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This sheet was compiled from PubMed (NIH) abstracts using AI assistance. Every factual claim is cited to a real PubMed article (see the source list). It has not yet been human-reviewed — confirm with a healthcare provider before use.
Compiled from 28 PubMed articles · model: gemma4:31b
Summary
Garcinia cambogia is a botanical supplement primarily used for weight loss [PMID:30000956], though it has been associated with significant hepatotoxicity [PMID:34400337, PMID:41262061].
Background
Garcinia gummi-gutta, also known as Garcinia cambogia, is a member of the Guttiferae family consisting of trees and shrubs found in tropical regions, including Asia and India [PMID:36785888].
Traditional uses
The fruit rind has been traditionally used in South India as a flavoring agent for fish curry and as a remedy for gastrointestinal problems, diarrhea, ulcers, bowel complaints, intestinal parasites, and rheumatism [PMID:36785888, PMID:25732350].
Active compounds
The fruit rind contains hydroxycitric acid (HCA), a main organic acid component [PMID:30000956, PMID:25732350]. Seed oil contains five fatty acid methyl esters [PMID:26345007].
Mechanism of action
Hydroxycitric acid (HCA) inhibits ATP-dependent citrate lyase, which catalyzes the conversion of citrate to acetyl-CoA, thereby reducing de novo lipogenesis and increasing fat oxidation [PMID:25732350, PMID:22530711]. It may also regulate serotonin levels related to satiety [PMID:25732350]. In skeletal muscle, it may enhance glucose uptake by activating the Calcium/CaMKII/AMPK/GLUT4 pathway [PMID:35213784].
Clinical evidence
Evidence AObesity/Weight Loss
A meta-analysis of 8 RCTs (530 subjects) found significant reductions in weight (-1.34 kg) and BMI (-0.99 kg/m2) [PMID:32951714]. However, other reviews note conflicting results and a lack of evidence for benefits beyond 12 weeks [PMID:22530711].
Evidence AGlycaemic Control
A systematic review and meta-analysis of 9 publications (444 participants) found that Garcinia cambogia has no significant effect on fasting blood sugar (FBS) or insulin [PMID:39943939].
Evidence BLUTS/BPH
A prospective randomized controlled study evaluated Garcinia extract (500 mg TID) alone or with Silodosin for lower urinary tract symptoms/benign prostatic hyperplasia [PMID:40209997].
Safety & adverse effects
Garcinia is generally well tolerated in adults with occasional gastrointestinal discomfort [PMID:30000956]. However, it is strongly linked to herb-induced liver injury (HILI), including cases of acute liver failure, hepatocellular injury with jaundice, and death [PMID:34400337, PMID:29802521, PMID:41262061, PMID:35350509]. Over 200 adverse events of liver injury have been identified [PMID:41262061].
Pregnancy & lactation
There is no published experience regarding safety or efficacy in nursing mothers or infants; therefore, these products should probably be avoided, especially while nursing a newborn or preterm infant [PMID:30000956].
Drug interactions
Long-term use of weight-loss supplements like Garcinia cambogia increases the risk of interactions with medications such as statins, warfarin, fluoxetine, and others [PMID:39770500].
Evidence summary
Evidence for weight loss is conflicting, with some meta-analyses showing modest short-term efficacy while others suggest insufficient long-term data. There is strong clinical evidence (case reports and network data) linking the herb to severe hepatotoxicity.
PubMed sources
1.PMID: 36479472 (2022) — Dietary supplements for obesity. · Journal of preventive medicine and hygiene
2.PMID: 30000956 (2006) — Garcinia cambogia attenuates adipogenesis by affecting CEBPB and SQSTM1/p62-mediated selective autophagic degradation of KLF3 through RPS6KA1 and STAT3 suppression. · Autophagy
3.PMID: 39136211 (2025) — Challenges in herbal-induced liver injury identification and prevention. · Liver international : official journal of the International Association for the Study of the Liver
4.PMID: 34307603 (2021) — Herb-induced liver injury: Systematic review and meta-analysis. · World journal of clinical cases
7.PMID: 26345007 (2015) — Evaluation and Characterization of Malabar Tamarind [Garcinia cambogia (Gaertn.) Desr.] Seed Oil. · Journal of food science and technology
8.PMID: 25732350 (2015) — A comprehensive scientific overview of Garcinia cambogia. · Fitoterapia
9.PMID: 35213784 (2022) — Garcinia Cambogia Improves High-Fat Diet-Induced Glucose Imbalance by Enhancing Calcium/CaMKII/AMPK/GLUT4-Mediated Glucose Uptake in Skeletal Muscle. · Molecular nutrition & food research
10.PMID: 32951714 (2020) — Effect of Garcinia cambogia supplement on obesity indices: A systematic review and dose-response meta-analysis. · Complementary therapies in medicine
11.PMID: 22530711 (2012) — Evaluation of the safety and efficacy of hydroxycitric acid or Garcinia cambogia extracts in humans. · Critical reviews in food science and nutrition
12.PMID: 34400337 (2022) — Garcinia cambogia, Either Alone or in Combination With Green Tea, Causes Moderate to Severe Liver Injury. · Clinical gastroenterology and hepatology : the official clinical practice journal of the American Gastroenterological Association
13.PMID: 26667686 (2015) — THE EFFECT OF GARCINIA CAMBOGIA AS COADJUVANT IN THE WEIGHT LOSS PROCESS. · Nutricion hospitalaria
14.PMID: 38528750 (2025) — Dietary Supplement-Induced Hepatotoxicity: A Clinical Perspective. · Journal of dietary supplements
15.PMID: 29802521 (2018) — Acute liver injury following Garcinia cambogia weight-loss supplementation: case series and literature review. · Internal and emergency medicine
16.PMID: 39220898 (2024) — Innovative treatments for obesity and NAFLD: A bibliometric study on antioxidants, herbs, phytochemicals, and natural compounds. · Heliyon
18.PMID: 40209997 (2025) — Evaluation of the Therapeutic Potential of Garcinia cambogia Alone or in Combination With Silodosin in the Management of LUTS/BPH: A Prospective Randomized Controlled Study. · Urology
19.PMID: 39943939 (2025) — The effects of Garcinia cambogia on glycaemic control and liver enzymes in adults: a systematic review and meta-analysis of randomised controlled trials. · Journal of nutritional science
20.PMID: 39808373 (2025) — Phytochemicals in Obesity Management: Mechanisms and Clinical Perspectives. · Current nutrition reports
21.PMID: 39770500 (2024) — Dietary Supplements for Weight Loss and Drug Interactions. · Pharmaceuticals (Basel, Switzerland)
22.PMID: 35223433 (2022) — Potential roles of Garcinia family as antimetabolic syndrome. · Journal of advanced pharmaceutical technology & research
23.PMID: 41262061 (2025) — Hepatotoxicity of dietary supplements containing Garcinia gummi-gutta (L.) N. Robson. · Pharmaceutical biology
24.PMID: 36237637 (2022) — Hypoglycemic and hypolipidemic effects of Garcinia cambogia extracts in streptozotocin-nicotinamide induced diabetic rat model. · International journal of clinical and experimental pathology