Black Garlic: Benefits, Dosage, Contraindications
Other name(s)
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Scientific name(s)
Allium sativum
Family or group:
Super Food
Active ingredients:
S-allylcysteine
S-allylmercaptocysteine
Indications
Rating methodology
EFSA approval.
Hypercholesterolemia ✪✪✪✪✪
A recent meta-analysis suggests that garlic preparations reduce total cholesterol and LDL cholesterol compared to placebo in hyperlipidemic patients. Analyses from the same meta-analysis suggest that products containing aged garlic extract may be more effective at reducing total cholesterol but less effective at reducing LDL cholesterol than garlic powder preparations. Another clinical study conducted in moderately hypercholesterolemic subjects showed that consumption of 250 mg of aged black garlic extract with 1.25 mg of S-allyl-L-cysteine (SAC) for 6 weeks significantly decreased diastolic blood pressure.
Posologie
A Randomized Controlled Trial of a Herbal Compound for Improving Metabolic Parameters in Diabetic Patients with Uncontrolled Dyslipidemia
Reduction of blood lipid parameters by a 12-wk supplementation of aged black garlic: A randomized controlled trial
Effects of an Optimized Aged Garlic Extract on Cardiovascular Disease Risk Factors in Moderate Hypercholesterolemic Subjects: A Randomized, Crossover, Double-Blind, Sustainedand Controlled Study
Reduction of blood lipid parameters by a 12-wk supplementation of aged black garlic: A randomized controlled trial
Effect of garlic on serum lipids: an updated meta-analysis.
Effect of garlic extract on markers of lipid metabolism and inflammation in coronary artery disease (CAD) patients: A systematic review and meta-analysis
Type 2 Diabetes ✪✪✪✪✪
Black garlic has a beneficial effect on blood sugar levels. An analysis of the results from several clinical studies conducted in adults with type 2 diabetes shows that daily intake of aged garlic extract at 1g reduces fasting blood sugar compared to the control group. The benefit is more significant in patients with initially high blood sugar levels, for consumption of at least 12 weeks.
Posologie
Aged garlic extract reduces left ventricular myocardial mass in patients with diabetes: A prospective randomized controlled double-blind study
A Randomized Controlled Trial of a Herbal Compound for Improving Metabolic Parameters in Diabetic Patients with Uncontrolled Dyslipidemia
The effect of aged garlic extract on the atherosclerotic process - a randomized double-blind placebo-controlled trial
Effects of an Optimized Aged Garlic Extract on Cardiovascular Disease Risk Factors in Moderate Hypercholesterolemic Subjects: A Randomized, Crossover, Double-Blind, Sustainedand Controlled Study
Reduction of blood lipid parameters by a 12-wk supplementation of aged black garlic: A randomized controlled trial
High Blood Pressure ✪✪✪✪✪
The daily administration of standardized aged black garlic extract in S-allyl-L-cysteine (SAC) induces favorable changes in cardiovascular disease risk factors in subjects with moderate hypercholesterolemia, particularly in blood pressure modulation. Some garlic formulations evaluated for hypertension include aged garlic extract 960 mg to 7.2 g per day in three divided doses over 6 months, or 250 mg of aged black garlic extract with 1.25 mg of SAC for 6 weeks.
Posologie
Aged garlic extract reduces blood pressure in hypertensives: a dose-response trial.
Effects of an Optimized Aged Garlic Extract on Cardiovascular Disease Risk Factors in Moderate Hypercholesterolemic Subjects: A Randomized, Crossover, Double-Blind, Sustainedand Controlled Study
Effect of garlic extract on markers of lipid metabolism and inflammation in coronary artery disease (CAD) patients: A systematic review and meta-analysis
Antihypertensive Effects of an Optimized Aged Garlic Extract in Subjects with Grade I Hypertension and Antihypertensive Drug Therapy: A Randomized, Triple-Blind Controlled Trial
Atherosclerosis ✪✪✪✪✪
Black garlic may mitigate the age-related increase in aortic stiffness, which can improve vaso-elasticity and protect against cardiovascular diseases. A well-designed, double-blind, randomized controlled trial involving 65 intermediate-risk patients taking statins and presenting subclinical coronary artery atherosclerosis. Subjects were treated with a capsule containing 250 mg of aged garlic extract, 100 mcg of B12, 300 mcg of folic acid, 12.5 mg of B6, and 100 mg of l-arginine or a placebo once a day for 1 year. The group that received supplements achieved significantly favorable changes in oxidative biomarkers, vascular factors, and a reduction in the progression of atherosclerosis. Results from another randomized controlled trial also showed that arterial calcification could be significantly reduced with aged garlic (1200 mg/day), this time used in conjunction with coenzyme Q10 (120 mg/day) over 1 year.
Posologie
Synergies
Aged garlic extract supplemented with B vitamins, folic acid and L-arginine retards the progression of subclinical atherosclerosis: a randomized clinical trial
The effect of aged garlic extract on the atherosclerotic process - a randomized double-blind placebo-controlled trial
Effect of garlic extract on markers of lipid metabolism and inflammation in coronary artery disease (CAD) patients: A systematic review and meta-analysis
Rahman K, Billington D. Dietary supplementation with aged garlic extract inhibits ADP-induced platelet aggregation in humans. J Nutr. 2000;130(11):2662-2665. Full text: jn.nutrition.org
Properties
Antioxidant
Aged black garlic possesses superior antioxidant activity compared to raw garlic. It has the ability to trap free radicals and nitrites. The antioxidant activity of black garlic is comparable to that of N-acetyl-l-cysteine (NAC), another supplement capable of enhancing the body's antioxidant capacity.
Hypolipidemic
In a study on diet-induced metabolic syndrome in rats, the consumption of black garlic improved metabolic and vascular alterations and had beneficial effects on inflammation and fat metabolism. Other clinical trials show that aged black garlic is effective in reducing total serum cholesterol and LDL-C in patients with mild hypercholesterolemia. Black garlic extract contains more water-soluble sulfur compounds, such as S-allylcysteine (SAC) and S-allylmercaptocysteine, than raw garlic. These compounds are responsible for its beneficial effects on cardiovascular health, including cholesterol, blood pressure, homocysteine, platelet aggregation, and adhesion...
Usages associés
Effects of an Optimized Aged Garlic Extract on Cardiovascular Disease Risk Factors in Moderate Hypercholesterolemic Subjects: A Randomized, Crossover, Double-Blind, Sustainedand Controlled Study
Beneficial Effects of an Aged Black Garlic Extract in the Metabolic and Vascular Alterations Induced by a High Fat/Sucrose Diet in Male Rats
Anticancer
Preliminary data suggest that aged black garlic and its sulfur compounds exert an anticancer effect through several mechanisms. Black garlic inhibits cell proliferation and induces cell death in human gastric cancer cells. Additionally, black garlic extracts are effective against several human cancer cell lines: lung cancer, liver cancer, and breast cancer. S-allylmercaptocysteine (a major component of black garlic) has been shown to have activity against erythroleukemic (a type of leukemia), breast cancer, and prostate cancer cells. Studies suggest that the anticancer effects of aged black garlic extracts may be attributed to their antioxidant and immunomodulatory properties.
Vascular Effect
In hypertensive patients, garlic can reduce blood pressure by causing relaxation of smooth muscles and vasodilation by activating the production of the endothelium-derived relaxing factor (EDRF). Allicin has been suggested as the garlic component responsible for vasodilatory effects, mediated by nitric oxide. Garlic can also mitigate the age-related increase in aortic stiffness which may improve vaso-elasticity and protect against cardiovascular diseases.
Usages associés
Metabolic
In animal research, sulfur compounds in garlic were found responsible for increased thermogenesis. These compounds promote thermogenesis by increasing norepinephrine secretion and reducing body fat accumulation. Preliminary clinical research suggests that some sulfur compounds in black garlic may have some antidiabetic activity. Other in vitro evidence suggests that aged garlic extract may inhibit the formation of advanced glycation end-products, which are associated with diabetic complications.
Usages associés
Hepto-protective
Aged black garlic has a hepatoprotective effect on liver lesions, as demonstrated in several experiments in rats, through protection against oxidative damage and suppression of the activity of certain enzymes involved in cholesterol biosynthesis in the liver or in the toxic effects of certain drugs. Black garlic is an interesting food to prevent oxidative stress and liver disorders related to cholesterol.
Neurological
Aged garlic extracts possess neuroprotective effects. They may improve cognitive dysfunction through antioxidant effects. A number of in vivo studies have been conducted on black garlic and its sulfur compounds as potential agents against neurodegeneration. In a preliminary study, treatment with an aged garlic extract (2% S-allylcysteine) reduced brain plaques, inflammation and resulted in a positive change in Alzheimer's disease indicators.
Safety dosage
Adults from 18 years: 250 mg - 1000 mg
In research, 240 mg of aged garlic extract (equivalent to 625 mg of fresh garlic), standardized to contain 0.6 mg of S-allyl-L-cysteine (SAC), was used.
Interactions
Médicaments
Antiplatelet agents/Anticoagulant: moderate interaction
Aged black garlic has antiplatelet activity and may increase bleeding time.
Antihypertensive: moderate interaction
Combining black garlic with other antihypertensive agents may have additional hypotensive effects. It is advised to consult a doctor before taking black garlic with blood pressure medications.
Precautions
Breastfeeding woman: use with caution
The consumption of black garlic, especially extracts at therapeutic doses, is not recommended for breastfeeding women.
Pregnant woman: use with caution
It is not advised to consume in medicinal quantities. Black garlic has abortive activity.
Surgical intervention: avoid
Black garlic should be stopped 7 days before a scheduled operation, as it may increase postoperative bleeding.
Bleeding disorder: avoid
Black garlic may increase the risk of bleeding.