collaborators
People Science, Inc.
Responsible party
Sponsor
First posted
Aug 13, 2026
Start date
Dec 23, 2025
Primary completion
Oct 27, 2026 (estimated)
Completion
Dec 30, 2026 (estimated)
Last update
Aug 13, 2026

Study contacts

Noah Craft, M.D., Ph.D
Contact
noah@peoplescience.health
213-328-0919
Crisel Erfe, M.D
Contact
crisel@peoplescience.health
310-922-0609

Oversight

Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

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