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Cissus Quadrangularis

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Specifically for Osteoporosis

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Why it works for Osteoporosis:

Anti-resorptive (osteoclast-suppressing) effects. Preclinical work shows CQ suppresses RANKL-induced osteoclastogenesis (the process that forms bone-resorbing cells), improving bone micro-architecture in estrogen-deficient models (a common model of post-menopausal bone loss). MDPI

Pro-osteogenic (osteoblast-supporting) effects. CQ extracts increased alkaline phosphatase activity via MAPK signaling in osteoblasts (a marker of bone formation) and enhanced mineralization in vitro. SpringerLink

Net effect on bone turnover in humans. In a 24-week randomized, placebo-controlled trial in post-menopausal women with osteopenia, CQ reduced bone turnover markers (notably P1NP) versus placebo—consistent with a slowing of bone remodeling, although BMD did not significantly improve over 24 weeks. Mahidol University

Traditional use supports plausibility (not proof). Ayurveda describes CQ (“Hadjod/Asthisamharaka”) for bone ailments and as an adjunct with milk for bone health; this is historical context rather than clinical proof. IAMJ

How to use for Osteoporosis:

Phytomedicine RCT (post-menopausal osteopenia):

  • Dose: 1.2 g/day or 1.6 g/day of a hexane extract of CQ stems, taken daily for 24 weeks.
  • Outcomes: slowed bone turnover vs placebo; no significant BMD gain over 24 weeks; similar adverse event rates across groups. Mahidol University

If you’re considering CQ as an adjunct (not a replacement) to guideline therapy:

  • Use a standardized extract from a reputable manufacturer; match as closely as possible to the hexane-extract, 1.2–1.6 g/day paradigm used in the trial above. Discuss specifics with your clinician/pharmacist because commercial extracts differ in strength and composition. Mahidol University
  • Duration: Evidence is for ~24 weeks. Longer-term safety/efficacy data are lacking. Reassess with your clinician. Mahidol University
  • Co-therapy: Continue foundational osteoporosis care (adequate calcium, vitamin D, weight-bearing/resistance exercise, fall-prevention). Do not stop prescribed anti-resorptives or anabolics without your clinician’s advice. (General standard-of-care point; CQ hasn’t shown fracture reduction.)
  • Consumer-oriented sites list very different doses (e.g., 300 mg/day of an extract for up to 10 weeks); note that these don’t match the osteoporosis RCT and should not be assumed equivalent. WebMD

Scientific Evidence for Osteoporosis:

Human data

  • Post-menopausal osteopenia RCT (Phytomedicine, 2022): 134 women; 1.2 or 1.6 g/day CQ hexane extract vs placebo for 24 weeks. Reduced bone turnover markers vs placebo; no significant BMD improvement at spine/hip vs placebo over 24 weeks; similar adverse events. DOI: 10.1016/j.phymed.2022.154115. Mahidol University
  • Systematic review & meta-analysis of human RCTs reporting bone biomarkers (BMC Complementary Medicine & Therapies, 2025): Concluded CQ can favorably affect bone-related biomarkers in humans, but emphasized limited trials and surrogate endpoints. BioMed Central

Preclinical/experimental

  • In vitro osteoblast work (2009): CQ extract increased mineralization and alkaline phosphatase via MAPK in osteoblasts. SpringerLink
  • In vitro/animal osteoclast & osteoimmune modulation (Cells, 2023): CQ inhibited RANKL-induced osteoclastogenesis and improved bone measures in estrogen-deficient models. MDPI

Narrative/umbrella reviews (mechanisms; context)

  • Recent reviews summarize phytochemistry and proposed bone pathways (RANKL/OPG, oxidative stress, inflammation) but reiterate the scarcity of robust clinical endpoints. JAPS
Specific Warnings for Osteoporosis:

Common side effects (usually mild): headache, GI upset/diarrhea, gas, dry mouth; insomnia has been reported. WebMD

Blood sugar: CQ may lower blood glucose; caution if you have diabetes or take antidiabetic drugs (risk of hypoglycemia). Monitor glucose and consult your clinician. WebMD

Surgery: Because of possible effects on glucose control, stop at least 2 weeks before surgery. WebMD

Pregnancy & breastfeeding: Avoid (insufficient safety data). WebMD

Duration: Consumer safety summaries consider CQ possibly safe short-term (often cited ≤10 weeks); the osteopenia RCT used 24 weeks without excess adverse events, but long-term safety is unknown. Discuss monitoring (symptoms, labs if clinically indicated). WebMD

Liver considerations: Mixed preclinical signals exist (some hepatoprotective animal studies, but in-vitro data raise theoretical concerns about hepatocellular effects depending on extract/type). If you have liver disease or take hepatotoxic meds, talk to your clinician before use. ijpsr.info

Product variability: Extracts differ (part used, solvent—hexane/ethanol—standardization). Choose quality-assured products and match study-like preparations where possible. (See RCT details for the hexane stem extract.) Mahidol University

General Information (All Ailments)

Note: You are viewing ailment-specific information above. This section shows the general remedy information for all conditions.

What It Is

Cissus quadrangularis is a perennial plant from the grape family (Vitaceae), native to India, Africa, and Southeast Asia. It’s commonly known as the Veldt Grape, Bone Setter, or Hadjod in traditional Ayurvedic medicine.

Historically, it has been used for bone healing, joint health, weight management, and digestive support. The plant’s stems are the most medicinally valuable part and are rich in antioxidants, flavonoids, triterpenoids, phytosterols, and ketosteroids, all of which contribute to its diverse biological effects.

How It Works

Cissus quadrangularis exerts its effects through multiple physiological pathways:

  • Bone Health and Healing: The plant appears to stimulate osteoblast activity (cells responsible for bone formation) while reducing osteoclast activity (cells that break down bone). It promotes the synthesis of collagen, calcium deposition, and mineralization, which accelerates fracture healing. Key active compounds like ketosteroids and beta-sitosterol are believed to enhance these anabolic processes.
  • Anti-inflammatory and Antioxidant Action: Cissus helps lower inflammatory mediators such as prostaglandins and cytokines. Its antioxidant constituents neutralize free radicals, reducing oxidative stress that can contribute to chronic inflammation, arthritis, and tissue damage.
  • Metabolic and Weight Regulation: Research suggests Cissus may support weight loss and lipid regulation by influencing enzymes involved in fat metabolism and glucose uptake. Some studies indicate improvements in serum cholesterol, blood sugar levels, and body composition when used alongside diet and exercise.
  • Pain and Joint Support: Through its analgesic and anti-inflammatory effects, it can reduce pain associated with arthritis, sports injuries, and overuse syndromes. The reduction in joint discomfort is often attributed to improved cartilage preservation and decreased inflammation.
  • Gastroprotective and Antimicrobial Effects: Traditionally, it has been used to alleviate gastric ulcers, stomach irritation, and infections. The mucilage content and antioxidant compounds help protect the gastric lining from acid and oxidative stress.

Why It’s Important

Cissus quadrangularis is significant in health and wellness for several reasons:

  • Bone Regeneration: It is one of the few natural agents shown to actively speed up bone repair, making it valuable for fracture recovery, osteoporosis prevention, and athletic injuries.
  • Alternative to Synthetic Drugs: Its anti-inflammatory effects provide a natural alternative to NSAIDs, which can have side effects like gastrointestinal irritation or kidney strain when used long-term.
  • Metabolic Health Support: The plant’s ability to influence lipid and glucose metabolism makes it an emerging supplement in managing metabolic syndrome and weight-related issues.
  • Comprehensive Tissue Protection: With its antioxidant, antimicrobial, and cytoprotective actions, Cissus supports overall cellular resilience and healing capacity, particularly in musculoskeletal and gastrointestinal systems.

Considerations

While Cissus quadrangularis has strong traditional and scientific support, several factors should be taken into account:

  • Dosage and Formulation: Standardized extracts (usually 500–1000 mg daily) are most studied. Raw preparations vary widely in potency, so consistency is key.
  • Possible Side Effects: It is generally well tolerated, but some users report mild gastrointestinal upset, dry mouth, or headaches. Rare allergic reactions can occur.
  • Drug Interactions: Cissus may influence blood sugar and lipid levels, so individuals on antidiabetic, lipid-lowering, or antihypertensive medications should monitor their response carefully and consult a healthcare provider.
  • Pregnancy and Breastfeeding: There’s insufficient evidence regarding its safety during pregnancy or lactation, so it’s best avoided unless under medical supervision.
  • Quality Control: As with many herbal supplements, product purity and standardization vary widely. Choosing brands with third-party testing for contaminants and active compound concentration is essential.

Helps with these conditions

Cissus Quadrangularis is most effective for general wellness support with emerging research . The effectiveness varies by condition based on clinical evidence and user experiences.

Osteoporosis 0% effective
Tendonitis 0% effective
Carpal Tunnel Syndrome 0% effective
3
Conditions
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Total Votes
14
Studies
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Avg. Effectiveness

Detailed Information by Condition

Osteoporosis

0% effective

Anti-resorptive (osteoclast-suppressing) effects. Preclinical work shows CQ suppresses RANKL-induced osteoclastogenesis (the process that forms bone-r...

0 votes Updated 1 month ago 5 studies cited

Tendonitis

0% effective

Anti-inflammatory & analgesic activity. Multiple preclinical and review papers report COX inhibition and other anti-inflammatory/antihyperalgesic...

0 votes Updated 2 months ago 5 studies cited

There are no human clinical trials showing CQ relieves CTS. Standard, evidence-based CTS care remains wrist splinting, local corticosteroid injection,...

0 votes Updated 2 months ago 4 studies cited

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