Garlic

    Researchedby:
    Last Updated: October 13, 2024

    Garlic (Allium sativum) is a food and is commonly taken as a supplement. It has anti-inflammatory effects and can improve cardiovascular health.

    What is garlic?

    Garlic (Allium sativum) is a vegetable that can be eaten raw or cooked. It is also sold as a dietary supplement. Garlic contains several sulfur-containing phytochemicals that are metabolized when eaten and can affect cardiovascular health and inflammation.[1] These chemicals include allicin, diallyl disulfide (DADS), diallyl trisulfide (DATS), and S-allylmercaptocysteine (SAMC).

    What are garlic’s main benefits?

    Supplementation with garlic lowers circulating markers of oxidative stress[2][3] (e.g., malondialdehyde) and inflammation (e.g., C-reactive protein and TNF-α).[4][5][6] Supplementation with garlic can also reduce total cholesterol levels,[7][8] particularly in people with cardiovascular disease, and improve other measures of cardiovascular health (coronary artery calcium, carotid intima-media thickness, etc.).[9] However, its direct effects on cardiovascular morbidity and mortality are currently unclear.[9][10]

    Observational studies also show that garlic consumption, through food or as a supplement, is associated with a lower risk of gastric and colorectal cancers.[11]

    What are garlic’s main drawbacks?

    Garlic consumption can cause “garlic breath” and body odor, which are typically most pronounced after eating raw garlic.[12] These side effects are also frequent-reported “adverse events” in clinical trials.[12][13][14] Some supplement formulations (e.g., aged garlic extract) are designed to minimize such odors.[15][16]

    In rare cases, garlic may cause an allergic reaction.[12]

    How does garlic work?

    Metabolizing garlic’s sulfur-containing chemicals (i.e., allicin, diallyl disulfide, diallyl trisulfide, and S-allylmercaptocysteine) eventually produces hydrogen sulfide (H2S). H2S is not only responsible for the characteristic garlic odor, but is also a signaling molecule with direct effects on vascular tissue, nerve synapses, inflammatory processes, and more.[17] However, the sulfur-containing chemicals in garlic also have their own direct effects, activating several signaling pathways involved in anti-oxidant, anti-thrombotic, and anti-inflammatory mechanisms,[18][19] which explains garlic's role in cardiovascular health.[9] These chemicals also likely regulate the cell cycle in cancer cells, causing apoptosis (cell death),[11][20] which explains the potential role of garlic in lowering gastric and colorectal cancer risk.[11]

    What are other names for Garlic

    Note that Garlic is also known as:
    • Allium sativum
    • Vegetable Viagra
    • Da suan
    • Camphor of the poor
    • Lasun
    • Stinking Rose
    • Ail
    • Ajo
    Garlic should not be confused with:

    Dosage information

    Most studies on garlic use a dosage range of 600-1,200mg a day, usually divided into multiple doses. The minimum effective dose for raw garlic is a single segment of a garlic bulb (called a clove), eaten with meals two or three times a day.

    Aged garlic is a popular form of garlic to use for supplementation, since it does not have a fresh garlic scent. Garlic supplementation can also be done through food alone, though side-effects will include strong garlic-scented breath.

    Microwaving garlic will partially destroy the beneficial components of the vegetable, but grilling and roasting will not damage the bioactives, provided the garlic is sliced or crushed beforehand. Garlic can be toxic if consumed in very high doses, so supplementation should never go beyond the following maximum dosages:

    • 17.0 grams for a 150lb person
    • 22.7 grams for a 200lb person
    • 28.4 grams for a 250lb person

    Frequently asked questions

    What is garlic?

    Garlic (Allium sativum) is a vegetable that can be eaten raw or cooked. It is also sold as a dietary supplement. Garlic contains several sulfur-containing phytochemicals that are metabolized when eaten and can affect cardiovascular health and inflammation.[1] These chemicals include allicin, diallyl disulfide (DADS), diallyl trisulfide (DATS), and S-allylmercaptocysteine (SAMC).

    What are garlic’s main benefits?

    Supplementation with garlic lowers circulating markers of oxidative stress[2][3] (e.g., malondialdehyde) and inflammation (e.g., C-reactive protein and TNF-α).[4][5][6] Supplementation with garlic can also reduce total cholesterol levels,[7][8] particularly in people with cardiovascular disease, and improve other measures of cardiovascular health (coronary artery calcium, carotid intima-media thickness, etc.).[9] However, its direct effects on cardiovascular morbidity and mortality are currently unclear.[9][10]

    Observational studies also show that garlic consumption, through food or as a supplement, is associated with a lower risk of gastric and colorectal cancers.[11]

    What are garlic’s main drawbacks?

    Garlic consumption can cause “garlic breath” and body odor, which are typically most pronounced after eating raw garlic.[12] These side effects are also frequent-reported “adverse events” in clinical trials.[12][13][14] Some supplement formulations (e.g., aged garlic extract) are designed to minimize such odors.[15][16]

    In rare cases, garlic may cause an allergic reaction.[12]

    How does garlic work?

    Metabolizing garlic’s sulfur-containing chemicals (i.e., allicin, diallyl disulfide, diallyl trisulfide, and S-allylmercaptocysteine) eventually produces hydrogen sulfide (H2S). H2S is not only responsible for the characteristic garlic odor, but is also a signaling molecule with direct effects on vascular tissue, nerve synapses, inflammatory processes, and more.[17] However, the sulfur-containing chemicals in garlic also have their own direct effects, activating several signaling pathways involved in anti-oxidant, anti-thrombotic, and anti-inflammatory mechanisms,[18][19] which explains garlic's role in cardiovascular health.[9] These chemicals also likely regulate the cell cycle in cancer cells, causing apoptosis (cell death),[11][20] which explains the potential role of garlic in lowering gastric and colorectal cancer risk.[11]

    Research Breakdown

    References

    1. ^Tudu CK, Dutta T, Ghorai M, Biswas P, Samanta D, Oleksak P, Jha NK, Kumar M, Radha , Proćków J, Pérez de la Lastra JM, Dey ATraditional uses, phytochemistry, pharmacology and toxicology of garlic (), a storehouse of diverse phytochemicals: A review of research from the last decade focusing on health and nutritional implications.Front Nutr.(2022)
    2. ^Askari M, Mozaffari H, Darooghegi Mofrad M, Jafari A, Surkan PJ, Amini MR, Azadbakht LEffects of garlic supplementation on oxidative stress and antioxidative capacity biomarkers: A systematic review and meta-analysis of randomized controlled trials.Phytother Res.(2021-Jun)
    3. ^Moosavian SP, Arab A, Paknahad Z, Moradi SThe effects of garlic supplementation on oxidative stress markers: A systematic review and meta-analysis of randomized controlled trials.Complement Ther Med.(2020-May)
    4. ^Taghizadeh M, Hamedifard Z, Jafarnejad SEffect of garlic supplementation on serum C-reactive protein level: A systematic review and meta-analysis of randomized controlled trials.Phytother Res.(2019-Feb)
    5. ^Darooghegi Mofrad M, Milajerdi A, Koohdani F, Surkan PJ, Azadbakht LGarlic Supplementation Reduces Circulating C-reactive Protein, Tumor Necrosis Factor, and Interleukin-6 in Adults: A Systematic Review and Meta-analysis of Randomized Controlled Trials.J Nutr.(2019-Apr-01)
    6. ^Mehdi Koushki, Nasrin Amiri-Dashatan, Yasin Pourfarjam, Amir Hossein DoustimotlaghEffect of Garlic Intake on Inflammatory Mediators: A Systematic Review and Meta-Analysis of Randomised Controlled TrialsPostgrad Med J.(2020 Feb 12)
    7. ^Maryam Kheirmandparizi, Pedram Keshavarz, Peyman Nowrouzi-Sohrabi, Mahnaz Hosseini-Bensenjan, Shahla Rezaei, Seyyed Mohammad Amin Kashani, Nazanin Zeidi, Reza Tabrizi, Abdolhamid AlkamelEffects of garlic extract on lipid profile in patients with coronary artery disease: A systematic review and meta-analysis of randomised clinical trialsInt J Clin Pract.(2021 Oct 9)
    8. ^Li S, Guo W, Lau W, Zhang H, Zhan Z, Wang X, Wang HThe association of garlic intake and cardiovascular risk factors: A systematic review and meta-analysis.Crit Rev Food Sci Nutr.(2022-Mar-29)
    9. ^Imaizumi VM, Laurindo LF, Manzan B, Guiguer EL, Oshiiwa M, Otoboni AMMB, Araujo AC, Tofano RJ, Barbalho SMGarlic: A systematic review of the effects on cardiovascular diseases.Crit Rev Food Sci Nutr.(2022-Feb-23)
    10. ^Stabler SN, Tejani AM, Huynh F, Fowkes CGarlic for the prevention of cardiovascular morbidity and mortality in hypertensive patients.Cochrane Database Syst Rev.(2012-Aug-15)
    11. ^Yangyang Wang, Ping Huang, Yufei Wu, Duanrui Liu, Mingyu Ji, Huanjie Li, Yunshan WangAssociation and mechanism of garlic consumption with gastrointestinal cancer risk: A systematic review and meta-analysisOncol Lett.(2022 Apr)
    12. ^Borrelli F, Capasso R, Izzo AAGarlic (Allium sativum L.): adverse effects and drug interactions in humans.Mol Nutr Food Res.(2007-Nov)
    13. ^Stevinson C, Pittler MH, Ernst EGarlic for treating hypercholesterolemia. A meta-analysis of randomized clinical trialsAnn Intern Med.(2000 Sep 19)
    14. ^Josling PPreventing the common cold with a garlic supplement: a double-blind, placebo-controlled surveyAdv Ther.(2001 Jul-Aug)
    15. ^Ana L Colín-González, Ricardo A Santana, Carlos A Silva-Islas, Maria E Chánez-Cárdenas, Abel Santamaría, Perla D MaldonadoThe antioxidant mechanisms underlying the aged garlic extract- and S-allylcysteine-induced protectionOxid Med Cell Longev.(2012)
    16. ^Amagase H, Petesch BL, Matsuura H, Kasuga S, Itakura YIntake of garlic and its bioactive components.J Nutr.(2001-Mar)
    17. ^Mancardi D, Penna C, Merlino A, Del Soldato P, Wink DA, Pagliaro PPhysiological and pharmacological features of the novel gasotransmitter: hydrogen sulfide.Biochim Biophys Acta.(2009-Jul)
    18. ^Li M, Yun W, Wang G, Li A, Gao J, He QRoles and mechanisms of garlic and its extracts on atherosclerosis: A review.Front Pharmacol.(2022)
    19. ^Sánchez-Gloria JL, Arellano-Buendía AS, Juárez-Rojas JG, García-Arroyo FE, Argüello-García R, Sánchez-Muñoz F, Sánchez-Lozada LG, Osorio-Alonso HCellular Mechanisms Underlying the Cardioprotective Role of Allicin on Cardiovascular Diseases.Int J Mol Sci.(2022-Aug-13)
    20. ^Mitra S, Das R, Emran TB, Labib RK, Noor-E-Tabassum , Islam F, Sharma R, Ahmad I, Nainu F, Chidambaram K, Alhumaydhi FA, Chandran D, Capasso R, Wilairatana PDiallyl Disulfide: A Bioactive Garlic Compound with Anticancer Potential.Front Pharmacol.(2022)
    21. ^Hiyasat B, Sabha D, Grotzinger K, Kempfert J, Rauwald JW, Mohr FW, Dhein SAntiplatelet activity of Allium ursinum and Allium sativum.Pharmacology.(2009)
    22. ^Sanchez-Hernandez MC, Hernandez M, Delgado J, Guardia P, Monteseirin J, Bartolomé B, Palacios R, Martinez J, Conde JAllergenic cross-reactivity in the Liliaceae family.Allergy.(2000 Mar)
    23. ^Almogren A, Shakoor Z, Adam MHGarlic and onion sensitization among Saudi patients screened for food allergy: a hospital based study.Afr Health Sci.(2013 Sep)
    24. ^Popescu FDCross-reactivity between aeroallergens and food allergens.World J Methodol.(2015 Jun 26)
    25. ^SurIs Garlic a Safe Remedy: An Overlook Herb- Drug Interaction?American Journal of Phytomedicine and Clinical Therapeutics.(2015-10-01)
    26. ^Piscitelli SC, Burstein AH, Welden N, Gallicano KD, Falloon JThe effect of garlic supplements on the pharmacokinetics of saquinavir.Clin Infect Dis.(2002 Jan 15)
    27. ^Hajda J, Rentsch KM, Gubler C, Steinert H, Stieger B, Fattinger KGarlic extract induces intestinal P-glycoprotein, but exhibits no effect on intestinal and hepatic CYP3A4 in humans.Eur J Pharm Sci.(2010 Dec 23)
    28. ^Elmer GW, Lafferty WE, Tyree PT, Lind BKPotential interactions between complementary/alternative products and conventional medicines in a Medicare population.Ann Pharmacother.(2007 Oct)
    29. ^Gurley BJ, Gardner SF, Hubbard MA, Williams DK, Gentry WB, Cui Y, Ang CYClinical assessment of effects of botanical supplementation on cytochrome P450 phenotypes in the elderly: St John's wort, garlic oil, Panax ginseng and Ginkgo biloba.Drugs Aging.(2005)
    30. ^Asdaq SM, Inamdar MNThe potential for interaction of hydrochlorothiazide with garlic in rats.Chem Biol Interact.(2009 Oct 30)
    31. ^Dhamija P, Malhotra S, Pandhi PEffect of oral administration of crude aqueous extract of garlic on pharmacokinetic parameters of isoniazid and rifampicin in rabbits.Pharmacology.(2006)
    32. ^Poonam T, Prakash GP, Kumar LVInfluence of Allium sativum extract on the hypoglycemic activity of glibenclamide: an approach to possible herb-drug interaction.Drug Metabol Drug Interact.(2013)
    33. ^Wang Y, Zou M, Zhao N, Ren J, Zhou H, Cheng GEffect of diallyl trisulfide on the pharmacokinetics of dipyridamole in rats.Arch Pharm Res.(2011 Nov)
    34. ^Wang Y, Zou MJ, Zhao N, Ren JG, Zhou H, Cheng GEffect of diallyl trisulfide on the pharmacokinetics of nifedipine in rats.J Food Sci.(2011 Jan-Feb)
    35. ^Berginc K, Zakelj S, Ursic D, Kristl AAged garlic extract stimulates p-glycoprotein and multidrug resistance associated protein 2 mediated effluxes.Biol Pharm Bull.(2009 Apr)
    36. ^Wasef AK, Wahdan SA, Saeed NM, El-Demerdash EEffects of aged garlic and ginkgo biloba extracts on the pharmacokinetics of sofosbuvir in rats.Biopharm Drug Dispos.(2022 Aug)
    37. ^Foster BC, Foster MS, Vandenhoek S, Krantis A, Budzinski JW, Arnason JT, Gallicano KD, Choudri SAn in vitro evaluation of human cytochrome P450 3A4 and P-glycoprotein inhibition by garlic.J Pharm Pharm Sci.(2001 May-Aug)
    38. ^Ho BE, Shen DD, McCune JS, Bui T, Risler L, Yang Z, Ho RJEffects of Garlic on Cytochromes P450 2C9- and 3A4-Mediated Drug Metabolism in Human Hepatocytes.Sci Pharm.(2010)
    39. ^Ziaei S, Hantoshzadeh S, Rezasoltani P, Lamyian MThe effect of garlic tablet on plasma lipids and platelet aggregation in nulliparous pregnants at high risk of preeclampsia.Eur J Obstet Gynecol Reprod Biol.(2001 Dec 1)
    40. ^Mennella JA, Beauchamp GKThe effects of repeated exposure to garlic-flavored milk on the nursling's behavior.Pediatr Res.(1993 Dec)