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Head-to-head evidence comparison — which supplement is right for you?
MSM wins 3 of 3 categories. Both are solid choices — the best pick depends on your specific goals.
Verdict
Probably helps
2 of 3 studies with measurable effects showed benefit.
Top outcomes
Verdict
Mostly mechanism / observational
0 of 1 studies with measurable effects showed benefit.
Top outcomes
Shared outcomes (2)
Outcomes where both MSM and Serrapeptase have evidence — compare verdict strength side-by-side.
2-3g
With meals, Split into 2-3 doses
Powder or capsules
120,000-240,000 SPU (serrapeptase units)
On empty stomach, 30 min before or 2 hours after meals
Enteric-coated capsules (protects from stomach acid)
4-12 weeks
2-4 weeks
8-12 weeks
1-2 weeks
1-2 weeks
Effects of dietary supplements on patients with osteoarthritis: A systematic review and network meta-analysis
Journal of integrative medicine (2025) · Meta analysis · n=2455
In the WOMAC pain score, the SUCRA of passion fruit peel extract was 91% (mean difference [MD]: -9.2; 95% confidence interval [CI]: [-16.0, -2.3]), followed by methylsulfonylmethane (89%), undenatured type II collagen (87%), collagen (84%), and Lanconone (82%).
Methylsulfonylmethane Improves Knee Quality of Life in Participants with Mild Knee Pain: A Randomized, Double-Blind, Placebo-Controlled Trial
Nutrients (2023) · Rct · n=88
The total scores at 12 weeks in the MSM and placebo groups as the primary outcome were significantly different (p = 0.046).
The Effect of Daily Methylsulfonylmethane (MSM) Consumption on High-Density Lipoprotein Cholesterol in Healthy Overweight and Obese Adults: A Randomized Controlled Trial
Nutrients (2021) · Rct · n=22
The primary finding of this work shows that high-density lipoprotein cholesterol was elevated at 8 and 16 weeks of daily MSM consumption compared to baseline, (p = 0.008, p = 0.013).
An up-to-date review of biomedical applications of serratiopeptidase and its biobetter derivatives as a multi-potential metalloprotease
Archives of microbiology (2024) · Systematic review
To overcome such limitations, improved versions of the enzyme were introduced using protein engineering in our previous studies.
Serratiopeptidase: An integrated View of Multifaceted Therapeutic Enzyme
Biomolecules (2022) · Systematic review
Existing serratiopeptidase treatments in combination with antibiotics are popular in the treatment of postoperative swelling.
Fibrinolytic Enzymes for Thrombolytic Therapy
Advances in experimental medicine and biology (2019) · Systematic review
Inability of plasma fibrinolytic system demands better thrombolytic drugs.
Based on limited RCT evidence. One 12-week study (n=88) showed significant improvement in knee pain scores. Conservative effectiveness estimate given small study size and limited replication.
Based on 3 RCTs in dental surgery patients. Effects were modest and one study showed dexamethasone was superior. Requires enteric-coated formulation for bioavailability.
AI-estimated from published studies. Interpret as directional guidance.
MSM has a higher evidence score (6/10 vs 4/10) and wins in 3 of 3 categories.
For reduce inflammation, MSM has a higher relevance score (80 vs 70).
No known interactions between MSM and Serrapeptase have been documented in our database. However, always consult a healthcare provider before combining supplements.