“Strong” = several concordant meta-analyses or systematic reviews. “Moderate” = one synthesis, or several controlled trials. “Limited” = early trials only. The rating is about the quality of the studies, not about how useful the supplement is.
Pumpkin seeds and seed oil: in trials, slightly fewer prostate-related urinary symptoms and more hair in men. The largest trial, lasting one year, still needs to be confirmed according to its own authors.
Tolerance: no more adverse effects than with placebo in the hair trial, none in the oil group versus tamsulosin, and products well tolerated for one year in GRANU. Limitations: in GRANU, the largest trial, the difference compared to placebo is only descriptive for the seeds, and nil for the extract capsules; its authors request a confirmatory trial before recommending the seeds. Versus tamsulosin, a prostate medication, the oil reduced symptoms less at 1 month and at 3 months. Combined with saw palmetto oil, pumpkin seed oil improved none of the measured parameters. Overactive bladder: a single study, without a placebo group, using oil from another squash (Cucurbita maxima, 10 g per day) in 45 people. Many small trials (47 and 35 participants, 12 women on oil in the blood pressure one) and several without placebo; blood glucose relies only on a test meal, and its authors request long-term studies.
Oil: 320 mg to 3 g per day depending on the trials. Whole seeds: 5 g twice a day for one year (GRANU trial).
In the largest trial, conducted over one year in 1,431 men, whole pumpkin seeds performed better than placebo... but not the seed extract capsules.
This single-blind randomized clinical trial compared the effects of pumpkin seed oil (360 mg twice daily) to those of tamsulosin in relieving symptoms of benign prostatic hyperplasia (BPH) in 73 men. After 3 months, pumpkin seed oil significantly reduced the IPSS and improved quality of life, with no side effects reported in its group. Although less effective than tamsulosin for overall IPSS reduction, it appeared to be a well-tolerated option.
Zerafatjou N, Amirzargar M, Biglarkhani M, Shobeirian F, Zoghi G. — BMC urology (2021) — View the source study
For information only: not a substitute for medical advice. Dietary supplements are not a replacement for a varied, balanced diet. Learn more