library.onepin.app/aged-garlic-extract-kyolic Peptide Education Library
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OnePin Peptide Library · Metabolic

Metabolic Peptide Prescription drug

Aged Garlic Extract (Kyolic)

Kyolic · AGE Garlic

Aged Garlic Extract (AGE) is produced by aging fresh garlic (Allium sativum) in 15-20% ethanol for 18-20 months under controlled conditions. This aging process converts the harsh, pungent allicin (responsible for fresh garlic's smell and GI irritation) into stable, water-soluble organosulfur compounds - primarily S-allyl cysteine (SAC), S-allyl mercaptocysteine (SAMC), and various sulfides. The result is an odorless, non-irritating, more bioavailable form of garlic with significantly enhanced cardiovascular research base.,AGE has the strongest clinical evidence among garlic preparations. The Kyolic brand (Wakunaga of America) is the most-studied AGE, with over 750 published research papers. Major trials have demonstrated AGE reverses coronary artery calcium progression, reduces blood pressure, improves vascular elasticity, modulates lipid profile, and supports immune function. The LARRY/LANCER cardiology RCTs are landmark studies for AGE in cardiovascular prevention.,Critical distinction: AGE is dramatically different from fresh garlic, garlic powder, or garlic oil. Most studies showing cardiovascular benefit use specifically AGE (Kyolic-type preparations). Other garlic supplements may have minimal or different effects. Generic 'garlic extract' should not be assumed equivalent.

Quick Start
Route
Oral
Start low
1,200-2,400mg AGE daily
Frequency
Split 1-2x daily
Timing
Anytime

Take with meals (improves tolerability and absorption). Split dosing (1,200mg AM + 1,200mg PM) is the LANCER trial protocol. AGE is odorless - no garlic breath unlike fresh garlic. Effects develop over 6-12 months for cardiac outcomes.

Start here. Every protocol below is ordered lowest-first. Begin at the smallest effective dose, hold about a week to assess tolerance, and step up only if needed.

Tiered Protocols · lowest first
Quick Start
Conservative start
1,200-2,400mg AGE daily · Oral · Split 1-2x daily
Lowest starting point. Hold about a week to assess tolerance before stepping up.
1,200-2,400mg AGE daily
Split 1-2x daily
Standard
Cardiovascular Defense
1200-2400 mg · Oral · Daily
human clinical trial · Matsumoto et al. 2016 (J Nutr)
1200-2400 mg
Daily
01

How it works

S-allyl cysteine (SAC) is the primary bioavailable active component of AGE. SAC supports nitric oxide bioavailability (improving endothelial function and vasodilation), inhibits ACE (angiotensin-converting enzyme - similar to ACE inhibitor BP medications, though weaker), and provides antioxidant activity.,Plaque modulation: AGE may slow progression of coronary artery calcification (CAC) and promote regression of unstable, lipid-rich heterogeneous plaque. Mechanisms include endothelial protection, anti-inflammatory effects, and reduced LDL oxidation. The LARRY (Los Angeles Atherosclerosis) trials and subsequent LANCER trial demonstrated reduced CAC progression with AGE.,BP reduction: Mild ACE inhibition + improved NO availability + reduced oxidative stress in vasculature contribute to modest BP reduction (~5-10 mmHg systolic in hypertensive individuals).,Antioxidant: AGE contains potent antioxidants that reduce LDL oxidation (the atherogenic form of LDL) and protect endothelium from oxidative damage.,Anti-inflammatory: Reduces inflammatory markers (CRP, IL-6, TNF-alpha) relevant to atherosclerosis progression.,Platelet function: Modest antiplatelet effect (mild reduction in platelet aggregation) - contributes to cardiovascular benefit but rare bleeding risk at typical doses.,Lipid modulation: Modest reductions in total cholesterol, LDL, and triglycerides (effect smaller than statins or BPF).,Immune support: AGE enhances NK cell activity, T-cell function, and macrophage activity. May reduce cold/flu duration.

S-allyl cysteine (SAC) is the primary bioavailable active component of AGE. SAC supports nitric oxide bioavailability (improving endothelial function and vasodilation), inhibits ACE (angiotensin-converting enzyme - similar to ACE inhibitor BP medications, though weaker), and provides antioxidant activity.,Plaque modulation: AGE may slow progression of coronary artery calcification (CAC) and promote regression of unstable, lipid-rich heterogeneous plaque. Mechanisms include endothelial protection, anti-inflammatory effects, and reduced LDL oxidation. The LARRY (Los Angeles Atherosclerosis) trials and subsequent LANCER trial demonstrated reduced CAC progression with AGE.,BP reduction: Mild ACE inhibition + improved NO availability + reduced oxidative stress in vasculature contribute to modest BP reduction (~5-10 mmHg systolic in hypertensive individuals).,Antioxidant: AGE contains potent antioxidants that reduce LDL oxidation (the atherogenic form of LDL) and protect endothelium from oxidative damage.,Anti-inflammatory: Reduces inflammatory markers (CRP, IL-6, TNF-alpha) relevant to atherosclerosis progression.,Platelet function: Modest antiplatelet effect (mild reduction in platelet aggregation) - contributes to cardiovascular benefit but rare bleeding risk at typical doses.,Lipid modulation: Modest reductions in total cholesterol, LDL, and triglycerides (effect smaller than statins or BPF).,Immune support: AGE enhances NK cell activity, T-cell function, and macrophage activity. May reduce cold/flu duration.

02

What to expect

Early
Days 1–7

Weeks 1-4: Immune support, subtle BP changes.

03

Evidence

HumanPresent
AnimalPresent
In-vitroPresent
2016Aged garlic extract reduces low attenuation plaque in coronary arteries of patients with diabetes: A randomized, double-blind, placebo-controlled study · Matsumoto S, Nakanishi R, Li D et al, Journal of Nutrition ↗peer reviewed
2016The effect of aged garlic extract on blood pressure and other cardiovascular risk factors in uncontrolled hypertensives: the AGE at Heart trial · Ried K, Travica N, Sali A, Integrated Blood Pressure Control ↗peer reviewed
2016Aged Garlic Extract Reduces Low Attenuation Plaque in Coronary Arteries of Patients with Metabolic Syndrome in a Prospective Randomized Double-Blind Study · Matsumoto S, Nakanishi R, Li D et al, Journal of Nutrition ↗peer reviewed
2021Aged Garlic Extract Reduces IL-6: A Double-Blind Placebo-Controlled Trial in Females with a Low Risk of Cardiovascular Disease · Percival SS, Nutrients ↗peer reviewed
04

Interactions & stacking

What's safe to combine, and what belongs in a separate pin.

Safe & synergistic

StatinsCompatible co-administration. AGE may add modest lipid benefit and protect against statin-related vascular issues.
ACE InhibitorsAGE has mild ACE inhibition - additive but typically well-tolerated. Monitor BP.
CoQ10Both support cardiovascular health via complementary mechanisms - AGE for plaque/BP, CoQ10 for endothelial function and mitochondrial energy.
Omega-3Complementary cardiovascular protection - omega-3 for triglycerides and inflammation, AGE for plaque and BP.

Keep separate

Anticoagulants (warfarin, DOACs, antiplatelets)AGE has mild antiplatelet effect - additive bleeding risk with anticoagulants. Monitor; rare clinical bleeding events but worth noting. Discontinue 7-10 days before surgery.
Saquinavir (HIV protease inhibitor)Garlic compounds significantly reduce saquinavir levels (~50% reduction) via CYP3A4 induction. Avoid combination.
Cyclosporine, TacrolimusTheoretical CYP3A4 induction may reduce levels - monitor if combined.
Hypoglycemic medicationsMild glucose-lowering effect - additive with diabetes medications.
05

Pharmacokinetics

Illustrative plasma concentration · 24 h
Half-life
S-allyl cysteine: ~10-12 hours plasma. Long enough for once-daily dosing in maintenance.
Peak · Tmax
~2-3 hours oral.
Elimination
Plasma clearance 24-48 hours. Cardiovascular effects build over months.
Activity
Acute BP effect: 12-24 hours per dose. Chronic plaque/CAC effects: months of consistent dosing required.

Storage. Store at room temperature (15-30C) in a cool, dry place. Protect from heat. Capsules and tablets shelf-stable 2-3 years.

06

Regulatory status

Classified as a dietary supplement in the US - no prescription required. Widely available. Kyolic brand has been on US market since 1955 with extensive safety record. No FDA-approved medical indication.

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The guide & community

The complete Aged Garlic Extract (Kyolic) walkthrough, real protocol discussion and coaching live inside the BlessUp community on Skool.

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