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From dosing up on vitamin C to starving a fever, many of us still turn to old beliefs when we’re feeling unwell. Are any of them supported by evidence, and if so, which ones?

Susie Burrell

Cold and flu season is certainly upon us, and with it, a growing demand for vitamins, minerals and supplements designed to support immune function and ward off nasty bugs and infections.

Whether you reach for a nourishing bowl of bone broth when you have a cold or a mega-dose of vitamin C, there are certainly plenty of remedies people reach for at this time of year.

So, before you rush out and grab some more vitamins or start boiling up a pot of bones, here’s a breakdown of some of the most common food remedies for when we are feeling less than our best.

Soup with a bone broth base seems to have benefits linked to immune function.
Soup with a bone broth base seems to have benefits linked to immune function.William Meppem
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Chicken soup supports the immune system

True. There are plenty of remedies when it comes to food and nutrition, but it may come as a pleasant surprise to hear that there is scientific evidence to show that a bowl of soup with a bone broth base does have a number of key nutritional benefits linked to immune function. Specifically, it is the bones that can make the base of a soup broth that contains an amino acid called carnosine. This molecule has been shown to help the body fight infection in its early stages by helping to inhibit the migration of infected cells around the body. This means that while a packet soup mix is unlikely to be doing your immune system any favours, a rich chicken or beef-based soup may indeed do the trick.

Vitamin C helps fight a cold

False (for the most part). While it may be tempting to down the orange juice when you have a sniffle, there is mixed evidence when it comes to the role vitamin C supplementation plays in reducing illness. Certainly, at low doses, there is no strong evidence to show that vitamin C supplementation will stop you from getting sick, but there is some to show that super-loading this water-soluble vitamin may reduce the duration of your cold-like symptoms if you catch it within the first day. The take-home message – if you feel a cold coming on, a glass or two of juice or a few oranges or kiwifruits won’t do you harm and may slightly shorten the time you have to deal with the sniffles.

Keeping up fluids and nutrients is important if you’re unwell.
Keeping up fluids and nutrients is important if you’re unwell.Bonnie Savage
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Feed a cold, starve a fever

False (partially). While some of us immediately go off all food when we are unwell, there are plenty more who power through. So, should you actually eat, or not, if you are unwell? Indeed, a closer look at the science reveals that we do have some data on this very question. The evidence suggests that the second part of this adage – that we should fast to treat a fever – does seem to be a myth. While our baseline nutritional status does impact immune function overall, basically, when you have a fever or a cold, the body requires nutrients to fight infection and certainly fluids to avoid dehydration. While you may not feel like eating when you are sick, you are still better off ingesting light foods and fluids, such as soup, tea, water and electrolyte drinks. There are no nutritional or immune-related benefits to be gained by not eating at all; rather, recovery is about eating the right foods and keeping hydrated when you are unwell.

Drinking milk increases phlegm

False. When you are feeling far from your best, an icy cold milkshake or creamy latte may be the last thing on your mind, but should you actually avoid dairy if you have a cold because it increases mucous production? While there is no strong evidence to show that dairy actually increases the production of mucous, dairy milk and even soy milk does change the way the mouth feels after consumption naturally, which may be the reason milk is so often associated with mucous – more is not being produced, rather it feels as if there is more when you are already congested. This means that there is no specific reason to avoid dairy when you are sick, only if you feel better personally by avoiding it.

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Garlic tastes great and is good for you generally but won’t do much to help a cold.
Garlic tastes great and is good for you generally but won’t do much to help a cold.William Meppem

Garlic fights infection

False. Garlic has been used as a medicinal treatment for infection for thousands of years, and while theoretically, it is known that the organosulfides found naturally in both onions and garlic help to support immune function by regulating cytokine production, there is less data to specifically show that garlic consumed in the diet or via supplements can directly impact our propensity to become unwell. Of the small number of studies available, one published in the journal Advances in Therapy more than 20 years ago did find a reduced risk of developing a cold when using supplementary garlic, in a trial of 146 adults, although this was a one-off study. While there are few risks associated with using garlic supplements, from an overall health perspective, routinely adding garlic to your diet is only likely to have general long-term health benefits rather than any specific gains relating to colds and flu.

Honey relieves a sore throat

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True. At some point in your life, chances are someone has suggested a mug of hot water with lemon and honey to treat a sore throat. The good news is they were on the right track with this age-old remedy. Honey is known for its natural antimicrobial properties, and studies suggest that treating upper respiratory tract infections with honey as a dietary addition may help to reduce the symptoms of infection. So it’s worth considering this option the next time you feel a tickle in your throat or cough coming on.

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