Green Tea Extract (EGCG)
Specifically for Cirrhosis
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Why it works for Cirrhosis:
Antifibrotic mechanisms (pre-clinical): EGCG can inhibit activation and proliferation of hepatic stellate cells (HSCs)—the main drivers of liver scarring—and has shown fibrosis-reducing effects in animal models (e.g., CCl₄ or bile-duct–ligation fibrosis). These data suggest theoretical benefit against fibrogenesis, not proven reversal of human cirrhosis. ScienceDirect
NAFLD (pre-cirrhosis) signals: In non-cirrhotic fatty liver disease (NAFLD/NASH), small RCTs and reviews report improvements in enzymes or steatosis with green-tea catechins/EGCG, but these trials are not in patients with established cirrhosis. Benefits in NAFLD do not establish efficacy in cirrhosis. MDPI
How to use for Cirrhosis:
Form matters: Traditional green-tea infusions have a much better safety profile than concentrated supplements. European Food Safety Authority
Avoid high-dose extracts: Safety authorities flag hepatotoxicity risks with supplements, especially at ~≥800 mg/day catechins (often EGCG-rich). There is no clinically established cirrhosis dose. European Food Safety Authority
Timing & food: Fasting can increase EGCG exposure and may raise toxicity risk; do not take extracts on an empty stomach. cot.food.gov.uk
Stop immediately and get labs if you notice fatigue, dark urine, pruritus, jaundice, RUQ pain, or nausea. (These are classic DILI flags endorsed by hepatology/TOX authorities.) Wiley Online Library
Scientific Evidence for Cirrhosis:
Cirrhosis (humans):
- No randomized trials show EGCG or green-tea extract treats established cirrhosis. Major guidelines make no such recommendation. aasld.org
Pre-clinical antifibrotic work (supportive biology, not proof):
- HSC inhibition / fibrosis reduction: EGCG inhibited HSC activation and reduced fibrosis in rodent models (CCl₄, bile-duct ligation). ScienceDirect
- Recent mechanistic transcriptomics: Oral EGCG (200 mg/kg/day) dampened HSC activation pathways and fibrosis in mice. SpringerLink
NAFLD/NASH (humans, non-cirrhotic):
- Systematic/clinical evidence suggests improvements in enzymes/steatosis with EGCG/green-tea catechins, but populations were not cirrhotic. MDPI
Specific Warnings for Cirrhosis:
Hepatotoxicity (the big one): Concentrated green-tea extracts (EGCG-rich) are a recognized cause of drug-induced liver injury, including severe cases and liver failure. EFSA and the UK Committee on Toxicity highlight concerns at supplemental doses (≈≥800 mg catechins/day), and cannot define a universally “safe” supplemental dose. NIH-linked resources and hepatology literature report cases, including in Australia. European Food Safety Authority
Beverage vs. pills: Traditional infusions (several cups/day) are generally safe for the liver in healthy adults; the risk signal largely arises with supplements. Cirrhosis ≠ healthy—risk tolerance is lower. EFSA Journal
Drug interactions: Green tea/EGCG can reduce absorption of certain drugs via OATP transporters (e.g., nadolol, possibly some statins/others). Warfarin effects are inconsistent (vitamin-K content/antiplatelet effects); very high tea intakes have been implicated in case reports. Always clear with your pharmacist/hepatologist. bpspubs.onlinelibrary.wiley.com
Fasting & high bolus doses: Taking extracts while fasting increases EGCG exposure and may heighten hepatotoxicity risk; avoid. cot.food.gov.uk
General Information (All Ailments)
What It Is
Green tea extract is a concentrated form of compounds derived from the leaves of the Camellia sinensis plant — the same plant used to produce traditional green tea. The most bioactive and researched component of this extract is epigallocatechin gallate (EGCG), a powerful antioxidant belonging to the catechin family of polyphenols.
EGCG is considered the primary active ingredient responsible for most of green tea’s health-promoting effects. The extract is available in capsules, powders, and liquid forms, and is widely used in dietary supplements, energy drinks, and skincare products.
How It Works
EGCG exerts its effects through several biological mechanisms:
- Antioxidant Activity: EGCG neutralizes free radicals — unstable molecules that damage cells and DNA — thereby reducing oxidative stress. This helps protect tissues from aging-related and chronic disease processes.
- Anti-Inflammatory Effects: It inhibits signaling pathways (such as NF-κB and MAPK) involved in inflammation. By suppressing these, EGCG can reduce inflammation at the cellular level, contributing to lower risk of inflammatory diseases.
- Metabolic Regulation: EGCG enhances fat oxidation and may modestly increase energy expenditure. It influences metabolic pathways related to glucose and lipid metabolism, which can support weight management and metabolic health.
- Cellular Protection and Gene Modulation: EGCG interacts with cell receptors and transcription factors, altering gene expression to promote DNA repair, support detoxification enzymes, and inhibit abnormal cell growth.
- Cardiovascular Support: It helps improve endothelial function (the health of blood vessel linings), reduces LDL cholesterol oxidation, and may modestly improve blood lipid profiles.
Why It’s Important
Green tea extract, and EGCG in particular, has drawn attention for its wide-ranging potential benefits:
- Cardiovascular Health: Regular consumption may contribute to reduced risk of heart disease through its antioxidant and lipid-lowering properties.
- Metabolic and Weight Management: Some evidence suggests EGCG aids in modest fat loss when combined with caffeine and regular exercise, by stimulating thermogenesis and lipid metabolism.
- Neuroprotection: EGCG may protect neurons from oxidative damage and support cognitive function, potentially lowering risk for neurodegenerative diseases like Alzheimer’s and Parkinson’s.
- Cancer Prevention Potential: Through its antioxidant and anti-inflammatory actions, EGCG may inhibit cancer cell proliferation and tumor growth, though findings are preliminary and not definitive.
- Skin Health: Topically or orally, EGCG helps combat photoaging (UV-related skin damage) and reduces oxidative stress in skin tissues.
Considerations
Despite its natural origin, EGCG supplementation requires thoughtful use:
- Dosage and Safety: Moderate amounts (usually up to 300–400 mg/day of EGCG) are generally considered safe for most adults. However, excessive intake — especially from concentrated supplements — can cause liver toxicity in rare cases.
- Bioavailability: EGCG’s absorption can be limited; consuming it with food or pairing it with vitamin C can enhance uptake, while taking it with dairy may reduce its effectiveness.
- Interactions: EGCG can interfere with iron absorption and some medications (including blood thinners, beta-blockers, and certain chemotherapy drugs). Medical consultation is advised for those taking medications or with health conditions.
- Caffeine Content: Although green tea extract supplements may be decaffeinated, some products contain caffeine, which can affect sleep or cause jitteriness in sensitive individuals.
- Individual Variability: Genetic factors, gut microbiome composition, and liver enzyme function can influence how effectively a person metabolizes EGCG and experiences its benefits.
Helps with these conditions
Green Tea Extract (EGCG) is most effective for general wellness support with emerging research . The effectiveness varies by condition based on clinical evidence and user experiences.
Detailed Information by Condition
Acne
Sebum control & anti-inflammatory effects. EGCG (the main catechin in green tea) reduces sebum production in human sebocytes via AMPK → SREBP-1 si...
Cataracts
Antioxidant & anti-apoptotic effects in lens cells. In cell studies, EGCG reduces oxidative-stress–induced damage and apoptosis in human lens epit...
Rosacea
Anti-inflammatory + anti-angiogenic actions. EGCG down-regulates inflammatory signaling (e.g., NF-κB, COX-2, iNOS) and can curb pro-angiogenic mediato...
H. Pylori Infection
The primary active compounds in green tea are catechins, particularly epigallocatechin gallate (EGCG), which exhibit both bacteriostatic and bacterici...
Cellular Aging
Targets hallmarks of senescence (preclinical): In cells and animal models, EGCG dampens oxidative stress and the pro-inflammatory “SASP,” activates th...
Gastritis
1. Anti-Helicobacter pylori Activity Green tea extract shows the strongest inhibition of H. pylori urease with an IC50 value of 13 μg/ml, and the cate...
Fibroids
Direct anti-fibroid activity in cells: EGCG inhibits proliferation and triggers apoptosis (programmed cell death) in human uterine leiomyoma (fibroid)...
Multiple Sclerosis
Anti-inflammatory immune effects (preclinical): In the EAE animal model of MS and human T-cell studies, EGCG dampens pro-inflammatory Th1/Th17 respons...
Cirrhosis
Antifibrotic mechanisms (pre-clinical): EGCG can inhibit activation and proliferation of hepatic stellate cells (HSCs)—the main drivers of liver scarr...
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