Journal of Food and Nutrition Research
ISSN (Print): 2333-1119 ISSN (Online): 2333-1240 Website: https://www.sciepub.com/journal/jfnr Editor-in-chief: Prabhat Kumar Mandal
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Journal of Food and Nutrition Research. 2026, 14(9), 185-194
DOI: 10.12691/jfnr-14-9-1
Open AccessArticle

Effects of a Multi-Ingredient Dietary Supplement on Sexual Well-Being in Healthy Men: A Retrospective Analysis of a Randomized, Double-Blind, Placebo-Controlled Crossover Product-Monitoring Study

Xuan Li1, Kazuya Watabe1, Maya Sakashita1, Aoi Tamura1, Wako Ikeda1, Saki Shirako1, Kenji Sato1 and Young-il Kim1,

1Pharma Foods International Co., Ltd., Kyoto 615-8245, Japan

Pub. Date: October 08, 2026

Cite this paper:
Xuan Li, Kazuya Watabe, Maya Sakashita, Aoi Tamura, Wako Ikeda, Saki Shirako, Kenji Sato and Young-il Kim. Effects of a Multi-Ingredient Dietary Supplement on Sexual Well-Being in Healthy Men: A Retrospective Analysis of a Randomized, Double-Blind, Placebo-Controlled Crossover Product-Monitoring Study. Journal of Food and Nutrition Research. 2026; 14(9):185-194. doi: 10.12691/jfnr-14-9-1

Abstract

The present study retrospectively evaluated data from a product-monitoring test of a multi-ingredient dietary supplement containing egg white hydrolysate (EWH) as a principal bioactive component, together with maca extract, zinc, and other functional ingredients. The test involved healthy adult men aged 20–60 years and used a randomized, double-blind, placebo-controlled crossover procedure. Participants received the investigational product and placebo during separate two-week periods, with a one-week washout between periods. Sexual well-being and physical fatigue were assessed using self-reported visual analog scale (VAS) questionnaires after one and two weeks of each monitoring period. Nineteen participants entered the randomized monitoring sequences, and complete data from 16 participants were available for the principal analysis. Compared with placebo, use of the investigational product was associated with significantly higher scores for multiple endpoints of sexual well-being, including morning erection quality, erection hardness, erection maintenance, sexual desire, and sexual satisfaction. Favorable differences were also observed in fatigue-related measures. No serious adverse events were recorded during the monitoring periods. Overall, retrospective analysis of this product-monitoring dataset identified consistent treatment-associated patterns in self-reported sexual well-being, supporting further prospective evaluation of this EWH-containing multi-ingredient formulation.

Keywords:
dietary supplement product monitoring sexual well-being fatigue peptide egg white hydrolysate

Creative CommonsThis work is licensed under a Creative Commons Attribution 4.0 International License. To view a copy of this license, visit http://creativecommons.org/licenses/by/4.0/

References:

[1]  Zamani, M., Rezaiian, F., Saadati, S., Naseri, K., Ashtary-Larky, D., Yousefi, M., Golalipour, E., Clark, C.C.T., Rastgoo, S. and Asbaghi, O., “The effects of folic acid supplementation on endothelial function in adults: a systematic review and dose-response meta-analysis of randomized controlled trials,” Nutrition Journal, 22, 12, 2023.
 
[2]  Yilmaz, M.I., Demir, Z., Demir, M.F., Yilmaz, N.E., Abuzgaia, A.M., Elzagallaai, A., Piskin, D., Tuncer, S., Yilmaz, M.T., Kaya, F.M., Demir, Y., Sahin, A.E., Öztürk, M. and Demir, H., “Dietary supplementation improves markers of inflammation, oxidative stress, and endothelial function in a healthy adults,” Medical Research Archives, 13 (8), 2025.
 
[3]  Valerio, V., Myasoedova, V.A., Massaiu, I., Ravani, A., Frigerio, B., Rusconi, V., Bertolini, F., Pompilio, G. and Poggio, P., “Oral nutraceutical intervention to improve endothelial function: evidence from in vitro and pilot clinical studies,” Biomedicine & Pharmacotherapy, 191, 118552, 2025.
 
[4]  Higashi, Y., “Beneficial effects of supplementation on endothelial function: what mechanisms?”, Journal of Atherosclerosis and Thrombosis, 29 (9), 1268-1270, 2022.
 
[5]  Srivatsav, A., Balasubramanian, A., Pathak, U.I., Rivera-Mirabal, J., Thirumavalavan, N., Hotaling, J.M., Lipshultz, L.I. and Pastuszak, A.W., “Efficacy and safety of common ingredients in aphrodisiacs used for erectile dysfunction: a review,” Sexual Medicine Reviews, 8 (3), 431-442, 2020.
 
[6]  Maurya, N.K., “Libido boosting functional foods,” in Recent Advances in Male Reproductive System, Wu, W., Ed., IntechOpen, 2022.
 
[7]  Thaha, A., Wang, B.S., Chang, Y.W., Hsia, S.M., Huang, T.C., Shiau, C.Y., Hwang, D.F. and Chen, T.Y., “Food-derived bioactive peptides with antioxidative capacity, xanthine oxidase and tyrosinase inhibitory activity,” Processes, 9 (5), 747, 2021.
 
[8]  Chen, H., Sun, J., Fang, H., Lin, Y., Wu, H., Lin, D., Yang, Z., Zhou, Q., Zhao, B., Zhou, T., Wu, J., Li, S. and Liu, X., “Food-derived bioactive peptides: health benefits, structure-activity relationships, and translational prospects,” Journal of Zhejiang University Science B, 26 (11), 1037-1058, 2025.
 
[9]  Chen, C., Xia, P., Gan, Y., Zheng, X., Yang, P., Shi, A., Liu, X., Zhang, J., Yu, P. and Zhang, D., “Food-derived bioactive peptides as emerging therapeutic agents: unlocking novel strategies for colorectal cancer treatment,” Pharmacological Research, 217, 107819, 2025.
 
[10]  Chakrabarti, S., Jahandideh, F. and Wu, J., “Food-derived bioactive peptides on inflammation and oxidative stress,” BioMed Research International, 2014, 608979, 2014.
 
[11]  Bhoria, S. and Dhewa, T., “Functional integration of ACE inhibitory peptides into food matrices: stability, bioavailability, consumer acceptance, regulatory and commercialization barriers,” Journal of Food Composition and Analysis, 147, 108029, 2025.
 
[12]  Grootaert, C., Matthijs, B., Voorspoels, S., Possemiers, S., Smagghe, G. and Van Camp, J., “Egg-derived bioactive peptides with ACE-inhibitory properties: a literature update,” Food & Function, 8, 3847-3855, 2017.
 
[13]  He, Z., Liu, G., Qiao, Z., Cao, Y. and Song, M., “Novel angiotensin-I converting enzyme inhibitory peptides isolated from rice wine lees: purification, characterization, and structure-activity relationship,” Frontiers in Nutrition, 8, 746113, 2021.
 
[14]  Andersen, C.J., “Bioactive egg components and inflammation,” Nutrients, 7 (9), 7889-7913, 2015.
 
[15]  Lyu, S., Li, T., Yang, Q., Liu, J., Zhang, T. and Yu, T., “Potential application of egg white peptides for antioxidant properties: perspectives from batch stability and network pharmacology,” Foods, 13 (19), 3148, 2024.
 
[16]  Zhang, X., Chelliappan, B., Rajeswari, S. and Antonysamy, M., “Recent advances in applications of bioactive egg compounds in nonfood sectors,” Frontiers in Bioengineering and Biotechnology, 9, 738993, 2021.
 
[17]  Wanthong, A., Boonmark, C., Vaisopha, N., Roytrakul, S., Tankrathok, A., Taemaitree, L., Daduang, S., Boonlue, S., Khunkitti, W., Klaynongsruang, S. and Jangpromma, N., “Egg white hydrolysate peptides act as antimicrobial and anti-inflammatory agents for acne,” Heliyon, 10 (11), e32468, 2024.
 
[18]  Cho, D.Y., Jo, K., Cho, S.Y., Kim, J.M., Lim, K., Suh, H.J. and Oh, S., “Antioxidant effect and functional properties of hydrolysates derived from egg-white protein,” Korean Journal for Food Science of Animal Resources, 34 (3), 362-371, 2014.
 
[19]  Yubolphan, R., Phongsiri, K., Mongkhammee, N., Pidech, J., Roytrakul, S., Suwattanasophon, C., Choowongkomon, K., Daduang, S., Khunkitti, W. and Jangpromma, N., “Anti-inflammatory effects of hen egg white hydrolysate and its specific peptides IS8, PA11, and PK8 on LPS-induced macrophage inflammation,” Food Science & Nutrition, 13 (8), e70713, 2025.
 
[20]  Mojibi, Y., de Campos Zani, S.C., Richard, C. and Chan, C.B., “A review of the efficacy of egg-derived bioactive peptides and hydrolysates on glycemic regulation,” Medical Research Archives, 13 (10), 2025.
 
[21]  Rungchang, S., Sringarm, C., Numthuam, S., Tosuk, N., Thongsuk, T., Phinyo, M., Winuprasith, T. and Jiamyangyuen, S., “Hydrolysis kinetics amino acid profiling and antioxidant properties of enzymatic hydrolysates from desalted egg white,” Scientific Reports, 15 (1), 44270, 2025.
 
[22]  Piagette, J.T., Pinheiro Júnior, J.E.G., Kanaan, S.H.H., Herrera, C.T., Bastilhos, L.O., Peçanha, F.M., Vassallo, D.V., Miguel-Castro, M. and Wiggers, G.A., “Pretreatment with egg white hydrolysate protects resistance arteries from damage induced after treatment with accidental cadmium exposure values,” Journal of Functional Foods, 104, 105529, 2023.
 
[23]  Escobar, A.G., Rizzetti, D.A., Piagette, J.T., Peçanha, F.M., Vassallo, D.V., Miguel, M. and Wiggers, G.A., “Antioxidant properties of egg white hydrolysate prevent mercury-induced vascular damage in resistance arteries,” Frontiers in Physiology, 11, 595767, 2020.
 
[24]  Ashkar, F., Fan, H., Wang, Z., Fernando, I.P.S. and Wu, J., “Ovotransferrin-depleted egg white hydrolysate reduces blood pressure in spontaneously hypertensive rats,” Food Materials Research, 4, e035, 2024.
 
[25]  Melis, M.R. and Argiolas, A., “Erectile function and sexual behavior: a review of the role of nitric oxide in the central nervous system,” Biomolecules, 11 (12), 1866, 2021.
 
[26]  Kaltsas, A., Zikopoulos, A., Dimitriadis, F., Sheshi, D., Politis, M., Moustakli, E., Symeonidis, E.N., Chrisofos, M., Sofikitis, N. and Zachariou, A., “Oxidative stress and erectile dysfunction: pathophysiology, impacts, and potential treatments,” Current Issues in Molecular Biology, 46 (8), 8807-8834, 2024.
 
[27]  Bivalacqua, T.J., Usta, M.F., Champion, H.C., Kadowitz, P.J. and Hellstrom, W.J.G., “Endothelial dysfunction in erectile dysfunction: role of the endothelium in erectile physiology and disease,” Journal of Andrology, 24 (6 Suppl), S17-S37, 2003.
 
[28]  Maas, R., Schwedhelm, E., Albsmeier, J. and Böger, R.H., “The pathophysiology of erectile dysfunction related to endothelial dysfunction and mediators of vascular function,” Vascular Medicine, 7 (3), 213-225, 2002.
 
[29]  Burnett, A.L., “The role of nitric oxide in erectile dysfunction: implications for medical therapy,” Journal of Clinical Hypertension (Greenwich), 8 (12 Suppl 4), 53-62, 2006.
 
[30]  Toda, N., Ayajiki, K. and Okamura, T., “Nitric oxide and penile erectile function,” Pharmacology & Therapeutics, 106 (2), 233-266, 2005.
 
[31]  Davies, K.P., “Development and therapeutic applications of nitric oxide releasing materials to treat erectile dysfunction,” Future Science OA, 1 (1), FSO53, 2015.
 
[32]  Klotz, T., Mathers, M.J., Braun, M., Bloch, W. and Engelmann, U., “Effectiveness of oral L-arginine in first-line treatment of erectile dysfunction in a controlled crossover study,” Urologia Internationalis, 63 (4), 220-223, 1999.
 
[33]  Wu, G., Meininger, C.J., McNeal, C.J., Bazer, F.W. and Rhoads, J.M., “Role of L-arginine in nitric oxide synthesis and health in humans,” in Advances in Experimental Medicine and Biology, Wu, G., Ed., Springer, 2021, 167-187.
 
[34]  Tian, Y., Zhou, Q., Li, W., Liu, M., Li, Q. and Chen, Q., “Efficacy of L-arginine and Pycnogenol® in the treatment of male erectile dysfunction: a systematic review and meta-analysis,” Frontiers in Endocrinology, 14, 1211720, 2023.
 
[35]  Pharma Foods International Co., Ltd., “NO production promoting composition and chilling improving agent containing the same,” Japanese Patent JP6026148B2, 2016.
 
[36]  Pharma Foods International Co., Ltd., “NO production promoting composition and male function improving agent containing the same,” Japanese Patent JP5383549B2, 2014.
 
[37]  Kono, K., Abe, S., Yamamoto, M., Kayashima, R., Kaneko, K., Sakuma, M., Toyoda, S., Nakajima, T. and Inoue, T., “Vascular endothelial dysfunction and autonomic nervous hyperactivity among premenopausal women with cold-sensitivity constitution (Hiesho),” Tohoku Journal of Experimental Medicine, 253 (1), 51-60, 2021.
 
[38]  Arendt Nielsen, T., Lundbye-Christensen, S., Krasimirova Dimitrova, Y., Riahi, S., Brock, B., Drewes, A.M. and Brock, C., “Adynamic response to cold pain reflects dysautonomia in type 1 diabetes and polyneuropathy,” Scientific Reports, 13, 11318, 2023.
 
[39]  Eglin, C.M., Wright, J., Maley, M.J., Hollis, S., Massey, H., Montgomery, H. and Tipton, M.J., “The peripheral vascular responses in non-freezing cold injury and matched controls,” Experimental Physiology, 108, 420-437, 2023.
 
[40]  Cicero, A.F.G., Piacente, S., Plaza, A., Sala, E., Arletti, R. and Pizza, C., “Hexanic Maca extract improves rat sexual performance more effectively than methanolic and chloroformic Maca extracts,” Andrologia, 34 (3), 177-179, 2002.
 
[41]  Zhang, Y., Zhou, F. and Ge, F., “Effects of combined extracts of Lepidium meyenii and Allium tuberosum Rottl. on erectile dysfunction,” BMC Complementary and Alternative Medicine, 19, 135, 2019.
 
[42]  Stone, M., Ibarra, A., Roller, M., Zangara, A. and Stevenson, E., “A pilot investigation into the effect of maca supplementation on physical activity and sexual desire in sportsmen,” Journal of Ethnopharmacology, 126 (3), 574-576, 2009.
 
[43]  Dording, C.M., Fisher, L., Papakostas, G., Farabaugh, A., Sonawalla, S., Fava, M. and Mischoulon, D., “A double-blind, randomized, pilot dose-finding study of maca root (L. meyenii) for the management of SSRI-induced sexual dysfunction,” CNS Neuroscience & Therapeutics, 14 (3), 182-191, 2008.
 
[44]  Shin, D., Jeon, S.H., Piao, J., Park, H.J., Tian, W.J., Moon, D.G., Ahn, S.T., Jeon, K.H., Zhu, G.Q., Park, I., Park, H.J., Bae, W.J., Cho, H.J., Hong, S.H. and Kim, S.W., “Efficacy and safety of Maca (Lepidium meyenii) in patients with symptoms of late-onset hypogonadism: a randomized, double-blind, placebo-controlled clinical trial,” World Journal of Men's Health, 41 (3), 692-700, 2023.
 
[45]  Lee, H.W., Lee, M.S. and Kil, K.J., “Maca (L. meyenii) for erectile dysfunction: a systematic review and meta-analysis,” Journal of Men's Health, 19 (1), 1-6, 2023.
 
[46]  Bower-Cargill, C., Yarandi, N. and Petroczi, A., “A systematic review of the versatile effects of the Peruvian Maca Root (Lepidium meyenii) on sexual dysfunction, menopausal symptoms and related conditions,” Phytomedicine Plus, 2 (4), 100326, 2022.
 
[47]  Besong, E.E., Akhigbe, T.M., Ashonibare, P.J., Oladipo, A.A., Obimma, J.N., Hamed, M.A., Adeyemi, D.H. and Akhigbe, R.E., “Zinc improves sexual performance and erectile function by preventing penile oxidative injury and upregulating circulating testosterone in lead-exposed rats,” Redox Report, 28 (1), 2225675, 2023.
 
[48]  Akhigbe, R.E., Hamed, M.A., Odetayo, A.F., Akhigbe, T.M. and Oyedokun, P.A., “Zinc improves sexual and erectile function in HAART-treated rats via the upregulation of erectogenic enzymes and maintenance of redox balance,” The Aging Male, 26 (1), 2205517, 2023.
 
[49]  Kang, B.S., Suh, S.W., Yang, D.Y., Choi, B.Y. and Lee, W.K., “Expression and Distribution of Free Zinc in Penile Erectile Tissue,” World Journal of Men's Health, 41 (1), 155-163, 2023.
 
[50]  Liu, R.J., Li, S.Y., Xu, Z.P., Yu, J.J., Mao, W.P., Sun, C., Xu, B. and Chen, M., “Dietary metal intake and the prevalence of erectile dysfunction in US men: Results from National Health and Nutrition Examination Survey 2001–2004,” Frontiers in Nutrition, 9, 974443, 2022.
 
[51]  Oe, M., Sakamoto, H., Nishiyama, H., Sasahara, R., Masuda, Y., Adachi, M. and Nishiyama, T., “Egg white hydrolyzate reduces mental fatigue: randomized, double-blind, controlled study,” BMC Research Notes, 13, 443, 2020.
 
[52]  Saper, R.B. and Rash, R., “Zinc: an essential micronutrient,” American Family Physician, 79 (9), 768-772, 2009.