Punicalagins (Pomegranate Ellagitannins) and heart markers

What 3 graded rows on punicalagins (pomegranate ellagitannins) agree on for heart markers, and where they differ. Counted side by side, never averaged.

What the rows agree on

Each block and row is one graded row from the Punicalagins (Pomegranate Ellagitannins) page, with its PubMed record.

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Punicalagins (Pomegranate Ellagitannins) and heart markers

3 rows · 227 people

They agree: all 3 rows found an improvement.

No difference
Improved
Each block is one evidence row, sized by how many people it enrolled, with its grade inside.
  • Grade C× 1
  • Grade D× 2
Rows
3
Trials
3
People
227

What the rows share

From the rows

The best-graded row, grade C, is a randomized trial of 76 people (2025) and found an improvement.

The rows run from 67 to 84 people, published from 2019 to 2025: 3 single studies.

The rows

3 improved
  1. Grade CInflammatory markers and blood pressure in older adults · Improved

    RCT · n 76 · 2025 · Adults aged 55 to 70

    740 mg/day · 12 weeks

    IL-6 and IL-1β fell with the extract (significant treatment-by-time interaction) and systolic pressure fell by 5.22 mmHg; CRP and TNF-α did not change significantly.

    Row on the Punicalagins (Pomegranate Ellagitannins) page · PubMed 40218993 (opens PubMed)

  2. Grade DEndothelial function, blood pressure and oxidised LDL (subgroups) · Improved

    Crossover RCT · n 84 · 2019 · Middle-aged, apparently healthy adults (Madrid)

    195 mg punicalagin + 9.9 mg hydroxytyrosol a day · 8 weeks per period

    In people with endothelial dysfunction, flow-mediated dilation improved vs placebo (2.36 vs 0.76%); in those with high oxLDL, oxLDL fell vs placebo; prehypertensive and hypertensive participants had lower blood pressure (systolic -15.75 mmHg). Whole-group results are not reported in the abstract.

    Row on the Punicalagins (Pomegranate Ellagitannins) page · PubMed 30884808 (opens PubMed)

  3. Grade DBlood lipids (subgroups) · Improved

    Crossover RCT · n 67 · 2022 · Adults aged 45 to 65 (84 randomized, 67 completed)

    195 mg punicalagin + 9.9 mg hydroxytyrosol a day · 8 weeks per period

    Triglycerides fell in people with high triglycerides (200.67 to 155.33 mg/dL), LDL fell in those with LDL of 160 mg/dL or more (179.13 to 162.93 mg/dL), and HDL rose in those with low HDL; placebo showed no such changes.

    Row on the Punicalagins (Pomegranate Ellagitannins) page · PubMed 35565844 (opens PubMed)

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