Black Garlic: Benefits, Dosage, Contraindications

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Black garlic is an aged form of garlic obtained from fresh garlic by applying high and constant temperature and humidity for several days (over 10 days). The light yellow color of raw garlic turns to dark brown and eventually black during this process called the "Maillard reaction." The aging process alters its nutrient content but also its functional activity. The beneficial effects of aged black garlic are attributed to a high concentration of sulfur compounds, mainly S-allylcysteine (SAC) and S-allylmercaptocysteine (SAMC). The amount of SAC depends on the duration of the aging process, and represents 4 to 8 times the amount found in fresh garlic. The polyphenol content in aged garlic is also higher than in fresh garlic. These characteristics give aged garlic a remarkable antioxidant potential. Thanks to its unique composition, aged garlic can improve various indicators related to cardiovascular function such as blood pressure, blood cholesterol levels, atherosclerosis, and blood sugar.

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.

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.


Hypercholesterolemia
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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

posologieOral: bulb

posologie250 - 7200 mg

duration6 - weeks

formulationaged garlic extract


High Blood Pressure
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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

posologieOral: bulb

posologie250 - 7200 mg

duration6 - weeks

formulationaged garlic extract


Atherosclerosis
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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

posologieOral: bulb

posologie250 - 1200 mg

duration12 - months

formulationaged garlic extract


Synergies


Properties


Antioxidant

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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

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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

Hypercholesterolemia

Anticancer

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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

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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

High blood pressure, Atherosclerosis

Metabolic

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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

Type 2 Diabetes

Hepto-protective

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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

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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.