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ajo

Best studied for: High blood pressure; High cholesterol; Colds and coughs; Heart health.

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What is ajo? Ajo is the Spanish word for garlic, the bulb of Allium sativum. It is a kitchen food in almost every country. In Latin American homes it is also kept as a remedy. People use it for colds, high blood pressure, high cholesterol and stomach worms. It is eaten raw or cooked. It is also sold as tablets, capsules and aged extracts. Here is the short verdict on the evidence. Trials in people show small but real drops in blood pressure and cholesterol. Most other claims are not proven. Long use in a tradition is not proof that a remedy works. It is also not proof that it is safe. How does ajo work? Garlic's effects start with sulfur compounds that form when you cut a raw clove. The main one is allicin. In lab and animal studies, these compounds appear to relax blood vessels. They may raise two gases the body uses to widen vessels, nitric oxide and hydrogen sulfide. In cell studies, garlic compounds also slow platelets, the blood cells that build clots. This fits reports of easier bleeding in some people who take high doses. In test tubes, garlic slows the growth of many bacteria and fungi. Whether that happens inside the body at food doses is not established. The blood pressure effect is the best supported one in people. The drop is modest. It is smaller than what blood pressure medicines achieve. What forms does ajo come in? Garlic is sold both as ordinary food and as a supplement. The common forms are: Fresh cloves, raw or cooked. Dried garlic powder tablets, often coated to pass through the stomach. Aged garlic extract, in capsules or liquid, with far less smell. Garlic oil softgels. Home preparations, such as crushed garlic in honey, oil or warm milk. Odour-free products often hold little allicin. Coated tablets aim to release allicin past the stomach. Strength is not standard across brands. Check the amount per dose on the label you hold. Homemade garlic kept in oil is a food safety risk. It must be kept cold and used quickly. Where it comes from: Garlic reached the Americas on Spanish and Portuguese ships in the 1500s. It joined local healing practice quickly and became a household remedy. Curanderos and home healers used it for coughs, colds, earache and intestinal worms. It was also tied to protection beliefs, such as cloves carried against mal de ojo (the evil eye). In Mexican, Caribbean and Andean homes it was crushed into honey, oil or warm milk. Older European, North African and Middle Eastern records describe much the same uses.

Helps

What does ajo help with? High blood pressure: This is the best supported use. Pooled trials show a modest drop, mostly in people who already have raised readings. Typical falls are a few points. That can help, but it does not replace prescribed medicine. Tradition framed ajo as a tonic for the blood and heart. The modern data give that idea partial support. High cholesterol: Pooled trials show small falls in total cholesterol and in LDL, the harmful kind. The effect is modest. It is not seen in every study, and some trials found nothing. Garlic is not a substitute for a statin if your doctor has prescribed one. Colds and coughs: This is the most common home use in Latin American households. The human evidence is thin. One small trial found fewer colds in people taking a daily garlic supplement. A Cochrane review judged the evidence too weak to draw a firm conclusion. Garlic may ease nothing at all for you. See a doctor for a fever that lasts or for trouble breathing. Heart and circulation health: Garlic may thin the blood slightly and slow platelets, the cells that form clots. No large trial has shown that garlic prevents heart attacks or strokes. The same blood-thinning effect raises bleeding risk if you take blood thinners (anticoagulants). Blood sugar in type 2 diabetes: Some trials show small drops in fasting blood sugar with garlic supplements. Results differ between studies and the size of the change is small. It is not a replacement for diabetes medicine. Tell your doctor if you start it. Intestinal worms (traditional): Use for worms is old and widespread in the tradition. Garlic was given raw, in milk or in honey. Human evidence for this is very limited. Do not rely on ajo for a diagnosed parasite infection. Proven medicines exist. Fungal skin problems (traditional): In test tubes, ajoene and related compounds slow fungi, including those behind athlete's foot. A few small skin studies of ajoene gel exist, but the evidence is limited. Raw garlic held against skin can cause a chemical burn. That risk is well documented. Cancer prevention (not proven): Some population studies link high garlic intake with lower rates of stomach and bowel cancer. Those studies cannot show cause. Diet and lifestyle differ between the groups compared. No trial has shown that garlic supplements prevent cancer. Treat this claim as unproven.

Quick Facts

  • What it is: Ajo is garlic, the bulb of Allium sativum, used in Latin American homes as both food and remedy.
  • Main uses: High blood pressure, High cholesterol, Colds and coughs, Heart health
  • Active ingredients: Allicin, Alliin, Diallyl disulfide, Diallyl trisulfide, Ajoene, S-allyl cysteine
  • Forms: Fresh cloves, Powder tablets, Aged garlic extract, Garlic oil softgels
  • Time to effect: 8 to 12 weeks for blood pressure; odour within hours
  • Side effects: Mostly odour, reflux and gas; bleeding risk at high supplement doses.
  • Pregnancy & breastfeeding: Avoid in pregnancy and while breastfeeding.

Educational information, not medical advice — ask your doctor or midwife.

What is ajo?

Ajo is the Spanish word for garlic, the bulb of Allium sativum. It is a kitchen food in almost every country. In Latin American homes it is also kept as a remedy.

People use it for colds, high blood pressure, high cholesterol and stomach worms. It is eaten raw or cooked. It is also sold as tablets, capsules and aged extracts.

Here is the short verdict on the evidence. Trials in people show small but real drops in blood pressure and cholesterol. Most other claims are not proven.

Long use in a tradition is not proof that a remedy works. It is also not proof that it is safe.

How does ajo work?

Garlic's effects start with sulfur compounds that form when you cut a raw clove. The main one is allicin.

In lab and animal studies, these compounds appear to relax blood vessels. They may raise two gases the body uses to widen vessels, nitric oxide and hydrogen sulfide.

In cell studies, garlic compounds also slow platelets, the blood cells that build clots. This fits reports of easier bleeding in some people who take high doses.

In test tubes, garlic slows the growth of many bacteria and fungi. Whether that happens inside the body at food doses is not established.

The blood pressure effect is the best supported one in people. The drop is modest. It is smaller than what blood pressure medicines achieve.

What forms does ajo come in?

Garlic is sold both as ordinary food and as a supplement. The common forms are:

Fresh cloves, raw or cooked.

Dried garlic powder tablets, often coated to pass through the stomach.

Aged garlic extract, in capsules or liquid, with far less smell.

Garlic oil softgels.

Home preparations, such as crushed garlic in honey, oil or warm milk.

Odour-free products often hold little allicin. Coated tablets aim to release allicin past the stomach.

Strength is not standard across brands. Check the amount per dose on the label you hold.

Homemade garlic kept in oil is a food safety risk. It must be kept cold and used quickly.

Where it comes from:

Garlic reached the Americas on Spanish and Portuguese ships in the 1500s. It joined local healing practice quickly and became a household remedy.

Curanderos and home healers used it for coughs, colds, earache and intestinal worms. It was also tied to protection beliefs, such as cloves carried against mal de ojo (the evil eye).

In Mexican, Caribbean and Andean homes it was crushed into honey, oil or warm milk. Older European, North African and Middle Eastern records describe much the same uses.

Who should avoid ajo?

  • Do not take garlic supplements if you use warfarin or another blood thinner (anticoagulant), unless your doctor agrees.
  • Do not take garlic supplements in the week before planned surgery or dental surgery.
  • Do not take garlic supplements if you use saquinavir or other HIV medicines, unless your HIV doctor agrees.
  • Do not take garlic supplements if you use ciclosporin, tacrolimus or another transplant medicine.
  • Never hold raw crushed garlic against skin under a plaster or bandage; it can cause a chemical burn.
  • Never put garlic cloves or garlic oil into the ear, your own or a child's.
  • Do not use garlic if you are allergic to garlic, onion, leek or chives.
  • Avoid garlic supplements if you have a bleeding disorder such as haemophilia (a blood clotting problem).
  • Do not take garlic supplements while pregnant or breastfeeding; normal food amounts are considered fine.
  • Avoid high-dose garlic supplements if you have a stomach ulcer (a sore in the stomach lining) or bad reflux.
  • Do not give garlic supplements to babies or young children.
  • Never keep homemade garlic-in-oil at room temperature; it can grow the germ behind botulism, a rare and serious nerve poisoning.

When should you see a doctor?

Stop garlic supplements and get medical advice if you notice any of these:

Unusual bruising, nosebleeds or bleeding gums.

Black or tarry stools, or vomit that looks like coffee grounds.

Severe stomach pain, or heartburn that will not settle.

Blistering or a burn where garlic touched the skin.

Get emergency help for swelling of the lips, tongue or throat, a rash with trouble breathing, or fainting. These can be signs of a severe allergic reaction.

Tell your doctor that you take garlic before any surgery and before starting a new medicine.

Is ajo legal where you live?

Garlic is an ordinary food worldwide. In the United States, garlic supplements are sold as dietary supplements and are not approved by the FDA before sale. In the UK and EU they are sold as food supplements, not as medicines.

Evidence grades and traditional-use labels are explained in our methodology. Nothing here is medical advice.

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