Alfalfa: Benefits, Dosage, Contraindications

Updated on

Alfalfa or lucerne, commonly called the "father of all foods" (in Arabic al-fac-facah), is a perennial herbaceous leguminous plant species native to Asia and the Middle East, which was introduced by the Arabs to Spain. It is now cultivated worldwide in clay soils. It has erect stems 30 cm to 1 meter in height, with trifoliate leaves and small purple flowers. It grows Alfalfa is known for its ability to fix nitrogen: it captures it from the air to enrich the soil. Thus, its vegetable body is rich in nitrogenous products, making it a natural fertilizer. The aerial parts are the parts of the plant used in medicine. It contains numerous minerals and vitamins, making it a very effective remineralizer. Leaf extracts of lucerne or alfalfa protein concentrate (APC: alfalfa protein concentrate) contain phytoestrogens (coumestrol and isoflavones) known for their disruptive effect on the reproductive cycle in females. Alfalfa has a long history of use in Ayurvedic and homeopathic medicine for central nervous system and digestive system disorders. Traditionally, it is used as a general stimulant and blood pressure regulator, anti-rheumatic, and remineralizing. M. sativa has a long tradition of use in Ayurvedic and homeopathic medicine for central nervous system and digestive system disorders.

Other name(s) 

Luzern, lucerne, large clover

Scientific name(s)

Medicago sativa L.

Family or group: 

Plants

Active ingredients:

Flavonoids

Phytoestrogens

Saponins

Vitamin K


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
✪✪✪✪✪

Oral intake of alfalfa seeds may reduce total cholesterol and LDL cholesterol (low-density lipoproteins) in patients with high cholesterol levels.

Posologie

posologieOral: seed

posologie120 g

duration8 - weeks

populationAdults


Osteoporosis
✪✪✪✪

The mineral content and Vitamin K in Alfalfa make it a good choice to strengthen bone tissue. Its significant manganese content (45.5 mg/kg) also supports this use. However, it is not supported by clinical studies.

Posologie

posologieOral: leaf

posologie5 g


Hair Loss
✪✪✪✪

Thanks to phytoestrogens and its mineral richness, alfalfa can benefit women during menopause. Indeed, the decrease in estrogens promotes hair loss.

Posologie

posologieOral: leaf

posologie5 g


Convalescence
✪✪✪✪

Thanks to its richness in vitamins and minerals, alfalfa is traditionally used as a stimulant and tonic after blood loss and during anemia. It also improves appetite and intellect. It can be associated with oats, which is traditionally recommended in this indication.

Posologie

posologieOral: leaf

posologie5 g


Synergies


Properties


Estrogenic Action

full-leaffull-leafempty-leafempty-leaf

Alfalfa is a plant with estrogenic activity in vitro and in vivo. A study on rats shows that the estrogenic effect of lucerne is mainly due to the presence of coumestrol. Indeed, coumestrol and 4-methoxycoumestrol are estrogenic agonists and bind to estrogen receptors showing an uterotrophic activity.

Usages associés

Menopause

Remineralizer

full-leaffull-leafempty-leafempty-leaf

Alfalfa is traditionally used for its richness in minerals and trace elements: calcium, silica, iron, phosphorus as well as copper, zinc, and selenium. Manganese is found in relatively high concentrations in alfalfa.

Usages associés

Hair Loss, Osteoporosis

Cholesterol-lowering

full-leafempty-leafempty-leafempty-leaf

In vivo studies have shown that alfalfa saponins significantly reduce intestinal cholesterol absorption and plasma total cholesterol/HDL (High Density Lipoprotein) cholesterol ratio, and increase fecal steroid and bile acid excretion. Furthermore, alfalfa prevents in vivo LDL (Low Density Lipoprotein) oxidation via the synergistic action of flavonoids and phytoestrogens.

Usages associés

Hypercholesterolemia

Hypoglycemic

full-leafempty-leafempty-leafempty-leaf

It has been demonstrated in vivo, on diabetic mouse models, that alfalfa stimulates the incorporation of glucose as glycogen in the abdominal muscle and possesses properties similar to insulin.


Anticancer

full-leafempty-leafempty-leafempty-leaf

L-canaverine, a protein isolated from the plant, has shown antitumor activity against certain types of leukemic cells in mice and selective toxicity on cultivated dog cancer cells in vitro. 1,2-dimethylhydrazine, a carcinogenic agent, binds to Alfalfa when the colon pH is between 10.5 and 12, and it has been proposed to have protective properties against chemically induced colon cancer.


Safety dosage

Adult from 18 year(s): 5 g - 10 g (powder)

A general dosing schedule is 5 to 10 g of dried herb taken 3 times a day. For the treatment of hypercholesterolemia, seeds can be taken at a dose of 40 g 3 times a day.


Interactions

Médicaments

Warfarin: strong interaction

Alfalfa contains vitamin K, which can reduce the anticoagulant effect of warfarin.

Antidiabetic: moderate interaction

Research in animals suggests that Alfalfa decreases blood sugar levels. Furthermore, a human case report suggests it may cause hypoglycemia in some diabetic patients. This effect appears to be due to relatively high concentrations of manganese in Alfalfa. Theoretically, Alfalfa may have additive effects when used with antidiabetic medications.

Immunosuppressant: moderate interaction

Alfalfa might stimulate immune responses. Theoretically, it can interfere with immunosuppressant treatment.

Estrogens: moderate interaction

Large doses of Alfalfa may interfere with hormone therapy due to its estrogenic effects.


Precautions

Type 2 Diabetes: use with caution

Alfalfa has been associated with decreased blood sugar levels in animal studies.

Pregnant women: avoid

Alfalfa has potential estrogenic effects. It is advised not to consume therapeutically by pregnant and breastfeeding women.

Breastfeeding women: avoid

Alfalfa has potential estrogenic effects. It is advised not to consume therapeutically by pregnant and breastfeeding women.


Contraindications

Autoimmune Diseases: prohibited

Preliminary evidence suggests that Alfalfa can have immunostimulating effects. Theoretically, lucerne can exacerbate autoimmune diseases by stimulating disease activity. A reactivation of disseminated lupus erythematosus was observed after prolonged use of Alfalfa seed-based products.

Hormone-sensitive Disease: prohibited

Alfalfa appears to have estrogenic effects. Women with hormone-sensitive conditions should avoid consuming it. Some of these conditions include breast, uterine, and ovarian cancers, as well as endometriosis and uterine fibroids.

Systemic Lupus Erythematosus: prohibited

Long-term use of Alfalfa-based products may reactivate the disease. There are case reports of patients experiencing disease flares after taking Alfalfa seed-based products for an extended period.