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Garlic

Garlic

Garlic is a popular culinary herb, related to onions and lilies, that is steeped in a rich mythology suggesting it repels werewolves and vampires. Replace these ancient devils with modern scourges such as raised cholesterol and hardening of the arteries and research supports its positive effect on health. The main beneficial substance derived from garlic is allicin. Allicin is present in whole garlic cloves as an odourless precursor called alliin. When garlic is crushed or sliced, alliin comes into contact with a garlic enzyme, alliinase, which breaks it down into the allicin (diallyl thiosulphinate) that gives crushed garlic its characteristic smell. Sulphur compounds formed by the degradation of allicin also have a beneficial antioxidant action.

Lowers cholesterol: Allicin reduces cholesterol production in the liver, prevents cells from taking up cholesterol and hastens excretion of fatty acids to discourage hardening and furring-up of the arteries. Garlic can lower levels of harmful LDLcholesterol by up to 12% and triglycerides - another type of circulating fat - by 8% to 27% 1-2. Antioxidants derived from garlic also reduce oxidation of circulating fats which may have a beneficial, protective effect in people with cardiovascular disease3.

Inhibits arterial plaques: Researchers following 152 patients for over 4 years found that garlic tablets could reverse hardening and furring-up of the arteries (atherosclerosis). In those not taking garlic tablets, arterial thickenings (plaque) built up by 15.6% over the four years, while in those taking garlic, plaque volume decreased by 2.6% - a combined difference of 18.2%4. Another study found that garlic tablets can increase the elasticity of the aorta so the heart has to work less hard to pump blood out into the body5.

Lowers blood pressure: Taking garlic extracts can reduce blood pressure by around 8%, making it beneficial for people with mild hypertension6.

Improves circulation: Garlic can reduce abnormal blood clotting and improve blood flow to the skin and nail folds by almost 50%7, making it useful for people with symptoms due to poor peripheral circulation such as Raynaud’s disease, chilblains and calf pain on walking.

Lowers homocysteine: Elevated blood levels of the amino acid, homocysteine, are linked with hardening and furring-up of the arteries. Garlic extracts have recently been shown to help lower homocysteine levels - a beneficial effect that is under further investigation.

Something for the winter months: Garlic has antioxidant, antiseptic, antibacterial and antiviral properties. It is used to treat intestinal, respiratory and skin infections by stimulating an immune response known as t-cell proliferation. People taking garlic extracts have significantly fewer colds and, if they do succumb, a significantly shorter duration of symptoms than those taking an inactive placebo8.

1. Silagy C, Neil AW 1994. Garlic as a lipid lowering agent - a meta-analysis. J R Coll Phys London 28:39-45 (1)
2.Mader FH 1990. Treatment of hyperlipidemia with garlic powder tablets. Arzneim-Forsch Drug Res 40:1111-1116 (2)
3. Ou CC et al. 2003. Protective action on human LDL against oxidation and glycation by four organosulfur compounds derived from garlic. Lipids. 38;3:219-24. (3)
4. Koscielny J et al. 1999 The antiatherosclerotic effect of Allium sativum. Atherosclerosis 144:237-249 (4)
5. Breithaupt-Grogler K et al. 1997 Protective effect of chronic garlic intake on elastic properties of aorta in the elderly. Circulation 96:2649-2655 (5)
6. Silagy C, Neil AW. 1994. A meta-analysis of the effect of garlic on blood pressure. The Journal of Hypertension, 12:463-468 (6)
7. Kiesewetter H et al. 1991 Effect of garlic on thrombocyte aggregation, microcirculation and other risk factors. Int J Clin Pharm Tox Therapy 29;4:151-155 (7)
8. Josling P 2001. Preventing the common cold with a garlic supplement: a double-blind, placebo-controlled survey. Adv Ther 18;4:189-93 (8)

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Dr Sarah Brewer

Dr Sarah Brewer 

Sarah Brewer graduated as a doctor from Cambridge University in 1983. She was a full-time GP for five years and now works in hospital medicine. She is the author of 40 books and writes widely on all aspects of health including complementary medicine. 

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