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Supplement

Turmeric

A spice (Curcuma longa) whose active principle is curcumin. As a spice it is poorly absorbed; as a supplement, a well-absorbed curcuminoid extract is sought.
Category
Scientific evidence
Moderate
Number of findings
2
Sources
Our own summaries · Cited studies
Recommended dose and how to use
As a supplement, extracts standardized to curcuminoids with good absorption (see Curcumin).

How to take it

As a supplement, extracts standardized to curcuminoids with good absorption (see Curcumin).

Safety

As a spice, safe. Supplements: digestive discomfort; caution with anticoagulants and gallstones.

Interactions

Like curcumin: caution with anticoagulants and narrow-margin drugs.

Effect by goal · level of evidence

Osteoarthritis (pain)

improves Moderate meta-analysis (AAA)
↓ Joint pain

Its curcumin relieves joint pain.

View the study (meta-analysis) →

Inflammation

reduces Moderate systematic review (AAA)
↓ Inflammation

The whole spice reduces inflammatory markers (low absorption).

View the study (meta-analysis) →

In depth

⏱ 3 min read

Turmeric is Curcuma longa, a perennial rhizomatous plant native to the Indian subcontinent and Southeast Asia whose dried, ground rhizome produces the intense yellow powder characteristic of many Asian cuisines, especially Indian (where it is an essential ingredient of curry) and Thai; it has been used for more than 4,000 years in Ayurvedic and traditional Chinese medicine as an anti-inflammatory, hepatoprotective, digestive, and wound-healing agent, and in recent decades it has become one of the most intensively studied medicinal plants by the international biomedical community.

Although its most studied active principle is curcumin (which has its own profile in this database), whole turmeric contains a more complex mixture of curcuminoids (curcumin, demethoxycurcumin, bisdemethoxycurcumin), turmerones (volatile essential oil), polysaccharides, and other bioactive compounds that together produce a broader pharmacological profile than isolated curcumin, an important observation because some studies suggest synergistic effects among the different components that are not fully replicated with curcumin-enriched extracts.

Difference between turmeric and curcumin

The clinical distinction between "turmeric" and "curcumin" has considerable practical relevance: natural turmeric (dried, ground rhizome) typically contains only 2-5 percent total curcuminoids, whereas commercial extracts "standardized to 95 percent" are isolated or nearly pure curcumin; the doses needed to reach the figures studied in clinical trials are quantitatively different depending on which product is used, and the pharmacological profile is not exactly the same either.

For specific indications with robust clinical data (osteoarthritis, chronic inflammatory joint pain), curcumin-enriched extracts with enhanced-absorption formulations (curcumin with piperine, phytosomes, lipid complexes, hydrophilic forms) are usually more effective and predictable; for everyday dietary use as a spice with overall anti-inflammatory effects and general nutritional contribution, natural turmeric in cooking is an excellent option that provides the curcuminoids in their natural food matrix.

Chronic inflammation and joint pain

The indication with the best clinical support is mild to moderate chronic inflammation and joint pain in osteoarthritis, where turmeric (especially its standardized curcuminoid extracts) has shown efficacy comparable to pharmacological anti-inflammatory drugs in several trials with a better gastrointestinal tolerance profile; the data are robust and have led to usage recommendations in some integrative medicine guidelines for symptomatic osteoarthritis.

Liver and digestive processes

In hepatic steatosis and functional dyspepsia, several small studies have documented improvements in transaminases, in hepatic inflammatory markers, and in digestive symptoms with supplementation for weeks to months, a traditional indication with consistent modern clinical support; turmeric is traditionally used as a choleretic and digestive in many culinary traditions.

How to take it and precautions

As a culinary spice, there is no specific limit for everyday dietary use: 1-3 grams a day incorporated into meals are perfectly safe and well tolerated; "golden milk" (turmeric with milk or plant-based milk, black pepper, and sometimes ginger) is a traditional preparation with good absorption thanks to the combination with dairy fat; for therapeutic use with standardized extracts, doses vary by product (200-1,500 mg/day of total curcuminoids depending on the indication and formulation).

Generally very well tolerated as a culinary spice; the adverse effects described are rare and mild (digestive discomfort, occasionally headache); people with large gallstones or biliary obstruction should be cautious because of the choleretic effect; those taking anticoagulants such as warfarin should be cautious because of a described mild antiplatelet effect; those taking antidiabetic drugs may experience a mild potentiation of the hypoglycemic effect; those taking drugs metabolized by cytochrome P450 (especially CYP3A4) may have interactions due to turmeric's modulating effect; people with calcium oxalate kidney stones should moderate consumption because of its modest but appreciable oxalate content; in pregnancy, habitual dietary consumption as a spice is safe but concentrated extracts at therapeutic doses should be avoided; in breastfeeding it is safe at culinary doses; combination with black pepper (which contains piperine) dramatically increases the bioavailability of curcumin, a traditional Ayurvedic practice with a well-documented solid pharmacological basis.

References

  1. Daily, J.W.; Yang, M.; Park, S. (2016). Efficacy of turmeric extracts and curcumin for alleviating the symptoms of joint arthritis: a systematic review and meta-analysis of randomized clinical trials. J Med Food 19, 8. doi:10.1089/jmf.2016.3705
  2. Aggarwal, B.B.; Yuan, W.; Li, S.; Gupta, S.C. (2013). Curcumin-free turmeric exhibits anti-inflammatory and anticancer activities: identification of novel components of turmeric. Mol Nutr Food Res 57, 9. doi:10.1002/mnfr.201200838
  3. Hewlings, S.J.; Kalman, D.S. (2017). Curcumin: a review of its effects on human health. Foods 6, 10. doi:10.3390/foods6100092
  4. Shoba, G. et al. (1998). Influence of piperine on the pharmacokinetics of curcumin in animals and human volunteers. Planta Med 64, 4. doi:10.1055/s-2006-957450
  5. Prasad, S.; Aggarwal, B.B. (2011). Turmeric, the golden spice: from traditional medicine to modern medicine. In: Herbal Medicine: Biomolecular and Clinical Aspects, 2nd ed. CRC Press. PMID 22593922

Information, not medical advice. Scientific evidence reflects the quality of the studies.

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