Black garlic: benefits, dosage, contraindications

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Black garlic is a form of aged garlic obtained from fresh garlic by applying high, constant temperature and humidity for several days (more than 10 days). The pale yellow color of raw garlic turns to dark brown and eventually to black during this process called the "Maillard reaction". The aging process alters its nutrient content as well as its functional activity.nnThe beneficial effects of aged black garlic are attributed to a high concentration of sulfur-containing 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 of aged black garlic is also higher than that of fresh garlic. These characteristics give aged black garlic a remarkable antioxidant potential.nnThanks to its unique composition, aged black garlic can improve various indicators related to cardiovascular function such as blood pressure, blood cholesterol levels, atherosclerosis and blood glucose.nn

Scientific name(s)

Allium sativum

Family or group: 

Superfood

Active ingredients:

S-allylcysteine

S-allylmercaptocysteine


Indications

Scoring methodology

EFSA approval.

Several randomized, double-blind, controlled clinical trials (> 2), including a significant number of patients (>100), with consistently positive conclusions for the indication.
Several randomized, double-blind, controlled clinical trials (> 2), including a significant number of patients (>100), with positive conclusions for the indication.
One or more randomized studies, or several cohorts or epidemiological studies, with positive conclusions for the indication.
Clinical studies exist but are uncontrolled, with conclusions that may be positive or conflicting.
No clinical studies to date that can demonstrate the indication.


Hypercholesterolemia
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A recent meta-analysis suggests that garlic-based preparations reduce total cholesterol and LDL cholesterol compared with placebo in hyperlipidemic patients.nnAnalyses from that 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-based preparations.nnAnother clinical study conducted in moderately hypercholesterolemic subjects showed that consumption of 250 mg of aged black garlic extract containing 1.25 mg of S-allyl-L-cysteine (SAC) for 6 weeks significantly decreased diastolic blood pressure.nn

Posologie

posologieBy mouth: bulb

posologie250 - 7200 mg

duration6 - weeks

formulationaged garlic extract


High blood pressure
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Daily administration of aged black garlic extract standardized for S-allyl-L-cysteine (SAC) produces favorable changes in cardiovascular disease risk factors in subjects with moderate hypercholesterolemia, particularly the modulation of blood pressure. Some garlic formulations evaluated for hypertension include an aged garlic extract at 960 mg to 7.2 g per day in three divided doses for 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 attenuate age-related increases in aortic stiffness, which may improve vaso-elasticity and protect against cardiovascular diseases. A well-designed, double-blind randomized controlled trial of 65 intermediate-risk patients taking statins and with 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 per day for 1 year. The supplement group achieved significantly favorable changes in oxidative biomarkers, vascular factors, and a reduction in atherosclerosis progression. The results of another randomized controlled trial again showed that coronary artery calcification could be significantly reduced with aged garlic (1200 mg/day), this time used together with coenzyme Q10 (120 mg/day) for 1 year.

Posologie

posologieOral: bulb

posologie250 - 1200 mg

duration12 - months

formulationaged garlic extract


Synergies


Properties


Antioxidant

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Aged black garlic has antioxidant activity greater than raw garlic. It can scavenge free radicals and nitrites. The antioxidant activity of black garlic is comparable to that of N-acetyl-L-cysteine (NAC), another supplement that can increase the body's antioxidant capacity.nn


Hypolipidemic

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In a study in rats with diet-induced metabolic syndrome, 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-containing compounds — such as S-allylcysteine (SAC) and S-allylmercaptocysteine — than raw garlic. These compounds are responsible for its beneficial effects on cardiovascular health, notably cholesterol, blood pressure, homocysteine, and platelet aggregation and adhesion...

Usages associés

Hypercholesterolemia

Anticancer

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Preliminary data suggest that aged black garlic and its sulfur-containing compounds exert an anticancer effect through multiple mechanisms. Black garlic inhibits cell proliferation and induces death of human gastric cancer cells. In addition, black garlic extracts are effective against several human cancer cell lines: lung cancer, liver cancer, and breast cancer. S-allyl mercaptocysteine (a major component of black garlic) has been shown to be active against erythroleukemic cancer cells (a type of leukemia), breast cancer cells, 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 through activation of the endothelium-derived relaxing factor (EDRF). It has been suggested that allicin is the garlic component responsible for the vasodilatory effects, which are mediated by nitric oxide. Garlic may also mitigate age-related increases in aortic stiffness, which can improve vasoelasticity and protect against cardiovascular diseases.

Usages associés

High blood pressure, atherosclerosis

Metabolic

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Research in animals has found that sulfur compounds in garlic were responsible for increased thermogenesis. These compounds promote thermogenesis by increasing norepinephrine secretion and by reducing body fat accumulation. Preliminary clinical research suggests that certain sulfur-containing 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

Hepatoprotective

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Aged black garlic has a hepatoprotective effect on liver injury, 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, as well as against the toxic effects of certain drugs. Black garlic is an interesting food for preventing oxidative stress and cholesterol-related liver disorders.


Neurological

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Aged garlic extracts have neuroprotective effects. Indeed, they may improve cognitive dysfunction thanks to their antioxidant effects. nnA number of in vivo studies have been conducted on black garlic and its sulfur-containing compounds as potential agents against neurodegeneration. nnIn a preliminary study, treatment with an aged garlic extract (2% S-allylcysteine) reduced brain plaques, inflammation, and led to positive changes in Alzheimer's disease markers.nn


Safe dosage

Adults 18 years and older: 250 mg - 1000 mg

In research, a 240 mg 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/Anticoagulants: moderate interaction

Aged black garlic has antiplatelet activity and may increase bleeding time.

Antihypertensives: moderate interaction

Combining black garlic with other antihypertensive agents may have additional hypotensive effects. It is advisable to consult a physician before using black garlic together with blood pressure medications.


Precautions

Breastfeeding: use with caution

Consumption of black garlic, particularly extracts at therapeutic doses, is not recommended for breastfeeding women.

Pregnancy: use with caution

It is not advised to consume it in medicinal quantities. Black garlic has abortifacient activity.

Surgery: avoid

Black garlic should be stopped 7 days before a scheduled operation, as it may increase postoperative bleeding.

Coagulation disorder: avoid

Black garlic may increase the risk of bleeding.