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Herb Profile

Fenugreek

Trigonella foenum graecum

Fenugreek (Trigonella foenum graecum) is a legume whose seeds supply soluble fiber, steroidal saponins, and the amino acid 4 hydroxyisoleucine.

Last reviewed: •3 sources citedReport a correctionProfile-wide ·B Moderate

Standard caution — GI discomfort, maple odor in sweat Details

Evidence
Moderate Evidence
Typical onset
Varies by prep
Safety rating
Low caution
Best for
Metabolic
Avoid / review if
Antidiabetics, Anticoagulants
Fenugreek monograph visual
Generated profile category visual

At a glance

From this profile's structured data
Evidence
Grade B
Safety
GI discomfort, maple odor in sweat
Profile context
metabolic
Next steps

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Safety

Safety & Cautions

GI discomfort, maple odor in sweat

Standard caution

Caution level: Standard. No specific caution categories were detected in the source record.

Detailed safety fields

Pregnancy, breastfeeding, and contraindications

  • Antidiabetics
  • Anticoagulants

Full safety note

  • GI discomfort, maple odor in sweat

Evidence-based safety

Caution when combined

Severity and certainty are shown separately. A high-priority caution can still be theoretical: these pairings are screened from shared contraindication mechanisms and are not automatically documented clinical interactions. Provenance identifies the source fields that produced each flag; it does not upgrade the certainty of the pairwise claim.

High-Priority Caution

147 flagged pairings

Bleeding / anticoagulant risk

Moderate Caution

110 flagged pairings

Blood-sugar lowering

Evidence

Evidence Summary

Evidence lens

Useful signal, but study design, dose, and population still matter.

ModerateModerate Evidence

Human clinical evidence: Present in source signals

Mechanistic / preclinical: Mechanism mapped — Metabolic Regulation · Glucose Metabolism Support · Lipid Metabolism Support

Research maturity: Established research — Long Term Human Evidence May Be Limited.

Safety boundary: Safety note available — GI discomfort, maple odor in sweat

This profile cites 3 human studies.

Study design details
Evidence Grade

Grade B: Moderate Evidence

Evaluation of methodological rigor, population reach, and evidence alignment.

Design Match
Meta-analysis
Risk of Bias
Low
Consistency
Consistent
Strongest recorded design is a meta-analysis, drawn from 7 recorded studies, 7 in people. No disagreement is recorded across them.
How evidence grades work

Each grade reflects the strength and consistency of published human evidence — not marketing claims. Grades are based on study count, design quality, effect size, consistency, and recency.

Strong
Multiple RCTs, consistent direction, adequate effect size
Moderate
Some RCTs or consistent observational data in humans
Preliminary / Mixed
Animal or in-vitro only, or conflicting human data
Traditional / Theoretical
Traditional use only; no controlled human trials
Clinical Study Summaries (8)7 human evidence sources · 0 human trials · Participant totals not consistently reported · Consistency not yet classifiable

Filter by study class

Showing 8 of 8 studies.

What the evidence actually shows

This table contains 8 structured sources, including 7 human evidence sources; 0 are human trials.

StudyDesignNDoseDurationPopulationOutcomeResult & magnitudeSource

Effect of fenugreek extract supplement on testosterone levels in male: A meta-analysis of clinical trials

Mansoori A et al. · Phytother Res · 2020

Background
Meta-analysis

Statistically combines results from multiple eligible studies; confidence still depends on the quality, consistency, and directness of those studies.

——————PubMed →

The Effects of Fenugreek Seed Consumption on Blood Pressure: A Systematic Review and Meta-analysis of Randomized Controlled Trials

Background
Meta-analysis

Statistically combines results from multiple eligible studies; confidence still depends on the quality, consistency, and directness of those studies.

—————Fenugreek produced a modest pooled reduction in systolic blood pressure.PubMed →

The Effect of Fenugreek on the Severity of Dysmenorrhea: A Systematic Review and Meta-analysis

Background
Meta-analysis

Statistically combines results from multiple eligible studies; confidence still depends on the quality, consistency, and directness of those studies.

—————Fenugreek showed a large pooled reduction in primary-dysmenorrhea pain versus placebo.PubMed →

Enhancing glycaemic control and promoting cardiovascular health: the therapeutic potential of Trigonella foenumgraecum in diabetic patients - a systematic review and meta-analysis

Background
Meta-analysis

Statistically combines results from multiple eligible studies; confidence still depends on the quality, consistency, and directness of those studies.

—————Fenugreek significantly reduced fasting blood glucose, HbA1c, and postprandial glucose versus control.PubMed →

Therapeutic effect of fenugreek supplementation on type 2 diabetes mellitus: A systematic review and meta-analysis of clinical trials

Background
Meta-analysis

Statistically combines results from multiple eligible studies; confidence still depends on the quality, consistency, and directness of those studies.

—————Fenugreek improved fasting glucose, HbA1c, HOMA-IR, total cholesterol, LDL, BMI, and HDL in pooled analyses.PubMed →

The effects of fenugreek (Trigonella foenum-graecum) seed on glycemic parameters: An updated systematic review and meta-analysis of randomized controlled trials

Background
Meta-analysis

Statistically combines results from multiple eligible studies; confidence still depends on the quality, consistency, and directness of those studies.

—————Fenugreek improved fasting glucose, 2-hour postprandial glucose, HbA1c, and insulin in pooled analyses.PubMed →
Show 2 more studies

Examining the Effects of Herbs on Testosterone Concentrations in Men: A Systematic Review

Smith SJ et al. · Adv Nutr · 2021

Background
Systematic review

Uses a predefined method to find and evaluate relevant studies, but may or may not pool their results statistically.

——————PubMed →

Integration of molecular docking, molecular dynamics and network pharmacology to explore the multi-target pharmacology of fenugreek against diabetes

Luo W et al. · J Cell Mol Med · 2023

Background
Other / unclear

The study design is not yet classified clearly enough to infer its place in the evidence hierarchy.

——————PubMed →

Dosing & Timing

Dose guidance
5 25 g seed powder OR 1 g extract
How Fenugreek works

Simplified mechanism pathway based on preclinical and pharmacological evidence. Does not confirm clinical efficacy.

Mechanism Pathway — How Fenugreek Works

How Fenugreek WorksFenugreek acts on biological target pathways via metabolic (regulation), leading to metabolic.FenugreekBiological TargetBiological pathwayMetabolicRegulationMetabolicObservable outcomeGlucoseRegulation
CompoundTarget / ReceptorMechanismEffect / Outcome
Mechanisms & biological pathways (preclinical)
  • Metabolic Regulation
  • Glucose Metabolism Support
  • Lipid Metabolism Support

Active Compounds

Key constituents studied in Fenugreek, with full pharmacology and safety profiles.

Compare related active botanicals

Explore botanicals with similar chemistry, effects, or safety considerations in the Botanical Activity Atlas.

Guides that use Fenugreek

Compare & Sourcing

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Review available sources for Fenugreek

Independent database mapping — evaluated separately from safety and efficacy scores.

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Safety first · Harm reduction

This information is educational and not medical advice. Start low, avoid risky combinations, and consult a licensed clinician before making health decisions—especially if you use medications, have diagnosed conditions, or are pregnant/breastfeeding.

Learn how we evaluate confidence, safety, and intensity on the methodology page.

Editorial Review

Checked against primary sources, cited evidence, and contraindication language before publication. Evidence claims, safety language, and affiliate modules are reviewed independently. Not personal medical advice.

Editorial Standards →

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