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Supplement evidence

038 / 575Botanical

Garlic extract

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The short answer

Some preparations produce small reductions in blood pressure or LDL cholesterol.

Evidence and scope
Mixed evidence

This status does not grade the ingredient for every goal, outcome, or person.

Important limitation
Small risk-factor changes do not establish cardiovascular-event or lifespan benefits.
Before deciding
Can increase bleeding and interact with anticoagulants and some medicines.

01 / PRACTICAL GUIDE

Dose, absorption, and combinations

These are indication-specific reference or studied ranges—not a personalized prescription. Start with the objective, then check the form, label, medicines, and health conditions.

Reference range by objective
Blood pressureProduct-specific; aged extracts often provide 600–1,200 mg/day in trials

Reference or studied range—not a personalized prescription. The product label or a clinician may specify a different dose.

Dose source

More is not automatically better. A clinician or product label may specify a different amount.

Absorption / solubilityFormulation-dependent

Not usefully classified as a fat- or water-soluble vitamin; absorption depends on the salt, extract, delivery system, and meal.

How it is commonly taken

Take with food if it causes GI symptoms.

Do not combine casually

Bleeding risk, anticoagulants, surgery, HIV medicines, and product standardization matter.

Dose and use source

Dose and use links lead to primary or official source material. Search links are discovery tools, not proof that every returned paper applies.

02 / EVIDENCE

What the research says

We keep supportive, mixed, negative, safety, and contextual findings together. The headline never replaces the underlying papers.

4research papers in this ledger
19unique primary studies represented
unique participants represented

These are audited counts for this JIVANA collection, not search-result totals. Participants are counted once when multiple papers use the same cohort; review papers are not added again to participant totals.

Open the research timelineResearch timeline

Entries are ordered by publication year. A study period appears only when the source reports it.

2026
Evidence contextPMID 42527229

Retraction notice for a 2024 aged-garlic blood-pressure meta-analysis

The publisher retracted the 2024 synthesis on July 29, 2026. JIVANA excludes it from efficacy conclusions and study or participant totals.

Study design and methods
Design
Publisher retraction notice
Population
Not applicable; publication-status record
Intervention
The formerly cited 2024 systematic review and meta-analysis
Outcome
Retraction status
Open research record
2025
Mixed or qualifiedPMID 40628369

The Effect of Aged Garlic Supplementation on Blood Pressure and Lipid Profile

Aged garlic lowered systolic pressure by about 2.5 mmHg and LDL by about 4.4 mg/dL; diastolic pressure and HDL did not significantly change. These modest surrogate effects do not prove fewer cardiovascular events.

Study design and methods
Design
Dose-response systematic review and meta-analysis of 19 clinical trials
Population
Adults across cardiovascular, hypercholesterolemia, and other metabolic-risk populations
Intervention
Aged garlic preparations versus control
Outcome
Systolic and diastolic blood pressure and lipid profile

Funding or conflict note: Participant totals were not reported in the abstract and are not inferred.

Open research record
2016
Mixed or qualifiedPMID 26869811 · ACTRN12613000747729

The effect of aged garlic extract on blood pressure and other cardiovascular risk factors in uncontrolled hypertensives

Mean systolic pressure favored aged garlic by 5.0 mmHg, with larger reductions among responders. Other risk markers were exploratory, and the study did not test cardiovascular events.

Study design and methods
Design
Randomized, double-blind, placebo-controlled trial
Population
88 adults with uncontrolled hypertension who completed the trial
Intervention
Aged garlic extract 1.2 g/day or placebo
Outcome
Blood pressure, hemodynamics, arterial stiffness, lipids, inflammation, platelet function, and tolerability

Funding or conflict note: This trial is represented in the later aged-garlic syntheses and is excluded from aggregate totals.

Open research record
2012
Does not support the tested claimPMID 22895963 · CD007653

Garlic for the prevention of cardiovascular morbidity and mortality in hypertensive patients

Neither trial reported cardiovascular events or mortality. One small trial lowered blood pressure, while adverse-event reporting was insufficient; clinical-outcome benefit remains unproven.

Study design and methods
Design
Cochrane systematic review of two randomized placebo-controlled trials
Population
People with hypertension
Intervention
Garlic-only preparations versus placebo
Outcome
Cardiovascular morbidity, mortality, blood pressure, and adverse events

Funding or conflict note: The older trials may overlap later surrogate-outcome syntheses and are excluded from aggregate totals.

Open research record
Unscreened discovery appendix—not evidence378 candidate publicationsSearch run: Aug 21, 2026

Complete for the displayed PubMed query at the search timestamp—not for all databases or every possible synonym. Candidates can be irrelevant, duplicate the same study, or report negative findings. They are never summed as evidence or participants until screened.

03 / SOURCES

Start with the source material

The live search is for discovery only. Search-result counts change and are not included in the audited totals above.

Recent PubMed discovery recordsDirect links to the first 12 records returned by the reproducible search. These are discovery candidates—not reviewed summaries or a count of supportive findings.
  1. Harnessing nature: a systematic exploration of in vitro antileishmanial and antihuman African trypanosomal properties in traditional medicinal plants and their active principles.Ahmed QU, Mat Nasir NA, Begum T et al. · 2026 · Pharmaceutical biology · PMID 41777027Open on PubMed
  2. Assessing the safety of herbal medicine use among type 2 diabetes mellitus patients: A systematic review and meta-analysis.Boulares E, Bragazzi NL, Yin TSC et al. · 2026 · Complementary therapies in medicine · PMID 41539457Open on PubMed
  3. Antimicrobial effect of garlic-based mouthwash on dental caries-related oral microorganisms: A systematic review and meta-analysis.de Oliveira Alves R, de Matos JRV, Ragghianti MHF et al. · 2026 · Archives of oral biology · PMID 41485319Open on PubMed
  4. Effects of Garlic Supplementation on Cardiovascular Risk Factors in Adults: A Comprehensive Updated Systematic Review and Meta-Analysis of Randomized Controlled Trials.Behrouz V, Zahroodi M, Clark CCT et al. · 2026 · Nutrition reviews · PMID 40580481Open on PubMed
  5. The Effect of Aged Garlic Supplementation on Blood Pressure and Lipid Profile: A Dose-Response Grade-Assessed Systematic Review and Meta-Analysis of Randomized Controlled Trials.Bashiri S, TaghipourSheshdeh F, Foshati S et al. · 2025 · Phytotherapy research : PTR · PMID 40628369Open on PubMed
  6. Systematic Review of the Effects of Plant-Based Foods on Metabolic Outcomes in Adults with MASLD and Comorbidities Such as Obesity, Metabolic Syndrome, and Type 2 Diabetes.Jurek JM, Zablocka-Slowinska K, Pieczynska J et al. · 2025 · Nutrients · PMID 41010543Open on PubMed
  7. Efficacy of garlic (Allium sativum) on metabolic syndrome components in women with polycystic ovary syndrome: randomized controlled trial.Hesari NG, Sadatmahalleh SJ, Mohebbi P et al. · 2025 · Journal of health, population, and nutrition · PMID 40770379Open on PubMed
  8. Medicinal Plants Used to Treat Evil Eye Illness in Ethiopia: A Systematic Review.Tadesse D, Masresha G, Lemlemu M · 2025 · TheScientificWorldJournal · PMID 40421322Open on PubMed
  9. Dietary associations with reduced epigenetic age: a secondary data analysis of the methylation diet and lifestyle study.Villanueva JL, Vita AA, Zwickey H et al. · 2025 · Aging · PMID 40266024Open on PubMed
  10. Garlic Extract in Rheumatological Diseases: A Systematic Review.Freire de Carvalho J, Lerner A, Benzvi C · 2025 · Complementary medicine research · PMID 40602379Open on PubMed
  11. Alliaceae versus Brassicaceae for Dyslipidemia: State of the Art and Future Perspectives. Systematic Review and Meta-Analysis of Clinical Studies.Piragine E, Malanima MA, Ceccanti C et al. · 2024 · Phytotherapy research : PTR · PMID 39343737Open on PubMed
  12. PubMed research recordPMID 39001718Open on PubMed

04 / EXPERT CONTEXT

Expert context—not evidence

Expert positions are dated context—not scientific evidence. They never raise the evidence status or become consensus by repetition.

No direct, source-verified endorsement is currently recorded. Research authorship or discussion alone is not treated as endorsement.

Educational information only—not medical advice. Product quality, dose, medicines, pregnancy, and kidney or liver disease can materially change safety.