Overview

If you suffer from recurrent UTIs, you know how uncomfortable they can be, and taking antibiotics frequently can lead to resistance and decrease their effectiveness. Is there a natural solution? Some research suggests that the simple sugar D-mannose, found naturally in our bodies and some fruits, could be the answer.

D-Mannose: Does it Help Prevent and Treat UTIs?

Available in the form of a D-mannose power or capsule supplement, many people are incorporating this natural ingredient to support urinary tract health, optimize digestion, help with weight management, and more.

Could this simple sugar be beneficial to your needs? Read on as we delve into the properties, advantages, and ideal dosages of D-mannose to help you decide.

What is D-Mannose?

D-mannose is a simple sugar, a monosaccharide that is similar to glucose. Besides existing naturally in the body, it is derived from several fruits, including cranberries, grapes, apples, and watermelon. As it shows promise in supporting urinary tract health and preventing and treating UTIs, it is often included in natural supplements for this purpose.

According to a review in Nutrition Journal,

Research suggests that supplemented D-mannose could be a promising alternative or complementary remedy, especially as a prophylaxis for recurrent UTIs.

D-mannose also has other potential health benefits, as evidence suggests that it may help support metabolic health and weight management, optimize the gut microbiome, improve the health of the liver, and manage the symptoms of a rare genetic disorder.

How does it work in the body, and does the research support its health advantages? Let’s examine D-mannose for UTI and its other potential effects in detail.

Does D-Mannose Help Prevent or Treat Urinary Tract Infections?

Urinary tract infections can occur in any individual but are more common in women, impacting over 50% in the USA at some point in their lives. Their frequency may increase with age, putting seniors at higher risk for developing UTIs. Common symptoms include frequent urination, pain during urination, and lower back pain.

In the vast majority of cases, urinary tract infections occur when Escherichia coli (E. coli) bacteria enter the urinary tract and bind to your cells. While antibiotics are the most common treatment, frequent use can lead to resistance, causing researchers to explore other options.

The monosaccharide D-mannose shows great promise in helping to prevent and ease the symptoms of unpleasant UTIs. As we said in our review of Now D-Mannose Powder, research shows that it may stop the bacteria from attaching to the uterine wall to help prevent infection.

A research review published in the American Journal of Obstetrics and Gynecology found support for the benefits of D-mannose in preventing recurrent UTIs in adult women and suggested that it may be as effective as antibiotics.

Do the D-mannose benefits extend to actually treating UTIs rather than just helping to prevent them? Evidence suggests that they do. A study analysis published in Antibiotics concluded that this simple sugar may be an effective alternative treatment for acute uncomplicated UTIs in women, possibly comparable to taking antibiotics.

Other Health Benefits: What Does D-Mannose Do?

Based on the evidence, you may be considering taking a D-mannose supplement for UTI prevention or treatment. However, it’s important to note that this simple sugar has other possible advantages to health. Some of the additional D-mannose benefits include the following:

Supports Gut Health

D-mannose has prebiotic properties in the gut, feeding healthy probiotic bacteria so it can proliferate and destroy harmful microbes. This balances the microbiome to help enhance digestion, promote regular bowel movements, and relieve symptoms like gas and bloating.

In addition, this simple sugar may support the integrity of the gut lining to prevent pathogens from entering, and it helps decrease inflammation in the digestive tract. A study published in the Journal of Microbiology Epidemiology Immunobiology demonstrated the prebiotic and gut anti-inflammatory benefits of D-mannose.

Supports Weight Management and Metabolic Health

The benefits of D-mannose in altering the gut microbiome may also help with weight loss, and some evidence indicates it could decrease caloric absorption and decrease body fat. This monosaccharide also supports weight management by helping to improve overall metabolic health and balance blood sugar levels, decreasing cravings.

A study of mice on a high-fat diet published in Cell Reports concluded that D-mannose helped alter the gut microbiome, improve metabolism, and prevent diet-induced obesity.

Supports Liver Health

D-mannose has benefits for liver health, helping to decrease inflammation and repair damage to the organ. A study published in Frontiers in Immunology showed that it could improve auto-immune hepatitis and hepatic steatosis caused by alcoholism.

In addition, by supporting healthy liver function, D-mannose could help improve the symptoms of a rare genetic condition called carbohydrate-deficient glycoprotein syndrome type 1b.

Sources and Dosage Recommendations

This simple sugar exists in several fruits, including cranberries, grapes, apples, and watermelon. If you are prone to UTIs or have one currently, consider taking a D-mannose supplement in capsule or powder form as part of your treatment regimen.

How much d mannose to take daily? While there are no standardized recommended dosages set, studies show some guidelines that vary depending on whether you are trying to prevent UTIs or treat an active infection.

When it comes to prevention, the standard dosage is 2 grams once a day or 1 gram twice daily. If you are taking D-mannose to treat an infection, most experts suggest 1.5 grams twice daily for 3 days, followed by one gram a day for 10 days.

Generally, you should follow the directions on the product and never exceed the recommended dosage. However, as there are individual differences, consult with a healthcare provider before proceeding regarding supplement suitability and optimal dosage.

Safety and Side Effects

Are there D-mannose side effects? This ingredient is generally well-tolerated by most individuals, but some may experience mild symptoms like nausea or digestive upset. In most cases, these issues are resolved if you divide the dosage throughout the day.

Supplementing with D-mannose is considered safe for up to six months, and you should not exceed this time frame unless directed by a healthcare practitioner.

Are there side effects of too much D-mannose? Yes, too much of this amino sugar could lead to gastrointestinal issues, skin rash, and kidney infections, and high doses in excess may cause D-mannose kidney damage. Natural supplements do not contain even close to enough to make this a concern.

Women who are pregnant or breastfeeding should avoid taking D-mannose supplements. In addition, people with diabetes should be cautious, as it could impact blood sugar levels. Before supplementing, consult with a healthcare provider for approval and dosing advice.

FAQs About D-Mannose

Q: Can you take D-mannose and probiotics together?

A: Yes, you can take D-mannose and probiotics at the same time, and they work well together to support urinary tract health, help prevent and ease UTIs, and optimize the gut microbiome to enhance digestion.

Q: Does D-mannose help with belly fat?

A: There is evidence to indicate that D-mannose supplements help enhance metabolic health, support weight management, and optimize the gut microbiome, which could help decrease fat in the abdominal area.

Q: Can you take D-mannose with antibiotics?

A: While you should always check with a healthcare practitioner first, it is considered safe to combine D-mannose with antibiotics. In addition to helping improve the symptoms of UTIs, it may help prevent future infections.

Q: Is it okay to take D-mannose every day?

A: You can eat foods that contain this monosaccharide daily, and it is safe to take a D-mannose supplement daily for up to six months. If you want to continue to take it after this point, see a healthcare practitioner for approval.

Q: Is it better to take D-mannose at night or in the morning?

A: You can take a dose of D-mannose in the morning and evening for maintenance, but if you have a UTI that requires more urgent care, your healthcare practitioner may recommend that you take it 3-4 times daily. It’s important to follow the directions on the label and provided by your physician.

Conclusion

D-mannose is a natural sugar that exists in fruits like cranberries, grapes, apples, and watermelon, and when taken in supplement form, it shows great promise in supporting urinary tract health and preventing and treating UTIs.

This potent ingredient also helps support liver and metabolic health and could help with weight management. If urinary health is an issue or you have an infection, consult with a healthcare provider about taking a D-mannose supplement as part of your treatment regimen.

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11 sources

We review published medical research in respected scientific journals to arrive at our conclusions about a product or health topic. This ensures the highest standard of scientific accuracy.

[1] Role of D-Mannose in Urinary Tract Infections – A Narrative Review: https://nutritionj.biomedcentral.com/articles/10.1186/s12937-022-00769-x
[2] D-Mannose vs. Other Agents For Recurrent Urinary Tract Infection Prevention in Adult Women: A Systematic Review and Meta-Analysis: https://pmc.ncbi.nlm.nih.gov/articles/PMC7395894/
[3] Why d-Mannose May Be as Efficient as Antibiotics in the Treatment of Acute Uncomplicated Lower Urinary Tract Infections—Preliminary Considerations and Conclusions from a Non-Interventional Study: https://pmc.ncbi.nlm.nih.gov/articles/PMC8944421/
[4] https://www.researchgate.net/publication/282025204_Prebiotic_properties_of_mannose_and_its_effect_on_specific_resistance
[5] Mannose Alters Gut Microbiome, Prevents Diet-Induced Obesity, and Improves Host Metabolism: https://pmc.ncbi.nlm.nih.gov/articles/PMC6207501/
[6] D-Mannose Regulates Hepatocyte Lipid Metabolism via PI3K/Akt/mTOR Signaling Pathway and Ameliorates Hepatic Steatosis in Alcoholic Liver Disease: https://pmc.ncbi.nlm.nih.gov/articles/PMC9021718/
[7] D-Mannose to Prevent Urinary Tract Infections in Multiple Sclerosis: https://jnnp.bmj.com/content/87/12/e1.59
[8] Oral D-Mannose in Recurrent Urinary Tract Infections in Women: A Pilot Study: https://journals.sagepub.com/doi/abs/10.1177/2051415813518332
[9] Pharmacodynamics of D-Mannose in the Prevention of Recurrent Urinary Infections: https://www.tandfonline.com/doi/full/10.1080/1120009X.2022.2061184
[10] The Clinical Trial Outcomes of Cranberry, D-Mannose, and NSAIDs in the Prevention or Management of Uncomplicated Urinary Tract Infections in Women: A Systematic Review: https://www.mdpi.com/2076-0817/11/12/1471
[11] Mannose Treatment: A Promising Novel Strategy to Suppress Inflammation: https://www.frontiersin.org/journals/immunology/articles/10.3389/fimmu.2021.756920/full
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Sara Barsky-Weiss, RDN

Sara Barsky-Weiss, RDN, is a registered dietitian nutritionist in the NYC area. Sara is a newly certified RDN and is excited to begin h