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Green Tea Extract (EGCG)

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Specifically for Multiple Sclerosis

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Why it works for 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 responses and NF-κB activity, and can shift macrophage polarization—mechanisms relevant to MS immunopathology. OUP Academic

General neuroprotective rationale: Reviews summarize EGCG’s antioxidant/anti-inflammatory signaling (JAK/STAT, AKT/mTOR, NF-κB) and potential to influence microglia/oligodendrocyte biology (mostly preclinical data). SpringerLink

How to use for Multiple Sclerosis:

Doses used in MS trials:

• RRMS add-on: up to 800 mg EGCG/day (divided), 18 months. No efficacy; generally well tolerated. MDC Berlin

• Progressive MS: up to 1,200 mg EGCG/day (divided), 36 months. No efficacy; one notable transaminase rise. MDC Berlin

Safety-oriented guardrails (from regulators/refs):

• The European Food Safety Authority (EFSA) found ≥800 mg/day EGCG in supplement form is associated with statistically significant increases in liver enzymes; traditional brewed tea intakes are typically ~90–300 mg/day EGCG (some high consumers higher). European Food Safety Authority

• The U.S. NCCIH notes rare but documented liver injury from green tea extracts (tablets/capsules) and lists drug interactions (e.g., nadolol, atorvastatin, raloxifene). NCCIH

Practical steps clinicians often require (for anyone attempting EGCG anyway):

Medical supervision with baseline and periodic liver tests (ALT/AST, bilirubin).

Avoid fasting/empty stomach dosing (fasted bolus exposure appears riskier); take with food and split doses. naturalmedicines.therapeuticresearch.com

Stay under cautious intake levels unless enrolled in a trial; some toxicology work suggests ~300–338 mg EGCG/day (solid bolus) as a conservative “safe” threshold, but note this is not an efficacy dose and is derived from safety analyses, not MS outcomes. ScienceDirect

Choose standardized products with clear EGCG content and third-party testing; avoid “concentrated fat-burner” blends.

Scientific Evidence for Multiple Sclerosis:

Relapsing-remitting MS (RRMS), add-on to glatiramer acetate: Multicenter, double-blind phase II RCT (n=122) using up to 800 mg/day EGCG for 18 months showed no improvement in MRI or clinical outcomes vs placebo; safety acceptable at that dose. Class II evidence. MDC Berlin

Progressive MS (PMS): Double-blind phase II RCT (n=61) using up to 1,200 mg/day EGCG for 36 months also failed its primary endpoint (brain atrophy rate) and showed no secondary MRI/clinical benefits; mostly mild AEs, with one case of significant liver enzyme elevation. Class II evidence. MDC Berlin

Small exploratory trials/pilots: Limited studies have looked at metabolism, gait/balance, or combinations (e.g., with coconut oil), but these are small and hypothesis-generating—not practice-changing. American Journal of Clinical Nutrition

Systematic review of clinical trials: Recent reviews conclude evidence is insufficient/inconclusive for EGCG as an effective MS treatment. MDPI

Specific Warnings for Multiple Sclerosis:

Liver toxicity (most important):

• Case series and mechanistic research show green tea extract–related idiosyncratic hepatocellular injury, strongly associated with HLA-B*35:01 genotype in many cases; injuries range from reversible hepatitis to rare acute liver failure/transplant. Symptoms often arise weeks to months after starting. Deep Blue Repositories

Risk rises with high single-bolus doses, fasting use, and possibly weight-loss formulations. naturalmedicines.therapeuticresearch.com

• EFSA’s assessment: supplemental EGCG ≥800 mg/day increases transaminases vs control. European Food Safety Authority

Drug interactions:

• May reduce exposure/effect of nadolol; can alter levels of atorvastatin; interacts with raloxifene; other interactions possible—check all meds. NCCIH

Form matters:

Brewed green tea at customary intakes is generally safe for adults; concentrated extracts (pills/capsules) carry most hepatotoxicity reports. NCCIH

Who should avoid or use extreme caution:

• Anyone with pre-existing liver disease, on known hepatotoxic drugs, pregnant/breastfeeding (caffeine content and limited data), or with prior green tea–related liver injury. Genetic risk (HLA-B*35:01) is being researched but not routinely screened. NCCIH

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

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:

  1. 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.
  2. 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.
  3. 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.
  4. 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.
  5. 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:

  1. 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.
  2. 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.
  3. 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.
  4. Caffeine Content: Although green tea extract supplements may be decaffeinated, some products contain caffeine, which can affect sleep or cause jitteriness in sensitive individuals.
  5. 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.

Acne 0% effective
Cataracts 0% effective
Rosacea 0% effective
H. Pylori Infection 0% effective
Cellular Aging 0% effective
Gastritis 0% effective
9
Conditions
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Total Votes
39
Studies
0%
Avg. Effectiveness

Detailed Information by Condition

Acne

0% effective

Sebum control & anti-inflammatory effects. EGCG (the main catechin in green tea) reduces sebum production in human sebocytes via AMPK → SREBP-1 si...

0 votes Updated 1 month ago 6 studies cited

Cataracts

0% effective

Antioxidant & anti-apoptotic effects in lens cells. In cell studies, EGCG reduces oxidative-stress–induced damage and apoptosis in human lens epit...

0 votes Updated 1 month ago 4 studies cited

Rosacea

0% effective

Anti-inflammatory + anti-angiogenic actions. EGCG down-regulates inflammatory signaling (e.g., NF-κB, COX-2, iNOS) and can curb pro-angiogenic mediato...

0 votes Updated 1 month ago 4 studies cited

The primary active compounds in green tea are catechins, particularly epigallocatechin gallate (EGCG), which exhibit both bacteriostatic and bacterici...

0 votes Updated 2 months ago 4 studies cited

Cellular Aging

0% effective

Targets hallmarks of senescence (preclinical): In cells and animal models, EGCG dampens oxidative stress and the pro-inflammatory “SASP,” activates th...

0 votes Updated 1 month ago 3 studies cited

Gastritis

0% effective

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...

0 votes Updated 2 months ago 6 studies cited

Fibroids

0% effective

Direct anti-fibroid activity in cells: EGCG inhibits proliferation and triggers apoptosis (programmed cell death) in human uterine leiomyoma (fibroid)...

0 votes Updated 1 month ago 4 studies cited

Anti-inflammatory immune effects (preclinical): In the EAE animal model of MS and human T-cell studies, EGCG dampens pro-inflammatory Th1/Th17 respons...

0 votes Updated 1 month ago 4 studies cited

Cirrhosis

0% effective

Antifibrotic mechanisms (pre-clinical): EGCG can inhibit activation and proliferation of hepatic stellate cells (HSCs)—the main drivers of liver scarr...

0 votes Updated 1 month ago 4 studies cited

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