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 used, 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.nnGlucomannan is composed of units of D-glucose and D-mannose linked by beta-glycosidic bonds. It is distinguished by its high soluble fiber content, surpassing other dietary fibers such as wheat bran, psyllium, or nopal.nnIn 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 people with diabetes and reducing cholesterol levels. Glucomannan is commonly used to treat obesity, although the scientific evidence supporting most of these uses is not yet strong.

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Phytochemicals


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.


Constipation
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Glucomannan is generally effective in 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 can relieve constipation. It acts as a bulk-forming laxative by increasing stool volume. In pregnant women, the combination of glucomannan and lactulose also appears to be effective in alleviating constipation.

Posologie

posologieOral administration

posologie1 - 1.5 g


Type 2 diabetes
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Limited evidence suggests that glucomannan may improve glycemic control and lipid profiles in patients with type 2 diabetes. The usual dose ranges from 3 to 15 g per day for 4 to 12 weeks, showing a modest improvement in fasting glucose, total cholesterol, and LDL, but with no 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 healthy individuals as well as in 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 suggests that oral glucomannan may be beneficial for a slight improvement 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 with placebo, while another observes no improvement. The reasons for these divergent results may be related to differences in the populations studied, dosages and treatment duration, as well as the often poor methodological quality of studies conducted to date.

Posologie

posologieOral

posologie2 - 4 g


Properties


Cardiovascular

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Glucomannan could improve glycemic control by slowing gastric emptying and increasing the viscosity of gastrointestinal contents, which has a positive impact on blood glucose levels. Furthermore, glucomannan promotes fecal excretion of cholesterol and bile acids and inhibits hepatic cholesterol synthesis. Clinical evidence also suggests that glucomannan may reduce triglycerides by increasing levels of lipoprotein lipase (LPL) and GPIHBP1 protein, which work together 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 into the stool and reducing intestinal transit time. Clinical studies have shown its effectiveness in the treatment of constipation.


Safe dosage

Adult: 3 g - 10 g

Glucomannan is commonly used at doses of 3 to 10 grams per day, taken as a single dose or in divided doses, for a duration of up to 3 months. Warning: 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 at doses of 2 to 5 g per day, taken as a single dose or in divided doses, for periods of up to 4 months. Caution: drink plenty of water. Cases of choking and esophageal or gastrointestinal obstruction have been reported when glucomannan-containing products are taken dry.


Interactions

Médicaments

Oral medications: moderate interaction

Glucomannan may 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.