Black Seed for Cholesterol

Verdict: Published with Warning

Across 4 PubMed studies, the evidence for Black Seed in Cholesterol grades Tier B — preliminary evidence. Effective, but with safety or population caveats.

B 🟡 B Preliminary Evidence Published with Warning

🔬Why this grade7-layer evidence engine

⚖️

Scoring transparency

All scores computed by a 7-layer evidence engine — fully auditable
Raw score 0.53
D
C
B
A
S
← counter-evidence / ineffectiveeffective / strong evidence →
Final grade
B · Published with Warning
Confidence
77%
Broadly consistent
Evidence level
E2
Multiple high-quality MAs (≥2 independent, consistent)

How strongly each layer supports this effect

lower = less supportive
L5 Clinical bodiesAuthoritative stance
0.15
L1 ExamineGlobal benchmark
0.50
L3 MechanismPlausibility
0.65
L11 AI re-checkIndependent read
0.65
L2 PubMedPrimary literature
0.70
Against Mixed Supports
View the full decision path (audit trail)
  1. compute_raw_score — 加權公式: L2×0.30 + L3×0.25 + L5×0.25 + L11×0.10 + L1×0.10 = 0.525
  2. tier_from_score — 依分數區間映射至 tier letter
  3. apply_hec_rules — 高品質 SR/MA 顯示 positive (4 篇 > 0 negative)
  4. tier_strict_requirement_check — Tier 條件達標,未降階
  5. detect_disputes — 偵測到 0 個 hard + 0 個 soft dispute
  6. decide_status — 依 tier + dispute 結果決定 status

📄PubMed studies (4)L2 · primary research & systematic reviews

Nigella sativa (black seed) effects on plasma lipid concentrations in humans: A systematic review and meta-analysis of randomized placebo-controlled trials
PMID: 26875640 2016 統合分析
Finding: Across 17 RCTs, Nigella sativa significantly reduced total cholesterol (WMD -15.65 mg/dL, 95% CI -24.67 to -6.63), LDL-C (WMD -14.10 mg/dL, 95% CI -19.32 to -8.88) and triglycerides (WMD -20.64 mg/dL, 95% CI -30.29 to -11.00); HDL-C change was not significant (WMD 0.28 mg/dL, 95% CI -1.96 to 2.53). Seed oil produced larger TC and LDL-C reductions than powder, while an HDL-C rise was seen only with powder.
Effect size: WMD TC -15.65 mg/dL; LDL-C -14.10 mg/dL; TG -20.64 mg/dL; HDL-C NS
View on PubMed
Effects of Nigella sativa supplementation on lipid profiles in adults: An updated systematic review and meta-analysis of randomized controlled trials
PMID: 38777430 2024 統合分析 n = 2,278
Finding: Across 34 studies (2278 participants), N. sativa significantly reduced total cholesterol (SMD -1.78, 95% CI -2.20 to -1.37, p<0.001), LDL-C (SMD -2.45, 95% CI -3.06 to -1.85, p<0.001) and triglycerides (SMD -1.27, 95% CI -1.67 to -0.83, p<0.001), and significantly increased HDL-C (SMD 0.79, 95% CI 0.38 to 1.20, p<0.001). Authors suggest N. sativa as an adjuvant anti-hyperlipidemic agent.
Effect size: SMD TC -1.78; LDL-C -2.45; TG -1.27; HDL-C +0.79
View on PubMed
Does Nigella sativa supplementation improve cardiovascular disease risk factors? A comprehensive GRADE-assessed systematic review and dose-response meta-analysis of 82 randomized controlled trials
PMID: 40714301 2025 統合分析 n = 5,026
Finding: Across 82 RCTs (5026 participants, published 2008-2024), N. sativa supplementation significantly improved total cholesterol, LDL-C, HDL-C, triglycerides and the TC/HDL-C ratio. Dose-response analysis identified ~3000 mg/day over 12 weeks as maximizing benefit; authors conclude N. sativa could be a promising adjunct therapy for CVD risk factors. Published in Pharmacological Research.
Effect size: Significant improvement in TC, LDL-C, HDL-C, TG and TC/HDL-C ratio (per-marker MD/CI not extractable from abstract)
View on PubMed
Nigella sativa and health outcomes: An overview of systematic reviews and meta-analyses
PMID: 37057067 2023 系統性回顧
Finding: Eight meta-analyses examined lipids: six found N. sativa reduced total cholesterol and six showed LDL-C reductions; triglyceride results were mixed (seven reductions, four no change); only one of six showed HDL-C improvement. Critically, of 110 outcome indicators only five were rated moderate-quality, 17 low and 88 very-low quality, with downgrades for risk of bias, inconsistency and imprecision.
🟠 Limited quality Effect size: Direction supportive for TC and LDL-C; mixed for TG; weak for HDL-C
View on PubMed

🏛️Regulatory & authoritative positionsL4/L5 · FDA / EMA / NIH ODS / Cochrane / Mayo …

L4a US FDA
Cautious
black cumin (black caraway), Nigella sativa L. — listed as a spice and other natural seasoning and flavoring (21 CFR 182.10), GRAS source↗
L4b EU EFSA
Neutral
L4d TW TFDA / 衛福部
Neutral
黑種草能食用的部位是黑種草籽油,只要適量食用,不會有特別的風險。 source↗
L5a NIH Office of Dietary Supplements
Cautious
L5e Specialty Society (condition-mapped)
Against
PMID 100% verifiedevery citation checked via NCBI Entrez
🔬4 PubMed studiesindependently re-checked by multiple sub-agents
engine_version: v1.0 claim_id: CLM-COND-cholesterol-INT-black-seed-001 繁體中文版 →