F-04 · Barrier Repair

Aloe vera (inner leaf)

aloe-vera
Aloe leafAloe leaf
F-04 · #54

Aloe vera (inner leaf)

Global Healing, Aloe Vera (inner-leaf, aloin-free) · 2 oz
BarrierInflammation

Inner-leaf gel, not whole-leaf, which contains aloin, a laxative that irritates IBD guts. In a London double-blind trial (n = 44), 100 mL of aloe gel twice daily for four weeks produced remission in 30% versus 7% on placebo and improvement in 37% versus 7%, with reduced histological activity; the numbers were small and just short of significance. An Italian enema trial is registered. Organic, clean label.

If a product doesn't say aloin-free or inner-fillet, skip it.
References 101–102
Andrew's notes

I have found aloe very helpful, and where I can I prefer a plant or food source over a capsule. Inner-leaf gel is the form that was studied and the form to look for; whole-leaf products contain aloin, a laxative that irritates an IBD gut. Aloe on the skin and aloe swallowed are different questions, and a plant in the garden is not a verified product: if you drink it, buy a preparation whose label says inner fillet and aloin-free.

SKU
GLH055-811839030294
Evidence3

One small RCT in UC, favorable but underpowered

Andrew's score3

Andrew's judgment, 1–5.

At a glance

Randomized UC trial (inner-leaf gel)
References 101–102

Product options from the guide

Global Healing Aloe Vera (inner-leaf, aloin-free)
go.supplementsforibd.com/aloe-vera

References

  1. Langmead L, Feakins RM, Goldthorpe S, et al. Randomized, double-blind, placebo-controlled trial of oral aloe vera gel for active ulcerative colitis. Aliment Pharmacol Ther 2004;19(7):739–747.
  2. ClinicalTrials.gov NCT04753775. Randomized, double-blind, placebo-controlled trial of enema aloe vera gel in active ulcerative proctosigmoiditis (Ospedale Sandro Pertini, Rome). Registry entry.

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