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Supplement

Black Garlic Extract

Black garlic extract comes from garlic aged slowly under heat and humidity until it darkens, a process that creates antioxidant compounds. Pooled analyses found moderate evidence that LDL and total cholesterol were reduced and that systolic blood pressure fell by roughly 2.5 to 5 points overall. Those effects were modest, some of the data covers garlic more broadly, and the evidence for blood sugar is only limited.

Best evidence
Grade B
Conditions studied
3
Outcomes
5
Graded outcomes
0410

Evidence by condition

  • Strong
  • Moderate
  • Limited
  • Very limited

3 conditions

High Blood Pressure: outcomes studied for Black Garlic Extract
GradeOutcomeEffectSizeStudiesPeopleStudies list
Systolic Blood Pressure

Meta-analysis: SBP reduced by 2.49-5.0mmHg overall; AGE at Heart trial showed -11.5mmHg in responders (PMID: 26764326)

Improves (the measure goes down)Moderate effect800 people
Diastolic Blood Pressure

Meta-analysis: DBP reduced by 1.5-6.3mmHg; greater effects in hypertensive subjects

Improves (the measure goes down)Small effect800 people
Cardiovascular Disease: outcomes studied for Black Garlic Extract
GradeOutcomeEffectSizeStudiesPeopleStudies list
LDL Cholesterol

Meta-analyses: LDL reduced by 4.41-5.90mg/dL; 10% reduction when taken >2 months

Improves (the measure goes down)Small effect2,300 people
Total Cholesterol

Meta-analysis (PMID: 40580481): TC reduced by 10.21mg/dL with garlic consumption

Improves (the measure goes down)Moderate effect2,300 people
Type 2 Diabetes: outcomes studied for Black Garlic Extract
GradeOutcomeEffectSizeStudiesPeopleStudies list
Fasting Blood Glucose

Meta-analysis: FBG reduced by 2.77mg/dL; insulin and HOMA-IR also improved

Improves (the measure goes down)Small effect500 people

Key findings

  • Systolic Blood PressureHigh Blood PressureImproves (the measure goes down)
  • Diastolic Blood PressureHigh Blood PressureImproves (the measure goes down)
  • LDL CholesterolCardiovascular DiseaseImproves (the measure goes down)

Shop the evidence-backed picks

Third-party tested Black Garlic Extract products, in the forms the graded studies used where we can match them.

  • Grade B

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Studies cited

8 studies from PubMed

  1. Effects of Garlic Supplementation on Cardiovascular Risk Factors in Adults: A Comprehensive Updated Systematic Review and Meta-Analysis of Randomized Controlled TrialsNutrients, 2026 · PMID 40580481
  2. Effects of Garlic on Glucose Parameters and Lipid Profile: A Systematic Review and Meta-Analysis on Randomized Controlled TrialsNutrients, 2024 · PMID 38841592
  3. Antihypertensive Effects of an Optimized Aged Garlic Extract in Subjects with Grade I Hypertension and Antihypertensive Drug Therapy: A Randomized, Triple-Blind Controlled TrialNutrients, 2023 · PMID 37686723
  4. Effect of Black Garlic Consumption on Endothelial Function and Lipid Profile: A Before-and-After Study in Hypercholesterolemic and Non-Hypercholesterolemic SubjectsNutrients, 2023 · PMID 37475459
  5. Effects of an Optimized Aged Garlic Extract on Cardiovascular Disease Risk Factors in Moderate Hypercholesterolemic Subjects: A Randomized, Crossover, Double-Blind, Sustained and Controlled StudyNutrients, 2022 · PMID 35142596
  6. Effect of Garlic on Blood Pressure: A Meta-AnalysisJ Clin Hypertens (Greenwich), 2020 · PMID 33716690
  7. Garlic Lowers Blood Pressure in Hypertensive Individuals, Regulates Serum Cholesterol, and Stimulates Immunity: An Updated Meta-analysis and ReviewJ Nutr, 2016 · PMID 26764326
  8. The effect of aged garlic extract on blood pressure and other cardiovascular risk factors in uncontrolled hypertensives: the AGE at Heart trialIntegr Blood Press Control, 2016 · PMID 26528921