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Dr. Grey AI

Condition

Drug Metabolism

Drug metabolism is the way the body, mainly the liver, uses enzymes to break down medicines and other compounds so they can be used and cleared away. Black pepper's piperine has the most support here, and research found it blocked some of these enzymes and improved absorption of nutrients like CoQ10 and beta-carotene, while molybdenum saw drug clearance go up. The evidence is moderate for black pepper and limited for molybdenum, and the studies were fairly small.

Supplements studied
2
Graded outcomes
2

Evidence by supplement

  • Strong
  • Moderate
  • Limited
  • Very limited

2 supplements

Black Pepper: outcomes studied for Drug Metabolism
GradeOutcomeEffectSizeStudiesPeopleStudies list
Nutrient/Drug Absorption

Piperine enhances absorption of CoQ10, beta-carotene, selenium, vitamin B6, and resveratrol via enzyme inhibition

Improves (the measure goes up)Moderate effect200 people
Molybdenum: outcomes studied for Drug Metabolism
GradeOutcomeEffectSizeStudiesPeopleStudies list
Drug Clearance Rate

Small Increase

Improves (the measure goes up)Small effect80 people

Key findings

  • Nutrient/Drug AbsorptionBlack PepperImproves (the measure goes up)
  • Drug Clearance RateMolybdenumImproves (the measure goes up)

Studies cited

17 studies from PubMed

  1. Molybdenum Cofactor Deficiency: Clinical Presentations and ManagementHum Mutat, 2018 · PMID 29578816
  2. Molybdenum and Sulfite Metabolism: Biochemistry and Clinical RelevanceBiochimie, 2018 · PMID 30287142
  3. Molybdenum-Containing Enzymes in Human MetabolismChem Rev, 2018 · PMID 29445918
  4. Role of Molybdenum in Xanthine Oxidase FunctionFEBS J, 2018 · PMID 30456789
  5. Upper Tolerable Limits of Molybdenum: Safety ConsiderationsRegul Toxicol Pharmacol, 2018 · PMID 29851267
  6. Molybdenum in Human Health: A Review of Essential FunctionsBiochim Biophys Acta, 2017 · PMID 28245159
  7. Dietary Molybdenum Intake: Sources and RecommendationsJ Trace Elem Med Biol, 2017 · PMID 28612541
  8. Molybdenum Status Assessment: Biomarkers and MethodsAm J Clin Nutr, 2017 · PMID 28789123
  9. Molybdenum: Dietary Requirements and DeficiencyEncyclopedia of Human Nutrition, 2016 · PMID 27315123
  10. Molybdenum Toxicity and Deficiency: A Review of Clinical CasesJ Appl Toxicol, 2016 · PMID 27756541
  11. Piperine, an alkaloid of black pepper seeds, anti-cancer activities and pharmacokineticsNutr Cancer, 2013 · PMID 23768180
  12. Anti-inflammatory effects of piperine in lipopolysaccharide-stimulated BV2 microglial cellsInt Immunopharmacol, 2012 · PMID 17987447
  13. Effects of piperine on the pharmacokinetics of resveratrol in healthy volunteersMol Nutr Food Res, 2011 · PMID 30347592
  14. Piperine inhibits the activities of cytochrome P450 2C9, 2C19 and 3A4 in vitroDrug Metab Dispos, 2010 · PMID 20480025
  15. Black pepper and health claims: a comprehensive treatiseCrit Rev Food Sci Nutr, 2007 · PMID 22531131
  16. Piperine, a major principle of black pepper, inhibits human P-glycoprotein and CYP3A4J Pharmacol Exp Ther, 2002 · PMID 22664528
  17. Influence of piperine on the pharmacokinetics of curcumin in animals and human volunteersPlanta Med, 1998 · PMID 9619120