Supplements · Carotenoids

Astaxanthin Benefits: Skin, Eyes, Recovery & Side Effects

What astaxanthin is, why wild salmon are red, how it protects your cells from oxidative stress, what the human trials show for skin, screen-tired eyes, muscle recovery and cholesterol, and how much to take.

Meet the Medical Advisory Board
Evidence-based55 sources citedUpdated October 28, 2026
Published Oct 28, 2026Last updated Oct 28, 2026Editorial policyMedical review policyFact-checking policy
Deep red softgel capsules spilling from a red glass bottle, beside a woman studying the skin around her eyes in a mirror
Astaxanthin supplements are deep red softgels, and skin is one of its best-studied uses.
The Dr. Axe Score™
6.8/10
Overall Dr. Axe Score · Astaxanthin Benefits

Astaxanthin scores 6.8.

Scientific Evidence
6.0/10
We counted about 45 randomized trials and a dozen pooled analyses, clearest for skin, oxidative stress, muscle recovery and HDL; most trials are small and short, and astaxanthin makers ran or funded many of them.
Bioavailability & Absorption
6.6/10
Fat-soluble, so it absorbs best with fat; it reaches the blood and red blood cells, and cooking lowers the amount in salmon.
Clinical Effectiveness
6.4/10
Our judgment: modest gains people can see or measure, and an honorable mention in Dr. Axe's Mitochondrial Longevity Protocol.
Safety & Tolerability
8.6/10
No safety concerns across 87 human studies; not studied in pregnancy, and Europe's intake ceiling leaves little room for supplements in children.
Why this score?
Why Astaxanthin Benefits scores 6.8 / 10

    Dozens of human trials show positive results for skin, recovery after exercise and HDL cholesterol, and 87 human studies turned up no safety concerns. One practical note: how well you absorb it depends on taking it with fat. Weighting: Evidence 30% · Bioavailability & Absorption 25% · Clinical Effectiveness 25% · Safety & Tolerability 20% (6.0×0.30 + 6.6×0.25 + 6.4×0.25 + 8.6×0.20 = 1.80 + 1.65 + 1.60 + 1.72 = 6.77, shown as 6.8). How we score

    A transparent, weighted index built for supplements. See how it’s calculated →

    Interaction check: Moderate. Blood thinners (such as warfarin) and antiplatelet drugs (such as clopidogrel): in one documented case, a 69-year-old woman on warfarin and five other medicines developed bruising a day after she added astaxanthin, and her INR, the clotting test warfarin is dosed by, rose from 1.4 to 10.38; it came back down once both were stopped and she was given vitamin K.48 In rats, astaxanthin slowed platelet clumping and prolonged bleeding time.49 If you take one of these medicines, check with your prescriber before starting, and on warfarin, ask about extra INR checks. Blood-sugar-lowering medicine (such as metformin): fasting blood sugar fell in trials of people with prediabetes and type 2 diabetes, so check your glucose more often and tell your prescriber, since doses may need adjusting.540

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    Astaxanthin at a glance

    Astaxanthin is the red-orange carotenoid that colors wild salmon, made by ocean microalgae, and it protects the fats in your cells from oxidative stress. In human trials, it improved skin moisture and elasticity, eased muscle damage after hard exercise and raised HDL cholesterol.12345

    • Food first: a 2014 review puts wild sockeye at up to 26 to 38 milligrams per kilogram, roughly 3 to 4 milligrams in a 4-ounce raw portion.1 My Mitochondrial Longevity Protocol puts wild salmon on the plate 2 to 3 times a week6
    • Skin: in a 2021 analysis of 8 randomized trials, oral astaxanthin improved skin moisture and elasticity3
    • Recovery: in a 2026 analysis of randomized trials, it lowered creatine kinase, a marker of muscle damage, across the 8 comparisons that measured it4
    • Cholesterol: in people with prediabetes or type 2 diabetes, HDL rose 3.0 mg/dL across 5 trials, a result rated high certainty5
    • How much and how to take it: most trials used 4 to 12 mg a day. Choose natural astaxanthin grown from algae, and take it with a meal that contains some fat789

    Astaxanthin is the red-orange antioxidant that colors wild salmon, and its main job in your body is protecting the fats in your cell membranes from oxidative stress.1102 In human trials, it also improved skin moisture and elasticity, lowered a marker of muscle damage after hard exercise, raised HDL cholesterol and eased eye strain from screens.34511

    Next time you cut into a fillet of wild sockeye, look at that deep red-orange color, because you're looking at astaxanthin. Tiny algae make it in the ocean, and it travels up the food chain to your plate.112 It belongs to the carotenoids, the pigment family that colors carrots, tomatoes and peppers. And because it's fat-soluble, it can settle right into the fatty membranes that wrap your cells.131410

    When it comes to getting astaxanthin, start with your plate. The root cause of almost every chronic illness today is inflammation, and the food you eat every day will lower it far more than any supplement ever could. Wild-caught fish will beat a fish oil capsule every time.15 On my list of the top 10 foods for healing your cell membrane, wild-caught salmon such as sockeye is number one. It's high in EPA, it's high in DHA, and it's high in astaxanthin.16

    With astaxanthin, the plate is simple: wild salmon. A capsule has its place too, and astaxanthin earns a spot in my Mitochondrial Longevity Protocol as one of six honorable mentions that follow the top 8 cellular nutrients, though daily habits come first.6

    Salmon is high in astaxanthin, which protects mitochondria from oxidative stress, and it's rich in omega-3s, which reduce inflammation, support the cellular membrane and help heal mitochondria as well.Dr. Josh Axe, DC, DNM, CNSFrom Top 10 Ways to Boost Mitochondrial Health for All-Day Energy, The Dr. Josh Axe Show (2025), at 23:12

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    Astaxanthin is one of the nutrients named in this free 90-day protocol, which starts with the habits that keep your mitochondria strong. It lays out:

    • Four phases in order, starting with Clear
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    Did you know?

    • The green microalga Haematococcus pluvialis can build up astaxanthin to as much as 3.8% of its dry weight.1

    • Few foods carry astaxanthin, and at the start of one trial, it was too low to detect in the blood of 32 trained cyclists.1718

    • Your blood shows what's on your plate. In a randomized trial, 28 healthy men ate salmon every day for 4 weeks, and the mix of astaxanthin forms in their blood came to mirror the salmon they ate, wild or farmed.19

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    What is astaxanthin?

    Quick answer

    Astaxanthin is a red-orange carotenoid, a fat-soluble pigment made mainly by microalgae such as Haematococcus pluvialis and by some yeasts, and it gives wild salmon their red flesh.12012 You get it by eating wild salmon or by taking a supplement grown from algae.17

    Astaxanthin works its way up the ocean food chain. Microalgae make it, and wild salmon get it from the krill and shrimp they eat, so it builds up in their flesh and turns it red.2012 The bright red you see in wild sockeye and king salmon is astaxanthin.21 Farmed salmon get theirs added to their feed, and most of it is made synthetically.20

    The chain starts with living things too small to see and ends with the fish on your table, the kind of design Scripture marvels at: "O LORD, how manifold are thy works! in wisdom hast thou made them all: the earth is full of thy riches. So is this great and wide sea, wherein are things creeping innumerable, both small and great beasts" (Psalm 104:24–25).

    Like vitamin E, astaxanthin is an antioxidant, a molecule that neutralizes the unstable molecules behind free radical damage. Because it's fat-soluble, it does its work in the fatty parts of your cells.14 As I said on my show, "You need both water-soluble and fat-soluble antioxidants."22 In Heal Your Cells, Dr. Will Cole and I describe carotenoids as natural sunglasses and armor that strengthen your cells.13

    Natural vs. synthetic astaxanthin

    When you shop for astaxanthin, you'll run into two forms. Natural astaxanthin is grown in microalgae, mainly Haematococcus pluvialis. It's the form used in the supplement trials and in the 87-study safety review on this page.23 Synthetic astaxanthin is made by chemical synthesis. It's chemically different from the natural form, it has had few safety studies in people or animals, and most of it goes into fish feed.2320 The long-term effects of eating synthetic astaxanthin are unknown, and researchers point to that as one reason its use in food is limited.12 So when you buy a supplement, look for astaxanthin from algae, with Haematococcus pluvialis named on the label.

    Which foods have astaxanthin?

    Quick answer

    Wild salmon is the main food source of astaxanthin, and wild sockeye is among the richest. A 2014 review put it at up to 26 to 38 milligrams per kilogram of flesh, roughly 3 to 4 milligrams in a 4-ounce raw portion.117 Farmed Atlantic salmon carried 6 to 8 milligrams per kilogram in the same review.1

    Astaxanthin figures come from a 2014 review and a lab analysis of commercial supplements. Per-portion amounts are calculated from the per-kilogram values (4 ounces = 113 grams, raw).117

    SourceAstaxanthin

    Wild sockeye salmon, 4 ounces raw

    About 2.9 to 4.3 mg (up to 26 to 38 mg per kg)1

    Farmed Atlantic salmon, 4 ounces raw

    About 0.7 to 0.9 mg (6 to 8 mg per kg)1

    Large trout, 4 ounces raw

    About 0.7 to 2.8 mg (6 mg per kg in Europe's market, 25 in Japan's)1

    One softgel, in the commercial supplements tested

    3 to 10 mg17

    Salmon roe carries some too: a lab analysis of roe from farm-raised Chinook salmon found about 4 milligrams per kilogram.24

    In that table, a 4-ounce portion of the richest wild sockeye holds about as much astaxanthin as the smallest softgels tested, but where a softgel hands you one nutrient, the fish brings a whole meal's worth of nutrition with it. When you eat salmon, you're getting the omega-3s EPA and DHA. You're getting protein and phospholipids, unique fats that help restructure the cell membrane, and you're getting astaxanthin along with them. Those omega-3s become part of your cells, which is why I've called salmon probably the most anti-inflammatory of all the foods you can eat.15

    I think the healthiest food on the planet is sockeye salmon or king salmon.Dr. Josh Axe, DC, DNM, CNSFrom The Toxin Nobody Checks For (It's in Your Clothes & Bed) | Alex Clark, The Dr. Josh Axe Show (2026), at 59:24

    Before you cook your salmon, know that cooking lowers the amount. In a lab analysis, common ways of cooking cut the astaxanthin in wild salmon by 48% to 57%, roughly half, and in farmed salmon by 35% to 47%.17 Eating salmon still raises your levels quickly, though: in a randomized trial, 28 healthy men ate 250 grams (about 9 ounces) of salmon a day, and the astaxanthin in their blood reached a steady level within 6 days.19

    As for which salmon to buy, farmed salmon carries a worse omega-3 to omega-6 balance than wild,25 and my rule from The Biblio Diet is to choose wild, ocean-caught fish.26 Our guides to the best fish to eat and the fish you should never eat cover the rest of the counter.25 The Mitochondrial Longevity Protocol puts wild salmon and sardines at the top of its longevity foods, at 4 to 6 ounces two to three times a week, which gives you the omega-3s that build your cell membranes and the protein your cells use for repair.6 For more fish and other foods that supply omega-3s, see our list of omega-3 foods.

    When my mom was recovering from cancer through nutrition and lifestyle alongside her medical care, wild-caught salmon was one of the foods on her plate.13

    What is astaxanthin good for?

    Quick answer

    Astaxanthin is good for protecting your cells from oxidative stress. In people, it improved skin moisture and elasticity, lowered oxidative damage, eased muscle damage after hard exercise, and raised HDL cholesterol and lowered blood sugar in prediabetes or type 2 diabetes. Each of those is backed by a pooled analysis of randomized trials.3245 Individual trials point to benefits for screen-tired eyes, walking endurance in older adults and immune activity, and you'll find each one's design, size and dose below.112728

    Astaxanthin benefits, graded by evidence (updated October 2026). Evidence labels are editorial judgments that compare these uses with each other; they aren't formal certainty ratings.
    UseEvidenceProduct studiedWhat the research shows

    Skin moisture and elasticity

    Moderate

    Astaxanthin, 4 to 12 mg a day

    Moisture and elasticity improved in pooled trials; more UV needed to redden skin37

    Less oxidative damage

    Moderate

    Astaxanthin, 6 to 12 mg a day in the red blood cell trial

    Blood malondialdehyde down; fewer oxidized fats in red blood cells210

    Muscle recovery

    Moderate

    Astaxanthin, 4 to 28 mg a day

    Creatine kinase lower after exercise; faster time trials in two cycling studies42930

    HDL cholesterol and blood sugar

    Moderate

    Astaxanthin, 6 to 18 mg a day

    HDL up 3.0 mg/dL, rated high certainty; LDL and triglycerides lower5831

    Screen-tired eyes

    Emerging

    Astaxanthin, 4 to 9 mg a day

    Eye-strain scores improved in children; sharper vision after screen work in adults 40 and older1132

    Walking endurance in older adults

    Emerging

    Astaxanthin, 24 mg a day (a research dose), with vitamins E and C in both groups

    Median 6-minute walk rose from 333 to 371 meters; placebo slipped27

    Immune support

    Emerging

    Astaxanthin, 2 to 20 mg a day

    Natural killer cell activity up; rheumatoid arthritis activity lower2833

    How does astaxanthin work in your body?

    If you've ever opened a bottle of cooking oil that sat too long, you know the stale, sharp smell of fat that has oxidized and gone rancid. Free radicals can do something similar to the fats in your cells, and that's oxidative stress, the free-radical damage that wears down your cells. It's one of the root causes of aging, and it's what astaxanthin works on.

    Oxidative stress is one of the nine hallmarks of aging I teach, beside mitochondrial dysfunction and inflammaging, the low, constant fire of inflammation. It goes hand in hand with mitochondrial dysfunction, because as your mitochondria decline, you make less energy and leak more free radicals.6 Astaxanthin does its work right where your cells are most exposed to that damage, in their fatty outer membranes and in the mitochondria that make your energy. You need to protect the fat of your cells from oxidizing, and that's where vitamin E, astaxanthin, polyphenols and glutathione come in.16 Follow astaxanthin from the ocean to your cells:

    1Algae make it

    Microalgae build astaxanthin, and it moves up the ocean food chain into wild salmon. Supplements use astaxanthin grown from the green microalga Haematococcus pluvialis.120

    2You absorb it with fat

    Astaxanthin is fat-soluble, so it absorbs best when you take it with fat.9

    3It settles into the cell membrane

    Each cell is wrapped in a thin membrane made of fat. In a computer model of one, astaxanthin slipped in among the membrane's fatty chains, and its two polar ends let it work at a range of depths, reaching either surface.34

    4It traps radicals in the membrane

    In lab membranes, astaxanthin stopped fats from oxidizing, the same kind of damage that turns oil rancid, by trapping free radicals both at the membrane surface and inside it.14

    5It helps mitochondria hold their charge

    Your mitochondria work like rechargeable batteries inside every cell. In cultured cells, tiny amounts of astaxanthin kept mitochondria in a healthy reduced state under oxidative stress, helped them hold the electrical charge they use to make energy and boosted their use of oxygen.35

    6Less oxidized fat in people

    In placebo-controlled trials in people, red blood cells carried more astaxanthin and fewer oxidized fats, and blood malondialdehyde fell.102 You'll find the numbers in the second benefit below.

    Astaxanthin benefits, ranked by evidence

    Here are astaxanthin's benefits, in order of the strength of the human research, starting with skin.

    1

    Moister, more elastic skin

    Moderate evidenceHuman studyPooled analysis of 8 RCTs; RCTs of 22, 36 and 59 adults

    Astaxanthin works on your skin from the inside. Pooled across trials, oral astaxanthin improved skin moisture and elasticity, and in a 9-week trial against placebo, it raised the dose of UV light needed to redden the skin.37 The skin section below has the trials and the chart.

    Study takeaway: taken by mouth, astaxanthin improved skin moisture and elasticity in pooled trials.

    2

    Less oxidative damage

    Moderate evidenceHuman studyPooled analysis of 12 RCTs · 380 people; RCT of 30 adults; RCT of 14 men who each tried both

    This is astaxanthin's core job: shielding the fats in your blood and cell membranes from oxidation. A 2022 analysis pooled 12 trials with 380 people. Compared with placebo, astaxanthin lowered blood malondialdehyde, a marker of damaged fats, a kind of rancidity reading for your blood, and the drop held in people with type 2 diabetes.2 In 30 middle-aged and older adults, 6 or 12 milligrams a day for 12 weeks raised astaxanthin inside red blood cells and lowered their oxidized membrane fats compared with placebo.10 So the astaxanthin reached the cells, and their fats held up better.

    It may help your own defenses, too: in 14 active young men who each tried astaxanthin and a placebo for 4 weeks, 6 mg a day raised whole-blood glutathione, an antioxidant your cells make themselves, by about 7% (1,233 vs. 1,156 µM).36 For more ways to raise your defenses, see our list of high-antioxidant foods.

    Study takeaway: across 12 trials, astaxanthin lowered blood malondialdehyde, a marker of oxidative damage to fats, compared with placebo.

    3

    Less muscle damage after hard exercise

    Moderate evidenceHuman studyPooled analysis of 24 RCTs; RCTs of 40 and 32 soccer players; cycling trials of 14, 12 and 32 athletes

    Astaxanthin helps your muscles come through hard training with less damage, and researchers track that damage through an enzyme called creatine kinase, which leaks out of damaged muscle into the blood, a bit like water seeping from a cracked pipe. A 2026 analysis pooled 24 randomized trials in healthy people and athletes, at 4 to 28 milligrams a day. Across the 8 trial comparisons that measured it, astaxanthin lowered creatine kinase by a small-to-moderate margin, a result rated moderate certainty. The effect was clearer at 10 mg a day or more and in trials shorter than 4 weeks. Pooled measures of performance, such as VO2max and time trials, didn't change significantly.4

    Elite athletes showed the same thing: researchers gave 32 elite young soccer players astaxanthin or a placebo, and after a 2-hour workout, their creatine kinase and AST were lower than on placebo.37 In the same team's trial of 40 trained soccer players, 4 mg a day for 90 days raised salivary IgA, an antibody that guards the mouth and airways. And only the placebo group showed a rise in hs-CRP, a blood marker of inflammation, and in neutrophils.38

    As for speed, two cycling trials found faster times. Researchers gave 21 competitive cyclists 4 mg a day or a placebo for 28 days, and 14 finished. Astaxanthin cut 121 seconds off a 20-kilometer time trial, against 19 seconds on placebo.29 And in 12 trained cyclists who each tried both, 12 mg a day for 7 days made a 40-kilometer time trial 51 seconds faster (69.90 vs. 70.76 minutes).30 Other trials found no change: in 32 well-trained cyclists and triathletes, 4 weeks of 20 mg a day made no difference to time-trial power or fat burning compared with placebo. And in 13 strength-trained men who each tried both, 12 mg a day had no effect on soreness or muscle-damage markers.1839 Our guides to muscle recovery and supplements for athletes cover the rest of a recovery plan. If you train hard, think of astaxanthin as recovery support first, since the speed results are mixed.

    Study takeaway: in a 2026 pooled analysis, astaxanthin lowered creatine kinase, a marker of muscle damage, a result rated moderate certainty.

    4

    Raises HDL cholesterol and lowers blood sugar

    Moderate evidenceHuman studyPooled analysis of 9 RCTs · 403 people with prediabetes or type 2 diabetes; RCTs of 34, 44 and 61 adults

    If your cholesterol or blood sugar has been creeping up, it's worth knowing that astaxanthin moves the markers tied to your heart and metabolism the right way, most clearly HDL, the protective cholesterol. A 2026 analysis pooled 9 randomized trials with 403 people with prediabetes or type 2 diabetes. Across the 5 trials (222 people) that measured it, astaxanthin raised HDL cholesterol by 3.0 mg/dL, a result rated high certainty. It also lowered LDL by 9.4 mg/dL, total cholesterol by 12.2 mg/dL and triglycerides by 20.9 mg/dL. On the blood-sugar side, HbA1c fell 0.34 points and fasting blood sugar 16.1 mg/dL. The triglyceride and blood-sugar results varied widely from trial to trial, though, and two of the analysis's entries may describe the same trial.5

    In a trial run at the University of California, San Diego, 34 adults with prediabetes and high cholesterol took 12 mg a day or a placebo for 24 weeks. Compared with their starting point, the astaxanthin group's LDL fell about 12.8 mg/dL and total cholesterol about 11.6 mg/dL, with no change on placebo. Fibrinogen, a clotting protein tied to heart risk, came down too. The main measure, insulin action, moved in the right direction without reaching significance.8

    If your triglycerides run high, one trial is especially relevant: in 61 adults with mildly high triglycerides, 12 and 18 mg a day for 12 weeks lowered triglycerides compared with placebo, and 6 and 12 mg raised HDL, while LDL didn't change.31 In 44 adults with type 2 diabetes, 8 mg a day for 8 weeks lowered triglycerides, visceral fat and systolic blood pressure compared with placebo.40 In mixed populations, a 2020 analysis that included 14 trial reports found HDL up 1.47 mg/dL.41

    For the food and lifestyle side, start with how to lower cholesterol naturally and the free Insulin Resistance & Prediabetes and Type 2 Diabetes protocols.

    Study takeaway: in people with prediabetes or type 2 diabetes, astaxanthin raised HDL cholesterol by 3.0 mg/dL across 5 trials, rated high certainty.

    HDL cholesterol rose 3.0 mg/dL with astaxanthin in prediabetes and type 2 diabetes

    HDL cholesterol rose 3.0 mg/dL with astaxanthin in prediabetes and type 2 diabetesPooled analysis of 5 randomized trials · 222 people with prediabetes or type 2 diabetes. +3.0 mg/dL HDLPooled analysis of 5 randomized trials · 222 people withprediabetes or type 2 diabetes+3.0 mg/dL HDL
    Source: Molani-Gol et al. · Nutrition and Metabolic Insights, 2026 [5]Average rise in HDL cholesterol with astaxanthin compared with control, a result rated high certainty.
    5

    Eases screen-tired eyes

    Emerging evidenceHuman studyPlacebo-controlled RCTs · 64 children; 59 adults (benefit in the 40-and-older subgroup)

    Hours of screen time can leave your eyes tired and strained by the end of the day, and astaxanthin eased that strain in trials. Researchers tested it in 64 children aged 10 to 14 who spent at least 4 hours a day on screens and had mild to moderate eye strain. Taking 4 mg a day for 84 days improved eye-strain questionnaire scores by 4.00 points, against 1.72 on placebo, a 20% difference between the groups. Visual fatigue scores ended 27% better (11.55 vs. 15.78).11

    Adults saw a benefit too, but only the older ones. In 60 adults who do screen work (59 analyzed), 9 mg a day for 6 weeks made no difference across the whole group, but in those 40 and older, corrected vision in the dominant eye held up better after screen work than on placebo.32 For the rest of an eye-friendly plan, see our guide to eye vitamins.

    Study takeaway: in 64 children with screen-related eye strain, 4 mg a day for 84 days improved eye-strain scores more than placebo.

    6

    Helps older adults walk farther

    Emerging evidenceHuman studyPlacebo-controlled RCT · 24 nursing-home residents aged 67 to 94

    In older adults, astaxanthin added distance to a 6-minute walk and lowered oxidative stress. In a trial in Japan, 30 nursing-home residents aged 67 to 94 were randomized, and 24 finished. Of those, 13 took 24 mg of astaxanthin a day for 16 weeks and 11 took a placebo. Neither the residents nor the researchers knew who got what. Both groups also took 40 mg of tocotrienols, a form of vitamin E, and 30 mg of vitamin C a day, so the astaxanthin was the only difference.

    By the end of the trial, the astaxanthin group's median 6-minute walk rose from 333 to 371 meters, while the placebo group's slipped from 326 to 314 meters. Astaxanthin also lowered a blood marker of oxidative stress and the lactate left after walking. Muscle mass and strength didn't differ between the groups.27 That's where strength training comes in, and our guide to age-related muscle loss covers the kind that keeps older muscles working.

    Study takeaway: in older adults, 24 mg a day for 16 weeks raised the median 6-minute walk from 333 to 371 meters, while placebo slipped.

    Six-minute walk distance rose on astaxanthin and slipped on placebo

    Six-minute walk distance rose on astaxanthin and slipped on placebo24 nursing-home residents aged 67 to 94 · 24 mg a day for 16 weeks · medians. Before: Astaxanthin 333 meters walked in 6 minutes (median), Placebo 326 meters walked in 6 minutes (median); After 16 weeks: Astaxanthin 371 meters walked in 6 minutes (median), Placebo 314 meters walked in 6 minutes (median)24 nursing-home residents aged 67 to 94 · 24 mg a day for 16weeks · medians333371Astaxanthin (meters walked in 6 minutes(median))326314Placebo (meters walked in 6 minutes (median))BeforeAfter 16 weeks
    Source: Nakanishi et al. · International Journal of Environmental Research and Public Health, 2022 [27]Median distance walked in 6 minutes, before and after 16 weeks. Neither the residents nor the researchers knew who got astaxanthin.
    7

    Stronger immune activity

    Emerging evidenceHuman studyPlacebo-controlled RCTs · 42 healthy women; 60 adults with rheumatoid arthritis; pooled analyses

    Astaxanthin boosted immune activity in healthy women and lowered disease activity in rheumatoid arthritis. Researchers gave 42 healthy young women 2 or 8 mg a day, or a placebo, for 8 weeks. Astaxanthin increased natural killer cell activity and the numbers of T and B cells, and it lowered a blood marker of DNA damage. The 2 mg group also had lower CRP and a stronger response to a tuberculin skin test. At 8 mg, the immune signals IFN-gamma and IL-6 rose, which the authors read as a stronger immune response.28

    Researchers also gave 60 adults with rheumatoid arthritis 20 mg a day or a placebo for 8 weeks, on top of their usual care. Astaxanthin lowered disease activity, disability scores and ESR, a blood marker of inflammation.33 Pooled CRP results lean favorable, too: CRP fell 0.30 mg/L in the astaxanthin trials of one analysis, and 0.53 mg/L in trials of 12 weeks or longer in another. A third found no overall change in CRP, but it found IL-6 down 0.70 pg/mL in people with type 2 diabetes.42412 To back that up with food, see more ways to boost your immune system and the anti-inflammatory foods that pair with it.

    Study takeaway: in 42 healthy women, astaxanthin increased natural killer cell activity and T and B cell counts over 8 weeks.

    Three markers that show where you stand

    These markers track the same things the astaxanthin trials measured and give you a baseline to retest against. None of them measures astaxanthin itself. Review your numbers with your practitioner.

    • HDL cholesterol: The protective cholesterol on a standard lipid panel; it rose 3.0 mg/dL across 5 astaxanthin trials in people with prediabetes or type 2 diabetes.5
    • Triglycerides: Fat circulating in your blood; it fell at 12 and 18 mg a day in a 12-week placebo-controlled trial of 61 adults.31
    • hs-CRP: A sensitive blood test for inflammation, and a useful marker to track as you change your diet. The optimal range is under 1.0 mg/L, and lower is better.

    See the cellular bloodwork panel

    Have results? Analyze them free →

    Does astaxanthin help your skin?

    Quick answer

    Yes, for moisture and elasticity. In a 2021 analysis of 8 randomized trials, oral astaxanthin improved both, and the trials cited here used 4 to 12 milligrams a day.3743 In a 9-week trial, it also raised the dose of UV light needed to redden the skin.7

    Your skin takes the weather from the outside while astaxanthin works on it from the inside, and skin is one of its best-studied uses. A 2021 analysis pooled 8 randomized trials of oral astaxanthin, with 162 people taking it and 131 in the comparison groups. Not all of them were simple placebo trials: one compared it with rose hip powder, and a few paired it with tocotrienols, a form of vitamin E, or with collagen. Overall, astaxanthin improved skin moisture by a moderate margin across 5 trials and elasticity by a larger one across 6, while wrinkle depth didn't change significantly.3 Elasticity is how well your skin springs back when you pinch it, like a rubber band that still has its snap.

    Men's skin responded, too, right down to the crow's feet, those fine lines at the corners of your eyes. Researchers gave 36 healthy men 6 mg a day or a placebo for 6 weeks, and astaxanthin improved crow's-feet wrinkles, elasticity and the skin's water loss. Moisture and oil levels trended better as well.44 Another trial ran right through the end of summer and the start of winter, from August to December, when sun and dry air are hard on skin, and followed 65 healthy women (59 analyzed) for 16 weeks. On placebo, wrinkles and moisture worsened, while on 6 or 12 mg a day, they held steady, though the groups didn't differ significantly from each other.43

    The most direct trial measured how much sun your skin can take before it turns pink. Researchers gave 4 mg a day or a placebo for 9 weeks to 23 healthy Japanese adults aged 30 to 56 (22 analyzed). Astaxanthin raised the minimal erythema dose, the amount of UV light it takes to redden the skin, so a higher number means the skin can take more UV before it reddens. It rose from 43.3 to 48.4 mJ/cm² on astaxanthin, while the placebo group went from 42.7 to 44.0, and the rise was significantly larger with astaxanthin. They also lost less moisture in UV-exposed skin, and they rated their skin less rough.7

    More UV light needed to redden the skin after 9 weeks of astaxanthin

    More UV light needed to redden the skin after 9 weeks of astaxanthin22 healthy Japanese adults aged 30 to 56 · 4 mg a day for 9 weeks. Before: Astaxanthin, 4 mg a day 43.3 mJ/cm² of UV to redden skin, Placebo 42.7 mJ/cm² of UV to redden skin; After 9 weeks: Astaxanthin, 4 mg a day 48.4 mJ/cm² of UV to redden skin, Placebo 44 mJ/cm² of UV to redden skin22 healthy Japanese adults aged 30 to 56 · 4 mg a day for 9weeks43.348.4Astaxanthin, 4 mg a day (mJ/cm² of UV to reddenskin)42.744Placebo (mJ/cm² of UV to redden skin)BeforeAfter 9 weeks
    Source: Ito et al. · Nutrients, 2018 [7]Average minimal erythema dose, the UV light needed to redden the skin. A higher value means the skin tolerated more UV, and the rise from the start was significantly larger with astaxanthin.

    Use it alongside good sun habits: get some sun on bare skin, but never burn. And when you'll be out longer, cover up or use a mineral sunscreen with zinc oxide.

    For the rest of a skin-friendly plan, see our guide to vitamins for skin and these anti-aging foods. And if you're wondering how much to take for your skin, a 2021 review of 11 skin studies found support for 3 to 6 mg of astaxanthin a day, especially for sun-aged skin. It found no serious side effects, in trials done mostly in healthy Japanese women.45

    How much astaxanthin should you take a day?

    Quick answer

    There's no official daily dose of astaxanthin. Most trials on this page used 4 to 12 milligrams a day, and it's best taken with a meal that contains fat.789 Europe's food safety agency judged up to 8 mg a day from supplements safe for adults, on top of what a normal diet supplies.46

    What the trial measuredDaily amountHow longWho took part

    Skin's UV redness threshold

    4 mg

    9 weeks

    22 healthy adults7

    Wrinkles and elasticity

    6 mg

    6 weeks

    36 healthy men44

    Eye strain from screens

    4 mg; 9 mg

    84 days; 6 weeks

    64 children; 59 adults1132

    Muscle-damage markers

    4 mg

    90 days

    32 soccer players37

    Cycling time trial

    4 mg; 12 mg

    28 days; 7 days

    14 and 12 cyclists2930

    Oxidized fats in red blood cells

    6 or 12 mg

    12 weeks

    30 adults10

    Triglycerides and HDL

    6 to 18 mg

    12 weeks

    61 adults31

    LDL and total cholesterol

    12 mg

    24 weeks

    34 adults with prediabetes8

    Walking endurance

    24 mg (a research dose)

    16 weeks

    24 nursing-home residents27

    For comparison, 4 ounces of raw wild sockeye holds up to roughly 3 to 4 mg before cooking, about what the 4 mg trials gave each day.1 If you add a supplement, the trials give you the range: most used 4 to 12 mg a day, and the doses of 16 to 24 mg on this page come from trials of 16 weeks or less.4727 How long until you notice anything? In the trials, skin changes showed up after 6 to 9 weeks, and cholesterol changes over 12 to 24 weeks.447318 So give it time before you judge whether it's working for you.

    How to take astaxanthin

    Take astaxanthin with a meal that contains some fat, such as salmon, eggs, avocado or a salad dressed with olive oil, because astaxanthin is fat-soluble and fat helps carry it in. In a study of 32 healthy men given a single 40 mg dose, lipid-based formulas raised how much reached the blood 1.7 to 3.7 times over a standard supplement, and its half-life in the blood was about 16 hours.9

    Your daily habits are the foundation that keeps your cells strong, and a supplement sits on top of them. That's why, in my Mitochondrial Longevity Protocol, the nutrients come after the daily signals that tell your cells what to do:6

    Movement, fasting windows and sleep are the signals. These nutrients help the cell answer them; they can't replace them.Dr. Josh Axe, DC, DNM, CNSWritten in the Mitochondrial Longevity Protocol (2026), p. 20

    How to choose an astaxanthin supplement

    When you're standing in the supplement aisle, check for these:

    • Natural astaxanthin from algae, with Haematococcus pluvialis named on the label; it's the form the supplement trials used23

    • Milligrams of astaxanthin per softgel, stated as astaxanthin itself, so you can match the amounts the trials used

    • An oil-based softgel, since astaxanthin needs fat to absorb well9

    • Third-party tested for purity and potency, with results the maker will share

    Want help fitting astaxanthin into your routine?

    Ask Dr. Axe AI. Answers are grounded in this library, with sources shown.

    Is astaxanthin safe? Side effects, dangers and who should be careful

    Quick answer

    Astaxanthin has a strong safety record. A 2019 review of 87 human studies of natural astaxanthin found no safety concerns, 35 of them at 12 mg a day or more.23 Stay with food if you're pregnant, breastfeeding or buying for a child, and read the interaction check if you take a blood thinner or blood-sugar medicine.

    If you like to read the fine print, one trial checked the kind of panel you'd see on routine bloodwork. Researchers gave 35 adults aged 35 to 69 either 6 mg a day or a placebo for 8 weeks and then looked at blood pressure, blood chemistry and blood counts. Astaxanthin caused no clinically meaningful changes in any of them. Calcium, total protein and eosinophils, a type of white blood cell, showed small statistical differences, but in the researchers' words they were of no clinical importance.50

    Other trials ran longer, at a higher dose, and they found the same thing: no side effects appeared at 12 mg a day for 16 weeks in the skin trial in women, and 12 mg a day for 24 weeks was safe and well tolerated in the San Diego prediabetes trial.438 That's reassuring if you plan to take it for months, the way people in these trials did.

    Is there an upper limit? Europe's food safety agency set an acceptable daily intake of 0.2 mg per kilogram of body weight from all sources. For a 154-pound (70-kilogram) adult, that works out to about 14 mg a day by our math. The agency also concluded that a normal diet plus 8 mg a day from supplements is safe for adults.46 Some trials on this page used 16 to 24 mg a day for up to 16 weeks, so treat those as research doses, above that supplement level.4727

    Here's who should take extra care:

    • Pregnancy and breastfeeding. No trial has tested astaxanthin supplements in pregnant or breastfeeding women, so get it from food. That part is easy: wild salmon fits the low-mercury fish guidance for pregnancy, 8 to 12 ounces of fish a week.25

    • Children and teens. With an 8 mg supplement on top of a normal diet, Europe's food safety agency found that teens aged 14 to 17 reach the acceptable daily intake, and children aged 10 to 13 go 28% past it. So for kids, food is the way to get astaxanthin.46

    The bottom line

    Is astaxanthin worth it?

    Yes, and the best place to get it is your plate. Astaxanthin is the pigment that makes wild salmon red, and it's one of the fat-soluble antioxidants that guard your cell membranes and mitochondria against oxidative stress, and wild salmon delivers it together with omega-3s and protein. In human trials, it improved skin moisture and elasticity, lowered oxidative damage, eased muscle damage after hard exercise and raised HDL cholesterol. For eyes, walking endurance and immune activity, the results are promising.

    Your body was designed to heal, and when you give your cells what they were built to use, they do a remarkable amount of repair on their own. So start with your plate, and put wild salmon on it two to three times a week. If you want more, a natural, algae-grown softgel taken with a meal matches what the trials used, 4 to 12 mg a day in most of them.

    Get the free Mitochondrial Longevity Protocol

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    Astaxanthin: frequently asked questions

    What is astaxanthin good for?

    Astaxanthin is good for protecting your cells from oxidative stress. Its best-studied benefits are better skin moisture and elasticity, less oxidative damage, less muscle damage after hard exercise, and higher HDL cholesterol in people with prediabetes or type 2 diabetes. Each one is backed by a pooled analysis of randomized trials.3245 Individual trials also point to benefits for screen-tired eyes, walking endurance in older adults and immune activity.112728

    Does astaxanthin help your skin?

    Yes. In a 2021 analysis of 8 randomized trials, oral astaxanthin improved skin moisture and elasticity.3 In a 9-week trial of 22 adults, 4 mg a day also raised the amount of UV light needed to redden the skin more than placebo did.7

    Can astaxanthin protect your skin from the sun?

    It helped skin take more UV light before reddening. In one trial, 4 mg a day for 9 weeks raised the UV dose needed to redden the skin from 43.3 to 48.4 mJ/cm², against 42.7 to 44.0 on placebo.7 Think of it as support from the inside, alongside good sun habits: get some sun without burning, then cover up or use a mineral sunscreen with zinc oxide.

    Is astaxanthin good for your eyes?

    It eased screen-tired eyes in trials. In 64 children with at least 4 hours of daily screen time, 4 mg a day for 84 days improved eye-strain scores more than placebo.11 In 60 adults who do screen work, 9 mg a day for 6 weeks protected vision after screen work in those 40 and older, compared with placebo.32

    Does astaxanthin help with exercise recovery?

    Yes. In a 2026 analysis of randomized trials in healthy people and athletes, astaxanthin lowered creatine kinase, a marker of muscle damage, across the 8 comparisons that measured it. The authors rated that result moderate certainty.4 Speed is less clear: cycling time trials got faster in two studies and didn't change in others.293018

    Which foods have the most astaxanthin?

    Wild salmon is the main food source, and wild sockeye is among the richest. It carries up to 26 to 38 mg per kilogram of flesh, roughly 3 to 4 mg in a 4-ounce raw portion.1 Farmed Atlantic salmon carried 6 to 8 mg per kilogram in the same review, and cooking lowers the amount in any salmon.117

    How much astaxanthin should I take a day?

    There's no official dose. Most trials used 4 to 12 mg a day, and it's best taken with a meal that contains fat.789 Europe's food safety agency judged up to 8 mg a day from supplements safe for adults, on top of a normal diet.46

    When is the best time to take astaxanthin?

    Take it with a meal that contains some fat, since astaxanthin is fat-soluble and absorbs better with it.9

    What are the side effects of astaxanthin?

    Side effects are uncommon. A 2019 review of 87 human studies of natural astaxanthin found no safety concerns, including 35 studies at 12 mg a day or more.23 The main cautions are blood thinners and blood-sugar medicine. In pregnancy, while breastfeeding and in childhood, food is the better source, and the safety section has the details.4846

    Is astaxanthin a blood thinner?

    It may add to the effect of blood thinners. In one documented case, a woman on warfarin developed bruising a day after she added astaxanthin, and her INR rose from 1.4 to 10.38. In a rat study, astaxanthin slowed platelet clumping.4849 If you take an anticoagulant or antiplatelet drug, check with your prescriber before starting.

    Is astaxanthin good for your heart?

    Some of its strongest results are for heart-health markers. In people with prediabetes or type 2 diabetes, a 2026 analysis of randomized trials found HDL up 3.0 mg/dL, a result rated high certainty, with LDL down 9.4 mg/dL and triglycerides down 20.9 mg/dL.5 In 44 adults with type 2 diabetes, 8 mg a day for 8 weeks also lowered systolic blood pressure compared with placebo.40

    Is astaxanthin good for your kidneys?

    It may. In diabetic mice, 12 weeks of astaxanthin lowered urinary albumin, an early sign of kidney damage, and less oxidative damage showed up in the kidneys' filtering units.51 In people, a year-long placebo-controlled trial in 61 kidney transplant recipients tracked blood-vessel stiffness, oxidative stress and inflammation rather than kidney function. At 12 mg a day, those markers didn't change.52

    Does astaxanthin help memory?

    It may. In a placebo-controlled trial of 96 healthy middle-aged and older adults with age-related forgetfulness, a maze-learning test improved sooner on 6 or 12 mg a day than on placebo. At 12 mg a day for 12 weeks, scores on a computerized test battery also improved from where people started.53 The authors noted the trial was too small to show a clear difference between the groups overall, and they plan to study it further.53

    Can astaxanthin help male fertility?

    In one small trial, it did. Among 30 men with infertility on standard care, 16 mg a day for 3 months lowered oxidative stress in semen and improved sperm movement, and 6 of 11 couples conceived, against 2 of 19 on placebo.47 A larger placebo-controlled trial of 72 men found no change in semen measures, and a 2026 pooled analysis of 3 human trials found none either. That analysis didn't look at pregnancy rates, though, and in its 7 animal studies, astaxanthin improved sperm count and motility.5455

    Astaxanthin vs. krill oil: which is better?

    For astaxanthin, choose wild salmon or a supplement grown from algae. Krill oil does carry some astaxanthin along with its omega-3s.17 But krill are tiny crustaceans, a kind of shellfish, and shellfish don't meet the fins-and-scales standard I follow.26 For omega-3s, eat wild fish, or use fish oil, cod liver oil or a vegan omega-3 made from algae.

    Should I take astaxanthin with CoQ10 or fish oil?

    You can. Wild salmon delivers astaxanthin and omega-3s together, and the Mitochondrial Longevity Protocol puts CoQ10 at the top of its 8 cellular nutrients, with astaxanthin among the honorable mentions.156

    Can you take astaxanthin while pregnant or give it to children?

    Stay with food in both cases. No trial has tested astaxanthin supplements in pregnancy or breastfeeding. Europe's food safety agency found that an 8 mg supplement on top of a normal diet would take children aged 10 to 13 past the acceptable daily intake.46 Wild salmon within the low-mercury fish guidance is a good way to get it.25

    Freshness & update log

    October 28, 2026 — Rewrote the page in full. Leads with what astaxanthin does in your body, protecting the fats in your cell membranes from oxidative stress, and with Dr. Axe's teaching on inflammation, wild salmon and his Mitochondrial Longevity Protocol. Keeps the earlier page's benefits for skin, the heart, workouts, immunity, eyes, memory and male fertility, now with each human trial's design, dose and numbers, and adds muscle damage after exercise, blood sugar and walking endurance in older adults. Keeps wild salmon, trout, salmon roe and algae as sources and takes shellfish, krill and krill oil off the food and supplement lists. Adds the Dr. Axe Score (6.8, supplement weighting) with an interaction check (Moderate). Replaces the earlier dose advice with the amounts the trials used, and the side-effect list with the safety record from trials and reviews (we found no human source for the hair-growth, hormone or red-stool items, and the calcium change was clinically unimportant in its trial). Removes product brand names, the comparison with vitamins C and E, and the lab-only cancer claim. Adds two charts, a summary tile, a step diagram, a buying checklist and 17 FAQs.

    November 19, 2022 — Previous version published.

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    Dr. Josh Axe

    Dr. Josh Axe, DC, DNM, CNS

    Doctor of Natural Medicine · Founder, DrAxe.com

    Dr. Axe is a certified doctor of natural medicine, clinical nutritionist, and multiple New York Times bestselling author. He has spent 20+ years in clinical practice helping people heal at the root cause and founded one of the most-visited natural-health platforms in the world.

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    This article is for educational purposes. See our medical disclaimer.