Spirulina: Benefits, Dosage, Contraindications

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The group of cyanobacteria, formerly known as blue-green algae, is among one of the oldest life forms on Earth and constitutes the majority of bacteria capable of photosynthesis with oxygen production. Among them exists the genus Spirulina or Arthrospira, filamentous cyanobacteria that include a particularly interesting bacterium known as Spirulina platensis (or Arthrospira platensis), more commonly known as Spirulina. Unlike many other algae, spirulina naturally develops in alkaline lakes rich in mineral salts found in warm and sunny regions. Usually blue-green in color, spirulina has a sweet taste because its proteins convert into polysaccharide sugars under the effect of heat. In general, spirulina is composed of 70% proteins, 20% carbohydrates, 5% lipids, 7% minerals, and 3 to 6% water. This composition is very complete and varied, with an excellent protein intake, a good distribution of lipids, carbohydrates, vitamins, minerals, and trace elements. Apart from these proven nutritional properties, spirulina is experiencing renewed interest from the international scientific community today due to its potential usage as a source of therapeutically valued products. Indeed, the potential of this micro-algae seems significant, primarily thanks to its main pigment, phycocyanin, which gives this organism its characteristic blue-green color.
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Other name(s) 

Arthrospira

Scientific name(s)

Spirulina platensis

Family or group: 

Super Food, Aquatic Organisms

Active ingredients:

Phycocyanin

Zeaxanthin

Beta-carotene

Chlorophyll

Vitamin B12

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.


High blood pressure
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Although evidence is still insufficient, spirulina appears to significantly lower blood pressure in hypertensive adults after taking 4.5 g of spirulina for 4 weeks: the number of volunteers with high blood pressure decreases from 45% to 14%. The higher the initial blood pressure at the beginning of the study, the more significant the reduction in blood pressure numbers. Another trial shows taking 2 g of spirulina daily for 12 weeks reduces systolic blood pressure by 7 mmHg and diastolic blood pressure by 6 mmHg compared to placebo in adults with hypertension.

Posologie

posologieOrally

posologie2 - 4.5 g

duration6 - weeks

formulationpowder


Hypercholesterolemia
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Spirulina improves the lipid profile of healthy or dyslipidemic adults without side effects unlike the hepatic and myalgic effects of statins. If the reduction in LDL and cholesterol is always significant compared to a placebo group, it represents a reduction in cholesterol between 9 and 33%, LDL between 9 and 45%, and an increase in HDL between 4.2 and 15%. The doses used in these studies varied from 1 to 10 g per day for 4 weeks to 6 months.

Posologie

posologieOrally

posologie1 - 10 g

duration4 - weeks

formulationpowder


Sports performance
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The studies measuring the effects of spirulina on sports performance (endurance, strength, speed...) are still very heterogeneous, but a positive effect emerges from the studies, after 8 weeks of spirulina consumption. A preliminary clinical study shows that oral intake of 2 g of spirulina three times a day for 4 weeks increases the sprint time to exhaustion in male amateur runners. Spirulina seems to enhance exercise performance, fat oxidation, glutathione concentration and attenuate lipid peroxidation due to physical activity, though the mechanisms remain to be studied.

Posologie

posologieOrally

posologie3 - 7.5 g

duration4 - weeks

formulationpowder


Oxidative stress
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Supplementation with 8 g of spirulina per day for 12 weeks significantly reduced plasma levels of malondialdehyde, a biomarker of oxidative stress, in diabetic patients. Similarly, healthy elderly Korean subjects who consumed 8 g per day of spirulina for 16 weeks showed a decrease in lipid peroxidation level, while total antioxidant status and levels of antioxidant enzymes, such as SOD and GPx, were elevated in the plasma, indicating that spirulina supplementation may have improved antioxidant status in human subjects. This effect has been associated with the C-Phycocyanin component. Furthermore, phycocyanin prevented DNA damage and scavenged hydroxyl and peroxyl radicals, thus inhibiting oxidative hemolysis.

Posologie

posologieOrally

posologie2 - 8 g

formulationpowder


Type 2 diabetes
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Spirulina seems to reduce fasting blood sugar levels and glycated hemoglobin rate. Although results are not always positive, spirulina could be used by anyone wanting to regulate blood sugar naturally, especially when hyperglycemia is newly diagnosed and hygienic dietary rules are recommended.

Posologie

posologieOrally

posologie2 g

duration2 - months

formulationpowder


Liver steatosis
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Non-alcoholic fatty liver disease is due to an increase in intracellular lipids in the liver, and an increase in free fatty acids that lead to oxidative stress. To demonstrate its effect on liver steatosis, spirulina was tested on rats, where a reduction in oxidative stress and inhibition of hepatic lipogenesis were observed. In vivo, a dose of 4.5 g of spirulina was used for 3 months.

Posologie

posologieOrally

posologie4.5 g

duration3 - months

formulationpowder


Detoxification
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It very effectively reduces the toxicity of chemicals (heavy metals, drugs). Clinical research shows that taking a combination of 250 mg of spirulina and 2 mg of zinc orally twice a day for 16 weeks increases urinary excretion of arsenic and reduces the risk of chronic arsenic toxicity compared to placebo.

Posologie

posologieOrally

posologie500 mg

duration16 - weeks

formulationpowder


Synergies


Anemia
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Spirulina can improve anemia and immunosenescence in elderly subjects. Spirulina, either by activating erythropoiesis or by providing vitamin B12 and B9 and iron, can correct anemia. A dose of 3 g of spirulina per day for 12 weeks was used in elderly individuals with a history of anemia. During the study period, there was a regular increase in average hemoglobin values. Similarly, the majority of subjects showed an increase in white blood cell count at 6 and 12 weeks of spirulina supplementation.

Posologie

posologieOrally

posologie3 g

formulationpowder


Liver disorders
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The hepatoprotective effect of phycocyanin, a component of spirulina, is mainly possible due to its free radical trapping capacity and inhibition of lipid peroxidation. These different properties help reduce enzyme losses in the liver and consequently protect it from potential cell lysis.

Posologie

posologieOrally

posologie2 g

formulationpowder


Immune Support
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Related to its immunostimulant effects. In a study conducted on elderly Korean subjects, spirulina supplementation of 8 g per day for 16 weeks resulted in a significant increase in plasma concentration of interleukin (IL) -2 and a significant reduction in IL-6 concentration, compared to subjects taking the placebo.

Posologie

posologieOrally

posologie8 g

duration16 - weeks

formulationpowder


Cognitive Performance
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Spirulina shows promising effects on cognition. In patients aged 60 years or older with mild cognitive impairment, taking 1 g three times per day for 12 weeks slightly improved visual learning, memory, and vocabulary. Another study indicates that a dose of 3 g per day for 8 weeks improves performance during a mental fatigue test and alertness in healthy men. Finally, a combination of spirulina and other plants (ashwagandha, centella, bacopa, lemon balm) administered three times a day for 4 months improved ADHD scores in children aged 6 to 12 years.

Posologie

posologieOrally

posologie3 g

duration12 - weeks

formulationpowder


Synergies


Properties


Anti-inflammatory

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The anti-inflammatory properties of phycocyanin have been widely demonstrated. In vitro, the mechanism of action seems similar to that of coxibs, anti-inflammatory drugs directly targeting cyclooxygenase-2 (an enzyme responsible for inflammatory states). Phycocyanin also has antioxidant properties, which may play a role in inhibiting inflammatory reactions. In fact, some inflammatory tissue damage is mediated by reactive oxygen species, such as hydroxyl radicals, superoxides, or hydrogen peroxide, which form at the site of inflammation and contribute to tissue damage in various acute and chronic inflammatory diseases. Thus, the anti-inflammatory activity of phycocyanin results from a combination of non-enzymatic actions through its antioxidant properties and enzymatic actions by selectively inhibiting cyclooxygenase-2 (COX-2). This specific action on COX-2 allows phycocyanin to treat inflammation without causing the side effects associated with common non-steroidal anti-inflammatory drugs. However, the results observed in vitro on COX-2 will need to be confirmed in vivo to evaluate the actual effectiveness of phycocyanin on inflammatory mechanisms.

Usages associés

Flu

Immunomodulator

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It is accepted that pathogenic micro-organisms (bacteria, viruses, or parasites) are recognized by immune cell receptors via their fatty acid-composed lipid part. However, the study of spirulina's composition has revealed the presence of glycolipids such as palmitic acid, linoleic acid, and linolenic acid. Therefore, it is possible that spirulina interacts with immune cells thanks to the glycolipids it contains. In vitro, an aqueous extract of spirulina has shown that it can modulate the secretion of cytokines (interleukin IL-1β, IL-4, and gamma interferon) from human peripheral blood mononuclear cells stimulated with phytohemagglutinin (PHA). Spirulina has also enabled the induction of IL-12 production secreted by myeloid cells (monocytes). Spirulina would first act on monocytes by stimulating IL-12 production, which in turn would lead to the activation of gamma interferon production by natural killer cells. Furthermore, studies on rats have shown that spirulina and its components, such as phycocyanin, could affect immune functions by stimulating the proliferation or differentiation of immune cells in lymphoid organs.

Usages associés

Immune Boost

Antioxidant

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Phycocyanin appears to be the main component responsible for the antioxidant activity of spirulina. Its chemical structure is very similar to that of bilirubin, a degradation product of hemoglobin recognized for its role as an important physiological antioxidant against reactive oxygen species. Research has compared the antioxidant capacity of phycocyanin to that of trolox, a soluble vitamin E analog, demonstrating significant activity on alkoxyl radicals. Additionally, studies show that phycocyanin possesses antioxidant activity against peroxyl radicals, comparable to that of uric acid, a specific antioxidant of peroxyl radicals. Phycocyanin, whether natural or reduced, also shows protective action against lipid peroxidation, a process involved in various pathologies related to oxidative stress or chemical toxicity.

Usages associés

Sports Performance, Oxidative Stress

Hypotensive

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Spirulina contains a peptide, SP6, which promotes artery dilation and reduces blood pressure. In vitro studies show that C-phycocyanin decreases blood pressure in several ways: by acting as an antagonist of angiotensin II receptors, by increasing the bio-efficacy of nitric oxide (NO), a vasorelaxant substance, and by blocking NADPH oxidase, an enzyme involved in angiotensin II synthesis.

Usages associés

High Blood Pressure

Hepatoprotective

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Phycocyanin, a component of spirulina, exerts a notable hepatoprotective effect. Thanks to its antioxidant power, it traps free radicals and inhibits lipid peroxidation. These properties reduce enzymatic losses in the liver, thus protecting liver cells from lysis and preserving liver health.

Usages associés

Fatty Liver, Liver Disorders

Hypolipidemic

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C-Phycocyanin, a compound of spirulina, inhibits cholesterol absorption at the jejunum and the reabsorption of bile acids at the ileum. It also inhibits the activity of pancreatic lipase, an essential enzyme for fat digestion. Additionally, spirulina plays a key role in preventing lipid peroxidation, a damaging oxidative process. It also stimulates the activity of antioxidant enzymes such as superoxide dismutase and GSH peroxidase, which are crucial for eliminating free radicals. These combined actions contribute to better lipid metabolism and protection against oxidative stress.

Usages associés

Hypercholesterolemia

Chelator

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Heavy metals are difficult to absorb and eliminate by the body. The process of chelation, where complexes are formed with metals to facilitate their elimination, is often insufficient, leading to the accumulation of these toxins. Spirulina is recognized as an effective natural chelator of heavy metals such as arsenic, cadmium, mercury, and lead, mainly through its active components: phycocyanin, β-carotene, and flavonoids. These components facilitate the chelation of heavy metals and reduce liver inflammation, promoting the elimination of toxins, xenobiotics, as well as alcohol and tobacco residues. Several studies have highlighted the role of spirulina in the detoxification of heavy metals, notably arsenic and cadmium.

Usages associés

Detoxification

Anticancer

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Spirulina shows promising potential in cancer prevention. Studies have shown that phycocyanin, a component of spirulina, can activate apoptosis in different cancer cell lines. It acts by inhibiting cyclooxygenase 2 (Cox-2), interfering with the arachidonic acid cascade, and promoting the release of cytochrome c, the cleavage of PARP (Poly ADP-Ribose Polymerase), and the regulation of Bcl-2 family proteins, which are essential in apoptotic regulation. Additionally, spirulina polysaccharides increase the activity of endonucleases, DNA damage repair enzymes, thus contributing to cancer prevention.


Antiviral

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An in vitro study showed that calcium spirulan, a polysaccharide from spirulina, inhibits the replication of several enveloped viruses, including herpes simplex virus type 1, human cytomegalovirus, measles and mumps virus, influenza A virus, and HIV-1. The study indicates that pretreatment 3 hours before infection is more effective than treatment immediately after infection. This suggests that the polysaccharide acts at an early stage of viral replication, either during the adsorption or penetration phase. Thus, the antiviral action of calcium spirulan is primarily preventive. The ingestion of spirulina, and therefore of calcium spirulan, in case of possible contamination, could reduce the risk of infection and thus prevent the disease.


Hypoglycemic

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The effect of spirulina on carbohydrate profile, fasting and postprandial blood sugar is mixed. Spirulina seems to improve glycemic control in the short term (fasting and postprandial blood sugar) and long term (HbA1c) and improve the lipid profile in diabetic patients. The mechanisms for lowering blood sugar levels remain unknown.

Usages associés

Type 2 diabetes

Metabolic

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Some clinical studies show slight reductions in body weight for obese or overweight individuals taking spirulina. Additionally, clinical research indicates spirulina might help reduce body fat mass in athletes losing weight for competitions. However, the exact mechanism of action remains unclear.

Usages associés

Obesity


Safety dosage

Adult from 18 year(s): 1 g - 3 g

The appropriate dose depends on the age, use, and health status of the individual. There is not enough data to determine an optimal and universal dose, although most studies are based on a consumption of 1 to 3 g per day. This dosage may be increased from 3 to 10 g/day in cases of proven deficiency.


Interactions

Médicaments

Immunosuppressant: moderate interaction

Spirulina has immunostimulant effects. Theoretically, spirulina supplementation in combination with immunosuppressive treatment reduces the effectiveness of the treatment.

Antiplatelet/Anticoagulant: moderate interaction

Spirulina has anticoagulant effects. Theoretically, spirulina supplementation in combination with anticoagulant treatment increases the risk of bleeding.


Precautions

Child: use with caution

Spirulina algae can accumulate heavy metals such as lead or mercury. They also contain toxic microcystins, and children are more sensitive than adults to microcystin poisoning.

Nursing woman: avoid

There is not enough information on the safety of taking spirulina for nursing women, it is more prudent to avoid taking it.

Pregnant woman: avoid

There is not enough information on the safety of taking spirulina for pregnant women, it is more prudent to avoid taking it.

Gout: use with caution

Spirulina has a high content of nucleic acids (DNA and RNA), which when degraded produce uric acid that can precipitate as calcium oxalate crystals depositing in joints, triggering gout attacks or forming kidney stones.


Contraindications

Autoimmune diseases: prohibited

Spirulina activates the immune system which could worsen autoimmune diseases.