Spirulina: benefits, dosage, contraindications

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The group of cyanobacteria, formerly called blue-green algae, is among the oldest forms of life on Earth and constitutes the bulk of bacteria capable of photosynthesis with oxygen production. Among them is the genus Spirulina or Arthrospira, filamentous cyanobacteria that include a particularly interesting bacterium called Spirulina platensis (or Arthrospira platensis), better known as spirulina. Unlike many other algae, spirulina naturally grows in alkaline lakes rich in mineral salts in warm, sunny regions. Typically blue-green in color, spirulina has a sweet taste because the proteins are converted into polysaccharide sugars when heated. In general, spirulina is composed of 70% protein, 20% carbohydrates, 5% lipids, 7% minerals and 3 to 6% water. This composition is very complete and varied: it provides an excellent supply of protein and a good balance of lipids, carbohydrates, vitamins, minerals and trace elements. Beyond these proven nutritional properties, spirulina is now experiencing renewed interest from the international scientific community due to its possible use as a source of therapeutic products. Indeed, the potential of this microalga appears to be significant, mainly because of its primary pigment, phycocyanin, which gives this organism its characteristic blue-green color.
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Spirulina
: our comparison (2025)

Other name(s) 

Arthrospira

Scientific name(s)

Spirulina platensis

Family or group: 

Superfood, aquatic organisms

Active ingredients:

Phycocyanin

Zeaxanthin

Beta-carotene

Chlorophyll

Vitamin B12

Vitamin K


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.


High blood pressure
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Although the evidence remains insufficient, spirulina appears to significantly lower blood pressure in hypertensive adults after 4 weeks of taking 4.5 g of spirulina: the proportion of volunteers with high blood pressure decreased from 45% to 14%. The higher the blood pressure at the start of the study, the greater the reduction in blood pressure values. Another trial shows that taking 2 g of spirulina per day for 12 weeks reduced systolic blood pressure by 7 mmHg and diastolic blood pressure by 6 mmHg compared with placebo in adults with hypertension.

Posologie

posologieOral

posologie2 - 4.5 g

duration6 weeks

formulationpowder


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

Posologie

posologieOrally

posologie1 - 10 g

duration4 - weeks

formulationpowder


Sports performance
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Studies measuring the effects of spirulina on athletic performance (endurance, strength, speed...) are still very heterogeneous, but a positive effect emerges from the studies after 8 weeks of spirulina consumption. rnrnA preliminary clinical study shows that oral intake of 2 g of spirulina three times a day for 4 weeks increases sprint time to exhaustion in male recreational runners. Indeed, spirulina appears to increase exercise performance, fat oxidation, glutathione concentration, and attenuate lipid peroxidation caused by physical activity, but the mechanisms remain to be studied.rnrn

Posologie

posologieOral administration

posologie3 - 7.5 g

duration4 - weeks

formulationpowder


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

Posologie

posologieOral

posologie2 - 8 g

formulationpowder


Type 2 diabetes
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Spirulina appears to lower fasting blood glucose and glycated hemoglobin. Although results are not always positive, spirulina could be used by anyone wishing to regulate their blood glucose naturally, when hyperglycemia is newly diagnosed and lifestyle and dietary measures are recommended. rnrn

Posologie

posologieOral

posologie2 g

duration2 months

formulationpowder


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

Posologie

posologieOral administration

posologie4.5 g

duration3 - months

formulationpowder


Detoxification
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It greatly reduces the toxicity of chemical substances (heavy metals, medications). 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 with placebo.

Posologie

posologieOral administration

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 vitamins B12 and B9 and iron, can correct anemia. A dose of 3 g of spirulina per day for 12 weeks was used in elderly people with a history of anemia. During the study period, there was a steady increase in average hemoglobin values. Likewise, the majority of subjects showed an increase in white blood cell counts at 6 and 12 weeks of spirulina supplementation.

Posologie

posologieOral

posologie3 g

formulationpowder


Liver disorders
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The hepatoprotective effect of phycocyanin, a component of spirulina, is mainly due to its ability to scavenge free radicals and to inhibit lipid peroxidation. These properties reduce enzymatic losses in the liver and therefore protect it from possible cell lysis.

Posologie

posologieOral

posologie2 g

formulationpowder


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

Posologie

posologieOral

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 a day for 12 weeks slightly improved visual learning, memory, and vocabulary. rnrnAnother study indicates that a dose of 3 g per day for 8 weeks improves performance on a mental fatigue test and alertness in healthy men. rnrnFinally, 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.rnrn

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 appears similar to that of the coxibs, anti-inflammatory drugs that directly target cyclooxygenase-2 (an enzyme responsible for inflammatory states). Phycocyanin also has antioxidant properties, which may play a role in inhibiting inflammatory reactions. Indeed, 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.rnrnThus, the anti-inflammatory activity of phycocyanin results from a combination of non-enzymatic actions through its antioxidant properties and enzymatic actions through the selective inhibition of cyclooxygenase-2 (COX-2). This specific action on COX-2 enables phycocyanin to address inflammation without causing the side effects associated with common nonsteroidal anti-inflammatory drugs. However, the results observed in vitro regarding COX-2 should be confirmed in vivo to assess the actual efficacy of phycocyanin on inflammatory mechanisms.rnrn

Usages associés

Flu

Immunomodulator

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

Usages associés

Immune support

Antioxidant

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Phycocyanin appears to be the primary component responsible for spirulina's antioxidant activity. Its chemical structure is very similar to that of bilirubin, a breakdown 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 water-soluble analogue of vitamin E, demonstrating significant activity against alkoxyl radicals. Furthermore, studies show that phycocyanin has antioxidant activity against peroxyl radicals, comparable to that of uric acid, a peroxyl-specific antioxidant. Phycocyanin, whether natural or reduced, also shows a protective effect against lipid peroxidation, a process involved in various pathologies related to oxidative stress or chemical toxicity.

Usages associés

Sports performance, Oxidative stress

Antihypertensive

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

Usages associés

Arterial hypertension

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 enzyme loss in the liver, thereby protecting liver cells from lysis and preserving liver health.

Usages associés

Hepatic steatosis, liver disorders

Hypolipidemic

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C-Phycocyanin, a compound of spirulina, inhibits cholesterol absorption in the jejunum and bile acid reabsorption in the ileum. It also inhibits pancreatic lipase activity, an enzyme essential for fat digestion. In addition, spirulina plays a key role in preventing lipid peroxidation, a harmful 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 improved lipid metabolism and protection against oxidative stress.

Usages associés

Hypercholesterolemia

Chelator

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Heavy metals are difficult for the body to absorb and eliminate. The chelation process, in which 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 thanks to its active components: phycocyanin, β-carotene and flavonoids. These compounds facilitate the chelation of heavy metals and reduce liver inflammation, which promotes the elimination of toxins, xenobiotics, as well as residues of alcohol and tobacco. Several studies have highlighted spirulina's role 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 various cancer cell lines. It acts by inhibiting cyclooxygenase-2 (Cox-2), interfering with the arachidonic acid cascade, and promoting the release of cytochrome c, PARP (poly ADP-ribose polymerase) cleavage, and the regulation of Bcl-2 family proteins, which are essential in the regulation of apoptosis. rnrnIn addition, spirulina polysaccharides increase endonuclease activity, DNA damage-repairing enzymes, thereby contributing to cancer prevention.rnrn


Antiviral

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An in vitro study showed that calcium-spirulan, a spirulina polysaccharide, inhibits the replication of several enveloped viruses, including herpes simplex virus type 1, human cytomegalovirus, measles and mumps viruses, 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. rnrnThus, the antiviral action of calcium-spirulan is mainly preventive. Ingesting spirulina, and therefore calcium-spirulan, in case of possible exposure could reduce the risk of infection and thus prevent disease.rnrn


Hypoglycemic

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The effect of spirulina on the glycemic profile, fasting and postprandial blood glucose is mixed. Spirulina appears to improve short-term (fasting and postprandial blood glucose) and long-term (HbA1c) glycemic control and improve the lipid profile in diabetic patients. The mechanisms behind the reduction in blood glucose remain unknown.

Usages associés

Type 2 diabetes

Metabolic

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Some clinical studies show slight reductions in body weight in obese or overweight individuals taking spirulina. In addition, clinical research indicates that spirulina may help reduce fat mass in athletes who lose weight for competitions. However, the exact mechanism of action remains unclear.

Usages associés

Obesity


Safe dosage

Adults 18 years and older: 1 g - 3 g

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


Interactions

Médicaments

Immunosuppressant: moderate interaction

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

Antiplatelet agents/Anticoagulants: moderate interaction

Spirulina has anticoagulant effects. Theoretically, supplementation with spirulina in combination with an 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 poisoning by microcystins.

Breastfeeding women: avoid

There is not enough information on the safety of taking spirulina by breastfeeding women; it is more prudent to avoid taking it.

Pregnant women: avoid

There is not enough information on the safety of taking spirulina by 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 the joints, triggering gout attacks or creating kidney stones.


Contraindications

Autoimmune diseases: contraindicated

Spirulina stimulates the immune system, which could worsen autoimmune diseases.