Acerola: benefits, dosage, contraindications

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Acerola is an edible, tart, and bright red fruit from the acerola tree, a tropical plant in the Malpighiaceae family that resembles a cherry. It primarily grows in South America (in Peru, Brazil, Venezuela...) and in the Caribbean. The fruit is used to make juices or food supplements. Acerola offers multiple benefits and virtues for health, mainly thanks to its high vitamin C content. At full maturity, the fruit's ascorbic acid content varies from 1 to 2 g per 100 g. Acerola is used as a source of vitamin C, notably to prevent or treat scurvy. Traditionally, acerola is used to treat colds, pollen allergies, and cavities. Acerola is widely marketed today as a source of vitamin C.

Other name(s) 

Barbados Cherry, West Indian Cherry

Scientific name(s)

Malpighia glabra, Malpighia punicifolia

Family or group: 

Plants

Active ingredients:

Vitamin C

Vitamin B6

Vitamin B1

Vitamin A

Flavonoids

Potassium


Indications

Rating methodology

EFSA approval.

Several clinical trials (> 2) randomized controlled with double blind, including a significant number of patients (>100) with consistently positive outcomes for the indication.
Several clinical trials (> 2) randomized controlled with double blind, and including a significant number of patients (>100) with positive outcomes for the indication.
One or more randomized studies or multiple cohorts or epidemiological studies with positive outcomes for the indication.
Clinical studies exist but are uncontrolled, with conclusions that may be positive or contradictory.
Lack of clinical studies to date that can demonstrate the indication.


Vitamin C deficiency
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Acerola is a very rich natural source of vitamin C, which is better absorbed by the body than synthetic ascorbic acid. Vitamin C plays a key role in the biosynthesis of collagen, carnitine, neurotransmitters, corticosteroids, and catecholamines, as well as in the synthesis and maintenance of tissues, notably the formation of bones, teeth, and muscles.

Posologie

posologieOral: fruit

posologie1 g

formulationdried extract


Immune System Boost
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Vitamin C in acerola affects the immune system in several different ways, and there is much evidence that the immune system is sensitive to circulating levels of vitamin C. Ascorbic acid modulates the expression of T cell genes, affecting specifically the genes involved in signaling, carbohydrate metabolism, apoptosis, transcription, and immune function. It can also stimulate the production of interferons, proteins that protect cells against viral attacks and stimulate the synthesis of thymus humoral factor and antibodies of the immunoglobulin G (IgG) and IgM classes. In vivo and in vitro studies provide evidence of immunostimulatory effects, generally at doses higher than the recommended dietary doses. At high doses, it is a strong immunomodulator and is preferably cytotoxic to neoplastic cells. Vitamin C enhances natural killer cell activity in vivo as well as B and T cell activity. In addition to these direct effects on the immune system, the antioxidant properties of vitamin C play a role. When neutrophils are activated during an infection, they release free radicals. However, neutrophils are themselves susceptible to damage by free radicals. Protection against auto-oxidation is provided by ascorbic acid and other antioxidants and is essential during the mobilization of host defenses. Besides its own effects, vitamin C indirectly contributes to the immune system function by protecting the antioxidant capacity of vitamin E, which is an immune-enhancing nutrient in itself.

Posologie

posologieOral: fruit

posologie1 g

formulationdried extract


Oxidative Stress
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At physiological concentrations, vitamin C is the most effective aqueous antioxidant in plasma, interstitial fluids, and cell soluble phases. Vitamin C acts as a powerful free radical scavenger in plasma, protecting cells against oxidative damage caused by reactive oxygen species (ROS). It traps oxygen and nitrogen free radicals such as superoxide, hydroxyl, peroxyl, and nitroxide radicals, as well as non-radical reactive species like singlet oxygen, peroxynitrite, and hypochlorite. In addition to its direct antioxidant function, it indirectly increases free radical scavenging by regenerating vitamin E and maintaining glutathione in a reduced form. Vitamin C decreases oxidants in gastric juice, reduces lipid peroxidation, and lessens oxidative damage to DNA and proteins.

Posologie

posologieOral: fruit

posologie1 g

formulationdried extract


Osteoporosis
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Some data suggest that vitamin C intake might be related to bone mineral density in premenopausal women. In postmenopausal women who consume estrogens and smoke, higher levels of vitamin C might reduce the fracture risk. However, in menopausal women without a history of smoking or estrogen consumption, higher serum levels of vitamin C have been associated with lower bone mineral density. Currently, there is not enough information to make recommendations about vitamin C and bone density.

Posologie

posologieOral: fruit

posologie1 g

formulationdried extract


Properties


Antioxidant

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This fruit is recognized as the best natural source of vitamin C. Acerola is a fruit with antioxidant properties. Indeed, it combats cell aging by minimizing the effects of free radicals within the body.

Usages associés

Vitamin C deficiency, Immune system boost, Oxidative stress

Bioenergizing

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The vitamin C in acerola seems to be easily absorbed and stored in skeletal muscle tissues, where it can ensure antioxidant protection and support collagen production.

Usages associés

Immune system boost

Remineralizing

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Although the relationship between calcium, vitamin D, and bone mineral density is well-known, other nutrients, such as vitamin C, are also essential for the development, repair, and maintenance of bones. Epidemiological studies have demonstrated a positive association between bone density and vitamin C intake. Low intakes of vitamin C have been associated with decreased mineral density, particularly at the femur neck and whole hip. Data collected from 13,080 adults from 1988 to 1994 identified an association between dietary and serum ascorbic acid, bone mineral density, and bone fracture.

Usages associés

Osteoporosis


Safety dosage

Adults 18 years+: 1 g - 3 g (dried extract)


Interactions

Médicaments

Fluphenazine: minor interaction

Concurrent use of acerola with Fluphenazine (an antipsychotic) may decrease its effectiveness due to the vitamin C content in acerola.

Warfarin: minor interaction

Concurrent use of acerola with warfarin may reduce the anticoagulant activity of warfarin due to its vitamin C content.

Anticancer medications: minor interaction

The use of antioxidants such as vitamin C during chemotherapy or other cancer medications is controversial. They can reduce the effect of chemotherapy by producing free radicals. However, some researchers believe that antioxidants can make chemotherapy more effective by inducing oxidative stress that can interfere with dead or cancerous cells.

Estrogens: minor interaction

Combining vitamin C with oral contraceptives may increase estrogen levels by 55%. It is thought that vitamin C prevents estrogen oxidation in tissues, regenerates oxidized estrogens, and reduces estrogen conjugation to sulfate in the intestinal wall. These effects are not seen when tissue levels of vitamin C are high.

Plantes ou autres actifs

Acerola: moderate interaction

Vitamin C increases iron absorption, which can be a desired effect or to be avoided according to your therapist's advice.


Precautions

Pregnant women: use with caution

Breastfeeding women: use with caution

Gout: use with caution

The vitamin C contained in acerola can increase uric acid levels.

Kidney stone: use with caution

The vitamin C present in acerola may cause the precipitation of urate, cystine, or oxalate stones.