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Chondroitin: In-Depth Commentary on a Widely Used Supplement

Historical Development

Chondroitin has a story that traces back to the early 20th century. Back then, researchers hunted for cures to joint pain by breaking down animal cartilage and analyzing its components. Through relentless trial and error, they uncovered a polysaccharide they called “chondroitin sulfate,” which seemed to hold real value for people struggling with arthritis. Decades of studies followed, including the post-war focus on better living through chemistry and biology. Researchers recognized that chondroitin sulfate’s unique composition made it an interesting candidate for supporting joint health. By the late 20th century, companies began producing chondroitin in commercial quantities, largely by extracting it from animal sources like bovine and porcine cartilage. It quickly became a staple of both the supplement market and joint health regimens, especially among older adults hoping to keep their knees moving for years to come.

Product Overview

Most of the chondroitin products out there come as capsules, powders, or tablets. People looking for relief from joint pain often walk out of the store with bottles of chondroitin and glucosamine, which marketers pair together hoping for a one-two punch against osteoarthritis. Chondroitin in supplement form tends to be derived from cartilage, stripped down, purified, and packed according to strict manufacturing standards. Quality can swing widely between brands, depending on extraction methods and the purity of source material. Reputable companies invest in quality control, testing for heavy metals and contaminants, as well as proving the actual chondroitin content through advanced lab analytics.

Physical & Chemical Properties

Chondroitin presents as a white or off-white powder, not much of a scent or taste. The molecule itself is a glycosaminoglycan, built from repeating disaccharide units containing N-acetylgalactosamine and glucuronic acid. Those who have spent time in a biochemistry lab know these carbs link together, forming long chains with a naturally high negative charge. This charge provides chondroitin with the ability to interact with water and proteins within the extracellular matrix, which matters to cartilage structure in the body. The molecular weight varies based on animal source and extraction technique, usually ranging from 10,000 to 50,000 Daltons.

Technical Specifications & Labeling

Supplement labels give the quantity per serving, commonly between 400 and 1200 mg of chondroitin sulfate. Manufacturers must declare the chondroitin content, origin of raw material (such as bovine or porcine source), and any additional ingredients, including binders and fillers. Reputable brands put batch numbers, lot tracking, and expiration dates right on the bottle. Product specification sheets, often shared with distributors and clinicians, include detailed data on purity, moisture content, sulfate percentage, and residual protein. Manufacturing follows regulatory requirements set by agencies like the FDA (in the U.S.) or EFSA (in Europe), which also set tolerances for contaminants.

Preparation Method

Most commercial chondroitin starts with cartilage from cows, pigs, or fish. The raw cartilage gets washed, cleaned, and ground up in large processing facilities. A mix of enzymes or acids helps break down the tissue, freeing up the glycosaminoglycans. Extraction follows with steps like filtration, deproteinization, and precipitation. The resulting crude chondroitin gets further purified—sometimes passed through ion-exchange columns or ultrafiltration systems. Drying under vacuum and powdering finish the process. From my time in the supplement industry, quality steps matter a lot here. Skimping on purification can leave behind proteins or other molecules that shouldn’t be in finished chondroitin. Contamination risks exist, especially if manufacturers do not follow cleanroom practices or use poorly maintained machinery.

Chemical Reactions & Modifications

Chondroitin’s structure allows for all kinds of chemical tweaks. Sulfation occurs naturally but sometimes gets boosted industrially to adjust solubility or binding properties. During extraction, reactive agents like hydrogen peroxide or sodium hydroxide can alter chondroitin, changing bioactivity or purity. Some labs have experimented with low molecular weight chondroitin, chopping it into shorter chains for potential better absorption. Modification can target specific applications, from building slow-release therapeutic gels to tuning viscosity for injectable products. Process changes affect how the human body absorbs and uses chondroitin.

Synonyms & Product Names

Shoppers and patients see chondroitin sold under dozens of names. The most familiar are “Chondroitin Sulfate,” “Chondroitin Sulphate,” and “Chondroitin Sulfate Sodium.” On some ingredient lists, it shows up as “CSA,” standing for the sodium salt form. Some brands add qualifiers, such as “Marine Chondroitin” or “Bovine Chondroitin,” to highlight the animal source. In clinical research, you might see it called “Chondrosulf” or “Structum,” both being trade names for prescribed chondroitin formulations in Europe. The chemical community recognizes it by registry numbers like CAS 9082-07-9 for the sulfate form.

Safety & Operational Standards

Regulators keep a close eye on chondroitin, especially due to its animal origin and potential contamination risks. Manufacturing facilities register with local or national authorities, and need certified cleanrooms. Audits occur regularly, particularly for companies exporting across international borders. GMP (Good Manufacturing Practice) rules govern everything from temperature controls to documentation. Safety data suggests chondroitin carries a low risk of toxicity at typical supplement dosages, supported by extensive human use and clinical studies. But like any animal-derived supplement, there is a need for rigorous testing for transmissible agents, including prions and viruses. Packaging clearly lists allergens and cross-contamination risks, a must for sensitive customers.

Application Area

Most people know chondroitin as a supplement taken for joint pain or osteoarthritis. The idea centers around its supposed ability to slow down cartilage breakdown and relieve symptoms like stiffness and swelling. Some sports medicine physicians recommend chondroitin to athletes recovering from injury or repetitive joint wear. Vets use similar formulas for aging pets, especially large-breed dogs. Beyond the supplement aisle, chondroitin turns up in topical gels, injectable treatments (especially in Europe and Asia), and even in biomaterials research for engineered tissues. Certain contact lenses and wound dressings draw on chondroitin’s biocompatibility.

Research & Development

Research on chondroitin never really stops. Scientists study its absorption and metabolic fate—questions that spark fierce debate, since oral chondroitin reaches the bloodstream in only small amounts after digestion. Some research finds measurable improvement in joint pain and mobility, especially for people not responding well to NSAIDs or acetaminophen. Others see chondroitin as little more than an expensive placebo. Clinical trials often mix chondroitin with glucosamine, complicating the data. Researchers keep exploring new delivery forms, hoping to boost effectiveness. The supplement’s biocompatibility also attracts researchers working on scaffolds for tissue engineering. Advances in biofermentation may allow future chondroitin production from non-animal sources, addressing safety, sustainability, and ethical issues tied to animal welfare and disease transmission.

Toxicity Research

Toxicology studies over decades show that chondroitin has a solid safety record when taken by mouth in recommended amounts. Side effects remain fairly rare, usually showing up as minor stomach upset, nausea, or headache. Some reports connect chondroitin to allergic reactions, especially in people with allergies to the source animal. Long-term use at high doses needs more study, particularly for interactions with blood thinners or other medications. Regulatory agencies flag the risk of cross-contamination with pathogens in poorly controlled facilities. Organizations like USP (U.S. Pharmacopeia) set reference standards and test procedures focused on identity, purity, and microbiological quality. These protocols form the backbone of toxicity testing and ongoing batch release.

Future Prospects

Chondroitin sits at the center of debates over dietary supplements, functional foods, and healthcare costs. Consumers want relief from chronic joint discomfort, and the size of the supplement market keeps growing. Demand for sustainable, animal-free sources of chondroitin brings hope to companies investing in microbial fermentation or recombinant technology. Synthetic biology makes it possible to fine-tune molecular structures, potentially creating custom-fit glycosaminoglycans for specialized medical and research needs. Future breakthroughs will likely come from better clinical trial design, biomarker discovery, and a clearer understanding of how chondroitin works in real bodies, not just in vitro. There’s also a trend toward regulated health claims, traceable supply chains, and cleaner, verified products—a shift that can only help consumers find products that actually support their health.




What is Chondroitin used for?

Understanding Its Role in Joint Health

Few supplements get tossed around the pharmacy counter as much as chondroitin. You see it on the side of every bottle labeled for joint health, right next to glucosamine. Chondroitin comes straight from animal cartilage, often from cows or sharks, and gets packed into pills and powders targeting those with aching knees and creaky backs. Folks, especially anyone with a love-hate relationship with their joints, keep their ears open for anything that can stave off those dull aches that make climbing stairs feel like a chore.

Chondroitin's main draw centers on cartilage—one of the body's wear-and-tear zones. As cartilage thins out from age or long walks, joints stiffen. Chondroitin helps hold water in the cartilage, acting like a shock absorber inside the knees or hips. Hydrated cartilage simply works better.

After years watching patients pick up bottles of joint supplements and ask if they make a difference, the honest answer is: some people do feel better. Clinical studies give mixed results. Some evidence shows a mild reduction in pain and a bit more pep in step, especially for folks with osteoarthritis. But no one’s calling it a miracle fix. Most research points out that if relief comes, it isn't overnight. Usually it takes a few weeks of daily use to notice any improvement.

Chondroitin and Safety

Safety’s always a concern. I've run into folks who combine lots of supplements, thinking more is better. Chondroitin’s usually safe for most healthy adults, though folks on blood thinners need to double-check with their doctor. The supplement sometimes interacts with medications, and every body reacts differently. Gut upset, rashes, or headaches pop up every once in a while.

The Industry and Consumer Trust

Trust in a supplement comes from quality and real-world use. With chondroitin sourced from animal cartilage, purity varies. Some supplements skimp on testing. Look for independent lab testing or reputable brands, since what’s on the label doesn’t always match what’s inside the pill. The FDA doesn’t check these over the way it does prescription drugs. That makes picking a trustworthy option more important than ever.

Living With Joint Pain: Chondroitin Not a Silver Bullet

Living with joint pain feels like an endless search for answers. People want a quick fix, but most benefit from a toolbox approach. Chondroitin can join exercise, stretching, weight management, and, sometimes, medicines. Strong legs and a lighter load on the knees don’t come from supplements alone. Healthy cartilage depends a lot on what you eat and how often you move.

Glancing at years of patient questions and studies, the takeaway is clear: chondroitin might help some folks, especially those hoping to slow down mild joint pain. It won't rebuild or replace badly damaged joints, but for those looking for a gentle nudge toward comfort, it often makes enough difference to keep walking.

Is Chondroitin effective for joint pain or arthritis?

Wandering Down the Supplement Aisle

Years ago, stiff knees drove me to the pharmacy shelves. Bottles of chondroitin lined up next to glucosamine, promising relief that painkillers never quite matched. Arthritis pain makes you want to believe every label with the word "joint" on it. The stuff isn’t just appealing for people with creaky knees—it’s a billion-dollar business. Plenty of folks ask if chondroitin lives up to its promise.

Diving Into Science and Studies

A lot of research teams have looked at chondroitin. Some studies suggest a modest benefit in easing osteoarthritis pain, especially in the knee. One example, supported by a European group, reported that people taking chondroitin felt less discomfort after six months. The pain drop? Maybe a notch or two on those one-to-ten pain scales. It’s not the kind of night-and-day change most people are hoping for.

Other researchers haven’t seen much difference between chondroitin and sugar pills. In the U.S., big studies like GAIT lumped chondroitin with glucosamine, with not much to separate real relief from the placebo effect. The reviews often say that the improvement is “small or none.” Doctors and scientists point out that people who look for every bit of relief may think a small improvement is worth it, even if it’s just a momentary break from pain.

What’s Really Happening in the Joint?

Chondroitin is part of healthy cartilage. It soaks up water and helps pad the space between bones. Supplements come from animal cartilage—think cow, pig, or even shark. In theory, popping chondroitin adds to the body’s supply, helping cushion aching joints. The body’s a stubborn machine, though. Swallowing chondroitin doesn’t mean it’s reaching sensitive, inflamed knees. Most of the time, the stomach breaks it down and the intestines send it elsewhere. If the cartilage in a worn-out knee isn’t getting the full benefit, that could explain the minor results.

Side Effects, Safety, and Wallet Drains

Good news is that chondroitin rarely causes major trouble. Upset stomach or loose bowels sometimes show up. Chondroitin’s biggest hassle might be to your bank account. Some bottles cost almost as much as a prescription fill—even for barely-there results. That’s a tough sell, especially for fixed-income seniors hunting for pain solutions.

Searching for Better Answers

So, what are the better moves? Staying active works better than any pill for keeping joints moving. Physical therapy and weight loss, especially if you’re carrying more pounds than your joints can handle, deliver clear results. Over-the-counter pain relievers help in tough moments. Sometimes steroid injections, or newer medicines like hyaluronic acid, make a difference.

Chondroitin’s not useless, but it’s no miracle cure. Anyone thinking about supplements owes it to themselves to talk with a doctor who cares about more than just a sale. Real joint pain needs more support than a bottle from the supplement aisle.

Are there any side effects of taking Chondroitin?

Why Some People Turn to Chondroitin

Chondroitin shows up in a lot of conversations about joint pain relief. Plenty of folks with osteoarthritis feel let down by over-the-counter pills or can’t handle the gut issues that come with NSAIDs. So, supplements like chondroitin become a kind of hope. Drugstore shelves stock bottles promising easier movement and less pain, with large letters claiming joint support. But every substance you put in your body can decide to pull a fast one.

What the Research Tells Us

No supplement gets 100% green lights. Chondroitin can trigger digestive issues. The National Institutes of Health reports that people sometimes get stomach cramps, nausea, or diarrhea after taking it. I’ve had a friend complain about persistent gas and bloating, right after starting her chondroitin-glucosamine combo. At a family cookout, one uncle joked he’d rather stick with creaky knees than handle the constant trips to the bathroom. Anecdotes like that don’t stand alone; studies back up the gut grumbles.

Allergy trouble happens, too. Manufacturers often harvest chondroitin from animal cartilage—cows, pigs, even sharks. If someone sits in the “seafood allergy” club, the risk climbs. Drug interactions throw another wrench in the gears. Some findings point out that people on blood thinners, like warfarin, could see changes in how their blood clots. That’s worth a real conversation with a doctor, not just trust in a label’s small print.

The Gray Area of Supplement Safety

Shopping for supplements gets tricky because regulations don’t hit as hard as they do for prescription meds. The FDA mostly steps in after problems pop up, rather than before. Labels don’t always match up exactly with what's inside each capsule. I talked to a local pharmacist who always warns customers, “Choose trusted brands and check for third-party testing.”

Side effects might show up mild, but ignoring them sometimes misses the bigger picture—especially for older folks juggling more than one medicine each morning. Mixing chondroitin with blood thinners doesn’t always cause symptoms right away, but blood test results could get weird. The Mayo Clinic says folks with asthma, prostate cancer, or bleeding conditions ought to get extra guidance before trying it.

Staying Smart About Supplement Choices

A lot of people hand over their trust (and a chunk of cash) hoping for a miracle fix. But the American College of Rheumatology only gives chondroitin a weak recommendation for knee osteoarthritis. I’ve seen neighbors swear by it, I’ve seen others swear it off entirely. No single supplement acts like a magic bullet.

Sensible solutions always start with a real conversation with a healthcare provider—not just browsing online forums or listening to gym buddies. I’ve found out that keeping a food and symptom diary helps spot patterns. If a new ache or stomach problem crops up, jotting it down keeps memory honest. Pick supplement brands with a reputation for transparency. Read labels, ask questions, look up certificates from testing organizations like USP or NSF International.

Chondroitin doesn’t bring everyone relief, but knowing the possible side effects helps people make calls that fit their real-life needs. That beats blind faith in “natural” claims every time.

How should Chondroitin be taken and what is the recommended dosage?

The Basics of Chondroitin

Chondroitin comes up a lot in conversations about joint health. People often turn to it hoping for relief from achy knees or hips. This supplement is found naturally in cartilage, the tissue cushioning our joints. As someone who has seen friends struggle with arthritis, the topic keeps popping up around dinner tables and in online health forums. Folks want to know what actually works instead of wasting money or risking their health.

Why Dosage Matters

Doctors and pharmacists tend to agree on one thing with supplements like this: right dose, right routine. The typical amount backed up by research lands between 800 mg and 1200 mg per day. Most folks take it as one daily dose or split morning and evening. Many over-the-counter blends pair chondroitin with glucosamine, and the bottles usually suggest how much to take. Skipping doses for a few days may blunt any possible benefits. Taking more doesn’t mean faster results, and overdoing it can upset your stomach or cause headaches.

Finding the Format That Works

Chondroitin comes mostly in capsules, tablets, or powder. A lot of people lean toward capsules since they’re convenient—no messing with scales or measuring spoons. If chewing or swallowing pills is tough, powders combined with a smoothie or juice ease the routine. A glass of water right after helps keep the supplement down and supports digestion. Consistency turns out to matter most, whether you keep your bottle on the breakfast table or in a pill organizer next to your coffee mug.

Pairing Chondroitin With Food

Taking chondroitin with meals helps sidestep stomach issues. That’s advice I picked up from a physical therapist and it stuck with me. People often report cramping or mild nausea if they take it on an empty stomach, although not everyone feels it. For anyone with a sensitive gut, spreading the dose into morning and evening meals gives a gentler experience. At the end of the day, everyone’s body is a little different—trial and error matters, but starting low and slow stays safest.

Watching for Interactions

Chondroitin can mix with other meds in ways that surprise people. Blood thinners, for example, can interact, raising the risk of bruising. This is one of those times checking with your doctor really pays off. My neighbor once ignored this bit and got a stern warning at her next checkup. Double-checking all your medicines together—prescription, over-the-counter, and supplements—helps catch issues early.

Does It Really Help?

Not everyone gets the same support from chondroitin. Studies offer mixed results, with some people feeling less pain and others feeling no different. It’s not a magic fix. Still, it’s generally a safe supplement at standard doses. Give it a two- to three-month trial to judge personal results. If you notice zero change, money might be better spent elsewhere. For some, combining it with stretches, strength exercises, and good shoes creates real change.

Quality Counts

Supplements vary in purity and strength. I always suggest purchasing from reputable brands, since cheap knock-offs might not contain what the label promises. Look for products independently tested for quality. Safe, pure supplements support the body best—especially when taken as recommended by a healthcare professional. By focusing on steady routines, safe dosing, and open communication with a provider, folks give themselves the best shot at joint comfort and mobility.

Can Chondroitin be taken with other supplements or medications?

Everyday Choices and Why They Matter

Glucosamine and chondroitin bottles share shelf space in many homes now. These aren’t random picks; lots of folks dealing with creaky knees or joint pain reach for them. They promise an easier time getting up and down and maybe cutting back some of the daily aches. With more people looking to find relief outside the prescription pad, the question keeps coming up: Can chondroitin play nice with other supplements and medications?

Chondroitin and Its Friends in the Supplement Aisle

It’s pretty common for people to mix and match. Turmeric for inflammation, fish oil for the heart, Vitamin D for bones—the list keeps getting longer. Trouble starts when piles of supplements fill the kitchen cupboard, and nobody’s sure what works well together.

Taking chondroitin alongside glucosamine is the classic combo. These two get bundled together in many products, and studies show most people don’t run into problems stacking them. The worry grows when calcium, magnesium, or even popular herbal products join the mix. Some minerals, if taken at the same time, can crowd each other out, changing how much the body absorbs. Turmeric and fish oil might thin the blood a bit, similar to what chondroitin does in rare cases, hinting at a risk when these are put together.

The Intersection with Prescription Drugs

Mixing chondroitin with prescription medications changes the game. Most warnings pop up around blood thinners like warfarin. Chondroitin might make blood a little less sticky, turning bruises into a bigger deal. I learned about this after my dad started both chondroitin and his regular heart meds. His doctor quickly flagged the combo as risky and recommended some bloodwork to be safe.

Medications for diabetes or blood pressure take a back seat most of the time, though it’s smart to let your doctor know about everything you take—over-the-counter or not. Sometimes even the most experienced pharmacist misses an oddball interaction that doesn’t show up until someone at home feels faint or spots mysterious bruises.

Why Honest Conversations Matter

Doctors see all kinds of new supplements land on their desks, and most don’t have time to track every single trail mix of ingredients that come out each year. Still, an honest conversation with them can make a big difference. There’s real science showing that elderly folks, in particular, have a higher chance of odd reactions because of the way their bodies process drugs and supplements.

Keeping a running list—whether scrawled in a notebook or listed in your phone—means you have quick answers at every checkup. Pharmacists get a front-row seat to all these potential mix-ups, too, and many are happy to double-check your lineup, especially with supplements.

Seeking Balance and Looking Ahead

Staying healthy isn’t just about tossing more pills and powders into your routine. The most benefit still seems to come from exercise, eating decent meals, and staying connected to real healthcare advice. If you reach for chondroitin, check that it doesn’t cross wires with the rest of your routine. Even the best intentions can run into trouble when too many puzzle pieces get jammed together.

Real wellness grows out of small habits, not just the right supplement. With a bit of attention, anyone can keep their supplement stack safe and actually aimed at better days.

Chondroitin
Names
Preferred IUPAC name Chondroitin sulfate
Other names Chondroitins
Chondroitin sulfate
CSA
Chondroitin 4-sulfate
Chondroitin 6-sulfate
Chondrosulf
Pronunciation /ˈkɒn.drɔɪ.tɪn/
Preferred IUPAC name Chondroitin sulfate
Other names Chondroitin sulfate
CSA
Chonsurid
Cartalag
Structum
Chondrosulf
Pronunciation /ˈkɒn.drɔɪ.tɪn/
Identifiers
CAS Number 9007-28-7
Beilstein Reference 3762263
ChEBI CHEBI:27344
ChEMBL CHEMBL1201580
ChemSpider 86521
DrugBank DB06718
ECHA InfoCard echa.infocard:100.043.747
EC Number 4.2.2.20
Gmelin Reference 230622
KEGG C00720
MeSH D015219
PubChem CID 23958
RTECS number GC8650000
UNII YG6Z5M7Y7H
UN number UN2811
CompTox Dashboard (EPA) DTXSID7033966
CAS Number 9007-28-7
Beilstein Reference 2052994
ChEBI CHEBI:16227
ChEMBL CHEMBL1201480
ChemSpider 161444
DrugBank DB06718
ECHA InfoCard echa.europa.eu/information-on-chemicals/infocards/100_018_987
EC Number 4.1.2.4
Gmelin Reference 16502
KEGG C01725
MeSH D015212
PubChem CID 24356
RTECS number GB9425000
UNII MIW7F94UOI
UN number UN2811
CompTox Dashboard (EPA) DTXSID2024266
Properties
Chemical formula C13H21NO15S
Molar mass 463.42 g/mol
Appearance White or almost white, hygroscopic, amorphous powder
Odor Odorless
Density 0.5-0.7 g/cm3
Solubility in water Soluble in water
log P -8.4
Acidity (pKa) 1.9
Basicity (pKb) 10.2
Refractive index (nD) 1.55
Viscosity Viscous liquid
Dipole moment 7.0966 D
Chemical formula C13H21NO15S
Molar mass 463.420 g/mol
Appearance white to yellowish white, hygroscopic, amorphous powder
Odor Odorless
Density 0.5 - 0.7 g/cm3
Solubility in water soluble in water
log P -5.4
Acidity (pKa) 3.1
Basicity (pKb) 12.3
Refractive index (nD) 1.572
Dipole moment 3.7992 D
Pharmacology
ATC code M01AX25
ATC code M01AX25
Hazards
Main hazards May cause mild gastrointestinal upset, nausea, diarrhea, or allergic reactions
GHS labelling GHS07
Pictograms Oral use, Keep out of reach of children, Store in a dry place, Do not use after expiry date
Signal word Warning
Hazard statements Hazard statements: Not a hazardous substance or mixture according to Regulation (EC) No 1272/2008.
Precautionary statements Consult your healthcare professional before use if you are pregnant, nursing, taking any medication, or have any medical condition. Keep out of reach of children. Store in a cool, dry place. Do not use if seal is broken or missing.
Flash point > 210°C
Autoignition temperature > 400 °C
LD50 (median dose) > 16 g/kg (rat, oral)
NIOSH DB14096
PEL (Permissible) 1200 mg/day
REL (Recommended) 1200 mg per day
IDLH (Immediate danger) Not listed
Main hazards May cause gastrointestinal discomfort, nausea, headache, allergic reactions, and may increase bleeding risk when taken with anticoagulant medications.
GHS labelling GHS07
Pictograms Chondroitin pictograms as string: "Pregnancy, Lactation, Kidney, Liver, Children, Elderly, Sports, Driving
Signal word Warning
Hazard statements Not a hazardous substance or mixture according to the Globally Harmonized System (GHS)
Precautionary statements Keep out of reach of children. If you are pregnant, nursing, taking any medications, or have any medical condition, consult your doctor before use. Discontinue use and consult your doctor if any adverse reactions occur.
Flash point 233.3°C
Autoignition temperature > 400 °C
Lethal dose or concentration Lethal dose or concentration: "LD50 (oral, rat): > 2000 mg/kg
LD50 (median dose) > 16 g/kg (rat, oral)
NIOSH DTG526
PEL (Permissible) Not established
REL (Recommended) 1200 mg/day
Related compounds
Related compounds Chondroitin sulfate
Heparin
Heparan sulfate
Dermatan sulfate
Keratan sulfate
Related compounds Dermatan sulfate
Keratan sulfate
Heparan sulfate
Heparin
Hyaluronic acid