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Garlic flunks major test.
A double-blind clinical trial of garlic and garlic supplements found no improvement in cholesterol levels among 192 adults with moderately elevated (130 to 190mg/dL) LDL-cholesterol levels. The participants were randomly divided into groups that received raw garlic, a powdered garlic supplement, an aged garlic extract supplement, or a placebo for six months. Garlic product doses equivalent to an average-sized garlic clove were consumed 6 days per week for 6 months. The study found no statistically significant difference in high-density lipoprotein cholesterol, triglyceride levels, or total cholesterol-high-density lipoprotein cholesterol ratio in the four groups. [Gardner CD and others. The researchers noted that idea that garlic could improve cholesterol levels was considered plausible because about 85% of more than 110 animal studies found positive effects and human clinical trials conducted before 1995 with garlic powder tablets suggested a modest beneficial effect. However: (a) animal studies may not be applicable to humans, (b) the pre-1995 human trials were not well-designed, and (c) six more recent trials found no benefit. The researchers concluded:
Based on our results and those of other recent trials, physicians can advise patients with moderately elevated LDL . . . concentrations that garlic supplements or dietary garlic in reasonable doses are unlikely to produce lipid benefits. While garlic may have other health effects, such as increased fibrinolysis, decreased atherosclerosis, or anticarcinogenic properties, we would argue that these possible effects also should be scrutinized in large, carefully designed trials with chemically defined garlic products. [Gardner CD. Effect of raw garlic vs commercial garlic supplements on plasma lipid concentrations in adults with moderate hypercholesterolemia. Archives of Internal Medicine 167:346-353, 2007] http://archinte.ama-assn.org/cgi/content/full/167/4/346
Because several drugs have been proven to improve cholesterol levels and reduce the incidence of heart attacks and death, it also can be argued that substituting garlic for that purpose is senseless. In a Los Angeles Times interview, lead author Christopher Gardner said: "It just doesn't work. If garlic was going to work, in one form or other, then it would have worked in our study. The lack of effect was compelling and clear." The study was supported by a $1.5 million NIH grant.
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