Glucomannan: Benefits, Dosage, Contraindications

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Glucomannan is a high-molecular-weight polysaccharide and an indigestible soluble fiber, primarily extracted from the tubers of the konjac plant. Although other plant sources can also be utilized, konjac remains the most common source. This compound has the remarkable ability to absorb up to 100 times its weight in water, making it very effective as an emulsifier and thickener in the food industry. Glucomannan is composed of D-glucose and D-mannose units linked by beta-glycosidic bonds. It is distinguished by its high soluble fiber content, surpassing other dietary fibers like wheat bran, psyllium, or nopal. In medicine, glucomannan is recognized for its potential benefits on gastrointestinal and metabolic health. It can slow the absorption of glucose and cholesterol in the intestine, thereby helping to control glucose levels in diabetic individuals and reduce cholesterol levels. Glucomannan is commonly used to treat obesity, although scientific evidence supporting most of these uses is not yet solid.

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Phytosubstances


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.


Constipation
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Glucomannan is generally effective for treating constipation in adults. Clinical research shows that an oral intake of 1 to 1.5 g of glucomannan three times a day for 3 to 5 weeks may relieve constipation. It acts as a bulk-forming laxative by increasing stool volume. In pregnant women, the combination of glucomannan and lactulose also seems effective in alleviating constipation.

Posologie

posologieOral

posologie1 - 1.5 g


Type 2 Diabetes
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Limited research suggests that glucomannan may improve glycemic control and lipid profiles in type 2 diabetic patients. The usual dose ranges from 3 to 15 g per day over 4 to 12 weeks, showing modest improvement in fasting glucose, total cholesterol, and LDL, but without significant impact on triglycerides.

Posologie

posologieOral

posologie3 - 15 g


Dyslipidemia
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The majority of clinical research indicates that glucomannan can lower cholesterol levels in both healthy individuals as well as those with hyperlipidemia. Meta-analyses show that taking 2.5 to 15 g of glucomannan per day for up to 12 weeks can significantly reduce total cholesterol, LDL, and triglycerides. Glucomannan is often taken at doses of 5 to 10 g per day in adults and 2 to 3 grams per day in children.

Posologie

posologieOral

posologie5 - 10 g


Obesity
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Although some low-quality research indicates that oral glucomannan may be beneficial for slight improvements in body weight, other studies do not support this claim. Meta-analyses on the use of glucomannan to improve weight and body composition in overweight or obese adults and children show mixed results. One analysis suggests that glucomannan reduces body weight by about 0.8 kg compared to placebo, while another finds no improvement. Reasons for these divergent results may be related to differences in study populations, dosages, and length of treatment, as well as often poor methodological quality of studies conducted so far.

Posologie

posologieOral

posologie2 - 4 g


Properties


Cardiovascular

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Glucomannan may improve glycemic control by slowing gastric emptying and increasing the viscosity of gastrointestinal contents, positively impacting blood glucose levels. Furthermore, glucomannan promotes the fecal excretion of cholesterol and bile acids and inhibits hepatic cholesterol synthesis. Clinical evidence also suggests that glucomannan can reduce triglycerides by increasing levels of lipoprotein lipase (LPL) and GPIHBP1 protein, which work jointly to hydrolyze triglycerides and deliver lipid nutrients to target tissues.

Usages associés

Type 2 Diabetes, Dyslipidemia

Laxative

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Glucomannan, a water-soluble carbohydrate, acts as a laxative by increasing water absorption by the stool and reducing intestinal transit time. Clinical studies have shown its effectiveness in treating constipation.


Safety dosage

Adult: 3 g - 10 g

Glucomannan is commonly used in doses of 3 to 10 grams per day, in a single intake or divided doses, for up to 3 months. Caution: It's important to drink plenty of water. Cases of choking and esophageal or gastrointestinal obstruction have been reported when glucomannan products are taken dry.

Child: 2 g - 5 g

In children, glucomannan has been used in doses of 2 to 5 g per day, in a single intake or divided doses, for up to 4 months. Caution: It's important to drink plenty of water. Cases of choking and esophageal or gastrointestinal obstruction have been reported when glucomannan products are taken dry.


Interactions

Médicaments

Oral medications: moderate interaction

Glucomannan can reduce the absorption of certain medications due to the viscosity and swelling effect of glucomannan. To avoid changes in absorption, it is recommended to take glucomannan 30 to 60 minutes after taking oral medications.