Black garlic: benefits, dosage, contraindications
Scientific name(s)
Allium sativum
Family or group:
Superfood
Active ingredients:
S-allylcysteine
S-allylmercaptocysteine
Indications
Scoring methodology
EFSA approval.
Hypercholesterolemia ✪✪✪✪✪
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
A Randomized Controlled Trial of a Herbal Compound for Improving Metabolic Parameters in Diabetic Patients with Uncontrolled Dyslipidemia
Reduction of blood lipid parameters by a 12-wk supplementation of aged black garlic: A randomized controlled trial
Effects of an Optimized Aged Garlic Extract on Cardiovascular Disease Risk Factors in Moderate Hypercholesterolemic Subjects: A Randomized, Crossover, Double-Blind, Sustainedand Controlled Study
Reduction of blood lipid parameters by a 12-wk supplementation of aged black garlic: A randomized controlled trial
Effect of garlic on serum lipids: an updated meta-analysis.
Effect of garlic extract on markers of lipid metabolism and inflammation in coronary artery disease (CAD) patients: A systematic review and meta-analysis
Type 2 diabetes ✪✪✪✪✪
Black garlic has a beneficial effect on blood glucose. A pooled analysis of results from several clinical trials conducted in adults with type 2 diabetes shows that daily intake of aged garlic extract at a dose of 1 g reduces fasting blood glucose by about compared with the control group. The benefit is even greater in patients with baseline hyperglycemia, for consumption of at least 12 weeks.
Posologie
Aged garlic extract reduces left ventricular myocardial mass in patients with diabetes: A prospective randomized controlled double-blind study
A Randomized Controlled Trial of a Herbal Compound for Improving Metabolic Parameters in Diabetic Patients with Uncontrolled Dyslipidemia
The effect of aged garlic extract on the atherosclerotic process - a randomized double-blind placebo-controlled trial
Effects of an Optimized Aged Garlic Extract on Cardiovascular Disease Risk Factors in Moderate Hypercholesterolemic Subjects: A Randomized, Crossover, Double-Blind, Sustainedand Controlled Study
Reduction of blood lipid parameters by a 12-wk supplementation of aged black garlic: A randomized controlled trial
High blood pressure ✪✪✪✪✪
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
Aged garlic extract reduces blood pressure in hypertensives: a dose-response trial.
Effects of an Optimized Aged Garlic Extract on Cardiovascular Disease Risk Factors in Moderate Hypercholesterolemic Subjects: A Randomized, Crossover, Double-Blind, Sustained and Controlled Study
Effect of garlic extract on markers of lipid metabolism and inflammation in coronary artery disease (CAD) patients: A systematic review and meta-analysis
Antihypertensive Effects of an Optimized Aged Garlic Extract in Subjects with Grade I Hypertension and Antihypertensive Drug Therapy: A Randomized, Triple-Blind Controlled Trial
Atherosclerosis ✪✪✪✪✪
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
Synergies
Aged garlic extract supplemented with B vitamins, folic acid and L-arginine retards the progression of subclinical atherosclerosis: a randomized clinical trial
The effect of aged garlic extract on the atherosclerotic process - a randomized double-blind placebo-controlled trial
Effect of garlic extract on markers of lipid metabolism and inflammation in coronary artery disease (CAD) patients: A systematic review and meta-analysis
Rahman K, Billington D. Dietary supplementation with aged garlic extract inhibits ADP-induced platelet aggregation in humans. J Nutr. 2000;130(11):2662-2665. Full text: jn.nutrition.org
Properties
Antioxidant




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




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
Effects of an Optimized Aged Garlic Extract on Cardiovascular Disease Risk Factors in Moderate Hypercholesterolemic Subjects: A Randomized, Crossover, Double-Blind, Sustainedand Controlled Study
Beneficial Effects of an Aged Black Garlic Extract in the Metabolic and Vascular Alterations Induced by a High Fat/Sucrose Diet in Male Rats
Anticancer




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




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
Metabolic




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
Hepatoprotective




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




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.
By mouth: bulb
250 - 7200 mg
6 - weeks
aged garlic extract
